Axsome Therapeutics, Inc.

Axsome Therapeutics, Inc.

AXSMยทNASDAQ

$233.49

+5.1%
HealthcareBiotechnology

Axsome 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.

At a Glance

Live Snapshot
Market Cap$12.02B
EPS-3.6800
P/E Ratio-63.45
Earnings Date08/03/2026

Intrinsic Alpha Methodology

Thesis Lenses

Signal ยท Driver ยท Risk

Signal

Medium confidence

Valuation multiple is compressed (P/E -63.5).

Valuation inputs: P/E -63.5, earnings yield N/A, momentum +5.1%.

If multiples stay elevated while momentum fades, downside repricing risk rises.

Driver

High confidence

Return profile is soft (ROE -2.1%, ROIC -44.0%).

Profitability stack: net margin -28.7%, ROE -2.1%, ROIC -44.0%.

Quality deterioration often appears in margins before it shows up in headline EPS.

Risk

High confidence

Downside profile is elevated and scenario stress-testing is essential.

Risk factors: liabilities/assets +87.2%, momentum +5.1%, net margin -28.7%.

Higher leverage with weak momentum and thin margins can amplify drawdown severity.

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Axsome Therapeutics, Inc. Market vs Earnings Trajectory

AXSM ยท NASDAQ

Loading price and EPS data...

Axsome Therapeutics, Inc.

Axsome Therapeutics, Inc. Fair Value Envelope

AXSM ยท NASDAQ

Our analysis suggests that AXSM has a fair value of HIDDEN per share in the Base Case projection. With shares currently trading at $233.49, this represents a potential HIDDEN relative to our calculated worth for Axsome Therapeutics, Inc..

Intrinsic Value
Current Price: $233.49
3Y-20.0%
5Y+30.0%
10Y+159.0%
3Y+1176.0%
5Y-
10Y-
3Y-2.0%
5Y+78.0%
10Y+573.0%
3Y-20.0%
5Y+19.0%
10Y+339.0%
3Y-20.0%
5Y+20.0%
10Y+339.0%
3Y+108.0%
5Y+271.0%
10Y+1705.0%
Axsome Therapeutics, Inc.

Axsome Therapeutics, Inc. Profit Bridge

AXSM ยท NASDAQ
Revenue638.50M
Cost of Goods Sold (47.48M)
Gross Profit591.02M
Operating Expenses (760.25M)
Operating Income-169.24M
Interest Expense (6.56M)
Other Income/Expense-14.47M
Pretax Income-183.70M
Income Tax (-530.00K)
Net Income-183.17M
Net Income
-183.17M

Profitability Analysis

Gross Margin

92.6%

Exceptional pricing power and cost management. The company retains over half of revenue after direct costs.

Operating Margin

-26.5%

Operating losses indicate the core business is unprofitable. Requires restructuring or revenue growth.

Net Profit Margin

-28.7%

Net losses indicate the company is burning cash. Sustainability depends on path to profitability.

Profitability Insight

Margin squeeze alert: Healthy gross margins but weak operating margins suggest excessive operating expenses. Cost optimization could unlock significant value.

92.56%
Gross Profit Margin
1%
3Y+3.0%
5Y-
10Y-
-26.51%
Operating Profit Margin
-64%
3Y-93.0%
5Y-
10Y-
-28.69%
Net Profit Margin
-61%
3Y-92.0%
5Y-
10Y-
-207.46%
Return on Equity
-59%
3Y+21.0%
5Y+129.0%
10Y+65.0%
-26.55%
Return on Assets
-47%
3Y-53.0%
5Y-52.0%
10Y-63.0%
-43.95%
Return on Invested Capital
-46%
3Y-42.0%
5Y-27.0%
10Y-50.0%
AXSM

Axsome Therapeutics, Inc. Cash Conversion Engine

AXSM ยท NASDAQ
Net Income-183.17M
Depreciation & Amortization9.06M
Stock-Based Compensation93.75M
Change in Working Capital-22.52M
Others9.48M
Capital Expenditures-480.00K
Free Cash Flow-93.89M

Cash Flow Quality Analysis

FCF Conversion Rate

51.3%

Weak cash conversion. Significant portion of earnings not converting to cashโ€”review working capital trends and capital intensity.

CapEx Intensity

-0.5%

Asset-light business model. Low capital requirements leave more cash available for shareholders and growth investments.

FCF Growth Trend

+27.0%

Strong FCF growth demonstrates improving cash generation and business momentum. Positive signal for sustainability.

Working Capital Impact

-$22.52M

Moderate working capital outflow. Typical for growing businesses, but ensure it's supporting revenue growth, not inefficiency.

Cash Flow Quality Insight

Working capital strain: Significant cash tied up in operations. Monitor receivables collection, inventory turns, and payment terms to optimize cash conversion cycle.

axsm

Axsome Therapeutics, Inc. Funding & Solvency Profile

AXSM ยท NASDAQ
Cash & Cash Equivalents305.11M
Net Receivables251.06M
Inventory31.52M
Other Current Assets23.52M
Total Current Assets611 M
Property, Plant & Equipment20.01M
Goodwill & Intangible Assets50.99M
Long-Term Investments0.00
Other Non-Current Assets31.40M
Total Non-Current Assets51 M
Total Assets
713.61M

Financial Health Analysis

Current Ratio

1.39x

Acceptable liquidity, but monitor closely. Current assets just barely cover current liabilities.

Debt-to-Equity Ratio

12.07x

High financial leverage. Heavy reliance on debt may indicate increased financial risk and potential solvency concerns.

Working Capital

172 M

Positive working capital, but relatively tight. The company should monitor cash flow carefully.

Asset Composition

86% Current

Asset-light business model with high liquidity. Majority of assets are easily convertible to cash.

axsm

Axsome Therapeutics, Inc. Street Expectations Map

AXSM ยท NASDAQ

Wall Street analysts project that AXSM stock may experience modest gains over the coming 12 months. The consensus 1-year price target stands at 255.81, with estimates ranging from a low of 200.00 to a high of 302.00.

Lowest Target
200.00
-14.34%
Consensus Target
255.81
9.56%
Highest Target
302.00
29.34%

The consensus 1-year price target stands at 255.81, with estimates ranging from a low of 200.00 to a high of 302.00.

Analyst Consensus Analysis

Upside Potential

+9.6%

Moderate upside. Analysts expect positive returns but with limited margin of safety. Consider entry timing.

Analyst Agreement

39.9% spread

Good consensus alignment. Moderate target spread reflects general agreement on value drivers with some variance in assumptions.

Risk-Reward Profile

2.05x

Favorable risk-reward. Potential upside significantly exceeds downside risk, offering asymmetric return profile attractive for risk-tolerant investors.

Analyst Conviction

High

Positive outlook with reasonable agreement. Analysts generally optimistic about prospects with manageable uncertainty.

Market Sentiment Insight

Monitor and evaluate: Current analyst consensus suggests limited conviction or near-term catalysts. Stay informed on company developments and reassess positioning as new information emerges.

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Axsome Therapeutics, Inc. Insider Positioning

AXSM ยท NASDAQ

During the last 12 months, insiders have purchased $102K and sold $126.04M worth of AXSM shares, resulting in $125.94M of net selling activity.

3 Months

Bought

0

0.00

Sold

29.8K

6.47M

Net Activity

-6.5M

-$6.47M

3-6 Months

Bought

0

0.00

Sold

283.0K

48.47M

Net Activity

-48.5M

-$48.47M

6-9 Months

Bought

800

101.76K

Sold

386.9K

50.18M

Net Activity

-50.1M

-$50.08M

9-12 Months

Bought

0

0.00

Sold

180.3K

20.92M

Net Activity

-20.9M

-$20.92M

Top Buyers

1
CM

Coleman Mark

Director

800 sharesโ€ข1 transactions

$102K

Top Sellers

1
TH

Tabuteau Herriot

Director, 10 Percent Owner, Officer: Chief Executive Officer

508.7K sharesโ€ข15 transactions

$74.35M

2
JML

Jacobson Mark L.

Officer: Chief Operating Officer

115.1K sharesโ€ข6 transactions

$15.30M

3
JR

Jeffs Roger

Director

110.2K sharesโ€ข6 transactions

$13.37M

4
CM

Coleman Mark

Director

42.5K sharesโ€ข4 transactions

$8.05M

5
SME

Saad Mark E

Director

40.5K sharesโ€ข2 transactions

$6.32M

Insider Activity Analysis

Net Insider Sentiment

Bearish

Strong bearish signal with $125.94M net selling. Heavy insider selling may indicate concerns about valuation or near-term prospects.

Buy/Sell Ratio

0.00:1

Very poor ratio. Heavy selling with minimal buying suggests insiders may be concerned about valuation or outlook.

Recent Trend (3 Months)

$6.47M

Heavy recent selling activity. Recent insider sales notably exceed purchasesโ€”may warrant investigation into company developments.

Insider Participation

High Selling

5 insider sellers vs. 1 buyers. Widespread selling across multiple insiders may signal concerns.

Insider Activity Insight

Multiple red flags: Heavy selling, numerous sellers, and continued recent selling create a concerning pattern. Investigate fundamental drivers and consider whether company guidance or industry conditions have deteriorated.

No Dividend Yield Data

AXSM has not reported any dividend yield values in the available annual periods.

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axsm Dividend History

AXSM
10Y CAGR +0%
Latest $0
Annual $0
Stable dividend payments
Last Period: +0%