Neuronetics, Inc. filed a current report on November 10, 2026, disclosing that the company entered into Amendment No. 6 to its Credit Agreement and Guaranty with Perceptive Credit Holdings IV, LP on November 5, 2026.

Key Highlights

  • Sixth amendment signed: Neuronetics executed Amendment No. 6 to its Credit Agreement and Guaranty with Perceptive Credit Holdings IV, LP on November 5, 2026.
  • Revenue covenants modified: The amendment modifies certain revenue covenants in the existing credit agreement, according to the filing.
  • Prepayment condition: Conditions include an optional prepayment of no less than $15,000,000, together with all accrued but unpaid interest and the applicable early prepayment fee.
  • Additional fees required: The company must also pay the applicable amendment fee and the lender parties' other costs and expenses as part of the conditions.
  • Automatic termination deadline: If conditions are not satisfied or waived on or before November 30, 2026, the Perceptive Sixth Amendment will automatically terminate.
  • Original agreement date: The underlying Credit Agreement and Guaranty was originally entered into on July 25, 2024.

Neuronetics and Perceptive Amend Credit Terms with Prepayment Condition

According to the filing, Neuronetics, Inc. (NASDAQ:STIM) entered into Amendment No. 6 to Credit Agreement and Guaranty on November 5, 2026, with Perceptive Credit Holdings IV, LP acting in its capacities as administrative agent for the lender parties and majority lender. The underlying Credit Agreement and Guaranty was originally executed on July 25, 2024, and has been amended multiple times since, as previously disclosed by the company.

The filing states that the Perceptive Sixth Amendment amends the existing credit agreement to, "among other things, modify certain revenue covenants," subject to the satisfaction of certain conditions. Those conditions include, "among other things, an optional prepayment in an amount equal to no less than $15,000,000, together with all accrued but unpaid interest and the applicable early prepayment fee, plus the applicable amendment fee and the lender parties' other costs and expenses."

The company disclosed that if the specified conditions are not satisfied or waived on or before November 30, 2026, the Perceptive Sixth Amendment will automatically terminate. The filing notes that portions of Exhibit 10.1, which contains the full text of the amendment, have been omitted pursuant to a request for confidential treatment. The report was signed by Nir Naor, Executive Vice President, Chief Financial Officer, Corporate Secretary, and Treasurer.

What Was Disclosed

Neuronetics disclosed the execution of a sixth amendment to its credit agreement with Perceptive Credit Holdings IV, LP, modifying certain revenue covenants and conditioning the amendment on a prepayment of at least $15,000,000, with an automatic termination if conditions are unmet by November 30, 2026.