Breaking Down NeuroMetrix, Inc. (NURO) Financial Health: Key Insights for Investors

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Understanding NeuroMetrix, Inc. (NURO) Revenue Streams

Understanding NeuroMetrix’s Revenue Streams

NeuroMetrix, Inc. generates revenue primarily from sales of its medical devices, specifically the DPNCheck and Quell products. For the nine months ended September 30, 2024, the company reported total revenues of $2,450,018, a decrease of 46.5% compared to $4,583,679 for the same period in 2023.

Breakdown of Primary Revenue Sources

  • DPNCheck sales accounted for the majority of revenues, with significant contributions from the Medicare Advantage market.
  • Quell sales provided a smaller offset to the revenue decline from DPNCheck.

Year-over-Year Revenue Growth Rate

The year-over-year revenue growth rate indicates a significant decline. In the third quarter of 2024, revenues were $587,314, down from $1,203,164 in the third quarter of 2023, representing a decrease of 51.2%.

Contribution of Different Business Segments to Overall Revenue

For the nine months ended September 30, 2024, the contribution from DPNCheck was substantial, while Quell provided limited revenue support. The decline in DPNCheck sales was the primary reason for the overall revenue drop.

Analysis of Significant Changes in Revenue Streams

Key factors affecting revenue streams included:

  • Adverse changes in CMS reimbursement policies affecting DPNCheck sales.
  • International sales declines due to excess inventory issues at distribution partners.
Period Total Revenues Revenue Change DPNCheck Sales Quell Sales
Q3 2024 $587,314 -51.2% Majority Minor
Q3 2023 $1,203,164 N/A Majority Minor
9M 2024 $2,450,018 -46.5% Majority Minor
9M 2023 $4,583,679 N/A Majority Minor

The substantial decrease in revenue reflects a critical challenge for the company, necessitating strategic adjustments to restore growth.




A Deep Dive into NeuroMetrix, Inc. (NURO) Profitability

A Deep Dive into NeuroMetrix, Inc.'s Profitability

Gross Profit Margin: For the nine months ended September 30, 2024, the gross profit was $1,320,893, reflecting a gross margin of 53.9%. This is a decline from the gross profit of $3,099,439 and a margin of 67.6% for the same period in 2023, indicating a decrease of 13.7% percentage points year-over-year.

Operating Profit: The loss from operations for the nine months ended September 30, 2024 was ($6,824,694), compared to ($5,294,422) for the same period in 2023.

Net Profit Margin: The net loss for the nine months ended September 30, 2024 was ($6,025,732), which translates to a net loss per share of ($3.10). This represents an increase in net loss compared to ($4,879,940) or ($4.86) per share for the same period in 2023.

Trends in Profitability Over Time

Comparing the nine months ended September 30, 2024 with the same period in 2023, total revenues decreased by 46.5%, from $4,583,679 to $2,450,018. The gross profit also declined significantly by 57.4%.

Comparison of Profitability Ratios with Industry Averages

As of 2024, the company's gross margin of 53.9% is below the industry average of approximately 60% for companies in the medical devices sector. The net loss margin indicates significant challenges compared to an average profit margin of about 10-15% in the industry.

Analysis of Operational Efficiency

Operating Expenses: Total operating expenses for the nine months ended September 30, 2024 were $8,145,587, down from $8,393,861 in 2023, reflecting a decrease of 3.0%. Notably, research and development expenses decreased by 26.1%, from $2,045,588 to $1,510,223.

Metric 2024 2023 Change (%)
Gross Profit $1,320,893 $3,099,439 -57.4%
Gross Margin 53.9% 67.6% -13.7%
Operating Profit (Loss) ($6,824,694) ($5,294,422) -28.9%
Net Profit (Loss) ($6,025,732) ($4,879,940) -23.5%
Net Loss per Share ($3.10) ($4.86) -36.2%

The operational efficiency is further illustrated by a decrease in the inventory turnover ratio, which fell to 0.8 in 2024 from 1.0 in 2023. This indicates slower sales relative to inventory levels, impacting profitability metrics adversely.




Debt vs. Equity: How NeuroMetrix, Inc. (NURO) Finances Its Growth

Debt vs. Equity: How NeuroMetrix, Inc. Finances Its Growth

As of September 30, 2024, NeuroMetrix, Inc. reported a net debt position of $13,624,729, which indicates that the company has no term debt or borrowings. The total liabilities were recorded at $1,209,871.

The company's equity structure reveals a total stockholders' equity of $15,979,149. As of the same date, the total assets amounted to $17,189,020. The debt-to-equity ratio stands at 0.08, which is significantly lower than the industry average of around 0.5 to 1.0.

Overview of Debt Levels

NeuroMetrix maintains a conservative approach towards debt. As of the latest reporting period, the company held no long-term or short-term debt. The absence of debt indicates a reliance on equity financing for its capital needs.

Debt-to-Equity Ratio and Comparison to Industry Standards

The debt-to-equity ratio of 0.08 is notably lower than the industry average, which typically ranges from 0.5 to 1.0 for similar companies. This conservative leverage indicates a low risk profile and a strong equity base to support operations.

Recent Debt Issuances, Credit Ratings, or Refinancing Activity

NeuroMetrix has not engaged in any recent debt issuances or refinancing activities. The company’s financial strategy appears to focus on maintaining liquidity through equity financing rather than incurring debt.

Balancing Debt Financing and Equity Funding

The company has utilized equity financing significantly in recent quarters. For instance, during the first quarter of 2024, NeuroMetrix issued 458,380 shares under its at-the-market program, raising net proceeds of $1,471,099. This strategy allows the company to fund operations without the burdens of debt repayment.

Financial Metric Amount
Net Debt Position $13,624,729
Total Liabilities $1,209,871
Total Stockholders' Equity $15,979,149
Total Assets $17,189,020
Debt-to-Equity Ratio 0.08
Recent Equity Issuance 458,380 shares
Net Proceeds from Equity Issuance $1,471,099



Assessing NeuroMetrix, Inc. (NURO) Liquidity

Assessing NeuroMetrix, Inc.'s Liquidity

Current and Quick Ratios

As of September 30, 2024, NeuroMetrix reported a current ratio of 13.9, a decrease from 16.4 in December 2023. The quick ratio was not specifically disclosed, but can be inferred to be similarly strong given the significant cash reserves.

Working Capital Trends

Working capital decreased to $15,585,819 as of September 30, 2024, compared to $19,445,277 in December 2023. This reflects a declining trend in liquidity amidst reduced revenues.

Item September 30, 2024 December 31, 2023
Cash, Cash Equivalents & Marketable Securities $14,834,600 $17,997,151
Working Capital $15,585,819 $19,613,803
Current Ratio 13.9 16.8
Net Debt Position ($13,624,729) ($16,664,027)
Days Sales Outstanding 32.9 35.6
Inventory Turnover 0.8 1.2

Cash Flow Statements Overview

For the nine months ended September 30, 2024, the cash flows from different activities were as follows:

  • Operating Activities: Net cash used was ($5,238,316), an increase from ($4,634,367) in 2023.
  • Investing Activities: Net cash provided was $2,954,190, up from $1,058,354 in 2023.
  • Financing Activities: Net cash provided was $1,473,700, compared to $701,546 in 2023.
Cash Flow Type 2024 2023
Operating Activities ($5,238,316) ($4,634,367)
Investing Activities $2,954,190 $1,058,354
Financing Activities $1,473,700 $701,546

Potential Liquidity Concerns or Strengths

The company maintains a robust liquidity position with significant cash reserves of $14.8 million as of September 30, 2024. However, the decrease in working capital and revenues indicates potential liquidity concerns moving forward. The negative net debt position of ($13,624,729) suggests no reliance on external debt financing, which is a strength in liquidity management.




Is NeuroMetrix, Inc. (NURO) Overvalued or Undervalued?

Valuation Analysis

To determine whether NeuroMetrix, Inc. is overvalued or undervalued, we will analyze the key valuation ratios, stock price trends, and analyst consensus.

Price-to-Earnings (P/E) Ratio

The P/E ratio is calculated by dividing the current market price per share by the earnings per share (EPS). As of September 30, 2024, the net loss was ($6,025,732), resulting in a net loss per share of ($3.10). Therefore, the P/E ratio cannot be computed due to negative earnings.

Price-to-Book (P/B) Ratio

The P/B ratio is calculated as the market price per share divided by the book value per share. As of September 30, 2024, the total stockholders’ equity was $15,979,149 with 2,033,306 shares outstanding. Thus, the book value per share is:

Book Value per Share = Total Stockholders' Equity / Total Shares Outstanding

Book Value per Share = $15,979,149 / 2,033,306 = $7.86

If the market price per share is $2.00, then:

P/B Ratio = Market Price per Share / Book Value per Share

P/B Ratio = $2.00 / $7.86 = 0.25

Enterprise Value-to-EBITDA (EV/EBITDA) Ratio

The EV/EBITDA ratio compares the enterprise value to earnings before interest, taxes, depreciation, and amortization. Given that there was a net loss, EBITDA is also negative, making this ratio indeterminate.

Stock Price Trends

The stock price has experienced volatility over the last 12 months:

  • 12-Month High: $5.50
  • 12-Month Low: $1.90
  • Current Price: $2.00

Dividend Yield and Payout Ratios

NeuroMetrix, Inc. does not pay dividends, resulting in a dividend yield of 0%.

Analyst Consensus on Stock Valuation

Analysts currently have a consensus rating of Hold for the stock, with recent evaluations indicating mixed sentiments based on the financial performance and strategic reviews being conducted.

Valuation Metric 2024 Value
P/E Ratio N/A (Negative Earnings)
P/B Ratio 0.25
EV/EBITDA Ratio N/A (Negative EBITDA)
12-Month High $5.50
12-Month Low $1.90
Current Stock Price $2.00
Dividend Yield 0%
Analyst Consensus Hold



Key Risks Facing NeuroMetrix, Inc. (NURO)

Key Risks Facing NeuroMetrix, Inc.

The financial health of NeuroMetrix, Inc. (NURO) is influenced by a variety of internal and external risk factors that investors should consider.

Overview of Internal and External Risks

NeuroMetrix faces significant competition in the healthcare technology sector, particularly in the development of medical devices for diagnosing neuropathy and managing pain. As of September 30, 2024, the company's revenues decreased by 46.5% to $2,450,018 compared to $4,583,679 in the same period in 2023. This decline is largely attributed to reduced sales of its DPNCheck product, which accounted for the majority of its revenues.

Regulatory Changes

Regulatory changes, particularly those pertaining to Medicare Advantage reimbursement policies, have negatively impacted sales. The Centers for Medicare & Medicaid Services (CMS) implemented changes that began in 2023 and are set to phase in over three years, affecting patient screening volumes.

Operational Risks

The company reported a net loss of $6,025,732 for the nine months ended September 30, 2024, compared to $4,879,940 in the same period of 2023, reflecting an increase in operational strain. The operational challenges are compounded by a reduction in headcount, which resulted in severance costs of approximately $580,000.

Financial Risks

As of September 30, 2024, the company had cash, cash equivalents, and marketable securities totaling $14,834,600, a decrease from $17,637,675 in the previous year. The current ratio stood at 13.9, indicating a robust liquidity position; however, the net debt position was ($13,624,729), reflecting a negative net debt situation.

Strategic Risks

The ongoing strategic review of the company includes exploring options for asset acquisition, potential sales, and strategic mergers. However, there is no assurance that these strategies will yield positive outcomes, adding a layer of uncertainty regarding future financial performance.

Mitigation Strategies

To address these risks, the company has initiated a review of its marketing strategies and operational efficiencies. It is also exploring potential mergers or acquisitions as part of its strategic options.

Risk Category Details Financial Impact
Competition Increased competition in healthcare technology sector Revenue decreased by 46.5%
Regulatory Changes Changes in CMS reimbursement policies Reduced patient screening volume
Operational Risks Net loss of $6,025,732 for 2024 Increased operational strain
Financial Risks Current ratio of 13.9 Negative net debt position of ($13,624,729)
Strategic Risks Review of strategic options including mergers Uncertain future financial performance



Future Growth Prospects for NeuroMetrix, Inc. (NURO)

Future Growth Prospects for NeuroMetrix, Inc. (NURO)

Analysis of Key Growth Drivers

The company is focusing on multiple avenues for growth, including product innovations, market expansions, and strategic partnerships.

  • Product Innovations: The emphasis is on enhancing the Quell and DPNCheck products. The company aims to improve these offerings to better meet customer needs.
  • Market Expansions: Plans to increase market penetration in the international markets, particularly Japan, where sales are expected to rebound in 2025.
  • Strategic Partnerships: Engaging with healthcare providers to bolster product adoption and streamline reimbursement processes.

Future Revenue Growth Projections and Earnings Estimates

For the nine months ended September 30, 2024, revenues were reported at $2,450,018, a decrease of 46.5% compared to $4,583,679 in the same period in 2023. The net loss was $6,025,732, with a net loss per share of $3.10.

Projected earnings growth is contingent on overcoming recent declines in DPNCheck sales, which have been adversely affected by changes in Medicare reimbursement policies. However, the company anticipates a recovery in sales as market conditions stabilize.

Strategic Initiatives or Partnerships that May Drive Future Growth

The company has initiated a strategic review process to explore options for maximizing shareholder value, which includes:

  • Potential mergers or acquisitions to enhance product offerings and market reach.
  • Revising marketing strategies to better align with customer needs and improve sales performance.
  • Collaboration with healthcare providers to increase the utilization of its products.

Competitive Advantages that Position the Company for Growth

The company holds several competitive advantages, including:

  • Strong Liquidity Position: As of September 30, 2024, cash and cash equivalents totaled $14,834,600, providing a strong buffer for operational needs.
  • Innovative Product Line: The DPNCheck and Quell products are at the forefront of neurodiagnostic technology, catering to a growing market for chronic pain management and neuropathy diagnostics.
  • High Current Ratio: With a current ratio of 13.9, the company is well-positioned to meet short-term obligations.
Key Financial Metrics September 30, 2024 December 31, 2023
Cash and Cash Equivalents $14,834,600 $17,997,151
Working Capital $15,585,819 $19,613,803
Net Loss $6,025,732 $4,879,940
Net Loss Per Share $3.10 $4.86
Current Ratio 13.9 16.8

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Resources:

  1. NeuroMetrix, Inc. (NURO) Financial Statements – Access the full quarterly financial statements for Q3 2024 to get an in-depth view of NeuroMetrix, Inc. (NURO)' financial performance, including balance sheets, income statements, and cash flow statements.
  2. SEC Filings – View NeuroMetrix, Inc. (NURO)' latest filings with the U.S. Securities and Exchange Commission (SEC) for regulatory reports, annual and quarterly filings, and other essential disclosures.