Neuronetics (STIM)
Market Price (12/4/2025): $1.41 | Market Cap: $94.9 MilSector: Health Care | Industry: Life Sciences Tools & Services
Neuronetics (STIM)
Market Price (12/4/2025): $1.41Market Cap: $94.9 MilSector: Health CareIndustry: Life Sciences Tools & Services
Investment Highlights
Why It Matters
Which of these 2 stories sounds closer for this stock?
1. Generates cash flow
The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.
2. Riding a trend
Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow
| Strong revenue growthRev Chg LTMRevenue Change % Last Twelve Months (LTM) is 79% | Weak multi-year price returns2Y Excs Rtn is -61%, 3Y Excs Rtn is -150% | Not profitable at operating income levelOp Inc LTMOperating Income, Last Twelve Months is -38 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -29% |
| Valuation becoming less expensiveP/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -44% | Not cash flow generativeCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -23%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -24% | |
| Megatrend and thematic driversMegatrends include Neuroscience & Brain Health, and Medical Device Innovation. Themes include Neuromodulation Therapies, Mental Health Technology, Show more. | Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -28% | |
| High stock price volatilityVol 12M is 101% |
| Strong revenue growthRev Chg LTMRevenue Change % Last Twelve Months (LTM) is 79% |
| Valuation becoming less expensiveP/S 6M Chg %Price/Sales change over 6 months. Declining P/S indicates valuation has become less expensive. is -44% |
| Megatrend and thematic driversMegatrends include Neuroscience & Brain Health, and Medical Device Innovation. Themes include Neuromodulation Therapies, Mental Health Technology, Show more. |
| Weak multi-year price returns2Y Excs Rtn is -61%, 3Y Excs Rtn is -150% |
| Not profitable at operating income levelOp Inc LTMOperating Income, Last Twelve Months is -38 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -29% |
| Not cash flow generativeCFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -23%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -24% |
| Yield minus risk free rate is negativeERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -28% |
| High stock price volatilityVol 12M is 101% |
Valuation, Metrics & Events
STIM Stock
Why The Stock Moved
Qualitative Assessment
AI Generated Analysis | Feedback
For Neuronetics (STIM), the approximate -59.8% stock movement from August 31, 2025, to December 4, 2025, can be attributed to several key factors:
1. Downward Revision of Full-Year 2025 Revenue Guidance and Q3 2025 Financial Results. On November 4, 2025, Neuronetics announced its third-quarter 2025 financial results, reporting a net loss of $9.4 million, or $0.13 per share. More significantly, the company revised its full-year 2025 revenue guidance downwards to between $147 million and $150 million, a reduction from its previous guidance of $149 million to $155 million. This lowered outlook on future revenue likely contributed to investor concern.
2. Significant Decline in Gross Margin Post-Greenbrook TMS Acquisition. The company's gross margin saw a substantial decrease, falling to 45.9% in the third quarter of 2025 from 75.6% in the same period of 2024. This reduction was primarily due to the integration of Greenbrook TMS's clinic business, which operates at a much lower profitability margin, thereby impacting Neuronetics' overall financial performance.
Stock Movement Drivers
Return vs. Risk
Price Returns Compared
| 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | Total [1] | |
|---|---|---|---|---|---|---|---|
| Returns | |||||||
| STIM Return | 147% | -60% | 54% | -58% | -44% | -18% | -71% |
| Peers Return | 42% | 3% | -9% | -5% | -14% | 33% | 43% |
| S&P 500 Return | 16% | 27% | -19% | 24% | 23% | 16% | 112% |
Monthly Win Rates [3] | |||||||
| STIM Win Rate | 58% | 33% | 50% | 25% | 42% | 40% | |
| Peers Win Rate | 40% | 33% | 32% | 28% | 25% | 53% | |
| S&P 500 Win Rate | 58% | 75% | 42% | 67% | 75% | 70% | |
Max Drawdowns [4] | |||||||
| STIM Max Drawdown | -71% | -65% | -53% | -85% | -79% | -19% | |
| Peers Max Drawdown | -25% | -12% | -25% | -25% | -21% | -10% | |
| S&P 500 Max Drawdown | -31% | -1% | -25% | -1% | -2% | -15% | |
[1] Cumulative total returns since the beginning of 2020
[2] Peers: A, ATEC, CERS, BLLN, BNBX.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 12/3/2025 (YTD)
How Low Can It Go
| Event | STIM | S&P 500 |
|---|---|---|
| 2022 Inflation Shock | ||
| % Loss | -95.1% | -25.4% |
| % Gain to Breakeven | 1925.7% | 34.1% |
| Time to Breakeven | Not Fully Recovered days | 464 days |
| 2020 Covid Pandemic | ||
| % Loss | -71.6% | -33.9% |
| % Gain to Breakeven | 251.6% | 51.3% |
| Time to Breakeven | 141 days | 148 days |
| 2018 Correction | ||
| % Loss | -89.3% | -19.8% |
| % Gain to Breakeven | 831.5% | 24.7% |
| Time to Breakeven | Not Fully Recovered days | 120 days |
Compare to A, ATEC, CERS, BLLN, BNBX
In The Past
Neuronetics's stock fell -95.1% during the 2022 Inflation Shock from a high on 1/22/2021. A -95.1% loss requires a 1925.7% gain to breakeven.
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Latest Trefis Analyses
| Title | Topic | |
|---|---|---|
| DASHBOARDS | ||
| Is Neuronetics Stock Built to Withstand More Downside? | Return |
| Title | |
|---|---|
| ARTICLES |
Trade Ideas
Select past ideas related to STIM. For more, see Trefis Trade Ideas.
| Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
|---|---|---|---|---|---|---|---|
| 11142025 | CRL | Charles River Laboratories International | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 10.0% | 10.0% | -3.7% |
| 11142025 | GDRX | GoodRx | Dip Buy | DB | CFO/Rev | Low D/EDip Buy with High Cash Flow MarginsBuying dips for companies with significant cash flows from operations and reasonable debt / market cap | -7.7% | -7.7% | -11.8% |
| 11142025 | ASTH | Astrana Health | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 6.9% | 6.9% | -5.5% |
| 11142025 | SGRY | Surgery Partners | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 11.5% | 11.5% | -1.4% |
| 11072025 | TFX | Teleflex | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 8.9% | 8.9% | -5.1% |
| Date | Ticker | Company | Category | Trade Strategy | 6M Fwd Rtn | 12M Fwd Rtn | 12M Max DD |
|---|---|---|---|---|---|---|---|
| 11142025 | CRL | Charles River Laboratories International | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 10.0% | 10.0% | -3.7% |
| 11142025 | GDRX | GoodRx | Dip Buy | DB | CFO/Rev | Low D/EDip Buy with High Cash Flow MarginsBuying dips for companies with significant cash flows from operations and reasonable debt / market cap | -7.7% | -7.7% | -11.8% |
| 11142025 | ASTH | Astrana Health | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 6.9% | 6.9% | -5.5% |
| 11142025 | SGRY | Surgery Partners | Dip Buy | DB | FCF Yield | Low D/EDip Buy with High Free Cash Flow YieldBuying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap | 11.5% | 11.5% | -1.4% |
| 11072025 | TFX | Teleflex | Dip Buy | DB | FCFY OPMDip Buy with High FCF Yield and High MarginBuying dips for companies with high FCF yield and meaningfully high operating margin | 8.9% | 8.9% | -5.1% |
Research & Analysis
Invest in Strategies
Wealth Management
Peer Comparisons for Neuronetics
| Peers to compare with: |
Financials
| Median | |
|---|---|
| Name | |
| Mkt Price | 12.17 |
| Mkt Cap | 1.8 |
| Rev LTM | 199 |
| Op Inc LTM | -13 |
| FCF LTM | -3 |
| FCF 3Y Avg | -15 |
| CFO LTM | 4 |
| CFO 3Y Avg | -12 |
Growth & Margins
| Median | |
|---|---|
| Name | |
| Rev Chg LTM | 13.0% |
| Rev Chg 3Y Avg | 8.3% |
| Rev Chg Q | 30.4% |
| QoQ Delta Rev Chg LTM | 6.7% |
| Op Mgn LTM | -10.1% |
| Op Mgn 3Y Avg | -21.8% |
| QoQ Delta Op Mgn LTM | 3.8% |
| CFO/Rev LTM | 1.8% |
| CFO/Rev 3Y Avg | -7.6% |
| FCF/Rev LTM | -0.5% |
| FCF/Rev 3Y Avg | -21.7% |
Valuation
| Median | |
|---|---|
| Name | |
| Mkt Cap | 1.8 |
| P/S | 2.3 |
| P/EBIT | -12.1 |
| P/E | -9.2 |
| P/CFO | 42.6 |
| Total Yield | -6.1% |
| Dividend Yield | 0.0% |
| FCF Yield 3Y Avg | -8.1% |
| D/E | 0.3 |
| Net D/E | 0.1 |
Returns
| Median | |
|---|---|
| Name | |
| 1M Rtn | 3.2% |
| 3M Rtn | 26.5% |
| 6M Rtn | 34.3% |
| 12M Rtn | 14.5% |
| 3Y Rtn | -27.0% |
| 1M Excs Rtn | 3.2% |
| 3M Excs Rtn | 17.0% |
| 6M Excs Rtn | 19.6% |
| 12M Excs Rtn | 8.0% |
| 3Y Excs Rtn | -95.8% |
Segment Financials
Revenue by Segment
| $ Mil | 2024 | 2023 | 2022 | 2021 | 2020 |
|---|---|---|---|---|---|
| Treatment sessions-United States | 51 | 45 | 42 | 35 | 41 |
| NeuroStar Advanced Therapy System-United States | 16 | 17 | 10 | 11 | 18 |
| Other-United States | 2 | 2 | 2 | 2 | 2 |
| Treatment sessions-International | 1 | 0 | 0 | 0 | 0 |
| NeuroStar Advanced Therapy System-International | 1 | 1 | 1 | 1 | 1 |
| Other-International | 1 | 1 | 0 | 0 | 0 |
| Clinic revenue-United States | 0 | ||||
| Total | 71 | 65 | 55 | 49 | 63 |
Returns Analyses
SEC Filings
Expand for More| Report Date | Filing Date | Filing |
|---|---|---|
| 9302025 | 11042025 | 10-Q 9/30/2025 |
| 6302025 | 8052025 | 10-Q 6/30/2025 |
| 3312025 | 5062025 | 10-Q 3/31/2025 |
| 12312024 | 3272025 | 10-K 12/31/2024 |
| 9302024 | 11122024 | 10-Q 9/30/2024 |
| 6302024 | 8122024 | 10-Q 6/30/2024 |
| 3312024 | 5072024 | 10-Q 3/31/2024 |
| 12312023 | 3082024 | 10-K 12/31/2023 |
| 9302023 | 11072023 | 10-Q 9/30/2023 |
| 6302023 | 8082023 | 10-Q 6/30/2023 |
| 3312023 | 5152023 | 10-Q 3/31/2023 |
| 12312022 | 3072023 | 10-K 12/31/2022 |
| 9302022 | 11082022 | 10-Q 9/30/2022 |
| 6302022 | 8022022 | 10-Q 6/30/2022 |
| 3312022 | 5122022 | 10-Q 3/31/2022 |
| 12312021 | 3082022 | 10-K 12/31/2021 |
External Quote Links
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