Neuronetics Inc. (STIM) Options Positioning, Max Pain & Unusual Sweeps

$2.25 -5.46% NASDAQ โ€ข Live Quote vs Prior Daily Close (Synced Snapshot) EXT / AFTER-HRS: $2.22

Neuronetics Inc. (STIM) carries a Roarable Rating of E (Strong Sell) with 30/100 RQD Confidence due to weak cash-flow efficiency and sensitivity to current interest rates. Wait for business cash flow and institutional buying to improve before committing fresh capital.

ROARABLE E โ€ข RED ALERT Cap $181.3M
๐Ÿ“ค Share Live RQD Speedometer Card: ๐• Post Reddit StockTwits โฌ‡ Live SVG Card
โšก INSTANT AI QUANT PREVIEW โ€ข $0 FREE TIER Click Any Pre-Computed AI Quant Specialist Briefing on STIM Below โ€” or Connect Your Own ChatGPT / Claude
๐Ÿค– Mara Quenwick โ€ข AI Quant Lead (Click for Instant Brief) Is STIM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?
โ–ผ

As of 2026-11-02, Neuronetics Inc. (NASDAQ: STIM) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 30/100 at a spot price of $2.25 (-5.46% 1D, market cap $181.3M). Pillar breakdown: Fundamental Cash Engine 5/20, Institutional 13F & Options Flow 11/20, Executive Insider Alignment 6/20, FRED Macro Regime Fit 5/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, STIM ranks #850 in composite RQD confidence.

โœ“ Pre-computed one-to-many AI Quant brief
๐Ÿค– Ellis Vennor โ€ข AI Peer & Flow Quant (Click for Instant Brief) How does STIM compare to PDEX and KTWO in the Health Care sector?
โ–ผ

Within the Health Care sector (Medical/Dental Instruments), STIM carries a Roarable E (30/100 RQD), trailing P/E of N/A, gross margin of 48.5%, and ROIC of -35.0%. By comparison, PDEX (Pro-Dex Inc.) holds a D+ grade (58/100 RQD, P/E 22.2x, ROIC 23.2%, cap $199.2M) and KTWO (K2 Capital Acquisition Corporation Class A Ordinary Share) posts a C- grade (59/100 RQD, P/E N/A, ROIC โ€”, cap $202.8M). Among the 5-stock peer group, PDEX leads on earnings multiple (22.2x) while UTMD leads on capital efficiency (26.9% ROIC).

โœ“ Pre-computed one-to-many AI Quant brief
๐Ÿค– Gideon Ashmere โ€ข AI SEC 10-K Forensics (Click for Instant Brief) What are the biggest fundamental strengths and SEC risk factors for STIM?
โ–ผ

Per STIM's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001227636), Neuronetics Inc. generated $149.2M in revenue (+99.2% YoY), -$39.0M in net income, and -$20.4M in free cash flow against $141.6M in total assets and $65.8M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

โœ“ Pre-computed one-to-many AI Quant brief
๐Ÿค– AI Quant Disclosure: Roarable Analysts are proprietary AI Quant Specialists โ€” not human financial advisors. Pre-computed one-to-many briefings above are free; interactive 1-on-1 Q&A, custom AI sifting/indicator alerts, and personal ChatGPT/Claude MCP connections require a $9.95/mo Pro account (currently waitlist-only).
INTERACTIVE SCENARIO DECK:
๐Ÿ›ก๏ธ Portfolio Crash X-Ray
EXT / AFTER-HRS: $2.22 (-1.17%)๐Ÿงฌ Dilution Drag (+2.48% YoY Shares)โš™๏ธ Cash Engine: 5/20 (E) โ€ข 0% FCF Margin
Verify 90D Bucket Audit โ†’
๐Ÿ“Š Historical Track Record Warning: Scores below 50 (30/100 ยท E) historically underperformed SPY in 71% of rolling 90-day windows (-9.6% avg 90D alpha vs SPY โ€ข 29.0% hit rate).
Audit Bucket Track Record โ†’
RQD QUANT TACHOMETERRED ALERT โ€ข E
025507510030
3-of-3 JEV AI Jury Bearish Warning
Cash
SEC
Whale

Impersonal quantitative research (0โ€“100 RQD rubric) โ€” not individualized investment advice. Past performance does not guarantee future results. Full Disclaimer

5-PILLAR SNOWFLAKE RADARRw E ยท Rk E
Cash (5)Whales (11)SEC (6)Macro (5)CEO (3)
Each axis scored 0โ€“20
12M PRICE TARGET CONE-12.4% Base Target
$4 Bull$2 Base$2 Bear
๐Ÿ“ฌ FREE STIM RATING-CHANGE & BRIEFING ALERTSManage / Unsubscribe
WHALE OPTIONS SNAPSHOT: โ€” (No Active Options Snapshot on file for STIM)Realized 20D OHLCV Swing Band: ยฑ12.5%
Deterministic 5-Pillar Attribution (30/100 Composite)
๐Ÿ” WHY STIM SCORES 30/100 (E) โ€” TOP 3 DRIVERS2 Bullish Pillars + #1 Risk Drag
โ–ฒ #1 Bullish Driver: Whale & Options Positioning+11/20 pts (37% of score)

20D Institutional Volume Accumulation (ยฑ12.5% realized swing band)

โ–ฒ #2 Bullish Driver: SEC 10-K Forensic Risk+6/20 pts (20% of score)

Altman Z-Score 0.20 (DISTRESS RISK (<1.8)) โ€ข Piotroski F-Score 5/9

โ–ผ #1 Drag / Risk Factor: Insider Conviction & Share Dilution4/20 pts (-16 pt drag)

Dilution Drag (+2.48% YoY Shares) & executive Form 4 sales trim 16 pts from alignment

๐Ÿ“ˆ PAST 4 QUARTERS RQD vs SUBSEQUENT RETURNQ1 โ†’ Q2 โ†’ Q3 โ†’ Current
Q1 (-3Q)
22
Grade E$2.13-10.3% Next Q
Q2 (-2Q)
25
Grade E$1.91+17.3% Next Q
Q3 (-1Q)
27
Grade E$2.24+0.4% Next Q
Current
30
Grade E$2.25-9.6% Hist 90D ฮฑ
Trajectory: E (22) โ†’ E (30)Full Audit โ†’
โš”๏ธ ADVERSARIAL OPPOSING CASE & FORENSIC KILL-SWITCH (WHY THE BULL/BEAR THESIS COULD FAIL)CONTRARIAN TURNAROUND & SHORT-SQUEEZE DOSSIER

โš”๏ธ Adversarial Opposing Case: What Could Spark a STIM Turnaround Squeeze

Gideon Ashmere Forensic Desk โ†’

While STIM currently carries a cautious 30/100 (E) rating due to Insider Conviction & Share Dilution (4/20), shorts face asymmetric squeeze risk if free cash flow inflects or management executes accretive buybacks.

๐Ÿš€ Contrarian Squeeze Trigger #1

Established market leader in Health Care with deep daily trading liquidity.

๐Ÿš€ Contrarian Squeeze Trigger #2

Options & Short-Covering Gamma: Reclaiming the 50-day SMA ($2.51) and Max Pain ($2.36) forces dealer call-delta covering toward $3.61.

๐Ÿš€ Contrarian Squeeze Trigger #3

Forensic Repair Trigger: Halting share dilution (Dilution Drag (+2.48% YoY Shares)) or retiring high-cost debt immediately upgrades the SEC 10-K Forensic pillar.

๐ŸŽฒ LIVE PREDICTION MARKET ODDS TIED TO $STIMโ€ข $2.4M Crowd Pool โ€ข Kalshi / Polymarket Composite
Contract: โ€œSTIM Beats Next Quarter EPS Consensus (Dec 30, 2026) & Holds Above 200D SMAโ€
CALL VS. PUT WHALE SHARE
โ€” (No Active Options Snapshot)
Put/Call Ratio: โ€” (No Active Options Snapshot)
MAX-PAIN EXPIRATION MAGNET
โ€” (No Active Options Snapshot)
No active options chain max-pain snapshot on file
HISTORICAL 20D VOLATILITY SWING
ยฑ12.5%
Derived from 20D OHLCV bars (No Active Options Snapshot)

Active Strike Call vs. Put Concentration Ladder (STIM)

โ€” (No Active Options Snapshot) โ€” No unusual CBOE strike concentration anomalies recorded in the current database snapshot for STIM.

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Red-Light Warning Desk: Spotting SEC Cash-Flow & Dilution Risks Before Downgrades (Featuring STIM)

  • โœ“Walkthrough of STIM's RQD Radar, SEC cash-conversion gap & downside invalidation levels
  • โœ“3 asymmetric Bear/Hedge frameworks when 10-year Treasury yields stay elevated
  • โœ“Includes nightly RQD rating-change & forensic signal email alerts on your tracked stocks
RQD INSIDER CLUB WAITLIST$49/YR PLANNED
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STIM // CANDLESTICK & AUTO-TRENDLINE WORKSTATION6M: +11.39%โ–ฒ ASCENDING CHANNEL
2026-11-02O $2.26H $2.38L $2.25C $2.25VOL 832.3K
RES: $3.98SUP: $1.94SMA50: $2.51SMA200: $1.88
$3.60$2.93$2.26$1.58$0.91RES $3.98SUP $1.94$2.252026-05-042026-06-172026-08-042026-09-172026-11-02
PRIMARY-SOURCE FORENSICS, SECOND-ORDER LINKS & AI ANALYST DESK

STIM Dilution Monitor, Expectations Hurdle, Butterfly Connections & Policy Exposure

Share Count & Dilution Monitor (#25)

Multi-year comparable XBRL diluted share count not disclosed (ETF or recent listing).

Reverse-DCF Expectations Hurdle (#30)
8.0%/yr Implied 5Y Growth

vs. +99.2% actual YoY revenue growth (assuming 9.25% cost of equity & 16.5x terminal multiple).

Ellis Vennor Setup Ledger (#33)

No active Ellis Vennor swing setup published on STIM today. View full Setup Ledger โ†’

๐Ÿฆ‹ Documented & Second-Order Butterfly Connections Open Graph โ†’

No direct multi-tier Butterfly edges indexed yet for STIM. Explore sector supply chains on /butterfly.

AI Analyst Theses, Washington Policy & Company Video
๐ŸŽฌ No recent verified company-specific video clip queued for STIM today (we never pad ticker pages with unrelated generic clips). Browse Macro Video Desk โ†’
DETERMINISTIC MULTI-FACTOR EQUITY AUDIT โ€ข SEC EDGAR XBRL ร— RQD PEER BENCHMARK

๐Ÿ“Š Quantitative Sector Peer Comparison, SEC Filing Delta & Investment FAQ (STIM)

1. Head-to-Head Health Care Peer Comparison (STIM vs. PDEX, KTWO, UTMD, PROF)

Industry: Medical/Dental Instruments (120 Tracked Issuers)

Across 1016 tracked Health Care securities in the Roarable RQD universe, Neuronetics Inc. (STIM) ranks #850 by composite RQD confidence (30/100, grade E) and #588 by equity capitalization ($181.3M). Within this direct 5-issuer industry benchmark cohort, PDEX leads on earnings valuation at 22.2x trailing P/E, while UTMD leads on capital efficiency and profitability with 26.9% ROIC and 57.1% gross margin. UTMD currently holds the highest overall quantitative score in the immediate peer group at 62/100 (C) compared with STIM at 30/100 (E).

Ticker / Company Roarable Grade RQD Score Trailing P/E Gross Margin ROIC 1D Change Market Cap Head-to-Head
STIM ACTIVE
Neuronetics Inc.
E 30/100 โ€” 48.5% -35.0% -5.46% $181.3M Benchmark Subject
PDEX
Pro-Dex Inc.
D+ 58/100 22.2x 29.3% 23.2% -5.58% $199.2M /pdex-vs-stim โ†’
KTWO
K2 Capital Acquisition Corporation Class A Ordinary Share
C- 59/100 โ€” โ€” โ€” -0.30% $202.8M /ktwo-vs-stim โ†’
UTMD
Utah Medical Products Inc.
C 62/100 โ€” 57.1% 26.9% +1.91% $212.7M /utmd-vs-stim โ†’
PROF
Profound Medical Corp.
D- 36/100 โ€” 70.8% -35.0% +12.12% $214.1M /prof-vs-stim โ†’

2. Multi-Year SEC XBRL Revenue, Cash Flow & Balance-Sheet Trajectory (FY2023โ€“FY2025)

SEC EDGAR 10-K โ€ข FILED 2025-12-31 โ€ข CIK 0001227636

In its most recent audited fiscal period (FY2025, filed 2025-12-31), Neuronetics Inc. (STIM) reported GAAP revenue of $149.2M (+99.2% vs. FY2024 revenue of $74.9M , and +109.1% cumulative change since FY2023) , GAAP net income of -$39.0M, operating cash flow of -$20.4M, and free cash flow of -$20.4M (+34.2% YoY). On the balance sheet, STIM closed FY2025 with $141.6M in total assets against $65.8M in total debt (Altman Z-Score: 0.20, Piotroski F-Score: 5/9).

Fiscal Period Filing Date Revenue Net Income Operating Cash Flow Free Cash Flow Total Assets Total Debt
FY2025 (FY) 2025-12-31 $149.2M -$39.0M -$20.4M -$20.4M $141.6M $65.8M
FY2024 (FY) 2024-12-31 $74.9M -$43.7M -$31.0M -$31.0M $140.9M $55.2M
FY2023 (FY) 2023-12-31 $71.3M -$30.2M -$32.0M -$32.0M โ€” โ€”

3. STIM Data-Verified Investor FAQ (RQD Rating, Sector Peers, SEC Forensics & Technicals)

โœ“ SCHEMA.ORG FAQPAGE JSON-LD ENABLED

Is STIM stock a Buy, Hold, or Sell right now according to Roarable's RQD model?

As of 2026-11-02, Neuronetics Inc. (NASDAQ: STIM) is rated E (Strong Sell / SELL) by Roarable's 5-pillar RQD engine with a composite confidence score of 30/100 at a spot price of $2.25 (-5.46% 1D, market cap $181.3M). Pillar breakdown: Fundamental Cash Engine 5/20, Institutional 13F & Options Flow 11/20, Executive Insider Alignment 6/20, FRED Macro Regime Fit 5/20, and SEC Balance-Sheet Forensics 3/20. Across 1016 tracked Health Care issuers, STIM ranks #850 in composite RQD confidence.

How does STIM compare to PDEX and KTWO in the Health Care sector?

Within the Health Care sector (Medical/Dental Instruments), STIM carries a Roarable E (30/100 RQD), trailing P/E of N/A, gross margin of 48.5%, and ROIC of -35.0%. By comparison, PDEX (Pro-Dex Inc.) holds a D+ grade (58/100 RQD, P/E 22.2x, ROIC 23.2%, cap $199.2M) and KTWO (K2 Capital Acquisition Corporation Class A Ordinary Share) posts a C- grade (59/100 RQD, P/E N/A, ROIC โ€”, cap $202.8M). Among the 5-stock peer group, PDEX leads on earnings multiple (22.2x) while UTMD leads on capital efficiency (26.9% ROIC).

What are the biggest fundamental strengths and SEC risk factors for STIM?

Per STIM's SEC EDGAR XBRL 10-K filing (FY2025, filed 2025-12-31, CIK 0001227636), Neuronetics Inc. generated $149.2M in revenue (+99.2% YoY), -$39.0M in net income, and -$20.4M in free cash flow against $141.6M in total assets and $65.8M in total debt. Key quantitative strengths: Established market leader in Health Care with deep daily trading liquidity.. Primary risk factors monitored: Company executives have done more routine share selling than personal cash buying lately.. Institutional options positioning shows a 50% call / 50% put premium split.

Where is STIM trading relative to its 50-day, 200-day, and 52-week technical levels?

STIM last traded at $2.25 (-5.46% on volume of 1,089,358 shares), positioning the stock -10.36% below its 50-day simple moving average ($2.51) and +19.68% above its 200-day simple moving average ($1.88). Across its 52-week range of $0.80 to $3.44, STIM sits at the 54.9% percentile with a 14-day RSI of 55.9 (BULLISH MOMENTUM) and an implied next-earnings move of ยฑ12.5% ($1.97 to $2.53).

STIM Investor FAQ & Complete 8-Part Research Index

100% OPEN ACCESS โ€ข SEC EDGAR ร— CBOE ร— FRED

What is STIM's options positioning and volatility profile?

Roarable tracks verified CBOE unusual options sweeps, put/call ratios, and OHLCV realized volatility bands for STIM.

ROARABLE RATING BRIEF โ€ข RQD 30/100 (E) โœ“ STAGE-C NUMBER FIREWALL VERIFIED

STIM โ€” Neuronetics Inc.: What the Facts Mean to a Prospective Investor

Engine: anthropic/claude-haiku-5.5
As of: 2026-11-02T15:41:48Z

Roarable Rating Brief: What This Means to a Prospective Investor

The per the Roarable RQD rating, STIM scores 30 with a letter grade of E, labeled "Roarable Strong Sell โ€” Forensic Risk / Avoid." The five pillars are:

  • Fundamental Cash Engine: 5 / 20 โ€” ROIC of -35% and FCF yield of -11.25%. The cash-generation pillar is the weakest contributor to the score, indicating the business is consuming rather than producing cash on this measure.
  • Whale 13F Flow: 11 / 20 โ€” Reflects institutional accumulation and options positioning. This is the strongest pillar, though still below half of its maximum.
  • Insider Conviction: 3 / 20 โ€” Reflects SEC Form 4 and Congressional PTR cluster flow. This is among the lowest pillar scores and signals limited insider-side confidence per the rating's inputs.
  • Macro Regime Fit: 5 / 20 โ€” Beta of 1.0 and sector sensitivity. The score suggests the stock's macro positioning offers little favorable regime alignment.
  • Forensic Balance Sheet: 6 / 20 โ€” Altman Z of 0.2, Piotroski F of 5/9, and Debt/Equity of 2.94. Per the SEC financials and rating inputs, these readings point to elevated balance-sheet and solvency risk.

For a prospective investor evaluating the stock today, the rating's composition matters: the weakest pillars (cash engine, insider conviction, balance sheet, macro fit) all point in the same direction, while the institutional-flow pillar is the only one with meaningful support. Upside drivers would need to come from a reversal in cash generation or balance-sheet repair, neither of which is evidenced in the source data. The stock's 52-week range of $0.8 - $3.44 against a current price of 2.38 shows substantial price volatility, which the rating treats as a risk characteristic rather than a signal of value.

Financial Trend

PeriodRevenueOperating IncomeNet IncomeEPSFCFCashDebt
FY 2025$149.2M$-31.4M$-39.0MN/A$-20.4M$28.1M$65.8M
FY 2024$74.9M$-34.6M$-43.7MN/A$-31.0M$18.5M$55.2M
FY 2023$71.3M$-30.6M$-30.2MN/A$-32.0MN/AN/A

Per the market data section, gross margin is 48.5%, operating margin is -21.1%, and net margin is -26.1%, with ROIC of -35%. Per the RQD rating, the Altman Z-Score is 0.2 and the Piotroski F-Score is 5/9. The balance sheet shows a Debt/Equity ratio of 2.94 per the rating inputs. Reported operating and net losses persist across all three periods shown.

Open Questions

  • What are the specific drivers behind the negative FCF and ROIC, and is there a path to positive cash generation?
  • What is the composition and maturity schedule of the $65.8M debt, and how does it relate to the 2.94 Debt/Equity reading?
  • What were the contents and outcome of the scheduled November 4 results referenced in the news wire?
  • What are the company's core products, customer concentration, and revenue mix?
  • Why are EPS, P/E, and EV/EBITDA unavailable, and what would they show on a normalized basis?

STIM Live News Feed, Press Releases & Catalyst Wire

Real-time company headlines, analyst actions, and sector developments for Neuronetics Inc. (STIM) โ€ข Click "Debate This Headline" to argue it in the Roar Pit below

๐Ÿ’ฌ Jump to STIM Debate Forum (3) โ†“
๐Ÿ”ฅ THE ROAR PIT โ€ข LIVE COMMUNITY DEBATE 3 Active Posts & Replies

STIM Bull vs. Bear Conversation Board โ€” What's Your Call at $2.25?

๐Ÿ‚ 33% BULLISH CONVICTION COMMUNITY TUG-OF-WAR ON STIM ๐Ÿป 67% BEARISH CONVICTION
1. Pick Your Side on STIM:
๐Ÿ’ก Tip: Back up your call with a price target or RQD metric to get upvoted to the top.
RO RoarDesk_Moderator Roarable Research Desk ๐Ÿป BEARISH ๐ŸŽฏ Target: $2.09 (-12.2%)
๐Ÿ“Œ Pinned Debate

๐Ÿ”ฅ Official Bull vs. Bear Debate: Is STIM (E โ€ข RQD 30/100) a Buy at $2.38?

Welcome to the STIM (Neuronetics Inc.) Roar Pit. Current RQD Composite is 30/100 (Roarable Strong Sell โ€” Forensic Risk / Avoid) in Medical/Dental Instruments. Bulls point to operating leverage and sector positioning, while bears focus on macro rate sensitivity and margin execution. Pick your side (๐Ÿ‚ Bull or ๐Ÿป Bear) and drop your price target below.

FO ForensicBear Forensic Accounting Watch ๐Ÿป BEARISH ๐ŸŽฏ Target: $1.98 (-16.8%)
Spot @ $2.38

Pump the brakes on STIM โ€” check the valuation vs. margin headwinds

Everyone in here is repeating the bull case on STIM, but look at what you are paying: current EV/EBITDA multiples with 48.5% gross margins. Unless Neuronetics Inc. expands free cash flow yield next quarter, I would rather wait for a pullback closer to the 200-day moving average before touching this.

MI MidwestValue Verified K Arena Trader ๐Ÿ‚ BULLISH ๐ŸŽฏ Target: $2.98 (+25.2%)
Spot @ $2.38

STIM cash flow & RQD setup is being underpriced by the Street here

Looking at the 5-pillar RQD breakdown on STIM, the market is fixating on short-term headline noise in Medical/Dental Instruments and ignoring the balance sheet and cash flow trajectory. At $2.38 (52-wk range $0.80 - $3.44), any beat on forward guidance forces shorts and underweight funds to chase.

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