Axsome Therapeutics, Inc.
AXSMdata completeness 100%12 fiscal years on fileAxsome Therapeutics, Inc. earns about -368% on equity, but has diluted owners by 32% over 5 years — worth asking whether the growth reaches owners. The cash-flow models don't apply cleanly here — the ledger says why below.Whether it’s worth owning at today’s price is the last question — and yours to answer, below.
| Figure | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 |
|---|---|---|---|---|---|
| Revenue | — | $50M1 | $270.6M2 | $385.7M2 | $638.5M2 |
| Net income | −$130.4M3 | −$187.1M4 | −$239.2M5 | −$287.2M5 | −$183.2M5 |
| Operating cash flow | −$108.2M6 | −$116.5M7 | −$145.1M8 | −$128.4M8 | −$93.4M8 |
| Capital expenditure | $308,0009 | $702,00010 | $582,00011 | $270,00011 | $480,00011 |
| Free cash flow (derived) | −$108.5M6 | −$117.2M7 | −$145.7M8 | −$128.7M8 | −$93.9M8 |
| Total debt | $49.1M12 | $94.3M13 | $178.1M14 | $180.7M15 | $187.7M15 |
| Cash & equivalents | $86.5M16 | $200.8M17 | $386.2M18 | $315.4M19 | $322.9M19 |
| Diluted shares | 37.6M | 40.7M | 45.4M | 47.9M | 49.7M |
Superscripts are receipts. Each links to the SEC filing the number came from (full list at the bottom).
10 shares is a claim on $17.75 of net worth that earned you −$36.82 and generated −$18.87 of cash last year, against $37.74 of debt.
It earned an average -368% on equity over 5 years. Compare that to what it costs to fund the business.
seeing a moat in the numbers →Share count is up 32% over 5 years — owners have been diluted. Worth asking what they got for it. Total debt has risen 282% over the same window.
reading capital allocation →Signals, not verdicts — read from the filings above. Numbers don’t prove a moat; they show its footprint. You decide.
Different models answer different questions — which to trust when →
- 10-K · period ending 2022-12-31 · accession 0000950170-25-022457 (RevenueFromContractWithCustomerExcludingAssessedTax)
- 10-K · period ending 2023-12-31 · accession 0001193125-26-064267 (RevenueFromContractWithCustomerExcludingAssessedTax)
- 10-K · period ending 2021-12-31 · accession 0000950170-24-019118 (NetIncomeLoss)
- 10-K · period ending 2022-12-31 · accession 0000950170-25-022457 (NetIncomeLoss)
- 10-K · period ending 2023-12-31 · accession 0001193125-26-064267 (NetIncomeLoss)
- 10-K · period ending 2021-12-31 · accession 0000950170-24-019118 (NetCashProvidedByUsedInOperatingActivities)
- 10-K · period ending 2022-12-31 · accession 0000950170-25-022457 (NetCashProvidedByUsedInOperatingActivities)
- 10-K · period ending 2023-12-31 · accession 0001193125-26-064267 (NetCashProvidedByUsedInOperatingActivities)
- 10-K · period ending 2021-12-31 · accession 0000950170-24-019118 (PaymentsToAcquirePropertyPlantAndEquipment)
- 10-K · period ending 2022-12-31 · accession 0000950170-25-022457 (PaymentsToAcquirePropertyPlantAndEquipment)
- 10-K · period ending 2023-12-31 · accession 0001193125-26-064267 (PaymentsToAcquirePropertyPlantAndEquipment)
- 10-K · period ending 2021-12-31 · accession 0000950170-23-004728 (LongTermDebtNoncurrent)
- 10-K · period ending 2022-12-31 · accession 0000950170-24-019118 (LongTermDebtNoncurrent)
- 10-K · period ending 2023-12-31 · accession 0000950170-25-022457 (LongTermDebtNoncurrent)
- 10-K · period ending 2024-12-31 · accession 0001193125-26-064267 (LongTermDebtNoncurrent)
- 10-K · period ending 2021-12-31 · accession 0000950170-23-004728 (CashAndCashEquivalentsAtCarryingValue)
- 10-K · period ending 2022-12-31 · accession 0000950170-24-019118 (CashAndCashEquivalentsAtCarryingValue)
- 10-K · period ending 2023-12-31 · accession 0000950170-25-022457 (CashAndCashEquivalentsAtCarryingValue)
- 10-K · period ending 2024-12-31 · accession 0001193125-26-064267 (CashAndCashEquivalentsAtCarryingValue)