Neuronetics, Inc. (NASDAQ: STIM)

Sector: Healthcare Industry: Medical Devices CIK: 0001227636
Market Cap 76.67 Mn
P/B 2.80
P/E -1.72
P/S 0.59
ROIC (Qtr) -33.52
Div Yield % 0.00
Rev 1y % (Qtr) 101.28
Total Debt (Qtr) 90.75 Mn
Debt/Equity (Qtr) 3.32
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About

Neuronetics, Inc., a commercial-stage medical technology company (NASDAQ: STIM), operates in the neurohealth industry, focusing on designing, developing, and marketing products that enhance the quality of life for patients with neurohealth disorders. The company's main business activities involve creating innovative solutions that address various neurological conditions, primarily utilizing transcranial magnetic stimulation (TMS) technology. Neuronetics operates in the United States and several international markets, including Japan, Saudi Arabia,...

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Investment thesis

Bull case

  • Healthy cash reserves of 34.47M provide 6.17x coverage of short-term debt 5.58M, demonstrating strong liquidity position and minimal refinancing risk.
  • Operating cash flow of (29.88M) provides exceptional 276.65x coverage of minority interest expenses (108000), showing strong core operations.
  • Tangible assets of 104.29M provide exceptional 138.31x coverage of deferred revenue 754000, showing strong service capability backing.
  • Operating cash flow of (29.88M) fully covers other non-current liabilities (754000) by 39.63x, showing strong long-term stability.
  • Strong free cash flow of (30.55M) provides 11.97x coverage of acquisition spending (2.55M), indicating disciplined M&A strategy.

Bear case

  • Investment activities of (2.96M) provide weak support for R&D spending of 10.69M, which is -0.28x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Cash reserves of 34.47M provide limited coverage of acquisition spending of (2.55M), which is -13.50x, suggesting aggressive expansion might strain liquidity if market conditions deteriorate.
  • Operating cash flow of (29.88M) provides insufficient coverage of deferred revenue obligations of 754000, which is -39.63x, raising concerns about future service delivery capabilities.
  • The company's operating cash flow of (29.88M) shows concerning coverage of stock compensation expenses of 5.95M, with a -5.02 ratio indicating potential earnings quality issues.
  • High receivables of 18.69M relative to inventory of 4.32M (4.33 ratio) suggests aggressive credit terms or collection difficulties, potentially masking revenue quality issues.

Concentration Risk By Type Breakdown of Revenue (2024)

Concentration Risk By Type Breakdown of Revenue (2024)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 0.96 2.13
EV to Cash from Ops. EV/CFO -4.68 2.75
EV to Debt EV to Debt 1.54 17.25
EV to EBIT EV/EBIT -3.82 2.89
EV to EBITDA EV/EBITDA -4.03 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF -4.58 29.36
EV to Market Cap EV to Market Cap 1.82 25.09
EV to Revenue EV/Rev 1.08 32.80
Price to Book Value [P/B] P/B 2.80 4.73
Price to Earnings [P/E] P/E -1.72 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) -4.67 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 70.12 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) 65.19 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -26.15 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -36.75 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) -26.15 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) -22.18 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) 31.97 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) -35.64 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 19.00 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.89 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 1.19 1.80
Current Ratio Curr Ratio (Qtr) 2.24 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 3.32 1.20
Interest Cover Ratio Int Coverage (Qtr) -4.67 196.93
Times Interest Earned Times Interest Earned (Qtr) -4.67 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -25.80 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) -28.22 -2,478.60
EBT Margin % EBT Margin % (Qtr) -34.27 -2,690.42
Gross Margin % Gross Margin % (Qtr) 50.40 30.80
Net Profit Margin % Net Margin % (Qtr) -34.30 -2,821.53