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AXSM logoAxsome Therapeutics, Inc.(AXSM)Earnings, Financials & Key Ratios

AXSM•NASDAQ
$222.63
$11.46B mkt cap·Price updated May 6, 2026
SectorHealthcareIndustryBiotechnologySub-IndustryNeuroscience and Psychiatry Therapies
AboutAxsome Therapeutics, Inc., a biopharmaceutical company, engages in the development of novel therapies for central nervous system (CNS) disorders in the United States. The company's product pipeline includes AXS-05, a therapeutic for the treatment of major depressive disorder and resistant depression disorders; and that is in the Phase III clinical trial to treat Alzheimer's disease agitation, as well as that has completed phase II clinical trial for the treatment of smoking cessation. It is also developing AXS-07, a novel, oral, rapidly absorbed, multi-mechanistic, and investigational medicine that has completed two Phase III trials for the acute treatment of migraine; AXS-12, a selective and potent norepinephrine reuptake inhibitor, which is in Phase III trial to treat narcolepsy; and AXS-14, a novel, oral, and investigational medicine that is in Phase III trial for the treatment of fibromyalgia. Axsome Therapeutics, Inc. has a research collaboration agreement with Duke University for evaluating AXS-05 in smoking cessation. The company was incorporated in 2012 and is based in New York, New York.Show more
  • Revenue$638M+65.5%
  • EBITDA-$160M+41.2%
  • Net Income-$183M+36.2%
  • EPS (Diluted)-3.68+38.6%
  • Gross Margin92.56%+1.3%
  • EBITDA Margin-25.09%+64.5%
  • Operating Margin-26.51%+63.6%
  • Net Margin-28.69%+61.5%
  • ROE-252.11%-8.8%
  • ROIC-1906.66%
  • Debt/Equity2.73-19.2%
  • Interest Coverage-27.02+36.7%
Analysis→Technical→

AXSM Key Insights

Axsome Therapeutics, Inc. (AXSM) fundamental analysis — strengths, weaknesses & financial health based on data analysis

✓Strengths

  • ✓Momentum leader: RS Rating 88 (top 12%)
  • ✓Trading near 52-week high

✗Weaknesses

  • ✗High debt to equity ratio of 2.7x
  • ✗Profits declining 12.2% over 5 years
  • ✗Negative free cash flow
  • ✗Expensive at 125.4x book value

* These insights are generated automatically based on available financial data. Please conduct your own research before making investment decisions.

AXSM Price & Volume

Axsome Therapeutics, Inc. (AXSM) stock price & volume — 10-year historical chart

Loading chart...

AXSM Growth Metrics

Axsome Therapeutics, Inc. (AXSM) revenue, earnings & EPS growth — 3, 5 & 10-year CAGR

Revenue CAGR

10 Years-
5 Years-
3 Years133.68%
TTM63.88%

Profit CAGR

10 Years-
5 Years-
3 Years-
TTM32.33%

EPS CAGR

10 Years-
5 Years-
3 Years-
TTM35.36%

Return on Capital

10 Years-94.92%
5 Years-84.16%
3 Years-63.7%
Last Year-52.12%

AXSM Recent Earnings

Axsome Therapeutics, Inc. (AXSM) EPS & revenue vs analyst estimates — last 4 quarters

Full history →
●Beat EPS 8/12 qtrs (67%)●Beat Revenue 7/12 qtrs (58%)
Q2 2026Latest
May 4, 2026
EPS
$1.26
Est $0.85
-48.2%
Revenue
$189M
Est $191M
-0.9%
Q1 2026
Feb 23, 2026
EPS
$0.71
Est $0.70
-1.4%
Revenue
$195M
Est $193M
+0.7%
Q4 2025
Nov 3, 2025
EPS
$0.94
Est $0.82
-14.6%
Revenue
$171M
Est $191M
-10.6%
Q3 2025
Aug 4, 2025
EPS
$0.92
Est $1.00
+8.0%
Revenue
$150M
Est $140M
+7.2%
QuarterDateEPS (Act vs Est)Revenue (Act vs Est)
Q2 2026LatestMay 4, 2026
$1.26vs $0.85-48.2%
$189Mvs $191M-0.9%
Q1 2026Feb 23, 2026
$0.71vs $0.70-1.4%
$195Mvs $193M+0.7%
Q4 2025Nov 3, 2025
$0.94vs $0.82-14.6%
$171Mvs $191M-10.6%
Q3 2025Aug 4, 2025
$0.92vs $1.00+8.0%
$150Mvs $140M+7.2%
Based on last 12 quarters of dataView full earnings history →

AXSM Peer Comparison

Axsome Therapeutics, Inc. (AXSM) competitors in Neuroscience and Psychiatry Therapies — business model, growth, and fundamentals comparison

Select Columns
Stock Universe
Valuation
Growth
Profitability
Financial Health
Dividends & Buybacks
Price Performance
Technical
Fundamentals ($)
Sector-Specific
CompanyMarket CapStock PriceP/E Ratio (TTM)Revenue Growth 1YNet MarginReturn on Equity (ROE)FCF YieldDebt / Equity
INVA logoINVAInnoviva, Inc.Direct Competitor1.91B22.526.8218.52%118.91%46.47%0.23
SUPN logoSUPNSupernus Pharmaceuticals, Inc.Direct Competitor2.96B51.45-75.668.63%-3.74%-2.73%0.04
ACAD logoACADACADIA Pharmaceuticals Inc.Direct Competitor3.68B21.489.3811.87%36.49%41.9%0.04
INTR logoINTRInter & Co, Inc.Direct Competitor2.54B7.8418.7027.12%12.37%1.31
PRAX logoPRAXPraxis Precision Medicines, Inc.Direct Competitor7.61B337.95-25.07-100%-58.74%0.00
ALKS logoALKSAlkermes plcProduct Competitor5.89B35.3224.70-5.25%9.78%8.82%0.04
JAZZ logoJAZZJazz Pharmaceuticals plcProduct Competitor14.34B228.57-39.144.88%0.66%0.71%1.26
NKTR logoNKTRNektar TherapeuticsProduct Competitor1.67B85.09-8.75-43.89%-192.87%-356.81%0.95

Compare AXSM vs Peers

Axsome Therapeutics, Inc. (AXSM) vs competitors — business, growth, and fundamentals comparison against the closest industry rivals.

Closest Rival

vs INVA

Most directly comparable listed peer for AXSM.

Scale Benchmark

vs MCK

Larger-name benchmark to compare AXSM against a more recognizable public peer.

Peer Set

Compare Top 5

vs INVA, SUPN, ACAD, INTR

AXSM Income Statement

Axsome Therapeutics, Inc. (AXSM) annual income statement — 10-year revenue, gross profit & net income history

10Y historyFree accessUpdated daily
Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Sales/Revenue0000050.04M270.6M385.69M638.5M708.24M
Revenue Growth %------440.8%42.53%65.55%63.88%
Cost of Goods Sold42.56K48.94K37.33K005.2M26.07M33.3M47.48M52.41M
COGS % of Revenue-----10.39%9.63%8.63%7.44%-
Gross Profit
-42.56K▲ 0%
-48.94K▼ 15.0%
-37.33K▲ 23.7%
0▲ 100.0%
0▲ 0%
44.84M▲ 0%
244.53M▲ 445.4%
352.39M▲ 44.1%
591.02M▲ 67.7%
655.82M▲ 0%
Gross Margin %-----89.61%90.37%91.37%92.56%92.6%
Gross Profit Growth %-107.76%-14.99%23.72%100%--445.36%44.11%67.72%-
Operating Expenses27.16M32.85M67.11M99.14M124.71M224.64M476.36M632.95M760.25M831.43M
OpEx % of Revenue-----448.94%176.04%164.11%119.07%-
Selling, General & Admin7.21M9.35M13.6M28.9M66.65M159.25M323.12M411.36M570.6M634.81M
SG&A % of Revenue-----318.27%119.41%106.65%89.37%-
Research & Development19.96M23.5M53.65M70.24M58.06M57.95M97.94M187.08M183.28M191.17M
R&D % of Revenue-----115.81%36.2%48.5%28.7%-
Other Operating Expenses00-139.45K-53.58K07.44M55.29M34.52M6.38M0
Operating Income
-27.16M▲ 0%
-32.85M▼ 20.9%
-67.25M▼ 104.7%
-99.14M▼ 47.4%
-124.71M▼ 25.8%
-179.8M▼ 44.2%
-231.82M▼ 28.9%
-280.56M▼ 21.0%
-169.24M▲ 39.7%
-175.61M▲ 0%
Operating Margin %------359.33%-85.67%-72.74%-26.51%-24.8%
Operating Income Growth %1.38%-20.92%-104.72%-47.43%-25.79%-44.18%-28.94%-21.02%39.68%-
EBITDA-27.12M-32.8M-67.21M-99.06M-124.63M-175.4M-224.99M-272.6M-160.17M-167.09M
EBITDA Margin %------350.53%-83.15%-70.68%-25.09%-23.59%
EBITDA Growth %1.46%-20.93%-104.92%-47.4%-25.81%-40.73%-28.28%-21.16%41.24%36.23%
D&A (Non-Cash Add-back)42.56K48.94K37.33K77.72K76K4.4M6.83M7.96M9.06M8.52M
EBIT-27.81M-32.63M-67.25M-100.39M-124.71M-179.8M-231.82M-280.56M-177.15M-181.24M
Net Interest Income-1.34M-1.13M00-5.7M-7.33M-6.45M-6.57M2.81M-3.27M
Interest Income001.24M2.57M00009.37M2.04M
Interest Expense1.34M1.13M1.24M2.57M5.7M7.33M6.45M6.57M6.56M5.31M
Other Income/Expense-1.78M1.66M-1.1M-3.76M-5.7M-7.33M-6.45M-6.57M-14.47M-13.22M
Pretax Income
-28.94M▲ 0%
-30.97M▼ 7.0%
-68.35M▼ 120.7%
-102.9M▼ 50.6%
-130.4M▼ 26.7%
-187.13M▼ 43.5%
-238.28M▼ 27.3%
-287.13M▼ 20.5%
-183.7M▲ 36.0%
-188.83M▲ 0%
Pretax Margin %------373.99%-88.06%-74.45%-28.77%-26.66%
Income Tax000000960K85K-530K-530K
Effective Tax Rate %0%0%0%0%0%0%-0.4%-0.03%0.29%0.28%
Net Income
-28.94M▲ 0%
-30.97M▼ 7.0%
-68.35M▼ 120.7%
-102.9M▼ 50.6%
-130.4M▼ 26.7%
-187.13M▼ 43.5%
-239.24M▼ 27.8%
-287.22M▼ 20.1%
-183.17M▲ 36.2%
-188.3M▲ 0%
Net Margin %------373.99%-88.41%-74.47%-28.69%-26.59%
Net Income Growth %-6.4%-6.99%-120.71%-50.56%-26.73%-43.5%-27.84%-20.05%36.22%32.33%
Net Income (Continuing)-28.94M-30.97M-68.35M-102.9M-130.4M-187.13M-239.24M-287.22M-183.17M-188.3M
Discontinued Operations0000000000
Minority Interest0000000000
EPS (Diluted)
-1.27▲ 0%
-1.15▲ 9.4%
-2.05▼ 78.3%
-2.83▼ 38.0%
-3.47▼ 22.6%
-4.60▼ 32.6%
-5.27▼ 14.6%
-5.99▼ 13.7%
-3.68▲ 38.6%
-3.68▲ 0%
EPS Growth %10.56%9.45%-78.26%-38.05%-22.61%-32.56%-14.57%-13.66%38.56%35.36%
EPS (Basic)-1.27-1.15-2.05-2.83-3.47-4.60-5.27-5.99-3.68-
Diluted Shares Outstanding22.76M26.88M34.02M37.21M37.62M40.66M45.43M47.91M49.75M51.2M
Basic Shares Outstanding22.76M26.88M34.02M37.21M37.62M40.66M45.43M47.91M49.75M51.2M
Dividend Payout Ratio----------

AXSM Balance Sheet

Axsome Therapeutics, Inc. (AXSM) balance sheet — assets, liabilities & shareholders' equity

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Total Current Assets35.3M15.22M220.38M184.02M86.52M245.64M504.26M485.06M588.99M611.21M
Cash & Short-Term Investments34.02M13.97M219.97M183.88M86.47M200.84M386.19M315.35M322.93M305.11M
Cash Only34.02M13.97M219.97M183.88M86.47M200.84M386.19M315.35M322.93M305.11M
Short-Term Investments0000000000
Accounts Receivable0000037.7M94.82M142M224.46M251.06M
Days Sales Outstanding-----275127.9134.38128.32112.2
Inventory000004.32M15.13M15.73M27.94M31.52M
Days Inventory Outstanding-----303.35211.94172.42214.78177
Other Current Assets000002.78M8.12M11.98M13.65M23.52M
Total Non-Current Assets256.02K164.18K170.5K2.11M1.27M85.83M83.97M83.43M100.82M102.4M
Property, Plant & Equipment68.07K51.83K30.62K1.79M944.01K1.14M7.62M5.97M20.86M20.01M
Fixed Asset Turnover-----43.82x35.52x64.64x30.61x31.25x
Goodwill0000010.31M12.04M12.04M12.04M12.04M
Intangible Assets0000059.66M53.29M46.89M40.52M38.95M
Long-Term Investments0000000000
Other Non-Current Assets187.95K112.34K139.88K317.38K322.91K14.72M11.03M18.53M27.4M106.14M
Total Assets
35.56M▲ 0%
15.38M▼ 56.7%
220.55M▲ 1334.1%
186.13M▼ 15.6%
87.79M▼ 52.8%
331.48M▲ 277.6%
588.24M▲ 77.5%
568.5M▼ 3.4%
689.8M▲ 21.3%
713.61M▲ 0%
Asset Turnover-----0.15x0.46x0.68x0.93x1.04x
Asset Growth %-6.95%-56.75%1334.07%-15.6%-52.84%277.6%77.46%-3.36%21.34%76.84%
Total Current Liabilities12.18M10.82M24.49M23.44M23.07M96.56M138.85M230.1M378.84M439.21M
Accounts Payable3.44M3.69M10.94M13.5M13.15M38.6M40.68M72M65.54M106.7M
Days Payables Outstanding29.46K27.5K107K--2.71K569.65789.09503.83553.78
Short-Term Debt3.27M3.29M2.6M0000072.98M70.63M
Deferred Revenue (Current)2.35M000000000
Other Current Liabilities444.29K0004.05M17.18M76.45M36.51M203.28M261.88M
Current Ratio2.90x1.41x9.00x7.85x3.75x2.54x3.63x2.11x1.55x1.55x
Quick Ratio2.90x1.41x9.00x7.85x3.75x2.50x3.52x2.04x1.48x1.48x
Cash Conversion Cycle------2.13K-229.81-482.28-160.74-264.58
Total Non-Current Liabilities6.66M3.62M17.33M48.9M49.09M125.36M258.4M281.38M222.67M219.81M
Long-Term Debt6.66M3.62M17.33M48.32M49.09M94.26M178.07M180.71M140.93M146.08M
Capital Lease Obligations000581.71K007.04M8.99M27.39M82.53M
Deferred Tax Liabilities0000000000
Other Non-Current Liabilities0000031.1M73.3M91.68M54.36M297.61M
Total Liabilities18.84M14.44M41.83M72.34M72.15M221.92M397.26M511.48M601.51M659.02M
Total Debt9.93M6.91M19.93M50.12M49.71M94.68M186.37M192.96M241.29M216.71M
Net Debt-24.09M-7.06M-200.03M-133.75M-36.76M-106.16M-199.82M-122.4M-81.64M-88.4M
Debt / Equity0.59x7.37x0.11x0.44x3.18x0.86x0.98x3.38x2.73x2.73x
Debt / EBITDA----------1.30x
Net Debt / EBITDA---------0.53x
Interest Coverage-20.75x-28.94x-54.25x-39.12x-21.89x-24.51x-35.93x-42.71x-27.02x-34.13x
Total Equity
16.72M▲ 0%
937.92K▼ 94.4%
178.72M▲ 18955.2%
113.79M▼ 36.3%
15.63M▼ 86.3%
109.56M▲ 600.9%
190.98M▲ 74.3%
57.02M▼ 70.1%
88.3M▲ 54.9%
54.59M▲ 0%
Equity Growth %-22.5%-94.39%18955.16%-36.33%-86.26%600.92%74.32%-70.15%54.86%7.87%
Book Value per Share0.730.035.253.060.422.694.201.191.771.07
Total Shareholders' Equity16.72M937.92K178.72M113.79M15.63M109.56M190.98M57.02M88.3M54.59M
Common Stock2.55K3.01K3.69K3.74K3.78K4K5K5K5K5K
Retained Earnings-76.58M-107.55M-175.9M-278.8M-409.2M-596.33M-835.57M-1.12B-1.31B-1.37B
Treasury Stock0000000000
Accumulated OCI0000000000
Minority Interest0000000000

AXSM Cash Flow Statement

Axsome Therapeutics, Inc. (AXSM) cash flow — operating, investing & free cash flow history

Line itemDec'17Dec'18Dec'19Dec'20Dec'21Dec'22Dec'23Dec'24Dec'25TTM
Cash from Operations-26.47M-30.05M-46.38M-78.46M-108.23M-116.51M-145.08M-128.41M-93.41M-93.41M
Operating CF Margin %------232.85%-53.61%-33.29%-14.63%-
Operating CF Growth %-24.39%-13.53%-54.31%-69.18%-37.94%-7.66%-24.52%11.49%27.26%179.02%
Net Income-28.94M-30.97M-68.35M-102.9M-130.4M-187.13M-239.24M-287.22M-183.17M-188.3M
Depreciation & Amortization42.56K48.94K37.33K77.72K76K4.4M6.83M7.96M9.06M8.76M
Stock-Based Compensation2.07M1.75M6.12M14.76M20.8M37.73M62.62M093.75M70.44M
Deferred Taxes646K-2.79M01.25M000000
Other Non-Cash Items470.52K375.63K649.99K7.95M974K4.83M53.1M116.95M9.48M34.3M
Working Capital Changes-759.55K1.52M15.17M412.04K324K23.67M-28.39M33.9M-22.52M4.07M
Change in Receivables000177.5K0-37.7M-57.12M-47.18M-82.46M-89.67M
Change in Inventory000-177.5K-6K-5.28M-8.16M744K-15.67M-13.37M
Change in Payables-645.72K251.79K7.26M2.56M-355K25.46M2.07M31.32M-6.46M21.04M
Cash from Investing-9.9K-32.7K-16.12K-45.89K-308K-53.7M-582K-270K-480K-263K
Capital Expenditures-9.9K-32.7K-16.12K-45.89K-308K-702K-582K-270K-480K-263K
CapEx % of Revenue-----1.4%0.22%0.07%0.08%-
Acquisitions00000-53M0000
Investments----------
Other Investing0000000000
Cash from Financing23.88M10.03M252.39M42.41M11.13M284.58M331.01M57.84M101.47M75.19M
Debt Issued (Net)-277.78K-3.33M12.76M28.34M045M85M-990K-7.75M-8.02M
Equity Issued (Net)23.68M12.88M238.23M14.13M7.44M243.76M258.75M40.78M126.27M106.2M
Dividends Paid0000000000
Share Repurchases0000000000
Other Financing484.61K486.03K1.39M-52.76K3.69M-4.18M-12.74M18.05M-17.05M-22.99M
Net Change in Cash
-2.6M▲ 0%
-20.05M▼ 672.0%
206M▲ 1127.3%
-36.09M▼ 117.5%
-97.4M▼ 169.9%
114.37M▲ 217.4%
185.35M▲ 62.1%
-70.84M▼ 138.2%
7.58M▲ 110.7%
4.2M▲ 0%
Free Cash Flow
-26.48M▲ 0%
-30.09M▼ 13.6%
-46.39M▼ 54.2%
-78.5M▼ 69.2%
-108.53M▼ 38.3%
-117.21M▼ 8.0%
-145.66M▼ 24.3%
-128.68M▲ 11.7%
-93.89M▲ 27.0%
-70.99M▲ 0%
FCF Margin %------234.25%-53.83%-33.36%-14.7%-10.02%
FCF Growth %-23.83%-13.61%-54.19%-69.22%-38.26%-8%-24.27%11.66%27.04%40.13%
FCF per Share-1.16-1.12-1.36-2.11-2.89-2.88-3.21-2.69-1.89-1.89
FCF Conversion (FCF/Net Income)0.91x0.97x0.68x0.76x0.83x0.62x0.61x0.45x0.51x0.38x
Interest Paid865.28K771.97K1.29M2.1M4.63M7.69M16.73M19.69M14.63M10.04M
Taxes Paid0000000000

AXSM Key Ratios

Axsome Therapeutics, Inc. (AXSM) financial ratios — P/E, ROE, debt and 30+ core market and balance-sheet ratios

Metric201720182019202020212022202320242025TTM
Return on Equity (ROE)-151.19%-350.78%-76.08%-70.36%-201.51%-298.97%-159.21%-231.63%-252.11%-260.01%
Return on Invested Capital (ROIC)---------1906.66%-1906.66%
Gross Margin-----89.61%90.37%91.37%92.56%92.6%
Net Margin------373.99%-88.41%-74.47%-28.69%-26.59%
Debt / Equity0.59x7.37x0.11x0.44x3.18x0.86x0.98x3.38x2.73x2.73x
Interest Coverage-20.75x-28.94x-54.25x-39.12x-21.89x-24.51x-35.93x-42.71x-27.02x-34.13x
FCF Conversion0.91x0.97x0.68x0.76x0.83x0.62x0.61x0.45x0.51x0.38x
Revenue Growth------440.8%42.53%65.55%63.88%

AXSM SEC Filings & Documents

Axsome Therapeutics, Inc. (AXSM) SEC filings — annual & quarterly reports (10-K, 10-Q)

8-K Announcements

6
Material company update

May 4, 2026·SEC

Material company update

Apr 30, 2026·SEC

Material company update

Apr 1, 2026·SEC

10-K Annual Reports

3
FY 2026

Feb 23, 2026·SEC

FY 2025

Feb 18, 2025·SEC

FY 2024

Feb 23, 2024·SEC

10-Q Quarterly Reports

6
FY 2026

May 4, 2026·SEC

FY 2025

Nov 3, 2025·SEC

FY 2025

Aug 4, 2025·SEC

AXSM Frequently Asked Questions

Axsome Therapeutics, Inc. (AXSM) stock FAQ — growth, dividends, profitability & financials explained

Growth & Financials

Axsome Therapeutics, Inc. (AXSM) reported $708.2M in revenue for fiscal year 2025.

Axsome Therapeutics, Inc. (AXSM) grew revenue by 65.5% over the past year. This is strong growth.

Axsome Therapeutics, Inc. (AXSM) reported a net loss of $188.3M for fiscal year 2025.

Dividend & Returns

Axsome Therapeutics, Inc. (AXSM) has a return on equity (ROE) of -252.1%. Negative ROE indicates the company is unprofitable.

Axsome Therapeutics, Inc. (AXSM) had negative free cash flow of $71.0M in fiscal year 2025, likely due to heavy capital investments.

Explore More AXSM

Axsome Therapeutics, Inc. (AXSM) financial analysis — history, returns, DCA and operating performance tools

Full AXSM Stock Analysis

Analyst verdict, bull/bear case, risk factors and peer comparison

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Total Return Calculator

Historical returns with dividends reinvested

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DCA Calculator

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Dividend History

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