Neuronetics, Inc.
For the period ended Jun 30, 2025. Filed Aug 5, 2025.
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Jun 30, 2025 · Filed Aug 5, 2025
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Notes to Interim Consolidated Financial Statements
- DESCRIPTION OF BUSINESS
Neuronetics, Inc. (the “Company” or “Neuronetics” or the “Registrant”) believes that mental health is as important as physical health. As a global leader in neuroscience, the Company is delivering more treatment options to patients and healthcare providers by offering exceptional in-office treatments that produce extraordinary results. The Company’s first commercial product, the NeuroStar Advanced Therapy System, is a non-invasive and non-systemic office-based treatment that uses transcranial magnetic stimulation (“TMS”), to create a pulsed, magnetic resonance imaging (“MRI”)-strength magnetic field that induces electrical currents designed to stimulate specific areas of the brain associated with mood. The system is cleared by the United States (“U.S.”) Food and Drug Administration (the “FDA”) to treat adult patients with major depressive disorder (“MDD”) who have failed to achieve satisfactory improvement from prior antidepressant medication in the current MDD episode. It is also cleared by the FDA as an adjunct for adults with obsessive-compulsive disorder (“OCD”) and for adolescent patients aged 15-21 with MDD. It is also cleared by the FDA to decrease anxiety symptoms in adult patients with MDD that may exhibit comorbid anxiety symptoms (anxious depression). In addition to selling the NeuroStar Advanced Therapy System and associated treatment sessions to customers, we operate Greenbrook TMS Inc. (“Greenbrook”) treatment centers (“Treatment Centers”) across the U.S., offering NeuroStar Advanced Therapy. We acquired Greenbrook, a leading provider of mental healthcare services, pursuant to an Arrangement Agreement effective as of December 9, 2024. The NeuroStar Advanced Therapy System is safe, clinically effective, reproducible and precise and we believe is supported by the largest clinical data set of any competing TMS system. Treatment Centers also obtain SPRAVATO® to treat adults with treatment-resistant depression or depressive symptoms in adults suffering from MDD with acute suicidal ideation or behavior.
The Company’s shares continue to trade on the Nasdaq Global Market under the ticker “STIM”.
Liquidity
As of June 30, 2025, the Company had cash and cash equivalents of $11.0 million and an accumulated deficit of $442.6 million. The Company incurred negative cash flows from operating activities of $20.5 million for the six months ended June 30, 2025 and $31.0 million for the year ended December 31, 2024. The Company has incurred operating losses since its inception, and management anticipates that our operating losses will lessen in the near term due to revenue growth and the pursuit of ongoing cost efficiencies in connection with our Greenbrook acquisition. The Company’s primary sources of capital to date have been from its initial public offering (“IPO”), private placements of its convertible preferred securities, borrowings under its credit facility, proceeds from its secondary public offerings of common stock, and revenues from sales of its products. As of June 30, 2025, the Company had $60.0 million of borrowings outstanding under its credit facility, which mature in July 2029.
On February 10, 2025, the Company completed a secondary public offering of its common stock in which the Company issued and sold 9,200,000 shares of its common stock, which included shares pursuant to an option granted to the underwriter to purchase additional shares, at a public offering price of $2.25 per share. The Company received net proceeds of $18.9 million after deducting underwriting discounts, commissions and estimated offering expenses.
The Company’s ability to meet its liquidity needs is dependent on growth in existing and acquired product lines and the realization of synergies subsequent to its acquisition of Greenbrook. Management believes that the Company’s cash and cash equivalents as of June 30, 2025 and anticipated revenues from sales of our products and services are sufficient to fund the Company’s operations for at least the next 12 months from the issuance of these consolidated financial statements.
- BASIS OF PRESENTATION
The accompanying financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”). Any reference in these notes to applicable guidance is meant to refer to U.S. GAAP as found in the Accounting Standards Codification and Accounting Standards Updates (“ASUs”) promulgated by the Financial Accounting Standards Board (the “FASB”).
Basis of Consolidation
The consolidated financial statements of the Company are presented in U.S. dollars and include the accounts of Neuronetics and Greenbrook. All significant intercompany accounts and transactions have been eliminated in consolidation.
The Company consolidates entities in which it has a controlling financial interest based on either the variable interest entity (“VIE”) or voting interest (“VOE”) model. The Company is required to first apply the VIE model to determine whether it holds a variable interest in an entity, and if so, whether the entity is a VIE. ASC Topic 810,* Consolidation* ("Topic 810") defines the criteria for determining the existence of VIEs and provides guidance for consolidation.
An entity is considered to be a VIE if (i) the entity does not have enough equity to finance its own activities without additional support, (ii) the entity's at-risk equity holders lack the characteristics of a controlling financial interest, or (iii) the entity is structured with non-substantive voting rights. The primary beneficiary of a VIE is the party that has the power to direct the activities that most significantly impact the performance of the entity and the obligation to absorb losses or the right to receive benefits that could potentially be significant to the entity. The primary beneficiary is required to consolidate the VIE for financial reporting purposes. A VIE can have only one primary beneficiary but may not have a primary beneficiary if no party meets the criteria described above.
If the Company determines it does not hold a variable interest in a VIE, the Company applies the VOE model. To the extent the entity does not meet the definition of a VIE, Topic 810 guidance for voting interest entities is applied. The usual condition for a controlling financial interest, and therefore consolidation by the Company, is ownership of a majority voting interest of a corporation or a majority of kick-out rights for a limited partnership. The Company has determined that all its subsidiaries are VOEs primarily because it holds a majority voting interest in the entities.
Interim Consolidated Financial Statements
The accompanying unaudited interim consolidated financial statements have been prepared from the books and records of the Company in accordance with U.S. GAAP for interim financial information and Rule 10-01 of Regulation S-X promulgated by the U.S. Securities and Exchange Commission (the “SEC”), which permit reduced disclosures for interim periods. All adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the accompanying consolidated balance sheets and consolidated statements of operations and stockholders’ equity and consolidated cash flows have been made. Although these interim consolidated financial statements do not include all of the information and footnotes required for complete annual consolidated financial statements, management believes the disclosures are adequate to make the information presented not misleading. The unaudited interim consolidated statement of operations for the three and six months ended June 30, 2025, and the consolidated statements of cash flows for the six months ended June 30, 2025, are not necessarily indicative of the results that may be expected for the full year. Unaudited interim consolidated financial statements and footnotes should be read in conjunction with the audited consolidated financial statements and footnotes included in the Company’s Annual Report on Form 10-K filed with the SEC on March 27, 2025, wherein a more complete discussion of significant accounting policies and certain other information can be found.
Currency Risk
Currency risk is the risk to the Company’s earnings that arises from fluctuations in foreign exchange rates and the degree of volatility of those rates. The Company has minimal exposure to currency risk as substantially all of the Company’s revenue, expenses, assets and liabilities are denominated in U.S. dollars. The Company pays certain vendors and payroll costs in Canadian dollars from time to time, but due to the limited size and nature of these payments, it does not give rise to significant currency risk.
Use of Estimates
The preparation of financial statements in accordance with U.S. GAAP and the rules and regulations of the SEC, requires the use of estimates and assumptions, based on judgments considered reasonable, which affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. The Company bases its estimates and assumptions on historical experience, known trends and events and various other factors that management believes to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Although management believes its estimates and assumptions are reasonable when made, they are based upon information available at the time they are made. Management evaluates the estimates and assumptions on an ongoing basis and, if necessary, makes adjustments. Due to the risks and uncertainties involved in the Company’s business and evolving market conditions, and given the subjective element of the estimates and assumptions made, actual results may differ materially from estimated results.
- SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
The Company’s complete summary of significant accounting policies can be found in “Summary of Significant Accounting Policies” in the audited consolidated financial statements included in the Company’s Annual Report on Form 10-K filed with the SEC on March 27, 2025.
- RECENT ACCOUNTING PRONOUNCEMENTS
In November 2023, the FASB issued ASU 2023-07,Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which requires public companies to disclose for each reportable segment the significant expense categories and amounts for such expenses. ASU 2023-07 is effective for annual periods beginning December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024. Accordingly, we have expanded our interim consolidated financial statement disclosures in order to comply with the guidance.
In December 2023, the FASB issued ASU 2023-09,Improvements to Income Tax Disclosures (“ASU 2023-09”), which requires public business entities to disclose specific categories in the rate reconciliation and provide additional information for reconciling items that meet a quantitative threshold. ASU 2023-09 is effective for annual periods beginning after December 15, 2024. ASU 2023-09 will be effective for our annual period ended December 31, 2025. The Company is currently evaluating the impact of the adoption of ASU 2023-09 on its consolidated financial statements and related disclosures.
In November 2024, the FASB issued ASU 2024-03,Income Statements–Reporting Comprehensive Income–Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses (“ASU 2024-03”), which requires enhanced disclosure of income statement expense categories to improve transparency and provide financial statement users with more detailed information about the nature, amount, and timing of expenses impacting financial performance. ASU 2024-03 is effective for the Company for the annual reporting period beginning after December 15, 2026, and interim periods beginning after December 15, 2027. Early adoption is permitted. The amendments in ASU 2024-03 may be adopted either on a prospective basis to financial statements issued for reporting periods after the effective date or on a
retrospective basis to all periods presented. The Company is currently evaluating the impact of the adoption of ASU 2024-03 on its consolidated financial statements and related disclosures.
Other than the items noted above, there have been no new accounting pronouncements not yet effective or adopted in the current year that we believe have a material impact, or potential material impact, to our unaudited interim consolidated financial statements.
- ACQUISITION
Effective as of December 9, 2024, pursuant to the Arrangement, the Company completed the acquisition of Greenbrook whereby the Company acquired all of the issued and outstanding common shares of Greenbrook, which became a wholly owned subsidiary. The results of operations and financial position of Greenbrook are included in the Company’s consolidated financial statements from the date of acquisition.
The allocation of the purchase price to the assets acquired and liabilities assumed was based on preliminary information and is subject to further adjustment within the measurement period.
In accordance with the acquisition method of accounting for a business combination, the purchase price of $38.8 million was allocated to the assets acquired and liabilities assumed based on their estimated fair values on the date of acquisition as follows (in thousands, except share data):
| | | | |
|---|---|---|---|
| Consideration transferred: | | | |
| Common stock | | $29,101 | |
| Cash consideration | | | 4,175 |
| Settlement of preexisting relationships | | | 5,538 |
| Total consideration transferred | $38,814 | ||
| | | | |
| Assets acquired and liabilities assumed at fair value: | | | |
| Cash and Cash Equivalents | | $622 | |
| Restricted Cash | | | 1,000 |
| Accounts Receivable | | | 8,837 |
| Prepaid Expenses and Other Assets | | | 1,917 |
| Property and Equipment | | | 4,561 |
| Intangible Assets | | | 19,690 |
| Operating Right of Use Asset | | | 24,835 |
| Accounts Payable and Accrued Expenses | | | (11,502) |
| Other Payables | | | (671) |
| Deferred and Contingent Consideration | | | (1,000) |
| Operating Lease Liabilities | | | (24,442) |
| Total identifiable net assets | $23,847 | ||
| | | | |
| Non-controlling interest | | | (4,112) |
| | | | |
| Fair value of net assets acquired less noncontrolling interests acquired | | $19,735 | |
| | | | |
| Goodwill | | | 19,079 |
| | | | |
| | $38,814 | ||
During the period ended June 30, 2025, the Company recorded adjustments of $0.45 million to the preliminary fair values of the liabilities assumed, and goodwill. These adjustments reflect new information
obtained about facts and circumstances that existed as of the acquisition date. The Company will continue to assess and finalize these values during the measurement period.
Unaudited Pro Forma Financial Information
The following table reflects the pro forma operating results for the Company, which gives effect to the acquisition of Greenbrook as if it had occurred on January 1, 2024. The pro forma results are based on assumptions that the Company believes are reasonable under the circumstances. The pro forma results are not necessarily indicative of future results. The pro forma financial information includes the historical results of the Company and Greenbrook with eliminations for all intercompany transactions and excludes the effects of any synergies or cost reduction initiatives related to the acquisition of Greenbrook.
| · · · · · | |||
|---|---|---|---|
| | Unaudited Pro Forma | ||
| | three months ended June 30, | | six months ended June 30, |
| · 2024 · 2024 | |||
| Revenue | $34,575 | | $67,120 |
| Net loss | $(17,510) | | $(35,407) |
- INTANGIBLE ASSETS
Intangible assets consist of the following as of June 30, 2025 and December 31, 2024 (in thousands):
| | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| · · · As of June 30, 2025 | |||||||||||||
| · · Useful Life · · Gross Value · · Accumulated Amortization · · Net Carrying Value · · Weighted Average Remaining Useful Life | |||||||||||||
| Management services agreements | | 17-21 years | | $17,100 | | $(524) | | $16,576 | | 19 years | |||
| Trade name | | 5 years | | | 2,590 | | | (288) | | | 2,302 | | 5 years |
| | | | | $19,690 | | $(812) | | $18,878 | | | |||
| | | | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| · · · As of December 31, 2024 | |||||||||||||
| · · Useful Life · · Gross Value · · Accumulated Amortization · · Net Carrying Value · · Weighted Average Remaining Useful Life | |||||||||||||
| Management services agreements | | 17-21 years | | $17,100 | | $(30) | | $17,070 | | 19 years | |||
| Trade name | | 5 years | | | 2,590 | | | (54) | | | 2,536 | | 5 years |
| | | | | $19,690 | | $(84) | | $19,606 | | | |||
Amortization expense of intangible assets was $0.4 million and $0 for the three months ended June 30, 2025 and 2024, respectively.
Amortization expense of intangible assets was $0.7 million and $0 for the six months ended June 30, 2025 and 2024, respectively.
Amortization expense over the remaining life of the intangible assets will be recognized as follows (in thousands):
| | | | |
|---|---|---|---|
| Year · · Amortization expense | |||
| Remainder of 2025 | | $729 | |
| 2026 | | | 1,457 |
| 2027 | | | 1,457 |
| 2028 | | | 1,457 |
| 2029 | | | 1,428 |
| Thereafter | | | 12,350 |
| | | $18,878 | |
- FAIR VALUE MEASUREMENT AND FINANCIAL INSTRUMENTS
The carrying values of cash equivalents, accounts receivable, prepaids and other current assets, and accounts payable on the Company’s balance sheets approximated their fair values as of June 30, 2025 and December 31, 2024 due to their short-term nature. The carrying values of the Perceptive Facility (as defined below) approximated its fair value as of June 30, 2025 and December 31, 2024 due to its variable interest rate. The carrying value of the Company’s notes receivable approximated its fair value as of June 30, 2025 and December 31, 2024 due to its variable interest rate.
The Perceptive First Amendment (as defined below) included contingently issuable warrants of up to 900,000 shares that did not meet equity classification. Accordingly, the Company classified the warrants as a liability at their fair value and will adjust the warrants to their fair value at each reporting period. At June 30, 2025, the fair value of the liability-classified warrants was de minimis.
Certain of the Company’s financial instruments are measured at fair value using a three-level hierarchy that prioritizes the inputs used to measure fair value. This hierarchy maximizes the use of observable inputs and minimizes the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows:
| Level 1: | Inputs are quoted prices for identical instruments in active markets. |
|---|
| Level 2: | Inputs are quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; or model-derived valuations whose inputs are observable or whose significant value drivers are observable. |
|---|
| Level 3: | Inputs are unobservable and reflect the Company’s own assumptions, based on the best information available, including the Company’s own data. |
|---|
The following tables set forth the carrying amounts and fair values of the Company’s financial instruments as of June 30, 2025 and December 31, 2024 (in thousands):
| · · · · · · · · · · · · · · · | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| | June 30, 2025 | |||||||||
| · · · · · · · · Fair Value Measurement Based on | ||||||||||
| · · · · · · · · Quoted · · Significant · · · | ||||||||||
| · · · · · · · · Prices In · · Other · · Significant | ||||||||||
| · · · · · · · · Active · · Observable · · Unobservable | ||||||||||
| · · Carrying · · · · · Markets · · Inputs · · Inputs | ||||||||||
| · Amount · Fair Value · (Level 1) · (Level 2) · (Level 3) | ||||||||||
| Assets · · · · · · · · · · · · · · · | ||||||||||
| Money market funds (cash equivalents) | | $428 | | $428 | | $428 | | $— | | $— |
| Money market funds (restricted cash and cash equivalents) | | $5,500 | | $5,500 | | $5,500 | | $— | | $— |
| · · · · · · · · · · · · · · · | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| | December 31, 2024 | |||||||||
| · · · · · · · · Fair Value Measurement Based on | ||||||||||
| · · · · · · · · Quoted · · Significant · · · | ||||||||||
| · · · · · · · · Prices In · · Other · · Significant | ||||||||||
| · · · · · · · · Active · · Observable · · Unobservable | ||||||||||
| · · Carrying · · · · · Markets · · Inputs · · Inputs | ||||||||||
| | | Amount | | Fair Value | | (Level 1) | | (Level 2) | | (Level 3) |
| Assets · · · · · | ||||||||||
| Money market funds (cash equivalents) | | $5,200 | | $5,200 | | $5,200 | | $— | | $— |
- ACCOUNTS RECEIVABLE
The following table presents the composition of accounts receivable, net, as of June 30, 2025 and December 31, 2024 (in thousands):
| · · · · · · · | |||||
|---|---|---|---|---|---|
| | | June 30, | | December 31, | |
| · 2025 · 2024 · | |||||
| Gross accounts receivable - trade | | $27,036 | | $25,285 | |
| Less: Allowances for credit losses | | (920) | | (1,930) | |
| Accounts receivable, net | | $26,116 | | $23,355 | |
- INVENTORY
Inventory is stated at the lower of cost and net realizable value, with cost being determined on a first in, first out basis. The Company’s inventory is primarily comprised of finished goods and work-in-process.
- PROPERTY AND EQUIPMENT AND CAPITALIZED SOFTWARE
The following table presents the composition of property and equipment, net, as of June 30, 2025 and December 31, 2024 (in thousands):
| | | | | | | | |
|---|---|---|---|---|---|---|---|
| · · June 30, · · December 31, · | |||||||
| · 2025 · 2024 · | |||||||
| Laboratory equipment | | $637 | | $626 | | ||
| Office equipment | | 495 | | 495 | | ||
| Auto | | | 23 | | | 23 | |
| Computer equipment and software | | 843 | | 806 | | ||
| Manufacturing equipment | | 617 | | 605 | | ||
| Clinical equipment | | | 278 | | | 278 | |
| Leasehold improvements | | 1,608 | | 1,608 | | ||
| TMS devices | | | 4,277 | | | 4,447 | |
| Rental equipment | | 296 | | 598 | | ||
| Property and equipment, gross | | 9,074 | | 9,486 | | ||
| Less: Accumulated depreciation | | (3,750) | | (3,244) | | ||
| Property and equipment, net | | $5,324 | | $6,242 | | ||
As of June 30, 2025 and December 31, 2024, the Company had capitalized software costs, net, of $0.6 million and $0.4 million, respectively, which are included in “Prepaid expenses and other current assets” and “Other assets” on the balance sheets.
Depreciation and amortization expense related to property and equipment and capitalized software costs was $0.5 million and $0.6 million for the three months ended June 30, 2025 and 2024, respectively, and $1.1 million and $1.1 million for the six months ended June 30, 2025 and 2024, respectively.
11. NOTES RECEIVABLE
Greenbrook TMS Inc.
On March 31, 2023, the Company entered into a Secured Promissory Note and Guaranty Agreement (the “Promissory Note”) with TMS Neurohealth Centers Inc. (the “Maker”) and Greenbrook TMS Inc. and its subsidiaries, excluding the Maker, in the principal amount of $6.0 million for a period offour years.
The Promissory Note interest rate equaled the sum of (a) the floating interest rate of daily secured overnight financing rate as administered by the Federal Reserve Bank of New York on its website plus (b)7.65%.
Effective as of December 9, 2024, pursuant to the Arrangement, the Promissory Note outstanding principal amount of $3.6 million was settled and recorded as additional purchase consideration.
Interest income recognized by the Company related to notes receivable was $0 and $0.2 million for the three months ended June 30, 2025 and 2024, respectively. Interest income recognized by the Company related to notes receivable was $0 and $0.3 million for the six months ended June 30, 2025 and 2024, respectively, and is included within other income, net on the consolidated statements of operations.
12. LEASES
Lessee:
The Company has operating leases for its corporate headquarters, treatment centers, a training facility, and office equipment, including copiers. The corporate headquarters is located in Malvern, Pennsylvania, where the Company leases an approximately 42,000 square foot facility comprising office and warehouse space.
In the second quarter of 2025, the Company executed a lease modification for this facility, extending the lease term through June 2033 for 32,000 square feet of the premises.
The Company leases an approximately 9,600 square foot facility in Charlotte, North Carolina as a training facility for its NeuroStar Advanced Therapy Systems. The lease ends in September 2027. The Company has anoption to extend the lease on its training facility for an additionalone-year term; however, the Company has determined it is not reasonably certain to exercise the option at this time after assessing contract, asset, entity and market conditions present upon lease commencement.
Following the acquisition of Greenbrook, the Company has lease agreements related to its treatment centers and corporate offices. These lease agreements range from month-to-month to seven years in length.
Operating lease rent expense was $2.1 million and $0.2 million for the three months ended June 30, 2025 and 2024, respectively and $4.4 million and $0.4 million for the six months ended June 30, 2025 and 2024, respectively. As of June 30, 2025, the weighted average remaining lease term of operating leases was 5.5 years and the weighted average discount rate was 12.3%.
The following table presents the supplemental cash flow information as a lessee related to leases (in thousands):
| · · · · · · · | |||||
|---|---|---|---|---|---|
| · Six Months Ended · | |||||
| · · June 30, 2025 · June 30, 2024 · | |||||
| Cash paid for amounts included in the measurement of lease liabilities: · · · | |||||
| Operating cash flows from operating leases | | $3,983 | | $531 | |
The following table sets forth by year the required future payments of operating lease liabilities (in thousands):
| | | | | |
|---|---|---|---|---|
| · · | ||||
| · · Amount · | ||||
| Remainder of 2025 | | $3,816 | | |
| 2026 | | | 7,629 | |
| 2027 | | 6,245 | | |
| 2028 | | 4,583 | | |
| 2029 | | | 3,898 | |
| Thereafter | | 9,082 | | |
| Total lease payments | | 35,253 | | |
| Less imputed interest | | (10,135) | | |
| Present value of operating lease liabilities | | $25,118 | | |
Lessor sales-type leases:
Certain customers have purchased NeuroStar Advanced Therapy Systems on a rent-to-own basis. The lease term istwo orfour years with a customer option to purchase the NeuroStar Advanced Therapy System at the end of the lease or automatic transfer of ownership of the NeuroStar Advanced Therapy System at the end of the lease.
The following table sets forth a maturity analysis of the undiscounted lease receivables related to sales-type leases (in thousands):
| | | | | |
|---|---|---|---|---|
| · June 30, 2025 · | ||||
| Remainder of 2025 | | $102 | | |
| 2026 | | | 147 | |
| 2027 | | 30 | | |
| Total sales-type lease receivables | | $279 | | |
As of June 30, 2025 and December 31, 2024 the carrying amount of the lease receivables was $0.3 million. The Company doesnot have any unguaranteed residual assets.
Lessor operating leases:
NeuroStar Advanced Therapy Systems sold for which collection is not probable are accounted for as operating leases. For the three months ended June 30, 2025 and 2024, the Company recognized operating lease income of $0.05 million and $0.03 million, respectively. For the six months ended June 30, 2025 and 2024, the Company recognized operating lease income of $0.1 million.
The Company maintained rental equipment, net, of $0.1 million and $0.3 million as of June 30, 2025 and December 31, 2024, respectively, which are included in property and equipment, net on the consolidated balance sheets. Rental equipment depreciation expense was $0.14 million and $0.02 million for the three months ended June 30, 2025 and 2024, respectively and $0.16 million and $0.05 million for the six months ended June 30, 2025 and 2024, respectively.
- PREPAID COMMISSION EXPENSE
The Company pays a commission on both NeuroStar Advanced Therapy System sales and treatment session sales. Since the commission paid for NeuroStar Advanced Therapy System sales is not commensurate with the commission paid for treatment sessions, the Company capitalizes commission expense associated with NeuroStar Advanced Therapy System sales commissions paid that is incremental to specifically anticipated future treatment session orders. In developing this estimate, the Company considered its historical treatment session sales and customer retention rates, as well as technology development life cycles and other industry factors. These costs are periodically reviewed for impairment.
NeuroStar Advanced Therapy System commissions are deferred and amortized on a straight-line basis over aseven year period equal to the average customer term, which the Company deems to be the expected period of benefit for these costs.
On the Company’s consolidated balance sheets, the current portion of capitalized contract costs is represented by the current portion of prepaid commission expense, while the long-term portion is included in prepaid commission expense. Amortization expense was $0.8 million and $0.7 million for the three months ended June 30, 2025 and 2024, respectively, and $1.6 million and $1.4 million for the six months ended June 30, 2025 and 2024, respectively.
- ACCRUED EXPENSES
The following table presents the composition of accrued expenses as of June 30, 2025 and December 31, 2024 (in thousands):
| | | | | | | |
|---|---|---|---|---|---|---|
| · June 30, · December 31, | ||||||
| · · 2025 · · 2024 | ||||||
| Compensation and related benefits | | $7,049 | | $7,952 | ||
| Consulting and professional fees | | 968 | | 1,579 | ||
| Research and development expenses | | 344 | | 421 | ||
| Sales and marketing expenses | | | 312 | | | 523 |
| Warranty | | 190 | | 232 | ||
| Sales and other taxes payable | | 562 | | 619 | ||
| Other | | 1,157 | | 1,492 | ||
| Accrued expenses | | $10,582 | | $12,818 | ||
- REVENUE AND DEFERRED REVENUE
Contract terms typically require payment upon shipment or installation of the NeuroStar Advanced Therapy System and additional payments as access codes for treatment sessions are delivered, which can span several years after the NeuroStar Advanced Therapy System is first delivered and installed. The timing of revenue recognition compared to billings and cash collections typically results in accounts receivable. However, sometimes customer advances and deposits may be required for certain customers and are recorded as contract liabilities (deferred revenue). For multi-year agreements, the Company generally invoices customers annually at the beginning of each annual coverage period and recognizes revenue over the term of the coverage period.
As of June 30, 2025, the Company expects to recognize approximately the following percentages of deferred revenue by year:
| · · · | ||
|---|---|---|
| · Revenue | ||
| Year: | | Recognition |
| Remainder of 2025 | | 75% |
| 2026 | 25% | |
| Total | 100% | |
Revenue recognized for the three months ended June 30, 2025 and 2024 that was included in the contract liability balance at the beginning of the year was $0.3 million and $0.4 million, respectively. Revenue recognized for the six months ended June 30, 2025 and 2024 that was included in the contract liability balance at the beginning of the year was $0.9 million and $1.1 million, respectively, and primarily represented revenue earned from separately priced extended warranties, customer deposits, milestone revenue, and clinical training.
Customers
Significant customers are those that represent more than 10% of the Company’s total revenue. For the three months ended June 30, 2024, one customer accounted for 14% of the Company’s revenue. For the six months ended June 30, 2024, one customer accounted for 13% of the Company’s revenue. Following the acquisition of Greenbrook, there areno significant customers for the three and six months period ended June 30, 2025.
Geographical information
The following geographic data includes revenue generated from the Company’s third-party distributors. The Company’s revenue was generated in the following geographic regions and by product line for the periods indicated:
| · · · · · · · · · · · | |||||
|---|---|---|---|---|---|
| · · Revenues by Geography | |||||
| · · Three Months Ended June 30, | |||||
| · · 2025 · · 2024 | |||||
| · · · · · % of · · · · · % of | |||||
| · · Amount · · Revenues · · Amount · · Revenues | |||||
| · · (in thousands, except percentages) · | |||||
| U.S. | $37,656 | 99% | $16,130 | 98% | |
| International | | 452 | 1% | 320 | 2% |
| Total revenues | | $38,108 | 100% | $16,450 | 100% |
| · · · · · · · · · · · | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| · · U.S. Revenues by Product Category | |||||||||
| · · Three Months Ended June 30, | |||||||||
| · · 2025 · · 2024 | |||||||||
| | | | | | % of | | | | % of |
| · Amount · Revenues · Amount · Revenues | |||||||||
| · (in thousands, except percentages) · | |||||||||
| NeuroStar Advanced Therapy System | | $3,484 | | 9% | $4,000 | | 25% | ||
| Treatment sessions | | 10,773 | 29% | 11,660 | 72% | ||||
| Clinic revenue | | | 23,024 | | 61% | | — | | —% |
| Other | | 375 | 1% | 470 | 3% | ||||
| Total U.S. revenues | | $37,656 | 100% | $16,130 | 100% | ||||
| · · · · · · · · · · · | ||||||
|---|---|---|---|---|---|---|
| · · International Revenues by Product Category | ||||||
| · · Three Months Ended June 30, | ||||||
| · · 2025 · · 2024 | ||||||
| · · · · · % of · · · · · % of | ||||||
| · Amount · Revenues · Amount · Revenues | ||||||
| · (in thousands, except percentages) · | ||||||
| NeuroStar Advanced Therapy System | | $162 | 36% | $— | - | % |
| Treatment sessions | | 280 | 62% | 139 | 43% | |
| Other | | 10 | 2% | 181 | 57% | |
| Total international revenues | | $452 | 100% | $320 | 100% | |
| · · · · · · · · · · · · | ||||||
|---|---|---|---|---|---|---|
| · · Revenues by Geography · | ||||||
| · · Six Months Ended June 30, · | ||||||
| · · 2025 · · 2024 · | ||||||
| · · · · · % of · · · · · % of · | ||||||
| · · Amount · · Revenues · · Amount · · Revenues · | ||||||
| · · (in thousands, except percentages) · · | ||||||
| U.S. | $69,139 | 99% | $32,923 | 97% | | |
| International | | 944 | 1% | 944 | 3% | |
| Total revenues | | $70,083 | 100% | $33,867 | 100% | |
| · · · · · · · · · · · | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| · · U.S. Revenues by Product Category | |||||||||
| · · Six Months Ended June 30, | |||||||||
| · · 2025 · · 2024 | |||||||||
| | | | | | % of | | | | % of |
| · Amount · Revenues · Amount · Revenues | |||||||||
| · (in thousands, except percentages) · | |||||||||
| NeuroStar Advanced Therapy System | | $6,330 | | 9% | $7,310 | | 22% | ||
| Treatment sessions | | 20,385 | 30% | 24,648 | 75% | ||||
| Clinic revenue | | | 41,683 | | 60% | | — | | —% |
| Other | | 741 | 1% | 965 | 3% | ||||
| Total U.S. revenues | | $69,139 | 100% | $32,923 | 100% | ||||
| · · · · · · · · · · · | |||||
|---|---|---|---|---|---|
| · · International Revenues by Product Category | |||||
| · · Six Months Ended June 30, | |||||
| · · 2025 · · 2024 | |||||
| · · · · · % of · · · · · % of | |||||
| · Amount · Revenues · Amount · Revenues | |||||
| · (in thousands, except percentages) · | |||||
| NeuroStar Advanced Therapy System | | $326 | 35% | $259 | 27% |
| Treatment sessions | | 430 | 45% | 309 | 33% |
| Other | | 188 | 20% | 376 | 40% |
| Total international revenues | | $944 | 100% | $944 | 100% |
- DEBT
The following table presents the composition of debt as of June 30, 2025 and December 31, 2024 (in thousands):
| · · · · · · · | |||||
|---|---|---|---|---|---|
| | | June 30, | | December 31, | |
| · 2025 · 2024 · | |||||
| Outstanding principal | | $60,000 | | $60,000 | |
| Less debt discounts | | (4,461) | | (4,849) | |
| Total debt, net | | 55,539 | | 55,151 | |
| Less current portion | | — | | — | |
| Long-term debt, net | | $55,539 | | $55,151 | |
For the three months ended June 30, 2025, the Company recognized interest expense of $2.0 million, of which $1.8 million was cash and $0.2 million was non-cash interest expense related to the amortization of deferred debt issuance costs. For the three months ended June 30, 2024, the Company recognized interest expense of $2.0 million, of which $1.7 million was cash and $0.3 million was non-cash interest expense related to the amortization of deferred debt issuance costs and accrual of final payment fees.
For the six months ended June 30, 2025, the Company recognized interest expense of $3.9 million, of which $3.5 million was cash and $0.4 million was non-cash interest expense related to the amortization of deferred debt issuance costs. For the six months ended June 30, 2024, the Company recognized interest expense of $3.8 million, of which $3.3 million was cash and $0.5 million was non-cash interest expense related to the amortization of deferred debt issuance costs and accrual of final payment fees.
Perceptive Credit Facility
On July 25, 2024, the Company entered into a Credit Agreement and Guaranty with Perceptive Credit Holdings IV, LP (“Perceptive”) as collateral agent and other lenders defined in the agreement (the “Perceptive Facility”) which was used to partially repay the Company’s previous$60.0 million credit facility with SLR Investment Corp. (formerly known as Solar Capital Ltd.) (“Solar” and such facility, the “Solar Facility”).
The Perceptive Facility permits the Company to borrow up to an aggregate amount of $90.0 million inthree tranches of term loans, a “Tranche 1 Loan”, a “Tranche 2 Loan” and a “Tranche 3 Loan.” On July 25, 2024, the Company borrowed an aggregate amount of $50.0 million, which was the aggregate amount available under the Tranche 1 Loan. Under the Tranche 2 Loan portion of the Perceptive Facility, the Company is permitted to borrow, at its election, up to an aggregate amount of $15.0 million, (i) upon the Company achieving a specified amount of trailing twelve months net revenue, and (ii) assuming there has been no event of default under the Perceptive Facility prior to such election. The Tranche 2 Loan must be borrowed on or before January 31, 2026. Under the Tranche 3 Loan, the Company may request to borrow, at the consent of the Majority Lenders (as defined in the Perceptive Facility), up to an aggregate amount of $25.0 million. The Tranche 3 Loan is available until June 30, 2026. There are no scheduled repayments of the principal on the Tranche 1 Loan, Tranche 2 Loan and Tranche 3 Loan prior to the maturity date. All amounts borrowed under the Perceptive Facility are due on July 25, 2029.
Each of the Tranche 1 Loan, Tranche 2 Loan and Tranche 3 Loan accrue interest from the date of borrowing through the date of repayment at a floating per annum rate of interest equal to the sum of 7% plus the greater of (a)4.50% and (b) One-Month Term SOFR (as defined in the Perceptive Facility).
If the Company prepays either the Tranche 1 Loan, Tranche 2 Loan or Tranche 3 Loan prior to their respective scheduled maturity dates, the Company will also be required to pay prepayment fees to Perceptive equal to 6% of the principal amount of such term loan then-prepaid if prepaid on or before the first anniversary of the closing date,5% of the principal amount of such term loan then-prepaid if prepaid after the first anniversary and on or before the second anniversary of the closing date,4% of the principal amount of such term loan then-prepaid if prepaid after the second anniversary and on or before the third anniversary of the closing date, and 3% of the principal amount of such term loan then-prepaid if prepaid after the third anniversary and on or before the fourth anniversary of the closing date.
The Company’s obligations under the Perceptive Facility are secured by a first priority security interest in substantially all of the Company’s assets, including its intellectual property. The Perceptive Facility requires the Company to comply with a quarterly minimum trailing revenue covenant commencing March 2025 and a minimum liquidity covenant as well as affirmative and negative covenants.
The Perceptive Facility contains events of default, including, without limitation, events of default upon: (i) failure to make payment pursuant to the terms of the agreement; (ii) violation of covenants; (iii) material adverse changes to the Company’s business; (iv) insolvency; (v) material cross-defaults; (vi) significant judgments, orders or decrees for payments by the Company; (vii) incorrectness of representations and warranties; (viii) significant adverse events related to the Employee Retirement Income Security Act of 1974; (ix) failure by the Company to be registered with the SEC in good standing; or (x) failure by the Company to maintain a valid and perfected lien on the collateral securing the borrowing.
As consideration for the Perceptive Facility, the Company agreed to issue to Perceptive warrants to purchase up to 1,462,500 shares of the Company’s common stock, with a warrant exercisable into 1,125,000 shares of the Company’s common stock issued on the closing date (the “Initial Warrant”). The per share exercise price for the Initial Warrant is equal to the lower of (x) the 10-day volume weighted average price of the Company’s common stock on the business day immediately prior to the closing date and (y) the 10-day volume weighted average price of the common stock ended on August 31, 2024. In addition to the Initial Warrant, an additional warrant will be issued for 337,500 shares of common stock concurrently with the borrowing of the Tranche 2 Loan. The per share exercise price for the additional warrant will be equal to the exercise price of the Initial Warrant. Each warrant will be exercisable, in whole or in part, until the tenth anniversary of the applicable date of issuance.
Effective as of December 9, 2024, the Company amended the Perceptive Facility and borrowed against the Tranche 3 Loan in a principal amount of $10.0 million and used the proceeds thereof to finance, in part, the operations of the combined enterprise after the acquisition of Greenbrook and the related transactions included in the Arrangement (the “Perceptive First Amendment”). As consideration for Tranche 3 Loan borrowing, the Company issued warrants to purchase 600,000 shares of the Company’s common stock at a per share exercise price of $0.94.
The Company calculated the issuance date fair value of the warrants using the Black-Scholes option pricing model, which resulted in a fair value of $2.6 million. Accordingly, the Company allocated the proceeds from the Perceptive facility on a relative fair value basis resulting in $2.5 million allocated to the warrants.
As of June 30, 2025, the Company had $60.0 million of borrowings outstanding under the Perceptive Facility, which has a final maturity in July 2029. The interest rate on borrowings under the credit facility is variable and resets monthly.
The Company was in compliance with the covenants under the Perceptive Facility as of June 30, 2025.
Solar Credit Facility
On March 2, 2020, the Company entered into a Loan and Security Agreement with Solar as collateral agent and other lenders as defined in the Solar Facility.
On March 7, 2024, the Company entered into a sixth amendment (the “Solar Sixth Amendment”) to the Solar Facility.
Under the Solar Sixth Amendment, Solar (i) waived the specified events with respect to the Company’s non-compliance with the required revenue under the net product revenue covenant and (ii) amended the financial covenants to reflect current projections.
In connection with the Company’s entry into the Perceptive Facility, on July 25, 2024, the Company prepaid in full all outstanding obligations under and terminated the Solar Facility. In connection with this prepayment, the Company paid total consideration of$64.7 million, which consisted of (i)$60.0 million of remaining principal amount outstanding, (ii)$0.5 million of accrued and unpaid interest, (iii)$3.0 million in connection with the final payment fee, and (iv)$1.2 million in connection with the prepayment fee. The Company funded the prepayment of the Solar Facility using proceeds from the Perceptive Facility and cash on hand.
- COMMON STOCK
Common Stock Offering
On February 10, 2025, the Company completed a secondary public offering of its common stock in which the Company issued and sold 9,200,000 shares of its common stock, which included shares pursuant to an option granted to the underwriter to purchase additional shares, at a public offering price of$2.25 per share. The Company received net proceeds of approximately$18.9 million after deducting underwriting discounts, commissions and estimated offering expenses.
Common Stock
The following table summarizes the total number of shares of the Company’s common stock issued and reserved for issuance as of June 30, 2025 and December 31, 2024 (in thousands):
| · · · · · | |||
|---|---|---|---|
| | June 30, 2025 | December 31, 2024 | |
| Shares of common stock issued | 66,113 | 55,679 | |
| Shares of common stock reserved for issuance for: | | ||
| Common stock warrants outstanding | 1,725 | 1,725 | |
| Stock options outstanding | 1,223 | 1,237 | |
| Restricted stock units outstanding | 5,267 | 5,253 | |
| Shares available for grant under stock incentive plans | 4,541 | 3,596 | |
| Shares available for sale under employee stock purchase plan | 2,181 | 1,624 | |
| Total shares of common stock issued and reserved for issuance | 81,050 | 69,114 | |
Common Stock Warrants
The following table summarizes the Company’s outstanding common stock warrants as of June 30, 2025 and December 31, 2024:
| · · · · · | ||||
|---|---|---|---|---|
| Warrants · | ||||
| Outstanding · · · · · | ||||
| (in thousands) | | Exercise Price | | Expiration Date |
| 1,125 | | $0.94 | | July-2034 |
| 600 | | $0.94 | | Dec-2034 |
| 1,725 | | |||
There have beenno grants, exercises, orcancellations of warrants during the three and six months ended June 30, 2025 and 2024.
- LOSS PER SHARE
The Company’s basic loss per common share is computed by dividing the net loss by the weighted average number of shares of common stock outstanding during the period. The Company’s restricted stock awards (non-vested shares) are issued and outstanding at the time of grant but are excluded from the Company’s computation of weighted average shares outstanding in the determination of basic loss per share until vesting occurs.
A net loss cannot be diluted, so when the Company is in a net loss position, basic and diluted loss per common share are the same. If the Company achieves profitability in the future, the denominator of a diluted earnings per common share calculation will include both the weighted average number of shares outstanding and the number of common stock equivalents, if the inclusion of such common stock equivalents would be
dilutive. Dilutive common stock equivalents potentially include warrants, stock options, non-vested restricted stock units and non-vested performance restricted stock units (“PRSUs”) using the treasury stock method, along with the effect, if any, from the potential conversion of outstanding securities, such as convertible preferred stock.
The following potentially dilutive securities outstanding as of June 30, 2025 and 2024 have been excluded from the denominator of the diluted loss per share of common stock outstanding calculation (in thousands):
| | | | | | |
|---|---|---|---|---|---|
| · · June 30, · | |||||
| · 2025 · 2024 · | |||||
| Stock options | | 1,223 | | 1,258 | |
| Non-vested PRSUs | 1,622 | 395 | | ||
| Non-vested restricted stock units | 3,645 | 3,038 | | ||
| Common stock warrants | 1,725 | 21 | | ||
- SHARE-BASED COMPENSATION
The amount of share-based compensation expense recognized by the Company by location in its consolidated statements of operations for the three and six months ended June 30, 2025 and 2024 is as follows (in thousands):
| · · · · · · · · · · · · · | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| · Three Months Ended June 30, · · Six Months Ended June 30, · | ||||||||||
| · · 2025 · 2024 · 2025 · 2024 · | ||||||||||
| Cost of revenues | | $47 | | $37 | | $74 | | | 71 | |
| Sales and marketing | | 377 | | 359 | | 461 | | | 709 | |
| General and administrative | | 1,214 | | 976 | | 2,371 | | | 1,753 | |
| Research and development | | 176 | | 191 | | 352 | | | 368 | |
| Total | | $1,814 | | $1,563 | | $3,258 | | $2,901 | | |
2018 Equity Incentive Plan
In June 2018, the Company adopted the 2018 Equity Incentive Plan, (the “2018 Plan”), which authorized the issuance of up to 1.4 million shares, subject to an annual 4% increase based on the number of shares of common stock outstanding, in the form of restricted stock, stock appreciation rights and stock options to the Company’s directors, employees and consultants. Effective as of December 9, 2024, the Company authorized the issuance of up to 5,592,670 shares under the 2018 Plan. The amount and terms of grants are determined by the Company’s board of directors. All stock options granted to date have had exercise prices equal to the fair value, as determined by the closing price as reported by the Nasdaq Global Market, of the underlying common stock on the date of grant. The contractual term of stock options is up to 10 years, and stock options are exercisable in cash or as otherwise determined by the Company’s board of directors. Generally, stock options vest 25% upon the first anniversary of the date of grant and the remainder ratably monthly thereafter for 36 months. Restricted stock units generally vest ratably in three equal installments on the first, second and third anniversaries of the grant date. PRSUs generally vest based on attainment of performance metrics, such as achievement of cash flow breakeven or retention of key employees as determined by the Company’s board of directors. The fair value of the PRSUs are determined using a risk neutral Monte Carlo simulation valuation model. As of June 30, 2025, there were 3.9 million shares available for future issuance under the 2018 Plan.
2020 Inducement Incentive Plan
In December 2020, the Company adopted the 2020 Inducement Incentive Plan (the “2020 Plan”), which authorized the issuance of up to 0.4 million shares, subject to increase by approval of the Company’s board of directors, in the form of stock options, stock appreciation rights, restricted stock awards, restricted stock unit awards, performance stock awards and other stock awards to eligible employees who satisfy the standards for inducement grants under Nasdaq Global Market rules. In March 2022, the Company’s board of directors approved an additional 0.5 million shares for the issuance under the 2020 Plan. Effective as of December 9, 2024, the Company authorized the issuance of up to 1,400,000 shares under the 2020 Plan. An individual who previously served as an employee or director of the Company is not eligible to receive awards under the 2020 Plan. The amount and terms of grants are determined by the Company’s board of directors. As of June 30, 2025, there were 0.6 million shares available for future issuance under the 2020 Plan.
Stock Options
The following table summarizes the Company’s stock option activity for the six months ended June 30, 2025:
| · · · · · · · · · · | ||||||
|---|---|---|---|---|---|---|
| · · Weighted · Aggregate | ||||||
| · · Number of · · Weighted · · average · · average | ||||||
| · · Shares under · · average · · Remaining · · Intrinsic | ||||||
| · · Option · · Exercise Price · · Contractual · · Value | ||||||
| · · (in thousands) · · per Option · · Life (in years) · · (in thousands) | ||||||
| Outstanding at December 31, 2024 | 1,237 | | $3.75 | | | |
| Granted | — | | $— | | ||
| Exercised | (5) | | $1.62 | | | |
| Forfeited and Expired | (9) | | $6.33 | | ||
| Outstanding at June 30, 2025 | 1,223 | | $3.74 | 4.6 | $1,421 | |
| Exercisable at June 30, 2025 | 1,223 | | $3.74 | 4.6 | $1,421 | |
| Vested and expected to vest at June 30, 2025 | 1,223 | | $3.74 | 4.6 | $1,421 | |
The Company recognized share-based compensation expense related to stock options of $0 and $0.1 million for the three months ended June 30, 2025 and 2024, respectively, and $0 and $0.1 million for the six months ended June 30, 2025 and 2024, respectively. As of June 30, 2025, there wasno remaining unrecognized compensation cost related to non-vested stock options.
For the six months ended June 30, 2025 the Company didnot grant stock options.
Restricted Stock Units and PRSUs
The following table summarizes the Company’s restricted stock unit and PRSU activity for June 30, 2025:
| · · · · · · · · · · | |||||||
|---|---|---|---|---|---|---|---|
| · Non-vested · · Weighted · Non-vested · · Weighted | |||||||
| · · Restricted · · · average · · PRSUs · · · average | |||||||
| · · Stock Units · · · Grant-date · · · · · Grant-date | |||||||
| · · (in thousands) · · · Fair Value · · (in thousands) · · · Fair Value | |||||||
| Non-vested at December 31, 2024 | | 3,553 | | $3.10 | 1,700 | | $2.45 |
| Granted | 1,955 | | $4.31 | 398 | | $4.34 | |
| Vested | (1,273) | | $3.62 | — | | $— | |
| Forfeited | (590) | | $3.03 | (476) | | $1.33 | |
| Non-vested at June 30, 2025 | 3,645 | | $3.58 | 1,622 | | $3.24 | |
The Company recognized $1.8 million and $1.5 million in share-based compensation expense related to the restricted stock units and PRSUs for the three months ended June 30, 2025 and 2024, respectively, and $3.3 million and $2.8 million for the six months ended June 30, 2025 and 2024, respectively. As of June 30, 2025,
there was $12.6 million of unrecognized compensation cost related to non-vested restricted stock units and PRSUs, which the Company expects to recognize over a weighted average period of 2.2 years. The total fair value at the vesting date of restricted stock units and PRSUs vested during the six months ended June 30, 2025 was $4.4 million.
During the period ended June 30, 2025, the Company granted PRSUs to certain key employees, with vesting subject to the recipient’s continued service with the Company through the applicable vesting date and the achievement of certain performance conditions as outlined in the award document. The awards are subject to the Company’s 2018 Plan
The Company offers our board of directors and certain employees the opportunity to defer restricted stock units into an equity-based deferred equity compensation plan (the “RSUDEP”). Benefits from the RSUDEP are payable in shares of the Company’s stock and the awards under the RSUDEP are unfunded to the plans’ participants. Restricted stock units deferred under the RSUDEP are counted against the total shares available for future issuance under the 2018 Plan. As at June 30, 2025, there were 0.3 million shares deferred under this plan.
- COMMITMENTS AND CONTINGENCIES
Legal Matters
The Company is subject from time to time to various claims and legal actions arising during the ordinary course of its business. Management believes that there are currently no claims or legal actions that would reasonably be expected to have a material adverse effect on the Company’s results of operations, financial condition, or cash flows.
Other Matters
The Company is subject to various audits from government agencies including Medicaid and Medicare which involve the potential recoupment of reimbursements received from these agencies. These audits occur in the ordinary course of business, and their impact on the Company’s results of operations, financial condition or cash flows cannot be estimated.
On July 4, 2025, the “One Big Beautiful Bill Act” (the “Act”) was enacted into law. The legislations have multiple effective dates, with certain provisions effective in 2025 and others implemented through 2027. These changes include provisions allowing accelerated tax deductions for qualified property and research expenditures. We are in the process of evaluating the impact of the Act to our Consolidated Financial Statements.
- SEGMENT INFORMATION
Operating segments are defined as components of an enterprise about which separate discrete information is available for evaluation by the chief operating decision maker (“CODM”) in deciding how to allocate resources and in assessing performance. The Company currently operates inone business segment focused on the sale and delivery of TMS products and clinical services that improve the quality of life for people suffering from neurohealth disorders. The CODM is the Company’s chief executive officer.
The accounting policies of the Company’s segment are the same as those described in the summary of significant accounting policies. The key measure of segment profit or loss that the CODM uses to allocate resources and assess performance is the Company’s net loss from operations, as reported on the accompanying statements of operations. The measure of segment assets is reported on the balance sheets
as total consolidated assets with particular emphasis on the Company’s available liquidity, including its cash and cash equivalents and restricted cash.
The following table illustrates information about reported segment revenue, measures of a segment’s profit or loss, significant segment expenses, and measure of a segment's assets for the current reporting period.
| | | | | | | | | | | | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| · Three months ended June 30, · · Six months ended June 30, | |||||||||||
| · · 2025 · 2024 · · 2025 · 2024 | |||||||||||
| Revenue | | $38,108 | | $16,450 | | $70,083 | $33,867 | ||||
| Cost of revenues | | | 20,350 | | | 4,271 | | | 36,587 | | 8,600 |
| Segment Gross profit | | $17,758 | | $12,179 | | $33,496 | $25,267 | ||||
| | | | | | | | | | | | |
| Personnel | | $17,489 | | $12,450 | | $35,165 | $24,588 | ||||
| Marketing | | | 2,692 | | | 2,474 | | | 5,629 | | 4,702 |
| Research and development | | | 458 | | | 623 | | | 713 | | 1,423 |
| Professional fees | | | 1,221 | | | 1,197 | | | 2,666 | | 2,300 |
| Other segment expenses (a) | | | 3,956 | | | 3,943 | | | 8,395 | | 7,621 |
| Segment income/(loss) | | $(8,058) | | $(8,507) | | $(19,072) | $(15,366) | ||||
| | | | | | | | | | | | |
| Unallocated | | | | | | | | | | | |
| Interest expense | | | 1,969 | | | 1,978 | | | 3,891 | | 3,804 |
| Other income, net | | $(188) | | | (653) | | $(435) | | (1,465) | ||
| | | | | | | | | | | | |
| Net income/ (loss) | | $(9,839) | | $(9,832) | | $(22,528) | $(17,705) | ||||
| (a) | Other segment expenses include travel and entertainment, bad debt, depreciation and amortization, insurance, rent, and other costs. |
- NONCONTROLLING INTEREST
The Company has operating agreements with 22 non-wholly owned entities. The non-controlling interest percentages range from 10% to 49%. The Company has control over these entities under U.S. GAAP as the Company has power over all significant decisions made by these entities. Thus,100% of the financial results of these subsidiaries are included in the Company’s consolidated financial results.
There were no changes in the Company’s non-wholly owned entities in the three and six month periods ended June 30, 2025.
- GOVERNMENT ASSISTANCE
Employee Retention Credit
The Coronavirus Aid, Relief and Economic Security Act provided an Employee Retention Credit (the “ERC”), which was a refundable tax credit related to certain payroll taxes. The Company applied the grant model and determined that the criteria for recognition of the ERC was met during the year ended December 31, 2023 based on the Company’s determination of eligibility and filing of the ERC claim. As of December 31, 2024, the $2.9 million ERC receivable was reported within prepaid expenses and other current assets on the Company’s consolidated balance sheets.
The entire balance of the ERC receivable was received during the six months ended June 30, 2025.
- SUBSEQUENT EVENTS
On July 3, 2025, the Company entered into an Equity Distribution Agreement (the “Distribution Agreement”) with Canaccord Genuity LLC (“Canaccord”), pursuant to which the Company may offer and sell shares of its common stock having an aggregate offering price of up to$50.0 million from time to time through an “at the market” equity offering program (the “ATM Program”). Sales under the Distribution Agreement, if any, will be made pursuant to the Company’s Registration Statement on Form S-3 (File No. 333-288526), and a related prospectus and prospectus supplement.
The Company intends to use any net proceeds from the ATM Program for general corporate purposes, which may include working capital, capital expenditures, research and development, and potential strategic acquisitions.
No shares have been issued under the ATM Program as of the date of this filing.
On July 15, 2025, the Company’s board of directors appointed Steven Pfanstiel as the Company’s Executive Vice President, Chief Financial Officer, and Treasurer. Subsequent to Mr. Pfanstiel’s appointment as Chief Financial Officer of the Company on July 15, 2025, the separation of service date from the Company for Stephen Furlong, Executive Vice President and Senior Advisor to the CEO, was accelerated to August 1, 2025.
On August 1, 2025, the Company entered into Amendment No. 3 to Credit Agreement and Guaranty (the “Amendment”). The Amendment amends the Perceptive Facility to (i) borrow a Tranche 2A Loan in a principal amount of$10,000,000 on the date of the Amendment, (ii) lower the minimum liquidity balance requirement to$2,000,000 through September 30, 2026, and (iii) issue Perceptive a warrant certificate exercisable into 225,000 shares of the Company’s common stock.
The text of this filing, as the company filed it with the SEC, without its images or exhibits. This is not investment advice.