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Axsome Therapeutics, Inc. (AXSM)

Axsome Therapeutics, Inc. brought in $865.3M of revenue over the twelve months to September 30, 2026, up 54.2% from a year earlier. It posted a net loss of $157.3M. In fiscal 2025 capital spending exceeded operating cash flow by $93.9M. At September 30, 2026 it held $313.9M in cash against $188.1M of debt. Its latest periodic report to the SEC is the quarterly report (10-Q) filed on November 2, 2026.

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Price
$133.96
+1.20% on the day · November 9, 2026
52-week range $123.00 to $260.19
Market cap
$7B
Revenue (last 12 months)
$865.3M
+54.2% year on year
Net margin
-18.2%

Key facts about Axsome Therapeutics, Inc.

Net worth
Axsome Therapeutics, Inc. has a market value (market cap) of $7B at the latest share price, and shareholders' equity of $105.4M on its balance sheet at September 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.
Revenue and profit
In fiscal 2025 revenue was $638.5M (+65.5% year on year), with a net loss of $183.2M. Over the 12 months to September 30, 2026: revenue $865.3M, net loss $157.3M.
Cash flow
In fiscal 2025 operations used $93.4M of cash.
Latest report
The latest periodic report (quarterly report, 10-Q) was filed with the SEC on November 2, 2026 and covers the period to September 30, 2026. Open on SEC EDGAR
Next earnings report
Axsome Therapeutics, Inc.'s next report is expected around January 11, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

What Axsome Therapeutics, Inc. does

Axsome Therapeutics, Inc. is registered with the SEC under industry code SIC 2834 (Pharmaceutical Preparations). Its shares trade on NASDAQ under the ticker AXSM.

Revenue and profit by year

Revenue
FY22: $50M $50M FY22FY23: $270.6M $270.6M FY23FY24: $385.7M $385.7M FY24FY25: $638.5M $638.5M FY25
Net income
FY18: -$31M -$31M FY18FY19: -$68.3M -$68.3M FY19FY20: -$102.9M -$102.9M FY20FY21: -$130.4M -$130.4M FY21FY22: -$187.1M -$187.1M FY22FY23: -$239.2M -$239.2M FY23FY24: -$287.2M -$287.2M FY24FY25: -$183.2M -$183.2M FY25

Fiscal years as reported in annual reports. Amounts in USD.

Key figures

Fiscal yearRevenueOperating incomeNet incomeDiluted EPSFree cash flow
2025$638.5M-$166.8M-$183.2M-$3.68-$93.9M
2024$385.7M-$280.6M-$287.2M-$5.99-$128.7M
2023$270.6M-$231.8M-$239.2M-$5.27-$145.7M
2022$50M-$179.8M-$187.1M-$4.60-$117.2M
2021n/a-$124.7M-$130.4M-$3.47-$108.5M
2020n/a-$99.1M-$102.9M-$2.77-$78.5M

Earnings: every quarter and the next report date

Full financial statements: income, balance sheet and cash flow

Next report expected around January 11, 2027.

Estimated from its filing rhythm: 52 weeks after its report of January 12, 2026. Not a date the company has announced. See the report calendar · Earnings, quarter by quarter

Where AXSM ranks in Health care

Revenue$638.5M
#187 of 751 in Health care · Top 25%
Revenue growth+65.5%
#69 of 532 in Health care · Top 13%
Net margin-28.7%
#349 of 544 in Health care · Bottom 36%
Free cash flow margin-14.7%
#314 of 490 in Health care · Bottom 36%

Latest fiscal year of every company in the sector with the figure reported. Revenue is ranked among companies reporting in US dollars; growth and margins among companies with at least 10 million of revenue. Health care

Latest SEC filings

What Axsome Therapeutics, Inc. has filed recently, newest first. Each links to the original document on SEC EDGAR.

  1. November 2, 2026
    Quarterly report 10-Q · period to September 30, 2026Revenue rose 52% to $259.7M versus the same quarter last year; diluted EPS -$0.25 versus -$0.94.
  2. November 2, 2026
  3. August 10, 2026
    Quarterly report 10-Q · period to June 30, 2026Revenue rose 46% to $218.4M versus the same quarter last year; diluted EPS -$0.99 versus -$0.97.
  4. August 10, 2026
  5. July 27, 2026
  6. July 15, 2026
  7. June 9, 2026
  8. June 9, 2026
  9. June 3, 2026
  10. May 4, 2026
    Quarterly report 10-Q · period to March 31, 2026Revenue rose 57% to $191.2M versus the same quarter last year; diluted EPS -$1.26 versus -$1.22.

Recent insider filings (Forms 3, 4 and 144): 10, the latest on September 3, 2026. Insider transactions on SEC

Insider trades

What the people running Axsome Therapeutics, Inc. did with its shares, from the Form 4 filings they must send the SEC within two business days.

Insiders sold $2.1M worth of shares in the last 90 days and bought none on the open market. All of the selling was pre-planned under Rule 10b5-1 trading plans.

Bought (open market)
$0
last 90 days
Sold
$2.1M
last 90 days
Net sold
10,000
$2.1M
DateInsiderWhatSharesPriceValueFiling
September 3, 2026 Jacobson Mark L.Chief Operating Officer Exercised options 10,000 $12.95 $129.5K Form 4
September 3, 2026 Jacobson Mark L.Chief Operating Officer Soldpre-planned (10b5-1) 10,000 $208.65 $2.1M Form 4
August 6, 2026 Tabuteau HerriotChief Executive Officer, Director, 10% owner Exercised options 4,660 $4.95 $23.1K Form 4
August 6, 2026 Tabuteau HerriotChief Executive Officer, Director, 10% owner Soldpre-planned (10b5-1) 4,660 $213.95 $997K Form 4
August 5, 2026 Tabuteau HerriotChief Executive Officer, Director, 10% owner Exercised options 45,004 $4.95 $222.8K Form 4
August 5, 2026 Tabuteau HerriotChief Executive Officer, Director, 10% owner Soldpre-planned (10b5-1) 45,004 $212.01 $9.5M Form 4
July 1, 2026 Tabuteau HerriotChief Executive Officer, Director, 10% owner Exercised options 49,666 $4.95 $245.8K Form 4
July 1, 2026 Tabuteau HerriotChief Executive Officer, Director, 10% owner Soldpre-planned (10b5-1) 49,666 $240.25 $11.9M Form 4

All insider filings on SEC.gov · Where insiders are buying across the market

Who owns AXSM

Three views from three kinds of SEC filings, each with its own date. They overlap and are not added up.

5% holders

Anyone who owns more than 5% of a class of shares must say so on Schedule 13D (if they may seek to influence the company) or 13G (a passive holder). The latest filing of each holder is shown: 13G filings of the last 2 years, 13D of the last 3.

No holder of 5% or more has filed about this company in that window.

Latest filings below 5%: The Vanguard Group 0% (March 26, 2026); RTW Investments, LP 3.1% (August 14, 2025).

Largest institutional holders

No Form 13F positions imported for this company yet.

Insiders

Reported holdings of insiders who filed a Form 4 in the last 12 months: the shares each one held after their latest reported transaction. This is not the total held by all insiders.

6 insiders reported holding 151,112 shares in total, about $20.2M at the last price.

HolderSharesAs of
Jeffs RogerDirector 58,367 June 11, 2026
Pizzie NickChief Financial Officer 42,867 June 9, 2026
Coleman MarkDirector 30,389 June 10, 2026
Saad Mark EDirector 11,431 June 8, 2026
Tabuteau HerriotChief Executive Officer, Director, 10% owner 7,229 August 6, 2026
Mahony SusanDirector 829 June 10, 2026

Schedule 13D/13G filings on SEC.gov

All filings on SEC EDGAR

Questions about AXSM

What does Axsome Therapeutics, Inc. do?

Axsome Therapeutics, Inc. is a company in the Health care sector, listed on NASDAQ as AXSM. Its shares trade on NASDAQ under the ticker AXSM.

What is Axsome Therapeutics, Inc.'s net worth?

Axsome Therapeutics, Inc. has a market value (market cap) of $7B at the latest share price, and shareholders' equity of $105.4M on its balance sheet at September 30, 2026. A company's "net worth" usually means one of these: what the market pays for all its shares, or its assets minus its liabilities.

Is Axsome Therapeutics, Inc. profitable?

No. Over the twelve months to September 30, 2026 it reported a net loss of $157.3M on revenue of $865.3M.

How much revenue does Axsome Therapeutics, Inc. make?

Over the twelve months to September 30, 2026 Axsome Therapeutics, Inc. reported revenue of $865.3M. That is 54.2% more than a year earlier.

When did Axsome Therapeutics, Inc. last report?

Its most recent periodic report is the quarterly report (10-Q) filed on November 2, 2026. It covers the period to September 30, 2026.

When is Axsome Therapeutics, Inc.'s next earnings report?

Axsome Therapeutics, Inc.'s next report is expected around January 11, 2027. That is an estimate from its filing rhythm, not a date the company has announced.

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Where the numbers come from

Financial figures are the values Axsome Therapeutics, Inc. tagged in its own SEC filings (XBRL), taken from the latest filing for each period, so restatements replace older figures. Revenue, profit and cash flow are for full fiscal years unless marked as the last twelve months, which is the sum of the four most recent quarters. Where a company reports only the full year, the fourth quarter is the year minus the first three.

Prices are delayed end-of-day market data in the listing currency, and market cap moves with the price. P/E is shown only when earnings per share are positive. Nothing here is investment advice.