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Side-by-side financial comparison of Alpha Cognition Inc. (ACOG) and Scilex Holding Co (SCLX). Click either name above to swap in a different company.

Scilex Holding Co is the larger business by last-quarter revenue ($4.8M vs $2.8M, roughly 1.7× Alpha Cognition Inc.). Alpha Cognition Inc. runs the higher net margin — -245.5% vs -961.9%, a 716.4% gap on every dollar of revenue.

Scilex Holding Co is a commercial-stage biopharmaceutical firm focused on developing and commercializing innovative non-opioid pain management therapies for acute and chronic pain segments. It primarily serves the US market, offering prescription and over-the-counter pain relief solutions for patients and healthcare providers.

ACOG vs SCLX — Head-to-Head

Bigger by revenue
SCLX
SCLX
1.7× larger
SCLX
$4.8M
$2.8M
ACOG
Higher net margin
ACOG
ACOG
716.4% more per $
ACOG
-245.5%
-961.9%
SCLX

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ACOG
ACOG
SCLX
SCLX
Revenue
$2.8M
$4.8M
Net Profit
$-6.9M
$-46.1M
Gross Margin
45.5%
Operating Margin
-283.7%
-2317.8%
Net Margin
-245.5%
-961.9%
Revenue YoY
-67.8%
Net Profit YoY
-613.7%
EPS (diluted)
$-0.10
$-4.63

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
ACOG
ACOG
SCLX
SCLX
Q4 25
$2.8M
$4.8M
Q3 25
$2.8M
$10.6M
Q2 25
$1.7M
$9.9M
Q1 25
$2.9M
$5.0M
Q4 24
$14.9M
Q3 24
$14.4M
Q2 24
$16.4M
Q1 24
$10.9M
Net Profit
ACOG
ACOG
SCLX
SCLX
Q4 25
$-6.9M
$-46.1M
Q3 25
$-1.3M
$-257.8M
Q2 25
$-10.5M
$-44.0M
Q1 25
$-2.0M
$-26.1M
Q4 24
$-6.5M
Q3 24
$-4.4M
Q2 24
$-37.6M
Q1 24
$-24.4M
Gross Margin
ACOG
ACOG
SCLX
SCLX
Q4 25
45.5%
Q3 25
68.5%
Q2 25
96.7%
66.9%
Q1 25
99.6%
72.3%
Q4 24
68.5%
Q3 24
73.9%
Q2 24
73.2%
Q1 24
64.7%
Operating Margin
ACOG
ACOG
SCLX
SCLX
Q4 25
-283.7%
-2317.8%
Q3 25
-187.0%
-1766.2%
Q2 25
-346.1%
-207.2%
Q1 25
-125.9%
-557.5%
Q4 24
-190.5%
Q3 24
-138.0%
Q2 24
-95.4%
Q1 24
-179.0%
Net Margin
ACOG
ACOG
SCLX
SCLX
Q4 25
-245.5%
-961.9%
Q3 25
-46.4%
-2441.5%
Q2 25
-632.7%
-445.1%
Q1 25
-68.5%
-521.2%
Q4 24
-43.4%
Q3 24
-30.4%
Q2 24
-229.6%
Q1 24
-224.0%
EPS (diluted)
ACOG
ACOG
SCLX
SCLX
Q4 25
$-0.10
$-4.63
Q3 25
$-0.30
$-22.17
Q2 25
$-0.65
$-7.42
Q1 25
$-0.13
$-2.26
Q4 24
$8.53
Q3 24
$-0.58
Q2 24
$-7.67
Q1 24
$-8.33

Balance Sheet & Financial Strength

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

Metric
ACOG
ACOG
SCLX
SCLX
Cash + ST InvestmentsLiquidity on hand
$66.0M
$5.0M
Total DebtLower is stronger
Stockholders' EquityBook value
$62.5M
$-207.8M
Total Assets
$79.7M
$365.0M
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ACOG
ACOG
SCLX
SCLX
Q4 25
$66.0M
$5.0M
Q3 25
$35.4M
$878.0K
Q2 25
$39.4M
$4.1M
Q1 25
$45.5M
$5.8M
Q4 24
$3.3M
Q3 24
$77.0K
Q2 24
$6.9M
Q1 24
$1.8M
Stockholders' Equity
ACOG
ACOG
SCLX
SCLX
Q4 25
$62.5M
$-207.8M
Q3 25
$33.9M
$-176.9M
Q2 25
$31.9M
$-249.0M
Q1 25
$40.8M
$-211.5M
Q4 24
$-192.6M
Q3 24
$-211.3M
Q2 24
$-214.7M
Q1 24
$-189.8M
Total Assets
ACOG
ACOG
SCLX
SCLX
Q4 25
$79.7M
$365.0M
Q3 25
$46.3M
$275.9M
Q2 25
$45.1M
$83.8M
Q1 25
$48.6M
$79.0M
Q4 24
$93.0M
Q3 24
$100.4M
Q2 24
$104.5M
Q1 24
$91.2M

Cash Flow & Capital Efficiency

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

Metric
ACOG
ACOG
SCLX
SCLX
Operating Cash FlowLast quarter
$-6.9M
$-17.5M
Free Cash FlowOCF − Capex
$-7.1M
FCF MarginFCF / Revenue
-252.6%
Capex IntensityCapex / Revenue
5.3%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-20.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ACOG
ACOG
SCLX
SCLX
Q4 25
$-6.9M
$-17.5M
Q3 25
$-5.3M
$8.2M
Q2 25
$-6.1M
$7.0M
Q1 25
$-2.0M
$6.0M
Q4 24
$2.5M
Q3 24
$5.1M
Q2 24
$2.3M
Q1 24
$9.4M
Free Cash Flow
ACOG
ACOG
SCLX
SCLX
Q4 25
$-7.1M
Q3 25
$-5.4M
Q2 25
$-6.1M
Q1 25
$-2.1M
Q4 24
Q3 24
Q2 24
Q1 24
FCF Margin
ACOG
ACOG
SCLX
SCLX
Q4 25
-252.6%
Q3 25
-188.8%
Q2 25
-370.9%
Q1 25
-72.0%
Q4 24
Q3 24
Q2 24
Q1 24
Capex Intensity
ACOG
ACOG
SCLX
SCLX
Q4 25
5.3%
Q3 25
2.6%
Q2 25
0.5%
Q1 25
2.2%
Q4 24
Q3 24
0.0%
Q2 24
Q1 24

Financial Flow Comparison

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

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