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

Evolent Health, Inc. is the larger business by last-quarter revenue ($468.7M vs $284.0M, roughly 1.7× ACADIA PHARMACEUTICALS INC). ACADIA PHARMACEUTICALS INC runs the higher net margin — 96.3% vs -91.6%, a 187.9% gap on every dollar of revenue. On growth, ACADIA PHARMACEUTICALS INC posted the faster year-over-year revenue change (9.4% vs -27.5%). Over the past eight quarters, ACADIA PHARMACEUTICALS INC's revenue compounded faster (17.5% CAGR vs -14.4%).

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

Magellan Health Inc., is an American for-profit managed health care company and subsidiary of Centene that focuses on special populations and other specialty areas of healthcare. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. It ranked 390 on the Fortune 500 in 2021.

ACAD vs EVH — Head-to-Head

Bigger by revenue
EVH
EVH
1.7× larger
EVH
$468.7M
$284.0M
ACAD
Growing faster (revenue YoY)
ACAD
ACAD
+36.9% gap
ACAD
9.4%
-27.5%
EVH
Higher net margin
ACAD
ACAD
187.9% more per $
ACAD
96.3%
-91.6%
EVH
Faster 2-yr revenue CAGR
ACAD
ACAD
Annualised
ACAD
17.5%
-14.4%
EVH

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ACAD
ACAD
EVH
EVH
Revenue
$284.0M
$468.7M
Net Profit
$273.6M
$-429.1M
Gross Margin
90.8%
20.7%
Operating Margin
6.1%
-87.1%
Net Margin
96.3%
-91.6%
Revenue YoY
9.4%
-27.5%
Net Profit YoY
90.3%
-1782.0%
EPS (diluted)
$1.61
$-3.76

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
EVH
EVH
Q4 25
$284.0M
$468.7M
Q3 25
$278.6M
$479.5M
Q2 25
$264.6M
$444.3M
Q1 25
$244.3M
$483.6M
Q4 24
$259.6M
$646.5M
Q3 24
$250.4M
$621.4M
Q2 24
$242.0M
$647.1M
Q1 24
$205.8M
$639.7M
Net Profit
ACAD
ACAD
EVH
EVH
Q4 25
$273.6M
$-429.1M
Q3 25
$71.8M
$-20.9M
Q2 25
$26.7M
$-19.9M
Q1 25
$19.0M
$-64.6M
Q4 24
$143.7M
$-22.8M
Q3 24
$32.8M
$-23.1M
Q2 24
$33.4M
$1.6M
Q1 24
$16.6M
$-17.3M
Gross Margin
ACAD
ACAD
EVH
EVH
Q4 25
90.8%
20.7%
Q3 25
92.2%
20.8%
Q2 25
92.2%
22.6%
Q1 25
91.7%
21.2%
Q4 24
91.6%
11.7%
Q3 24
92.5%
13.0%
Q2 24
92.5%
16.5%
Q1 24
88.8%
16.3%
Operating Margin
ACAD
ACAD
EVH
EVH
Q4 25
6.1%
-87.1%
Q3 25
12.8%
0.2%
Q2 25
12.2%
-0.3%
Q1 25
7.9%
-0.3%
Q4 24
59.1%
-2.9%
Q3 24
12.6%
-2.6%
Q2 24
12.6%
1.2%
Q1 24
7.4%
-2.1%
Net Margin
ACAD
ACAD
EVH
EVH
Q4 25
96.3%
-91.6%
Q3 25
25.8%
-4.4%
Q2 25
10.1%
-4.5%
Q1 25
7.8%
-13.4%
Q4 24
55.4%
-3.5%
Q3 24
13.1%
-3.7%
Q2 24
13.8%
0.2%
Q1 24
8.0%
-2.7%
EPS (diluted)
ACAD
ACAD
EVH
EVH
Q4 25
$1.61
$-3.76
Q3 25
$0.42
$-0.24
Q2 25
$0.16
$-0.44
Q1 25
$0.11
$-0.63
Q4 24
$0.86
$-0.26
Q3 24
$0.20
$-0.27
Q2 24
$0.20
$-0.06
Q1 24
$0.10
$-0.22

Balance Sheet & Financial Strength

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

Metric
ACAD
ACAD
EVH
EVH
Cash + ST InvestmentsLiquidity on hand
$177.7M
$151.9M
Total DebtLower is stronger
Stockholders' EquityBook value
$1.2B
$415.2M
Total Assets
$1.6B
$1.9B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACAD
ACAD
EVH
EVH
Q4 25
$177.7M
$151.9M
Q3 25
$258.0M
$116.7M
Q2 25
$253.6M
$151.0M
Q1 25
$217.7M
$246.5M
Q4 24
$319.6M
$104.2M
Q3 24
$155.1M
$96.6M
Q2 24
$177.1M
$101.3M
Q1 24
$204.7M
$165.1M
Stockholders' Equity
ACAD
ACAD
EVH
EVH
Q4 25
$1.2B
$415.2M
Q3 25
$917.3M
$842.2M
Q2 25
$822.4M
$896.0M
Q1 25
$765.2M
$935.5M
Q4 24
$732.8M
$1.0B
Q3 24
$577.2M
$1.0B
Q2 24
$516.7M
$1.1B
Q1 24
$464.0M
$1.0B
Total Assets
ACAD
ACAD
EVH
EVH
Q4 25
$1.6B
$1.9B
Q3 25
$1.3B
$2.5B
Q2 25
$1.2B
$2.5B
Q1 25
$1.1B
$2.7B
Q4 24
$1.2B
$2.5B
Q3 24
$976.9M
$2.5B
Q2 24
$914.1M
$2.5B
Q1 24
$855.1M
$2.6B

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
EVH
EVH
Operating Cash FlowLast quarter
$-48.7M
$48.8M
Free Cash FlowOCF − Capex
FCF MarginFCF / Revenue
Capex IntensityCapex / Revenue
Cash ConversionOCF / Net Profit
-0.18×
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACAD
ACAD
EVH
EVH
Q4 25
$-48.7M
$48.8M
Q3 25
$74.3M
$15.8M
Q2 25
$64.0M
$-30.3M
Q1 25
$20.3M
$4.6M
Q4 24
$40.4M
$-26.2M
Q3 24
$63.2M
$18.7M
Q2 24
$25.0M
$21.4M
Q1 24
$29.1M
$4.9M
Free Cash Flow
ACAD
ACAD
EVH
EVH
Q4 25
Q3 25
$73.9M
Q2 25
Q1 25
Q4 24
Q3 24
$63.2M
Q2 24
Q1 24
FCF Margin
ACAD
ACAD
EVH
EVH
Q4 25
Q3 25
26.5%
Q2 25
Q1 25
Q4 24
Q3 24
25.2%
Q2 24
Q1 24
Capex Intensity
ACAD
ACAD
EVH
EVH
Q4 25
Q3 25
0.1%
Q2 25
Q1 25
Q4 24
Q3 24
0.0%
Q2 24
Q1 24
Cash Conversion
ACAD
ACAD
EVH
EVH
Q4 25
-0.18×
Q3 25
1.03×
Q2 25
2.40×
Q1 25
1.07×
Q4 24
0.28×
Q3 24
1.93×
Q2 24
0.75×
13.42×
Q1 24
1.76×

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%

EVH
EVH

Commercial And Other Customers$147.9M32%
Medicare Customers$111.2M24%
Specialty Technology And Services Suite$95.7M20%
Administrative Service$55.8M12%
Cases$47.7M10%
Related Party$4.5M1%

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