Axsome Therapeutics, Inc. (AXSM) Key Metrics
AXSM valuation today
Trailing 12 months · as of October 17, 2026- Market cap
- $8.23B
- Enterprise value
- $10.04B
- P/E (TTM)
- —
- Forward P/E
- 32.2
- PEG ratio
- —
- Price / sales
- 10.6 10-yr median 14.2
- Price / book
- 121.6 10-yr median 27.6
- EV / EBITDA
- —
- Dividend yield
- —
- Beta
- 0.85
AXSM key metrics, 2016–2025
Fiscal year ended December 31, 2025 · U.S. dollarsAXSM valuation Price multiples at each fiscal year-end price.
Price / sales+35.4%
14.2
2025 · hover or tap a bar for each year
20162025
Price / book+44.7%
102.9
2025 · hover or tap a bar for each year
20162025
Free cash flow yield+2.1 pts
−1.0%
2025 · hover or tap a bar for each year
20162025
AXSM returns How much profit the business earns on the capital it uses.
Return on equity−20.5 pts
−252.1%
2025 · hover or tap a bar for each year
20162025
Return on assets+20.5 pts
−29.1%
2025 · hover or tap a bar for each year
20162025
Free cash flow margin+18.7 pts
−14.7%
2025 · hover or tap a bar for each year
20162025
Asset turnover+52.2%
1.01
2025 · hover or tap a bar for each year
20162025
AXSM per-share figures Results divided by the shares outstanding at year-end.
Revenue per share+59.4%
$12.83
2025 · hover or tap a bar for each year
20162025
Earnings per share
−$3.68
2025 · hover or tap a bar for each year
20162025
Free cash flow per share
−$1.89
2025 · hover or tap a bar for each year
20162025
Book value per share+49.2%
$1.77
2025 · hover or tap a bar for each year
20162025
Shares outstanding+3.8%
49.7M
2025 · hover or tap a bar for each year
20162025
AXSM financial health Debt, liquidity and how easily interest is covered.
Debt / equity−19.2%
2.73
2025 · hover or tap a bar for each year
20162025
Net debt+$40.8M
−$81.6M
2025 · hover or tap a bar for each year
20162025
Current ratio−26.2%
1.55
2025 · hover or tap a bar for each year
20162025
Interest coverage
-25.8
2025 · hover or tap a bar for each year
20162025
Debt / assets+3.1%
0.35
2025 · hover or tap a bar for each year
20162025
AXSM efficiency & capital use Working capital cycle and where the cash goes.
Days sales outstanding−7 days
105 days
2025 · hover or tap a bar for each year
20162025
Days of inventory−1 days
168 days
2025 · hover or tap a bar for each year
20162025
Days payables outstanding−89 days
529 days
2025 · hover or tap a bar for each year
20162025
Cash conversion cycle+80 days
-256 days
2025 · hover or tap a bar for each year
20162025
Capex / revenue0.0 pts
0.1%
2025 · hover or tap a bar for each year
20162025
AXSM valuation history
Fiscal year-endToday10-year median
AXSM returns on capital
ROEROICROA
Net income (ROE, ROA) or after-tax operating income (ROIC) divided by the average of the opening and closing balance.
AXSM debt vs cash
Total debtCash & short-term investments
Debt includes short- and long-term borrowings and, where reported, lease liabilities.
AXSM cash returned to shareholders
DividendsBuybacksFree cash flow
AXSM price vs earnings per share
Share price at year-endEPS (right axis)
AXSM key metrics
2016–2025| 2025 | 2024 | 2023 | 2022 | 2021 | 2020 | 2019 | 2018 | 2017 | 2016 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Valuation | ||||||||||
| Market capitalization | $9.09B | $4.05B | $3.62B | $3.14B | $1.42B | $3.03B | $3.52B | $75.8M | $127.5M | $129.3M |
| Enterprise value | $9.00B | $3.93B | $3.42B | $3.03B | $1.38B | $2.90B | $3.32B | $68.8M | $103.4M | $102.4M |
| Price / sales | 14.2 | 10.5 | 13.4 | 62.7 | 161.1 | — | — | — | — | — |
| Price / book | 102.9 | 71.1 | 18.9 | 28.6 | 90.9 | 26.6 | 19.7 | 80.8 | 7.6 | 6.0 |
| EV / sales | 14.1 | 10.2 | 12.6 | 60.5 | 157.0 | — | — | — | — | — |
| Earnings yield | −2.0% | −7.1% | −6.6% | −6.0% | −9.5% | −3.4% | −1.9% | −40.8% | −22.7% | −21.0% |
| Free cash flow yield | −1.0% | −3.2% | −4.0% | −3.7% | −7.6% | −2.6% | −1.3% | −39.7% | −20.8% | −16.5% |
| Dividend yield | — | — | — | 1.4% | — | — | — | — | 0.0% | 0.0% |
| Shareholder yield (dividends + buybacks) | — | — | 0.1% | 1.4% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
| Share price at fiscal year-end | $182.64 | $84.61 | $79.59 | $77.13 | $37.78 | $81.47 | $103.36 | $2.82 | $5.60 | $6.75 |
| Per share | ||||||||||
| Revenue per share | $12.83 | $8.05 | $5.96 | $1.23 | $0.23 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Earnings per share | −$3.68 | −$5.99 | −$5.27 | −$4.60 | −$3.59 | −$2.77 | −$2.01 | −$1.15 | −$1.27 | −$1.42 |
| Operating cash flow per share | −$1.88 | −$2.68 | −$3.19 | −$2.87 | −$2.88 | −$2.11 | −$1.36 | −$1.12 | −$1.16 | −$1.11 |
| Free cash flow per share | −$1.89 | −$2.69 | −$3.21 | −$2.88 | −$2.89 | −$2.11 | −$1.36 | −$1.12 | −$1.16 | −$1.12 |
| Cash per share | $6.49 | $6.58 | $8.50 | $4.94 | $2.30 | $4.94 | $6.47 | $0.52 | $1.49 | $1.91 |
| Book value per share | $1.77 | $1.19 | $4.20 | $2.69 | $0.42 | $3.06 | $5.25 | $0.03 | $0.73 | $1.13 |
| Tangible book value per share | $0.72 | −$0.04 | $2.77 | $0.97 | $0.42 | $3.06 | $5.25 | $0.03 | $0.73 | $1.13 |
| Dividends per share | — | — | — | $1.08 | — | — | — | — | $0.00 | $0.00 |
| Capex per share | $0.01 | $0.01 | $0.01 | $0.02 | $0.01 | $0.00 | $0.00 | $0.00 | $0.00 | $0.01 |
| Debt per share | $4.85 | $4.03 | $4.10 | $2.33 | $1.32 | $1.35 | $0.59 | $0.26 | $0.44 | $0.51 |
| Shares outstanding | 49.7M | 47.9M | 45.4M | 40.7M | 37.6M | 37.2M | 34.0M | 26.9M | 22.8M | 19.2M |
| Change in shares outstanding | +3.8% | +5.5% | +11.7% | +8.1% | +1.1% | +9.4% | +26.5% | +18.1% | +18.9% | +60.3% |
| Returns & profitability | ||||||||||
| Return on equity (ROE) | −252.1% | −231.6% | −159.2% | −299.0% | −208.5% | −70.4% | −76.1% | −350.8% | −151.2% | −80.0% |
| Return on assets (ROA) | −29.1% | −49.7% | −52.0% | −89.3% | −98.5% | −50.6% | −57.9% | −121.6% | −78.5% | −62.3% |
| Return on tangible assets | −28.7% | −56.4% | −45.8% | −71.6% | −153.7% | −55.3% | −31.0% | −201.3% | −81.4% | −71.2% |
| Free cash flow margin | −14.7% | −33.4% | −53.8% | −234.3% | — | — | — | — | — | — |
| Financial health | ||||||||||
| Total debt | $241.3M | $193.0M | $186.4M | $94.7M | $49.7M | $50.1M | $19.9M | $6.9M | $9.9M | $9.7M |
| Cash & short-term investments | $322.9M | $315.4M | $386.2M | $200.8M | $86.5M | $183.9M | $220.0M | $14.0M | $34.0M | $36.6M |
| Net debt | −$81.6M | −$122.4M | −$199.8M | −$106.2M | −$36.8M | −$133.8M | −$200.0M | −$7.1M | −$24.1M | −$26.9M |
| Debt / equity | 2.73 | 3.38 | 0.98 | 0.86 | 3.18 | 0.44 | 0.11 | 7.37 | 0.59 | 0.45 |
| Debt / assets | 0.35 | 0.34 | 0.32 | 0.29 | 0.57 | 0.27 | 0.09 | 0.45 | 0.28 | 0.25 |
| Current ratio | 1.55 | 2.11 | 3.63 | 2.54 | 3.75 | 7.85 | 9.00 | 1.41 | 2.90 | 5.30 |
| Quick ratio | 1.48 | 2.04 | 3.52 | 2.50 | 3.75 | 7.85 | 9.00 | 1.41 | 2.90 | 5.30 |
| Interest coverage | -25.8 | -42.7 | -35.9 | -24.5 | -21.9 | -38.6 | -54.3 | -29.1 | -20.3 | -208.0 |
| Working capital | $210.2M | $255.0M | $365.4M | $149.1M | $63.5M | $160.6M | $195.9M | $4.4M | $23.1M | $30.8M |
| Invested capital | $6.7M | −$65.4M | −$8.8M | $3.4M | −$21.1M | −$20.0M | −$21.3M | −$6.1M | −$7.4M | −$5.3M |
| Tangible asset value | $35.7M | −$1.9M | $125.6M | $39.6M | $15.6M | $113.8M | $178.7M | $937,921 | $16.7M | $21.6M |
| Net current asset value | −$12.5M | −$26.4M | $107.0M | $23.7M | $14.4M | $111.7M | $178.6M | $773,744 | $16.5M | $21.4M |
| Graham net-net per share | −$1.93 | −$1.71 | $1.49 | $0.23 | $0.38 | $3.00 | $5.24 | −$0.02 | $0.67 | $1.04 |
| Capital allocation | ||||||||||
| Dividends paid | — | — | — | $44.0M | — | — | — | — | $0 | $0 |
| Share buybacks (net) | — | — | $1.8M | $531,831 | $175,713 | $0 | $0 | $0 | $0 | $0 |
| Capex / revenue | 0.1% | 0.1% | 0.2% | 1.4% | 3.5% | — | — | — | — | — |
| Capex / depreciation | 0.05 | 0.03 | 0.09 | 0.16 | 4.05 | 0.59 | 0.43 | 0.67 | 0.23 | 5.10 |
| Stock-based compensation / revenue | 14.7% | 22.1% | 23.1% | 75.4% | 235.9% | — | — | — | — | — |
| R&D / revenue | 28.7% | 48.5% | 36.2% | 115.8% | 658.3% | — | — | — | — | — |
| SG&A / revenue | 89.4% | 106.7% | 119.4% | 318.3% | 755.6% | — | — | — | — | — |
| Efficiency | ||||||||||
| Days sales outstanding | 104.7 | 112.1 | 89.4 | 137.5 | 0.0 | — | — | — | — | — |
| Days of inventory on hand | 167.9 | 169.2 | 136.2 | 151.7 | — | — | — | — | — | — |
| Days payables outstanding | 528.7 | 617.5 | 555.1 | 1,817.1 | 4,209.0 | 57,408.1 | 71,526.4 | 26,563.7 | 32,234.1 | 53,220.6 |
| Cash conversion cycle (days) | -256.1 | -336.3 | -329.5 | -1,527.9 | -4,209.0 | — | — | — | — | — |
| Receivables turnover | 3.48 | 3.26 | 4.08 | 2.65 | — | — | — | — | — | — |
| Payables turnover | 0.69 | 0.59 | 0.66 | 0.20 | 0.09 | 0.01 | 0.01 | 0.01 | 0.01 | 0.01 |
| Inventory turnover | 2.17 | 2.16 | 2.68 | 2.41 | — | — | — | — | — | — |
| Asset turnover | 1.01 | 0.67 | 0.59 | 0.24 | 0.06 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
| Average receivables | $183.2M | $118.4M | $66.3M | $18.8M | $0 | — | — | — | — | — |
| Average payables | $68.8M | $56.3M | $39.6M | $25.9M | $13.3M | $12.2M | $7.3M | $3.6M | $3.8M | $3.0M |
| Average inventory | $21.8M | $15.4M | $9.7M | $2.2M | $0 | — | — | — | $0 | $0 |
| Intangibles / total assets | 7.6% | 10.4% | 11.1% | 21.1% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% | 0.0% |
Computed from AXSM's annual financial statements (latest annual report filed February 23, 2026) and the closing share price on each fiscal year-end, adjusted for stock splits. Figures in U.S. dollars; data from EODHD. Averages use the opening and closing balance of each year.
AXSM valuation and financial ratios
Axsome Therapeutics earned a return on equity of −252.1% in fiscal 2025. It ended the year with $241.3 million of debt and $322.9 million in cash and short-term investments, a net cash position of $81.6 million. The share count rose 159.8% from 19.2M to 49.7M over 9 years.
See the AXSM income statement, the AXSM chart for price history, or the AXSM stock overview for the latest quote and news.
AXSM key metrics FAQ
What is Axsome Therapeutics's return on equity?
Axsome Therapeutics's return on equity (ROE) was −252.1% in fiscal 2025: net income of -$183.2 million on average shareholders' equity of $72.7 million.
How much debt does Axsome Therapeutics have?
Axsome Therapeutics had total debt of $241.3 million at the end of fiscal 2025, a debt-to-equity ratio of 2.73 and more cash than debt.
What is Axsome Therapeutics's free cash flow yield?
Axsome Therapeutics generated -$93.9 million of free cash flow in fiscal 2025, a free cash flow yield of −1.0% on its market value at year-end ($9.1 billion).
What is Axsome Therapeutics's current ratio?
Axsome Therapeutics's current ratio was 1.55 at the end of fiscal 2025: current assets were 1.55 times current liabilities.