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Side-by-side financial comparison of Perma-Pipe International Holdings, Inc. (PPIH) and Neuronetics, Inc. (STIM). Click either name above to swap in a different company.

Perma-Pipe International Holdings, Inc. is the larger business by last-quarter revenue ($61.1M vs $41.8M, roughly 1.5× Neuronetics, Inc.). Perma-Pipe International Holdings, Inc. runs the higher net margin — 10.3% vs -17.2%, a 27.6% gap on every dollar of revenue. On growth, Neuronetics, Inc. posted the faster year-over-year revenue change (85.7% vs 47.1%). Perma-Pipe International Holdings, Inc. produced more free cash flow last quarter ($12.4M vs $692.0K). Over the past eight quarters, Neuronetics, Inc.'s revenue compounded faster (54.9% CAGR vs 23.4%).

Perma-Pipe International Holdings, Inc. designs, manufactures and supplies pre-insulated piping systems and integrated leak detection solutions. Its offerings cater to oil & gas, district heating and cooling, industrial, and municipal infrastructure segments, with a global footprint spanning North America, the Middle East, Europe and Asia.

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. 

PPIH vs STIM — Head-to-Head

Bigger by revenue
PPIH
PPIH
1.5× larger
PPIH
$61.1M
$41.8M
STIM
Growing faster (revenue YoY)
STIM
STIM
+38.6% gap
STIM
85.7%
47.1%
PPIH
Higher net margin
PPIH
PPIH
27.6% more per $
PPIH
10.3%
-17.2%
STIM
More free cash flow
PPIH
PPIH
$11.7M more FCF
PPIH
$12.4M
$692.0K
STIM
Faster 2-yr revenue CAGR
STIM
STIM
Annualised
STIM
54.9%
23.4%
PPIH

Income Statement — Q3 FY2026 vs Q4 FY2025

Metric
PPIH
PPIH
STIM
STIM
Revenue
$61.1M
$41.8M
Net Profit
$6.3M
$-7.2M
Gross Margin
34.4%
52.0%
Operating Margin
18.6%
-12.1%
Net Margin
10.3%
-17.2%
Revenue YoY
47.1%
85.7%
Net Profit YoY
153.5%
43.2%
EPS (diluted)
$0.77
$-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
PPIH
PPIH
STIM
STIM
Q4 25
$61.1M
$41.8M
Q3 25
$47.9M
$37.3M
Q2 25
$46.7M
$38.1M
Q1 25
$45.0M
$32.0M
Q4 24
$41.6M
$22.5M
Q3 24
$37.5M
$18.5M
Q2 24
$34.3M
$16.4M
Q1 24
$40.2M
$17.4M
Net Profit
PPIH
PPIH
STIM
STIM
Q4 25
$6.3M
$-7.2M
Q3 25
$851.0K
$-9.0M
Q2 25
$5.0M
$-10.1M
Q1 25
$1.8M
$-12.7M
Q4 24
$2.5M
$-12.7M
Q3 24
$3.3M
$-13.3M
Q2 24
$1.4M
$-9.8M
Q1 24
$8.6M
$-7.9M
Gross Margin
PPIH
PPIH
STIM
STIM
Q4 25
34.4%
52.0%
Q3 25
30.1%
45.9%
Q2 25
35.8%
46.6%
Q1 25
33.7%
49.2%
Q4 24
33.9%
66.2%
Q3 24
35.9%
75.6%
Q2 24
30.6%
74.0%
Q1 24
30.0%
75.1%
Operating Margin
PPIH
PPIH
STIM
STIM
Q4 25
18.6%
-12.1%
Q3 25
6.7%
-19.6%
Q2 25
16.9%
-21.1%
Q1 25
12.1%
-34.4%
Q4 24
13.4%
-51.0%
Q3 24
16.4%
-41.7%
Q2 24
9.1%
-51.7%
Q1 24
11.3%
-39.4%
Net Margin
PPIH
PPIH
STIM
STIM
Q4 25
10.3%
-17.2%
Q3 25
1.8%
-24.3%
Q2 25
10.6%
-26.6%
Q1 25
3.9%
-39.6%
Q4 24
6.0%
-56.4%
Q3 24
8.8%
-72.0%
Q2 24
4.2%
-59.8%
Q1 24
21.5%
-45.2%
EPS (diluted)
PPIH
PPIH
STIM
STIM
Q4 25
$0.77
$-0.10
Q3 25
$0.10
$-0.13
Q2 25
$0.61
$-0.15
Q1 25
$0.23
$-0.21
Q4 24
$0.31
$-0.34
Q3 24
$0.40
$-0.44
Q2 24
$0.18
$-0.33
Q1 24
$1.07
$-0.27

Balance Sheet & Financial Strength

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

Metric
PPIH
PPIH
STIM
STIM
Cash + ST InvestmentsLiquidity on hand
$27.2M
$28.1M
Total DebtLower is stronger
$12.7M
$65.8M
Stockholders' EquityBook value
$85.8M
$22.4M
Total Assets
$217.0M
$141.6M
Debt / EquityLower = less leverage
0.15×
2.94×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
PPIH
PPIH
STIM
STIM
Q4 25
$27.2M
$28.1M
Q3 25
$17.3M
$28.0M
Q2 25
$18.8M
$11.0M
Q1 25
$15.7M
$20.2M
Q4 24
$13.3M
$18.5M
Q3 24
$9.5M
$20.9M
Q2 24
$7.7M
$42.6M
Q1 24
$5.8M
$47.7M
Total Debt
PPIH
PPIH
STIM
STIM
Q4 25
$12.7M
$65.8M
Q3 25
$65.7M
Q2 25
$55.5M
Q1 25
$15.2M
$55.3M
Q4 24
$55.2M
Q3 24
$46.0M
Q2 24
$59.8M
Q1 24
$15.2M
$59.4M
Stockholders' Equity
PPIH
PPIH
STIM
STIM
Q4 25
$85.8M
$22.4M
Q3 25
$80.2M
$27.4M
Q2 25
$77.9M
$27.1M
Q1 25
$72.1M
$35.5M
Q4 24
$71.2M
$27.7M
Q3 24
$68.6M
$9.4M
Q2 24
$65.5M
$19.4M
Q1 24
$65.7M
$27.7M
Total Assets
PPIH
PPIH
STIM
STIM
Q4 25
$217.0M
$141.6M
Q3 25
$189.0M
$145.5M
Q2 25
$178.3M
$134.7M
Q1 25
$165.2M
$142.0M
Q4 24
$160.7M
$140.9M
Q3 24
$157.8M
Q2 24
$155.7M
$96.8M
Q1 24
$155.7M
$103.8M
Debt / Equity
PPIH
PPIH
STIM
STIM
Q4 25
0.15×
2.94×
Q3 25
2.40×
Q2 25
2.05×
Q1 25
0.21×
1.56×
Q4 24
1.99×
Q3 24
4.90×
Q2 24
3.08×
Q1 24
0.23×
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
PPIH
PPIH
STIM
STIM
Operating Cash FlowLast quarter
$17.3M
$908.0K
Free Cash FlowOCF − Capex
$12.4M
$692.0K
FCF MarginFCF / Revenue
20.2%
1.7%
Capex IntensityCapex / Revenue
8.1%
0.5%
Cash ConversionOCF / Net Profit
2.74×
TTM Free Cash FlowTrailing 4 quarters
$12.3M
$-21.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
PPIH
PPIH
STIM
STIM
Q4 25
$17.3M
$908.0K
Q3 25
$-2.0M
$-785.0K
Q2 25
$733.0K
$-3.5M
Q1 25
$6.0M
$-17.0M
Q4 24
$5.2M
$-8.6M
Q3 24
$2.8M
$-5.4M
Q2 24
$-73.0K
$-5.0M
Q1 24
$7.1M
$-12.0M
Free Cash Flow
PPIH
PPIH
STIM
STIM
Q4 25
$12.4M
$692.0K
Q3 25
$-4.6M
$-899.0K
Q2 25
$-194.0K
$-3.8M
Q1 25
$4.7M
$-17.2M
Q4 24
$4.8M
$-8.7M
Q3 24
$2.2M
$-5.8M
Q2 24
$-662.0K
$-5.6M
Q1 24
$4.2M
$-12.4M
FCF Margin
PPIH
PPIH
STIM
STIM
Q4 25
20.2%
1.7%
Q3 25
-9.6%
-2.4%
Q2 25
-0.4%
-9.9%
Q1 25
10.5%
-53.8%
Q4 24
11.6%
-38.6%
Q3 24
5.8%
-31.3%
Q2 24
-1.9%
-34.0%
Q1 24
10.5%
-71.1%
Capex Intensity
PPIH
PPIH
STIM
STIM
Q4 25
8.1%
0.5%
Q3 25
5.3%
0.3%
Q2 25
2.0%
0.7%
Q1 25
2.9%
0.7%
Q4 24
0.8%
0.4%
Q3 24
1.7%
2.1%
Q2 24
1.7%
3.7%
Q1 24
7.2%
2.2%
Cash Conversion
PPIH
PPIH
STIM
STIM
Q4 25
2.74×
Q3 25
-2.40×
Q2 25
0.15×
Q1 25
3.42×
Q4 24
2.07×
Q3 24
0.86×
Q2 24
-0.05×
Q1 24
0.82×

Financial Flow Comparison

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

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