$STIM
Neuronetics, Inc.

2020 Q4 Form 10-K Financial Statement

#000156459021010320 Filed on March 02, 2021

View on sec.gov

Income Statement

Concept 2020 Q4 2020 Q3 2020 Q2
Revenue $15.58M $12.45M $9.741M
YoY Change -10.24% -22.2% -41.22%
Cost Of Revenue $3.763M $2.657M $2.323M
YoY Change -10.81% -36.62% -44.31%
Gross Profit $11.82M $9.791M $7.418M
YoY Change -10.06% -17.08% -40.18%
Gross Profit Margin 75.85% 78.66% 76.15%
Selling, General & Admin $12.36M $10.26M $12.16M
YoY Change -21.89% -29.93% -22.95%
% of Gross Profit 104.64% 104.82% 163.94%
Research & Development $2.112M $1.952M $2.116M
YoY Change -50.28% -44.05% -34.37%
% of Gross Profit 17.87% 19.94% 28.53%
Depreciation & Amortization $200.0K $210.0K $230.0K
YoY Change -33.33% -32.26% -11.54%
% of Gross Profit 1.69% 2.14% 3.1%
Operating Expenses $14.48M $12.22M $14.28M
YoY Change -27.89% -32.65% -24.89%
Operating Profit -$2.660M -$2.424M -$6.859M
YoY Change -61.67% -61.69% 3.81%
Interest Expense $1.011M $1.002M $986.0K
YoY Change 11.71% 7.74% 5.91%
% of Operating Profit
Other Income/Expense, Net $14.00K $8.000K $80.00K
YoY Change -95.17% -97.95% -81.98%
Pretax Income -$3.660M -$3.420M -$7.770M
YoY Change -51.52% -50.22% 9.59%
Income Tax
% Of Pretax Income
Net Earnings -$3.657M -$3.418M -$7.765M
YoY Change -51.59% -50.23% 9.46%
Net Earnings / Revenue -23.47% -27.46% -79.71%
Basic Earnings Per Share -$0.18 -$0.41
Diluted Earnings Per Share -$192.4K -$0.18 -$0.41
COMMON SHARES
Basic Shares Outstanding 18.89M 18.75M
Diluted Shares Outstanding 18.89M 18.75M

Balance Sheet

Concept 2020 Q4 2020 Q3 2020 Q2
SHORT-TERM ASSETS
Cash & Short-Term Investments $49.00M $50.70M $54.00M
YoY Change -35.27% -38.47% -39.73%
Cash & Equivalents $48.96M $50.70M $54.00M
Short-Term Investments
Other Short-Term Assets $3.300M $3.500M $1.900M
YoY Change 32.0% 45.83% 46.15%
Inventory $3.720M $3.800M $3.332M
Prepaid Expenses $1.096M $851.0K
Receivables $7.166M $5.564M $6.636M
Other Receivables $1.900M $1.600M $1.300M
Total Short-Term Assets $65.01M $65.20M $67.21M
YoY Change -26.5% -32.02% -33.65%
LONG-TERM ASSETS
Property, Plant & Equipment $730.0K $787.0K $828.0K
YoY Change -34.06% -21.85% -25.07%
Goodwill
YoY Change
Intangibles
YoY Change
Long-Term Investments
YoY Change
Other Assets $1.866M $6.600M $1.922M
YoY Change 42.99% 509.42% 49.69%
Total Long-Term Assets $13.65M $13.10M $12.78M
YoY Change 16.45% 36.81% 57.24%
TOTAL ASSETS
Total Short-Term Assets $65.01M $65.20M $67.21M
Total Long-Term Assets $13.65M $13.10M $12.78M
Total Assets $78.66M $78.30M $79.99M
YoY Change -21.47% -25.77% -26.9%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $3.749M $2.400M $2.324M
YoY Change -18.94% -41.59% -36.49%
Accrued Expenses $7.319M $6.171M $5.661M
YoY Change -18.96% -18.93% -12.58%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $34.54M $34.37M
YoY Change 360.56% 816.61%
Total Short-Term Liabilities $13.68M $45.80M $45.35M
YoY Change -50.59% 108.16% 173.07%
LONG-TERM LIABILITIES
Long-Term Debt $34.62M $0.00 $0.00
YoY Change 73.99% -100.0% -100.0%
Other Long-Term Liabilities $4.900M $5.100M $5.200M
YoY Change 4.26% -10.53% -13.33%
Total Long-Term Liabilities $34.62M $5.100M $5.200M
YoY Change 73.99% -78.25% -80.75%
TOTAL LIABILITIES
Total Short-Term Liabilities $13.68M $45.80M $45.35M
Total Long-Term Liabilities $34.62M $5.100M $5.200M
Total Liabilities $53.16M $50.90M $50.55M
YoY Change 1.62% -0.49% 1.91%
SHAREHOLDERS EQUITY
Retained Earnings -$277.5M -$273.9M -$270.5M
YoY Change 10.98% 12.93% 14.78%
Common Stock $303.0M $299.9M
YoY Change 1.71% 1.5%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $25.49M $27.48M $29.44M
YoY Change
Total Liabilities & Shareholders Equity $78.66M $78.30M $79.99M
YoY Change -21.47% -25.77% -26.9%

Cashflow Statement

Concept 2020 Q4 2020 Q3 2020 Q2
OPERATING ACTIVITIES
Net Income -$3.657M -$3.418M -$7.765M
YoY Change -51.59% -50.23% 9.46%
Depreciation, Depletion And Amortization $200.0K $210.0K $230.0K
YoY Change -33.33% -32.26% -11.54%
Cash From Operating Activities -$1.700M -$3.560M -$9.480M
YoY Change -73.44% -53.52% 38.39%
INVESTING ACTIVITIES
Capital Expenditures -$110.0K -$140.0K -$210.0K
YoY Change -69.44% 180.0% 61.54%
Acquisitions
YoY Change
Other Investing Activities
YoY Change
Cash From Investing Activities -$110.0K -$140.0K -$210.0K
YoY Change -69.44% 180.0% 61.54%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 60.00K 410.0K 40.00K
YoY Change -40.0% -6.82% -91.49%
NET CHANGE
Cash From Operating Activities -1.700M -3.560M -9.480M
Cash From Investing Activities -110.0K -140.0K -210.0K
Cash From Financing Activities 60.00K 410.0K 40.00K
Net Change In Cash -1.750M -3.290M -9.650M
YoY Change -73.72% -54.75% 48.23%
FREE CASH FLOW
Cash From Operating Activities -$1.700M -$3.560M -$9.480M
Capital Expenditures -$110.0K -$140.0K -$210.0K
Free Cash Flow -$1.590M -$3.420M -$9.270M
YoY Change -73.68% -55.06% 37.95%

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<div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:3.4%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:12pt;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">1.</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:12pt;font-weight:bold;font-style:normal;text-transform:none;font-variant: normal;font-family:Times New Roman;font-size:10pt;"><span style="font-weight:normal;"/>DESCRIPTION OF BUSINESS </p></td></tr></table></div> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Neuronetics, Inc., or the Company, is a commercial stage medical technology company focused on designing, developing and marketing products that improve the quality of life for patients who suffer from psychiatric disorders. 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, or TMS, to create a pulsed, MRI-strength magnetic field that induces electrical currents designed to stimulate specific areas of the brain associated with mood. The system was cleared in 2008 by the United States Food and Drug Administration, or the FDA, to treat adult patients with major depressive disorder, or MDD, who have failed to achieve satisfactory improvement from prior antidepressant medication in the current episode. The Company intends to continue to pursue development of its NeuroStar Advanced Therapy System for additional indications.  </p> <p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">COVID-19</p> <p style="margin-bottom:0pt;margin-top:0pt;text-indent:0%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The Company is monitoring the impact of the COVID-19 pandemic on all aspects of its business and geographies, including how it will impact the Company’s customers, supply chain, employees and other business partners. While the Company experienced significant disruptions in March 2020 through the end of December 2020, from the COVID-19 pandemic, it is unable to predict the full impact that the COVID-19 pandemic may have on its financial condition, results of operations and cash flows due to numerous uncertainties. These uncertainties include the scope, severity and duration of the pandemic, the actions taken to contain the pandemic or mitigate its impact and the direct and indirect economic effects of the pandemic and containment measures, among others. The outbreak of COVID-19 in many countries, including the United States, has significantly adversely impacted global economic activity and has contributed to significant volatility and negative pressure in financial markets.</p> <p style="margin-bottom:0pt;margin-top:0pt;text-indent:0%;font-family:Times New Roman;font-size:10pt;"> </p> <p style="margin-bottom:0pt;margin-top:0pt;text-indent:0%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The Company applied for and received a $6.4 million loan in April 2020 under the Paycheck Protection Program (the “PPP”) established by the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) on March 27, 2020. Due to questions concerning the eligibility of public companies similarly situated to the Company, on May 7, 2020, the Company repaid the loan in full, including interest accrued to date.</p> <p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">Liquidity</p> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">As of December 31, 2020, the Company had cash and cash equivalents of $49.0 million and an accumulated deficit of $277.5 million. The Company incurred negative cash flows from operating activities of $28.4 million, $30.5 million and $20.6 million for the years ended December 31, 2020, 2019, and 2018, respectively. The Company has incurred operating losses since its inception, and management anticipates that its operating losses will continue in the near term as the Company seeks to expand its sales and marketing initiatives to support its growth into existing and new markets and invest in additional research and development activities. The Company’s primary sources of capital to date have been from its IPO, private placements of its convertible preferred securities, borrowings under its credit facilities and revenues from sales of its products. As of December 31, 2020, the Company had $35.0 million of borrowings outstanding under its credit facility, which matures in <span style="-sec-ix-hidden:F_000361">February 2025</span>. Management believes that the Company’s cash and cash equivalents as of December 31, 2020, in addition to the $80.6 million in net proceeds raised from our public offering and sale of our common stock (the “Offering”) completed in February 2021, and anticipated revenues from sales of our products are sufficient to fund the Company’s operations for at least the next 12 months from the issuance of these financial statements.<span style="font-size:12pt;"> </span></p> <p style="margin-bottom:0pt;margin-top:0pt;text-indent:0%;font-family:Times New Roman;font-size:10pt;"> </p>
CY2020Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
49000000.0
CY2020Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-277500000
CY2020 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-28400000
CY2019 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-30500000
CY2018 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-20600000
CY2020 us-gaap Basis Of Accounting
BasisOfAccounting
<div style="align:left;"> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse; width:100%;"> <tr> <td style="width:3.4%;white-space:nowrap" valign="top"> <p style="margin-bottom:0pt;margin-top:18pt;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;"><span style="font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">2.</span></p></td> <td valign="top"> <p style="margin-bottom:0pt;margin-top:18pt;font-weight:bold;font-style:normal;text-transform:none;font-variant: normal;font-family:Times New Roman;font-size:10pt;"><span style="font-weight:normal;"/>BASIS OF PRESENTATION </p></td></tr></table></div> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The accompanying financial statements have been prepared in accordance with United States generally accepted accounting principles, or GAAP. Any reference in these notes to applicable guidance is meant to refer to GAAP as found in the Accounting Standards Codification, or ASC, and Accounting Standards Updates, or ASUs, promulgated by the Financial Accounting Standards Board, or FASB. </p> <p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">Use of Estimates </p> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The preparation of financial statements in accordance with GAAP and the rules and regulations of the United States Securities and Exchange Commission, or 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 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 from estimated results. </p>
CY2020 us-gaap Use Of Estimates
UseOfEstimates
<p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">Use of Estimates </p> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The preparation of financial statements in accordance with GAAP and the rules and regulations of the United States Securities and Exchange Commission, or 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 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 from estimated results. </p>
CY2019Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
2207000
CY2020Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
730000
CY2019Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
1107000
CY2020 us-gaap Depreciation And Amortization
DepreciationAndAmortization
900000
CY2019 us-gaap Depreciation And Amortization
DepreciationAndAmortization
1100000
CY2018 us-gaap Depreciation And Amortization
DepreciationAndAmortization
900000
CY2020 us-gaap Revenue Performance Obligation Description Of Warranty
RevenuePerformanceObligationDescriptionOfWarranty
The Company provides a two-year warranty on all new System sales which were determined to be assurance-type warranties and thus not considered a separate performance obligation. The Company accrues the cost of providing these warranties
CY2020Q4 us-gaap Contract With Customer Right To Recover Product
ContractWithCustomerRightToRecoverProduct
0
CY2020 stim Distribution Agreement Renewal Period
DistributionAgreementRenewalPeriod
P2Y
CY2020 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<p style="margin-bottom:0pt;margin-top:18pt;text-indent:0%;font-weight:bold;font-size:10pt;font-family:Times New Roman;font-style:normal;text-transform:none;font-variant: normal;">Concentrations of Credit Risk </p> <p style="margin-bottom:0pt;margin-top:6pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The Company’s cash is held on deposit in demand accounts at a large financial institution in amounts in excess of the Federal Deposit Insurance Corporation, or FDIC, insurance coverage limit of $250,000 per depositor, per FDIC-insured bank, per ownership category. Management has reviewed the financial statements of this institution and believes it has sufficient assets and liquidity to conduct its operations in the ordinary course of business with little or no credit risk to the Company. </p> <p style="margin-bottom:0pt;margin-top:12pt;text-indent:0%;font-size:10pt;font-family:Times New Roman;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Financial instruments that potentially subject the Company to concentrations of credit risk principally consist of cash equivalents and accounts receivable. The Company limits its credit risk associated with cash equivalents by placing investments in highly-rated money market funds. The Company limits its credit risk with respect to accounts receivable by performing credit evaluations when deemed necessary, but it does not require collateral to secure amounts owed by its customers. </p>
CY2020Q4 us-gaap Time Deposits At Or Above Fdic Insurance Limit
TimeDepositsAtOrAboveFDICInsuranceLimit
250000
CY2020 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0
CY2019 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0
CY2018 us-gaap Impairment Of Long Lived Assets Held For Use
ImpairmentOfLongLivedAssetsHeldForUse
0
CY2020Q4 us-gaap Revenue Remaining Performance Obligation Percentage
RevenueRemainingPerformanceObligationPercentage
0.15
CY2020Q4 us-gaap Revenue Remaining Performance Obligation Percentage
RevenueRemainingPerformanceObligationPercentage
0.16
CY2020Q4 us-gaap Revenue Remaining Performance Obligation Percentage
RevenueRemainingPerformanceObligationPercentage
0.16
CY2020Q4 us-gaap Revenue Remaining Performance Obligation Percentage
RevenueRemainingPerformanceObligationPercentage
0.04
CY2020Q4 us-gaap Revenue Remaining Performance Obligation Percentage
RevenueRemainingPerformanceObligationPercentage
1
CY2020 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
2000000.0
CY2019 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
2200000
CY2020 stim Number Of Customer Accounted For More Than Ten Percentage Of Revenues
NumberOfCustomerAccountedForMoreThanTenPercentageOfRevenues
1
CY2019 stim Number Of Customer Accounted For More Than Ten Percentage Of Revenues
NumberOfCustomerAccountedForMoreThanTenPercentageOfRevenues
0
CY2020Q4 us-gaap Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
8178000
CY2019Q4 us-gaap Accounts Receivable Gross Current
AccountsReceivableGrossCurrent
7117000
CY2020Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
1012000
CY2019Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
548000
CY2020Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
7166000
CY2019Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
6569000
CY2017Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
417000
CY2018 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
153000
CY2018 us-gaap Allowance For Doubtful Accounts Receivable Write Offs
AllowanceForDoubtfulAccountsReceivableWriteOffs
70000
CY2018Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
500000
CY2019 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
353000
CY2019 us-gaap Allowance For Doubtful Accounts Receivable Write Offs
AllowanceForDoubtfulAccountsReceivableWriteOffs
305000
CY2019Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
548000
CY2020 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
897000
CY2020 us-gaap Allowance For Doubtful Accounts Receivable Write Offs
AllowanceForDoubtfulAccountsReceivableWriteOffs
433000
CY2020Q4 us-gaap Allowance For Doubtful Accounts Receivable Current
AllowanceForDoubtfulAccountsReceivableCurrent
1012000
CY2020Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
3134000
CY2019Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
3314000
CY2020Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
2404000
CY2020 us-gaap Lessee Finance Lease Lease Not Yet Commenced Description
LesseeFinanceLeaseLeaseNotYetCommencedDescription
The Company does not currently have any finance leases or executed leases that have not yet commenced.
CY2020 us-gaap Operating Lease Expense
OperatingLeaseExpense
600000
CY2019 us-gaap Operating Lease Expense
OperatingLeaseExpense
500000
CY2018 us-gaap Operating Lease Expense
OperatingLeaseExpense
500000
CY2020Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
P7Y1M6D
CY2020Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.065
CY2020 us-gaap Operating Lease Payments
OperatingLeasePayments
760000
CY2019 us-gaap Operating Lease Payments
OperatingLeasePayments
465000
CY2019 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
4164000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
616000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
641000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
637000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
646000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
660000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
1487000
CY2020Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
4687000
CY2020Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
972000
CY2020Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
3715000
CY2020 us-gaap Sales Type Lease Selling Profit Loss
SalesTypeLeaseSellingProfitLoss
1075000
CY2019 us-gaap Sales Type Lease Selling Profit Loss
SalesTypeLeaseSellingProfitLoss
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SalesTypeLeaseLeaseIncome
1075000
CY2019 us-gaap Sales Type Lease Lease Income
SalesTypeLeaseLeaseIncome
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CY2019 us-gaap Operating Lease Lease Income
OperatingLeaseLeaseIncome
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CY2018 us-gaap Operating Lease Lease Income
OperatingLeaseLeaseIncome
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CY2020Q4 us-gaap Sales Type And Direct Financing Leases Lease Receivable Payments To Be Received Next Twelve Months
SalesTypeAndDirectFinancingLeasesLeaseReceivablePaymentsToBeReceivedNextTwelveMonths
2074000
CY2020Q4 us-gaap Sales Type And Direct Financing Leases Lease Receivable Payments To Be Received Two Years
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1609000
CY2020Q4 us-gaap Sales Type And Direct Financing Leases Lease Receivable Payments To Be Received Three Years
SalesTypeAndDirectFinancingLeasesLeaseReceivablePaymentsToBeReceivedThreeYears
535000
CY2020Q4 us-gaap Sales Type And Direct Financing Leases Lease Receivable Payments To Be Received
SalesTypeAndDirectFinancingLeasesLeaseReceivablePaymentsToBeReceived
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CY2020Q4 us-gaap Sales Type Lease Lease Receivable
SalesTypeLeaseLeaseReceivable
4200000
CY2019Q4 us-gaap Sales Type Lease Lease Receivable
SalesTypeLeaseLeaseReceivable
2600000
CY2020Q4 us-gaap Sales Type Lease Unguaranteed Residual Asset
SalesTypeLeaseUnguaranteedResidualAsset
0
CY2019Q4 us-gaap Sales Type Lease Unguaranteed Residual Asset
SalesTypeLeaseUnguaranteedResidualAsset
0
CY2020 us-gaap Operating Lease Lease Income
OperatingLeaseLeaseIncome
400000
CY2020Q4 us-gaap Lessor Operating Lease Payments To Be Received Next Twelve Months
LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths
150000
CY2020Q4 us-gaap Lessor Operating Lease Payments To Be Received
LessorOperatingLeasePaymentsToBeReceived
150000
CY2020 stim Amortization Period Of Deferred Sales Commissions
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P7Y
CY2020 us-gaap Amortization Of Deferred Sales Commissions
AmortizationOfDeferredSalesCommissions
900000
CY2019 us-gaap Amortization Of Deferred Sales Commissions
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400000
CY2020Q4 us-gaap Accrued Employee Benefits Current
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5023000
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5724000
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292000
CY2019Q4 us-gaap Accrued Professional Fees Current
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373000
CY2020Q4 stim Accrued Research And Development Expense Current
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138000
CY2019Q4 stim Accrued Research And Development Expense Current
AccruedResearchAndDevelopmentExpenseCurrent
674000
CY2020Q4 us-gaap Product Warranty Accrual Classified Current
ProductWarrantyAccrualClassifiedCurrent
536000
CY2019Q4 us-gaap Product Warranty Accrual Classified Current
ProductWarrantyAccrualClassifiedCurrent
639000
CY2020Q4 us-gaap Taxes Payable Current
TaxesPayableCurrent
726000
CY2019Q4 us-gaap Taxes Payable Current
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700000
CY2019Q4 us-gaap Interest Payable Current
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234000
CY2020Q4 us-gaap Other Liabilities Current
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604000
CY2019Q4 us-gaap Other Liabilities Current
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687000
CY2020Q4 us-gaap Accrued Liabilities Current
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7319000
CY2019Q4 us-gaap Accrued Liabilities Current
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9031000
CY2020Q4 us-gaap Debt Instrument Carrying Amount
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35000000
CY2019Q4 us-gaap Debt Instrument Carrying Amount
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30000000
CY2020Q4 stim Accrued Of Final Payment Fee
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1925000
CY2019Q4 stim Accrued Of Final Payment Fee
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1838000
CY2020Q4 us-gaap Debt Instrument Unamortized Discount
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2305000
CY2019Q4 us-gaap Debt Instrument Unamortized Discount
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690000
CY2020Q4 us-gaap Long Term Debt
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34620000
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CY2020Q4 us-gaap Long Term Debt Noncurrent
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34620000
CY2019Q4 us-gaap Long Term Debt Noncurrent
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19898000
CY2020 us-gaap Interest Expense Debt
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3900000
CY2020 us-gaap Amortization Of Financing Costs
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600000
CY2019 us-gaap Interest Expense Borrowings
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3700000
CY2019 us-gaap Interest Expense Debt
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2900000
CY2019 us-gaap Amortization Of Financing Costs
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2900000
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200000000.0
CY2020Q4 us-gaap Common Stock Par Or Stated Value Per Share
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0.01
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CY2019 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
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CY2019Q4 us-gaap Common Stock Shares Issued
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CY2020Q4 stim Common Stock Shares Issued And Reserved For Future Issuance
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CY2019Q4 stim Common Stock Shares Issued And Reserved For Future Issuance
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CY2020Q4 us-gaap Class Of Warrant Or Right Outstanding
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105000
CY2018 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
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0.210
CY2020 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.035
CY2019 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
0
CY2020 us-gaap Allocated Share Based Compensation Expense
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4404000
CY2019 us-gaap Allocated Share Based Compensation Expense
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3434000
CY2018 us-gaap Allocated Share Based Compensation Expense
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1743000
CY2020Q1 us-gaap Revenues
Revenues
11476000
CY2020Q2 us-gaap Revenues
Revenues
9741000
CY2019 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
0
CY2018 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
0
CY2018 us-gaap Current Income Tax Expense Benefit
CurrentIncomeTaxExpenseBenefit
0
CY2020 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.210
CY2019 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.210
CY2020Q4 us-gaap Deferred Tax Assets Other
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864000
CY2019Q4 us-gaap Deferred Tax Assets Other
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882000
CY2020Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
71559000
CY2020 stim Defined Contribution Plans Name
DefinedContributionPlansName
401(k) plan
CY2020 us-gaap Net Income Loss
NetIncomeLoss
-27500000
CY2019 us-gaap Net Income Loss
NetIncomeLoss
-29000000.0
CY2018 us-gaap Net Income Loss
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-24100000
CY2020 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
0
CY2020 us-gaap Current Income Tax Expense Benefit
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