Axsome Therapeutics (AXSM) | Financial Analysis & Statements
Axsome Therapeutics Inc. Mid-cap Healthcare
TL;DR: Financial Overview - Revenue, Profits & Key Metrics
Latest Quarterly: Dec 2025Income Metrics
Revenue
196.0M
Gross Profit
183.7M
93.71%
Operating Income
-36.0M
-18.38%
Net Income
-28.6M
-14.57%
EPS (Diluted)
$-0.56
Balance Sheet Metrics
Total Assets
689.8M
Total Liabilities
601.5M
Shareholders Equity
88.3M
Debt to Equity
6.81
Cash Flow Metrics
Operating Cash Flow
-32.0M
Free Cash Flow
-18.7M
Revenue & Profitability Trend
Quarter Income Flow
Dec 31, 2025
Annual Income Flow
2025
Axsome Therapeutics Income Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Revenue | 638.5M | 385.7M | 270.6M | 50.0M | 0 |
| Cost of Goods Sold | 47.5M | 33.3M | 26.1M | 5.2M | 0 |
| Gross Profit | 591.0M | 352.4M | 244.5M | 44.8M | 0 |
| Gross Margin % | 92.6% | 91.4% | 90.4% | 89.6% | 0.0% |
| Operating Expenses | |||||
| Research & Development | 183.3M | 187.1M | 97.9M | 57.9M | 58.1M |
| Selling, General & Administrative | 570.6M | 411.4M | 323.1M | 159.3M | 66.6M |
| Other Operating Expenses | - | - | - | - | - |
| Total Operating Expenses | 753.9M | 598.4M | 421.1M | 217.2M | 124.7M |
| Operating Income | -169.2M | -252.4M | -182.9M | -176.5M | -124.7M |
| Operating Margin % | -26.5% | -65.5% | -67.6% | -352.7% | 0.0% |
| Non-Operating Items | |||||
| Interest Income | - | - | - | - | - |
| Interest Expense | 6.6M | 6.6M | 6.5M | 7.3M | 5.7M |
| Other Non-Operating Income | -7.9M | -28.1M | -48.9M | -3.3M | - |
| Pre-tax Income | -183.7M | -287.1M | -238.3M | -187.1M | -130.4M |
| Income Tax | -530.0K | 85.0K | 960.0K | 0 | 0 |
| Effective Tax Rate % | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Net Income | -183.2M | -287.2M | -239.2M | -187.1M | -130.4M |
| Net Margin % | -28.7% | -74.5% | -88.4% | -374.0% | 0.0% |
| Key Metrics | |||||
| EBITDA | -160.2M | -244.5M | -176.1M | -172.1M | -124.6M |
| EPS (Basic) | $-3.68 | $-5.99 | $-5.27 | $-4.60 | $-3.47 |
| EPS (Diluted) | $-3.68 | $-5.99 | $-5.27 | $-4.60 | $-3.47 |
| Basic Shares Outstanding | 49747178 | 47914253 | 45425212 | 40655941 | 37618599 |
| Diluted Shares Outstanding | 49747178 | 47914253 | 45425212 | 40655941 | 37618599 |
Income Statement Trend
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Axsome Therapeutics Balance Sheet From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Assets | |||||
| Current Assets | |||||
| Cash & Equivalents | 322.9M | 315.4M | 386.2M | 200.8M | 86.5M |
| Short-term Investments | - | - | - | - | - |
| Accounts Receivable | 224.5M | 142.0M | 94.8M | 37.7M | 0 |
| Inventory | 27.9M | 15.7M | 15.1M | 4.3M | 0 |
| Other Current Assets | 13.7M | 12.0M | 8.1M | 2.8M | 45.3K |
| Total Current Assets | 589.0M | 485.1M | 504.3M | 245.6M | 86.5M |
| Non-Current Assets | |||||
| Property, Plant & Equipment | 562.0K | 584.0K | 846.0K | 722.0K | 283.8K |
| Goodwill | 64.6M | 71.0M | 77.4M | 80.3M | 0 |
| Intangible Assets | 40.5M | 46.9M | 53.3M | 59.7M | - |
| Long-term Investments | - | - | - | - | - |
| Other Non-Current Assets | 26.8M | 18.5M | 11.0M | 14.7M | 322.9K |
| Total Non-Current Assets | 100.8M | 83.4M | 84.0M | 85.8M | 1.3M |
| Total Assets | 689.8M | 568.5M | 588.2M | 331.5M | 87.8M |
| Liabilities | |||||
| Current Liabilities | |||||
| Accounts Payable | 65.5M | 72.0M | 40.7M | 38.6M | 13.1M |
| Short-term Debt | 73.0M | 3.3M | 1.3M | 425.0K | 620.7K |
| Current Portion of Long-term Debt | - | - | - | - | - |
| Other Current Liabilities | 10.0M | 8.3M | 6.4M | 5.9M | - |
| Total Current Liabilities | 378.8M | 230.1M | 138.9M | 96.6M | 23.1M |
| Non-Current Liabilities | |||||
| Long-term Debt | 145.1M | 189.7M | 185.1M | 94.3M | 49.1M |
| Deferred Tax Liabilities | - | - | - | - | - |
| Other Non-Current Liabilities | 77.5M | 91.7M | 73.3M | 31.1M | - |
| Total Non-Current Liabilities | 222.7M | 281.4M | 258.4M | 125.4M | 49.1M |
| Total Liabilities | 601.5M | 511.5M | 397.3M | 221.9M | 72.2M |
| Equity | |||||
| Common Stock | 5.0K | 5.0K | 5.0K | 4.0K | 3.8K |
| Retained Earnings | -1.3B | -1.1B | -835.6M | -596.3M | -409.2M |
| Treasury Stock | - | - | - | - | - |
| Other Equity | - | - | - | - | - |
| Total Shareholders Equity | 88.3M | 57.0M | 191.0M | 109.6M | 15.6M |
| Key Metrics | |||||
| Total Debt | 218.1M | 193.0M | 186.4M | 94.7M | 49.7M |
| Working Capital | 210.2M | 255.0M | 365.4M | 149.1M | 63.5M |
Balance Sheet Composition
Axsome Therapeutics Cash Flow Statement From 2021 to 2025
| Metric | 2025 | 2024 | 2023 | 2022 | 2021 |
|---|---|---|---|---|---|
| Operating Activities | |||||
| Net Income | -183.2M | -287.2M | -239.2M | -187.1M | -130.4M |
| Depreciation & Amortization | 9.1M | 8.0M | 6.8M | 4.4M | 76.0K |
| Stock-Based Compensation | 93.8M | 85.2M | 62.6M | 37.7M | 20.8M |
| Working Capital Changes | -104.6M | -18.3M | -59.5M | -17.5M | -366.5K |
| Operating Cash Flow | -185.9M | -180.6M | -176.2M | -157.7M | -108.9M |
| Investing Activities | |||||
| Capital Expenditures | -480.0K | -270.0K | -582.0K | -702.0K | -308.0K |
| Acquisitions | - | 0 | 0 | -53.0M | 0 |
| Investment Purchases | - | - | - | - | - |
| Investment Sales | - | - | - | - | - |
| Investing Cash Flow | -480.0K | -270.0K | -582.0K | -53.7M | -308.0K |
| Financing Activities | |||||
| Share Repurchases | - | - | - | - | - |
| Dividends Paid | - | - | - | - | - |
| Debt Issuance | 330.0M | 0 | 85.0M | 45.0M | 0 |
| Debt Repayment | -334.1M | -990.0K | - | 0 | 0 |
| Financing Cash Flow | 41.9M | 27.2M | 318.6M | 278.3M | 6.7M |
| Free Cash Flow | -93.9M | -128.7M | -145.7M | -117.2M | -108.5M |
| Net Change in Cash | -144.4M | -153.7M | 141.8M | 66.9M | -102.5M |
Cash Flow Trend
Axsome Therapeutics Key Financial Ratios
Valuation Ratios
P/E Ratio (TTM)
-50.54
Forward P/E
29.85
Price to Book
105.31
Price to Sales
14.64
PEG Ratio
0.79
Profitability Ratios
Profit Margin
-28.69%
Operating Margin
-18.38%
Return on Equity
-252.12%
Return on Assets
-16.81%
Financial Health
Current Ratio
1.56
Debt to Equity
247.03
Beta
0.47
Per Share Data
EPS (TTM)
$-3.69
Book Value per Share
$1.74
Revenue per Share
$12.84
Peer Financial Comparison
| Company | Market Cap | P/E Ratio | P/B Ratio | ROE | Profit Margin | Debt/Equity |
|---|---|---|---|---|---|---|
| AXSM | 9.5B | -50.54 | 105.31 | -252.12% | -28.69% | 247.03 |
| Vertex | 109.4B | 28.40 | 5.92 | 22.54% | 32.94% | 10.91 |
| Regeneron | 81.0B | 18.00 | 2.45 | 14.86% | 31.41% | 9.51 |
| Praxis Precision | 9.6B | - | 9.46 | -45.83% | 0.00% | 0.01 |
| Bio-Techne | 9.1B | 117.16 | 4.55 | 3.80% | 6.41% | 20.07 |
| Vaxcyte | 8.8B | -10.79 | 2.97 | -25.59% | 0.00% | 4.38 |
Financial data is updated regularly. All figures are in the company's reporting currency.






