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REVENUE AND DEFERRED REVENUE
9 Months Ended
Sep. 30, 2025
REVENUE AND DEFERRED REVENUE  
REVENUE AND DEFERRED REVENUE

15.     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 September 30, 2025, the Company expects to recognize approximately the following percentages of deferred revenue by year:

    

Revenue

 

Year:

Recognition

 

Remainder of 2025

46

%

2026

 

54

%

Total

 

100

%

Revenue recognized for the three months ended September 30, 2025 and 2024 that was included in the contract liability balance at the beginning of the year was $0.1 million and $0.3 million, respectively. Revenue recognized for the nine months ended September 30, 2025 and 2024 that was included in the contract liability balance at the beginning of the year was $0.9 million and $1.4 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 September 30, 2024, one customer accounted for 13% of the Company’s revenue. For the nine months ended September 30, 2024, one customer accounted for 14% of the Company’s revenue. Following the acquisition of Greenbrook, there are no significant customers for the three and nine months periods ended September 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 September 30, 

 

2025

2024

 

% of

% of

 

Amount

Revenues

Amount

Revenues

 

(in thousands, except percentages)

U.S.

    

$

36,248

    

97

%  

$

17,922

    

97

%

International

 

1,049

 

3

%  

 

608

 

3

%

Total revenues

$

37,297

 

100

%  

$

18,530

 

100

%

U.S. Revenues by Product Category

 

Three Months Ended September 30, 

 

2025

2024

 

% of

% of

 

    

Amount

    

Revenues

    

Amount

    

Revenues

 

 

(in thousands, except percentages)

NeuroStar Advanced Therapy System

$

3,508

10

%  

$

4,108

23

%

Treatment sessions

 

10,543

 

29

%

 

13,326

 

74

%

Clinic revenue

21,808

60

%

%

Other

 

389

 

1

%

 

488

 

3

%

Total U.S. revenues

$

36,248

 

100

%

$

17,922

 

100

%

International Revenues by Product Category

 

Three Months Ended September 30, 

 

2025

2024

 

% of

% of

 

    

Amount

    

Revenues

    

Amount

    

Revenues

 

 

(in thousands, except percentages)

NeuroStar Advanced Therapy System

$

448

 

43

%  

$

244

 

40

%

Treatment sessions

 

214

 

20

%  

 

90

 

15

%

Other

 

387

 

37

%  

 

274

 

45

%

Total international revenues

$

1,049

 

100

%  

$

608

 

100

%

Revenues by Geography

 

Nine Months Ended September 30, 

 

2025

2024

 

% of

% of

 

Amount

Revenues

Amount

Revenues

 

(in thousands, except percentages)

U.S.

    

$

105,387

    

98

%  

$

50,845

    

97

%

International

 

1,993

 

2

%  

 

1,552

 

3

%

Total revenues

$

107,380

 

100

%  

$

52,397

 

100

%

U.S. Revenues by Product Category

 

Nine Months Ended September 30, 

 

2025

2024

 

% of

% of

 

    

Amount

    

Revenues

    

Amount

    

Revenues

 

 

(in thousands, except percentages)

NeuroStar Advanced Therapy System

$

9,838

9

%  

$

11,418

22

%

Treatment sessions

 

30,928

 

30

%

 

37,974

 

75

%

Clinic revenue

63,491

60

%

%

Other

 

1,130

 

1

%

 

1,453

 

3

%

Total U.S. revenues

$

105,387

 

100

%

$

50,845

 

100

%

International Revenues by Product Category

 

Nine Months Ended September 30, 

 

2025

2024

 

% of

% of

 

    

Amount

    

Revenues

    

Amount

    

Revenues

 

 

(in thousands, except percentages)

NeuroStar Advanced Therapy System

$

774

 

39

%  

$

502

 

32

%

Treatment sessions

 

644

 

32

%  

 

400

 

26

%

Other

 

575

 

29

%  

 

650

 

42

%

Total international revenues

$

1,993

 

100

%  

$

1,552

 

100

%