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Side-by-side financial comparison of ACADIA PHARMACEUTICALS INC (ACAD) and BILL Holdings, Inc. (BILL). Click either name above to swap in a different company.

BILL Holdings, Inc. is the larger business by last-quarter revenue ($414.7M vs $284.0M, roughly 1.5× ACADIA PHARMACEUTICALS INC). ACADIA PHARMACEUTICALS INC runs the higher net margin — 96.3% vs -0.6%, a 97.0% gap on every dollar of revenue. On growth, BILL Holdings, Inc. posted the faster year-over-year revenue change (14.4% vs 9.4%). Over the past eight quarters, ACADIA PHARMACEUTICALS INC's revenue compounded faster (17.5% CAGR vs 13.3%).

Acadia Pharmaceuticals Inc. is a biopharmaceutical company headquartered in Del Mar, San Diego, California.

BILL Holdings, Inc. is an American company based in San Jose, California, that provides automated, cloud-based software for financial operations for small businesses in the United States. A white-labeled, end-to-end payments automation platform, Bill.com Connect is offered to financial institutions as part of their single sign-on online business banking ecosystem.

ACAD vs BILL — Head-to-Head

Bigger by revenue
BILL
BILL
1.5× larger
BILL
$414.7M
$284.0M
ACAD
Growing faster (revenue YoY)
BILL
BILL
+5.0% gap
BILL
14.4%
9.4%
ACAD
Higher net margin
ACAD
ACAD
97.0% more per $
ACAD
96.3%
-0.6%
BILL
Faster 2-yr revenue CAGR
ACAD
ACAD
Annualised
ACAD
17.5%
13.3%
BILL

Income Statement — Q4 FY2025 vs Q2 FY2026

Metric
ACAD
ACAD
BILL
BILL
Revenue
$284.0M
$414.7M
Net Profit
$273.6M
$-2.6M
Gross Margin
90.8%
79.8%
Operating Margin
6.1%
-4.4%
Net Margin
96.3%
-0.6%
Revenue YoY
9.4%
14.4%
Net Profit YoY
90.3%
-107.7%
EPS (diluted)
$1.61
$-0.03

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ACAD
ACAD
BILL
BILL
Q4 25
$284.0M
$414.7M
Q3 25
$278.6M
$395.7M
Q2 25
$264.6M
$383.3M
Q1 25
$244.3M
$358.2M
Q4 24
$259.6M
$362.6M
Q3 24
$250.4M
$358.4M
Q2 24
$242.0M
$343.7M
Q1 24
$205.8M
$323.0M
Net Profit
ACAD
ACAD
BILL
BILL
Q4 25
$273.6M
$-2.6M
Q3 25
$71.8M
$-3.0M
Q2 25
$26.7M
$-7.1M
Q1 25
$19.0M
$-11.6M
Q4 24
$143.7M
$33.5M
Q3 24
$32.8M
$8.9M
Q2 24
$33.4M
$7.6M
Q1 24
$16.6M
$31.8M
Gross Margin
ACAD
ACAD
BILL
BILL
Q4 25
90.8%
79.8%
Q3 25
92.2%
80.5%
Q2 25
92.2%
80.8%
Q1 25
91.7%
81.2%
Q4 24
91.6%
81.6%
Q3 24
92.5%
82.0%
Q2 24
92.5%
81.0%
Q1 24
88.8%
83.0%
Operating Margin
ACAD
ACAD
BILL
BILL
Q4 25
6.1%
-4.4%
Q3 25
12.8%
-5.2%
Q2 25
12.2%
-5.8%
Q1 25
7.9%
-8.1%
Q4 24
59.1%
-6.0%
Q3 24
12.6%
-2.1%
Q2 24
12.6%
-6.5%
Q1 24
7.4%
-8.6%
Net Margin
ACAD
ACAD
BILL
BILL
Q4 25
96.3%
-0.6%
Q3 25
25.8%
-0.7%
Q2 25
10.1%
-1.8%
Q1 25
7.8%
-3.2%
Q4 24
55.4%
9.3%
Q3 24
13.1%
2.5%
Q2 24
13.8%
2.2%
Q1 24
8.0%
9.8%
EPS (diluted)
ACAD
ACAD
BILL
BILL
Q4 25
$1.61
$-0.03
Q3 25
$0.42
$-0.03
Q2 25
$0.16
$0.02
Q1 25
$0.11
$-0.11
Q4 24
$0.86
$-0.06
Q3 24
$0.20
$0.08
Q2 24
$0.20
$0.37
Q1 24
$0.10
$0.00

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ACAD
ACAD
BILL
BILL
Cash + ST InvestmentsLiquidity on hand
$177.7M
$1.1B
Total DebtLower is stronger
$1.8B
Stockholders' EquityBook value
$1.2B
$3.8B
Total Assets
$1.6B
$10.1B
Debt / EquityLower = less leverage
0.48×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACAD
ACAD
BILL
BILL
Q4 25
$177.7M
$1.1B
Q3 25
$258.0M
$1.1B
Q2 25
$253.6M
$1.0B
Q1 25
$217.7M
$1.0B
Q4 24
$319.6M
$1.6B
Q3 24
$155.1M
$853.5M
Q2 24
$177.1M
$985.9M
Q1 24
$204.7M
$952.5M
Total Debt
ACAD
ACAD
BILL
BILL
Q4 25
$1.8B
Q3 25
$1.9B
Q2 25
$1.7B
Q1 25
$1.7B
Q4 24
$1.7B
Q3 24
$914.8M
Q2 24
$914.0M
Q1 24
$1.1B
Stockholders' Equity
ACAD
ACAD
BILL
BILL
Q4 25
$1.2B
$3.8B
Q3 25
$917.3M
$3.9B
Q2 25
$822.4M
$3.9B
Q1 25
$765.2M
$3.9B
Q4 24
$732.8M
$3.8B
Q3 24
$577.2M
$4.0B
Q2 24
$516.7M
$4.1B
Q1 24
$464.0M
$4.1B
Total Assets
ACAD
ACAD
BILL
BILL
Q4 25
$1.6B
$10.1B
Q3 25
$1.3B
$10.2B
Q2 25
$1.2B
$10.1B
Q1 25
$1.1B
$9.6B
Q4 24
$1.2B
$9.7B
Q3 24
$976.9M
$9.0B
Q2 24
$914.1M
$9.2B
Q1 24
$855.1M
$9.1B
Debt / Equity
ACAD
ACAD
BILL
BILL
Q4 25
0.48×
Q3 25
0.48×
Q2 25
0.44×
Q1 25
0.43×
Q4 24
0.44×
Q3 24
0.23×
Q2 24
0.22×
Q1 24
0.28×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ACAD
ACAD
BILL
BILL
Operating Cash FlowLast quarter
$-48.7M
$105.3M
Free Cash FlowOCF − Capex
$103.8M
FCF MarginFCF / Revenue
25.0%
Capex IntensityCapex / Revenue
0.4%
Cash ConversionOCF / Net Profit
-0.18×
TTM Free Cash FlowTrailing 4 quarters
$378.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACAD
ACAD
BILL
BILL
Q4 25
$-48.7M
$105.3M
Q3 25
$74.3M
$96.9M
Q2 25
$64.0M
$83.8M
Q1 25
$20.3M
$99.5M
Q4 24
$40.4M
$78.7M
Q3 24
$63.2M
$88.6M
Q2 24
$25.0M
$78.6M
Q1 24
$29.1M
$66.8M
Free Cash Flow
ACAD
ACAD
BILL
BILL
Q4 25
$103.8M
Q3 25
$73.9M
$95.6M
Q2 25
$81.0M
Q1 25
$98.4M
Q4 24
$78.3M
Q3 24
$63.2M
$88.6M
Q2 24
$78.4M
Q1 24
$66.8M
FCF Margin
ACAD
ACAD
BILL
BILL
Q4 25
25.0%
Q3 25
26.5%
24.1%
Q2 25
21.1%
Q1 25
27.5%
Q4 24
21.6%
Q3 24
25.2%
24.7%
Q2 24
22.8%
Q1 24
20.7%
Capex Intensity
ACAD
ACAD
BILL
BILL
Q4 25
0.4%
Q3 25
0.1%
0.3%
Q2 25
0.7%
Q1 25
0.3%
Q4 24
0.1%
Q3 24
0.0%
0.0%
Q2 24
0.1%
Q1 24
0.0%
Cash Conversion
ACAD
ACAD
BILL
BILL
Q4 25
-0.18×
Q3 25
1.03×
Q2 25
2.40×
Q1 25
1.07×
Q4 24
0.28×
2.35×
Q3 24
1.93×
9.94×
Q2 24
0.75×
10.35×
Q1 24
1.76×
2.10×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ACAD
ACAD

Nuplazid$174.4M61%
Daybue$109.6M39%

BILL
BILL

Accounts Payable And Accounts Receivable Solutions$185.9M45%
Spend And Expense Interchange Revenue$166.5M40%
Interest On Funds Held For Customers$39.5M10%
Embedded And Other Solutions$22.8M5%

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