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UNITED STATES
SECURITIES AND EXCHANGE
COMMISSION
Washington, D.C. 20549
 
 
FORM 8-K/A
 
 
CURRENT REPORT
Pursuant to Section 13 or 15(d)
of The Securities Exchange Act of 1934
Date of Report (Date of earliest event reported) December 10, 2024
 
 
NEURONETICS, INC.
(Exact name of registrant as specified in its charter)
 
 
 
Delaware
 
001-38546
 
33-1051425
(State or other jurisdiction
of incorporation)
 
(Commission
File Number)
 
(I.R.S. Employer
Identification No.)
 
3222 Phoenixville Pike, Malvern,
PA
 
19355
(Address of principal executive offices)
 
(Zip Code)
Registrant’s telephone number, including area code (610) 640-4202
(Former name or former address, if changed since last report.) Not applicable.
 
 
Check the appropriate box below if the
Form 8-K
filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
 
Soliciting material pursuant to Rule
14a-12
under the Exchange Act (17 CFR
240.14a-12)
 
Pre-commencement
communications pursuant to Rule
14d-2(b) under
the Exchange Act (17 CFR
240.14d-2(b))
 
Pre-commencement
communications pursuant to Rule
13e-4(c) under
the Exchange Act (17 CFR
240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
 
Title of each class
 
Trading
Symbol (s)
 
Name on each exchange
on which registered
Common Stock ($0.01 par value)   STIM   The Nasdaq Global Market
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 or
Rule 12b-2
of the Securities Exchange Act of 1934.
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the
Exchange
Act. ☐
 
 
 

Explanatory Note
As previously disclosed in the Current Reports on Form
8-K
filed by Neuronetics, Inc. (the “Company”) with the Securities and Exchange Commission (the “SEC”), the Company entered into an arrangement agreement on August 11, 2024 with Greenbrook TMS Inc. (“Greenbrook”), pursuant to which the Company agreed to acquire all of the issued and outstanding common shares of Greenbrook pursuant to a plan of arrangement under the Business Corporations Act (Ontario) (the “Arrangement”). The Arrangement was effective as of December 9, 2024.
This Amendment No. 1 on Form
8-K/A
is being filed to amend Item 9.01(a) and (b) of the Current Report on Form
8-K
that the Company filed with the SEC on December 10, 2024, regarding the completion of its acquisition of Greenbrook to include the historical financial statements of Greenbrook required by Item 9.01(a) of Form
8-K
and the pro forma financial information required by Item 9.01(b) of Form
8-K.
Item 9.01 Financial Statements and Exhibits.
(a) Financial Statements of Business Acquired
The audited financial statements of Greenbrook as of and for the years ended December 31, 2022 and December 31, 2023, together with the notes related thereto and the Report of Independent Registered Public Accounting Firm thereon, are filed as Exhibit 99.1 to this Form
8-K/A
and incorporated by reference herein.
The unaudited financial statements of Greenbrook as of and for the nine months ended November 30, 2024 are filed as Exhibit 99.2 to this Form
8-K/A
and incorporated by reference herein.
(b) Pro Forma Financial Information
The unaudited pro forma financial information for the Company, after giving effect to the acquisition of Greenbrook and
adjustments
described in such pro forma financial information, is attached hereto as Exhibit 99.3 to this Form
8-K/A
and incorporated by reference
herein
.
(d)  Exhibits
 
Exhibit Number
  
Description
23.1    Consent of Independent Registered Accounting Firm, KPMG LLP
99.1    Audited consolidated financial statements of Greenbrook as of and for the years ended December 31, 2022 and December 31, 2023 and the notes related thereto and Report of Independent Registered Public Accounting Firm thereon (incorporated by reference to pages F-1 through F-55 of Greenbrook’s Annual Report on Form 10-K for the fiscal year ended December 31, 2023 (SEC file No. 001-40199), filed with the SEC on April 26, 2024).
99.2    Unaudited consolidated condensed financial statements of Greenbrook as of September 30, 2024 and for the periods ended September 30, 2024 and the notes related thereto.
99.3    Unaudited pro forma combined balance sheet as of September 30, 2024 and the unaudited pro forma combined statement of operations for the periods ended September 30, 2024 and the year ended December 31, 2023, giving effect to the acquisition of Greenbrook.
104    Cover Page Interactive Data File (embedded within the Inline XBRL
document
)

SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this
report
to be signed on its behalf by the undersigned hereunto duly authorized.
 
   
NEURONETICS, INC.
    (Registrant)
Date: February 6, 2025  
  By:  
/s/ Stephen Furlong
    Name:   Stephen Furlong
    Title:   EVP, Chief Financial Officer and Treasurer

Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

The Board of Directors

Neuronetics, Inc.

We consent to the use of our report dated April 25, 2024, on the consolidated financial statements of Greenbrook TMS Inc. (and subsidiaries), which comprise the consolidated balance sheets as at December 31, 2023 and December 31, 2022, the related consolidated statements of comprehensive loss, changes in equity (deficit) and cash flows for each of the years in the two-year period ended December 31, 2023, and the related notes, which is included in this Form 8-K/A of Neuronetics, Inc. (the Company).

We also consent to the incorporation by reference of such report in the Registration Statement (No. 333-266617) on Form S-3 and the Registration Statements (Nos. 333226343, 333-252233, 333-266606 and 333-284691) on Form S-8 of the Company.

/s/ KPMG LLP

Chartered Professional Accountants, Licensed Public Accountants

February 6, 2025

Vaughan, Canada

P3YP10DP5DP5D240.6667
Exhibit 
99.2
Condensed Interim Consolidated Financial Statements
(Expressed in U.S. dollars)
GREENBROOK TMS INC.
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
GREENBROOK TMS INC.
Condensed Interim Consolidated Balance Sheets
(Expressed in U.S. dollars, unless otherwise stated)
(Unaudited)
 
 
     September 30,
2024
    December 31,
2023
 
Assets
    
Current assets:
    
Cash
   $ 368,512     $ 3,323,708  
Restricted cash
     1,000,000       1,000,000  
Accounts receivable, net (note 19(b))
     12,628,278       7,569,843  
Prepaid expenses and other
     5,647,935       3,079,785  
  
 
 
   
 
 
 
Total current assets
     19,644,725       14,973,336  
Property, plant and equipment (note 5)
     4,725,435       4,793,979  
Intangible assets (note 6)
     572,537       622,057  
Finance
right-of-use
assets (note 7(a))
     1,276,821       2,140,338  
Operating
right-of-use
assets (note 7(b))
     23,658,188       28,887,905  
  
 
 
   
 
 
 
Total assets
   $ 49,877,706     $ 51,417,615  
  
 
 
   
 
 
 
Liabilities and Shareholders’ Deficit
    
Current liabilities:
    
Accounts payable and accrued liabilities (note 8)
   $ 14,948,703     $ 13,701,630  
Current portion of loans payable (note 9(a))
     11,419,486       5,770,603  
Current portion of finance lease liabilities (note 7(a))
     355,161       622,730  
Current portion of operating lease liabilities (note 7(b))
     4,043,583       3,960,346  
Current portion of shareholder loans (note 10)
     3,690,568       505,161  
Other payables (note 11)
     1,947,395       5,730,781  
Non-controlling
interest loans (note 9(b))
     58,074       63,174  
Deferred and contingent consideration (note 12)
     1,000,000       1,000,000  
Advance for research collaboration (note 13)
     —        1,300,000  
  
 
 
   
 
 
 
Total current liabilities
     37,462,970       32,654,425  
Loans payable (note 9(a))
     131,774,065       90,230,173  
Finance lease liabilities (note 7(a))
     20,534       235,107  
Operating lease liabilities (note 7(b))
     21,138,829       26,438,220  
Shareholder loans (note 10)
     —        2,807,480  
  
 
 
   
 
 
 
Total liabilities
     190,396,398       152,365,405  
Shareholders’ deficit:
    
Common shares (note 14)
     121,236,710       120,741,061  
Contributed surplus (note 15)
     5,508,810       5,397,700  
Deficit
     (263,661,144     (224,174,970
  
 
 
   
 
 
 
Total shareholders’ deficit excluding
non-controlling
interest
     (136,915,624     (98,036,209
Non-controlling
interest (note 23)
     (3,603,068     (2,911,581
  
 
 
   
 
 
 
Total shareholders’ deficit
     (140,518,692     (100,947,790
Basis of preparation and going concern (note 2(a))
    
Contingencies (note 16)
    
Subsequent events (notes 2(a) and 25)
    
Related party transactions (note 21)
    
  
 
 
   
 
 
 
Total liabilities and shareholders’ deficit
   $ 49,877,706     $ 51,417,615  
  
 
 
   
 
 
 
See accompanying notes to condensed interim consolidated financial statements.
 
1

GREENBROOK TMS INC.
Condensed Interim Consolidated Statements of Comprehensive Loss
(Expressed in U.S. dollars, unless otherwise stated)
(Unaudited)
 
 
 
     Three months ended     Nine months ended  
     September 30,
2024
    September 30,
2023
    September 30,
2024
    September 30,
2023
 
Revenue:
        
Service revenue
   $ 18,872,131     $ 17,364,264     $ 55,992,388     $ 54,359,174  
Other revenue
     200,000       —        1,500,000       —   
  
 
 
   
 
 
   
 
 
   
 
 
 
     19,072,131       17,364,264       57,492,388       54,359,174  
  
 
 
   
 
 
   
 
 
   
 
 
 
Expenses:
        
Direct center and patient care costs
     13,043,838       13,135,231       39,945,827       40,397,958  
Other regional and center support costs (note 24)
     7,223,389       4,764,130       20,645,033       14,353,697  
Depreciation (notes 5 and 7)
     308,113       583,388       932,061       2,418,742  
  
 
 
   
 
 
   
 
 
   
 
 
 
     20,575,340       18,482,749       61,522,921       57,170,397  
  
 
 
   
 
 
   
 
 
   
 
 
 
Regional operating loss
     (1,503,209     (1,118,485     (4,030,533     (2,811,223
Center development costs
     31,929       137,770       272,650       355,832  
Corporate, general and administrative expenses (note 24)
     6,291,658       5,986,061       21,470,073       21,405,122  
Share-based compensation (note 15)
     51,923       14,740       111,110       591,470  
Amortization (note 6)
     16,426       16,548       49,520       49,643  
Interest expense
     4,984,262       3,088,382       13,921,621       8,665,931  
Interest income
     (66     (64     (196     (165
Loss on extinguishment of loans (note 10(a))
     —        14,274       —        14,274  
Loss on device contract termination (note 11 (d))
     —        3,181,116       —        3,181,116  
  
 
 
   
 
 
   
 
 
   
 
 
 
Loss before income taxes
     (12,879,341     (13,557,312     (39,855,311     (37,074,446
Income tax expense (note 18)
                        
  
 
 
   
 
 
   
 
 
   
 
 
 
Loss for the period and comprehensive loss
   $ (12,879,341   $  (13,557,312   $ (39,855,311   $ (37,074,446
Non-controlling
interest (note 23)
     328,018       (66,025     (24,461     (249,575
  
 
 
   
 
 
   
 
 
   
 
 
 
Loss for the period and comprehensive loss attributable to Greenbrook
   $  (13,207,359   $  (13,491,287   $ (39,830,850   $ (36,824,871
  
 
 
   
 
 
   
 
 
   
 
 
 
Net loss per share (note 22):
        
Basic
   $ (0.33   $ (0.32   $ (0.92   $ (0.97
Diluted
     (0.33     (0.32     (0.92     (0.97
  
 
 
   
 
 
   
 
 
   
 
 
 
See accompanying notes to condensed interim consolidated financial statements.
 
2
GREENBROOK TMS INC.
Condensed Interim Consolidated Statements of Changes in Equity (Deficit)
(Expressed in U.S. dollars, unless otherwise stated)
(Unaudited)
 
 
 
     Common shares      Contributed
surplus
     Deficit     Non-
controlling
interest
    Total
equity
(deficit)
 
Nine months ended September 30, 2023
   Number      Amount  
Balance, December 31, 2022
     29,436,545      $ 114,120,362      $ 4,552,067      $ (175,007,144   $ (2,777,127   $ (59,111,842
Net comprehensive loss for the period
     —         —         —         (10,591,310     (68,826     (10,660,136
Share-based compensation (note 15)
     —         —         62,948        —        —        62,948  
Issuance of common shares (note 14)
     11,363,635        6,139,262        —         —        —        6,139,262  
Issuance of lender warrants
     —         —         59,786        —        —        59,786  
Acquisition of subsidiary
non-controlling
interest (note 23)
     —         —         —         (118,052     118,052       —   
  
 
 
    
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
Balance, March 31, 2023
     40,800,180      $ 120,259,624      $ 4,674,801      $ (185,716,506   $ (2,727,901   $ (63,509,982
Net comprehensive loss for the period
     —         —         —         (12,742,274     (114,724     (12,856,998
Share-based compensation (note 15)
     —         —         513,782        —        —        513,782  
  
 
 
    
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
Balance, June 30, 2023
     40,800,180      $ 120,259,624      $ 5,188,583      $ (198,458,780   $ (2,842,625   $ (75,853,198
Net comprehensive loss for the period
     —         —         —         (13,491,287     (66,025     (13,557,312
Share-based compensation (note 15)
     —         —         14,740        —        —        14,740  
Issuance of common shares (note 14)
     1,973,831        481,437        —         —        —        481,437  
Issuance of lender warrants
     —         —         19,346        —        —        19,346  
Gain on extinguishment of shareholder loan
     —         —         39,822        —        —        39,822  
Acquisition of subsidiary
non-controlling
interest (note 23)
     —         —         —         371,303       (371,816     (513
Distribution to
non-controlling
interest
     —         —         —         (20,000     —        (20,000
  
 
 
    
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
Balance, September 30, 2023
     42,774,011      $ 120,741,061      $ 5,262,491      $ (211,598,764   $ (3,280,466   $ (88,875,678
  
 
 
    
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
 
3


GREENBROOK TMS INC.
Condensed Interim Consolidated Statements of Changes in Equity (Deficit) (continued)
(Expressed in U.S. dollars, unless otherwise stated)
(Unaudited)
 
 
 
     Common shares      Contributed
surplus
     Deficit     Non-
controlling
interest
    Total
equity
(deficit)
 
Nine months ended September 30, 2024
   Number     Amount  
Balance, December 31, 2023
     42,774,011     $ 120,741,061      $ 5,397,700      $ (224,174,970   $ (2,911,581   $ (100,947,790
Net comprehensive loss for the period
     —        —         —         (14,218,296     (321,849     (14,540,145
Share-based compensation (note 15)
     —        —         25,302        —        —        25,302  
Issuance of common shares (note 14)
     2,828,249       495,649        —         —        —        495,649  
  
 
 
   
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
Balance, March 31, 2024
     45,602,260     $ 121,236,710      $ 5,423,002      $ (238,393,266   $ (3,233,430   $ (114,966,984
Net comprehensive loss for the period
     —        —         —         (12,405,195     (30,630     (12,435,825
Share-based compensation (note 15)
     —        —         33,885        —        —        33,885  
Distribution to non-controlling interest
     —        —         —         —        (94,500     (94,500
Acquisition of subsidiary non-controlling interest (note 23)
     —        —         —         344,676       (466,026     (121,350
  
 
 
   
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
Balance, June 30, 2024
     45,602,260     $ 121,236,710      $ 5,456,887      $ (250,453,785   $ (3,824,586   $ (127,584,774
Net comprehensive loss for the period
     —        —         —         (13,207,359     328,018       (12,879,341
Share-based compensation (note 15)
     —        —         51,923        —        —        51,923  
Surrender and cancellation of common shares – PA Settlement Agreement (note 14)
     (11,634,660     —         —         —        —        —   
Distributions to non-controlling interests
     —        —         —         —        (106,500     (106,500
  
 
 
   
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
Balance, September 30, 2024
     33,967,600       121,236,710        5,508,810        (263,661,144     (3,603,068     (140,518,692
  
 
 
   
 
 
    
 
 
    
 
 
   
 
 
   
 
 
 
See accompanying notes to condensed interim consolidated financial statements.
 
4


GREENBROOK TMS INC.
Condensed Interim Consolidated Statements of Cash Flows
(Expressed in U.S. dollars, unless otherwise stated)
(Unaudited)
 
 
 
     Nine months ended  
     September 30,
2024
    September 30,
2023
 
Cash provided by (used in)
    
Operating activities:
    
Loss for the period
   $ (39,855,311   $ (37,074,446
Adjusted for:
    
Amortization
     49,520       49,643  
Depreciation
     932,061       2,418,742  
Operating lease expense
     5,494,188       6,061,923  
Interest expense
     13,921,621       8,665,931  
Interest income
     (196     (165
Share-based compensation
     111,110       591,470  
Loss on extinguishment of loan
     —        14,274  
Loss on device contract termination (note 11(d))
     —        3,181,116  
Credit facility amendment fee (note 9(a))
     —        1,000,000  
Neuronetics Note
non-cash
transaction costs (note 9(a))
     —        116,356  
Gain on lender warrants
     —        (6,567
Gain on deferred share units (note 11(b))
     (333,105     (273,938
Gain on performance share units
     —        (43,748
Change in
non-cash
operating working capital:
    
Accounts receivable
     (5,058,435     1,131,874  
Prepaid expenses and other
     (2,568,150     (1,663,270
Accounts payable and accrued liabilities
     1,247,073       7,286,486  
Other payables
     (3,449,234     (750,000
Advance for research collaboration
     (1,300,000     —   
Interest paid
     (575,655     (2,906,444
Interest received
     196       165  
Repayment of operating lease liabilities
     (5,425,421     (8,024,282
  
 
 
   
 
 
 
     (36,809,738     (20,224,880
Financing activities:
    
Net proceeds on issuance of common shares (note 14)
     495,649       6,620,699  
Financing costs incurred
     (733,275     (702,403
Loans payable advanced (note 9(a))
     36,218,275       9,299,000  
Loans payable and promissory notes repaid (note 9(a))
     (1,252,265     (655,343
Promissory notes advanced (note 9(a) and note 10)
     —        8,100,000  
Principal repayment of finance lease liabilities
     (541,492     (3,168,061
Net
non-controlling
interest loans repaid
     (10,000     (17,027
Distribution to
non-controlling
interest
     (201,000     (20,000
  
 
 
   
 
 
 
     33,975,892       19,456,865  
Investing activities:
    
Purchase of property, plant and equipment
     —        (43,143
Acquisition of subsidiary
non-controlling
interest (note 23)
     (121,350     (513
  
 
 
   
 
 
 
     (121,350     (43,656
  
 
 
   
 
 
 
Decrease in cash
     (2,955,196     (811,671
Cash, beginning of period
     3,323,708       1,623,957  
  
 
 
   
 
 
 
Cash, end of period
   $ 368,512     $ 812,286  
  
 
 
   
 
 
 
See accompanying notes to condensed interim consolidated financial statements.
 
5

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and September 30, 2023
(Unaudited)
 
 
 
1.
Reporting entity:
Greenbrook TMS Inc. (the “Company”), an Ontario corporation along with its subsidiaries, controls and operates a network of outpatient mental health services centers that specialize in the provision of Transcranial Magnetic Stimulation (“TMS”) therapy and other treatment modalities for the treatment of depression and related psychiatric services.
The Company’s head and registered office is located at 890 Yonge Street, 7th Floor, Toronto, Ontario, Canada, M4W 3P4. The Company’s United States corporate headquarters is located at 8401 Greensboro Drive, Suite 425, Tysons Corner, Virginia, USA, 22102.
 
2.
Basis of presentation:
 
  (a)
Going concern:
These condensed interim consolidated financial statements for the three and nine months ended September 30, 2024 have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and applicable rules and regulations of the Securities and Exchange Commission (“SEC”) and the basis of presentation outlined in note 2(b) on the assumption that the Company is a going concern and will continue in operation for the foreseeable future and will be able to realize its assets and discharge its liabilities and commitments in the normal course of business for the next 12 months.
The Company has experienced losses since inception and has negative cash flow from operating activities of $36,809,738 for the nine months ended September 30, 2024 ($20,224,880 – nine months ended September 30, 2023). The Company’s cash balance, excluding restricted cash, as at September 30, 2024 was $368,512 ($3,323,708 as at December 31, 2023) and negative working capital as at September 30, 2024 was $17,818,245 (negative working capital of $17,681,089 as at December 31, 2023).
On July 14, 2022, the Company entered into a credit agreement (the “Madryn Credit Agreement”), as amended, for a $75,000,000 secured credit facility (the “Madryn Credit Facility”) with Madryn Fund Administration, LLC and its affiliated entities (collectively, “Madryn”). Upon closing of the Madryn Credit Facility, the Company drew a $55,000,000 term loan under the Madryn Credit Facility. In addition, the Madryn Credit Facility permits the Company to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for purposes of funding future mergers and acquisition activity.
 
6


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
2.
Basis of presentation (continued):
 
On March 23, 2023, the Company completed a
non-brokered
private placement of common shares of the Company (the “Common Shares”), for aggregate gross proceeds to the Company of approximately $6,250,000 (the “2023 Private Placement”). The 2023 Private Placement included investments by Madryn, together with certain of the Company’s other major shareholders, including Greybrook Health Inc. (“Greybrook Health”) and affiliates of Masters Special Situations LLC (“MSS”).
On July 13, 2023, the Company entered into a purchase agreement (the “Alumni Purchase Agreement”) with Alumni Capital LP (“Alumni”). The Alumni Purchase Agreement provided equity line financing for sales from time to time of up to $4,458,156 of Common Shares. The Company issued an aggregate of 1,761,538 Common Shares under the Alumni Purchase Agreement for gross proceeds of $481,437.
On February 26, 2024, the Company completed a registered direct offering of Common Shares (the “February 2024 Direct Offering”). Pursuant to the February 2024 Direct Offering, an aggregate of 2,828,249 Common Shares were issued at a price of $0.20 per Common Share, for aggregate gross proceeds to the Company of $565,649. See note 14.
During the nine months ended September 30, 2024, the Company received an aggregate of $36,218,275 in debt financings from Madryn in order to satisfy short-term cash requirements, and certain amendments to the Madryn Credit Facility were also effected to amend the Company’s minimum liquidity covenant. See note 9.
The terms of the Madryn Credit Facility require the Company to satisfy various financial covenants including a minimum liquidity and minimum consolidated revenue amounts that became effective on July 14, 2022 and September 30, 2022, respectively. A failure to comply with these covenants, or failure to obtain a waiver for any
non-compliance,
would result in an event of default under the Madryn Credit Agreement and would allow Madryn to accelerate repayment of the debt, which could materially and adversely affect the business, results of operations and financial condition of the Company. On February 21, 2023, March 20, 2023, June 14, 2023, July 3, 2023, July 14, 2023, August 1, 2023, August 14, 2023, September 15, 2023, September 29, 2023, October 12, 2023, November 15, 2023, December 14, 2023, January 19, 2024, February 15, 2024, March 15, 2024, March 28, 2024, May 1, 2024, June 4, 2024, June 25, 2024, July 18, 2024, August 2, 2024, August 19, 2024, September 5, 2024, September 19, 2024, October 3, 2024, October 15, 2024, November 6, 2024 and November 27, 2024, the Company received waivers from Madryn with respect to the Company’s
non-compliance
with the minimum liquidity covenant, which has been extended to
 
7


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
2.
Basis of presentation (continued):
 
December 9, 2024. In addition, the Company also received a waiver relating to the requirement to deliver financial statements within 90 days of each fiscal year end until April 26, 2024, and audited financial statements for such fiscal year, accompanied by a report and opinion of an independent certified public accountant which is not subject to any “going concern” or like qualification or exception or any qualification or exception as to the scope of such audit. As at September 30, 2024, the Company was in compliance with the financial covenants of the Madryn Credit Agreement, as amended.
On October 3, 2024, October 15, 2024 and November 6, 2024, the Company received an aggregate of $5,106,599 in debt financing from Madryn in order to satisfy the Company’s short-term cash requirements. See note 25.
On August 12, 2024, the Company entered into a definitive arrangement agreement (the “Arrangement Agreement”) with Neuronetics, Inc. (“Neuronetics”), in which Neuronetics will acquire all of the outstanding Common Shares of the Company in an
all-stock
transaction (the “Neuronetics Transaction”).
As part of the Neuronetics Transaction, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility (as defined below) and all of the Subordinated Convertible Notes (as defined below) (including notes held by Madryn and other third-parties, which are forced to convert as a result of Madryn’s election) into Common Shares prior to the effective date of the Neuronetics Transaction. On December 10, 2024, the Neuronetics Transaction closing was announced with an effective date of December 9, 2024. See note 14 and note 25.
On October 3, 2024, the Company converted all outstanding Subordinated Convertible Notes into an aggregate of 134,667,522 Common Shares at a conversion price of $0.078 per Common Share. See note 25.
On February 22, 2024, the Company received the final delisting notice from the Listing Qualifications Department of the Nasdaq Stock Market LLC (“Nasdaq”) due to the continued failure to satisfy either the $1.00 minimum bid price listing requirement in Nasdaq Listing Rule 5550(a)(2) or the minimum stockholders’ equity requirements in Nasdaq Listing Rule
5550(b). Consequently, the trading of the Company’s Common Shares was suspended as of the open of trading on February 26, 2024. The Company determined that it was in the
 
8


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
2.
Basis of presentation (continued):
 
overall best interests of the Company not to appeal the decision. Subsequently, the Company’s Common Shares have been quoted on OTCQB Market, operated by OTC Markets Group Inc. (the “OTCQB Market”).
Although the Company believes it will become cash flow positive in the future, the timing of this is uncertain given that the Company has historically not been able to meet its forecast. The Company will require additional financing in order to fund its operating and investing activities in the future, including making timely payments to certain vendors, landlords, lenders and similar other business partners. The delay in such payments may result in potential defaults under the terms of the agreements the Company has with various parties. The Company has historically been able to obtain financing from supportive shareholders, its lenders and other sources when required and will be reliant on financing received from Neuronetics and other lenders; however, the Company may not be able to access further equity or debt financing when needed. As such, there can be no assurance that the Company will be able to obtain additional liquidity when needed or under acceptable terms, if at all. If additional financing is not obtained, the Company may not be able to repay its short-term obligations, which may result in a requirement to file for bankruptcy protection. The existence of the above-described conditions indicate substantial doubt as to the Company’s ability to continue as a going concern as at September 30, 2024.
These condensed interim consolidated financial statements do not reflect adjustments that would be necessary if the going concern assumption was not appropriate. If the going concern basis was not appropriate for these condensed interim consolidated financial statements, then adjustments would be necessary to the carrying value of assets and liabilities, the reported expenses, and the condensed interim consolidated balance sheet classification used, and these adjustments may be material.
 
  (b)
Basis of measurement:
These condensed interim consolidated financial statements have been prepared on a historic cost basis except for financial instruments classified as fair value through profit or loss, which are stated at their fair value. Other measurement bases are described in the applicable notes.
 
9


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
2.
Basis of presentation (continued):
 
Presentation of the condensed interim consolidated balance sheet differentiates between current and
non-current
assets and liabilities. The condensed interim consolidated statements of comprehensive loss are presented using the function classification of expense.
Regional operating loss presents regional operating loss on an entity-wide basis and is calculated as total revenue less direct center and patient care costs, other regional and center support costs, and depreciation. These costs encapsulate all costs (other than incentive compensation such as share-based compensation granted to senior regional employees) associated with the center and regional management infrastructure, including the cost of the delivery of treatments to patients and the cost of the Company’s regional patient acquisition strategy.
 
3.
Significant accounting policies:
These condensed interim consolidated financial statements have been prepared using the material accounting policies consistent with those applied in the Company’s December 31, 2023 audited consolidated financial statements, except as described below relating to the application of ASC Topic 606,
Revenue from Contracts with Customers
(“ASC 606”).
 
  (a)
Revenue recognition:
Other revenue is recognized at a point in time upon the performance of services under contracts with customers and represents the consideration to which the Company expects to be entitled. Other revenue includes revenue from research agreements.
Research agreements consist of arrangements with other companies to perform studies and investigational tasks on the delivery and scalability of various treatment modalities. Revenue related to research agreements is recognized based on the completion of
pre-set
milestones, outlined in the contract.
 
1
0

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
4.
Recent accounting pronouncements:
 
Recent accounting pronouncements adopted:
The Financial Accounting Standards Board (“FASB”) has issued the following amendments to the existing standards that became effective for periods beginning on or after January 1, 2024:
 
  (i)
Accounting Standards Update
2023-09—Income
Taxes (Topic 740): Improvements to Income Tax Disclosures. This standard introduces improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information.
The adoption of the amendments to the existing standards did not have a material impact on these condensed interim consolidated financial statements.
 
1
1

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
5.
Property, plant and equipment:
 
     Leasehold
improvements
     TMS devices      Total  
Cost
        
Balance, December 31, 2023
   $ 359,662      $ 6,427,908      $ 6,787,570  
Additions
     —         699,903        699,903  
Asset Disposal
     (8,950      (80,000      (88,950
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 350,712      $ 7,047,811      $ 7,398,523  
  
 
 
    
 
 
    
 
 
 
Accumulated depreciation
        
Balance, December 31, 2023
   $ 156,540      $ 1,837,051      $ 1,993,591  
Depreciation
     46,078        722,369        768,447  
Asset Disposal
     (8,950      (80,000      (88,950
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 193,668      $ 2,479,420      $ 2,673,088  
  
 
 
    
 
 
    
 
 
 
Net book value
        
Balance, December 31, 2023
   $ 203,122      $ 4,590,857      $ 4,793,979  
Balance, September 30, 2024
     157,044        4,568,391        4,725,435  
 
6.
Intangible assets:
 
     Management
service agreement
     Covenant not
to compete
     Total  
Cost
        
Balance, December 31, 2023
   $ 2,792,178      $ 355,238      $ 3,147,416  
Additions
     —         —         —   
Asset Disposal
     —         (355,238      (355,238
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 2,792,178      $      $ 2,792,178  
  
 
 
    
 
 
    
 
 
 
Accumulated amortization
        
Balance, December 31, 2023
   $ 2,176,641      $ 348,718      $ 2,525,359  
Amortization
     43,000        6,520        49,520  
Asset Disposal
     —         (355,238      (355,238
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 2,219,641      $      $ 2,219,641  
  
 
 
    
 
 
    
 
 
 
Net book value
        
Balance, December 31, 2023
   $ 615,537      $ 6,520      $ 622,057  
Balance, September 30, 2024
     572,537               572,537  
 
1
2

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
7.
Right-of-use
assets and lease liabilities:
The Company enters into lease agreements related to TMS devices and mental health treatment centers (“Treatment Centers”). These lease agreements range from one year to seven years in length.
Right-of-use
assets are initially measured at cost, which is comprised of the initial amount of the lease liability adjusted for any lease payments made at or before the commencement date, plus any initial direct costs incurred.
Lease liabilities have been measured by discounting future lease payments using a rate implicit in the lease or the Company’s incremental borrowing rate. The Company’s incremental borrowing rate during the period ended September 30, 2024 is 14.5% (December 31, 2023 – 14.5%).
 
  (a)
Finance leases:
Finance leases include lease agreements relating to TMS devices.
 
     September 30,
2024
 
Finance
right-of-use
assets, beginning of the period
   $ 2,140,338  
Impact of lease additions, disposals and/or modifications
     —   
Exercise of
buy-out
options into property, plant and equipment
     (699,903
Depreciation on
right-of-use
assets
     (163,614
  
 
 
 
Finance
right-of-use
assets, end of the period
   $ 1,276,821  
  
 
 
 
     September 30,
2024
 
Finance lease liabilities, beginning of the period
   $ 857,837  
Impact of lease additions, disposals and/or modifications
     10,601  
Interest expense on lease liabilities
     48,749  
Payments of lease liabilities
     (541,492
  
 
 
 
Finance lease liabilities, end of the period
   $ 375,695  
  
 
 
 
Less current portion of finance lease liabilities
     355,161  
  
 
 
 
Long term portion of finance lease liabilities
   $ 20,534  
  
 
 
 
 
1
3

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
7.
Right-of-use
assets and lease liabilities (continued):
 
  (b)
Operating leases:
Operating leases include lease agreements relating to Treatment Centers.
 
     September 30,
2024
 
Operating
right-of-use
assets, beginning of the period
   $ 28,887,905  
Impact of lease additions, disposals and/or modifications
     (2,125,346
Right-of-use
asset lease expense
     (3,104,371
  
 
 
 
Operating
right-of-use
assets, end of the period
   $ 23,658,188  
  
 
 
 
     September 30,
2024
 
Operating lease liabilities, beginning of the period
   $ 30,398,566  
Impact of lease additions, disposals and/or modifications
     (2,180,550
Lease liability expense
     2,389,817  
Payments of lease liabilities
     (5,425,421
  
 
 
 
Operating lease liabilities, end of the period
     25,182,412  
  
 
 
 
Less current portion of operating lease liabilities
     4,043,583  
  
 
 
 
Long term portion of operating lease liabilities
   $ 21,138,829  
  
 
 
 
 
8.
Accounts payable and accrued liabilities:
The accounts payable and accrued liabilities are as follows:
 
     September 30,
2024
     December 31,
2023
 
Accounts payable
   $ 10,563,496      $ 9,050,616  
Accrued liabilities
     4,385,207        4,651,014  
  
 
 
    
 
 
 
Total
   $ 14,948,703      $ 13,701,630  
  
 
 
    
 
 
 
 
1
4

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable:
 
  (a)
Borrowings:
 
     TMS
device
loans (i)
     Credit
Facility (ii)
     Promissory
notes (iii)
     Neuronetics
Note (iv)
     Total  
Short Term
   $ 6,696     
     $ 7,412,790      $ 4,000,000      $ 11,419,486  
Long Term
     —         131,595,084        178,981               131,774,065  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Total, net
   $ 6,696      $ 131,595,084      $ 7,591,771      $ 4,000,000      $ 143,193,551  
Unamortized capitalized financing costs
     —         2,907,505        151,081        —         3,058,586  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Total, September 30, 2024
   $ 6,696      $ 134,502,589      $ 7,742,852      $ 4,000,000      $ 146,252,137  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
 
  (i)
TMS Device loans:
During the year ended December 31, 2022, the Company assumed loans as part of the Success TMS Acquisition (as defined below) from three separate financing companies for the purchase of TMS devices. These TMS device loans bear an average interest rate of 9.3% with average monthly blended interest and capital payments of $1,538 and matured or mature, as applicable, during the years ended or ending, as applicable, December 31, 2023 to December 31, 2025. There are no covenants associated with these loans.
During the nine months ended September 30, 2024, the Company repaid TMS device loans totalling $52,265 (nine months ended September 30, 2023 – $122,010).
 
  (ii)
Credit Facility:
On July 14, 2022, the Company entered into the Madryn Credit Agreement in respect of the Madryn Credit Facility. The Madryn Credit Facility provided the Company with a $55,000,000 term loan (the “Existing Loan”) that was funded at closing on July 14, 2022, with an option to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for the purposes of funding future mergers and acquisition activity. As at December 31, 2022, all amounts borrowed under the Madryn Credit Facility bore interest at a rate equal to the three-month London Interbank Offered Rate (“LIBOR”) plus 9.0%, subject to a minimum three-month LIBOR floor of 1.5%. The Madryn Credit Facility matures over 63 months and provides for four years of interest-only payments. The initial principal balance of $55,000,000 is due in five equal 3 month installments beginning on September 30, 2026. The Company has granted general security over all assets of the Company in connection with the performance and prompt payment of all obligations of the Madryn Credit Facility.
 
1
5

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable (continued):
 
On February 1, February 21, March 20, March 24, August 1, September 15, October 19, November 2, November 15, December 5, December 14, and December 28, 2023, and January 19, February 5, February 15, March 1, March 15, March 29, April 15, May 1, May 15, June 4, June 25, June 27, July 18, August 2, August 19, September 5 and September 19, 2024, the Company entered into amendments to the Madryn Credit Facility, whereby Madryn extended an aggregate total of
twenty-nine
additional tranches of debt financing to the Company in an aggregate principal amount of $62,949,913, each of which were fully funded at closing of the applicable tranche (the “New Loans”). The terms and conditions of the New Loans are consistent with the terms and conditions of the Existing Loan. Subsequent to September 30, 2024, the Company entered into two additional amendments on October 3 and October 15, 2024. See note 25.
In addition, the Madryn Credit Facility was amended on February 21, 2023 to provide that, commencing March 31, 2023, all advances under the Madryn Credit Facility (including the New Loans) will cease to accrue interest using the LIBOR benchmark and instead will accrue interest at a rate equal to 9.0% plus the
3-month
Term Secured Overnight Financing Rate (“SOFR”) benchmark (subject to a floor of 1.5%) plus 0.10%.
On September 19, 2024, the Madryn Credit Facility was amended to provide that the interest rate for any interest period occurring after September 19, 2024 shall be 0.0% per annum.
The carrying amount of the Madryn Credit Facility as at September 30, 2024 is $131,595,084 (December 31, 2023 – $83,943,636). Interest expense for the three and nine months ended September 30, 2024 were $4,433,190 and $12,241,287, respectively (three and nine months ended September 30, 2023 – $2,542,545 and $7,169,931, respectively). Financing costs of $4,565,584 were incurred and are deferred over the term of the Madryn Credit Facility, of which $733,275 was incurred during the nine months ended September 30, 2024 associated with the various amendments. Amortization of deferred financing costs for the three and nine months ended September 30, 2024 were $270,981 and $705,889, respectively (three and nine months ended September 30, 2023 – $174,838 and $493,004, respectively) at an effective interest rate of 0.86% (December 31, 2023 – 1.01%) and were included in interest expense.
 
1
6

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable (continued):
 
In accordance with the terms of the Madryn Credit Agreement, the Company has issued conversion instruments (each, a “Madryn Conversion Instrument”) to Madryn and certain of its affiliated entities that provide the holders thereof with the option to convert up to $5,000,000 of the outstanding principal amount of the Madryn Credit Facility into Common Shares at a price per share equal to $1.90, subject to customary anti-dilution adjustments. The New Loans provide the holders with the option to convert up to $2,430,149 of the outstanding principal amount of the New Loans into Common Shares at a price per share equal to $1.90, subject to customary anti-dilution adjustments. The instrument is convertible into up to 3,910,604 Common Shares. The conversion instruments have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.
The terms of the Madryn Credit Agreement require the Company to satisfy various affirmative and negative covenants and to meet certain financial tests, including but not limited to, consolidated minimum revenue and minimum liquidity covenants. In addition, the Madryn Credit Agreement contains affirmative and negative covenants that limit, among other things, the Company’s ability to incur additional indebtedness outside of what is permitted under the Madryn Credit Agreement, create certain liens on assets, declare dividends and engage in certain types of transactions. The Madryn Credit Agreement also includes customary events of default, including payment and covenant breaches, bankruptcy events and the occurrence of a change of control. The Madryn Credit Facility also requires the Company to deliver to Madryn annual audited financial statements that do not contain any “going concern” note, however, the Company has obtained waivers from Madryn with respect to such obligation for fiscal 2023.
On June 14, 2023, the Company received a waiver from Madryn under the Madryn Credit Agreement to temporarily reduce the Company’s minimum liquidity covenant until June 30, 2023. As consideration for the waiver, Madryn received an amendment fee in the amount of $1,000,000, which was
paid-in-kind
by adding the amount to the outstanding principal balance of the loan and was recorded in corporate, general and administrative expenses. On August 1, 2023, the Company amended the Madryn Credit Agreement to convert the June 30, 2023 cash interest payment into
paid-in-kind
interest. During the nine months ended September 30, 2024, the Company amended the Madryn Credit Agreement to convert the March 31, 2024 and June 30, 2024 cash interest payments into
paid-in-kind
interest. Additionally, the Company amended the Madryn Credit Agreement on September 19, 2024 to defer the September 30, 2024 cash interest payment to a later date, to be determined by the Company and Madryn.
 
1
7

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable (continued):
 
On February 21, March 20, June 14, July 3, July 14, August 1, August 14, September 15, September 29, October 12, November 15 and December 14, 2023, and January 19, February 15, March 15, March 28, May 1, June 4, June 25, July 18, August 2, September 5, October 3, October 15, November 6 and November 27, 2024, the Company received waivers from Madryn with respect to the Company’s
non-compliance
with the minimum liquidity covenant. As at September 30, 2024, the Company was in compliance with the financial covenants under the Madryn Credit Agreement. In addition, the Company also received a waiver relating to the requirement to deliver financial statements within 90 days of 2023 fiscal year end until April 26, 2024, and audited financial statements for such fiscal year, accompanied by a report and opinion of an independent certified public accountant which is not subject to any “going concern” or like qualification or exception or any qualification or exception as to the scope of such audit.
Pursuant to the 2023 Private Placement completed on March 23, 2023, Madryn is also a shareholder of the Company.
Pursuant to the Arrangement Agreement entered into on August 12, 2024, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility into Common Shares, prior to the effective date of the Neuronetics Transaction. See note 14 and note 25
 
  (iii)
Promissory notes:
On July 14, 2022, the Company assumed two promissory notes in connection with the acquisition of Check Five LLC, a Delaware limited liability company (doing business as “Success TMS”) (the “Success TMS Acquisition”) totaling $200,000. These promissory notes bear interest at a rate of 5% per annum and have a maturity date of December 31, 2025. Upon acquisition, these two promissory notes were fair valued using an interest rate of 12%.
 
1
8

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable (continued):
 
On February 3, 2023, the Company issued additional promissory notes to certain officers of the Company, in the aggregate amount of $60,000. These promissory notes, along with the $690,000 issued to shareholders (see note 10(b)) on February 3, 2023, total $750,000 (the “February 2023 Notes”). The February 2023 Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid. On August 28, 2023, the total $60,000 par value of the February 2023 Notes issued to certain officers of the Company were subsequently exchanged for Subordinated Convertible Notes.
On August 15, August 28, September 1, September 25, September 26, September 27, September 29, October 3, October 12 and October 13, 2023, the Company issued subordinated convertible promissory notes (the “Subordinated Convertible Notes”) to Madryn, certain officers of the Company and various investors in an aggregate amount of $6,505,000 pursuant to a note purchase agreement (as amended or supplemented from time to time, the “Note Purchase Agreement”). All Subordinated Convertible Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of March 31, 2028, in the event of a change of control, acceleration of other indebtedness, or six months following repayment or refinancing of all loans under the Madryn Credit Facility.
In accordance with the terms of the Note Purchase Agreement, each holder of a Subordinated Convertible Note has the option to convert any amount up to the outstanding principal amount plus accrued interest into Common Shares at any time at the election of the holders of the Subordinated Convertible Notes or on a mandatory basis by all noteholders at the request of Madryn. The Subordinated Convertible Notes are convertible into Common Shares at a conversion price equal to the lesser of 85% of the closing price per Common Share on Nasdaq or any other market as of the closing date for such Subordinated Convertible Note, as adjusted from time to time, 85% of the
30-day
volume weighted average trading price of the Common Shares prior to conversion, or if the Common Shares are not listed on any of Nasdaq or another trading market at the time of conversion, a per share price equal to 85% of the fair market value per Common Share as of such date, provided that, in any event, the conversion price shall not be lower than $0.078 and no more than 200,000,000 total Common Shares can be issued upon conversion. The conversion price is also subject to anti-dilution adjustments. The Subordinated Convertible Notes have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.
In connection with the issuance of the Subordinated Convertible Notes, the Company concurrently entered into amendments to the Madryn Credit Agreement and the Neuronetics Note (as defined below), pursuant to which the Company is permitted to incur the indebtedness under the Subordinated Convertible Notes.
 
19


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable (continued):
 
Financing costs of $184,755 were incurred and are deferred over the term of the Subordinated Convertible Notes. Amortization of deferred financing costs for the three and nine months ended September 30, 2024 was $8,160 and $23,331, respectively (three and nine months ended September 30, 2023 – $10,034 and $10,034, respectively) and were included in interest expense.
The carrying value of all promissory notes referenced in note 9(a)(iii) as at September 30, 2024 is $7,591,771 (December 31, 2023 – $6,796,861). Interest expense for the three and nine months ended September 30, 2024 was $272,687 and $794,911, respectively (three and nine months ended September 30, 2023 – $56,354 and $70,107, respectively). During the three and nine months ended September 30, 2024, the Company repaid promissory notes totalling nil and nil, respectively (three and nine months ended September 30, 2023 – nil and nil, respectively).
On October 3, 2024, all outstanding Subordinated Convertible Notes were converted into an aggregate of 134,667,522 Common Shares at a conversion price of $0.078 per Common Share, following the receipt of a conversion notice from Madryn. As part of the conversion, all interest accrued on the Subordinated Convertible Notes held by Madryn was waived. As at September 30, 2024, the total amount outstanding under the Subordinated Convertible Notes is recognized as a current liability due to the conversion on October 3, 2024. See note 14 and note 25.
 
  (iv)
Neuronetics Note:
On March 31, 2023, the Company entered into an agreement with Neuronetics to convert the Company’s outstanding account balance payable to Neuronetics of $5,883,644, together with Neuronetics’
out-of-pocket
financing costs, into a $6,000,000 secured promissory note (the “Neuronetics Note”). All amounts borrowed under the Neuronetics Note will bear interest at a rate of SOFR plus 7.65%.
Pursuant to the terms of the Neuronetics Note, in the event of default under the Neuronetics Note, the Company will be required to issue common share purchase warrants (the “Neuronetics Warrants”) to Neuronetics equal to (i) 200% of the unpaid amount of any delinquent amount or payment due and payable under the Neuronetics Note, together with all outstanding and unpaid accrued interest, fees, charges and
 
2
0

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
9.
Loans payable (continued):
 
costs, divided by (ii) the exercise price of the Neuronetics Warrants, which will represent a 20% discount to the
30-day
volume-weighted average closing price of the Company’s Common Shares quoted on OTCQB Market prior to the date of issuance. Under the Neuronetics Note, the Company has granted Neuronetics a security interest in all of the Company’s assets.
In connection with the entry into the Neuronetics Note, the Company concurrently entered into an amendment to the Madryn Credit Agreement pursuant to which the Company is permitted to incur the indebtedness under the Neuronetics Note.
The carrying value of the Neuronetics Note as at September 30, 2024 is $4,000,000 (December 31, 2023 – $5,200,000). Interest expense for the three and nine months ended September 30, 2024 was $137,372 and $451,907, respectively (three and nine months ended September 30, 2023 – $188,889 and $378,964, respectively). During the three and nine months ended September 30, 2024, the Company repaid a total of $537,372 and $1,651,907, respectively of the Neuronetics Note (three and nine months ended September 30, 2023 – $533,333 and $533,333, respectively).
On August 12, 2024, the Company entered into the Arrangement Agreement with Neuronetics, pursuant to which Neuronetics will acquire all of the outstanding Common Shares of the Company in an
all-stock
transaction. On December 10, 2024, the Neuronetics Transaction closing was announced with an effective date of December 9, 2024. See note 14 and note 25.
 
  (b)
Non-controlling
interest loans:
 
     September 30,
2024
     December 31,
2023
 
Non-controlling
interest loans
   $ 58,074      $ 63,174  
The
non-controlling
interest holder partners of the Company, from time to time, provide additional capital contributions in the form of capital loans to the Company’s subsidiaries. These loans bear interest at a rate of 10%, compounded on a monthly basis. The loans are unsecured and are repayable subject to certain liquidity and solvency requirements and are classified as current liabilities.
 
2
1

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
10.
Shareholder loans:
 
  (a)
February 2023 Notes, February 2023 Greybrook Note and August 2023 Greybrook Note:
On February 3, 2023, the Company issued the February 2023 Notes to certain shareholders of the Company in an aggregate amount of $690,000. The February 2023 Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid.
On February 28, 2023, the Company issued a promissory note to Greybrook Health, who is a significant shareholder of the Company (the “February 2023 Greybrook Note”). The February 2023 Greybrook Note totals $1,000,000 and bears interest at a rate consistent with the Madryn Credit Facility and matures on the earlier of September 30, 2027, at the election of the noteholder upon a change of control, upon the occurrence of an event of default and acceleration by the noteholder, or the date on which the loans under the Madryn Credit Facility are repaid. In conjunction with the issuance of the February 2023 Greybrook Note, the Company granted Greybrook Health an option to convert up to $1,000,000 of the outstanding principal amount of the February 2023 Greybrook Note into Common Shares at a conversion price per share equal to 85.0% of the volume-weighted average trading price of the Common Shares on the Nasdaq for the five trading days immediately preceding the date of conversion, subject to customary anti-dilution adjustments and conversion limitations required by Nasdaq. The conversion instruments have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability. This conversion instrument was terminated on August 28, 2023 in connection with the exchange of the February 2023 Greybrook Note into Subordinated Convertible Notes. As additional consideration for the February 2023 Greybrook Note, the Company issued 135,870 common share purchase warrants to Greybrook Health (the “February 2023 Greybrook Warrants”), each exercisable for one Common Share at an exercise price of $1.84 per Common Share, subject to customary anti-dilution adjustments, expiring on February 28, 2028. There is a cashless exercise feature associated with the February 2023 Greybrook Warrants available to Greybrook Health.
On February 28, 2023, the fair value of the February 2023 Greybrook Warrants at grant date was $63,587. Per ASC 815, the February 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification. The warrants are initially recognized according to their relative fair value as compared to the host financial liability. The relative fair value of the February 2023 Greybrook Warrants on the date of inception has been deducted from the carrying value of the February 2023 Greybrook Note as a financing cost. See note 15(b).
 
2
2

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
10.
Shareholder loans (continued):
 
On August 1, 2023, the Company issued an additional promissory note to Greybrook Health (the “August 2023 Greybrook Note”). The August 2023 Greybrook Note totals $1,000,000 and bears interest at a rate consistent with the Madryn Credit Facility and matures on the earlier of September 30, 2027, at the election of the noteholder upon a change of control, upon the occurrence of an event of default and acceleration by the noteholder, or the date on which the loans under the Madryn Credit Facility are repaid. In conjunction with the issuance of the August 2023 Greybrook Note, the Company granted Greybrook Health 250,000 common share purchase warrants, exercisable at 85% of the volume weighted average trading price of the Common Shares on the Nasdaq for the five trading days immediately preceding the exercise date, or if the Common Shares are not listed on any trading market at the time of exercise, a per share price based on fair market value, as determined by the board of directors of the Company (the “Board”), subject to customary anti-dilution adjustments, expiring on August 1, 2028 (the “August 2023 Greybrook Warrants” and, together with the February 2023 Greybrook Warrants, the “Greybrook Warrants”). See note 15(b).
On August 1, 2023, the fair value of the August 2023 Greybrook Warrants at grant date was $19,728. Per ASC 815, the August 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification. The warrants are initially recognized according to their relative fair value as compared to the host financial liability. The relative fair value of the August 2023 Greybrook Warrants on the date of inception has been deducted from the carrying value of the August 2023 Greybrook Note as a financing cost. See note 15(b).
Financing costs of $109,132 were incurred and are deferred over the term of the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note. Amortization of deferred financing costs and deferred losses for the three and nine months ended September 30, 2024 were nil and nil, respectively (three and nine months ended September 30, 2023 – $3,982 and $7,656, respectively) and were included in interest expense. On August 28, 2023, the February 2023 Notes, February 2023 Greybrook Note and August 2023 Greybrook Note were exchanged into Subordinated Convertible Notes. All unamortized financing costs and deferred losses were immediately expensed and interest accrued was forfeited upon exchange. A gain of $39,822 on loan extinguishment was recognized in equity in contributed surplus for the extinguishment of the February 2023 Notes, February 2023 Greybrook Note and August 2023 Greybrook Note as they resulted from a transaction with the owners in their capacity as the owners.
 
2
3

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
10.
Shareholder loans (continued):
 
The carrying value of the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note as at September 30, 2024 is nil (December 31, 2023 – nil). Interest expense for the three and nine months ended September 30, 2024 were nil and nil, respectively (three and nine months ended September 30, 2023 – $160,940 and $377,088, respectively).
 
  (b)
Subordinated Convertible Notes:
On August 15, 2023, the Company issued Subordinated Convertible Notes to certain shareholders of the Company in an aggregate amount of $500,000, and on August 28, 2023, exchanged $3,690,000 of the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note for Subordinated Convertible Notes. The Subordinated Convertible Notes bear interest at a rate consistent with the Madryn Credit Facility, are convertible into Common Shares pursuant to the terms of the Note Purchase Agreement and mature on the earlier of March 31, 2028, in the event of a change of control, acceleration of other indebtedness, or six months following repayment or refinancing of all loans under the Madryn Credit Facility. The conversion feature associated with the Subordinated Convertible Notes have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.
In connection with the issuance of the Subordinated Convertible Notes, the Company concurrently entered into amendments to the Madryn Credit Agreement and the Neuronetics Note, pursuant to which the Company is permitted to incur the indebtedness under the Subordinated Convertible Notes.
Financing costs of $42,105 were incurred and are deferred over the term of the Subordinated Convertible Notes. Amortization of deferred financing costs for the three and nine months ended September 30, 2024 were $1,860 and $5,321, respectively (three and nine months ended September 30, 2023 – $803 and $803, respectively) and were included in interest expense.
The carrying value of the Subordinated Convertible Notes as at September 30, 2024 is $3,690,568 (December 31, 2023 – $3,312,641).
 
2
4

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
10.
Shareholder loans (continued):
 
Interest expense for the three and nine months ended September 30, 2024 were $129,600 and $377,927, respectively (three and nine months ended September 30, 2023 – $44,282 and $44,282, respectively). During the three and nine months ended September 30, 2024, the Company repaid nil and nil of the Subordinated Convertible Notes, respectively (three and nine months ended September 30, 2023 – nil and nil, respectively).
On October 3, 2024, all outstanding Subordinated Convertible Notes were converted into an aggregate of 134,667,522 Common Shares at a conversion price of $0.078 per Common Share, following the receipt of a conversion notice from Madryn. As at September 30, 2024, the total amount outstanding under the Subordinated Convertible Notes is recognized as a current liability due to the conversion on October 3, 2024. See note 14 and note 25.
 
11.
Other payables:
 
  (a)
Lender warrants:
 
     September 30,
2024
     December 31,
2023
 
Lender warrants
   $      $  
On December 31, 2020, as consideration for providing a credit and security agreement (the “Oxford Credit Facility”), the Company issued 51,307 common share purchase warrants to Oxford Finance LLC, each exercisable for one Common Share at an exercise price of C$11.20 per Common Share, expiring on December 31, 2025 (the “Oxford Warrants”).
As the exercise price is denoted in a different currency than the Company’s functional currency, the Oxford Warrants are recorded as a financial liability on the condensed interim consolidated balance sheets. As at September 30, 2024, the value of the Oxford Warrants was
nil
(December 31, 2023 –
nil
).
The change in fair value of the Oxford Warrants during the three and nine months ended September 30, 2024 was nil and nil, respectively (three and nine months ended September 30, 2023 – decrease of nil and $6,567, respectively) and was recorded in corporate, general and administrative expenses.
 
2
5

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
11.
Other payables (continued):
 
Under the terms of the Arrangement Agreement, each Oxford Warrant (whether vested or unvested) outstanding immediately prior to the closing time of the Neuronetics Transaction (the “Effective Time”) will be, and will be deemed to be, surrendered for cancellation and transferred to the Company in consideration for the issuance by the Company of that number of Common Shares (‘‘Net Warrant Surrender Shares’’), if any, equal to, rounded down to the nearest whole share: (i) the number of Common Shares subject to such Oxford Warrant immediately prior to the Effective Time minus (ii) the number of Common Shares that, when multiplied by the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time, is equal to the aggregate exercise price of such Oxford Warrant (and in the event that such number of Common Shares is negative, it will be deemed to be zero), and the holder of the Oxford Warrant will be and will be deemed to be the holder of such number of Net Warrant Surrender Shares.
 
  (b)
Deferred share units:
 
     September 30,
2024
     December 31,
2023
 
Deferred share units
   $ 43,460      $ 376,565  
On May 6, 2021, the Company adopted a deferred share unit plan (the “DSU Plan”) for
non-employee
directors (each, a
“Non-Employee
Director”). Each
Non-Employee
Director is required to take at least 50% of their annual retainer (other than annual committee chair retainers) in deferred share units (“DSUs”) and may elect to take additional amounts in the form of DSUs. Discretionary DSUs may also be granted to
Non-Employee
Directors under the DSU Plan. The DSUs granted vest immediately.
Following a
Non-Employee
Director ceasing to hold all positions with the Company, the
Non-Employee
Director will receive a payment in cash equal to the fair market value of the Common Shares represented by the
Non-Employee
Director’s DSUs generally within
ten
days
of the
Non-Employee
Director’s elected redemption date.
As the DSUs are cash-settled, the DSUs are recorded as cash-settled share-based payments and a financial liability has been recognized on the condensed interim consolidated balance sheets. During the three and nine months ended September 30, 2024, nil and 2,588,746 DSUs were granted, respectively (three and nine months ended September 30, 2023 – 469,384 and 874,601, respectively). As at September 30, 2024, the value of the financial liability attributable to the DSUs was $43,460 (December 31, 2023 – $376,565). For
 
2
6

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
11.
Other payables (continued):
 
the three and nine months ended September 30, 2024, the Company recognized a recovery of $306,856 and $333,105, respectively (three and nine months ended September 30, 2023 – recovery of $151,084 and $273,938, respectively) in corporate, general and administrative expenses related to the DSUs.
In accordance with the Arrangement Agreement, each DSU, whether vested or unvested, outstanding immediately prior to the Effective Time will be deemed to be unconditionally fully vested, and thereafter such DSU will, without any further action by or on behalf of the holder of such DSU, be deemed to be assigned and transferred by such holder to the Company and will immediately be cancelled in exchange for: (i) if the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time (the “Effective Date Market Price”’) is less than or equal to $0.0846
(the ‘‘Minimum Price’’), a cash payment equal to the Effective Date Market Price; and (ii) if the Effective Date Market Price is greater than the Minimum Price, at the election of Neuronetics, either (A) a cash payment equal to the Effective Date Market Price, or (B) such number of shares of common stock of Neuronetics (“Neuronetics Shares”) equal to the Effective Date Market Price divided by the closing price of a Neuronetics Share on Nasdaq on the trading day immediately preceding the Effective Date, less any applicable withholdings.
 
  (c)
Performance share units:
 
    
September 30,
2024
    
December 31,
2023
 
Performance share units
   $      $ 1,047  
On May 6, 2021, the Company’s Equity Incentive Plan was amended and restated to permit the Company to grant performance share units (“PSUs”) and restricted share units (“RSUs”), in addition to stock options. Under the Equity Incentive Plan, the Company pays equity instruments of the Company, or a cash payment equal to the fair market value thereof, as consideration in exchange for employee and similar services provided to the Company. The Equity Incentive Plan is open to employees, directors, officers and consultants of the Company and its affiliates; however,
Non-Employee
Directors are not entitled to receive grants of PSUs.
 
2
7

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
11.
Other payables (continued):
 
On August 5, 2021, 38,647 PSUs were granted under the Equity Incentive Plan. The performance period in respect of this award was August 5, 2021 to December 31, 2023. The PSUs vested on December 31, 2023 (the “Vesting Date”). Pursuant to the grant agreement, upon satisfaction of the performance vesting conditions, the PSUs were settled in cash.
The Company finalized that 3,865 PSUs vested on the Vesting Date.
As at September 30, 2024, the value of the financial liability attributable to the PSUs is nil (December 31, 2023 – $1,047).
As at September 30, 2024, the Company has not issued any RSUs under the Equity Incentive Plan (December 31, 2023 – nil).
The change in fair value of the PSUs during the three and nine months ended September 30, 2024 was a decrease of nil and $1,047, respectively (three and nine months ended September 30, 2023 – a decrease of $1,507 and $43,748, respectively) and was recorded in corporate, general and administrative expenses.
 
  (d)
Device contract termination:
 
     September 30,
2024
     December 31,
2023
 
Device contract termination
   $      $ 3,750,000  
On August 21, 2023, the Company entered into a settlement and mutual release agreement with a TMS device manufacturer for the termination of TMS device contracts. In accordance with the terms of the settlement, the Company recognized an amount payable of $6,600,000, due in equal instalments over 44 weeks. As a result of the settlement and mutual release agreement, the Company recognised a gain on extinguishment of liabilities totalling $2,030,635, offset by a loss on impairment of
right-of-use
assets totalling $5,211,751 resulting in a net loss on device contract termination of $3,181,116. Pursuant to the terms of the mutual release, in the event of default, interest will accrue at a rate of 6% per annum on any unpaid portion. During the three and nine months ended September 30, 2024, a loss of nil and nil, respectively on the settlement was recognized in the condensed interim consolidated statements of net loss and comprehensive loss, respectively (three and nine months ended September 30, 2023 – $3,181,116 and $3,181,116, respectively).
 
2
8

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
11.
Other payables (continued):
 
 
  (e)
Klein Note settlement:
 
     September 30,
2024
     December 31,
2023
 
Klein Note settlement
   $      $ 1,603,169  
On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation of Success TMS to repay a promissory note (the “Klein Note”) to Benjamin Klein, who was a significant shareholder of the Company, totalling $2,090,264.
On November 20, 2023, the Company entered into a settlement agreement in respect of the Klein Note. In accordance with the terms of the settlement, the Company was required to make payments totalling $2,228,169, structured as an initial immediate payment of $250,000, weekly payments of $75,000 thereafter up to and until the May 1, 2024 maturity date of the promissory note, upon which the balance owing became due. In accordance with the terms of the settlement, the Klein Note was fully repaid on May 1, 2024.
 
  (f)
PA Settlement Agreement:
 
     September 30,
2024
     December 31,
2023
 
PA Settlement Agreement
   $ 533,333      $  
On May 24, 2023, Success TMS and its direct and indirect owners, including Benjamin Klein filed a complaint in the Superior Court of the State of Delaware against the Company and certain executive officers of the Company, and subsequently filed a first amended complaint on August 31, 2023 (the “Delaware Complaint”), concerning alleged disputes arising out of the Success TMS Acquisition.
On August 9, 2024, the Company entered into a settlement agreement and release (the “PA Settlement Agreement”) with Benjamin Klein, Success Behavioral Holdings, LLC, Theragroup LLC, Batya Klein (collectively, the “Plaintiffs”) and The Bereke Trust U/T/A dated 2/10/03 to fully settle the Delaware Complaint (the “Settlement”).
 
29

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
11.
Other payables (continued):
 
Pursuant to the PA Settlement Agreement and in full satisfaction of the claims, the Company has agreed to (i) pay the Plaintiffs a cash settlement amount equal to $800,000, comprised of a $200,000
up-front
payment followed by equal monthly installments of approximately $67,000, (ii) the entry into an assignment and assumption agreement effectively providing for the transfer to Benjamin Klein of the Company’s 12 Treatment Center locations in the State of New Jersey, and (iii) payment of certain payroll taxes owing in the amount of approximately $110,000, plus interest and penalties owing thereon. The Settlement closed on August 15, 2024.
In conjunction with the Settlement, Benjamin Klein relinquished to the Company all of the 11,634,660 Common Shares (the “Klein Shares”) beneficially owned, controlled or directed, directly or indirectly, by Benjamin Klein that were issued in connection with the Success TMS Acquisition in July 2022 (which includes 2,908,665 Common Shares that were held in escrow and were released back to the Company). The Klein Shares were returned to treasury for cancellation.
 
  (g)
Neuronetics Transaction Costs:
 
     September 30,
2024
     December 31,
2023
 
Neuronetics Transaction Costs
   $ 1,370,602      $  
It has been agreed between the parties to the Arrangement Agreement that certain transaction costs incurred by the Company in connection with the Neuronetics Transaction (the “Neuronetics Transaction Costs”) will be assumed and paid by Neuronetics on closing of the Neuronetics Transaction. The Neuronetics Transaction Costs include, without limitation, fees and expenses of financial advisors, any amount paid to current or purported finders, advisors or dealers, legal advisors, auditors, or other professional consultants, and printing, mailing, transfer agent and depositary and other costs and expenses relating to the special meeting of the Company’s shareholders, required to be called and held in accordance with the Arrangement Agreement. See note 14.
As of September 30, 2024, the Neuronetics Transaction Costs were $1,370,602 (December 31, 2023 – nil).
 
3
0

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
12.
Deferred and contingent consideration:
 
 
     September 30,
2024
     December 31,
2023
 
Deferred and contingent consideration
   $ 1,000,000      $ 1,000,000  
The deferred and contingent consideration payable balance related to the acquisition of Achieve TMS East, LLC and Achieve TMS Central, LLC (the “Achieve TMS East/Central Acquisition”) as at December 31, 2021 was $1,250,000, made up of an estimated nil
earn-out
payable and $1,250,000 in restricted cash that was held in an escrow account, subject to finalization of the escrow conditions. During the year ended December 31, 2022, $250,000 of the restricted cash held in escrow was released to the vendors in accordance with the terms of the agreement.
As at September 30, 2024, the deferred and contingent consideration in relation to the Achieve TMS East/Central Acquisition was $1,000,000 (December 31, 2023 – $1,000,000).
 
13.
Advance for research collaboration:
 
     September 30,
2024
     December 31,
2023
 
Advance for research collaboration
   $ —       $ 1,300,000  
On December 29, 2023, the Company entered into a
three-year
research collaboration agreement with Compass Pathways plc, a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health to explore delivery models for investigational COMP360 psilocybin treatment (“COMP360”) upon regulatory approval by the U.S. Food and Drug Administration (“FDA”). The collaboration researches and investigates models for the delivery of scalable, commercial COMP360 within healthcare systems, assuming FDA approval.
The research collaboration agreement outlines a payout to the Company of $3,000,000 upon the completion of various milestones, with $1,300,000 received on signing. For the three and nine months ended September 30, 2024, the Company has recognized $200,000 and $1,500,000, respectively, in other revenue on the condensed interim consolidated statement of comprehensive loss (three and nine months ended September 30, 2023 – nil and nil, respectively). As at September 30, 2024, the Company has recorded nil in advance for research collaboration on the condensed interim consolidated balance sheet (December 31, 2023 – $1,300,000).
 
3
1

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
14.
Common shares:
The Company is authorized to issue an unlimited number of Common Shares and an unlimited number of preferred shares, issuable in series. As at September 30, 2024 and December 31, 2023, there were nil preferred shares issued and outstanding.
 
     Number      Total
amount
 
December 31, 2023
     42,774,011      $ 120,741,061  
Issuance of Common Shares – February 2024 Direct Offering
     2,828,249        495,649  
Surrender and Cancellation of Common Shares – PA Settlement Agreement
     (11,634,660      —   
  
 
 
    
 
 
 
September 30, 2024
     33,967,600      $ 121,236,710  
  
 
 
    
 
 
 
 
  (a)
February 2024 Direct Offering:
On February 26, 2024, the Company completed the February 2024 Direct Offering. Pursuant to the February 2024 Direct Offering, an aggregate of 2,828,249 Common Shares were issued at a price of $0.20 per Common Share, for aggregate gross proceeds to the Company of $565,649. The Company incurred financing costs of $70,000 which was recorded as a reduction in equity.
 
  (b)
PA Settlement Agreement:
On August 9, 2024, the Company entered into the PA Settlement Agreement. In conjunction with the PA Settlement Agreement, on August 15, 2024, Benjamin Klein relinquished to the Company all of the 11,634,660 Klein Shares that were issued in connection with the Success TMS Acquisition in July 2022. See note 11.
 
  (c)
Arrangement Agreement:
On August 12, 2024, the Company entered into the Arrangement Agreement with Neuronetics, in which Neuronetics will acquire all of the outstanding Common Shares of the Company in the Neuronetics Transaction. The Board of Directors of each of the Company and Neuronetics have unanimously approved the Neuronetics Transaction.
 
3
2

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
14.
Common shares (continued):
 
Under the terms of the Arrangement Agreement, the Company’s shareholders will receive a fraction of a share of Neuronetics common stock (each whole share of Neuronetics common stock, a “Neuronetics Share”) for each Common Share owned at the exchange ratio described below such that immediately following the closing of the Neuronetics Transaction, Neuronetics shareholders will own approximately 57% of the combined company, and the Company’s shareholders will own approximately 43% of the combined company, respectively, on a fully diluted basis. As of the date of the Arrangement Agreement, each Common Share is expected to be exchanged for 0.01149 Neuronetics Shares at the closing of the Neuronetics Transaction, subject to adjustment for any interim period funding by Madryn and other customary adjustments prior to the closing based on the terms of the Arrangement Agreement (the “Exchange Ratio”). An aggregate of 25,304,971 Neuronetics Shares will be issued to the Company’s shareholders in connection with the Neuronetics Transaction. The Neuronetics Transaction will be implemented by way of a court-approved plan of arrangement under the Business Corporations Act (Ontario). The Neuronetics Transaction will be implemented by way of a court-approved plan of arrangement under the
Business Corporations Act
(Ontario). The Neuronetics Transaction must be approved by the Ontario Superior Court of Justice (Commercial List) (the “Court”), which will consider the fairness and reasonableness of the Neuronetics Transaction to all of the Company’s shareholders. See note 25.
As part of the Neuronetics Transaction, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility and all of the Subordinated Convertible Notes (including notes held by Madryn and other third-parties, which are forced to convert as a result of Madryn’s election) into Common Shares prior to the effective date of the Neuronetics Transaction. As a result, subject to adjustment for any interim period funding by Madryn and other customary adjustments, Madryn will own 95.3% of the Common Shares immediately prior to closing and will receive 95.3% of the Neuronetics Shares being issued to the Company’s shareholders. See note 25.
The Neuronetics Transaction requires approval by (i) at least
66 2/3
% of the votes cast by the holders of Common Shares present in person or represented by proxy at a special meeting of the holders of the Common Shares called to consider the Neuronetics Transaction; and (ii) a simple majority of the votes cast by the holders of Common Shares present in person or represented by proxy, excluding Common Shares that are required to be excluded under Multilateral Instrument
61-101
Protection of Minority Security Holders in Special Transactions
(“MI
61-101”)
(including Common Shares held by Madryn and Bill Leonard, President and Chief Executive Officer). The Greenbrook Meeting was held on November 8, 2025. See note 25.
 
3
3

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
14.
Common shares (continued):
 
The Arrangement Agreement provides for mutual termination fees of $1,900,000 in the event the Neuronetics Transaction is terminated by either party in certain circumstances, including to enter into a superior proposal.
The combined company will continue to operate as Neuronetics, Inc., and trade under the ticker STIM on Nasdaq. In connection with closing of the Neuronetics Transaction, Neuronetics intends to cause the Common Shares to be delisted from the OTCQB Market and to cause the Company to submit an application to cease to be a reporting issuer under applicable Canadian securities laws.
Each of Neuronetics’ directors and certain members of the executive leadership team, as of August 12, 2024, who hold in the aggregate 1,680,718 Neuronetics Shares (representing approximately 5.55% of issued and outstanding Neuronetics Shares (on a fully-diluted basis)) have entered into voting support agreements agreeing to vote their stock in favor of the issuance of Neuronetics Shares in connection with the Neuronetics Transaction at a special meeting of Neuronetics stockholders (the “Neuronetics Meeting”) called for November 8, 2024 for such purpose. The Neuronetics Meeting was held on November 8, 2024. See note 25.
Key shareholders of the Company, including Madryn, Greybrook Health and 1315 Capital, and directors and certain members of the executive leadership team (collectively, the Greenbrook
Locked-Up
Shareholders”), who, as of August 12, 2024, held an aggregate of 16,536,208 Common Shares, representing approximately 48.7% of issued and outstanding Common Shares (on a
non-diluted
basis and following the cancellation of 11,634,660 outstanding Common Shares on August 15, 2024, as in accordance with the PA Settlement Agreement) entered into voting support agreements agreeing to vote their Common Shares in favor of the Neuronetics Transaction at the Greenbrook Meeting. Following the conversion of all outstanding Subordinated Convertible Notes on October 3, 2024, the
Locked-Up
Shareholders owned approximately 72.5% of the issued and outstanding Common Shares (on a
non-diluted
basis) all of which are entitled to be voted at the Greenbrook Meeting, except for those shareholders whose Common Shares are required to excluded under MI
61-101.
See note 25.
 
3
4

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
14.
Common shares (continued):
 
The Madryn voting agreement is terminable under certain specified circumstances including in the event of receipt of a superior proposal that satisfies a hurdle that represents a 20% premium to the value of the consideration payable under the Neuronetics Transaction and, concurrently therewith, the Arrangement Agreement is terminated for a superior proposal upon payment of a termination fee. The voting agreements entered into with other key shareholders of the Company are terminable under certain specified circumstances, including upon the termination of the Madryn voting agreement.
On December 10, 2024, the Neuronetics Transaction closing was announced. See note 25.
 
15.
Contributed surplus:
Contributed surplus is comprised of share-based compensation and lender warrants.
 
  (a)
Share-based compensation - stock options
Stock options granted under the Equity Incentive Plan are equity-settled. The fair value of the grant of the options is recognized as an expense in the condensed interim consolidated statements of comprehensive loss. The total amount to be expensed is determined by the fair value of the options granted. The total expense is recognized over the vesting period which is the period over which all of the service vesting conditions are satisfied. The vesting period is determined at the discretion of the Board and has ranged from immediate vesting to over three years.
The maximum number of Common Shares reserved for issuance, in the aggregate, under the Equity Incentive Plan is 10% of the aggregate number of Common Shares outstanding, provided that the maximum number of RSUs and PSUs shall not exceed 5% of the aggregate number of Common Shares outstanding. As at September 30, 2024, this represented 3,396,760 Common Shares (December 31, 2023 – 4,277,401).
As at September 30, 2024, 2,219,500 stock options are outstanding (December 31, 2023 – 1,704,500). The stock options have an expiry date of ten years from the applicable date of issue. The Company has not issued any RSUs or equity-settled PSUs under the Equity Incentive Plan.
 
3
5

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
15.
Contributed surplus (continued):
 
 
     September 30, 2024      December 31, 2023  
     Number of
stock
options
     Weighted
average
exercise
price
     Number of
stock
options
     Weighted
average
exercise
price
 
Outstanding, beginning of period
     1,704,500      $ 3.11        764,667      $ 8.15  
Granted
     575,000        0.10        1,313,000        0.63  
Forfeited
     (55,000      (0.75      (373,167      (4.71
Expired
     (5,000      (0.75      —         —   
  
 
 
    
 
 
    
 
 
    
 
 
 
Outstanding, end of period
     2,219,500      $ 2.39        1,704,500      $ 3.11  
  
 
 
    
 
 
    
 
 
    
 
 
 
The weighted average contractual life of the outstanding options as at September 30, 2024 was 7.71 years (December 31, 2023 – 7.89 years).
The total number of stock options exercisable as at September 30, 2024 was 1,277,749 (December 31, 2023 – 1,087,164).
During the three and nine months ended September 30, 2024, the Company recorded a total share-based compensation expense in respect of stock options of $51,923 and $111,110, respectively (three and nine months ended September 30, 2023 – $14,740 and $591,470, respectively).
As at September 30, 2024, the total compensation cost not yet recognized related to options granted is approximately $86,166 (December 31, 2023 – $183,312) and will be recognized over the remaining average vesting period of 1.10 years (December 31, 2023 – 1.03 years).
Under the terms of the Arrangement Agreement, each option (whether vested or unvested) outstanding immediately prior to the Effective Time will be, and will be deemed to be, surrendered for cancellation and transferred to the Company in consideration for the issuance by the Company of that number of Net Option Surrender Shares, if any, equal to, rounded down to the nearest whole share: (i) the number of Common Shares subject to such option immediately prior to the Effective Time minus (ii) the number of Common Shares that, when multiplied by the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time, is equal to the aggregate exercise price of such option (and in the event that such number of Common Shares is negative, it will be deemed to be zero), and the holder of the option will be and will be deemed to be the holder of such number of Net Option Surrender Shares.
 
3
6

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
15.
Contributed surplus (continued):
 
 
  (b)
Greybrook Warrants
As consideration for the purchase of the February 2023 Greybrook Note, the Company issued 135,870 February 2023 Greybrook Warrants to Greybrook Health. Each February 2023 Greybrook Warrant is exercisable for one Common Share at an exercise price of $1.84, subject to customary anti-dilution adjustments. The February 2023 Greybrook Warrants will expire on February 28, 2028. Per ASC 815, the February 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification and therefore are included in contributed surplus. See note 10(a).
The fair value of the February 2023 Greybrook Warrants granted on February 28, 2023 was estimated to be $0.47 per warrant using the Black-Scholes option pricing model based on the following assumptions: volatility of 48.86% calculated based on a comparable company; remaining life of 5.0 years; expected dividend yield of 0%; forfeiture rate of 0% and an annual risk-free interest rate of 4.18%.
As consideration for the purchase of the August 2023 Greybrook Note issued on August 1, 2023, the Company issued 250,000 August 2023 Greybrook Warrants. Each August 2023 Greybrook Warrant is exercisable for one Common Share at an exercise price equal to 85% of the volume weighted average trading price of the Common Shares on the Nasdaq for the
five trading days
immediately preceding the applicable exercise date, or if the Common Shares are not listed on any trading market at the time of exercise, a per share price based on fair market value, as determined by the Board, subject to customary anti-dilution adjustments, expiring on August 1, 2028. Per ASC 815, the August 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification and therefore are included in contributed surplus. See note 10(a).
Under the terms of the Arrangement Agreement, each Greybrook Warrant (whether vested or unvested) outstanding immediately prior to the Effective Time will be, and will be deemed to be, surrendered for cancellation and transferred to the Company in consideration for the issuance by the Company of that number of Common Shares (‘‘Net Warrant Surrender Shares’’), if any, equal to, rounded down to the nearest whole share: (i) the number of Common Shares subject to such Greybrook Warrant immediately prior to the Effective Time minus (ii) the number of Common Shares that, when multiplied by the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time, is equal to the aggregate exercise price of such Greybrook Warrant (and in the event that such number of Common Shares is negative, it will be deemed to be zero), and the holder of the Greybrook Warrant will be and will be deemed to be the holder of such number of Net Warrant Surrender Shares.
 
3
7

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
15.
Contributed surplus (continued):
 
The fair value of the August 2023 Greybrook Warrants granted on August 1, 2023 were valued at $19,728 using a closing share price of $0.50 per share and 85% of the volume weighted average trading price of the Common Shares
five trading days
immediately preceding the exercise date of $0.49 per share.
The weighted average contractual life of the Greybrook Warrants as at September 30, 2024 was 3.7 years (December 31, 2023 – 4.4 years).
The total number of Greybrook Warrants exercisable as at September 30, 2024 was 385,870 (December 31, 2023 – 385,870).
 
16.
Contingencies:
The Company may be involved in certain legal matters arising from time to time in the normal course of business. The Company records provisions that reflect management’s best estimate of any potential liability relating to these matters. The resolution of these matters is not expected to have a material adverse effect on the Company’s financial position, results of operations or cash flows.
 
17.
Pensions:
The Company has adopted a defined contribution pension plan for its employees whereby the Company matches contributions made by participating employees up to a maximum of 3.5% of such employees’ annual salaries. During the three and nine months ended September 30, 2024, contributions which were recorded as expenses within direct center and patient care costs, other regional and center support costs and corporate, general and administrative expenses, amounted to $244,287 and $690,248, respectively- (three and nine months ended September 30, 2023 – $177,391 and $553,300, respectively).
 
18.
Income taxes:
During the nine months ended September 30, 2024, there were no significant changes to the Company’s tax position.
 
3
8

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
19.
Risk management arising from financial instruments:
In the normal course of business, the Company is exposed to risks related to financial instruments that can affect its operating performance. These risks, and the actions taken to manage them, are as follows:
 
  (a)
Fair value:
The Company has Level 1 financial instruments which consists of cash, restricted cash, accounts receivable, accounts payable and accrued liabilities, PA Settlement Agreement and Neuronetics Transaction Costs which approximate their fair value given their short-term nature. The Company also has lender warrants and DSUs that are considered Level 2 financial instruments (see note 11). The Company has deferred and contingent consideration (note 12) that are considered Level 3 financial instruments.
The carrying value of the loans payable, shareholder loans and finance lease obligations approximates their fair value given the difference between the discount rates used to recognize the liabilities in the condensed interim consolidated balance sheets and the market rates of interest is insignificant.
Financial instruments are classified into one of the following categories: financial assets or financial liabilities.
 
  (b)
Credit risk:
Credit risk arises from the potential that a counterparty will fail to perform its obligations. The Company is exposed to credit risk from patients and third-party payors including federal and state agencies (under the Medicare programs), managed care health plans and commercial insurance companies. The Company’s exposure to credit risk is mitigated in large part due to the majority of the accounts receivable balance being receivable from large, creditworthy medical insurance companies and government-backed health plans.
 
39


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
19.
Risk management arising from financial instruments (continued):
 
The Company’s aging schedule in respect of its accounts receivable balance as at September 30, 2024 and December 31, 2023 is provided below:
 
Days since service delivered
   September 30,
2024
     December 31,
2023
 
0 – 90
   $ 10,592,724      $ 5,954,636  
91 – 180
     1,279,098        1,013,083  
181 – 270
     487,503        379,772  
270+
     268,953        222,352  
  
 
 
    
 
 
 
Total accounts receivable
   $ 12,628,278      $ 7,569,843  
  
 
 
    
 
 
 
Based on the Company’s industry, none of the accounts receivable in the table above are considered “past due”. Furthermore, the payors have the ability and intent to pay, but price lists for the Company’s services are subject to the discretion of payors. As such, the timing of collections is not linked to increased credit risk. The Company continues to collect on services rendered in excess of 24 months from the date such services were rendered.
 
  (c)
Liquidity risk:
Liquidity risk is the risk that the Company may encounter difficulty in raising funds to meet its financial commitments or can only do so at excessive cost. The Company ensures there is sufficient liquidity to meet its short-term business requirements, taking into account its anticipated cash flows from operations, its holdings of cash and its ability to raise capital from existing or new investors and/or lenders (see note 2(a)).
 
  (d)
Currency risk:
Currency risk is the risk to the Company’s earnings that arises from fluctuations in foreign exchange rates and the degree of volatility of those rates. The Company has minimal exposure to currency risk as substantially all of the Company’s revenue, expenses, assets and liabilities are denominated in U.S. dollars. The Company pays certain vendors and payroll costs in Canadian dollars from time to time, but due to the limited size and nature of these payments it does not give rise to significant currency risk.
 
4
0

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
19.
Risk management arising from financial instruments (continued):
 
 
  (e)
Interest rate risk:
Interest rate risk is the risk that the fair value of future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to changes in interest rates on its cash and long-term debt. Certain loans payable (see note 9) bear interest at a rate equal to the
3-month
Term SOFR plus 7.65%. A 1% increase in interest rates
would
result in a $51,667 increase to interest expense on the condensed interim consolidated statements of comprehensive loss over the term of the loans payable.
 
20.
Capital management:
The Company’s objective is to maintain a capital structure that supports its long-term growth strategy, maintains creditor and customer confidence, and maximizes shareholder value.
The capital structure of the Company consists of its shareholders’ equity, including contributed surplus and deficit, as well as loans payable and shareholder loans.
The Company’s primary uses of capital are to finance operations, finance new center
start-up
costs, increase
non-cash
working capital, capital expenditures and finance service debt obligations. The Company’s objectives when managing capital are to ensure the Company will continue to have enough liquidity so it can provide its services to its customers and returns to its shareholders. The Company, as part of its annual budgeting process and on an ongoing basis, periodically evaluates its estimated cash requirements to fund working capital requirements of existing operations. Based on this and taking into account its anticipated cash flows from operations and its holdings of cash, the Company validates whether it has the sufficient capital or needs to obtain additional capital.
 
21.
Related party transactions:
 
  (a)
Transactions with significant shareholder – Greybrook Health
As at September 30, 2024, nil is included in accounts payable and accrued liabilities for amounts payable for management services rendered and other overhead costs incurred by Greybrook Health in the ordinary course of business (December 31, 2023 – $4,884). These amounts were recorded at their exchange amount, being the amount agreed to by the parties.
 
4
1

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
21.
Related party transactions (continued):
 
During the three and nine months ended September 30, 2024, the Company recognized nil and nil, respectively, in corporate, general and administrative expenses (three and nine months ended September 30, 2023 – $1,788 and $5,011, respectively) related to transactions with Greybrook Health.
 
  (b)
Loans from shareholder – Greybrook Health
In connection with the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note, the Company received loans from and issued promissory notes to Greybrook Health, who is a significant shareholder of the Company. The February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note total $2,437,604 and were exchanged on August 28, 2023 for Subordinated Convertible Notes with the same principal amount. As additional consideration for the February 2023 Greybrook Note, the Company issued 135,870 February 2023 Greybrook Warrants to Greybrook Health and as consideration for the August 2023 Greybrook Note, the Company issued 250,000 August 2023 Greybrook Warrants to Greybrook Health.
On August 15, 2023, the Company issued Subordinated Convertible Notes to Greybrook Health in an aggregate amount of $500,000. In addition, on August 28, 2023, the total par value of $2,437,604 of the previously issued February 2023 Notes, the February 2023 Greybrook Note, and the August 2023 Greybrook Note were exchanged for Subordinated Convertible Notes. See note 10(a), note 10(b) and note 15(b).
During the three and nine months ended September 30, 2024, the Company recognized $119,501 and $348,470, respectively, in interest expense (three and nine months ended September 30, 2023 – $92,333 and $166,362, respectively) related to the February 2023 Notes, the February 2023 Greybrook Note, the August 2023 Greybrook Note and the Subordinated Convertible Notes issued to Greybrook Health.
On October 3, 2024, all outstanding Subordinated Convertible Notes, including Subordinated Convertible Notes held by Greybrook Health, were converted into Common Shares following the receipt of a conversion notice from Madryn. In connection therewith, a total of 43,739,148 Common Shares were issued to Greybrook Health at a conversion price of $0.078 per Common Share. See note 25.
 
4
2

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
21.
Related party transactions (continued):
 
 
  (c)
Transactions with the former significant shareholder, former officer and former director – Benjamin Klein
As at September 30, 2024, nil is included in accounts payable and accrued liabilities for amounts payable for travel expenses and other related costs incurred by Benjamin Klein in the ordinary course of business (December 31, 2023 – nil).
During the three and nine months ended September 30, 2024, the Company recognized nil and nil, respectively, in corporate, general and administrative expenses (three and nine months ended September 30, 2023 – $76,921 and $229,178, respectively) for amounts payable for employment services rendered and other related costs incurred by Benjamin Klein in the ordinary course of business.
On August 9, 2024, the Company entered into the PA Settlement Agreement. See note 11 and note 14.
 
  (d)
Loan from former significant shareholder, former officer and former director – Benjamin Klein
On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation to repay the Klein Note to Benjamin Klein, who is a significant shareholder of the Company. On November 20, 2023, the Company entered into a settlement agreement in respect of the Klein Note. See note 11(e). The Klein Note totaled $2,090,264 and had an interest rate of 10% per annum and matured on May 1, 2024. The carrying amount of the Klein Note as at September 30, 2024 is nil (December 31, 2023 – nil). During the three and nine months ended September 30, 2024, the Company recognized nil and nil, respectively, in interest expense (three and nine months ended September 30, 2023 – $64,175 and $191,485, respectively) related to the Klein Note.
 
  (e)
Loans from shareholders and officers
The February 2023 Notes (not including Greybrook Health’s contribution) totaling $312,396 were exchanged for Subordinated Convertible Notes on August 28, 2023. The carrying amount of the Subordinated Convertible Notes issued to shareholders and officers (excluding Greybrook Health and Madryn) as at September 30, 2024 is $335,318 (December 31, 2023 – $328,026). See note 9(a) and note 10(b).
 
4
3
GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
21.
Related party transactions (continued):
 
During the three and nine months ended September 30, 2024, the Company recognized $11,499 and $33,542 respectively, in interest expense (three and nine months ended September 30, 2023 – $14,323 and $32,654, respectively) related to these Subordinated Convertible Notes.
On October 3, 2024, all outstanding Subordinated Convertible Notes, including Subordinated Convertible Notes held by certain officers of the Company, were converted into Common Shares following the receipt of a conversion notice from Madryn. In connection therewith, a total of 1,115,728 Common Shares were issued to officers of the Company at a conversion price of $0.078 per Common Share. See note 25.
 
  (f)
Loan from significant shareholder – Madryn
On July 14, 2022, the Company entered into the Madryn Credit Agreement in respect of the Madryn Credit Facility, which was subsequently amended, for a total principal balance of $118,949,913 as at September 30, 2024, including the amendment fee of $1,000,000 (December 31, 2023 – $82,731,638). This amount does not include the other financing and legal fees associated with each term loan issuance or the interest that has accrued on the principal balance of the Credit Facility which has been paid in kind. Pursuant to the 2023 Private Placement completed on March 23, 2023, Madryn became a significant shareholder of the Company. See note 9(a).
On August 15, September 1 and October 12, 2023, the Company issued Subordinated Convertible Notes to Madryn in an aggregate amount of $4,500,000. The Subordinated Convertible Notes bear interest at a rate consistent with the Madryn Credit Facility, are convertible according to the terms of the Note Purchase Agreement and mature on the earlier of March 31, 2028, in the event of a change of control, acceleration of other indebtedness, or six months following repayment or refinancing of all loans under the Madryn Credit Facility. See note 9(a).
During the three and nine months ended September 30, 2024, the Company recognized $187,366 and $546,061, respectively, in interest expense (three and nine months ended September 30, 2023 – $47,044 and $47,044, respectively) related to the Subordinated Convertible Notes issued to Madryn.
 
4
4

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
21.
Related party transactions (continued):
 
Pursuant to the Arrangement Agreement entered into on August 12, 2024, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility and the Subordinated Convertible Notes into Common Shares, prior to the effective date of the Neuronetics Transaction. See note 14.
On October 3, 2024, all outstanding Subordinated Convertible Notes, including Subordinated Convertible
Notes
held by affiliates of Madryn, were converted into Common Shares following the receipt of a conversion notice from Madryn. In connection therewith, a total of 57,692,306 Common Shares were issued to affiliates of Madryn at a conversion price of $0.078 per Common Share. See note 25.
 
22.
Basic and diluted loss per share:
 
    
Three months ended
    
Nine months ended
 
     September 30,      September 30,      September 30,      September 30,  
     2024      2023      2024      2023  
Net loss attributable to the shareholders of Greenbrook TMS
   $ (13,207,359    $ (13,491,287    $ (39,830,850    $ (36,824,871
Weighted average common shares outstanding: Basic and diluted
     39,721,003        42,232,942        43,061,687        37,810,209  
Loss per share: Basic and diluted
   $ (0.33    $ (0.32    $ (0.92    $ (0.97
For the three and nine months ended
September 
30, 2024, the effect of 2,219,500 options (September 30, 2023 – 1,661,500) and 437,177
lender warrants (September 30, 2023 – 437,177) have been excluded from the diluted calculation because this effect would be anti-dilutive.
 
4
5

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
23.
Non-controlling
interest:
As a result of operating agreements with
non-wholly
owned entities, the Company has control over these entities under U.S. GAAP, as the Company has power over all significant decisions made by these entities and thus 100% of the financial results of these subsidiaries are included in the Company’s consolidated financial results.
The following summarizes changes in the Company’s
non-wholly
owned entities during the reporting or comparative periods:
 
  (a)
On February 27, 2023, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Connecticut LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Connecticut LLC.
 
  (b)
On September 29, 2023, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Arlington LLC for $513 for the release of liabilities and losses and repaid the
non-controlling
interest loan with the former minority party in an amount of $39,487, for total consideration of $40,000. As at December 31, 2023, the Company has an ownership interest of 100% of Greenbrook TMS Arlington LLC.
 
  (c)
On April 18, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Fairfax LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Fairfax LLC.
 
  (d)
On April 18, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Greenbelt LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 87.5% of Greenbrook TMS Greenbelt LLC.
 
  (e)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Christiansburg LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Christiansburg LLC.
 
  (f)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Lynchburg LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Lynchburg LLC.
 
4
6

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
23.
Non-controlling
interest (continued):
 
  (g)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Roanoke LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Roanoke LLC.
 
  (h)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS St. Petersburg LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS St. Petersburg LLC.
 
  (i)
On June 3, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Mooresville LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Mooresville LLC.
 
  (j)
On June 3, 2024, the Company acquired a portion of the
non-controlling
ownership interest in TMS NeuroHealth Centers Woodbridge LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of TMS NeuroHealth Centers Woodbridge LLC.
 
  (k)
On June 3, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Wilmington LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Wilmington LLC.
 
4
7

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
23.
Non-controlling
interest (continued):
The following table summarizes the aggregate financial information for the Company’s
non-wholly
owned entities as at September 30, 2024 and December 31, 2023:
 
     September 30,
2024
     December 31,
2023
 
Cash
   $ 172,341      $ 97,702  
Accounts receivable, net
     4,977,643        2,144,953  
Prepaid expenses and other
     408,155        297,485  
Property, plant and equipment
     924,260        1,000,592  
Finance
right-of-use
assets
     —         36,165  
Operating
right-of-use
assets
     5,310,005        5,656,153  
Accounts payable and accrued liabilities
     1,597,561        1,239,917  
Finance lease liabilities
     —         10,548  
Operating lease liabilities
     5,622,097        5,968,042  
Loans payable, net
     16,534,707        15,828,916  
Shareholder’s deficit attributable to the shareholders of Greenbrook TMS
     (8,358,893      (10,902,792
Shareholder’s deficit attributable to
non-controlling
interest
     (4,258,434      (4,440,274
Distributions paid to
non-controlling
interests
     (201,000      (46,950
Partnership buyout
     (466,026      253,251  
Historical subsidiary investment by
non-controlling
interest
     1,322,392        1,322,392  
The following table summarizes the aggregate financial information for the Company’s
non-wholly
owned entities for the three and nine months ended September 30, 2024 and September 30, 2023:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Revenue
   $ 8,337,782      $ 5,561,769      $ 20,184,728      $ 18,473,712  
Net gain (loss) attributable to the shareholders of Greenbrook TMS
     474,492        (311,254      (776,242      (1,353,456
Net gain (loss) attributable to
non-controlling
interest
     328,018        (66,025      (24,461      (249,575
 
4
8

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
24.
Expenses by nature:
The components of the Company’s other regional and center support costs include the following:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Salaries and bonuses
   $ 5,506,017      $ 4,356,592      $ 16,703,081      $ 13,129,558  
Marketing expenses
     1,717,372        407,538        3,941,952        1,224,139  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total
   $ 7,223,389      $ 4,764,130      $ 20,645,033      $ 14,353,697  
  
 
 
    
 
 
    
 
 
    
 
 
 
The components of the Company’s corporate, general and administrative expenses include the following:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Salaries and bonuses
   $ 3,760,881      $ 3,629,623      $ 11,671,760      $ 11,880,351  
Marketing expenses
     49,676        52,237        171,400        83,504  
Professional and legal fees
     1,119,518        937,735        2,730,955        3,565,048  
Computer supplies and software
     938,265        659,320        3,503,319        2,091,340  
Financing and transaction costs
     13,185        100,000        174,662        335,094  
Travel, meals and entertainment
     62,539        39,994        185,187        121,181  
Restructuring expense
     —         36,500        684,578        500,368  
Insurance
     51,088        113,909        377,078        476,687  
Credit facility amendment fee (note 9(a))
     —                —         1,000,000  
PA Settlement Agreement (note 11(f))
            —         800,000        —   
Other
     296,506        416,743        1,171,134        1,351,549  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total
   $ 6,291,658      $ 5,986,061      $ 21,470,073      $ 21,405,122  
  
 
 
    
 
 
    
 
 
    
 
 
 
On March 6, 2023, the Company announced that it embarked on a comprehensive restructuring plan (the “Restructuring Plan”) that aimed to strengthen the Company by leveraging its scale to further reduce complexity, streamlining its operating model and driving operational efficiencies to achieve profitability. As part of this Restructuring Plan, the Company decreased its operating footprint and headcount and operating expenses. The remaining Treatment Centers will continue clinical TMS offerings and a select and growing number of Treatment Centers will continue offering Spravato
®
(esketamine nasal spray) therapy.
 
49


GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
25.
Subsequent events:
 
  (a)
Additional loans under Madryn Credit Facility:
On October 3, October 15 and November 6, 2024, the Company entered into amendments to the Madryn Credit Facility, whereby Madryn and its affiliated entities extended two additional tranches of debt financing to the Company in an aggregate principal amount of $5,106,599. The terms and conditions are consistent with the terms and conditions of the Company’s existing aggregate term loan, with a principal balance of $120,990,522, under the Madryn Credit Facility in all material respects.
In addition, the amendment to the Madryn Credit Facility entered into on November 27, 2024, extended the period during which the Company’s minimum liquidity covenant is reduced from $3,000,000 to $300,000 to December 9, 2024.
 
  (b)
Subordinated Convertible Notes Conversion:
On October 3, 2024, the Company converted all outstanding Subordinated Convertible Notes into Common Shares upon receipt of a conversion notice from Madryn, requiring the conversion in full of all outstanding Subordinated Convertible Notes held by Madryn and all other holders of Subordinated Convertible Notes in accordance with the terms of the Note Purchase Agreement. The Subordinated Convertible Notes were converted into Common Shares at a conversion price of $0.078 and resulted in the issuance of an aggregate of 134,667,522 Common Shares to the holders of the Convertible Notes. Following completion of the conversion, there are no Subordinated Convertible Notes, or accrued and unpaid interest, issued and outstanding.
 
  (c)
Neuronetics Transaction:
On October 1, 2024, the Court granted an interim order in connection with the Neuronetics Transaction (the “Interim Order”). The Interim Order authorizes the calling and holding of the Greenbrook Meeting, the granting of dissent rights to registered shareholders of the Company and other matters relating to the conduct of the Greenbrook Meeting. The Greenbrook Meeting was called for Friday, November 8, 2024 at 8:00 a.m. (Eastern time).
On October 4, 2024, the Company and Neuronetics filed the joint proxy statement/management information circular (the “Joint Proxy Statement/Circular”) and related proxy materials in respect of the Greenbrook Meeting and Neuronetics Meeting on SEDAR+ at www.sedarplus.ca and on EDGAR at www.sec.gov. The Joint Proxy Statement/Circular and related materials were also be mailed to shareholders.
 
5
0

GREENBROOK TMS INC.
Notes to Condensed Interim Consolidated Financial Statements (continued)
(Expressed in U.S. dollars, unless otherwise stated)
Three and nine months ended September 30, 2024 and 2023
(Unaudited)
 
 
 
25.
Subsequent events (continued):
On November 8, 2024, the Neuronetics Transaction was approved by the shareholders of the Company and the stockholders of Neuronetics at the Greenbrook Meeting and the Neuronetics Meeting, respectively.
On November 15, 2024, the Company obtained a final order from the Ontario Superior Court of Justice (Commercial List) approving the Neuronetics Transaction.
On December 10, 2024, the Company announced the successful completion of the Neuronetics Transaction with an effective date of December 9, 2024. In connection with and prior to closing of the Arrangement, Madryn converted (i) all of the outstanding amount owing under Greenbrook’s credit agreement into 2,056,453,835 Greenbrook Shares, representing 95.3% of the Greenbrook Shares (including the Greenbrook Shares held by Madryn prior to such conversion) immediately prior to closing of the Arrangement and (ii) all of the interim period funding provided by Madryn to Greenbrook into an additional 252,999,770 Greenbrook Shares, which Greenbrook Shares were exchanged for Neuronetics Shares at the Exchange Ratio upon closing of the Arrangement.
 
  (d)
Supplement Restructuring Plan:
On November 15, 2024, the Company began a supplemental restructuring plan (the “Supplemental Restructuring Plan”) in an effort to continue to accelerate its path to achieve sustainable profitability and long-term growth. As part of this initiative, the Company plans to decrease its operating footprint by closing 23 treatment centers over the next 45 days, allowing management to focus on its remaining 95 treatment centers.
 
5
1
Exhibit
99.3
UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION
Introduction
As previously disclosed in the Current Reports on Form
8-K
filed by Neuronetics, Inc. (“Neuronetics” or the “Company”) with the Securities and Exchange Commission (the “SEC”), the Company entered into an Arrangement Agreement on August 11, 2024 (the “Arrangement Agreement”), with Greenbrook TMS Inc. (“Greenbrook”), pursuant to which the Company agreed to acquire all of the issued and outstanding common shares of Greenbrook (the “Greenbrook Shares”) pursuant to a plan of arrangement (the “Plan of Arrangement”) under the Business Corporations Act (Ontario) (the “Arrangement”). The Arrangement was effective as of December 9, 2024. The following unaudited pro forma condensed combined statements of operations and related notes give effect to the Acquisition and were prepared in accordance with the requirements of Article 11 of Regulation
S-X.
Accounting for the Acquisition is dependent upon certain information, including valuation reports and other studies, that have not yet been finalized. The Company cannot finalize the accounting for the Acquisition until that information is available in final form. Therefore, the acquired assets and assumed liabilities have been measured based on various preliminary estimates using assumptions that the Company believes are reasonable, utilizing information that is currently available. Differences between these preliminary estimates and the final acquisition accounting could have a material impact on the accompanying pro forma financial statements and the combined company’s future results of operations and financial position. The Company intends to finalize the acquisition accounting as soon as practicable within the required measurement period, but in no event later than one year following completion of the Acquisition, which is December 9, 2025. The Company is not required to, and therefore currently does not intend to, update these pro forma results as presented for any of these changes.
The pro forma financial statements set forth below give effect to the Acquisition as well as the application of the acquisition method of accounting. The pro forma financial statements should be read in conjunction with:
 
   
The Company’s audited financial statements and related notes included in the Company’s Annual Report on Form
10-K
for the year ended December 31, 2023
 
   
The Company’s unaudited financial statements and related notes included in the Company’s Quarterly Report on Form
10-Q
for the quarter ended September 30, 2024
 
   
Greenbrooks’s audited consolidated financial statements and related notes for the year ended December 31, 2023, December 31, 2022 and unaudited condensed financial statements and related notes for the nine months ended September 30, 2024 within this Current Report on From
8-K
 
   
The notes to the unaudited pro forma condensed combined statements of operations

Unaudited Pro Forma Condensed Combined Balance sheet for Year ended September 30, 2024
(amounts in thousands, except share and per share data)
 
    
Neuronetics
    
Greenbook
    
Transaction
Accounting
Adjustments
   
Note
    
Pro Forma
Combined
 
Assets
             
Current assets:
             
Cash and cash equivalents
   $ 20,867      $ 369      $        $ 21,236  
Restricted cash
            1,000                 1,000  
Accounts receivable, net
     16,825        12,628        (1,891     c        27,562  
Inventory
     4,960                        4,960  
Current portion of net investments in sales-type leases
     572               (351     g        221  
Current portion of prepaid commission expense
     2,921                        2,921  
Current portion of notes receivable
     2,477               (1,557     f        920  
Prepaid expenses and other current assets
     4,837        5,648        (702     h        9,783  
  
 
 
    
 
 
    
 
 
      
 
 
 
Total current assets
     53,459        19,645        (4,501        68,603  
  
 
 
    
 
 
    
 
 
      
 
 
 
Property and equipment, net
     1,639        4,725        370       g        6,734  
Operating lease
right-of-use
assets
     2,328        23,658                 25,986  
Finance lease
right-of-use
assets
            1,277        (1,277     i         
Net investments in sales-type leases
     140               (19     g        121  
Prepaid commission expense
     8,733                        8,733  
Long-term notes receivable
     2,878               (2,335     f        543  
Intangible assets
            573        (573         
Goodwill
           23,803       3        23,803  
Other assets
     4,940                        4,940  
  
 
 
    
 
 
    
 
 
      
 
 
 
Total assets
   $ 74,117      $ 49,878      $ 15,468        $ 139,463  
  
 
 
    
 
 
    
 
 
      
 
 
 
Liabilities and Stockholders’ Equity
             
Current liabilities:
             
Accounts payable
   $ 3,295      $ 10,564      $ (1,891      $ 11,968  
Accrued expenses
     11,429        4,385                 15,814  
Deferred revenue
     1,311               (192        1,119  
Deferred and contingent consideration
            1,000                 1,000  
Current portion of shareholder note
                                   
Current portion of finance lease liabilities
            355        (355     i         
Current portion of operating lease liabilities
     862        4,044              d        4,906  
Non-controlling Interest Loans
            58                       58  
Current portion of Shareholder Loans
            3,691        (3,691               
Current portion of long-term debt, net:
            11,420        (11,210 )     e        209  
Other payable:
   —       1,947        (1,414     e        533  
  
 
 
    
 
 
    
 
 
      
 
 
 
Total current liabilities
     16,897        37,463        (18,753 )        35,607  
  
 
 
    
 
 
    
 
 
      
 
 
 
Long-term debt, net
     46,002        131,774        (131,774 )        46,002  
Deferred revenue
     4      —                4  
    
Neuronetics
   
Greenbook
   
Transaction
Accounting
Adjustments
   
Note
  
Pro Forma
Combined
 
Finance lease Liabilities
       21       (21   i       
Operating lease liabilities
     1,833       21,139           d      22,972  
  
 
 
   
 
 
   
 
 
      
 
 
 
Total liabilities
     64,736       190,396       (150,548        104,585  
  
 
 
   
 
 
   
 
 
      
 
 
 
Commitments and contingencies (Note 18)
                   
Stockholders’ equity:
           
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on September 30, 2024
                           
Common stock, $0.01 par value: 200,000 shares authorized; 55,622 shares issued and outstanding on September 30, 2024
     303       121,237       (120,984   a,b      556  
Additional
paid-in
capital
     416,205       5,509       23,339     a,b      445,053  
Accumulated deficit
     (407,127     (263,661     263,661     a      (407,127
  
 
 
   
 
 
   
 
 
      
 
 
 
Total Stockholders’ equity
     9,381       (136,915     166,016          38,482  
Non-controlling
interest
       (3,603              (3,603
  
 
 
   
 
 
   
 
 
      
 
 
 
Total liabilities and Stockholders’ equity
   $ 74,117     $ 49,878     $ 15,468        $ 139,463  
  
 
 
   
 
 
   
 
 
      
 
 
 

Unaudited Pro Forma Condensed Combined Statement of Operations nine months ended September 30, 2024
(amounts in thousands, except share and per share data)

 

 
  
Neuronetics
 
 
Greenbrook
 
 
Transaction
Adjustments
 
 
Note
 
  
Pro
Forma
Combined
 
Revenues
   $ 52,397     $ 57,492     $ (7,119  
 
aa   
 
$ 102,771  
Cost of revenues
     13,129       56,649       (17,011  
 
bb, cc   
 
  52,767  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Gross profit
     39,268       843       9,892    
 
  
 
  50,004  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Operating expenses:
                    
 
  
 
   
Sales and marketing
     35,820       3,942       10,022    
 
ff   
 
  49,784  
General and administrative
     19,540       22,563          
 
  
 
  42,103  
Research and development
     6,999       273          
 
  
 
  7,272  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Total operating expenses
     62,359       26,777       10,022    
 
  
 
  99,158  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Loss from operations
     (23,091     (25,934     (130  
 
  
 
  (49,155
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Other (income) expense:
        
 
  
 
Interest expense
     5,529       13,921       (13,897  
 
dd   
 
  5,553  
Loss on extinguishment of debt
     4,427             452    
 
ee   
 
  4,879  
Other income, net
     (2,001              
 
  
 
  (2,001
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Net loss before non-controlling interest
     (31,046     (39,855     13,316    
 
  
 
  (57,586
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Non-controlling interest
             (24                    (24
Net Loss
   $ (31,046   $ (39,831   $ 13,316              $ (57,561
Net loss per share of common stock outstanding, basic and diluted
   $ (1.04             —   
 
  
 
$ (1.04
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Weighted average common shares outstanding, basic and diluted
     29,931         25,305    
 
  
 
  55,236  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 

Unaudited Pro Forma Condensed Combined Statement of Operations Year ended December 31, 2023
(amounts in thousands, except share and per share data)
 

 
  
Neuronetics
 
 
Greenbrook
 
 
Transaction
Adjustments
 
 
 
 
  
Pro
Forma
Combined
 
Revenues
   $ 71,348     $ 73,787     $ (10,395  
 
aa   
 
$ 134,740  
Cost of revenues
     19,643       71,872       (22,169  
 
bb, cc  
 
  69,346  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Gross profit
     51,705       1,915       11,774    
 
 
 
  65,394  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Operating expenses:
        
 
  
 
Sales and marketing
     47,318       1,945       10,864    
 
ff  
 
  60,126  
General and administrative
     25,426       33,056          
 
 
 
  58,482  
Research and development
     9,515       526          
 
 
 
  10,041  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Total operating expenses
     82,259       35,526       10,864    
 
  
 
  128,649  
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Loss from operations
     (30,554     (33,611    
 
  
 
  (63,255
  
 
 
   
 
 
     
 
  
 
 
 
 
Other (income) expense:
        
 
  
 
Interest expense
     5,424       12,048       (12,016  
 
dd   
 
  5,456  
Other income, net
     (5,789     3,596       556    
 
ee   
 
  (1,637
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Net loss before non-controlling interest
     (30,189     (49,255   $ 11,460    
 
  
 
$ (67,073
  
 
 
   
 
 
   
 
 
   
 
  
 
 
 
 
Non-controlling interest
           (341                    (341
Net Loss
   $ (30,189   $ (48,914   $ 11,460              $ (66,732
Net loss per share of common stock outstanding, basic and diluted
   $ (1.05            
 
  
 
$ (1.24
  
 
 
   
 
 
     
 
  
 
 
 
 
Weighted-average common shares outstanding, basic and diluted
     28,658        
 
  
 
  53,963  
  
 
 
   
 
 
     
 
  
 
 
 
 

Greenbrook TMS, INC.
NOTES TO THE UNAUDITED PRO FORMA CONDENSED COMBINED
STATEMENTS OF OPERATIONS
 
1.
Description of the Transaction
Neuronetics and Greenbrook TMS Inc. completed the planned acquisition whereby Neuronetics acquired all of the issued and outstanding common shares of Greenbrook by way of a court-approved plan of arrangement under the Business Corporations Act (Ontario) (the “Arrangement”). Each Greenbrook Share outstanding immediately prior to the effective time of the Arrangement was exchanged for 0.01021 of a share of common stock of Neuronetics (the “Exchange Ratio”) upon closing of the Arrangement.
In connection with and prior to closing of the Arrangement, Madryn Asset Management, LP and its affiliates (collectively, “Madryn”) converted (i) all of the outstanding amount owing under Greenbrook’s credit agreement into 2,056,453,835 Greenbrook Shares, representing 95.3% of the Greenbrook Shares (including the Greenbrook Shares held by Madryn prior to such conversion) immediately prior to closing of the Arrangement and (ii) all of the interim period funding provided by Madryn to Greenbrook into an additional 252,999,770 Greenbrook Shares, which Greenbrook Shares were exchanged for shares of common stock of Neuronetics (“Neuronetics Shares”) at the Exchange Ratio upon closing of the Arrangement.
The Combined Company will continue to operate as Neuronetics, Inc., and the Neuronetics Shares will continue to trade on the NASDAQ Global Market under the ticker “STIM”.
 
2.
Basis of Presentation
The unaudited pro forma financial statements show the historical results of operations of Collegium and Ironshore and have been prepared to illustrate the effect of the Acquisition, including pro forma assumptions and adjustments related to the Acquisition, as described in these accompanying notes.
The acquisition of Greenbrook is considered an acquisition of a business, as defined in Accounting Standards Codification (“ASC”) Topic 805,
Business Combinations
. Therefore, the unaudited pro forma financial statements have been prepared using the acquisition method of accounting in accordance with ASC 805, which generally requires the acquired assets and assumed liabilities to be recognized at fair value at the Acquisition Date. The pro forma statements of operations may differ from the Company’s final acquisition accounting for a number of reasons, including the fact that the estimates of fair values of assets acquired and liabilities assumed as of the Acquisition Date are preliminary and therefore subject to change within the measurement period (no longer than one year from the Acquisition Date), at which time the valuation analysis and other analyses are finalized. The preliminary purchase price allocation is discussed in Note 3.
The unaudited pro forma condensed combined statements of operations are presented as if the Acquisition occurred on January 1, 2023. The historical consolidated financial information has been adjusted on a pro forma basis for transaction accounting adjustments as defined within Article 11 of Regulation
S-X.

The unaudited pro forma condensed combined financial information is provided for illustrative purposes only, and do not purport to represent what the actual consolidated results of the companies would have been had the Acquisition occurred on January 1, 2023, nor are they necessarily indicative of future consolidated results of operations of the Company. The pro forma condensed combined statement of operations neither reflect the costs of any integration activities nor the synergies and benefits that may result from realization of any operational efficiencies expected to result from the Acquisition of Greenbrook.
The unaudited pro forma condensed combined balance sheet is presented as if the Acquisition occurred on September 30, 2024. The historical consolidated financial information has been adjusted on a pro forma basis for transaction accounting adjustments as defined within Article 11 of Regulation
S-X.
The unaudited pro forma balance sheet is provided for illustrative purposes only and does not purport to represent what the actual consolidated results of the companies would have been had the Acquisition occurred on September 30, 2024.
 
3.
Preliminary Purchase Price Allocation
The fair value of the total consideration was approximately $34.7 million consisting of the following:
 
Purchase Consideration
  
(in thousands)
 
STIM Shares
     25,305  
Price per share
   $ 1.15  
  
 
 
 
Fair value of purchase consideration paid at closing
   $ 29,101  
  
 
 
 
Settlement of
pre-
existing relationship
   $ 5,635  
  
 
 
 
Total purchase consideration
  
$
34,736
 
  
 
 
 
The preliminary purchase price allocation is based on estimates, assumptions, valuations and other analysis which have not yet been finalized. The Company is finalizing its valuation of intangible assets, tangible assets, liabilities and tax analyses and anticipates finalizing the valuation of assets acquitted and liabilities assumed as the information necessary to complete the analysis is obtained, but no later than one year after the Acquisition Date.
The following table set forth the preliminary allocation of the total con
si
deration to the estimate fair value of the net assets acquitted at the Acquisition date (in thousands):
    
Fair Value
Adjusted
 
Fair value of assets acquired
  
Cash and cash equivalents
   $ 369  
Restricted cash
   $ 1,000  
Accounts receivable, net
   $ 12,628  
Prepaid expenses and other current assets
   $ 4,990  
Property and equipment
   $ 4,725  
Operating lease
right-of-use
assets
   $ 23,658  
Total Assets
   $ 47,370  
Fair value of liabilities assumed
  
Accounts payable
   $ 8,673  
Accrued expense
   $ 4,385  
Current portion of loans payable
   $ 801  
Current portion of operating lease liabilities
   $ 4,044  
Deferred and contingent consideration
   $ 1,000  
Operating lease liabilities
   $ 21,139  
Non-controlling
interest
   $ (3,603
  
 
 
 
Total Liabilities
   $ 36,438  
Total identifiable net assets acquired
   $ 10,932  
Goodwill
   $ 23,803  
  
 
 
 
Total consideration transferred
   $ 34,736  
  
 
 
 
 
4.
Proforma Adjustments
The pro forma adjustments are based on the Company’s preliminary estimates and assumptions that are subject to change. The following adjustments have been reflected in the Pro Forma Financial Statements:
1. Certain reclassifications of Greenbrook’s historically presented amounts were made within the balance sheet and statements of operations to conform with Neuronetics’ financial statement presentation.
2. The pro forma adjustments included in the unaudited pro forma combined financial information are as follows (amounts in thousands):
a) Reflects the elimination of Greenbrook’s historical equity balances in accordance with the acquisition method of accounting.
b) Reflects estimated consideration based upon issuance of 25,304,971 shares at a price of $1.15 as of December 09, 2024

c) To reflect the estimated fair value of the assets acquired and liabilities
d)  To recognize Greenbrook’s lease liability and
right-of-
use assets at the present value of the remaining lease payments, as if the acquired leases were new leases of Neuronetics as of the balance sheet date.
e) To reflect the conversion of certain debt instruments to Goodwill, as non cash consideration
f) To reflect conversion of Neuronetics Note receivable to Greenbook as of September 30, 2024 to Goodwill, as non cash consideration
g) To reflect conversion of Neuronetics Sales type leases with Greenbook to PPE as of September 30, 2024.
h) To eliminate Neuronetics interest receivable with Greenbrook and Greenbrook’s prepaid warranty and treatment session inventory balances.
i) To eliminate Greenbrook’s finance lease
right-of-
use asset, reported in intangible assets and finance lease liabilities with Neuronetics.
aa) To eliminate sales to Greenbrook.
bb) To eliminate cost of sales to Greenbrook.
cc) To eliminate depreciation expense for Greenbrook’s finance leases.
dd) To eliminate interest expense for Greenbrook’s debt balance.
ee) To eliminate interest charged to Greenbrook by Neuronetics for Note receivable balance
ff) To reclassify marketing expense reported in Cost of revenue to Sales and marketing expense.
v3.25.0.1
Cover Page
Dec. 10, 2024
Cover [Abstract]  
Amendment Flag true
Entity Central Index Key 0001227636
Document Type 8-K/A
Document Period End Date Dec. 10, 2024
Entity Registrant Name NEURONETICS, INC.
Entity Incorporation, State or Country Code DE
Entity File Number 001-38546
Entity Tax Identification Number 33-1051425
Entity Address, Address Line One 3222 Phoenixville Pike
Entity Address, City or Town Malvern
Entity Address, State or Province PA
Entity Address, Postal Zip Code 19355
City Area Code 610
Local Phone Number 640-4202
Title of 12(b) Security Common Stock ($0.01 par value)
Trading Symbol STIM
Security Exchange Name NASDAQ
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Entity Emerging Growth Company false
Amendment Description As previously disclosed in the Current Reports on Form 8-K filed by Neuronetics, Inc. (the “Company”) with the Securities and Exchange Commission (the “SEC”), the Company entered into an arrangement agreement on August 11, 2024 with Greenbrook TMS Inc. (“Greenbrook”), pursuant to which the Company agreed to acquire all of the issued and outstanding common shares of Greenbrook pursuant to a plan of arrangement under the Business Corporations Act (Ontario) (the “Arrangement”). The Arrangement was effective as of December 9, 2024. This Amendment No. 1 on Form 8-K/A is being filed to amend Item 9.01(a) and (b) of the Current Report on Form 8-K that the Company filed with the SEC on December 10, 2024, regarding the completion of its acquisition of Greenbrook to include the historical financial statements of Greenbrook required by Item 9.01(a) of Form 8-K and the pro forma financial information required by Item 9.01(b) of Form 8-K.
v3.25.0.1
Condensed Interim Consolidated Balance Sheets - USD ($)
Sep. 30, 2024
Dec. 31, 2023
Current assets:    
Cash $ 368,512 $ 3,323,708
Restricted cash 1,000,000 1,000,000
Accounts receivable, net 12,628,278 7,569,843
Prepaid expenses and other 5,647,935 3,079,785
Total current assets 19,644,725 14,973,336
Property, plant and equipment 4,725,435 4,793,979
Intangible assets 572,537 622,057
Finance right-of-use assets 1,276,821 2,140,338
Operating right-of-use assets 23,658,188 28,887,905
Total assets 49,877,706 51,417,615
Current liabilities:    
Accounts payable 10,563,496 9,050,616
Accrued expenses 14,948,703 13,701,630
Current portion of loans payable 11,419,486 5,770,603
Current portion of finance lease liabilities 355,161 622,730
Current portion of operating lease liabilities 4,043,583 3,960,346
Current portion of shareholder loans 3,690,568 505,161
Other payables 1,947,395 5,730,781
Non-controlling interest loans 58,074 63,174
Deferred and contingent consideration 1,000,000 1,000,000
Advance for research collaboration 1,300,000
Total current liabilities 37,462,970 32,654,425
Loans payable 131,774,065 90,230,173
Finance lease liabilities 20,534 235,107
Operating lease liabilities 21,138,829 26,438,220
Shareholder loans   2,807,480
Total liabilities 190,396,398 152,365,405
Commitments and contingencies
Shareholders' deficit:    
Common shares 121,236,710 120,741,061
Contributed surplus 5,508,810 5,397,700
Deficit (263,661,144) (224,174,970)
Total shareholders' deficit excluding non-controlling interest (136,915,624) (98,036,209)
Non-controlling interest (3,603,068) (2,911,581)
Total shareholders' deficit (140,518,692) (100,947,790)
Total liabilities and shareholders' deficit 49,877,706 $ 51,417,615
Neuronetics [Member]    
Current assets:    
Cash 20,867,000  
Restricted cash 0  
Accounts receivable, net 16,825,000  
Inventory 4,960,000  
Current portion of net investments in sales-type leases 572,000  
Current portion of prepaid commission expense 2,921,000  
Current portion of notes receivable 2,477,000  
Prepaid expenses and other 4,837,000  
Total current assets 53,459,000  
Property, plant and equipment 1,639,000  
Intangible assets 0  
Finance right-of-use assets 0  
Operating right-of-use assets 2,328,000  
Net investments in sales-type leases 140,000  
Prepaid commission expense 8,733,000  
Long-term notes receivable 2,878,000  
Goodwill 0  
Other assets 4,940,000  
Total assets 74,117,000  
Current liabilities:    
Accounts payable 3,295,000  
Accrued expenses 11,429,000  
Deferred revenue 1,311,000  
Current portion of finance lease liabilities 0  
Current portion of operating lease liabilities 862,000  
Current portion of shareholder loans 0  
Current portion of long-term debt, net: 0  
Non-controlling interest loans 0  
Deferred and contingent consideration 0  
Current portion of shareholder note 0  
Total current liabilities 16,897,000  
Long-term debt, net 46,002,000  
Deferred revenue 4,000  
Operating lease liabilities 1,833,000  
Total liabilities 64,736,000  
Commitments and contingencies 0  
Shareholders' deficit:    
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on September 30, 2024 0  
Common shares 303,000  
Deficit (407,127,000)  
Additional paid-in capital 416,205,000  
Non-controlling interest 0  
Total shareholders' deficit 9,381,000  
Total liabilities and shareholders' deficit 74,117,000  
Greenbook [Member]    
Current assets:    
Cash 369,000  
Restricted cash 1,000,000  
Accounts receivable, net 12,628,000  
Inventory 0  
Current portion of net investments in sales-type leases 0  
Current portion of prepaid commission expense 0  
Current portion of notes receivable 0  
Prepaid expenses and other 5,648,000  
Total current assets 19,645,000  
Property, plant and equipment 4,725,000  
Intangible assets 573,000  
Finance right-of-use assets 1,277,000  
Operating right-of-use assets 23,658,000  
Net investments in sales-type leases 0  
Prepaid commission expense 0  
Long-term notes receivable 0  
Goodwill 0  
Other assets 0  
Total assets 49,878,000  
Current liabilities:    
Accounts payable 10,564,000  
Accrued expenses 4,385,000  
Deferred revenue 0  
Current portion of finance lease liabilities 355,000  
Current portion of operating lease liabilities 4,044,000  
Current portion of shareholder loans 3,691  
Current portion of long-term debt, net: 11,420,000  
Other payables 1,947,000  
Non-controlling interest loans 58  
Deferred and contingent consideration 1,000,000  
Current portion of shareholder note 0  
Total current liabilities 37,463,000  
Long-term debt, net 131,774,000  
Finance lease liabilities 21,000  
Operating lease liabilities 21,139,000  
Total liabilities 190,396,000  
Commitments and contingencies 0  
Shareholders' deficit:    
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on September 30, 2024 0  
Common shares 121,237,000  
Deficit (263,661,000)  
Additional paid-in capital 5,509,000  
Non-controlling interest (3,603,000)  
Total shareholders' deficit (136,915,000)  
Total liabilities and shareholders' deficit 49,878,000  
Transaction Accounting Adjustment [Member]    
Current assets:    
Cash 0  
Restricted cash 0  
Accounts receivable, net (1,891,000)  
Inventory 0  
Current portion of net investments in sales-type leases (351,000)  
Current portion of prepaid commission expense 0  
Current portion of notes receivable (1,557,000)  
Prepaid expenses and other (702,000)  
Total current assets (4,501,000)  
Property, plant and equipment 370,000  
Intangible assets (573,000)  
Finance right-of-use assets (1,277,000)  
Operating right-of-use assets 0  
Net investments in sales-type leases (19,000)  
Prepaid commission expense 0  
Long-term notes receivable (2,335,000)  
Goodwill 23,803,000  
Other assets 0  
Total assets 15,468,000  
Current liabilities:    
Accounts payable (1,891,000)  
Accrued expenses 0  
Deferred revenue (192,000)  
Current portion of finance lease liabilities (355,000)  
Current portion of operating lease liabilities 0  
Current portion of shareholder loans (3,691)  
Current portion of long-term debt, net: (11,210,000)  
Other payables (1,414,000)  
Non-controlling interest loans 0  
Deferred and contingent consideration 0  
Current portion of shareholder note 0  
Total current liabilities (18,753,000)  
Long-term debt, net (131,774,000)  
Deferred revenue 0  
Finance lease liabilities (21,000)  
Operating lease liabilities 0  
Total liabilities (150,548,000)  
Commitments and contingencies  
Shareholders' deficit:    
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on September 30, 2024 0  
Common shares (120,984,000)  
Deficit 263,661,000  
Additional paid-in capital 23,339,000  
Non-controlling interest 0  
Total shareholders' deficit 166,016,000  
Total liabilities and shareholders' deficit 15,468,000  
Pro Forma [Member]    
Current assets:    
Cash 21,236,000  
Restricted cash 1,000,000  
Accounts receivable, net 27,562,000  
Inventory 4,960,000  
Current portion of net investments in sales-type leases 221,000  
Current portion of prepaid commission expense 2,921,000  
Current portion of notes receivable 920,000  
Prepaid expenses and other 9,783,000  
Total current assets 68,603,000  
Property, plant and equipment 6,734,000  
Intangible assets 0  
Finance right-of-use assets 0  
Operating right-of-use assets 25,986,000  
Net investments in sales-type leases 121,000  
Prepaid commission expense 8,733,000  
Long-term notes receivable 543,000  
Goodwill 23,803,000  
Other assets 4,940,000  
Total assets 139,463,000  
Current liabilities:    
Accounts payable 11,968,000  
Accrued expenses 15,814,000  
Deferred revenue 1,119,000  
Current portion of finance lease liabilities 0  
Current portion of operating lease liabilities 4,906,000  
Current portion of shareholder loans 0  
Current portion of long-term debt, net: 209,000  
Other payables 533,000  
Non-controlling interest loans 58  
Deferred and contingent consideration 1,000,000  
Current portion of shareholder note 0  
Total current liabilities 35,607,000  
Long-term debt, net 46,002,000  
Deferred revenue 4,000  
Finance lease liabilities 0  
Operating lease liabilities 22,972,000  
Total liabilities 104,585,000  
Commitments and contingencies  
Shareholders' deficit:    
Preferred stock, $0.01 par value: 10,000 shares authorized; no shares issued or outstanding on September 30, 2024 0  
Common shares 556,000  
Deficit (407,127,000)  
Additional paid-in capital 445,053,000  
Non-controlling interest (3,603,000)  
Total shareholders' deficit 38,482,000  
Total liabilities and shareholders' deficit $ 139,463,000  
v3.25.0.1
Condensed Interim Consolidated Balance Sheets (Parenthectical)
Sep. 30, 2024
$ / shares
shares
Common Stock, Shares, Outstanding 33,967,600
Common Stock [Member]  
Common Stock, Shares, Issued 33,967,600
Pro Forma [Member] | Preferred Stock [Member]  
Preferred Stock, Par or Stated Value Per Share | $ / shares $ 0.01
Preferred Stock, Shares Authorized 10,000
Preferred Stock, Shares Issued 0
Preferred Stock, Shares Outstanding 0
Pro Forma [Member] | Common Stock [Member]  
Common Stock, Par or Stated Value Per Share | $ / shares $ 0.01
Common Stock, Shares Authorized 200,000
Common Stock, Shares, Issued 55,622
Common Stock, Shares, Outstanding 55,622
v3.25.0.1
Condensed Interim Consolidated Statements of Comprehensive Loss - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Revenue:        
Revenue $ 19,072,131 $ 17,364,264 $ 57,492,388 $ 54,359,174
Expenses:        
Direct center and patient care costs 13,043,838 13,135,231 39,945,827 40,397,958
Other regional and center support costs 7,223,389 4,764,130 20,645,033 14,353,697
Depreciation 308,113 583,388 932,061 2,418,742
Total 20,575,340 18,482,749 61,522,921 57,170,397
Regional operating loss (1,503,209) (1,118,485) (4,030,533) (2,811,223)
Center development costs 31,929 137,770 272,650 355,832
Corporate, general and administrative expenses 6,291,658 5,986,061 21,470,073 21,405,122
Share-based compensation 51,923 14,740 111,110 591,470
Amortization 16,426 16,548 49,520 49,643
Interest expense 4,984,262 3,088,382 13,921,621 8,665,931
Interest income (66) (64) (196) (165)
Loss on extinguishment of loans   14,274 (39,822) 14,274
Loss on device contract termination   3,181,116   3,181,116
Loss before income taxes (12,879,341) (13,557,312) (39,855,311) (37,074,446)
Income tax expense 0 0 0 0
Loss for the period and comprehensive loss (12,879,341) (13,557,312) (39,855,311) (37,074,446)
Non-controlling interest 328,018 (66,025) (24,461) (249,575)
Loss for the period and comprehensive loss attributable to Greenbrook $ (13,207,359) $ (13,491,287) $ (39,830,850) $ (36,824,871)
Net loss per share:        
Basic $ (0.33) $ (0.32) $ (0.92) $ (0.97)
Diluted $ (0.33) $ (0.32) $ (0.92) $ (0.97)
Service revenue        
Revenue:        
Revenue $ 18,872,131 $ 17,364,264 $ 55,992,388 $ 54,359,174
Other revenue        
Revenue:        
Revenue $ 200,000   $ 1,500,000  
v3.25.0.1
Condensed Interim Consolidated Statements of Operations - USD ($)
9 Months Ended 12 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Revenues $ 57,492,388  
Regional operating loss (4,030,533)  
Operating expenses:    
General and administrative 21,470,073  
Research and development 272,650  
Other (income) expense:    
Interest expense (13,921,621)  
Gain (Loss) on Extinguishment of Debt 39,822  
Non-controlling interest (24,461)  
Loss for the period and comprehensive loss attributable to Greenbrook $ (39,830,850)  
Net loss per share of common stock outstanding, basic $ (0.92)  
Net loss per share of common stock outstanding, diluted $ (0.92)  
Weighted average common shares outstanding, basic (in shares) 43,061,687  
Weighted average common shares outstanding, diluted (in shares) 43,061,687  
Neuronetics [Member]    
Revenues $ 52,397,000 $ 71,348,000
Cost of revenues 13,129,000 19,643,000
Regional operating loss 39,268,000 51,705,000
Operating expenses:    
Sales and marketing 35,820,000 47,318,000
General and administrative 19,540,000 25,426,000
Research and development 6,999,000 9,515,000
Total operating expenses 62,359,000 82,259,000
Loss from operations (23,091,000) (30,554,000)
Other (income) expense:    
Interest expense 5,529,000 5,424,000
Gain (Loss) on Extinguishment of Debt 4,427,000  
Other income, net (2,001,000) (5,789,000)
Net loss before non-controlling interest (31,046,000) (30,189,000)
Non-controlling interest   0
Loss for the period and comprehensive loss attributable to Greenbrook $ (31,046,000) $ (30,189,000)
Net loss per share of common stock outstanding, basic $ (1.04) $ (1.05)
Net loss per share of common stock outstanding, diluted $ (1.04) $ (1.05)
Weighted average common shares outstanding, basic (in shares) 29,931 28,658
Weighted average common shares outstanding, diluted (in shares) 29,931 28,658
Greenbook [Member]    
Revenues $ 57,492,000 $ 73,787,000
Cost of revenues 56,649,000 71,872,000
Regional operating loss 843,000 1,915,000
Operating expenses:    
Sales and marketing 3,942,000 1,945,000
General and administrative 22,563,000 33,056,000
Research and development 273,000 526,000
Total operating expenses 26,777,000 35,526,000
Loss from operations (25,934,000) (33,611,000)
Other (income) expense:    
Interest expense 13,921,000 12,048,000
Gain (Loss) on Extinguishment of Debt 0  
Other income, net 0 3,596,000
Net loss before non-controlling interest (39,855,000) (49,255,000)
Non-controlling interest (24,000) (341,000)
Loss for the period and comprehensive loss attributable to Greenbrook (39,831,000) (48,914,000)
Transaction Accounting Adjustment [Member]    
Revenues (7,119,000) (10,395,000)
Cost of revenues (17,011,000) (22,169,000)
Regional operating loss 9,892,000 11,774,000
Operating expenses:    
Sales and marketing 10,022,000 10,864,000
General and administrative 0 0
Research and development 0 0
Total operating expenses 10,022,000 10,864,000
Loss from operations (130,000)  
Other (income) expense:    
Interest expense (13,897,000) (12,016,000)
Gain (Loss) on Extinguishment of Debt 452,000  
Other income, net 0 556,000
Net loss before non-controlling interest 13,316,000 11,460,000
Non-controlling interest 0 0
Loss for the period and comprehensive loss attributable to Greenbrook $ 13,316,000 11,460,000
Weighted average common shares outstanding, basic (in shares) 25,305  
Weighted average common shares outstanding, diluted (in shares) 25,305  
Pro Forma [Member]    
Revenues $ 102,771,000 134,740,000
Cost of revenues 52,767,000 69,346,000
Regional operating loss 50,004,000 65,394,000
Operating expenses:    
Sales and marketing 49,784,000 60,126,000
General and administrative 42,103,000 58,482,000
Research and development 7,272,000 10,041,000
Total operating expenses 99,158,000 128,649,000
Loss from operations (49,155,000) (63,255,000)
Other (income) expense:    
Interest expense 5,553,000 5,456,000
Gain (Loss) on Extinguishment of Debt 4,879,000  
Other income, net (2,001,000) (1,637,000)
Net loss before non-controlling interest (57,586,000) (67,073,000)
Non-controlling interest (24,000) (341,000)
Loss for the period and comprehensive loss attributable to Greenbrook $ (57,561,000) $ (66,732,000)
Net loss per share of common stock outstanding, basic $ (1.04) $ (1.24)
Net loss per share of common stock outstanding, diluted $ (1.04) $ (1.24)
Weighted average common shares outstanding, basic (in shares) 55,236 53,963
Weighted average common shares outstanding, diluted (in shares) 55,236 53,963
v3.25.0.1
Condensed Interim Consolidated Statements of Changes in Equity (Deficit) - USD ($)
Total
Common shares
Contributed surplus
Deficit
Non-controlling interest
Balance at the beginning at Dec. 31, 2022 $ (59,111,842) $ 114,120,362 $ 4,552,067 $ (175,007,144) $ (2,777,127)
Balance at the beginning (in shares) at Dec. 31, 2022   29,436,545      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net comprehensive loss for the period (10,660,136)     (10,591,310) (68,826)
Share-based compensation (note 15) 62,948   62,948    
Issuance of common shares (note 14) 6,139,262 $ 6,139,262      
Issuance of common shares (note 14) (in shares)   11,363,635      
Issuance of lender warrants 59,786   59,786    
Acquisition of subsidiary non-controlling interest (note 23)       (118,052) 118,052
Balance at the end at Mar. 31, 2023 (63,509,982) $ 120,259,624 4,674,801 (185,716,506) (2,727,901)
Balance at the end (in shares) at Mar. 31, 2023   40,800,180      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net comprehensive loss for the period (12,856,998)     (12,742,274) (114,724)
Share-based compensation (note 15) 513,782   513,782    
Balance at the end at Jun. 30, 2023 (75,853,198) $ 120,259,624 5,188,583 (198,458,780) (2,842,625)
Balance at the end (in shares) at Jun. 30, 2023   40,800,180      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net comprehensive loss for the period (13,557,312)     (13,491,287) (66,025)
Share-based compensation (note 15) 14,740   14,740    
Issuance of common shares (note 14) 481,437 $ 481,437      
Issuance of common shares (note 14) (in shares)   1,973,831      
Issuance of lender warrants 19,346   19,346    
Acquisition of subsidiary non-controlling interest (note 23) (513)     371,303 (371,816)
Gain on extinguishment of shareholder loan 39,822   39,822    
Distributions to non-controlling interest (20,000)     (20,000)  
Balance at the end at Sep. 30, 2023 (88,875,678) $ 120,741,061 5,262,491 (211,598,764) (3,280,466)
Balance at the end (in shares) at Sep. 30, 2023   42,774,011      
Balance at the beginning at Dec. 31, 2023 (100,947,790) $ 120,741,061 5,397,700 (224,174,970) (2,911,581)
Balance at the beginning (in shares) at Dec. 31, 2023   42,774,011      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net comprehensive loss for the period (14,540,145)     (14,218,296) (321,849)
Share-based compensation (note 15) 25,302   25,302    
Issuance of common shares (note 14) 495,649 $ 495,649      
Issuance of common shares (note 14) (in shares)   2,828,249      
Balance at the end at Mar. 31, 2024 (114,966,984) $ 121,236,710 5,423,002 (238,393,266) (3,233,430)
Balance at the end (in shares) at Mar. 31, 2024   45,602,260      
Balance at the beginning at Dec. 31, 2023 (100,947,790) $ 120,741,061 5,397,700 (224,174,970) (2,911,581)
Balance at the beginning (in shares) at Dec. 31, 2023   42,774,011      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Issuance of common shares (note 14) $ 495,649        
Issuance of common shares (note 14) (in shares) 2,828,249        
Balance at the end at Sep. 30, 2024 $ (140,518,692) $ 121,236,710 5,508,810 (263,661,144) (3,603,068)
Balance at the end (in shares) at Sep. 30, 2024   33,967,600      
Balance at the beginning at Mar. 31, 2024 (114,966,984) $ 121,236,710 5,423,002 (238,393,266) (3,233,430)
Balance at the beginning (in shares) at Mar. 31, 2024   45,602,260      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net comprehensive loss for the period (12,435,825)     (12,405,195) (30,630)
Share-based compensation (note 15) 33,885   33,885    
Acquisition of subsidiary non-controlling interest (note 23) (121,350)     344,676 (466,026)
Distributions to non-controlling interest (94,500)       (94,500)
Balance at the end at Jun. 30, 2024 (127,584,774) $ 121,236,710 5,456,887 (250,453,785) (3,824,586)
Balance at the end (in shares) at Jun. 30, 2024   45,602,260      
Increase (Decrease) in Stockholders' Equity [Roll Forward]          
Net comprehensive loss for the period (12,879,341)     (13,207,359) 328,018
Share-based compensation (note 15) 51,923   51,923    
Distributions to non-controlling interest (106,500)       (106,500)
Surrender and cancellation of common shares – PA Settlement Agreement (note 14)   (11,634,660)      
Balance at the end at Sep. 30, 2024 $ (140,518,692) $ 121,236,710 $ 5,508,810 $ (263,661,144) $ (3,603,068)
Balance at the end (in shares) at Sep. 30, 2024   33,967,600      
v3.25.0.1
Condensed Interim Consolidated Statements of Cash Flows - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Operating activities:          
Loss for the period $ (12,879,341) $ (13,557,312) $ (39,855,311) $ (37,074,446)  
Adjusted for:          
Amortization     49,520 49,643  
Depreciation     932,061 2,418,742  
Operating lease expense     5,494,188 6,061,923  
Interest expense 4,984,262 3,088,382 13,921,621 8,665,931  
Interest income (66) (64) (196) (165)  
Share-based compensation     111,110 591,470  
Loss on extinguishment of loan   14,274 (39,822) 14,274  
Loss on device contract termination (note 11(d))   3,181,116   3,181,116  
Credit facility amendment fee (note 9(a))       1,000,000  
Neuronetics Note non-cash transaction costs (note 9(a))       116,356  
Gain on lender warrants       (6,567)  
Gain on deferred share units (note 11(b))     (333,105) (273,938)  
Gain on performance share units       (43,748)  
Change in non-cash operating working capital:          
Accounts receivable     (5,058,435) 1,131,874  
Prepaid expenses and other     (2,568,150) (1,663,270)  
Accounts payable and accrued liabilities     1,247,073 7,286,486  
Other payables     (3,449,234) (750,000)  
Advance for research collaboration     (1,300,000)    
Interest paid     (575,655) (2,906,444)  
Interest received     196 165  
Repayment of operating lease liabilities     (5,425,421) (8,024,282)  
Operating activities     (36,809,738) (20,224,880)  
Financing activities:          
Net proceeds on issuance of common shares (note 14)     495,649 6,620,699  
Financing costs incurred     (733,275) (702,403)  
Loans payable advanced (note 9(a))     36,218,275 9,299,000  
Loans payable and promissory notes repaid (note 9(a))     (1,252,265) (655,343)  
Promissory notes advanced (note 9(a) and note 10)       8,100,000  
Principal repayment of finance lease liabilities     (541,492) (3,168,061)  
Net non-controlling interest loans repaid     (10,000) (17,027)  
Distribution to non-controlling interest     (201,000) (20,000)  
Financing activities     33,975,892 19,456,865  
Investing activities:          
Purchase of property, plant and equipment       (43,143)  
Acquisition of subsidiary non-controlling interest (note 23)     (121,350) (513)  
Investing activities     (121,350) (43,656)  
Increase (decrease) in cash     (2,955,196) (811,671)  
Cash, beginning of period     3,323,708 1,623,957 $ 1,623,957
Cash, end of period $ 368,512 $ 812,286 $ 368,512 $ 812,286 $ 3,323,708
v3.25.0.1
Reporting Entity
9 Months Ended
Sep. 30, 2024
Reporting Entity  
Reporting Entity
1.
Reporting entity:
Greenbrook TMS Inc. (the “Company”), an Ontario corporation along with its subsidiaries, controls and operates a network of outpatient mental health services centers that specialize in the provision of Transcranial Magnetic Stimulation (“TMS”) therapy and other treatment modalities for the treatment of depression and related psychiatric services.
The Company’s head and registered office is located at 890 Yonge Street, 7th Floor, Toronto, Ontario, Canada, M4W 3P4. The Company’s United States corporate headquarters is located at 8401 Greensboro Drive, Suite 425, Tysons Corner, Virginia, USA, 22102.
v3.25.0.1
Basis of presentation
9 Months Ended
Sep. 30, 2024
Basis of presentation
2.
Basis of presentation:
 
  (a)
Going concern:
These condensed interim consolidated financial statements for the three and nine months ended September 30, 2024 have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and applicable rules and regulations of the Securities and Exchange Commission (“SEC”) and the basis of presentation outlined in note 2(b) on the assumption that the Company is a going concern and will continue in operation for the foreseeable future and will be able to realize its assets and discharge its liabilities and commitments in the normal course of business for the next 12 months.
The Company has experienced losses since inception and has negative cash flow from operating activities of $36,809,738 for the nine months ended September 30, 2024 ($20,224,880 – nine months ended September 30, 2023). The Company’s cash balance, excluding restricted cash, as at September 30, 2024 was $368,512 ($3,323,708 as at December 31, 2023) and negative working capital as at September 30, 2024 was $17,818,245 (negative working capital of $17,681,089 as at December 31, 2023).
On July 14, 2022, the Company entered into a credit agreement (the “Madryn Credit Agreement”), as amended, for a $75,000,000 secured credit facility (the “Madryn Credit Facility”) with Madryn Fund Administration, LLC and its affiliated entities (collectively, “Madryn”). Upon closing of the Madryn Credit Facility, the Company drew a $55,000,000 term loan under the Madryn Credit Facility. In addition, the Madryn Credit Facility permits the Company to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for purposes of funding future mergers and acquisition activity.
 

On March 23, 2023, the Company completed a
non-brokered
private placement of common shares of the Company (the “Common Shares”), for aggregate gross proceeds to the Company of approximately $6,250,000 (the “2023 Private Placement”). The 2023 Private Placement included investments by Madryn, together with certain of the Company’s other major shareholders, including Greybrook Health Inc. (“Greybrook Health”) and affiliates of Masters Special Situations LLC (“MSS”).
On July 13, 2023, the Company entered into a purchase agreement (the “Alumni Purchase Agreement”) with Alumni Capital LP (“Alumni”). The Alumni Purchase Agreement provided equity line financing for sales from time to time of up to $4,458,156 of Common Shares. The Company issued an aggregate of 1,761,538 Common Shares under the Alumni Purchase Agreement for gross proceeds of $481,437.
On February 26, 2024, the Company completed a registered direct offering of Common Shares (the “February 2024 Direct Offering”). Pursuant to the February 2024 Direct Offering, an aggregate of 2,828,249 Common Shares were issued at a price of $0.20 per Common Share, for aggregate gross proceeds to the Company of $565,649. See note 14.
During the nine months ended September 30, 2024, the Company received an aggregate of $36,218,275 in debt financings from Madryn in order to satisfy short-term cash requirements, and certain amendments to the Madryn Credit Facility were also effected to amend the Company’s minimum liquidity covenant. See note 9.
The terms of the Madryn Credit Facility require the Company to satisfy various financial covenants including a minimum liquidity and minimum consolidated revenue amounts that became effective on July 14, 2022 and September 30, 2022, respectively. A failure to comply with these covenants, or failure to obtain a waiver for any
non-compliance,
would result in an event of default under the Madryn Credit Agreement and would allow Madryn to accelerate repayment of the debt, which could materially and adversely affect the business, results of operations and financial condition of the Company. On February 21, 2023, March 20, 2023, June 14, 2023, July 3, 2023, July 14, 2023, August 1, 2023, August 14, 2023, September 15, 2023, September 29, 2023, October 12, 2023, November 15, 2023, December 14, 2023, January 19, 2024, February 15, 2024, March 15, 2024, March 28, 2024, May 1, 2024, June 4, 2024, June 25, 2024, July 18, 2024, August 2, 2024, August 19, 2024, September 5, 2024, September 19, 2024, October 3, 2024, October 15, 2024, November 6, 2024 and November 27, 2024, the Company received waivers from Madryn with respect to the Company’s
non-compliance
with the minimum liquidity covenant, which has been extended to
 
December 9, 2024. In addition, the Company also received a waiver relating to the requirement to deliver financial statements within 90 days of each fiscal year end until April 26, 2024, and audited financial statements for such fiscal year, accompanied by a report and opinion of an independent certified public accountant which is not subject to any “going concern” or like qualification or exception or any qualification or exception as to the scope of such audit. As at September 30, 2024, the Company was in compliance with the financial covenants of the Madryn Credit Agreement, as amended.
On October 3, 2024, October 15, 2024 and November 6, 2024, the Company received an aggregate of $5,106,599 in debt financing from Madryn in order to satisfy the Company’s short-term cash requirements. See note 25.
On August 12, 2024, the Company entered into a definitive arrangement agreement (the “Arrangement Agreement”) with Neuronetics, Inc. (“Neuronetics”), in which Neuronetics will acquire all of the outstanding Common Shares of the Company in an
all-stock
transaction (the “Neuronetics Transaction”).
As part of the Neuronetics Transaction, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility (as defined below) and all of the Subordinated Convertible Notes (as defined below) (including notes held by Madryn and other third-parties, which are forced to convert as a result of Madryn’s election) into Common Shares prior to the effective date of the Neuronetics Transaction. On December 10, 2024, the Neuronetics Transaction closing was announced with an effective date of December 9, 2024. See note 14 and note 25.
On October 3, 2024, the Company converted all outstanding Subordinated Convertible Notes into an aggregate of 134,667,522 Common Shares at a conversion price of $0.078 per Common Share. See note 25.
On February 22, 2024, the Company received the final delisting notice from the Listing Qualifications Department of the Nasdaq Stock Market LLC (“Nasdaq”) due to the continued failure to satisfy either the $1.00 minimum bid price listing requirement in Nasdaq Listing Rule 5550(a)(2) or the minimum stockholders’ equity requirements in Nasdaq Listing Rule
5550(b). Consequently, the trading of the Company’s Common Shares was suspended as of the open of trading on February 26, 2024. The Company determined that it was in the
overall best interests of the Company not to appeal the decision. Subsequently, the Company’s Common Shares have been quoted on OTCQB Market, operated by OTC Markets Group Inc. (the “OTCQB Market”).
Although the Company believes it will become cash flow positive in the future, the timing of this is uncertain given that the Company has historically not been able to meet its forecast. The Company will require additional financing in order to fund its operating and investing activities in the future, including making timely payments to certain vendors, landlords, lenders and similar other business partners. The delay in such payments may result in potential defaults under the terms of the agreements the Company has with various parties. The Company has historically been able to obtain financing from supportive shareholders, its lenders and other sources when required and will be reliant on financing received from Neuronetics and other lenders; however, the Company may not be able to access further equity or debt financing when needed. As such, there can be no assurance that the Company will be able to obtain additional liquidity when needed or under acceptable terms, if at all. If additional financing is not obtained, the Company may not be able to repay its short-term obligations, which may result in a requirement to file for bankruptcy protection. The existence of the above-described conditions indicate substantial doubt as to the Company’s ability to continue as a going concern as at September 30, 2024.
These condensed interim consolidated financial statements do not reflect adjustments that would be necessary if the going concern assumption was not appropriate. If the going concern basis was not appropriate for these condensed interim consolidated financial statements, then adjustments would be necessary to the carrying value of assets and liabilities, the reported expenses, and the condensed interim consolidated balance sheet classification used, and these adjustments may be material.
 
  (b)
Basis of measurement:
These condensed interim consolidated financial statements have been prepared on a historic cost basis except for financial instruments classified as fair value through profit or loss, which are stated at their fair value. Other measurement bases are described in the applicable notes.
 

Presentation of the condensed interim consolidated balance sheet differentiates between current and
non-current
assets and liabilities. The condensed interim consolidated statements of comprehensive loss are presented using the function classification of expense.
Regional operating loss presents regional operating loss on an entity-wide basis and is calculated as total revenue less direct center and patient care costs, other regional and center support costs, and depreciation. These costs encapsulate all costs (other than incentive compensation such as share-based compensation granted to senior regional employees) associated with the center and regional management infrastructure, including the cost of the delivery of treatments to patients and the cost of the Company’s regional patient acquisition strategy.
Pro Forma [Member]  
Basis of presentation
2.
Basis of Presentation
The unaudited pro forma financial statements show the historical results of operations of Collegium and Ironshore and have been prepared to illustrate the effect of the Acquisition, including pro forma assumptions and adjustments related to the Acquisition, as described in these accompanying notes.
The acquisition of Greenbrook is considered an acquisition of a business, as defined in Accounting Standards Codification (“ASC”) Topic 805,
Business Combinations
. Therefore, the unaudited pro forma financial statements have been prepared using the acquisition method of accounting in accordance with ASC 805, which generally requires the acquired assets and assumed liabilities to be recognized at fair value at the Acquisition Date. The pro forma statements of operations may differ from the Company’s final acquisition accounting for a number of reasons, including the fact that the estimates of fair values of assets acquired and liabilities assumed as of the Acquisition Date are preliminary and therefore subject to change within the measurement period (no longer than one year from the Acquisition Date), at which time the valuation analysis and other analyses are finalized. The preliminary purchase price allocation is discussed in Note 3.
The unaudited pro forma condensed combined statements of operations are presented as if the Acquisition occurred on January 1, 2023. The historical consolidated financial information has been adjusted on a pro forma basis for transaction accounting adjustments as defined within Article 11 of Regulation
S-X.
The unaudited pro forma condensed combined financial information is provided for illustrative purposes only, and do not purport to represent what the actual consolidated results of the companies would have been had the Acquisition occurred on January 1, 2023, nor are they necessarily indicative of future consolidated results of operations of the Company. The pro forma condensed combined statement of operations neither reflect the costs of any integration activities nor the synergies and benefits that may result from realization of any operational efficiencies expected to result from the Acquisition of Greenbrook.
The unaudited pro forma condensed combined balance sheet is presented as if the Acquisition occurred on September 30, 2024. The historical consolidated financial information has been adjusted on a pro forma basis for transaction accounting adjustments as defined within Article 11 of Regulation
S-X.
The unaudited pro forma balance sheet is provided for illustrative purposes only and does not purport to represent what the actual consolidated results of the companies would have been had the Acquisition occurred on September 30, 2024.
v3.25.0.1
Significant accounting policies
9 Months Ended
Sep. 30, 2024
Material accounting policies  
Significant accounting policies
3.
Significant accounting policies:
These condensed interim consolidated financial statements have been prepared using the material accounting policies consistent with those applied in the Company’s December 31, 2023 audited consolidated financial statements, except as described below relating to the application of ASC Topic 606,
Revenue from Contracts with Customers
(“ASC 606”).
 
  (a)
Revenue recognition:
Other revenue is recognized at a point in time upon the performance of services under contracts with customers and represents the consideration to which the Company expects to be entitled. Other revenue includes revenue from research agreements.
Research agreements consist of arrangements with other companies to perform studies and investigational tasks on the delivery and scalability of various treatment modalities. Revenue related to research agreements is recognized based on the completion of
pre-set
milestones, outlined in the contract.
v3.25.0.1
Recent accounting pronouncements
9 Months Ended
Sep. 30, 2024
Recent accounting pronouncements  
Recent accounting pronouncements
4.
Recent accounting pronouncements:
 
Recent accounting pronouncements adopted:
The Financial Accounting Standards Board (“FASB”) has issued the following amendments to the existing standards that became effective for periods beginning on or after January 1, 2024:
 
  (i)
Accounting Standards Update
2023-09—Income
Taxes (Topic 740): Improvements to Income Tax Disclosures. This standard introduces improvements to income tax disclosures primarily related to the rate reconciliation and income taxes paid information.
The adoption of the amendments to the existing standards did not have a material impact on these condensed interim consolidated financial statements.
v3.25.0.1
Property, plant and equipment
9 Months Ended
Sep. 30, 2024
Property, plant and equipment  
Property, plant and equipment
5.
Property, plant and equipment:
 
     Leasehold
improvements
     TMS devices      Total  
Cost
        
Balance, December 31, 2023
   $ 359,662      $ 6,427,908      $ 6,787,570  
Additions
     —         699,903        699,903  
Asset Disposal
     (8,950      (80,000      (88,950
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 350,712      $ 7,047,811      $ 7,398,523  
  
 
 
    
 
 
    
 
 
 
Accumulated depreciation
        
Balance, December 31, 2023
   $ 156,540      $ 1,837,051      $ 1,993,591  
Depreciation
     46,078        722,369        768,447  
Asset Disposal
     (8,950      (80,000      (88,950
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 193,668      $ 2,479,420      $ 2,673,088  
  
 
 
    
 
 
    
 
 
 
Net book value
        
Balance, December 31, 2023
   $ 203,122      $ 4,590,857      $ 4,793,979  
Balance, September 30, 2024
     157,044        4,568,391        4,725,435  
v3.25.0.1
Intangible assets
9 Months Ended
Sep. 30, 2024
Intangible assets  
Intangible assets
6.
Intangible assets:
 
     Management
service agreement
     Covenant not
to compete
     Total  
Cost
        
Balance, December 31, 2023
   $ 2,792,178      $ 355,238      $ 3,147,416  
Additions
     —         —         —   
Asset Disposal
     —         (355,238      (355,238
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 2,792,178      $ —       $ 2,792,178  
  
 
 
    
 
 
    
 
 
 
Accumulated amortization
        
Balance, December 31, 2023
   $ 2,176,641      $ 348,718      $ 2,525,359  
Amortization
     43,000        6,520        49,520  
Asset Disposal
     —         (355,238      (355,238
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 2,219,641      $ —       $ 2,219,641  
  
 
 
    
 
 
    
 
 
 
Net book value
        
Balance, December 31, 2023
   $ 615,537      $ 6,520      $ 622,057  
Balance, September 30, 2024
     572,537        —         572,537  
v3.25.0.1
Right-of-use assets and lease liabilities
9 Months Ended
Sep. 30, 2024
Right-of-use assets and lease liabilities  
Right-of-use assets and lease liabilities
7.
Right-of-use
assets and lease liabilities:
The Company enters into lease agreements related to TMS devices and mental health treatment centers (“Treatment Centers”). These lease agreements range from one year to seven years in length.
Right-of-use
assets are initially measured at cost, which is comprised of the initial amount of the lease liability adjusted for any lease payments made at or before the commencement date, plus any initial direct costs incurred.
Lease liabilities have been measured by discounting future lease payments using a rate implicit in the lease or the Company’s incremental borrowing rate. The Company’s incremental borrowing rate during the period ended September 30, 2024 is 14.5% (December 31, 2023 – 14.5%).
 
  (a)
Finance leases:
Finance leases include lease agreements relating to TMS devices.
 
     September 30,
2024
 
Finance
right-of-use
assets, beginning of the period
   $ 2,140,338  
Impact of lease additions, disposals and/or modifications
     —   
Exercise of
buy-out
options into property, plant and equipment
     (699,903
Depreciation on
right-of-use
assets
     (163,614
  
 
 
 
Finance
right-of-use
assets, end of the period
   $ 1,276,821  
  
 
 
 
     September 30,
2024
 
Finance lease liabilities, beginning of the period
   $ 857,837  
Impact of lease additions, disposals and/or modifications
     10,601  
Interest expense on lease liabilities
     48,749  
Payments of lease liabilities
     (541,492
  
 
 
 
Finance lease liabilities, end of the period
   $ 375,695  
  
 
 
 
Less current portion of finance lease liabilities
     355,161  
  
 
 
 
Long term portion of finance lease liabilities
   $ 20,534  
  
 
 
 
 
  (b)
Operating leases:
Operating leases include lease agreements relating to Treatment Centers.
 
     September 30,
2024
 
Operating
right-of-use
assets, beginning of the period
   $ 28,887,905  
Impact of lease additions, disposals and/or modifications
     (2,125,346
Right-of-use
asset lease expense
     (3,104,371
  
 
 
 
Operating
right-of-use
assets, end of the period
   $ 23,658,188  
  
 
 
 
     September 30,
2024
 
Operating lease liabilities, beginning of the period
   $ 30,398,566  
Impact of lease additions, disposals and/or modifications
     (2,180,550
Lease liability expense
     2,389,817  
Payments of lease liabilities
     (5,425,421
  
 
 
 
Operating lease liabilities, end of the period
     25,182,412  
  
 
 
 
Less current portion of operating lease liabilities
     4,043,583  
  
 
 
 
Long term portion of operating lease liabilities
   $ 21,138,829  
  
 
 
 
v3.25.0.1
Accounts payable and accrued liabilities
9 Months Ended
Sep. 30, 2024
Accounts payable and accrued liabilities  
Accounts payable and accrued liabilities
8.
Accounts payable and accrued liabilities:
The accounts payable and accrued liabilities are as follows:
 
     September 30,
2024
     December 31,
2023
 
Accounts payable
   $ 10,563,496      $ 9,050,616  
Accrued liabilities
     4,385,207        4,651,014  
  
 
 
    
 
 
 
Total
   $ 14,948,703      $ 13,701,630  
  
 
 
    
 
 
 
v3.25.0.1
Loans payable
9 Months Ended
Sep. 30, 2024
Loans payable.  
Loans payable
9.
Loans payable:
 
  (a)
Borrowings:
 
     TMS
device
loans (i)
     Credit
Facility (ii)
     Promissory
notes (iii)
     Neuronetics
Note (iv)
     Total  
Short Term
   $ 6,696     
—       $ 7,412,790      $ 4,000,000      $ 11,419,486  
Long Term
     —         131,595,084        178,981        —         131,774,065  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Total, net
   $ 6,696      $ 131,595,084      $ 7,591,771      $ 4,000,000      $ 143,193,551  
Unamortized capitalized financing costs
     —         2,907,505        151,081        —         3,058,586  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Total, September 30, 2024
   $ 6,696      $ 134,502,589      $ 7,742,852      $ 4,000,000      $ 146,252,137  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
 
  (i)
TMS Device loans:
During the year ended December 31, 2022, the Company assumed loans as part of the Success TMS Acquisition (as defined below) from three separate financing companies for the purchase of TMS devices. These TMS device loans bear an average interest rate of 9.3% with average monthly blended interest and capital payments of $1,538 and matured or mature, as applicable, during the years ended or ending, as applicable, December 31, 2023 to December 31, 2025. There are no covenants associated with these loans.
During the nine months ended September 30, 2024, the Company repaid TMS device loans totalling $52,265 (nine months ended September 30, 2023 – $122,010).
 
  (ii)
Credit Facility:
On July 14, 2022, the Company entered into the Madryn Credit Agreement in respect of the Madryn Credit Facility. The Madryn Credit Facility provided the Company with a $55,000,000 term loan (the “Existing Loan”) that was funded at closing on July 14, 2022, with an option to draw up to an additional $20,000,000 in a single draw at any time on or prior to December 31, 2024 for the purposes of funding future mergers and acquisition activity. As at December 31, 2022, all amounts borrowed under the Madryn Credit Facility bore interest at a rate equal to the three-month London Interbank Offered Rate (“LIBOR”) plus 9.0%, subject to a minimum three-month LIBOR floor of 1.5%. The Madryn Credit Facility matures over 63 months and provides for four years of interest-only payments. The initial principal balance of $55,000,000 is due in five equal 3 month installments beginning on September 30, 2026. The Company has granted general security over all assets of the Company in connection with the performance and prompt payment of all obligations of the Madryn Credit Facility.
 
 
On February 1, February 21, March 20, March 24, August 1, September 15, October 19, November 2, November 15, December 5, December 14, and December 28, 2023, and January 19, February 5, February 15, March 1, March 15, March 29, April 15, May 1, May 15, June 4, June 25, June 27, July 18, August 2, August 19, September 5 and September 19, 2024, the Company entered into amendments to the Madryn Credit Facility, whereby Madryn extended an aggregate total of
twenty-nine
additional tranches of debt financing to the Company in an aggregate principal amount of $62,949,913, each of which were fully funded at closing of the applicable tranche (the “New Loans”). The terms and conditions of the New Loans are consistent with the terms and conditions of the Existing Loan. Subsequent to September 30, 2024, the Company entered into two additional amendments on October 3 and October 15, 2024. See note 25.
In addition, the Madryn Credit Facility was amended on February 21, 2023 to provide that, commencing March 31, 2023, all advances under the Madryn Credit Facility (including the New Loans) will cease to accrue interest using the LIBOR benchmark and instead will accrue interest at a rate equal to 9.0% plus the
3-month
Term Secured Overnight Financing Rate (“SOFR”) benchmark (subject to a floor of 1.5%) plus 0.10%.
On September 19, 2024, the Madryn Credit Facility was amended to provide that the interest rate for any interest period occurring after September 19, 2024 shall be 0.0% per annum.
The carrying amount of the Madryn Credit Facility as at September 30, 2024 is $131,595,084 (December 31, 2023 – $83,943,636). Interest expense for the three and nine months ended September 30, 2024 were $4,433,190 and $12,241,287, respectively (three and nine months ended September 30, 2023 – $2,542,545 and $7,169,931, respectively). Financing costs of $4,565,584 were incurred and are deferred over the term of the Madryn Credit Facility, of which $733,275 was incurred during the nine months ended September 30, 2024 associated with the various amendments. Amortization of deferred financing costs for the three and nine months ended September 30, 2024 were $270,981 and $705,889, respectively (three and nine months ended September 30, 2023 – $174,838 and $493,004, respectively) at an effective interest rate of 0.86% (December 31, 2023 – 1.01%) and were included in interest expense.
 
In accordance with the terms of the Madryn Credit Agreement, the Company has issued conversion instruments (each, a “Madryn Conversion Instrument”) to Madryn and certain of its affiliated entities that provide the holders thereof with the option to convert up to $5,000,000 of the outstanding principal amount of the Madryn Credit Facility into Common Shares at a price per share equal to $1.90, subject to customary anti-dilution adjustments. The New Loans provide the holders with the option to convert up to $2,430,149 of the outstanding principal amount of the New Loans into Common Shares at a price per share equal to $1.90, subject to customary anti-dilution adjustments. The instrument is convertible into up to 3,910,604 Common Shares. The conversion instruments have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.
The terms of the Madryn Credit Agreement require the Company to satisfy various affirmative and negative covenants and to meet certain financial tests, including but not limited to, consolidated minimum revenue and minimum liquidity covenants. In addition, the Madryn Credit Agreement contains affirmative and negative covenants that limit, among other things, the Company’s ability to incur additional indebtedness outside of what is permitted under the Madryn Credit Agreement, create certain liens on assets, declare dividends and engage in certain types of transactions. The Madryn Credit Agreement also includes customary events of default, including payment and covenant breaches, bankruptcy events and the occurrence of a change of control. The Madryn Credit Facility also requires the Company to deliver to Madryn annual audited financial statements that do not contain any “going concern” note, however, the Company has obtained waivers from Madryn with respect to such obligation for fiscal 2023.
On June 14, 2023, the Company received a waiver from Madryn under the Madryn Credit Agreement to temporarily reduce the Company’s minimum liquidity covenant until June 30, 2023. As consideration for the waiver, Madryn received an amendment fee in the amount of $1,000,000, which was
paid-in-kind
by adding the amount to the outstanding principal balance of the loan and was recorded in corporate, general and administrative expenses. On August 1, 2023, the Company amended the Madryn Credit Agreement to convert the June 30, 2023 cash interest payment into
paid-in-kind
interest. During the nine months ended September 30, 2024, the Company amended the Madryn Credit Agreement to convert the March 31, 2024 and June 30, 2024 cash interest payments into
paid-in-kind
interest. Additionally, the Company amended the Madryn Credit Agreement on September 19, 2024 to defer the September 30, 2024 cash interest payment to a later date, to be determined by the Company and Madryn.
 
On February 21, March 20, June 14, July 3, July 14, August 1, August 14, September 15, September 29, October 12, November 15 and December 14, 2023, and January 19, February 15, March 15, March 28, May 1, June 4, June 25, July 18, August 2, September 5, October 3, October 15, November 6 and November 27, 2024, the Company received waivers from Madryn with respect to the Company’s
non-compliance
with the minimum liquidity covenant. As at September 30, 2024, the Company was in compliance with the financial covenants under the Madryn Credit Agreement. In addition, the Company also received a waiver relating to the requirement to deliver financial statements within 90 days of 2023 fiscal year end until April 26, 2024, and audited financial statements for such fiscal year, accompanied by a report and opinion of an independent certified public accountant which is not subject to any “going concern” or like qualification or exception or any qualification or exception as to the scope of such audit.
Pursuant to the 2023 Private Placement completed on March 23, 2023, Madryn is also a shareholder of the Company.
Pursuant to the Arrangement Agreement entered into on August 12, 2024, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility into Common Shares, prior to the effective date of the Neuronetics Transaction. See note 14 and note 25
 
  (iii)
Promissory notes:
On July 14, 2022, the Company assumed two promissory notes in connection with the acquisition of Check Five LLC, a Delaware limited liability company (doing business as “Success TMS”) (the “Success TMS Acquisition”) totaling $200,000. These promissory notes bear interest at a rate of 5% per annum and have a maturity date of December 31, 2025. Upon acquisition, these two promissory notes were fair valued using an interest rate of 12%.
 
On February 3, 2023, the Company issued additional promissory notes to certain officers of the Company, in the aggregate amount of $60,000. These promissory notes, along with the $690,000 issued to shareholders (see note 10(b)) on February 3, 2023, total $750,000 (the “February 2023 Notes”). The February 2023 Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid. On August 28, 2023, the total $60,000 par value of the February 2023 Notes issued to certain officers of the Company were subsequently exchanged for Subordinated Convertible Notes.
On August 15, August 28, September 1, September 25, September 26, September 27, September 29, October 3, October 12 and October 13, 2023, the Company issued subordinated convertible promissory notes (the “Subordinated Convertible Notes”) to Madryn, certain officers of the Company and various investors in an aggregate amount of $6,505,000 pursuant to a note purchase agreement (as amended or supplemented from time to time, the “Note Purchase Agreement”). All Subordinated Convertible Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of March 31, 2028, in the event of a change of control, acceleration of other indebtedness, or six months following repayment or refinancing of all loans under the Madryn Credit Facility.
In accordance with the terms of the Note Purchase Agreement, each holder of a Subordinated Convertible Note has the option to convert any amount up to the outstanding principal amount plus accrued interest into Common Shares at any time at the election of the holders of the Subordinated Convertible Notes or on a mandatory basis by all noteholders at the request of Madryn. The Subordinated Convertible Notes are convertible into Common Shares at a conversion price equal to the lesser of 85% of the closing price per Common Share on Nasdaq or any other market as of the closing date for such Subordinated Convertible Note, as adjusted from time to time, 85% of the
30-day
volume weighted average trading price of the Common Shares prior to conversion, or if the Common Shares are not listed on any of Nasdaq or another trading market at the time of conversion, a per share price equal to 85% of the fair market value per Common Share as of such date, provided that, in any event, the conversion price shall not be lower than $0.078 and no more than 200,000,000 total Common Shares can be issued upon conversion. The conversion price is also subject to anti-dilution adjustments. The Subordinated Convertible Notes have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.
In connection with the issuance of the Subordinated Convertible Notes, the Company concurrently entered into amendments to the Madryn Credit Agreement and the Neuronetics Note (as defined below), pursuant to which the Company is permitted to incur the indebtedness under the Subordinated Convertible Notes.
 

Financing costs of $184,755 were incurred and are deferred over the term of the Subordinated Convertible Notes. Amortization of deferred financing costs for the three and nine months ended September 30, 2024 was $8,160 and $23,331, respectively (three and nine months ended September 30, 2023 – $10,034 and $10,034, respectively) and were included in interest expense.
The carrying value of all promissory notes referenced in note 9(a)(iii) as at September 30, 2024 is $7,591,771 (December 31, 2023 – $6,796,861). Interest expense for the three and nine months ended September 30, 2024 was $272,687 and $794,911, respectively (three and nine months ended September 30, 2023 – $56,354 and $70,107, respectively). During the three and nine months ended September 30, 2024, the Company repaid promissory notes totalling nil and nil, respectively (three and nine months ended September 30, 2023 – nil and nil, respectively).
On October 3, 2024, all outstanding Subordinated Convertible Notes were converted into an aggregate of 134,667,522 Common Shares at a conversion price of $0.078 per Common Share, following the receipt of a conversion notice from Madryn. As part of the conversion, all interest accrued on the Subordinated Convertible Notes held by Madryn was waived. As at September 30, 2024, the total amount outstanding under the Subordinated Convertible Notes is recognized as a current liability due to the conversion on October 3, 2024. See note 14 and note 25.
 
  (iv)
Neuronetics Note:
On March 31, 2023, the Company entered into an agreement with Neuronetics to convert the Company’s outstanding account balance payable to Neuronetics of $5,883,644, together with Neuronetics’
out-of-pocket
financing costs, into a $6,000,000 secured promissory note (the “Neuronetics Note”). All amounts borrowed under the Neuronetics Note will bear interest at a rate of SOFR plus 7.65%.
Pursuant to the terms of the Neuronetics Note, in the event of default under the Neuronetics Note, the Company will be required to issue common share purchase warrants (the “Neuronetics Warrants”) to Neuronetics equal to (i) 200% of the unpaid amount of any delinquent amount or payment due and payable under the Neuronetics Note, together with all outstanding and unpaid accrued interest, fees, charges and
costs, divided by (ii) the exercise price of the Neuronetics Warrants, which will represent a 20% discount to the
30-day
volume-weighted average closing price of the Company’s Common Shares quoted on OTCQB Market prior to the date of issuance. Under the Neuronetics Note, the Company has granted Neuronetics a security interest in all of the Company’s assets.
In connection with the entry into the Neuronetics Note, the Company concurrently entered into an amendment to the Madryn Credit Agreement pursuant to which the Company is permitted to incur the indebtedness under the Neuronetics Note.
The carrying value of the Neuronetics Note as at September 30, 2024 is $4,000,000 (December 31, 2023 – $5,200,000). Interest expense for the three and nine months ended September 30, 2024 was $137,372 and $451,907, respectively (three and nine months ended September 30, 2023 – $188,889 and $378,964, respectively). During the three and nine months ended September 30, 2024, the Company repaid a total of $537,372 and $1,651,907, respectively of the Neuronetics Note (three and nine months ended September 30, 2023 – $533,333 and $533,333, respectively).
On August 12, 2024, the Company entered into the Arrangement Agreement with Neuronetics, pursuant to which Neuronetics will acquire all of the outstanding Common Shares of the Company in an
all-stock
transaction. On December 10, 2024, the Neuronetics Transaction closing was announced with an effective date of December 9, 2024. See note 14 and note 25.
 
  (b)
Non-controlling
interest loans:
 
     September 30,
2024
     December 31,
2023
 
Non-controlling
interest loans
   $ 58,074      $ 63,174  
The
non-controlling
interest holder partners of the Company, from time to time, provide additional capital contributions in the form of capital loans to the Company’s subsidiaries. These loans bear interest at a rate of 10%, compounded on a monthly basis. The loans are unsecured and are repayable subject to certain liquidity and solvency requirements and are classified as current liabilities.
v3.25.0.1
Shareholder loans
9 Months Ended
Sep. 30, 2024
Shareholder loans  
Shareholder loans
10.
Shareholder loans:
 
  (a)
February 2023 Notes, February 2023 Greybrook Note and August 2023 Greybrook Note:
On February 3, 2023, the Company issued the February 2023 Notes to certain shareholders of the Company in an aggregate amount of $690,000. The February 2023 Notes bear interest at a rate consistent with the Madryn Credit Facility and mature on the earlier of September 30, 2027, at the election of the noteholders upon a change of control, upon the occurrence of an event of default and acceleration by the noteholders, or the date on which the loans under the Madryn Credit Facility are repaid.
On February 28, 2023, the Company issued a promissory note to Greybrook Health, who is a significant shareholder of the Company (the “February 2023 Greybrook Note”). The February 2023 Greybrook Note totals $1,000,000 and bears interest at a rate consistent with the Madryn Credit Facility and matures on the earlier of September 30, 2027, at the election of the noteholder upon a change of control, upon the occurrence of an event of default and acceleration by the noteholder, or the date on which the loans under the Madryn Credit Facility are repaid. In conjunction with the issuance of the February 2023 Greybrook Note, the Company granted Greybrook Health an option to convert up to $1,000,000 of the outstanding principal amount of the February 2023 Greybrook Note into Common Shares at a conversion price per share equal to 85.0% of the volume-weighted average trading price of the Common Shares on the Nasdaq for the five trading days immediately preceding the date of conversion, subject to customary anti-dilution adjustments and conversion limitations required by Nasdaq. The conversion instruments have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability. This conversion instrument was terminated on August 28, 2023 in connection with the exchange of the February 2023 Greybrook Note into Subordinated Convertible Notes. As additional consideration for the February 2023 Greybrook Note, the Company issued 135,870 common share purchase warrants to Greybrook Health (the “February 2023 Greybrook Warrants”), each exercisable for one Common Share at an exercise price of $1.84 per Common Share, subject to customary anti-dilution adjustments, expiring on February 28, 2028. There is a cashless exercise feature associated with the February 2023 Greybrook Warrants available to Greybrook Health.
On February 28, 2023, the fair value of the February 2023 Greybrook Warrants at grant date was $63,587. Per ASC 815, the February 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification. The warrants are initially recognized according to their relative fair value as compared to the host financial liability. The relative fair value of the February 2023 Greybrook Warrants on the date of inception has been deducted from the carrying value of the February 2023 Greybrook Note as a financing cost. See note 15(b).
 
On August 1, 2023, the Company issued an additional promissory note to Greybrook Health (the “August 2023 Greybrook Note”). The August 2023 Greybrook Note totals $1,000,000 and bears interest at a rate consistent with the Madryn Credit Facility and matures on the earlier of September 30, 2027, at the election of the noteholder upon a change of control, upon the occurrence of an event of default and acceleration by the noteholder, or the date on which the loans under the Madryn Credit Facility are repaid. In conjunction with the issuance of the August 2023 Greybrook Note, the Company granted Greybrook Health 250,000 common share purchase warrants, exercisable at 85% of the volume weighted average trading price of the Common Shares on the Nasdaq for the five trading days immediately preceding the exercise date, or if the Common Shares are not listed on any trading market at the time of exercise, a per share price based on fair market value, as determined by the board of directors of the Company (the “Board”), subject to customary anti-dilution adjustments, expiring on August 1, 2028 (the “August 2023 Greybrook Warrants” and, together with the February 2023 Greybrook Warrants, the “Greybrook Warrants”). See note 15(b).
On August 1, 2023, the fair value of the August 2023 Greybrook Warrants at grant date was $19,728. Per ASC 815, the August 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification. The warrants are initially recognized according to their relative fair value as compared to the host financial liability. The relative fair value of the August 2023 Greybrook Warrants on the date of inception has been deducted from the carrying value of the August 2023 Greybrook Note as a financing cost. See note 15(b).
Financing costs of $109,132 were incurred and are deferred over the term of the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note. Amortization of deferred financing costs and deferred losses for the three and nine months ended September 30, 2024 were nil and nil, respectively (three and nine months ended September 30, 2023 – $3,982 and $7,656, respectively) and were included in interest expense. On August 28, 2023, the February 2023 Notes, February 2023 Greybrook Note and August 2023 Greybrook Note were exchanged into Subordinated Convertible Notes. All unamortized financing costs and deferred losses were immediately expensed and interest accrued was forfeited upon exchange. A gain of $39,822 on loan extinguishment was recognized in equity in contributed surplus for the extinguishment of the February 2023 Notes, February 2023 Greybrook Note and August 2023 Greybrook Note as they resulted from a transaction with the owners in their capacity as the owners.
 
 
The carrying value of the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note as at September 30, 2024 is nil (December 31, 2023 – nil). Interest expense for the three and nine months ended September 30, 2024 were nil and nil, respectively (three and nine months ended September 30, 2023 – $160,940 and $377,088, respectively).
 
  (b)
Subordinated Convertible Notes:
On August 15, 2023, the Company issued Subordinated Convertible Notes to certain shareholders of the Company in an aggregate amount of $500,000, and on August 28, 2023, exchanged $3,690,000 of the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note for Subordinated Convertible Notes. The Subordinated Convertible Notes bear interest at a rate consistent with the Madryn Credit Facility, are convertible into Common Shares pursuant to the terms of the Note Purchase Agreement and mature on the earlier of March 31, 2028, in the event of a change of control, acceleration of other indebtedness, or six months following repayment or refinancing of all loans under the Madryn Credit Facility. The conversion feature associated with the Subordinated Convertible Notes have been recorded utilizing the no proceeds allocated method, which results in all proceeds allocated to the financial liability.
In connection with the issuance of the Subordinated Convertible Notes, the Company concurrently entered into amendments to the Madryn Credit Agreement and the Neuronetics Note, pursuant to which the Company is permitted to incur the indebtedness under the Subordinated Convertible Notes.
Financing costs of $42,105 were incurred and are deferred over the term of the Subordinated Convertible Notes. Amortization of deferred financing costs for the three and nine months ended September 30, 2024 were $1,860 and $5,321, respectively (three and nine months ended September 30, 2023 – $803 and $803, respectively) and were included in interest expense.
The carrying value of the Subordinated Convertible Notes as at September 30, 2024 is $3,690,568 (December 31, 2023 – $3,312,641).
 
 
Interest expense for the three and nine months ended September 30, 2024 were $129,600 and $377,927, respectively (three and nine months ended September 30, 2023 – $44,282 and $44,282, respectively). During the three and nine months ended September 30, 2024, the Company repaid nil and nil of the Subordinated Convertible Notes, respectively (three and nine months ended September 30, 2023 – nil and nil, respectively).
On October 3, 2024, all outstanding Subordinated Convertible Notes were converted into an aggregate of 134,667,522 Common Shares at a conversion price of $0.078 per Common Share, following the receipt of a conversion notice from Madryn. As at September 30, 2024, the total amount outstanding under the Subordinated Convertible Notes is recognized as a current liability due to the conversion on October 3, 2024. See note 14 and note 25.
v3.25.0.1
Other payables
9 Months Ended
Sep. 30, 2024
Other Liabilities Disclosure [Abstract]  
Other payables
11.
Other payables:
 
  (a)
Lender warrants:
 
     September 30,
2024
     December 31,
2023
 
Lender warrants
   $ —       $ —   
On December 31, 2020, as consideration for providing a credit and security agreement (the “Oxford Credit Facility”), the Company issued 51,307 common share purchase warrants to Oxford Finance LLC, each exercisable for one Common Share at an exercise price of C$11.20 per Common Share, expiring on December 31, 2025 (the “Oxford Warrants”).
As the exercise price is denoted in a different currency than the Company’s functional currency, the Oxford Warrants are recorded as a financial liability on the condensed interim consolidated balance sheets. As at September 30, 2024, the value of the Oxford Warrants was
nil
(December 31, 2023 –
nil
).
The change in fair value of the Oxford Warrants during the three and nine months ended September 30, 2024 was nil and nil, respectively (three and nine months ended September 30, 2023 – decrease of nil and $6,567, respectively) and was recorded in corporate, general and administrative expenses.
 
 
Under the terms of the Arrangement Agreement, each Oxford Warrant (whether vested or unvested) outstanding immediately prior to the closing time of the Neuronetics Transaction (the “Effective Time”) will be, and will be deemed to be, surrendered for cancellation and transferred to the Company in consideration for the issuance by the Company of that number of Common Shares (‘‘Net Warrant Surrender Shares’’), if any, equal to, rounded down to the nearest whole share: (i) the number of Common Shares subject to such Oxford Warrant immediately prior to the Effective Time minus (ii) the number of Common Shares that, when multiplied by the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time, is equal to the aggregate exercise price of such Oxford Warrant (and in the event that such number of Common Shares is negative, it will be deemed to be zero), and the holder of the Oxford Warrant will be and will be deemed to be the holder of such number of Net Warrant Surrender Shares.
 
  (b)
Deferred share units:
 
     September 30,
2024
     December 31,
2023
 
Deferred share units
   $ 43,460      $ 376,565  
On May 6, 2021, the Company adopted a deferred share unit plan (the “DSU Plan”) for
non-employee
directors (each, a
“Non-Employee
Director”). Each
Non-Employee
Director is required to take at least 50% of their annual retainer (other than annual committee chair retainers) in deferred share units (“DSUs”) and may elect to take additional amounts in the form of DSUs. Discretionary DSUs may also be granted to
Non-Employee
Directors under the DSU Plan. The DSUs granted vest immediately.
Following a
Non-Employee
Director ceasing to hold all positions with the Company, the
Non-Employee
Director will receive a payment in cash equal to the fair market value of the Common Shares represented by the
Non-Employee
Director’s DSUs generally within
ten
days
of the
Non-Employee
Director’s elected redemption date.
As the DSUs are cash-settled, the DSUs are recorded as cash-settled share-based payments and a financial liability has been recognized on the condensed interim consolidated balance sheets. During the three and nine months ended September 30, 2024, nil and 2,588,746 DSUs were granted, respectively (three and nine months ended September 30, 2023 – 469,384 and 874,601, respectively). As at September 30, 2024, the value of the financial liability attributable to the DSUs was $43,460 (December 31, 2023 – $376,565). For
 
the three and nine months ended September 30, 2024, the Company recognized a recovery of $306,856 and $333,105, respectively (three and nine months ended September 30, 2023 – recovery of $151,084 and $273,938, respectively) in corporate, general and administrative expenses related to the DSUs.
In accordance with the Arrangement Agreement, each DSU, whether vested or unvested, outstanding immediately prior to the Effective Time will be deemed to be unconditionally fully vested, and thereafter such DSU will, without any further action by or on behalf of the holder of such DSU, be deemed to be assigned and transferred by such holder to the Company and will immediately be cancelled in exchange for: (i) if the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time (the “Effective Date Market Price”’) is less than or equal to $0.0846
(the ‘‘Minimum Price’’), a cash payment equal to the Effective Date Market Price; and (ii) if the Effective Date Market Price is greater than the Minimum Price, at the election of Neuronetics, either (A) a cash payment equal to the Effective Date Market Price, or (B) such number of shares of common stock of Neuronetics (“Neuronetics Shares”) equal to the Effective Date Market Price divided by the closing price of a Neuronetics Share on Nasdaq on the trading day immediately preceding the Effective Date, less any applicable withholdings.
 
  (c)
Performance share units:
 
    
September 30,
2024
    
December 31,
2023
 
Performance share units
   $ —       $ 1,047  
On May 6, 2021, the Company’s Equity Incentive Plan was amended and restated to permit the Company to grant performance share units (“PSUs”) and restricted share units (“RSUs”), in addition to stock options. Under the Equity Incentive Plan, the Company pays equity instruments of the Company, or a cash payment equal to the fair market value thereof, as consideration in exchange for employee and similar services provided to the Company. The Equity Incentive Plan is open to employees, directors, officers and consultants of the Company and its affiliates; however,
Non-Employee
Directors are not entitled to receive grants of PSUs.
 
 
On August 5, 2021, 38,647 PSUs were granted under the Equity Incentive Plan. The performance period in respect of this award was August 5, 2021 to December 31, 2023. The PSUs vested on December 31, 2023 (the “Vesting Date”). Pursuant to the grant agreement, upon satisfaction of the performance vesting conditions, the PSUs were settled in cash.
The Company finalized that 3,865 PSUs vested on the Vesting Date.
As at September 30, 2024, the value of the financial liability attributable to the PSUs is nil (December 31, 2023 – $1,047).
As at September 30, 2024, the Company has not issued any RSUs under the Equity Incentive Plan (December 31, 2023 – nil).
The change in fair value of the PSUs during the three and nine months ended September 30, 2024 was a decrease of nil and $1,047, respectively (three and nine months ended September 30, 2023 – a decrease of $1,507 and $43,748, respectively) and was recorded in corporate, general and administrative expenses.
 
  (d)
Device contract termination:
 
     September 30,
2024
     December 31,
2023
 
Device contract termination
   $ —       $ 3,750,000  
On August 21, 2023, the Company entered into a settlement and mutual release agreement with a TMS device manufacturer for the termination of TMS device contracts. In accordance with the terms of the settlement, the Company recognized an amount payable of $6,600,000, due in equal instalments over 44 weeks. As a result of the settlement and mutual release agreement, the Company recognised a gain on extinguishment of liabilities totalling $2,030,635, offset by a loss on impairment of
right-of-use
assets totalling $5,211,751 resulting in a net loss on device contract termination of $3,181,116. Pursuant to the terms of the mutual release, in the event of default, interest will accrue at a rate of 6% per annum on any unpaid portion. During the three and nine months ended September 30, 2024, a loss of nil and nil, respectively on the settlement was recognized in the condensed interim consolidated statements of net loss and comprehensive loss, respectively (three and nine months ended September 30, 2023 – $3,181,116 and $3,181,116, respectively).
 
 
 
  (e)
Klein Note settlement:
 
     September 30,
2024
     December 31,
2023
 
Klein Note settlement
   $ —       $ 1,603,169  
On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation of Success TMS to repay a promissory note (the “Klein Note”) to Benjamin Klein, who was a significant shareholder of the Company, totalling $2,090,264.
On November 20, 2023, the Company entered into a settlement agreement in respect of the Klein Note. In accordance with the terms of the settlement, the Company was required to make payments totalling $2,228,169, structured as an initial immediate payment of $250,000, weekly payments of $75,000 thereafter up to and until the May 1, 2024 maturity date of the promissory note, upon which the balance owing became due. In accordance with the terms of the settlement, the Klein Note was fully repaid on May 1, 2024.
 
  (f)
PA Settlement Agreement:
 
     September 30,
2024
     December 31,
2023
 
PA Settlement Agreement
   $ 533,333      $ —   
On May 24, 2023, Success TMS and its direct and indirect owners, including Benjamin Klein filed a complaint in the Superior Court of the State of Delaware against the Company and certain executive officers of the Company, and subsequently filed a first amended complaint on August 31, 2023 (the “Delaware Complaint”), concerning alleged disputes arising out of the Success TMS Acquisition.
On August 9, 2024, the Company entered into a settlement agreement and release (the “PA Settlement Agreement”) with Benjamin Klein, Success Behavioral Holdings, LLC, Theragroup LLC, Batya Klein (collectively, the “Plaintiffs”) and The Bereke Trust U/T/A dated 2/10/03 to fully settle the Delaware Complaint (the “Settlement”).
 
Pursuant to the PA Settlement Agreement and in full satisfaction of the claims, the Company has agreed to (i) pay the Plaintiffs a cash settlement amount equal to $800,000, comprised of a $200,000
up-front
payment followed by equal monthly installments of approximately $67,000, (ii) the entry into an assignment and assumption agreement effectively providing for the transfer to Benjamin Klein of the Company’s 12 Treatment Center locations in the State of New Jersey, and (iii) payment of certain payroll taxes owing in the amount of approximately $110,000, plus interest and penalties owing thereon. The Settlement closed on August 15, 2024.
In conjunction with the Settlement, Benjamin Klein relinquished to the Company all of the 11,634,660 Common Shares (the “Klein Shares”) beneficially owned, controlled or directed, directly or indirectly, by Benjamin Klein that were issued in connection with the Success TMS Acquisition in July 2022 (which includes 2,908,665 Common Shares that were held in escrow and were released back to the Company). The Klein Shares were returned to treasury for cancellation.
 
  (g)
Neuronetics Transaction Costs:
 
     September 30,
2024
     December 31,
2023
 
Neuronetics Transaction Costs
   $ 1,370,602      $ —   
It has been agreed between the parties to the Arrangement Agreement that certain transaction costs incurred by the Company in connection with the Neuronetics Transaction (the “Neuronetics Transaction Costs”) will be assumed and paid by Neuronetics on closing of the Neuronetics Transaction. The Neuronetics Transaction Costs include, without limitation, fees and expenses of financial advisors, any amount paid to current or purported finders, advisors or dealers, legal advisors, auditors, or other professional consultants, and printing, mailing, transfer agent and depositary and other costs and expenses relating to the special meeting of the Company’s shareholders, required to be called and held in accordance with the Arrangement Agreement. See note 14.
As of September 30, 2024, the Neuronetics Transaction Costs were $1,370,602 (December 31, 2023 – nil).
 
v3.25.0.1
Deferred and contingent consideration
9 Months Ended
Sep. 30, 2024
Deferred and contingent consideration  
Deferred and contingent consideration
12.
Deferred and contingent consideration:
 
 
     September 30,
2024
     December 31,
2023
 
Deferred and contingent consideration
   $ 1,000,000      $ 1,000,000  
The deferred and contingent consideration payable balance related to the acquisition of Achieve TMS East, LLC and Achieve TMS Central, LLC (the “Achieve TMS East/Central Acquisition”) as at December 31, 2021 was $1,250,000, made up of an estimated nil
earn-out
payable and $1,250,000 in restricted cash that was held in an escrow account, subject to finalization of the escrow conditions. During the year ended December 31, 2022, $250,000 of the restricted cash held in escrow was released to the vendors in accordance with the terms of the agreement.
As at September 30, 2024, the deferred and contingent consideration in relation to the Achieve TMS East/Central Acquisition was $1,000,000 (December 31, 2023 – $1,000,000).
v3.25.0.1
Advance for research collaboration
9 Months Ended
Sep. 30, 2024
Advance for research collaboration.  
Advance for research collaboration
13.
Advance for research collaboration:
 
     September 30,
2024
     December 31,
2023
 
Advance for research collaboration
   $ —       $ 1,300,000  
On December 29, 2023, the Company entered into a
three-year
research collaboration agreement with Compass Pathways plc, a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health to explore delivery models for investigational COMP360 psilocybin treatment (“COMP360”) upon regulatory approval by the U.S. Food and Drug Administration (“FDA”). The collaboration researches and investigates models for the delivery of scalable, commercial COMP360 within healthcare systems, assuming FDA approval.
The research collaboration agreement outlines a payout to the Company of $3,000,000 upon the completion of various milestones, with $1,300,000 received on signing. For the three and nine months ended September 30, 2024, the Company has recognized $200,000 and $1,500,000, respectively, in other revenue on the condensed interim consolidated statement of comprehensive loss (three and nine months ended September 30, 2023 – nil and nil, respectively). As at September 30, 2024, the Company has recorded nil in advance for research collaboration on the condensed interim consolidated balance sheet (December 31, 2023 – $1,300,000).
v3.25.0.1
Common shares
9 Months Ended
Sep. 30, 2024
Common shares  
Common shares
14.
Common shares:
The Company is authorized to issue an unlimited number of Common Shares and an unlimited number of preferred shares, issuable in series. As at September 30, 2024 and December 31, 2023, there were nil preferred shares issued and outstanding.
 
     Number      Total
amount
 
December 31, 2023
     42,774,011      $ 120,741,061  
Issuance of Common Shares – February 2024 Direct Offering
     2,828,249        495,649  
Surrender and Cancellation of Common Shares – PA Settlement Agreement
     (11,634,660      —   
  
 
 
    
 
 
 
September 30, 2024
     33,967,600      $ 121,236,710  
  
 
 
    
 
 
 
 
  (a)
February 2024 Direct Offering:
On February 26, 2024, the Company completed the February 2024 Direct Offering. Pursuant to the February 2024 Direct Offering, an aggregate of 2,828,249 Common Shares were issued at a price of $0.20 per Common Share, for aggregate gross proceeds to the Company of $565,649. The Company incurred financing costs of $70,000 which was recorded as a reduction in equity.
 
  (b)
PA Settlement Agreement:
On August 9, 2024, the Company entered into the PA Settlement Agreement. In conjunction with the PA Settlement Agreement, on August 15, 2024, Benjamin Klein relinquished to the Company all of the 11,634,660 Klein Shares that were issued in connection with the Success TMS Acquisition in July 2022. See note 11.
 
  (c)
Arrangement Agreement:
On August 12, 2024, the Company entered into the Arrangement Agreement with Neuronetics, in which Neuronetics will acquire all of the outstanding Common Shares of the Company in the Neuronetics Transaction. The Board of Directors of each of the Company and Neuronetics have unanimously approved the Neuronetics Transaction.
 
 
Under the terms of the Arrangement Agreement, the Company’s shareholders will receive a fraction of a share of Neuronetics common stock (each whole share of Neuronetics common stock, a “Neuronetics Share”) for each Common Share owned at the exchange ratio described below such that immediately following the closing of the Neuronetics Transaction, Neuronetics shareholders will own approximately 57% of the combined company, and the Company’s shareholders will own approximately 43% of the combined company, respectively, on a fully diluted basis. As of the date of the Arrangement Agreement, each Common Share is expected to be exchanged for 0.01149 Neuronetics Shares at the closing of the Neuronetics Transaction, subject to adjustment for any interim period funding by Madryn and other customary adjustments prior to the closing based on the terms of the Arrangement Agreement (the “Exchange Ratio”). An aggregate of 25,304,971 Neuronetics Shares will be issued to the Company’s shareholders in connection with the Neuronetics Transaction. The Neuronetics Transaction will be implemented by way of a court-approved plan of arrangement under the Business Corporations Act (Ontario). The Neuronetics Transaction will be implemented by way of a court-approved plan of arrangement under the
Business Corporations Act
(Ontario). The Neuronetics Transaction must be approved by the Ontario Superior Court of Justice (Commercial List) (the “Court”), which will consider the fairness and reasonableness of the Neuronetics Transaction to all of the Company’s shareholders. See note 25.
As part of the Neuronetics Transaction, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility and all of the Subordinated Convertible Notes (including notes held by Madryn and other third-parties, which are forced to convert as a result of Madryn’s election) into Common Shares prior to the effective date of the Neuronetics Transaction. As a result, subject to adjustment for any interim period funding by Madryn and other customary adjustments, Madryn will own 95.3% of the Common Shares immediately prior to closing and will receive 95.3% of the Neuronetics Shares being issued to the Company’s shareholders. See note 25.
The Neuronetics Transaction requires approval by (i) at least
66 2/3
% of the votes cast by the holders of Common Shares present in person or represented by proxy at a special meeting of the holders of the Common Shares called to consider the Neuronetics Transaction; and (ii) a simple majority of the votes cast by the holders of Common Shares present in person or represented by proxy, excluding Common Shares that are required to be excluded under Multilateral Instrument
61-101
Protection of Minority Security Holders in Special Transactions
(“MI
61-101”)
(including Common Shares held by Madryn and Bill Leonard, President and Chief Executive Officer). The Greenbrook Meeting was held on November 8, 2025. See note 25.
 
 
The Arrangement Agreement provides for mutual termination fees of $1,900,000 in the event the Neuronetics Transaction is terminated by either party in certain circumstances, including to enter into a superior proposal.
The combined company will continue to operate as Neuronetics, Inc., and trade under the ticker STIM on Nasdaq. In connection with closing of the Neuronetics Transaction, Neuronetics intends to cause the Common Shares to be delisted from the OTCQB Market and to cause the Company to submit an application to cease to be a reporting issuer under applicable Canadian securities laws.
Each of Neuronetics’ directors and certain members of the executive leadership team, as of August 12, 2024, who hold in the aggregate 1,680,718 Neuronetics Shares (representing approximately 5.55% of issued and outstanding Neuronetics Shares (on a fully-diluted basis)) have entered into voting support agreements agreeing to vote their stock in favor of the issuance of Neuronetics Shares in connection with the Neuronetics Transaction at a special meeting of Neuronetics stockholders (the “Neuronetics Meeting”) called for November 8, 2024 for such purpose. The Neuronetics Meeting was held on November 8, 2024. See note 25.
Key shareholders of the Company, including Madryn, Greybrook Health and 1315 Capital, and directors and certain members of the executive leadership team (collectively, the Greenbrook
Locked-Up
Shareholders”), who, as of August 12, 2024, held an aggregate of 16,536,208 Common Shares, representing approximately 48.7% of issued and outstanding Common Shares (on a
non-diluted
basis and following the cancellation of 11,634,660 outstanding Common Shares on August 15, 2024, as in accordance with the PA Settlement Agreement) entered into voting support agreements agreeing to vote their Common Shares in favor of the Neuronetics Transaction at the Greenbrook Meeting. Following the conversion of all outstanding Subordinated Convertible Notes on October 3, 2024, the
Locked-Up
Shareholders owned approximately 72.5% of the issued and outstanding Common Shares (on a
non-diluted
basis) all of which are entitled to be voted at the Greenbrook Meeting, except for those shareholders whose Common Shares are required to excluded under MI
61-101.
See note 25.
 
 
The Madryn voting agreement is terminable under certain specified circumstances including in the event of receipt of a superior proposal that satisfies a hurdle that represents a 20% premium to the value of the consideration payable under the Neuronetics Transaction and, concurrently therewith, the Arrangement Agreement is terminated for a superior proposal upon payment of a termination fee. The voting agreements entered into with other key shareholders of the Company are terminable under certain specified circumstances, including upon the termination of the Madryn voting agreement.
On December 10, 2024, the Neuronetics Transaction closing was announced. See note 25.
v3.25.0.1
Contributed surplus
9 Months Ended
Sep. 30, 2024
Contributed surplus  
Contributed surplus
15.
Contributed surplus:
Contributed surplus is comprised of share-based compensation and lender warrants.
 
  (a)
Share-based compensation - stock options
Stock options granted under the Equity Incentive Plan are equity-settled. The fair value of the grant of the options is recognized as an expense in the condensed interim consolidated statements of comprehensive loss. The total amount to be expensed is determined by the fair value of the options granted. The total expense is recognized over the vesting period which is the period over which all of the service vesting conditions are satisfied. The vesting period is determined at the discretion of the Board and has ranged from immediate vesting to over three years.
The maximum number of Common Shares reserved for issuance, in the aggregate, under the Equity Incentive Plan is 10% of the aggregate number of Common Shares outstanding, provided that the maximum number of RSUs and PSUs shall not exceed 5% of the aggregate number of Common Shares outstanding. As at September 30, 2024, this represented 3,396,760 Common Shares (December 31, 2023 – 4,277,401).
As at September 30, 2024, 2,219,500 stock options are outstanding (December 31, 2023 – 1,704,500). The stock options have an expiry date of ten years from the applicable date of issue. The Company has not issued any RSUs or equity-settled PSUs under the Equity Incentive Plan.
 
 
     September 30, 2024      December 31, 2023  
     Number of
stock
options
     Weighted
average
exercise
price
     Number of
stock
options
     Weighted
average
exercise
price
 
Outstanding, beginning of period
     1,704,500      $ 3.11        764,667      $ 8.15  
Granted
     575,000        0.10        1,313,000        0.63  
Forfeited
     (55,000      (0.75      (373,167      (4.71
Expired
     (5,000      (0.75      —         —   
  
 
 
    
 
 
    
 
 
    
 
 
 
Outstanding, end of period
     2,219,500      $ 2.39        1,704,500      $ 3.11  
  
 
 
    
 
 
    
 
 
    
 
 
 
The weighted average contractual life of the outstanding options as at September 30, 2024 was 7.71 years (December 31, 2023 – 7.89 years).
The total number of stock options exercisable as at September 30, 2024 was 1,277,749 (December 31, 2023 – 1,087,164).
During the three and nine months ended September 30, 2024, the Company recorded a total share-based compensation expense in respect of stock options of $51,923 and $111,110, respectively (three and nine months ended September 30, 2023 – $14,740 and $591,470, respectively).
As at September 30, 2024, the total compensation cost not yet recognized related to options granted is approximately $86,166 (December 31, 2023 – $183,312) and will be recognized over the remaining average vesting period of 1.10 years (December 31, 2023 – 1.03 years).
Under the terms of the Arrangement Agreement, each option (whether vested or unvested) outstanding immediately prior to the Effective Time will be, and will be deemed to be, surrendered for cancellation and transferred to the Company in consideration for the issuance by the Company of that number of Net Option Surrender Shares, if any, equal to, rounded down to the nearest whole share: (i) the number of Common Shares subject to such option immediately prior to the Effective Time minus (ii) the number of Common Shares that, when multiplied by the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time, is equal to the aggregate exercise price of such option (and in the event that such number of Common Shares is negative, it will be deemed to be zero), and the holder of the option will be and will be deemed to be the holder of such number of Net Option Surrender Shares.
 
 
  (b)
Greybrook Warrants
As consideration for the purchase of the February 2023 Greybrook Note, the Company issued 135,870 February 2023 Greybrook Warrants to Greybrook Health. Each February 2023 Greybrook Warrant is exercisable for one Common Share at an exercise price of $1.84, subject to customary anti-dilution adjustments. The February 2023 Greybrook Warrants will expire on February 28, 2028. Per ASC 815, the February 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification and therefore are included in contributed surplus. See note 10(a).
The fair value of the February 2023 Greybrook Warrants granted on February 28, 2023 was estimated to be $0.47 per warrant using the Black-Scholes option pricing model based on the following assumptions: volatility of 48.86% calculated based on a comparable company; remaining life of 5.0 years; expected dividend yield of 0%; forfeiture rate of 0% and an annual risk-free interest rate of 4.18%.
As consideration for the purchase of the August 2023 Greybrook Note issued on August 1, 2023, the Company issued 250,000 August 2023 Greybrook Warrants. Each August 2023 Greybrook Warrant is exercisable for one Common Share at an exercise price equal to 85% of the volume weighted average trading price of the Common Shares on the Nasdaq for the
five trading days
immediately preceding the applicable exercise date, or if the Common Shares are not listed on any trading market at the time of exercise, a per share price based on fair market value, as determined by the Board, subject to customary anti-dilution adjustments, expiring on August 1, 2028. Per ASC 815, the August 2023 Greybrook Warrants meet the applicable criteria to qualify for equity classification and therefore are included in contributed surplus. See note 10(a).
Under the terms of the Arrangement Agreement, each Greybrook Warrant (whether vested or unvested) outstanding immediately prior to the Effective Time will be, and will be deemed to be, surrendered for cancellation and transferred to the Company in consideration for the issuance by the Company of that number of Common Shares (‘‘Net Warrant Surrender Shares’’), if any, equal to, rounded down to the nearest whole share: (i) the number of Common Shares subject to such Greybrook Warrant immediately prior to the Effective Time minus (ii) the number of Common Shares that, when multiplied by the closing price of a Common Share on the OTCQB Market on the trading day immediately preceding the Effective Time, is equal to the aggregate exercise price of such Greybrook Warrant (and in the event that such number of Common Shares is negative, it will be deemed to be zero), and the holder of the Greybrook Warrant will be and will be deemed to be the holder of such number of Net Warrant Surrender Shares.
 
The fair value of the August 2023 Greybrook Warrants granted on August 1, 2023 were valued at $19,728 using a closing share price of $0.50 per share and 85% of the volume weighted average trading price of the Common Shares
five trading days
immediately preceding the exercise date of $0.49 per share.
The weighted average contractual life of the Greybrook Warrants as at September 30, 2024 was 3.7 years (December 31, 2023 – 4.4 years).
The total number of Greybrook Warrants exercisable as at September 30, 2024 was 385,870 (December 31, 2023 – 385,870).
v3.25.0.1
Contingencies
9 Months Ended
Sep. 30, 2024
Contingencies  
Contingencies
16.
Contingencies:
The Company may be involved in certain legal matters arising from time to time in the normal course of business. The Company records provisions that reflect management’s best estimate of any potential liability relating to these matters. The resolution of these matters is not expected to have a material adverse effect on the Company’s financial position, results of operations or cash flows.
v3.25.0.1
Pensions
9 Months Ended
Sep. 30, 2024
Pensions  
Pensions
17.
Pensions:
The Company has adopted a defined contribution pension plan for its employees whereby the Company matches contributions made by participating employees up to a maximum of 3.5% of such employees’ annual salaries. During the three and nine months ended September 30, 2024, contributions which were recorded as expenses within direct center and patient care costs, other regional and center support costs and corporate, general and administrative expenses, amounted to $244,287 and $690,248, respectively- (three and nine months ended September 30, 2023 – $177,391 and $553,300, respectively).
v3.25.0.1
Income taxes
9 Months Ended
Sep. 30, 2024
Income taxes  
Income taxes
18.
Income taxes:
During the nine months ended September 30, 2024, there were no significant changes to the Company’s tax position.
v3.25.0.1
Risk management arising from financial instruments
9 Months Ended
Sep. 30, 2024
Risk management arising from financial instruments  
Risk management arising from financial instruments
19.
Risk management arising from financial instruments:
In the normal course of business, the Company is exposed to risks related to financial instruments that can affect its operating performance. These risks, and the actions taken to manage them, are as follows:
 
  (a)
Fair value:
The Company has Level 1 financial instruments which consists of cash, restricted cash, accounts receivable, accounts payable and accrued liabilities, PA Settlement Agreement and Neuronetics Transaction Costs which approximate their fair value given their short-term nature. The Company also has lender warrants and DSUs that are considered Level 2 financial instruments (see note 11). The Company has deferred and contingent consideration (note 12) that are considered Level 3 financial instruments.
The carrying value of the loans payable, shareholder loans and finance lease obligations approximates their fair value given the difference between the discount rates used to recognize the liabilities in the condensed interim consolidated balance sheets and the market rates of interest is insignificant.
Financial instruments are classified into one of the following categories: financial assets or financial liabilities.
 
  (b)
Credit risk:
Credit risk arises from the potential that a counterparty will fail to perform its obligations. The Company is exposed to credit risk from patients and third-party payors including federal and state agencies (under the Medicare programs), managed care health plans and commercial insurance companies. The Company’s exposure to credit risk is mitigated in large part due to the majority of the accounts receivable balance being receivable from large, creditworthy medical insurance companies and government-backed health plans.
 

The Company’s aging schedule in respect of its accounts receivable balance as at September 30, 2024 and December 31, 2023 is provided below:
 
Days since service delivered
   September 30,
2024
     December 31,
2023
 
0 – 90
   $ 10,592,724      $ 5,954,636  
91 – 180
     1,279,098        1,013,083  
181 – 270
     487,503        379,772  
270+
     268,953        222,352  
  
 
 
    
 
 
 
Total accounts receivable
   $ 12,628,278      $ 7,569,843  
  
 
 
    
 
 
 
Based on the Company’s industry, none of the accounts receivable in the table above are considered “past due”. Furthermore, the payors have the ability and intent to pay, but price lists for the Company’s services are subject to the discretion of payors. As such, the timing of collections is not linked to increased credit risk. The Company continues to collect on services rendered in excess of 24 months from the date such services were rendered.
 
  (c)
Liquidity risk:
Liquidity risk is the risk that the Company may encounter difficulty in raising funds to meet its financial commitments or can only do so at excessive cost. The Company ensures there is sufficient liquidity to meet its short-term business requirements, taking into account its anticipated cash flows from operations, its holdings of cash and its ability to raise capital from existing or new investors and/or lenders (see note 2(a)).
 
  (d)
Currency risk:
Currency risk is the risk to the Company’s earnings that arises from fluctuations in foreign exchange rates and the degree of volatility of those rates. The Company has minimal exposure to currency risk as substantially all of the Company’s revenue, expenses, assets and liabilities are denominated in U.S. dollars. The Company pays certain vendors and payroll costs in Canadian dollars from time to time, but due to the limited size and nature of these payments it does not give rise to significant currency risk.
 
 
  (e)
Interest rate risk:
Interest rate risk is the risk that the fair value of future cash flows of a financial instrument will fluctuate because of changes in market interest rates. The Company is exposed to changes in interest rates on its cash and long-term debt. Certain loans payable (see note 9) bear interest at a rate equal to the
3-month
Term SOFR plus 7.65%. A 1% increase in interest rates
would
result in a $51,667 increase to interest expense on the condensed interim consolidated statements of comprehensive loss over the term of the loans payable.
v3.25.0.1
Capital management
9 Months Ended
Sep. 30, 2024
Capital management  
Capital management
20.
Capital management:
The Company’s objective is to maintain a capital structure that supports its long-term growth strategy, maintains creditor and customer confidence, and maximizes shareholder value.
The capital structure of the Company consists of its shareholders’ equity, including contributed surplus and deficit, as well as loans payable and shareholder loans.
The Company’s primary uses of capital are to finance operations, finance new center
start-up
costs, increase
non-cash
working capital, capital expenditures and finance service debt obligations. The Company’s objectives when managing capital are to ensure the Company will continue to have enough liquidity so it can provide its services to its customers and returns to its shareholders. The Company, as part of its annual budgeting process and on an ongoing basis, periodically evaluates its estimated cash requirements to fund working capital requirements of existing operations. Based on this and taking into account its anticipated cash flows from operations and its holdings of cash, the Company validates whether it has the sufficient capital or needs to obtain additional capital.
v3.25.0.1
Related party transactions
9 Months Ended
Sep. 30, 2024
Related party transactions  
Related party transactions
21.
Related party transactions:
 
  (a)
Transactions with significant shareholder – Greybrook Health
As at September 30, 2024, nil is included in accounts payable and accrued liabilities for amounts payable for management services rendered and other overhead costs incurred by Greybrook Health in the ordinary course of business (December 31, 2023 – $4,884). These amounts were recorded at their exchange amount, being the amount agreed to by the parties.
 
During the three and nine months ended September 30, 2024, the Company recognized nil and nil, respectively, in corporate, general and administrative expenses (three and nine months ended September 30, 2023 – $1,788 and $5,011, respectively) related to transactions with Greybrook Health.
 
  (b)
Loans from shareholder – Greybrook Health
In connection with the February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note, the Company received loans from and issued promissory notes to Greybrook Health, who is a significant shareholder of the Company. The February 2023 Notes, the February 2023 Greybrook Note and the August 2023 Greybrook Note total $2,437,604 and were exchanged on August 28, 2023 for Subordinated Convertible Notes with the same principal amount. As additional consideration for the February 2023 Greybrook Note, the Company issued 135,870 February 2023 Greybrook Warrants to Greybrook Health and as consideration for the August 2023 Greybrook Note, the Company issued 250,000 August 2023 Greybrook Warrants to Greybrook Health.
On August 15, 2023, the Company issued Subordinated Convertible Notes to Greybrook Health in an aggregate amount of $500,000. In addition, on August 28, 2023, the total par value of $2,437,604 of the previously issued February 2023 Notes, the February 2023 Greybrook Note, and the August 2023 Greybrook Note were exchanged for Subordinated Convertible Notes. See note 10(a), note 10(b) and note 15(b).
During the three and nine months ended September 30, 2024, the Company recognized $119,501 and $348,470, respectively, in interest expense (three and nine months ended September 30, 2023 – $92,333 and $166,362, respectively) related to the February 2023 Notes, the February 2023 Greybrook Note, the August 2023 Greybrook Note and the Subordinated Convertible Notes issued to Greybrook Health.
On October 3, 2024, all outstanding Subordinated Convertible Notes, including Subordinated Convertible Notes held by Greybrook Health, were converted into Common Shares following the receipt of a conversion notice from Madryn. In connection therewith, a total of 43,739,148 Common Shares were issued to Greybrook Health at a conversion price of $0.078 per Common Share. See note 25.
 
 
  (c)
Transactions with the former significant shareholder, former officer and former director – Benjamin Klein
As at September 30, 2024, nil is included in accounts payable and accrued liabilities for amounts payable for travel expenses and other related costs incurred by Benjamin Klein in the ordinary course of business (December 31, 2023 – nil).
During the three and nine months ended September 30, 2024, the Company recognized nil and nil, respectively, in corporate, general and administrative expenses (three and nine months ended September 30, 2023 – $76,921 and $229,178, respectively) for amounts payable for employment services rendered and other related costs incurred by Benjamin Klein in the ordinary course of business.
On August 9, 2024, the Company entered into the PA Settlement Agreement. See note 11 and note 14.
 
  (d)
Loan from former significant shareholder, former officer and former director – Benjamin Klein
On July 14, 2022, in connection with the Success TMS Acquisition, the Company assumed the obligation to repay the Klein Note to Benjamin Klein, who is a significant shareholder of the Company. On November 20, 2023, the Company entered into a settlement agreement in respect of the Klein Note. See note 11(e). The Klein Note totaled $2,090,264 and had an interest rate of 10% per annum and matured on May 1, 2024. The carrying amount of the Klein Note as at September 30, 2024 is nil (December 31, 2023 – nil). During the three and nine months ended September 30, 2024, the Company recognized nil and nil, respectively, in interest expense (three and nine months ended September 30, 2023 – $64,175 and $191,485, respectively) related to the Klein Note.
 
  (e)
Loans from shareholders and officers
The February 2023 Notes (not including Greybrook Health’s contribution) totaling $312,396 were exchanged for Subordinated Convertible Notes on August 28, 2023. The carrying amount of the Subordinated Convertible Notes issued to shareholders and officers (excluding Greybrook Health and Madryn) as at September 30, 2024 is $335,318 (December 31, 2023 – $328,026). See note 9(a) and note 10(b).
 
During the three and nine months ended September 30, 2024, the Company recognized $11,499 and $33,542 respectively, in interest expense (three and nine months ended September 30, 2023 – $14,323 and $32,654, respectively) related to these Subordinated Convertible Notes.
On October 3, 2024, all outstanding Subordinated Convertible Notes, including Subordinated Convertible Notes held by certain officers of the Company, were converted into Common Shares following the receipt of a conversion notice from Madryn. In connection therewith, a total of 1,115,728 Common Shares were issued to officers of the Company at a conversion price of $0.078 per Common Share. See note 25.
 
  (f)
Loan from significant shareholder – Madryn
On July 14, 2022, the Company entered into the Madryn Credit Agreement in respect of the Madryn Credit Facility, which was subsequently amended, for a total principal balance of $118,949,913 as at September 30, 2024, including the amendment fee of $1,000,000 (December 31, 2023 – $82,731,638). This amount does not include the other financing and legal fees associated with each term loan issuance or the interest that has accrued on the principal balance of the Credit Facility which has been paid in kind. Pursuant to the 2023 Private Placement completed on March 23, 2023, Madryn became a significant shareholder of the Company. See note 9(a).
On August 15, September 1 and October 12, 2023, the Company issued Subordinated Convertible Notes to Madryn in an aggregate amount of $4,500,000. The Subordinated Convertible Notes bear interest at a rate consistent with the Madryn Credit Facility, are convertible according to the terms of the Note Purchase Agreement and mature on the earlier of March 31, 2028, in the event of a change of control, acceleration of other indebtedness, or six months following repayment or refinancing of all loans under the Madryn Credit Facility. See note 9(a).
During the three and nine months ended September 30, 2024, the Company recognized $187,366 and $546,061, respectively, in interest expense (three and nine months ended September 30, 2023 – $47,044 and $47,044, respectively) related to the Subordinated Convertible Notes issued to Madryn.
 
Pursuant to the Arrangement Agreement entered into on August 12, 2024, Madryn has agreed to convert all of the amount outstanding under the Madryn Credit Facility and the Subordinated Convertible Notes into Common Shares, prior to the effective date of the Neuronetics Transaction. See note 14.
On October 3, 2024, all outstanding Subordinated Convertible Notes, including Subordinated Convertible
Notes
held by affiliates of Madryn, were converted into Common Shares following the receipt of a conversion notice from Madryn. In connection therewith, a total of 57,692,306 Common Shares were issued to affiliates of Madryn at a conversion price of $0.078 per Common Share. See note 25.
v3.25.0.1
Basic and diluted loss per share
9 Months Ended
Sep. 30, 2024
Basic and diluted loss per share  
Basic and diluted loss per share
22.
Basic and diluted loss per share:
 
    
Three months ended
    
Nine months ended
 
     September 30,      September 30,      September 30,      September 30,  
     2024      2023      2024      2023  
Net loss attributable to the shareholders of Greenbrook TMS
   $ (13,207,359    $ (13,491,287    $ (39,830,850    $ (36,824,871
Weighted average common shares outstanding: Basic and diluted
     39,721,003        42,232,942        43,061,687        37,810,209  
Loss per share: Basic and diluted
   $ (0.33    $ (0.32    $ (0.92    $ (0.97
For the three and nine months ended
September 
30, 2024, the effect of 2,219,500 options (September 30, 2023 – 1,661,500) and 437,177
lender warrants (September 30, 2023 – 437,177) have been excluded from the diluted calculation because this effect would be anti-dilutive.
v3.25.0.1
Non-controlling interest
9 Months Ended
Sep. 30, 2024
Non-controlling interest  
Non-controlling interest
23.
Non-controlling
interest:
As a result of operating agreements with
non-wholly
owned entities, the Company has control over these entities under U.S. GAAP, as the Company has power over all significant decisions made by these entities and thus 100% of the financial results of these subsidiaries are included in the Company’s consolidated financial results.
The following summarizes changes in the Company’s
non-wholly
owned entities during the reporting or comparative periods:
 
  (a)
On February 27, 2023, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Connecticut LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Connecticut LLC.
 
  (b)
On September 29, 2023, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Arlington LLC for $513 for the release of liabilities and losses and repaid the
non-controlling
interest loan with the former minority party in an amount of $39,487, for total consideration of $40,000. As at December 31, 2023, the Company has an ownership interest of 100% of Greenbrook TMS Arlington LLC.
 
  (c)
On April 18, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Fairfax LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Fairfax LLC.
 
  (d)
On April 18, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Greenbelt LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 87.5% of Greenbrook TMS Greenbelt LLC.
 
  (e)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Christiansburg LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Christiansburg LLC.
 
  (f)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Lynchburg LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Lynchburg LLC.
 
 
  (g)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Roanoke LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Roanoke LLC.
 
  (h)
On May 17, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS St. Petersburg LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS St. Petersburg LLC.
 
  (i)
On June 3, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Mooresville LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Mooresville LLC.
 
  (j)
On June 3, 2024, the Company acquired a portion of the
non-controlling
ownership interest in TMS NeuroHealth Centers Woodbridge LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of TMS NeuroHealth Centers Woodbridge LLC.
 
  (k)
On June 3, 2024, the Company acquired a portion of the
non-controlling
ownership interest in Greenbrook TMS Wilmington LLC for the release of liabilities and losses. As at September 30, 2024, the Company has an ownership interest of 100% of Greenbrook TMS Wilmington LLC.
 
The following table summarizes the aggregate financial information for the Company’s
non-wholly
owned entities as at September 30, 2024 and December 31, 2023:
 
     September 30,
2024
     December 31,
2023
 
Cash
   $ 172,341      $ 97,702  
Accounts receivable, net
     4,977,643        2,144,953  
Prepaid expenses and other
     408,155        297,485  
Property, plant and equipment
     924,260        1,000,592  
Finance
right-of-use
assets
     —         36,165  
Operating
right-of-use
assets
     5,310,005        5,656,153  
Accounts payable and accrued liabilities
     1,597,561        1,239,917  
Finance lease liabilities
     —         10,548  
Operating lease liabilities
     5,622,097        5,968,042  
Loans payable, net
     16,534,707        15,828,916  
Shareholder’s deficit attributable to the shareholders of Greenbrook TMS
     (8,358,893      (10,902,792
Shareholder’s deficit attributable to
non-controlling
interest
     (4,258,434      (4,440,274
Distributions paid to
non-controlling
interests
     (201,000      (46,950
Partnership buyout
     (466,026      253,251  
Historical subsidiary investment by
non-controlling
interest
     1,322,392        1,322,392  
The following table summarizes the aggregate financial information for the Company’s
non-wholly
owned entities for the three and nine months ended September 30, 2024 and September 30, 2023:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Revenue
   $ 8,337,782      $ 5,561,769      $ 20,184,728      $ 18,473,712  
Net gain (loss) attributable to the shareholders of Greenbrook TMS
     474,492        (311,254      (776,242      (1,353,456
Net gain (loss) attributable to
non-controlling
interest
     328,018        (66,025      (24,461      (249,575
v3.25.0.1
Expenses by nature
9 Months Ended
Sep. 30, 2024
Operating Expenses [Abstract]  
Expenses by nature
24.
Expenses by nature:
The components of the Company’s other regional and center support costs include the following:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Salaries and bonuses
   $ 5,506,017      $ 4,356,592      $ 16,703,081      $ 13,129,558  
Marketing expenses
     1,717,372        407,538        3,941,952        1,224,139  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total
   $ 7,223,389      $ 4,764,130      $ 20,645,033      $ 14,353,697  
  
 
 
    
 
 
    
 
 
    
 
 
 
The components of the Company’s corporate, general and administrative expenses include the following:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Salaries and bonuses
   $ 3,760,881      $ 3,629,623      $ 11,671,760      $ 11,880,351  
Marketing expenses
     49,676        52,237        171,400        83,504  
Professional and legal fees
     1,119,518        937,735        2,730,955        3,565,048  
Computer supplies and software
     938,265        659,320        3,503,319        2,091,340  
Financing and transaction costs
     13,185        100,000        174,662        335,094  
Travel, meals and entertainment
     62,539        39,994        185,187        121,181  
Restructuring expense
     —         36,500        684,578        500,368  
Insurance
     51,088        113,909        377,078        476,687  
Credit facility amendment fee (note 9(a))
     —         —         —         1,000,000  
PA Settlement Agreement (note 11(f))
     —         —         800,000        —   
Other
     296,506        416,743        1,171,134        1,351,549  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total
   $ 6,291,658      $ 5,986,061      $ 21,470,073      $ 21,405,122  
  
 
 
    
 
 
    
 
 
    
 
 
 
On March 6, 2023, the Company announced that it embarked on a comprehensive restructuring plan (the “Restructuring Plan”) that aimed to strengthen the Company by leveraging its scale to further reduce complexity, streamlining its operating model and driving operational efficiencies to achieve profitability. As part of this Restructuring Plan, the Company decreased its operating footprint and headcount and operating expenses. The remaining Treatment Centers will continue clinical TMS offerings and a select and growing number of Treatment Centers will continue offering Spravato
®
(esketamine nasal spray) therapy.
v3.25.0.1
Subsequent event
9 Months Ended
Sep. 30, 2024
Subsequent event  
Subsequent event
25.
Subsequent events:
 
  (a)
Additional loans under Madryn Credit Facility:
On October 3, October 15 and November 6, 2024, the Company entered into amendments to the Madryn Credit Facility, whereby Madryn and its affiliated entities extended two additional tranches of debt financing to the Company in an aggregate principal amount of $5,106,599. The terms and conditions are consistent with the terms and conditions of the Company’s existing aggregate term loan, with a principal balance of $120,990,522, under the Madryn Credit Facility in all material respects.
In addition, the amendment to the Madryn Credit Facility entered into on November 27, 2024, extended the period during which the Company’s minimum liquidity covenant is reduced from $3,000,000 to $300,000 to December 9, 2024.
 
  (b)
Subordinated Convertible Notes Conversion:
On October 3, 2024, the Company converted all outstanding Subordinated Convertible Notes into Common Shares upon receipt of a conversion notice from Madryn, requiring the conversion in full of all outstanding Subordinated Convertible Notes held by Madryn and all other holders of Subordinated Convertible Notes in accordance with the terms of the Note Purchase Agreement. The Subordinated Convertible Notes were converted into Common Shares at a conversion price of $0.078 and resulted in the issuance of an aggregate of 134,667,522 Common Shares to the holders of the Convertible Notes. Following completion of the conversion, there are no Subordinated Convertible Notes, or accrued and unpaid interest, issued and outstanding.
 
  (c)
Neuronetics Transaction:
On October 1, 2024, the Court granted an interim order in connection with the Neuronetics Transaction (the “Interim Order”). The Interim Order authorizes the calling and holding of the Greenbrook Meeting, the granting of dissent rights to registered shareholders of the Company and other matters relating to the conduct of the Greenbrook Meeting. The Greenbrook Meeting was called for Friday, November 8, 2024 at 8:00 a.m. (Eastern time).
On October 4, 2024, the Company and Neuronetics filed the joint proxy statement/management information circular (the “Joint Proxy Statement/Circular”) and related proxy materials in respect of the Greenbrook Meeting and Neuronetics Meeting on SEDAR+ at www.sedarplus.ca and on EDGAR at www.sec.gov. The Joint Proxy Statement/Circular and related materials were also be mailed to shareholders.
On November 8, 2024, the Neuronetics Transaction was approved by the shareholders of the Company and the stockholders of Neuronetics at the Greenbrook Meeting and the Neuronetics Meeting, respectively.
On November 15, 2024, the Company obtained a final order from the Ontario Superior Court of Justice (Commercial List) approving the Neuronetics Transaction.
On December 10, 2024, the Company announced the successful completion of the Neuronetics Transaction with an effective date of December 9, 2024. In connection with and prior to closing of the Arrangement, Madryn converted (i) all of the outstanding amount owing under Greenbrook’s credit agreement into 2,056,453,835 Greenbrook Shares, representing 95.3% of the Greenbrook Shares (including the Greenbrook Shares held by Madryn prior to such conversion) immediately prior to closing of the Arrangement and (ii) all of the interim period funding provided by Madryn to Greenbrook into an additional 252,999,770 Greenbrook Shares, which Greenbrook Shares were exchanged for Neuronetics Shares at the Exchange Ratio upon closing of the Arrangement.
 
  (d)
Supplement Restructuring Plan:
On November 15, 2024, the Company began a supplemental restructuring plan (the “Supplemental Restructuring Plan”) in an effort to continue to accelerate its path to achieve sustainable profitability and long-term growth. As part of this initiative, the Company plans to decrease its operating footprint by closing 23 treatment centers over the next 45 days, allowing management to focus on its remaining 95 treatment centers.
v3.25.0.1
Description of the Transaction
9 Months Ended
Sep. 30, 2024
Description of the transaction
1.
Reporting entity:
Greenbrook TMS Inc. (the “Company”), an Ontario corporation along with its subsidiaries, controls and operates a network of outpatient mental health services centers that specialize in the provision of Transcranial Magnetic Stimulation (“TMS”) therapy and other treatment modalities for the treatment of depression and related psychiatric services.
The Company’s head and registered office is located at 890 Yonge Street, 7th Floor, Toronto, Ontario, Canada, M4W 3P4. The Company’s United States corporate headquarters is located at 8401 Greensboro Drive, Suite 425, Tysons Corner, Virginia, USA, 22102.
Pro Forma [Member]  
Description of the transaction
1.
Description of the Transaction
Neuronetics and Greenbrook TMS Inc. completed the planned acquisition whereby Neuronetics acquired all of the issued and outstanding common shares of Greenbrook by way of a court-approved plan of arrangement under the Business Corporations Act (Ontario) (the “Arrangement”). Each Greenbrook Share outstanding immediately prior to the effective time of the Arrangement was exchanged for 0.01021 of a share of common stock of Neuronetics (the “Exchange Ratio”) upon closing of the Arrangement.
In connection with and prior to closing of the Arrangement, Madryn Asset Management, LP and its affiliates (collectively, “Madryn”) converted (i) all of the outstanding amount owing under Greenbrook’s credit agreement into 2,056,453,835 Greenbrook Shares, representing 95.3% of the Greenbrook Shares (including the Greenbrook Shares held by Madryn prior to such conversion) immediately prior to closing of the Arrangement and (ii) all of the interim period funding provided by Madryn to Greenbrook into an additional 252,999,770 Greenbrook Shares, which Greenbrook Shares were exchanged for shares of common stock of Neuronetics (“Neuronetics Shares”) at the Exchange Ratio upon closing of the Arrangement.
The Combined Company will continue to operate as Neuronetics, Inc., and the Neuronetics Shares will continue to trade on the NASDAQ Global Market under the ticker “STIM”.
v3.25.0.1
Preliminary Purchase Price Allocation
9 Months Ended
Sep. 30, 2024
Pro Forma [Member]  
Preliminary Purchase Price Allocation
3.
Preliminary Purchase Price Allocation
The fair value of the total consideration was approximately $34.7 million consisting of the following:
 
Purchase Consideration
  
(in thousands)
 
STIM Shares
     25,305  
Price per share
   $ 1.15  
  
 
 
 
Fair value of purchase consideration paid at closing
   $ 29,101  
  
 
 
 
Settlement of
pre-
existing relationship
   $ 5,635  
  
 
 
 
Total purchase consideration
  
$
34,736
 
  
 
 
 
The preliminary purchase price allocation is based on estimates, assumptions, valuations and other analysis which have not yet been finalized. The Company is finalizing its valuation of intangible assets, tangible assets, liabilities and tax analyses and anticipates finalizing the valuation of assets acquitted and liabilities assumed as the information necessary to complete the analysis is obtained, but no later than one year after the Acquisition Date.
The following table set forth the preliminary allocation of the total con
si
deration to the estimate fair value of the net assets acquitted at the Acquisition date (in thousands):
    
Fair Value
Adjusted
 
Fair value of assets acquired
  
Cash and cash equivalents
   $ 369  
Restricted cash
   $ 1,000  
Accounts receivable, net
   $ 12,628  
Prepaid expenses and other current assets
   $ 4,990  
Property and equipment
   $ 4,725  
Operating lease
right-of-use
assets
   $ 23,658  
Total Assets
   $ 47,370  
Fair value of liabilities assumed
  
Accounts payable
   $ 8,673  
Accrued expense
   $ 4,385  
Current portion of loans payable
   $ 801  
Current portion of operating lease liabilities
   $ 4,044  
Deferred and contingent consideration
   $ 1,000  
Operating lease liabilities
   $ 21,139  
Non-controlling
interest
   $ (3,603
  
 
 
 
Total Liabilities
   $ 36,438  
Total identifiable net assets acquired
   $ 10,932  
Goodwill
   $ 23,803  
  
 
 
 
Total consideration transferred
   $ 34,736  
  
 
 
 
v3.25.0.1
Proforma Adjustments
9 Months Ended
Sep. 30, 2024
Pro Forma [Member]  
Proforma Adjustments
4.
Proforma Adjustments
The pro forma adjustments are based on the Company’s preliminary estimates and assumptions that are subject to change. The following adjustments have been reflected in the Pro Forma Financial Statements:
1. Certain reclassifications of Greenbrook’s historically presented amounts were made within the balance sheet and statements of operations to conform with Neuronetics’ financial statement presentation.
2. The pro forma adjustments included in the unaudited pro forma combined financial information are as follows (amounts in thousands):
a) Reflects the elimination of Greenbrook’s historical equity balances in accordance with the acquisition method of accounting.
b) Reflects estimated consideration based upon issuance of 25,304,971 shares at a price of $1.15 as of December 09, 2024
c) To reflect the estimated fair value of the assets acquired and liabilities
d)  To recognize Greenbrook’s lease liability and
right-of-
use assets at the present value of the remaining lease payments, as if the acquired leases were new leases of Neuronetics as of the balance sheet date.
e) To reflect the conversion of certain debt instruments to Goodwill, as non cash consideration
f) To reflect conversion of Neuronetics Note receivable to Greenbook as of September 30, 2024 to Goodwill, as non cash consideration
g) To reflect conversion of Neuronetics Sales type leases with Greenbook to PPE as of September 30, 2024.
h) To eliminate Neuronetics interest receivable with Greenbrook and Greenbrook’s prepaid warranty and treatment session inventory balances.
i) To eliminate Greenbrook’s finance lease
right-of-
use asset, reported in intangible assets and finance lease liabilities with Neuronetics.
aa) To eliminate sales to Greenbrook.
bb) To eliminate cost of sales to Greenbrook.
cc) To eliminate depreciation expense for Greenbrook’s finance leases.
dd) To eliminate interest expense for Greenbrook’s debt balance.
ee) To eliminate interest charged to Greenbrook by Neuronetics for Note receivable balance
ff) To reclassify marketing expense reported in Cost of revenue to Sales and marketing expense.
v3.25.0.1
Significant accounting policies (Policies)
9 Months Ended
Sep. 30, 2024
Material accounting policies  
Revenue recognition
  (a)
Revenue recognition:
Other revenue is recognized at a point in time upon the performance of services under contracts with customers and represents the consideration to which the Company expects to be entitled. Other revenue includes revenue from research agreements.
Research agreements consist of arrangements with other companies to perform studies and investigational tasks on the delivery and scalability of various treatment modalities. Revenue related to research agreements is recognized based on the completion of
pre-set
milestones, outlined in the contract.
v3.25.0.1
Property, plant and equipment (Tables)
9 Months Ended
Sep. 30, 2024
Property, plant and equipment  
Property, plant and equipment
     Leasehold
improvements
     TMS devices      Total  
Cost
        
Balance, December 31, 2023
   $ 359,662      $ 6,427,908      $ 6,787,570  
Additions
     —         699,903        699,903  
Asset Disposal
     (8,950      (80,000      (88,950
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 350,712      $ 7,047,811      $ 7,398,523  
  
 
 
    
 
 
    
 
 
 
Accumulated depreciation
        
Balance, December 31, 2023
   $ 156,540      $ 1,837,051      $ 1,993,591  
Depreciation
     46,078        722,369        768,447  
Asset Disposal
     (8,950      (80,000      (88,950
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 193,668      $ 2,479,420      $ 2,673,088  
  
 
 
    
 
 
    
 
 
 
Net book value
        
Balance, December 31, 2023
   $ 203,122      $ 4,590,857      $ 4,793,979  
Balance, September 30, 2024
     157,044        4,568,391        4,725,435  
v3.25.0.1
Intangible assets (Tables)
9 Months Ended
Sep. 30, 2024
Intangible assets  
Schedule of Intangible assets
     Management
service agreement
     Covenant not
to compete
     Total  
Cost
        
Balance, December 31, 2023
   $ 2,792,178      $ 355,238      $ 3,147,416  
Additions
     —         —         —   
Asset Disposal
     —         (355,238      (355,238
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 2,792,178      $ —       $ 2,792,178  
  
 
 
    
 
 
    
 
 
 
Accumulated amortization
        
Balance, December 31, 2023
   $ 2,176,641      $ 348,718      $ 2,525,359  
Amortization
     43,000        6,520        49,520  
Asset Disposal
     —         (355,238      (355,238
  
 
 
    
 
 
    
 
 
 
Balance, September 30, 2024
   $ 2,219,641      $ —       $ 2,219,641  
  
 
 
    
 
 
    
 
 
 
Net book value
        
Balance, December 31, 2023
   $ 615,537      $ 6,520      $ 622,057  
Balance, September 30, 2024
     572,537        —         572,537  
v3.25.0.1
Right-of-use assets and lease liabilities (Tables)
9 Months Ended
Sep. 30, 2024
Right-of-use assets and lease liabilities  
Schedule of finance right-of-use assets
     September 30,
2024
 
Finance
right-of-use
assets, beginning of the period
   $ 2,140,338  
Impact of lease additions, disposals and/or modifications
     —   
Exercise of
buy-out
options into property, plant and equipment
     (699,903
Depreciation on
right-of-use
assets
     (163,614
  
 
 
 
Finance
right-of-use
assets, end of the period
   $ 1,276,821  
  
 
 
 
     September 30,
2024
 
Finance lease liabilities, beginning of the period
   $ 857,837  
Impact of lease additions, disposals and/or modifications
     10,601  
Interest expense on lease liabilities
     48,749  
Payments of lease liabilities
     (541,492
  
 
 
 
Finance lease liabilities, end of the period
   $ 375,695  
  
 
 
 
Less current portion of finance lease liabilities
     355,161  
  
 
 
 
Long term portion of finance lease liabilities
   $ 20,534  
  
 
 
 
Schedule of finance lease liabilities
     September 30,
2024
 
Finance
right-of-use
assets, beginning of the period
   $ 2,140,338  
Impact of lease additions, disposals and/or modifications
     —   
Exercise of
buy-out
options into property, plant and equipment
     (699,903
Depreciation on
right-of-use
assets
     (163,614
  
 
 
 
Finance
right-of-use
assets, end of the period
   $ 1,276,821  
  
 
 
 
     September 30,
2024
 
Finance lease liabilities, beginning of the period
   $ 857,837  
Impact of lease additions, disposals and/or modifications
     10,601  
Interest expense on lease liabilities
     48,749  
Payments of lease liabilities
     (541,492
  
 
 
 
Finance lease liabilities, end of the period
   $ 375,695  
  
 
 
 
Less current portion of finance lease liabilities
     355,161  
  
 
 
 
Long term portion of finance lease liabilities
   $ 20,534  
  
 
 
 
Schedule of operating right-of-use assets
     September 30,
2024
 
Operating
right-of-use
assets, beginning of the period
   $ 28,887,905  
Impact of lease additions, disposals and/or modifications
     (2,125,346
Right-of-use
asset lease expense
     (3,104,371
  
 
 
 
Operating
right-of-use
assets, end of the period
   $ 23,658,188  
  
 
 
 
     September 30,
2024
 
Operating lease liabilities, beginning of the period
   $ 30,398,566  
Impact of lease additions, disposals and/or modifications
     (2,180,550
Lease liability expense
     2,389,817  
Payments of lease liabilities
     (5,425,421
  
 
 
 
Operating lease liabilities, end of the period
     25,182,412  
  
 
 
 
Less current portion of operating lease liabilities
     4,043,583  
  
 
 
 
Long term portion of operating lease liabilities
   $ 21,138,829  
  
 
 
 
Schedule of operating lease liabilities
     September 30,
2024
 
Operating
right-of-use
assets, beginning of the period
   $ 28,887,905  
Impact of lease additions, disposals and/or modifications
     (2,125,346
Right-of-use
asset lease expense
     (3,104,371
  
 
 
 
Operating
right-of-use
assets, end of the period
   $ 23,658,188  
  
 
 
 
     September 30,
2024
 
Operating lease liabilities, beginning of the period
   $ 30,398,566  
Impact of lease additions, disposals and/or modifications
     (2,180,550
Lease liability expense
     2,389,817  
Payments of lease liabilities
     (5,425,421
  
 
 
 
Operating lease liabilities, end of the period
     25,182,412  
  
 
 
 
Less current portion of operating lease liabilities
     4,043,583  
  
 
 
 
Long term portion of operating lease liabilities
   $ 21,138,829  
  
 
 
 
v3.25.0.1
Accounts payable and accrued liabilities (Tables)
9 Months Ended
Sep. 30, 2024
Accounts payable and accrued liabilities  
Schedule of accounts payable and accrued liabilities
     September 30,
2024
     December 31,
2023
 
Accounts payable
   $ 10,563,496      $ 9,050,616  
Accrued liabilities
     4,385,207        4,651,014  
  
 
 
    
 
 
 
Total
   $ 14,948,703      $ 13,701,630  
  
 
 
    
 
 
 
v3.25.0.1
Loans payable (Tables)
9 Months Ended
Sep. 30, 2024
Loans payable.  
Schedule of bank loans
     TMS
device
loans (i)
     Credit
Facility (ii)
     Promissory
notes (iii)
     Neuronetics
Note (iv)
     Total  
Short Term
   $ 6,696     
—       $ 7,412,790      $ 4,000,000      $ 11,419,486  
Long Term
     —         131,595,084        178,981        —         131,774,065  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Total, net
   $ 6,696      $ 131,595,084      $ 7,591,771      $ 4,000,000      $ 143,193,551  
Unamortized capitalized financing costs
     —         2,907,505        151,081        —         3,058,586  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Total, September 30, 2024
   $ 6,696      $ 134,502,589      $ 7,742,852      $ 4,000,000      $ 146,252,137  
  
 
 
    
 
 
    
 
 
    
 
 
    
 
 
 
Schedule of non-controlling interest loans
     September 30,
2024
     December 31,
2023
 
Non-controlling
interest loans
   $ 58,074      $ 63,174  
v3.25.0.1
Other payables (Tables)
9 Months Ended
Sep. 30, 2024
Other Liabilities Disclosure [Abstract]  
Schedule of Lender Warrants
     September 30,
2024
     December 31,
2023
 
Lender warrants
   $ —       $ —   
Schedule of Deferred share units
     September 30,
2024
     December 31,
2023
 
Deferred share units
   $ 43,460      $ 376,565  
Schedule of Performance share units
    
September 30,
2024
    
December 31,
2023
 
Performance share units
   $ —       $ 1,047  
Schedule of Device contract termination
     September 30,
2024
     December 31,
2023
 
Device contract termination
   $ —       $ 3,750,000  
Schedule of Klein Note settlement payable
     September 30,
2024
     December 31,
2023
 
Klein Note settlement
   $ —       $ 1,603,169  
Schedule of PA Settlement Agreement
     September 30,
2024
     December 31,
2023
 
PA Settlement Agreement
   $ 533,333      $ —   
Schedule of Neuronetics Transaction Costs
     September 30,
2024
     December 31,
2023
 
Neuronetics Transaction Costs
   $ 1,370,602      $ —   
v3.25.0.1
Deferred and contingent consideration (Tables)
9 Months Ended
Sep. 30, 2024
Deferred and contingent consideration  
Schedule of deferred and contingent consideration
     September 30,
2024
     December 31,
2023
 
Deferred and contingent consideration
   $ 1,000,000      $ 1,000,000  
v3.25.0.1
Advance for research collaboration (Tables)
9 Months Ended
Sep. 30, 2024
Advance for research collaboration.  
Schedule of advance for research collaboration
     September 30,
2024
     December 31,
2023
 
Advance for research collaboration
   $ —       $ 1,300,000  
v3.25.0.1
Common shares (Tables)
9 Months Ended
Sep. 30, 2024
Common shares  
Schedule of common shares
     Number      Total
amount
 
December 31, 2023
     42,774,011      $ 120,741,061  
Issuance of Common Shares – February 2024 Direct Offering
     2,828,249        495,649  
Surrender and Cancellation of Common Shares – PA Settlement Agreement
     (11,634,660      —   
  
 
 
    
 
 
 
September 30, 2024
     33,967,600      $ 121,236,710  
  
 
 
    
 
 
 
v3.25.0.1
Contributed surplus (Tables)
9 Months Ended
Sep. 30, 2024
Contributed surplus  
Schedule of stock options outstanding activity
     September 30, 2024      December 31, 2023  
     Number of
stock
options
     Weighted
average
exercise
price
     Number of
stock
options
     Weighted
average
exercise
price
 
Outstanding, beginning of period
     1,704,500      $ 3.11        764,667      $ 8.15  
Granted
     575,000        0.10        1,313,000        0.63  
Forfeited
     (55,000      (0.75      (373,167      (4.71
Expired
     (5,000      (0.75      —         —   
  
 
 
    
 
 
    
 
 
    
 
 
 
Outstanding, end of period
     2,219,500      $ 2.39        1,704,500      $ 3.11  
  
 
 
    
 
 
    
 
 
    
 
 
 
v3.25.0.1
Risk management arising from financial instruments (Tables)
9 Months Ended
Sep. 30, 2024
Risk management arising from financial instruments  
Schedule of aging in respect of accounts receivable balance
Days since service delivered
   September 30,
2024
     December 31,
2023
 
0 – 90
   $ 10,592,724      $ 5,954,636  
91 – 180
     1,279,098        1,013,083  
181 – 270
     487,503        379,772  
270+
     268,953        222,352  
  
 
 
    
 
 
 
Total accounts receivable
   $ 12,628,278      $ 7,569,843  
  
 
 
    
 
 
 
v3.25.0.1
Basic and diluted loss per share (Tables)
9 Months Ended
Sep. 30, 2024
Basic and diluted loss per share  
Schedule of basic and diluted loss per share
    
Three months ended
    
Nine months ended
 
     September 30,      September 30,      September 30,      September 30,  
     2024      2023      2024      2023  
Net loss attributable to the shareholders of Greenbrook TMS
   $ (13,207,359    $ (13,491,287    $ (39,830,850    $ (36,824,871
Weighted average common shares outstanding: Basic and diluted
     39,721,003        42,232,942        43,061,687        37,810,209  
Loss per share: Basic and diluted
   $ (0.33    $ (0.32    $ (0.92    $ (0.97
v3.25.0.1
Non-controlling interest (Tables)
9 Months Ended
Sep. 30, 2024
Non-controlling interest  
Schedule of balance sheet financial information of non controlling interest
The following table summarizes the aggregate financial information for the Company’s
non-wholly
owned entities as at September 30, 2024 and December 31, 2023:
 
     September 30,
2024
     December 31,
2023
 
Cash
   $ 172,341      $ 97,702  
Accounts receivable, net
     4,977,643        2,144,953  
Prepaid expenses and other
     408,155        297,485  
Property, plant and equipment
     924,260        1,000,592  
Finance
right-of-use
assets
     —         36,165  
Operating
right-of-use
assets
     5,310,005        5,656,153  
Accounts payable and accrued liabilities
     1,597,561        1,239,917  
Finance lease liabilities
     —         10,548  
Operating lease liabilities
     5,622,097        5,968,042  
Loans payable, net
     16,534,707        15,828,916  
Shareholder’s deficit attributable to the shareholders of Greenbrook TMS
     (8,358,893      (10,902,792
Shareholder’s deficit attributable to
non-controlling
interest
     (4,258,434      (4,440,274
Distributions paid to
non-controlling
interests
     (201,000      (46,950
Partnership buyout
     (466,026      253,251  
Historical subsidiary investment by
non-controlling
interest
     1,322,392        1,322,392  
Schedule of comprehensive loss financial information of non controlling interest
The following table summarizes the aggregate financial information for the Company’s
non-wholly
owned entities for the three and nine months ended September 30, 2024 and September 30, 2023:
 
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Revenue
   $ 8,337,782      $ 5,561,769      $ 20,184,728      $ 18,473,712  
Net gain (loss) attributable to the shareholders of Greenbrook TMS
     474,492        (311,254      (776,242      (1,353,456
Net gain (loss) attributable to
non-controlling
interest
     328,018        (66,025      (24,461      (249,575
v3.25.0.1
Expenses by nature (Tables)
9 Months Ended
Sep. 30, 2024
Operating Expenses [Abstract]  
Schedule of components of the Company's other regional and center support costs
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Salaries and bonuses
   $ 5,506,017      $ 4,356,592      $ 16,703,081      $ 13,129,558  
Marketing expenses
     1,717,372        407,538        3,941,952        1,224,139  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total
   $ 7,223,389      $ 4,764,130      $ 20,645,033      $ 14,353,697  
  
 
 
    
 
 
    
 
 
    
 
 
 
Schedule of components of the Company's corporate, general and administrative expenses
     Three months ended      Nine months ended  
     September 30,
2024
     September 30,
2023
     September 30,
2024
     September 30,
2023
 
Salaries and bonuses
   $ 3,760,881      $ 3,629,623      $ 11,671,760      $ 11,880,351  
Marketing expenses
     49,676        52,237        171,400        83,504  
Professional and legal fees
     1,119,518        937,735        2,730,955        3,565,048  
Computer supplies and software
     938,265        659,320        3,503,319        2,091,340  
Financing and transaction costs
     13,185        100,000        174,662        335,094  
Travel, meals and entertainment
     62,539        39,994        185,187        121,181  
Restructuring expense
     —         36,500        684,578        500,368  
Insurance
     51,088        113,909        377,078        476,687  
Credit facility amendment fee (note 9(a))
     —         —         —         1,000,000  
PA Settlement Agreement (note 11(f))
     —         —         800,000        —   
Other
     296,506        416,743        1,171,134        1,351,549  
  
 
 
    
 
 
    
 
 
    
 
 
 
Total
   $ 6,291,658      $ 5,986,061      $ 21,470,073      $ 21,405,122  
  
 
 
    
 
 
    
 
 
    
 
 
 
v3.25.0.1
Preliminary Purchase Price Allocation (Tables) - Pro Forma [Member]
9 Months Ended
Sep. 30, 2024
Schedule of Fair value of the total consideration
The fair value of the total consideration was approximately $34.7 million consisting of the following:
 
Purchase Consideration
  
(in thousands)
 
STIM Shares
     25,305  
Price per share
   $ 1.15  
  
 
 
 
Fair value of purchase consideration paid at closing
   $ 29,101  
  
 
 
 
Settlement of
pre-
existing relationship
   $ 5,635  
  
 
 
 
Total purchase consideration
  
$
34,736
 
  
 
 
 
Schedule of Preliminary allocation of the total consideration
The following table set forth the preliminary allocation of the total con
si
deration to the estimate fair value of the net assets acquitted at the Acquisition date (in thousands):
    
Fair Value
Adjusted
 
Fair value of assets acquired
  
Cash and cash equivalents
   $ 369  
Restricted cash
   $ 1,000  
Accounts receivable, net
   $ 12,628  
Prepaid expenses and other current assets
   $ 4,990  
Property and equipment
   $ 4,725  
Operating lease
right-of-use
assets
   $ 23,658  
Total Assets
   $ 47,370  
Fair value of liabilities assumed
  
Accounts payable
   $ 8,673  
Accrued expense
   $ 4,385  
Current portion of loans payable
   $ 801  
Current portion of operating lease liabilities
   $ 4,044  
Deferred and contingent consideration
   $ 1,000  
Operating lease liabilities
   $ 21,139  
Non-controlling
interest
   $ (3,603
  
 
 
 
Total Liabilities
   $ 36,438  
Total identifiable net assets acquired
   $ 10,932  
Goodwill
   $ 23,803  
  
 
 
 
Total consideration transferred
   $ 34,736  
  
 
 
 
v3.25.0.1
Basis of presentation - Going concern (Details) - USD ($)
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Basis of presentation      
Cashflow from operating activities $ 36,809,738 $ 20,224,880  
Cash Balance 368,512   $ 3,323,708
Working capital $ 17,818,245   $ 17,681,089
v3.25.0.1
Basis of presentation - Going concern - Credit Facility (Details) - Madryn term loan
Jul. 14, 2022
USD ($)
Debt Instruments  
Secured credit facility, maximum borrowing capacity $ 75,000,000
Proceeds from term loan 55,000,000
Additional draw amount permitted $ 20,000,000
v3.25.0.1
Basis of presentation - Going Concern - Private Placement (Details)
Mar. 23, 2023
USD ($)
2023 Private Placement  
Basis of presentation  
Proceeds from private placement $ 6,250,000
v3.25.0.1
Basis of presentation - Going concern - Alumni Purchase Agreement (Details) - USD ($)
3 Months Ended 9 Months Ended
Jul. 13, 2023
Mar. 31, 2024
Sep. 30, 2023
Mar. 31, 2023
Sep. 30, 2024
Sep. 30, 2023
Basis of presentation            
Issuance of common stock shares   $ 495,649 $ 481,437 $ 6,139,262 $ 495,649  
Issuance of common shares (note 14) (in shares)         2,828,249  
Gross proceeds         $ 495,649 $ 6,620,699
Alumni purchase agreement | Alumni Capital LP            
Basis of presentation            
Issuance of common stock shares $ 4,458,156          
Issuance of common shares (note 14) (in shares)         1,761,538  
Gross proceeds         $ 481,437  
v3.25.0.1
Basis of presentation - Going concern - February 2024 Public Offering (Details) - USD ($)
3 Months Ended 9 Months Ended
Oct. 03, 2024
Feb. 26, 2024
Mar. 31, 2024
Sep. 30, 2023
Mar. 31, 2023
Sep. 30, 2024
Sep. 30, 2023
Nov. 06, 2024
Oct. 15, 2024
Oct. 13, 2023
Feb. 03, 2023
Basis of presentation                      
Issuance of common shares (note 14) (in shares)           2,828,249          
Gross proceeds           $ 495,649 $ 6,620,699        
Aggregate debt financing           $ 36,218,275 $ 9,299,000        
Aggregate principal amount $ 5,106,599             $ 5,106,599 $ 5,106,599 $ 6,505,000 $ 750,000
February 2024 Direct Offering                      
Basis of presentation                      
Issuance of common shares (note 14) (in shares)   2,828,249                  
Share price   $ 0.2                  
Gross proceeds   $ 565,649                  
Common Stock [Member]                      
Basis of presentation                      
Issuance of common shares (note 14) (in shares)     2,828,249 1,973,831 11,363,635            
Common Stock [Member] | Convertible Subordinated Debt [Member]                      
Basis of presentation                      
Debt Conversion, Converted Instrument, Shares Issued 134,667,522                    
Debt Instrument, Convertible, Conversion Price $ 0.078                    
v3.25.0.1
Property, Plant and equipment (Details)
9 Months Ended
Sep. 30, 2024
USD ($)
Cost  
Balance at the beginning $ 6,787,570
Additions 699,903
Asset Disposal (88,950)
Balance at the end 7,398,523
Accumulated depreciation  
Accumulated depreciation at the beginning 1,993,591
Depreciation 768,447
Accumulated depreciation on asset disposal (88,950)
Accumulated depreciation at the end 2,673,088
Balance at the beginning 4,793,979
Balance at the end 4,725,435
Leasehold improvements  
Cost  
Balance at the beginning 359,662
Asset Disposal (8,950)
Balance at the end 350,712
Accumulated depreciation  
Accumulated depreciation at the beginning 156,540
Depreciation 46,078
Accumulated depreciation on asset disposal (8,950)
Accumulated depreciation at the end 193,668
Balance at the beginning 203,122
Balance at the end 157,044
TMS devices  
Cost  
Balance at the beginning 6,427,908
Additions 699,903
Asset Disposal (80,000)
Balance at the end 7,047,811
Accumulated depreciation  
Accumulated depreciation at the beginning 1,837,051
Depreciation 722,369
Accumulated depreciation on asset disposal (80,000)
Accumulated depreciation at the end 2,479,420
Balance at the beginning 4,590,857
Balance at the end $ 4,568,391
v3.25.0.1
Intangible assets (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Cost          
Beginning balance     $ 3,147,416    
Asset Disposal     (355,238)    
Ending balance $ 2,792,178   2,792,178    
Accumulated Depreciation          
Beginning balance     2,525,359    
Amortization 16,426 $ 16,548 49,520 $ 49,643  
Asset Disposal     (355,238)    
Ending balance 2,219,641   2,219,641    
Net book value          
Net book value 572,537   572,537   $ 622,057
Management services agreements          
Cost          
Beginning balance     2,792,178    
Ending balance 2,792,178   2,792,178    
Accumulated Depreciation          
Beginning balance     2,176,641    
Amortization     43,000    
Ending balance 2,219,641   2,219,641    
Net book value          
Net book value 572,537   572,537   615,537
Covenants not to compete          
Cost          
Beginning balance     355,238    
Asset Disposal     (355,238)    
Ending balance 0   0    
Accumulated Depreciation          
Beginning balance     348,718    
Amortization     6,520    
Asset Disposal     (355,238)    
Ending balance 0   0    
Net book value          
Net book value $ 0   $ 0   $ 6,520
v3.25.0.1
Right-of-use assets and lease liabilities - Narratives (Details)
9 Months Ended 12 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Right-of-use assets and lease liabilities    
Lease discount rate (in %) 14.50% 14.50%
Minimum    
Right-of-use assets and lease liabilities    
Lease term (in years) 1 year  
Maximum    
Right-of-use assets and lease liabilities    
Lease term (in years) 7 years  
v3.25.0.1
Right-of-use assets and lease liabilities - Finance Right-of-use assets (Details)
9 Months Ended
Sep. 30, 2024
USD ($)
Right-of-use assets and lease liabilities  
Finance right-of-use assets, beginning of the year $ 2,140,338
Exercise of buy-out options into property, plant and equipment (699,903)
Depreciation on right-of-use assets (163,614)
Finance right-of-use assets, end of the year $ 1,276,821
v3.25.0.1
Right-of-use assets and lease liabilities - Finance Lease Liabilities (Details) - USD ($)
9 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Right-of-use assets and lease liabilities    
Finance lease liabilities, beginning of the year $ 857,837  
Impact of lease additions, disposals and/or modifications 10,601  
Interest expense on lease liabilities 48,749  
Payments of lease liabilities (541,492)  
Finance lease liabilities, end of the year 375,695  
Less current portion of finance lease liabilities 355,161 $ 622,730
Long term portion of finance lease liabilities $ 20,534 $ 235,107
v3.25.0.1
Right-of-use assets and lease liabilities - Operating Right-of-use assets (Details)
9 Months Ended
Sep. 30, 2024
USD ($)
Right-of-use assets and lease liabilities  
Operating right-of-use assets, beginning of the year $ 28,887,905
Impact of lease additions, disposals and/or modifications (2,125,346)
Right-of-use asset lease expense (3,104,371)
Operating right-of-use assets, ending of the year $ 23,658,188
v3.25.0.1
Right-of-use assets and lease liabilities - Operating Lease Liabilities (Details) - USD ($)
9 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Right-of-use assets and lease liabilities    
Operating lease liabilities, beginning of the year $ 30,398,566  
Impact of lease additions, disposals and/or modifications (2,180,550)  
Lease liability expense 2,389,817  
Payments of lease liabilities (5,425,421)  
Operating lease liabilities, end of the year 25,182,412  
Less current portion of operating lease liabilities 4,043,583 $ 3,960,346
Long term portion of operating lease liabilities $ 21,138,829 $ 26,438,220
v3.25.0.1
Accounts payable and accrued liabilities (Details) - USD ($)
Sep. 30, 2024
Dec. 31, 2023
Accounts payable and accrued liabilities    
Accounts payable $ 10,563,496 $ 9,050,616
Accrued liabilities 4,385,207 4,651,014
Total $ 14,948,703 $ 13,701,630
v3.25.0.1
Loans payable - Bank Loans (Details) - USD ($)
Sep. 30, 2024
Dec. 31, 2023
Loans payable    
Short Term $ 11,419,486  
Long Term 131,774,065  
Total, net 143,193,551  
Unamortized capitalized financing costs 3,058,586  
Total 146,252,137  
TMS device loans    
Loans payable    
Short Term 6,696  
Total, net 6,696  
Total 6,696  
Credit Facility    
Loans payable    
Short Term 0  
Long Term 131,595,084  
Total, net 131,595,084  
Unamortized capitalized financing costs 2,907,505  
Total 134,502,589  
Promissory notes    
Loans payable    
Short Term 7,412,790  
Long Term 178,981  
Total, net 7,591,771  
Unamortized capitalized financing costs 151,081  
Total 7,742,852  
Neuronetics Note    
Loans payable    
Short Term 4,000,000  
Long Term 0  
Total, net 4,000,000  
Total $ 4,000,000 $ 5,200,000
v3.25.0.1
Loans payable - TMS Device Loans (Details) - TMS device loans - USD ($)
9 Months Ended 12 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2022
Loans payable      
Average Interest Rate     9.30%
Average monthly blended payment     $ 1,538
Repayment of loans during the year $ 52,265 $ 122,010  
v3.25.0.1
Loans payable - Madryn Credit Facility (Details)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 19, 2024
Jun. 14, 2023
USD ($)
Feb. 21, 2023
Jul. 14, 2022
USD ($)
installment
Sep. 30, 2024
USD ($)
TRANCHE
$ / shares
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
TRANCHE
$ / shares
Sep. 30, 2023
USD ($)
Dec. 31, 2022
Nov. 06, 2024
USD ($)
Oct. 15, 2024
USD ($)
Oct. 03, 2024
USD ($)
Dec. 31, 2023
USD ($)
Oct. 13, 2023
USD ($)
Feb. 03, 2023
USD ($)
Loans payable                              
Basis spread on variable rate             7.65%                
Aggregate principal amount                   $ 5,106,599 $ 5,106,599 $ 5,106,599   $ 6,505,000 $ 750,000
Madryn Credit Facility [Member]                              
Loans payable                              
Aggregate principal amount         $ 120,990,522   $ 120,990,522     $ 5,106,599 $ 5,106,599 $ 5,106,599      
Interest rate 0.00%                            
Credit Facility                              
Loans payable                              
Number of additional tranches | TRANCHE         24   24                
Carrying amount of Madryn Credit Agreement         $ 131,595,084   $ 131,595,084           $ 83,943,636    
Interest expense         4,433,190 $ 2,542,545 12,241,287                
Total deferred financing costs         4,565,584   4,565,584                
Financing costs incurred during the year             733,275                
Amortization of deferred financing costs         $ 270,981 $ 174,838 $ 705,889 $ 493,004              
Effective interest rate         0.86%   0.86%           1.01%    
Conversion amount - Maximum             $ 5,000,000                
Debt instrument - Conversion price per share | $ / shares         $ 1.9   $ 1.9                
Number of shares to be issued on conversion             3,910,604                
Amendment fee paid   $ 1,000,000                          
Credit Facility | SOFR                              
Loans payable                              
Basis spread on variable rate     9.00%                        
Floor of Variable rate used     1.50%                        
Rate added to variable rate used     0.10%                        
Existing loans                              
Loans payable                              
Term Loan Principal Amount       $ 55,000,000                      
Term Loan Additional principal       $ 20,000,000                      
Maturity term       63 months                      
Interest only payment term       4 years                      
Number of 3-month installments | installment       5                      
Number of installments | installment       3                      
Existing loans | LIBOR                              
Loans payable                              
Basis spread on variable rate                 9.00%            
New Loans                              
Loans payable                              
Aggregate principal amount         $ 62,949,913   $ 62,949,913                
Conversion amount - Maximum             $ 2,430,149                
Debt instrument - Conversion price per share | $ / shares         $ 1.9   $ 1.9                
New Loans | LIBOR                              
Loans payable                              
Floor of Variable rate used                 1.50%            
Madryn Credit Facility [Member] | Madryn                              
Loans payable                              
Aggregate principal amount         $ 118,949,913   $ 118,949,913           $ 82,731,638    
Interest expense               $ 7,169,931              
v3.25.0.1
Loans payable - Promissory Notes (Details)
3 Months Ended 9 Months Ended
Oct. 03, 2024
USD ($)
$ / shares
shares
Aug. 15, 2023
USD ($)
Jul. 14, 2022
USD ($)
ITEM
Sep. 30, 2024
USD ($)
$ / shares
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
Day
$ / shares
Sep. 30, 2023
USD ($)
Nov. 06, 2024
USD ($)
Oct. 15, 2024
USD ($)
Dec. 31, 2023
USD ($)
Oct. 13, 2023
USD ($)
Aug. 28, 2023
USD ($)
Feb. 03, 2023
USD ($)
Loans payable                          
Aggregate principal amount $ 5,106,599             $ 5,106,599 $ 5,106,599   $ 6,505,000   $ 750,000
Common Stock [Member] | Convertible Subordinated Debt [Member]                          
Loans payable                          
Debt instrument - Conversion price per share | $ / shares $ 0.078                        
Subordinated convertible notes, common shares | shares 134,667,522                        
Subordinated convertible notes, common per shares | $ / shares $ 0.078                        
2023 Notes                          
Loans payable                          
Number of promissory notes assumed | ITEM     2                    
Carrying amount of Madryn Credit Agreement       $ 7,591,771   $ 7,591,771       $ 6,796,861      
Interest expense       272,687 $ 56,354 794,911 $ 70,107            
Repayment of notes       0 0 $ 0 0            
2023 Notes | Officers                          
Loans payable                          
Aggregate principal amount                       $ 60,000 60,000
2023 Notes | Shareholders                          
Loans payable                          
Aggregate principal amount                         $ 690,000
2023 Notes | Success TMS Acquisition                          
Loans payable                          
Aggregate principal amount     $ 200,000                    
Interest rate (in %)     5.00%                    
Debt instrument fair value - Measurement Input     12.00%                    
Convertible Subordinated Debt [Member]                          
Loans payable                          
Aggregate principal amount   $ 500,000                      
Minimum conversion price percentage (in %)           85.00%              
Volume weighted average trading days | Day           30              
Financing costs incurred during the year   $ 42,105       $ 184,755              
Amortization of deferred financing costs       8,160 10,034 23,331 10,034            
Interest expense       129,600 $ 44,282 377,927 $ 44,282            
Repayment of notes       $ 0   $ 0              
Convertible Subordinated Debt [Member] | Minimum                          
Loans payable                          
Debt instrument - Conversion price per share | $ / shares       $ 0.078   $ 0.078              
Subordinated convertible notes, common per shares | $ / shares       $ 0.078   $ 0.078              
Convertible Subordinated Debt [Member] | Maximum                          
Loans payable                          
Number of shares to be issued on conversion           200,000,000              
v3.25.0.1
Loans payable - Neuronetics Notes (Details)
3 Months Ended 9 Months Ended
Mar. 31, 2023
USD ($)
Day
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Nov. 06, 2024
USD ($)
Oct. 15, 2024
USD ($)
Oct. 03, 2024
USD ($)
Dec. 31, 2023
USD ($)
Oct. 13, 2023
USD ($)
Feb. 03, 2023
USD ($)
Loans payable                      
Accounts payable   $ 10,563,496   $ 10,563,496         $ 9,050,616    
Face Amount           $ 5,106,599 $ 5,106,599 $ 5,106,599   $ 6,505,000 $ 750,000
Basis spread on variable rate       7.65%              
Carrying amount   146,252,137   $ 146,252,137              
Neuronetics Note                      
Loans payable                      
Accounts payable $ 5,883,644                    
Face Amount $ 6,000,000                    
Basis spread on variable rate 7.65%                    
Percentage of unpaid amount used as numerator for issuance of warrants 200.00%                    
Discount on exercise price of warrants compared to share price used as denominator for issuance of warrants 20.00%                    
Volume weighted average trading days | Day 30                    
Carrying amount   4,000,000   4,000,000         $ 5,200,000    
Interest expense   137,372 $ 188,889 451,907 $ 378,964            
Repayment of notes   $ 537,372 $ 533,333 $ 1,651,907 $ 533,333            
v3.25.0.1
Loans payable - Non-controlling interest loans (Details) - USD ($)
Sep. 30, 2024
Dec. 31, 2023
Loans payable    
Non-controlling interest loans $ 58,074 $ 63,174
Non-controlling interest loans    
Loans payable    
Non-controlling interest loans $ 58,074 $ 63,174
Interest rate, compounded on a monthly basis 10.00%  
v3.25.0.1
Shareholder loans - 2023 and Greybrook Notes (Details)
3 Months Ended 9 Months Ended
Aug. 01, 2023
USD ($)
Day
shares
Feb. 28, 2023
USD ($)
Day
$ / shares
shares
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
Day
Sep. 30, 2023
USD ($)
Nov. 06, 2024
USD ($)
Oct. 15, 2024
USD ($)
Oct. 03, 2024
USD ($)
Dec. 31, 2023
USD ($)
Oct. 13, 2023
USD ($)
Aug. 15, 2023
USD ($)
Feb. 03, 2023
USD ($)
Debt Instruments                          
Face Amount             $ 5,106,599 $ 5,106,599 $ 5,106,599   $ 6,505,000   $ 750,000
Gain (Loss) on Extinguishment of Debt       $ (14,274) $ 39,822 $ (14,274)              
Greybrook Health Inc | February 2023 Warrants                          
Debt Instruments                          
Number of shares per warrant (in shares) | shares   1                      
Warrant exercise price (in $ per share) | $ / shares   $ 1.84                      
Greybrook Health Inc | August 2023 Warrants                          
Debt Instruments                          
Number of shares per warrant (in shares) | shares 1                        
Fair value of warrants $ 19,728                        
Related party | Greybrook Health Inc | February 2023 Warrants                          
Debt Instruments                          
Number of warrants issued (in shares) | shares   135,870                      
Number of shares per warrant (in shares) | shares   1                      
Warrant exercise price (in $ per share) | $ / shares   $ 1.84                      
Fair value of warrants   $ 63,587                      
February 2023 and August 2023 Notes                          
Debt Instruments                          
Carrying amount     $ 0   0         $ 0      
February 2023 and August 2023 Notes | Greybrook Health Inc                          
Debt Instruments                          
Total deferred financing costs     109,132   109,132                
Amortization of deferred financing costs     0     3,982              
Amortization of deferred losses         0 7,656              
February 2023 Notes                          
Debt Instruments                          
Face Amount                         $ 690,000
Interest expense     0 160,940 $ 0 377,088              
February 2023 Notes | Greybrook Health Inc                          
Debt Instruments                          
Face Amount   1,000,000                      
February 2023 Notes | Significant Shareholder | Greybrook Health Inc                          
Debt Instruments                          
Conversion amount - Maximum   $ 1,000,000                      
Minimum conversion price percentage (in %)   85.00%                      
Volume weighted average trading days | Day   5                      
August 2023 Notes | Greybrook Health Inc                          
Debt Instruments                          
Face Amount $ 1,000,000                        
Minimum conversion price percentage (in %) 85.00%                        
Volume weighted average trading days | Day 5                        
Number of warrants issued (in shares) | shares 250,000                        
Convertible Subordinated Debt [Member]                          
Debt Instruments                          
Face Amount                       $ 500,000  
Minimum conversion price percentage (in %)         85.00%                
Volume weighted average trading days | Day         30                
Amortization of deferred financing costs     8,160 10,034 $ 23,331 10,034              
Interest expense     $ 129,600 $ 44,282 $ 377,927 $ 44,282              
v3.25.0.1
Shareholder loans - Subordinated Convertible Notes (Details) - USD ($)
3 Months Ended 9 Months Ended
Oct. 03, 2024
Aug. 15, 2023
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Debt Instruments              
Amount of Feb 2023 and August 2023 notes exchanged   $ 3,690,000          
Convertible Subordinated Debt [Member] | Common Stock [Member]              
Debt Instruments              
Debt Conversion, Converted Instrument, Shares Issued 134,667,522            
Debt Instrument, Convertible, Conversion Price $ 0.078            
Convertible Subordinated Debt [Member]              
Debt Instruments              
Carrying value     $ 3,690,568   $ 3,690,568   $ 3,312,641
Repayment of notes     0   0    
Financing costs incurred during the year   $ 42,105     184,755    
Amortization of deferred financing costs     $ 1,860 $ 803 $ 5,321 $ 803  
v3.25.0.1
Other payables - Lender Warrants (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2024
USD ($)
shares
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
shares
Sep. 30, 2023
USD ($)
Sep. 30, 2024
$ / shares
Dec. 31, 2023
USD ($)
Class of Warrant or Right [Line Items]            
Change in fair value       $ (6,567)    
Oxford Warrants            
Class of Warrant or Right [Line Items]            
Lender warrants $ 0   $ 0     $ 0
Issuance of common share purchase warrants | shares     51,307      
Each exercisable for one common share | shares 1   1      
Exercise price | $ / shares         $ 11.2  
Change in fair value $ 0 $ 0 $ 0 $ 6,567    
v3.25.0.1
Other payables - Share Units (Details) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Aug. 05, 2021
May 06, 2021
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]              
Share units granted during the period (in shares)             0
DSUs | DSU Plan for non-employee directors              
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]              
Other payables     $ 43,460   $ 43,460   $ 376,565
Minimum Percentage of retainer fee received as DSUs (in %)   50.00%          
Period for payments of cash for awards held         10 days    
Share units granted during the period (in shares)     0 469,384 2,588,746 874,601  
Value of financial liability     $ 43,460   $ 43,460   376,565
Recovery related to share units recognized in general and administrative expenses     306,856 $ 151,084 $ 333,105 $ 273,938  
Minimum price for trading of common share         $ 0.0846    
PSUs              
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]              
Value of financial liability     0   $ 0   1,047
PSUs | Equity Incentive Plan to employees              
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]              
Other payables     0   $ 0   $ 1,047
Vesting of share units in the period (in shares) 38,647       3,865    
Change in fair value     $ 0 $ (1,507) $ (1,047) $ (43,748)  
RSUs | Equity Incentive Plan to employees              
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]              
Share units granted during the period (in shares)         0    
v3.25.0.1
Other payables - Device Contract Termination (Details) - USD ($)
3 Months Ended 9 Months Ended
Aug. 21, 2023
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]            
Other payables   $ 1,947,395   $ 1,947,395   $ 5,730,781
Number of weeks for payment of instalments 308 days          
Loss on device contract termination     $ 3,181,116   $ 3,181,116  
Device Contract Termination            
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]            
Other payables $ 6,600,000 0   0   $ 3,750,000
Gain on extinguishment of liabilities 2,030,635          
Impairment of ROU assets 5,211,751          
Loss on device contract termination $ 3,181,116 $ 0 $ 3,181,116 $ 0 $ 3,181,116  
Interest rate in the event of default (in %)       6.00%    
v3.25.0.1
Other payables - Klein Note Settlement payable (Details) - USD ($)
Nov. 20, 2023
Nov. 06, 2024
Oct. 15, 2024
Oct. 03, 2024
Sep. 30, 2024
Dec. 31, 2023
Oct. 13, 2023
Feb. 03, 2023
Jul. 14, 2022
Debt Instruments                  
Aggregate principal amount   $ 5,106,599 $ 5,106,599 $ 5,106,599     $ 6,505,000 $ 750,000  
Promissory notes | Benjamin Klein                  
Debt Instruments                  
Other payable         $ 0 $ 1,603,169      
Aggregate principal amount                 $ 2,090,264
Settlement payment to be made $ 2,228,169                
Initial immediate payment 250,000                
Average monthly blended payment $ 75,000                
v3.25.0.1
Other payables - PA Settlement Agreement (Details) - USD ($)
Aug. 09, 2024
Sep. 30, 2024
Dec. 31, 2023
Promissory notes | PA Settlement Agreement      
Debt Instruments      
Loans Payable, Current   $ 533,333 $ 0
PA Settlement Agreement [Member]      
Debt Instruments      
Plaintiffs cash settlement amount $ 800,000    
Up-front payment 200,000    
Monthly installments 67,000    
Payment of payroll taxes $ 110,000    
Number of common shares will redeemed 11,634,660    
Acquisition issuance (in shares) 2,908,665    
v3.25.0.1
Other payables - Neuronetics Transaction Cost (Details) - USD ($)
Sep. 30, 2024
Dec. 31, 2023
Schedule of Neuronetics Transaction Costs [Line Items]    
Other Liabilities, Current $ 1,947,395 $ 5,730,781
Arrangement Agreement [Member]    
Schedule of Neuronetics Transaction Costs [Line Items]    
Other Liabilities, Current $ 1,370,602 $ 0
v3.25.0.1
Deferred and contingent consideration (Details) - USD ($)
12 Months Ended
Dec. 31, 2022
Sep. 30, 2024
Dec. 31, 2023
Dec. 31, 2021
Business acquisition        
Deferred and contingent consideration   $ 1,000,000 $ 1,000,000  
Restricted cash held in escrow released to the vendors $ 250,000      
Achieve TMS East, LLC and Achieve TMS Central, LLC        
Business acquisition        
Deferred and contingent consideration   $ 1,000,000 $ 1,000,000 $ 1,250,000
Restricted cash held in an escrow       $ 1,250,000
v3.25.0.1
Advance for research collaboration (Details) - USD ($)
3 Months Ended 9 Months Ended
Dec. 29, 2023
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Advance for research collaboration            
Advance for research collaboration       $ 1,300,000
Revenue recognized   $ 200,000 $ 0 $ 1,500,000 $ 0  
Research Collaboration Agreement            
Advance for research collaboration            
Term of agreement 3 years          
Total consideration payout upon completion of milestones $ 3,000,000          
Amount received on signing $ 1,300,000          
v3.25.0.1
Common shares - Changes in common shares (Details) - USD ($)
3 Months Ended 9 Months Ended
Mar. 31, 2024
Sep. 30, 2023
Mar. 31, 2023
Sep. 30, 2024
Number        
Beginning Balance (in shares) 42,774,011     42,774,011
Issuance of common shares (note 14) (in shares)       2,828,249
Surrender and Cancellation of Common Shares – PA Settlement Agreement       (11,634,660)
Ending Balance (in shares)       33,967,600
Total Amount        
Beginning Balance $ 120,741,061     $ 120,741,061
Issuance of common shares (note 14) $ 495,649 $ 481,437 $ 6,139,262 495,649
Ending Balance       $ 121,236,710
v3.25.0.1
Common shares (Details) - USD ($)
9 Months Ended
Aug. 12, 2024
Aug. 09, 2024
Feb. 26, 2024
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Common shares            
Issuance of common shares (note 14) (in shares)       2,828,249    
Gross proceeds       $ 495,649 $ 6,620,699  
Percentage Of Vote Cast By The Holder Of Common Shares 66.67%          
Common shares outstanding       33,967,600   42,774,011
Preferred shares issued        
Preferred shares outstanding        
Private Placement            
Common shares            
Issuance of common shares (note 14) (in shares)     2,828,249      
Issue price per common share     $ 0.2      
Gross proceeds     $ 565,649      
Financing costs recorded as a reduction in equity     $ 70,000      
PA Settlement Agreement [Member]            
Common shares            
Issuance of common shares (note 14) (in shares)   11,634,660        
Arrangement Agreement [Member]            
Common shares            
Common share to be exchanged per share $ 0.01149          
Common Stock, Shares, Issued 25,304,971          
Percentage Of Common Shares Owned By Madryn 95.30%          
Percentage Of Share Issue To The Company Shareholder 95.30%          
Mutual termination fee $ 1,900,000          
Common shares outstanding 1,680,718          
Percentage of share outstanding 5.55%          
Members' Capital $ 1,315          
Diluted basis common stock issued 16,536,208          
Percentage of diluted basis common stock issue 48.70%          
Cancellation Of Outstanding Common Share 11,634,660          
Percentage locked up share outstanding 72.50%          
Percentage of premium value of consideration payable 20.00%          
Neuronetics Shareholders [Member] | Arrangement Agreement [Member]            
Common shares            
Subsidiary, Ownership Percentage, Parent 57.00%          
Companys Shareholders [Member] | Arrangement Agreement [Member]            
Common shares            
Subsidiary, Ownership Percentage, Noncontrolling Owner 43.00%          
v3.25.0.1
Contributed surplus - Stock Options Narratives (Details) - shares
9 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Dec. 31, 2022
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Outstanding (in shares) 2,219,500 1,704,500 764,667
Employee Stock Option      
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Vesting period (in years) 3 years    
Maximum percentage of shares reserved for future issuance (in %) 10.00%    
Shares reserved for future issuance (in shares) 3,396,760 4,277,401  
Outstanding (in shares) 2,219,500 1,704,500  
Option expiration period (in years) 10 years    
RSU and PSUs      
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]      
Maximum percentage of shares reserved for future issuance (in %) 5.00%    
v3.25.0.1
Contributed surplus - Stock Options Outstanding (Details) - $ / shares
9 Months Ended 12 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Number of stock options    
Outstanding, beginning balance 1,704,500 764,667
Granted 575,000 1,313,000
Forfeited (55,000) (373,167)
Expired (5,000)  
Outstanding, ending balance 2,219,500 1,704,500
Weighted average exercise price    
Outstanding, beginning balance (per share) $ 3.11 $ 8.15
Granted (per share) 0.1 0.63
Forfeited (per share) (0.75) (4.71)
Expired (per share) (0.75)  
Outstanding, ending balance (per share) $ 2.39 $ 3.11
v3.25.0.1
Contributed surplus - Stock Options - Additional Narratives (Details) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]          
Share-based compensation $ 51,923 $ 14,740 $ 111,110 $ 591,470  
Employee Stock Option          
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]          
Weighted average contractual life in years     7 years 8 months 15 days   7 years 10 months 20 days
Options exercisable (in shares) 1,277,749   1,277,749   1,087,164
Share-based compensation $ 51,923 $ 14,740 $ 111,110 $ 591,470  
Total compensation cost not yet recognized $ 86,166   $ 86,166   $ 183,312
Compensation cost not recognized - period of recognition (in years)     1 year 1 month 6 days   1 year 10 days
v3.25.0.1
Contributed surplus - Greybrook Warrants (Details) - Greybrook Health Inc
Aug. 01, 2023
USD ($)
$ / shares
shares
Feb. 28, 2023
yr
$ / shares
shares
Sep. 30, 2024
shares
Dec. 31, 2023
shares
February 2023 Warrants        
Contributed surplus        
Issuance of common share purchase warrants   135,870    
Each exercisable for one common share   1    
Exercise price | $ / shares   $ 1.84    
Fair value per warrant (in $ per share) | $ / shares   $ 0.47    
February 2023 Warrants | Volatility        
Contributed surplus        
Warrant measurement input   0.4886    
February 2023 Warrants | Remaining life        
Contributed surplus        
Warrant measurement input | yr   5    
February 2023 Warrants | Expected dividend yield        
Contributed surplus        
Warrant measurement input   0    
February 2023 Warrants | Forfeiture rate        
Contributed surplus        
Warrant measurement input   0    
February 2023 Warrants | Risk free interest rate        
Contributed surplus        
Warrant measurement input   0.0418    
August 2023 Warrants        
Contributed surplus        
Issuance of common share purchase warrants 250,000      
Each exercisable for one common share 1      
Exercise price as percentage of stock price (in %) 85.00%      
Warrant threshold trading days required (in days) 5 days      
Lender warrants | $ $ 19,728      
Share price (in $ per share) | $ / shares $ 0.5      
Share price based on five trading days (in $ per share) | $ / shares $ 0.49      
Weighted average contractual life (in years)     3 years 8 months 12 days 4 years 4 months 24 days
Warrants exercisable     385,870 385,870
v3.25.0.1
Pensions (Details) - Pension plan - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Pensions        
Matching contribution made by company     3.50%  
Contributions for the year $ 244,287 $ 177,391 $ 690,248 $ 553,300
v3.25.0.1
Risk management arising from financial instruments - Aging schedule in respect of accounts receivable balance (Details) - USD ($)
Sep. 30, 2024
Dec. 31, 2023
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Accounts receivable, net $ 12,628,278 $ 7,569,843
0 - 90    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Accounts receivable, net 10,592,724 5,954,636
91 - 180    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Accounts receivable, net 1,279,098 1,013,083
181 - 270    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Accounts receivable, net 487,503 379,772
270+    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Accounts receivable, net $ 268,953 $ 222,352
v3.25.0.1
Risk management arising from financial instruments - Interest rate risk (Details)
9 Months Ended
Sep. 30, 2024
USD ($)
Debt Instrument [Line Items]  
Basis spread on variable rate 7.65%
Percentage of possible increase in interest rate 1.00%
Amount of increase in interest expense $ 51,667
v3.25.0.1
Related party transactions - Transactions with significant shareholder - Greybrook Health (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Related party transactions          
Corporate, general and administrative expense $ 6,291,658 $ 5,986,061 $ 21,470,073 $ 21,405,122  
Greybrook Health Inc          
Related party transactions          
Accounts payables and accrued liabilities 0   0   $ 4,884
Corporate, general and administrative expense $ 0 $ 1,788 $ 0 $ 5,011  
v3.25.0.1
Related party transactions - Loans from shareholder - Greybrook Health (Details) - USD ($)
3 Months Ended 9 Months Ended
Oct. 03, 2024
Aug. 28, 2023
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Nov. 06, 2024
Oct. 15, 2024
Dec. 31, 2023
Oct. 13, 2023
Aug. 15, 2023
Feb. 03, 2023
Related party transactions                        
Aggregate principal amount $ 5,106,599           $ 5,106,599 $ 5,106,599   $ 6,505,000   $ 750,000
Common Stock [Member] | Convertible Subordinated Debt [Member]                        
Related party transactions                        
Subordinated convertible notes, common shares 134,667,522                      
Subordinated convertible notes, common per shares $ 0.078                      
February 2023 and August 2023 Notes                        
Related party transactions                        
Note payable     $ 0   $ 0       $ 0      
February 2023 Notes                        
Related party transactions                        
Aggregate principal amount                       $ 690,000
Interest expense     0 $ 160,940 0 $ 377,088            
Greybrook Health Inc | Common Stock [Member] | Convertible Subordinated Debt [Member]                        
Related party transactions                        
Subordinated convertible notes, common shares 43,739,148                      
Subordinated convertible notes, common per shares $ 0.078                      
Greybrook Health Inc | February 2023 and August 2023 Notes                        
Related party transactions                        
Note payable   $ 2,437,604                    
Aggregate principal amount   $ 2,437,604                    
Interest expense     $ 119,501 $ 92,333 $ 348,470 $ 166,362            
Greybrook Health Inc | Subordinate convertible note                        
Related party transactions                        
Note payable                     $ 500,000  
Greybrook Health Inc | February 2023 Warrants | February 2023 Notes                        
Related party transactions                        
Number of warrants issued (in shares)   135,870                    
Greybrook Health Inc | August 2023 Warrants | August 2023 Notes                        
Related party transactions                        
Number of warrants issued (in shares)   250,000                    
v3.25.0.1
Related party transactions - Transactions with the significant shareholder, officer and director - Benjamin Klein (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Related party transactions          
Corporate, general and administrative expense $ 6,291,658 $ 5,986,061 $ 21,470,073 $ 21,405,122  
Benjamin Klein          
Related party transactions          
Corporate, general and administrative expense 0 $ 76,921 0 $ 229,178  
Accounts payables and accrued liabilities $ 0   $ 0   $ 0
v3.25.0.1
Related party transactions - Loan from significant shareholder, officer and director - Benjamin Klein (Details) - USD ($)
3 Months Ended 9 Months Ended
Jul. 14, 2022
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Nov. 06, 2024
Oct. 15, 2024
Oct. 03, 2024
Dec. 31, 2023
Oct. 13, 2023
Feb. 03, 2023
Related party transactions                      
Aggregate principal amount           $ 5,106,599 $ 5,106,599 $ 5,106,599   $ 6,505,000 $ 750,000
Klein Note                      
Related party transactions                      
Aggregate principal amount $ 2,090,264 $ 0   $ 0         $ 0    
Interest rate 10.00%                    
Benjamin Klein | Klein Note                      
Related party transactions                      
Interest expense   $ 0 $ 64,175 $ 0 $ 191,485            
v3.25.0.1
Related party transactions - Loans from shareholders and officers (Details) - USD ($)
3 Months Ended 9 Months Ended
Oct. 03, 2024
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Nov. 06, 2024
Oct. 15, 2024
Dec. 31, 2023
Oct. 13, 2023
Feb. 28, 2023
Feb. 03, 2023
Related party transactions                      
Aggregate principal amount $ 5,106,599         $ 5,106,599 $ 5,106,599   $ 6,505,000   $ 750,000
Common Stock [Member] | Convertible Subordinated Debt [Member]                      
Related party transactions                      
Subordinated convertible notes, common shares 134,667,522                    
Subordinated convertible notes, common per shares $ 0.078                    
February 2023 Notes                      
Related party transactions                      
Aggregate principal amount                     $ 690,000
Interest expense   $ 0 $ 160,940 $ 0 $ 377,088            
Benjamin Klein | Subordinate convertible note                      
Related party transactions                      
Aggregate principal amount   335,318   335,318       $ 328,026      
Interest expense   $ 11,499 $ 14,323 $ 33,542 $ 32,654            
Benjamin Klein | Subordinate convertible note | Common Stock [Member] | Convertible Subordinated Debt [Member]                      
Related party transactions                      
Subordinated convertible notes, common shares 1,115,728                    
Subordinated convertible notes, common per shares $ 0.078                    
Benjamin Klein | February 2023 Notes                      
Related party transactions                      
Aggregate principal amount                   $ 312,396  
v3.25.0.1
Related party transactions - Loan from significant shareholder - Madryn (Details) - USD ($)
3 Months Ended 9 Months Ended
Oct. 03, 2024
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Nov. 06, 2024
Oct. 15, 2024
Dec. 31, 2023
Oct. 13, 2023
Oct. 12, 2023
Feb. 03, 2023
Related party transactions                      
Aggregate principal amount $ 5,106,599         $ 5,106,599 $ 5,106,599   $ 6,505,000   $ 750,000
Common Stock [Member] | Convertible Subordinated Debt [Member]                      
Related party transactions                      
Subordinated convertible notes, common shares 134,667,522                    
Subordinated convertible notes, common per shares $ 0.078                    
Madryn | Subordinate convertible note                      
Related party transactions                      
Aggregate principal amount                   $ 4,500,000  
Interest expense   $ 187,366 $ 47,044 $ 546,061 $ 47,044            
Madryn | Madryn Credit Facility                      
Related party transactions                      
Aggregate principal amount   118,949,913   118,949,913       $ 82,731,638      
Interest expense         $ 7,169,931            
Amendment fee   $ 1,000,000   $ 1,000,000              
Madryn Fund Administration LLC And Affiliated Entities [Member] | Common Stock [Member] | Convertible Subordinated Debt [Member]                      
Related party transactions                      
Subordinated convertible notes, common shares 57,692,306                    
Subordinated convertible notes, common per shares $ 0.078                    
v3.25.0.1
Basic and diluted loss per share (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Basic and diluted loss per share        
Net loss attributable to the common shareholders of Greenbrook TMS, basic $ (13,207,359) $ (13,491,287) $ (39,830,850) $ (36,824,871)
Net loss attributable to the common shareholders of Greenbrook TMS, diluted $ (13,207,359) $ (13,491,287) $ (39,830,850) $ (36,824,871)
Weighted average common shares outstanding, basic (in shares) 39,721,003 42,232,942 43,061,687 37,810,209
Weighted average common shares outstanding, diluted (in shares) 39,721,003 42,232,942 43,061,687 37,810,209
Loss per share, basic (in dollars per share) $ (0.33) $ (0.32) $ (0.92) $ (0.97)
Loss per share, diluted (in dollars per share) $ (0.33) $ (0.32) $ (0.92) $ (0.97)
v3.25.0.1
Basic and diluted loss per share - Antidilutive securities excluded from diluted calculation (Details) - shares
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Employee Stock Option        
Antidilutive securities excluded from diluted calculation        
Antidilutive securities excluded from diluted calculation 2,219,500 1,661,500 2,219,500 1,661,500
Lender warrants        
Antidilutive securities excluded from diluted calculation        
Antidilutive securities excluded from diluted calculation 437,177 437,177 437,177 437,177
v3.25.0.1
Non-controlling interest (Details) - USD ($)
Sep. 29, 2023
Sep. 30, 2024
Dec. 31, 2023
Greenbrook TMS Inc and Subsidiaries      
Non-controlling interest      
Ownership percentage   100.00%  
Greenbrook TMS Connecticut LLC      
Non-controlling interest      
Ownership percentage   100.00%  
Greenbrook TMS Arlington LLC [Member]      
Non-controlling interest      
Ownership percentage     100.00%
Consideration transferred on purchase of non controlling interest $ 513    
Consideration transferred on repayment of non controlling interest loan 39,487    
Release of liabilities and losses $ 40,000    
Greenbrook TMS Fairfax LLC [Member]      
Non-controlling interest      
Ownership percentage   100.00%  
Greenbrook TMS Greenbelt LLC [Member]      
Non-controlling interest      
Ownership percentage   87.50%  
Greenbrook TMS Christiansburg LLC      
Non-controlling interest      
Ownership percentage   100.00%  
Greenbrook TMS Lynchburg LLC      
Non-controlling interest      
Ownership percentage   100.00%  
Greenbrook TMS Roanoke LLC      
Non-controlling interest      
Ownership percentage   100.00%  
NeuroHealth Centers St. Petersburg LLC      
Non-controlling interest      
Ownership percentage   100.00%  
NeuroHealth Centers Mooresville LLC      
Non-controlling interest      
Ownership percentage   100.00%  
NeuroHealth Centers Woodbridge LLC      
Non-controlling interest      
Ownership percentage   100.00%  
NeuroHealth Centers Wilmington LLC      
Non-controlling interest      
Ownership percentage   100.00%  
v3.25.0.1
Non-controlling interest - Schedule of balance sheet financial information of non-controlling interest (Details) - USD ($)
9 Months Ended 12 Months Ended
Sep. 30, 2024
Dec. 31, 2023
Non-controlling interest    
Cash $ 368,512 $ 3,323,708
Accounts receivable, net 12,628,278 7,569,843
Property, plant and equipment 4,725,435 4,793,979
Finance right-of-use assets 1,276,821 2,140,338
Operating right-of-use assets 23,658,188 28,887,905
Accounts payable and accrued liabilities 14,948,703 13,701,630
Finance lease liabilities 375,695 857,837
Operating lease liabilities 25,182,412 30,398,566
Shareholder's deficit attributable to the shareholders of Greenbrook TMS (136,915,624) (98,036,209)
Shareholder's deficit attributable to non-controlling interest (3,603,068) (2,911,581)
Non-controlling interest    
Non-controlling interest    
Cash 172,341 97,702
Accounts receivable, net 4,977,643 2,144,953
Prepaid expenses and other 408,155 297,485
Property, plant and equipment 924,260 1,000,592
Finance right-of-use assets   36,165
Operating right-of-use assets 5,310,005 5,656,153
Accounts payable and accrued liabilities 1,597,561 1,239,917
Finance lease liabilities   10,548
Operating lease liabilities 5,622,097 5,968,042
Loans payable, net 16,534,707 15,828,916
Shareholder's deficit attributable to non-controlling interest (4,258,434) (4,440,274)
Distributions paid to non-controlling interests (201,000) (46,950)
Partnership buyout (466,026) 253,251
Historical subsidiary investment by non-controlling interest 1,322,392 1,322,392
Parent    
Non-controlling interest    
Shareholder's deficit attributable to the shareholders of Greenbrook TMS $ (8,358,893) $ (10,902,792)
v3.25.0.1
Non-controlling interest - Schedule of comprehensive loss financial information of non-controlling interest (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Non-controlling interest        
Net loss attributable to the shareholders of Greenbrook TMS $ (13,207,359) $ (13,491,287) $ (39,830,850) $ (36,824,871)
Net loss attributable to non-controlling interest 328,018 (66,025) (24,461) (249,575)
Non-controlling interest        
Non-controlling interest        
Revenue 8,337,782 5,561,769 20,184,728 18,473,712
Net loss attributable to non-controlling interest 328,018 (66,025) (24,461) (249,575)
Parent        
Non-controlling interest        
Net loss attributable to the shareholders of Greenbrook TMS $ 474,492 $ (311,254) $ (776,242) $ (1,353,456)
v3.25.0.1
Expenses by nature - Other regional and center support costs (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Operating Expenses [Abstract]        
Salaries and bonuses $ 5,506,017 $ 4,356,592 $ 16,703,081 $ 13,129,558
Marketing expenses 1,717,372 407,538 3,941,952 1,224,139
Total $ 7,223,389 $ 4,764,130 $ 20,645,033 $ 14,353,697
v3.25.0.1
Expenses by nature (Details) - USD ($)
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Operating Expenses [Abstract]        
Salaries and bonuses $ 3,760,881 $ 3,629,623 $ 11,671,760 $ 11,880,351
Marketing expenses 49,676 52,237 171,400 83,504
Professional and legal fees 1,119,518 937,735 2,730,955 3,565,048
Computer supplies and software 938,265 659,320 3,503,319 2,091,340
Financing and transaction costs 13,185 100,000 174,662 335,094
Travel, meals and entertainment 62,539 39,994 185,187 121,181
Restructuring expense   36,500 684,578 500,368
Insurance 51,088 113,909 377,078 476,687
Credit facility amendment fee   0   1,000,000
PA Settlement Agreement (note 11(f)) 0   800,000  
Other 296,506 416,743 1,171,134 1,351,549
Total $ 6,291,658 $ 5,986,061 $ 21,470,073 $ 21,405,122
v3.25.0.1
Preliminary Purchase Price Allocation - Schedule of Fair value of the total consideration (Details) - Pro Forma [Member]
9 Months Ended
Sep. 30, 2024
USD ($)
$ / shares
shares
STIM Shares | shares 25,305
Price per share | $ / shares $ 1.15
Fair value of purchase consideration paid at closing $ 29,101,000
Settlement of pre- existing relationship 5,635
Total purchase consideration $ 34,736,000
v3.25.0.1
Preliminary Purchase Price Allocation - Schedule of Fair value of the total consideration (Parenthectical) (Details)
$ in Millions
Sep. 30, 2024
USD ($)
Pro Forma [Member]  
Total consideration $ 34.7
v3.25.0.1
Preliminary Purchase Price Allocation - Schedule of Preliminary allocation of the total consideration (Details) - Pro Forma [Member]
$ in Thousands
Sep. 30, 2024
USD ($)
Fair value of assets acquired  
Cash and cash equivalents $ 369
Restricted cash 1,000
Accounts receivable, net 12,628
Prepaid expenses and other current assets 4,990
Property and equipment 4,725
Operating lease right-of-use assets 23,658
Total Assets 47,370
Fair value of liabilities assumed  
Accounts payable 8,673
Accrued expense 4,385
Current portion of loans payable 801
Current portion of operating lease liabilities 4,044
Deferred and contingent consideration 1,000
Operating lease liabilities 21,139
Non-controlling interest (3,603)
Total Liabilities 36,438
Total identifiable net assets acquired 10,932
Goodwill 23,803
Total consideration transferred $ 34,736
v3.25.0.1
Proforma Adjustments (Details) - Pro Forma [Member]
Dec. 09, 2024
$ / shares
shares
Common stock, shares issued | shares 25,304,971
Common stock, per share | $ / shares $ 1.15
v3.25.0.1
Subsequent event (Details)
Dec. 10, 2024
shares
Nov. 15, 2024
Nov. 06, 2024
USD ($)
TRANCHE
Oct. 15, 2024
USD ($)
TRANCHE
Oct. 03, 2024
USD ($)
TRANCHE
$ / shares
shares
Nov. 27, 2024
USD ($)
Nov. 26, 2024
USD ($)
Sep. 30, 2024
USD ($)
Oct. 13, 2023
USD ($)
Feb. 03, 2023
USD ($)
Subsequent event                    
Aggregate principal amount | $     $ 5,106,599 $ 5,106,599 $ 5,106,599       $ 6,505,000 $ 750,000
Common Stock [Member] | Convertible Subordinated Debt [Member]                    
Subsequent event                    
Subordinated convertible notes, common shares         134,667,522          
Debt instrument - Conversion price per share | $ / shares         $ 0.078          
Supplement Restructuring Plan [Member] | Other Restructuring [Member]                    
Subsequent event                    
Restructuring and related activities description   Company plans to decrease its operating footprint by closing 23 treatment centers over the next 45 days, allowing management to focus on its remaining 95 treatment centers.                
Madryn Credit Facility                    
Subsequent event                    
Number of additional tranches | TRANCHE     2 2 2          
Aggregate principal amount | $     $ 5,106,599 $ 5,106,599 $ 5,106,599     $ 120,990,522    
Minimum liquidity covenant | $           $ 300,000 $ 3,000,000      
Neuronetics, Inc                    
Subsequent event                    
Stock converted during period shares acquisitions 2,056,453,835                  
Percentage of acquisite company stock converted during period shares acquisitions 0.953                  
Additional stock converted during period shares acquisitions 252,999,770                  
v3.25.0.1
Description of the Transaction (Details) - Pro Forma [Member]
Sep. 30, 2024
$ / shares
shares
Common share to be exchanged per share | $ / shares $ 0.01021
Common share outstanding in greenbrook | shares 2,056,453,835
Percentage of common share outstanding in greenbrook | $ / shares $ 95.3
Additional common share provided by madryn | shares 252,999,770

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