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Axsome Therapeutics, Inc. (AXSM)

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Axsome Therapeutics, Inc. (AXSM) reported revenue of $218 million for Q2 FY2026, the quarter ended 30 June 2026, up 45.5% on the same quarter a year earlier. Net income was -$51 million, and diluted earnings per share $-0.99. The figures are the company's own, from the 10-Q it filed with the SEC on 10 August 2026.

Revenue$218 millionup 45.5%
Net income-$51 million
Diluted EPS$-0.99
QuarterQ2 FY2026ended 30 June 2026

Axsome Therapeutics (AXSM) in brief

Axsome Therapeutics (AXSM) reported revenue of $638 million for fiscal 2025, the year ended 31 December 2025, up 65.5% on the year before.
Read moreNet loss was $183 million and the diluted loss per share $3.68. Revenue was $386 million in fiscal 2024, $271 million in fiscal 2023 and $50 million in fiscal 2022. Net income in the same years was a loss of $287 million, a loss of $239 million and a loss of $187 million. Over the twelve months to 30 June 2026, Axsome Therapeutics reported revenue of $777 million and net loss of $192 million. Axsome Therapeutics had 52 million shares outstanding at the latest filed count. At 30 June 2026 it carried $188 million of debt and $320 million of cash. At the close of 27 October 2026 the market cap of Axsome Therapeutics was $7.4 billion.

Ratios

From the filings

ROE-230.1%
ROCE-68.6%
Operating margin-24.0%
Net margin-24.7%
FCF margin-9.3%
Interest covern/a
Debt to equity2.26
Cash conversionn/a
Share count, last 12 months5.0%
Sales CAGR, 3 years133.7%
Profit CAGR, 3 yearsn/a
EPS, TTM-$3.75

At the close of 27 October 2026

Price$142.20
Market cap$7.4 billion
Stock P/En/a
Price to book89.28
EV / EBITDAn/a
Dividend yieldn/a
Market cap / sales9.58
52-week high$255.17
52-week low$133.15
Price, 1 year5.6%
Price CAGR, 3 years31.8%
Price CAGR, 5 years29.1%
Worked from the filed figures; hover a name for the formula.
Read moreThe priced ones use the latest price, the last regular-hours trade on IEX. Debt to equity here stands on long-term debt as Axsome Therapeutics, Inc. files it, with lease liabilities counted separately and never inside it. Nothing here is a valuation or a view.
AXSMgreeksoup.ai
Daily prices to 27 October 2026, adjusted for splits; from 28 September 2026 each day's price is the last regular-hours trade on IEX.
Read moreData provided for free by IEX. By accessing or using IEX Historical Data, you agree to the IEX Historical Data Terms of Use. Day by day for the last three years; before that one point a week, carrying the week's last close and its average daily volume, so a volume bar means the same thing across the whole series; the bars sit under the price on their own scale, on the right. The moving averages need consecutive days and are drawn from the daily part. P/E is the close over the trailing four quarters' EPS as filed at each filing date, on the current share count; the dashed line is the median over the range shown. Sales and margin are quarterly revenue and the operating margin from the tables above. EV/EBITDA, price to book and market cap to sales use the latest filed balance sheet and share count at each date. Before the quarters on file begin, P/E, price to book and market cap to sales stand on each annual report from the day it was filed. Drawn in your browser; the range and overlay you pick are remembered here only.

The public record on AXSM

Dividendsno dividend in its filings for fiscal 2014 onward
Filings21 in twelve months: 13 current reports (8-K), about 10 other events; 5 results of operations; 1 officer or director change; 1 shareholder vote
Planned insider sales32 Form 144 notices in twelve months, $134.9 million; latest 3 September 2026
Options tapeput/call 0.8 by open interest at the 27 October 2026 close; the straddle prices a 14.3% move to 20 November 2026
13F holders506 funds reported a position for the quarter to 30 June 2026; largest BlackRock, Inc.
Insider trading33 sales and 0 purchases on Form 4 in twelve months
Congress0 House trades disclosed in six months
Short interest3.1 million shares short, 3.34 days to cover at 15 October 2026
Documentsthe 10-K, the 10-Qs, the proxy and 5 earnings press releases, each linked

Quarterly results, the last 18 quarters

Q2 FY2021Q3 FY2021Q2 FY2022 †Q3 FY2022 †Q1 FY2023Q2 FY2023 †Q3 FY2023 †Q4 FY2023 *Q1 FY2024Q2 FY2024Q3 FY2024Q4 FY2024 *Q1 FY2025Q2 FY2025Q3 FY2025Q4 FY2025 *Q1 FY2026Q2 FY2026
Revenue0.00.08.816.894.646.757.871.575.087.2105119121150171196191218
Cost of revenue1.0n/a1.01.97.64.66.57.46.38.18.410.59.813.411.912.314.713.6
Gross profit-1.0n/a7.814.987.042.151.364.268.779.196.3108112137159184176205
Gross marginn/an/a89%89%92%90%89%90%92%91%92%91%92%91%93%94%92%94%
R&D14.513.215.814.917.820.628.830.836.849.945.455.044.849.540.248.852.746.2
SG&A16.320.231.240.974.278.983.286.899.010495.6113121130150169185208
Operating income-30.8-33.4-39.2-42.4-6.4-65.1-62.1-98.3-67.3-78.0-62.6-72.6-57.0-36.7-46.1-27.0-63.4-49.6
Operating marginn/an/a-444%-252%-7%-139%-107%-137%-90%-90%-60%-61%-47%-24%-27%-14%-33%-23%
Interest expensen/an/an/an/an/an/an/an/a-5.4-5.1-5.7-5.4-5.3-4.1-3.4-3.23.1-3.2
Pre-tax incomen/an/a-41.4-44.8-8.6-67.8-62.9-99.0-68.4-79.3-64.6-74.8-59.4-48.9-47.2-28.1-64.5-51.2
Net income-32.3-34.9-41.4-44.8-11.2-67.2-62.2-98.7-68.4-79.3-64.6-74.9-59.4-48.0-47.2-28.6-64.5-51.3
Net marginn/an/a-470%-266%-12%-144%-108%-138%-91%-91%-62%-63%-49%-32%-28%-15%-34%-23%
Diluted EPS-$0.86-$0.93-$1.06-$1.07-$0.26-$1.54-$1.32-$2.08-$1.44-$1.67-$1.34-$1.54-$1.22-$0.97-$0.94-$0.56-$1.26-$0.99
Operating cash flow-25.4-26.8-33.5-22.8-5.8-55.3-53.5-30.4-53.5-30.1-18.6-26.2-43.4-32.41.0-18.7-20.7-33.0
Capital expenditure0.00.30.20.10.10.10.40.00.10.10.10.00.30.00.10.10.10.5
Free cash flow-25.4-27.0-33.8-22.8-5.9-55.5-53.9-30.4-53.6-30.2-18.7-26.2-43.7-32.41.0-18.7-20.8-33.4
Shares outstanding38m38m40m43m44m47m47m47m47m48m48m49m49m50m50m51m51m52m
Filing10-Q10-Q10-Q10-Q10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q10-Q10-K10-Q10-Q
Each quarter as filed, linked to its filing.
Read more* The fourth quarter is the full year less the first three quarters, because the company files the year and not the quarter on its own. A fourth quarter's EPS, and its diluted share count where shown, are from the company's results press release for that quarter, checked against the company's filed figures or a second data source. A quarter marked † is shown as the company last restated it in a later filing, so it compares with the quarters around it on one basis; rest on a figure for the one first filed. EPS is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and the share count are as they are. Free cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Cash flow lines filed year to date are the difference between two filings. Shares outstanding are at the period end where the balance sheet tags them, otherwise the count on the filing's cover page. A derived fourth-quarter EPS is left blank when a split in the year makes the arithmetic meaningless.

Income statement (profit and loss), 4 fiscal years and the trailing twelve months

FY2022FY2023FY2024FY2025TTM
Revenue50.0271386638777
Cost of revenue5.226.133.347.552.5
Gross profit44.8245352591724
Gross margin89.6%90.4%91.4%92.6%93.2%
Research and development57.997.9187183188
Selling, general and administrative159323411571713
Operating income-180-232-281-167-186
Operating margin-359.3%-85.7%-72.7%-26.1%-24.0%
Interest expense-9.7-20.0-21.6-15.9-6.7
Pre-tax income-187-238-287-184-191
Income tax0.01.00.1-0.50.6
Net income-187-239-287-183-192
Net margin-374.0%-88.4%-74.5%-28.7%-24.7%
Diluted EPS-$4.60-$5.27-$5.99-$3.68-$3.75
Filing10-K10-K10-K10-K
From each year's 10-K, linked; TTM is the last four quarters.
Read moreFree cash flow is operating cash flow less capital expenditure; the effective tax rate is income tax over pre-tax income; margins are the line over revenue. Gross profit is revenue less cost of revenue, and operating income is revenue less the company's own total costs, where the statement does not print those lines. Those four are arithmetic on the filed numbers; everything else is as filed. Money is in $ million as the company files it, or in $ billion by the switch above the tables; per share figures and share counts are as they are.

Revenue by product or service FY2023 to FY2025

FY2023FY2024FY2025Share
of the parts, latest year
Product Sales20238263499.3%
Royalty and Milestone Revenue2.44.04.70.7%
License Fee65.7n/an/an/a
Product SalesRoyalty and Milestone RevenueLicense Fee
271FY2023386FY2024638FY2025

$ million; hover a block for its figure and share

From the company's 10-Ks, in its own words (latest 10-K).
Read moreEach year's figures come from the most recent 10-K that includes that year. A year is shown only where the parts add up to the revenue above. Fiscal years are labelled by the year they end in.

Cash flow and capital returned

FY2022FY2023FY2024FY2025TTM
Operating cash flow-117-145-128-93.4-71.3
Capital expenditure0.70.60.30.50.7
Free cash flow-117-146-129-93.9-72.0
Free cash flow margin-234.3%-53.8%-33.4%-14.7%-9.3%
Cash from investing-53.7-0.6-0.3-0.5-0.7
Cash from financing28533157.810188.8
Depreciation and amortisation4.46.86.96.96.9
Share-based compensation37.762.685.293.896.4
Diluted shares, weighted41m45m48m50m52m
Shares outstanding at period end43m47m49m51m52m
Filing10-K10-K10-K10-K
Cash paid in the year, from the cash flow statement.
Read moreThe dividend per share is as declared. Diluted shares are the weighted average for the year; a falling count is the buybacks net of issuance. TTM sums the last four quarters; the share counts are the latest quarter's.

Balance sheet at year end

FY2022FY2023FY2024FY2025TTM
Funded by
Shareholders' equity11019157.088.383.3
Debt94.3178181188188
Operating lease liabilitiesn/a7.06.023.221.6
Finance lease liabilitiesn/an/a2.94.29.0
Other liabilities128212322386460
Total liabilities and equity331588568690761
Owned
Fixed assets0.70.80.60.60.9
Goodwill10.312.012.012.012.0
Intangible assets59.753.346.940.537.4
Cash and equivalents201386315323320
Receivables37.794.8142224277
Inventory4.315.115.727.937.9
Other assets17.925.935.961.376.0
Total assets331588568690761
Filing10-K10-K10-K10-K
At the fiscal year end; the TTM column is the latest quarter end.
Read moreBoth totals are the company's own. Other liabilities is the filed total less the rows above it: payables, deferred revenue, taxes, borrowings the rows above do not carry and the rest; other assets is the same on the other side. Investments add the current and non-current lines as filed. Debt is the company's own stated total where it files one, otherwise its long-term debt with the current maturities, never parts added together. A row is left blank in a year where the lines shown overlap and the remainder would fall below nil.

Compounded growth

10 years5 years3 yearsTTM
Sales growth, compoundedn/an/a133.7%56.9%
Profit growth, compoundedn/an/an/an/a
Return on equity, averagen/a-251.8%-278.8%-207.5%
Yearly growth, compounded; TTM is the last four quarters against the four before.
Read moreReturn on equity is net income over shareholders' equity at each year end, averaged over the window (the TTM column is the latest year alone); equity is the parent's shareholders' equity as tagged in the 10-K. Arithmetic on filed numbers, nothing forecast.

Questions

What was Axsome Therapeutics' revenue in fiscal 2025?

Axsome Therapeutics (AXSM) reported revenue of $638 million for fiscal 2025, the year ended 31 December 2025, up 65.5% on the year before.

How much did Axsome Therapeutics earn in fiscal 2025?

Net loss was $183 million for fiscal 2025, and the diluted loss per share $3.68.

What is Axsome Therapeutics' market cap?

The market cap of Axsome Therapeutics was $7.4 billion at the close of 27 October 2026.

How much debt does Axsome Therapeutics have?

At 30 June 2026 Axsome Therapeutics carried $188 million of debt and $320 million of cash.

Peers: Pharmaceutical Products

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TTM
Debt to equityDiv. yield
Eli Lilly & Co. LLY$1.21 trillion43.0278.8%n/a49.6%1.620.5%
Johnson & Johnson JNJ$646.9 billion40.7219.7%n/a7.8%0.552.0%
AbbVie Inc. ABBV$506.2 billion80.92n/a26.2%10.4%n/a2.4%
Merck & Co., Inc. MRK$349.9 billion113.467.6%n/a4.6%1.292.4%
Novartis AG NVS *$299.2 billion21.9330.3%n/a8.4%0.622.6%
AstraZeneca PLC AZN *$263.7 billion26.0021.0%23.4%8.6%0.571.9%
Abbott Laboratories ABT$178.5 billion33.3810.6%15.8%8.1%0.642.4%
Novo Nordisk A/S NVO *$172.7 billion11.2052.8%41.3%6.4%0.674.5%
Pfizer Inc. PFE$169.8 billion39.205.1%n/a-0.2%0.745.8%
Vertex Pharmaceuticals Inc. VRTX$132.0 billion30.3321.8%38.0%10.2%0.00n/a
Bristol-Myers Squibb Co. BMY$125.8 billion13.5641.6%24.2%3.1%1.934.1%
GSK plc GSK *$102.3 billion13.7334.9%24.3%4.1%1.083.3%
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TTM
Debt to equityDiv. yield
Eli Lilly & Co. LLY$1.21 trillion43.0278.8%n/a49.6%1.620.5%
Johnson & Johnson JNJ$646.9 billion40.7219.7%n/a7.8%0.552.0%
AbbVie Inc. ABBV$506.2 billion80.92n/a26.2%10.4%n/a2.4%
Merck & Co., Inc. MRK$349.9 billion113.467.6%n/a4.6%1.292.4%
Novartis AG NVS *$299.2 billion21.9330.3%n/a8.4%0.622.6%
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Arcus Biosciences, Inc. RCUS$2.3 billionn/a-99.1%-415.4%-55.3%0.22n/a
Aurinia Pharmaceuticals Inc. AUPH$2.3 billion7.5451.1%48.4%19.8%0.00n/a
Agios Pharmaceuticals, Inc. AGIO$2.3 billionn/a-40.1%-466.8%140.6%0.00n/a
Prestige Consumer Healthcare Inc. PBH$2.2 billion13.289.0%26.3%-1.4%1.05n/a
Xencor Inc. XNCR$2.2 billionn/a-32.5%-205.8%-28.6%0.21n/a
Perrigo Co. plc PRGO$2.2 billionn/a-69.0%-37.7%-4.2%1.317.2%
Vericel Corp. VCEL$2.2 billion92.136.5%6.0%23.0%0.00n/a
Harmony Biosciences Holdings, Inc. HRMY$2.2 billion12.3218.1%24.0%24.3%0.15n/a
Precigen, Inc. PGEN$2.2 billionn/an/an/an/a2.15n/a
Recursion Pharmaceuticals, Inc. RXRX$2.2 billionn/a-56.7%-991.7%-15.1%0.02n/a
Immunome Inc. IMNM$2.1 billionn/a-48.4%n/an/a0.00n/a
Biocryst Pharmaceuticals Inc. BCRX$2.1 billionn/an/a-33.3%68.7%n/an/a
Zymeworks Inc. ZYME$2.1 billionn/a-186.6%-419.0%-69.8%0.00n/a
Trulieve Cannabis Corp. TRLV$2.1 billionn/a-61.8%-24.3%-3.9%0.38n/a
Septerna, Inc. SEPN$2.0 billionn/a-6.3%-44.0%13,520.1%0.00n/a
Sarepta Therapeutics, Inc. SRPT$2.0 billionn/a-8.9%-7.3%-20.4%0.55n/a
Vir Biotechnology, Inc. VIR$2.0 billionn/a-25.6%-92.4%1,495.9%0.00n/a
Xeris Biopharma Holdings, Inc. XERS$1.8 billionn/an/a10.9%36.3%n/an/a
Maze Therapeutics, Inc. MAZE$1.8 billionn/an/an/an/a0.09n/a
Zenas BioPharma, Inc. ZBIO$1.7 billionn/an/an/an/a1.20n/a
Intellia Therapeutics, Inc. NTLA$1.7 billionn/a-55.0%-711.7%12.6%0.00n/a
Schrodinger, Inc. SDGR$1.7 billionn/a-16.5%-59.2%8.9%0.00n/a
UroGen Pharma Ltd. URGN$1.7 billionn/an/a-35.3%100.3%n/an/a
Ultragenyx Pharmaceutical Inc. RARE$1.7 billionn/an/a-73.6%17.5%n/an/a
Novavax Inc. NVAX$1.7 billionn/an/a-56.6%-61.6%n/an/a
Immunocore Holdings plc IMCR$1.6 billionn/a-4.3%-5.2%21.0%0.940.0%
Stoke Therapeutics, Inc. STOK$1.6 billionn/a-60.2%-809.7%-86.2%0.00n/a
ANI Pharmaceuticals Inc. ANIP$1.6 billion15.1318.1%15.4%30.9%1.02n/a
Nuvation Bio Inc. NUVB$1.6 billionn/a-59.0%-81.0%1,083.6%0.98n/a
Phibro Animal Health Corp. PAHC$1.6 billion15.7825.9%12.8%17.1%1.911.3%
Innoviva, Inc. INVA$1.5 billion5.1129.0%36.9%18.8%0.210.0%
Pacira BioSciences, Inc. PCRX$1.4 billion104.002.2%2.7%5.7%0.54n/a
Amphastar Pharmaceuticals, Inc. AMPH$1.1 billion15.1310.2%15.7%1.0%0.79n/a
QuidelOrtho Corp. QDEL$928 millionn/a-59.1%-30.8%-2.5%1.63n/a
Collegium Pharmaceutical, Inc. COLL$748 million18.5615.4%19.5%14.3%3.50n/a
85 companies share its SEC industry code (Pharmaceutical Preparations); the rest are the names nearest in size in its wider industry, Pharmaceutical Products, one of the Fama-French 48 industries, a published grouping of SEC industry codes.
Read moreBy market capitalisation; a click on a heading sorts by it, largest first, and a second click turns it round. Each figure is the same arithmetic as the ratio box above, on each company's own filings and latest close; a name marked * is a foreign company that files once a year, on its latest fiscal year.

Filings

FilingPeriodFiledWhere
10-Q30 June 202610 August 2026EDGAR
10-Q31 March 20264 May 2026EDGAR
10-K31 December 202523 February 2026EDGAR
10-Q30 September 20253 November 2025EDGAR
10-Q30 June 20254 August 2025EDGAR
10-Q31 March 20255 May 2025EDGAR
10-K31 December 202418 February 2025EDGAR
10-Q30 September 202412 November 2024EDGAR
10-Q30 June 20245 August 2024EDGAR
10-Q31 March 20246 May 2024EDGAR