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Side-by-side financial comparison of ALERUS FINANCIAL CORP (ALRS) and Neuronetics, Inc. (STIM). Click either name above to swap in a different company.

ALERUS FINANCIAL CORP is the larger business by last-quarter revenue ($45.2M vs $41.8M, roughly 1.1× Neuronetics, Inc.). Neuronetics, Inc. runs the higher net margin — -17.2% vs -73.2%, a 55.9% gap on every dollar of revenue. On growth, Neuronetics, Inc. posted the faster year-over-year revenue change (85.7% vs 18.0%). ALERUS FINANCIAL CORP produced more free cash flow last quarter ($58.8M vs $692.0K). Over the past eight quarters, Neuronetics, Inc.'s revenue compounded faster (54.9% CAGR vs -2.5%).

Alerus Financial Corporation, marketed as simply Alerus, is a chain of financial institutions headquartered in Grand Forks, North Dakota, with locations in North Dakota, Minnesota, Wisconsin, and Arizona. Alerus offers banking, mortgage, wealth management, and retirement services.

Neuronetics is a Malvern, PA based, publicly traded company incorporated in Delaware in April 2003, that develops non-invasive treatments for psychiatric disorders that have shown resistance or lack of improvement using traditional medicine. The treatments are based upon neuromodulation technology. 

ALRS vs STIM — Head-to-Head

Bigger by revenue
ALRS
ALRS
1.1× larger
ALRS
$45.2M
$41.8M
STIM
Growing faster (revenue YoY)
STIM
STIM
+67.7% gap
STIM
85.7%
18.0%
ALRS
Higher net margin
STIM
STIM
55.9% more per $
STIM
-17.2%
-73.2%
ALRS
More free cash flow
ALRS
ALRS
$58.1M more FCF
ALRS
$58.8M
$692.0K
STIM
Faster 2-yr revenue CAGR
STIM
STIM
Annualised
STIM
54.9%
-2.5%
ALRS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALRS
ALRS
STIM
STIM
Revenue
$45.2M
$41.8M
Net Profit
$-33.1M
$-7.2M
Gross Margin
52.0%
Operating Margin
-96.0%
-12.1%
Net Margin
-73.2%
-17.2%
Revenue YoY
18.0%
85.7%
Net Profit YoY
-49232.8%
43.2%
EPS (diluted)
$-1.27
$-0.10

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ALRS
ALRS
STIM
STIM
Q4 25
$45.2M
$41.8M
Q3 25
$72.6M
$37.3M
Q2 25
$74.8M
$38.1M
Q1 25
$68.8M
$32.0M
Q4 24
$72.2M
$22.5M
Q3 24
$50.9M
$18.5M
Q2 24
$51.4M
$16.4M
Q1 24
$47.5M
$17.4M
Net Profit
ALRS
ALRS
STIM
STIM
Q4 25
$-33.1M
$-7.2M
Q3 25
$16.9M
$-9.0M
Q2 25
$20.3M
$-10.1M
Q1 25
$13.3M
$-12.7M
Q4 24
$-67.0K
$-12.7M
Q3 24
$5.2M
$-13.3M
Q2 24
$6.2M
$-9.8M
Q1 24
$6.4M
$-7.9M
Gross Margin
ALRS
ALRS
STIM
STIM
Q4 25
52.0%
Q3 25
45.9%
Q2 25
46.6%
Q1 25
49.2%
Q4 24
66.2%
Q3 24
75.6%
Q2 24
74.0%
Q1 24
75.1%
Operating Margin
ALRS
ALRS
STIM
STIM
Q4 25
-96.0%
-12.1%
Q3 25
30.4%
-19.6%
Q2 25
35.2%
-21.1%
Q1 25
25.5%
-34.4%
Q4 24
-0.8%
-51.0%
Q3 24
13.4%
-41.7%
Q2 24
15.8%
-51.7%
Q1 24
17.9%
-39.4%
Net Margin
ALRS
ALRS
STIM
STIM
Q4 25
-73.2%
-17.2%
Q3 25
23.3%
-24.3%
Q2 25
27.1%
-26.6%
Q1 25
19.4%
-39.6%
Q4 24
-0.2%
-56.4%
Q3 24
10.2%
-72.0%
Q2 24
12.1%
-59.8%
Q1 24
13.5%
-45.2%
EPS (diluted)
ALRS
ALRS
STIM
STIM
Q4 25
$-1.27
$-0.10
Q3 25
$0.65
$-0.13
Q2 25
$0.78
$-0.15
Q1 25
$0.52
$-0.21
Q4 24
$-0.06
$-0.34
Q3 24
$0.26
$-0.44
Q2 24
$0.31
$-0.33
Q1 24
$0.32
$-0.27

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ALRS
ALRS
STIM
STIM
Cash + ST InvestmentsLiquidity on hand
$67.2M
$28.1M
Total DebtLower is stronger
$59.2M
$65.8M
Stockholders' EquityBook value
$564.9M
$22.4M
Total Assets
$5.2B
$141.6M
Debt / EquityLower = less leverage
0.10×
2.94×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALRS
ALRS
STIM
STIM
Q4 25
$67.2M
$28.1M
Q3 25
$92.0M
$28.0M
Q2 25
$80.9M
$11.0M
Q1 25
$83.0M
$20.2M
Q4 24
$61.2M
$18.5M
Q3 24
$66.0M
$20.9M
Q2 24
$438.1M
$42.6M
Q1 24
$545.8M
$47.7M
Total Debt
ALRS
ALRS
STIM
STIM
Q4 25
$59.2M
$65.8M
Q3 25
$59.2M
$65.7M
Q2 25
$59.1M
$55.5M
Q1 25
$59.1M
$55.3M
Q4 24
$59.1M
$55.2M
Q3 24
$59.0M
$46.0M
Q2 24
$59.0M
$59.8M
Q1 24
$59.0M
$59.4M
Stockholders' Equity
ALRS
ALRS
STIM
STIM
Q4 25
$564.9M
$22.4M
Q3 25
$550.7M
$27.4M
Q2 25
$533.2M
$27.1M
Q1 25
$514.2M
$35.5M
Q4 24
$495.4M
$27.7M
Q3 24
$386.5M
$9.4M
Q2 24
$373.2M
$19.4M
Q1 24
$371.6M
$27.7M
Total Assets
ALRS
ALRS
STIM
STIM
Q4 25
$5.2B
$141.6M
Q3 25
$5.3B
$145.5M
Q2 25
$5.3B
$134.7M
Q1 25
$5.3B
$142.0M
Q4 24
$5.3B
$140.9M
Q3 24
$4.4B
Q2 24
$4.4B
$96.8M
Q1 24
$4.3B
$103.8M
Debt / Equity
ALRS
ALRS
STIM
STIM
Q4 25
0.10×
2.94×
Q3 25
0.11×
2.40×
Q2 25
0.11×
2.05×
Q1 25
0.11×
1.56×
Q4 24
0.12×
1.99×
Q3 24
0.15×
4.90×
Q2 24
0.16×
3.08×
Q1 24
0.16×
2.15×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ALRS
ALRS
STIM
STIM
Operating Cash FlowLast quarter
$67.5M
$908.0K
Free Cash FlowOCF − Capex
$58.8M
$692.0K
FCF MarginFCF / Revenue
130.2%
1.7%
Capex IntensityCapex / Revenue
19.3%
0.5%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$102.4M
$-21.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALRS
ALRS
STIM
STIM
Q4 25
$67.5M
$908.0K
Q3 25
$32.8M
$-785.0K
Q2 25
$10.7M
$-3.5M
Q1 25
$7.7M
$-17.0M
Q4 24
$21.7M
$-8.6M
Q3 24
$20.2M
$-5.4M
Q2 24
$-12.5M
$-5.0M
Q1 24
$11.7M
$-12.0M
Free Cash Flow
ALRS
ALRS
STIM
STIM
Q4 25
$58.8M
$692.0K
Q3 25
$30.3M
$-899.0K
Q2 25
$7.6M
$-3.8M
Q1 25
$5.7M
$-17.2M
Q4 24
$9.4M
$-8.7M
Q3 24
$17.4M
$-5.8M
Q2 24
$-16.1M
$-5.6M
Q1 24
$10.8M
$-12.4M
FCF Margin
ALRS
ALRS
STIM
STIM
Q4 25
130.2%
1.7%
Q3 25
41.8%
-2.4%
Q2 25
10.1%
-9.9%
Q1 25
8.2%
-53.8%
Q4 24
13.0%
-38.6%
Q3 24
34.2%
-31.3%
Q2 24
-31.4%
-34.0%
Q1 24
22.8%
-71.1%
Capex Intensity
ALRS
ALRS
STIM
STIM
Q4 25
19.3%
0.5%
Q3 25
3.4%
0.3%
Q2 25
4.2%
0.7%
Q1 25
3.0%
0.7%
Q4 24
17.1%
0.4%
Q3 24
5.4%
2.1%
Q2 24
7.2%
3.7%
Q1 24
1.9%
2.2%
Cash Conversion
ALRS
ALRS
STIM
STIM
Q4 25
Q3 25
1.94×
Q2 25
0.53×
Q1 25
0.58×
Q4 24
Q3 24
3.88×
Q2 24
-2.01×
Q1 24
1.82×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ALRS
ALRS

Other$17.3M38%
Retirement And Benefit Services$17.3M38%
Wealth Management$7.4M16%
Mortgage Banking$3.2M7%

STIM
STIM

Segment breakdown not available.

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