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

ACADIA PHARMACEUTICALS INC is the larger business by last-quarter revenue ($284.0M vs $263.8M, roughly 1.1× INSMED Inc). ACADIA PHARMACEUTICALS INC runs the higher net margin — 96.3% vs -124.5%, a 220.8% gap on every dollar of revenue. On growth, INSMED Inc posted the faster year-over-year revenue change (152.6% vs 9.4%). Over the past eight quarters, INSMED Inc's revenue compounded faster (86.9% CAGR vs 17.5%).

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

Insmed Inc. is a global biopharmaceutical firm focused on developing and commercializing innovative therapies for patients with serious rare diseases that have high unmet medical needs. Its key offerings target pulmonary and endocrine rare disorders, serving markets across North America, Europe, and Asia Pacific.

ACAD vs INSM — Head-to-Head

Bigger by revenue
ACAD
ACAD
1.1× larger
ACAD
$284.0M
$263.8M
INSM
Growing faster (revenue YoY)
INSM
INSM
+143.2% gap
INSM
152.6%
9.4%
ACAD
Higher net margin
ACAD
ACAD
220.8% more per $
ACAD
96.3%
-124.5%
INSM
Faster 2-yr revenue CAGR
INSM
INSM
Annualised
INSM
86.9%
17.5%
ACAD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ACAD
ACAD
INSM
INSM
Revenue
$284.0M
$263.8M
Net Profit
$273.6M
$-328.5M
Gross Margin
90.8%
83.2%
Operating Margin
6.1%
-121.2%
Net Margin
96.3%
-124.5%
Revenue YoY
9.4%
152.6%
Net Profit YoY
90.3%
-39.5%
EPS (diluted)
$1.61
$-1.55

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
INSM
INSM
Q4 25
$284.0M
$263.8M
Q3 25
$278.6M
$142.3M
Q2 25
$264.6M
$107.4M
Q1 25
$244.3M
$92.8M
Q4 24
$259.6M
$104.4M
Q3 24
$250.4M
$93.4M
Q2 24
$242.0M
$90.3M
Q1 24
$205.8M
$75.5M
Net Profit
ACAD
ACAD
INSM
INSM
Q4 25
$273.6M
$-328.5M
Q3 25
$71.8M
$-370.0M
Q2 25
$26.7M
$-321.7M
Q1 25
$19.0M
$-256.6M
Q4 24
$143.7M
$-235.5M
Q3 24
$32.8M
$-220.5M
Q2 24
$33.4M
$-300.6M
Q1 24
$16.6M
$-157.1M
Gross Margin
ACAD
ACAD
INSM
INSM
Q4 25
90.8%
83.2%
Q3 25
92.2%
79.4%
Q2 25
92.2%
73.9%
Q1 25
91.7%
77.1%
Q4 24
91.6%
75.0%
Q3 24
92.5%
77.3%
Q2 24
92.5%
76.8%
Q1 24
88.8%
76.9%
Operating Margin
ACAD
ACAD
INSM
INSM
Q4 25
6.1%
-121.2%
Q3 25
12.8%
-257.1%
Q2 25
12.2%
-291.3%
Q1 25
7.9%
-267.3%
Q4 24
59.1%
-220.6%
Q3 24
12.6%
-228.4%
Q2 24
12.6%
-319.8%
Q1 24
7.4%
-192.7%
Net Margin
ACAD
ACAD
INSM
INSM
Q4 25
96.3%
-124.5%
Q3 25
25.8%
-260.0%
Q2 25
10.1%
-299.5%
Q1 25
7.8%
-276.4%
Q4 24
55.4%
-225.5%
Q3 24
13.1%
-236.0%
Q2 24
13.8%
-332.8%
Q1 24
8.0%
-208.1%
EPS (diluted)
ACAD
ACAD
INSM
INSM
Q4 25
$1.61
$-1.55
Q3 25
$0.42
$-1.75
Q2 25
$0.16
$-1.70
Q1 25
$0.11
$-1.42
Q4 24
$0.86
$-1.30
Q3 24
$0.20
$-1.27
Q2 24
$0.20
$-1.94
Q1 24
$0.10
$-1.06

Balance Sheet & Financial Strength

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

Metric
ACAD
ACAD
INSM
INSM
Cash + ST InvestmentsLiquidity on hand
$177.7M
$1.4B
Total DebtLower is stronger
$546.8M
Stockholders' EquityBook value
$1.2B
$739.0M
Total Assets
$1.6B
$2.3B
Debt / EquityLower = less leverage
0.74×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACAD
ACAD
INSM
INSM
Q4 25
$177.7M
$1.4B
Q3 25
$258.0M
$1.7B
Q2 25
$253.6M
$1.9B
Q1 25
$217.7M
$1.2B
Q4 24
$319.6M
$1.4B
Q3 24
$155.1M
$1.5B
Q2 24
$177.1M
$1.2B
Q1 24
$204.7M
$595.7M
Total Debt
ACAD
ACAD
INSM
INSM
Q4 25
$546.8M
Q3 25
$546.8M
Q2 25
$546.8M
Q1 25
$1.1B
Q4 24
$1.1B
Q3 24
$971.8M
Q2 24
$1.2B
Q1 24
$1.2B
Stockholders' Equity
ACAD
ACAD
INSM
INSM
Q4 25
$1.2B
$739.0M
Q3 25
$917.3M
$945.6M
Q2 25
$822.4M
$1.2B
Q1 25
$765.2M
$99.2M
Q4 24
$732.8M
$285.4M
Q3 24
$577.2M
$483.4M
Q2 24
$516.7M
$38.8M
Q1 24
$464.0M
$-464.8M
Total Assets
ACAD
ACAD
INSM
INSM
Q4 25
$1.6B
$2.3B
Q3 25
$1.3B
$2.4B
Q2 25
$1.2B
$2.5B
Q1 25
$1.1B
$1.8B
Q4 24
$1.2B
$2.0B
Q3 24
$976.9M
$2.1B
Q2 24
$914.1M
$1.8B
Q1 24
$855.1M
$1.2B
Debt / Equity
ACAD
ACAD
INSM
INSM
Q4 25
0.74×
Q3 25
0.58×
Q2 25
0.44×
Q1 25
11.31×
Q4 24
3.93×
Q3 24
2.01×
Q2 24
30.66×
Q1 24

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
INSM
INSM
Operating Cash FlowLast quarter
$-48.7M
$-247.6M
Free Cash FlowOCF − Capex
$-264.2M
FCF MarginFCF / Revenue
-100.1%
Capex IntensityCapex / Revenue
6.3%
Cash ConversionOCF / Net Profit
-0.18×
TTM Free Cash FlowTrailing 4 quarters
$-967.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACAD
ACAD
INSM
INSM
Q4 25
$-48.7M
$-247.6M
Q3 25
$74.3M
$-219.8M
Q2 25
$64.0M
$-205.6M
Q1 25
$20.3M
$-262.1M
Q4 24
$40.4M
$-196.0M
Q3 24
$63.2M
$-180.9M
Q2 24
$25.0M
$-123.0M
Q1 24
$29.1M
$-184.0M
Free Cash Flow
ACAD
ACAD
INSM
INSM
Q4 25
$-264.2M
Q3 25
$73.9M
$-222.2M
Q2 25
$-209.1M
Q1 25
$-272.2M
Q4 24
$-202.8M
Q3 24
$63.2M
$-184.6M
Q2 24
$-129.7M
Q1 24
$-188.7M
FCF Margin
ACAD
ACAD
INSM
INSM
Q4 25
-100.1%
Q3 25
26.5%
-156.1%
Q2 25
-194.6%
Q1 25
-293.2%
Q4 24
-194.1%
Q3 24
25.2%
-197.6%
Q2 24
-143.6%
Q1 24
-250.0%
Capex Intensity
ACAD
ACAD
INSM
INSM
Q4 25
6.3%
Q3 25
0.1%
1.7%
Q2 25
3.2%
Q1 25
10.8%
Q4 24
6.5%
Q3 24
0.0%
3.9%
Q2 24
7.5%
Q1 24
6.2%
Cash Conversion
ACAD
ACAD
INSM
INSM
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×
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%

INSM
INSM

Segment breakdown not available.

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