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Side-by-side financial comparison of Axsome Therapeutics, Inc. (AXSM) and Bowhead Specialty Holdings Inc. (BOW). Click either name above to swap in a different company.

Axsome Therapeutics, Inc. is the larger business by last-quarter revenue ($191.2M vs $151.7M, roughly 1.3× Bowhead Specialty Holdings Inc.).

Jazz Pharmaceuticals plc is a global biopharmaceutical company with a focus on oncology and neuroscience. It was founded in 2003 in California, United States and is now headquartered in Dublin, Ireland.

Bowhead Specialty Holdings Inc. is a specialty insurance holding company that offers a diversified portfolio of property and casualty insurance products, focusing on underserved niche market segments primarily across North America. It provides tailored risk management solutions and specialized coverage options for both commercial and individual clients.

AXSM vs BOW — Head-to-Head

Bigger by revenue
AXSM
AXSM
1.3× larger
AXSM
$191.2M
$151.7M
BOW

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
AXSM
AXSM
BOW
BOW
Revenue
$191.2M
$151.7M
Net Profit
$14.8M
Gross Margin
Operating Margin
-33.1%
11.7%
Net Margin
9.8%
Revenue YoY
57.4%
Net Profit YoY
EPS (diluted)
$0.44

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
AXSM
AXSM
BOW
BOW
Q1 26
$191.2M
Q4 25
$196.0M
$151.7M
Q3 25
$171.0M
$143.9M
Q2 25
$150.0M
$133.3M
Q1 25
$121.5M
$122.7M
Q4 24
$118.8M
Q3 24
$104.8M
$116.8M
Q2 24
$87.2M
$98.9M
Net Profit
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
$-28.6M
$14.8M
Q3 25
$-47.2M
$15.2M
Q2 25
$-48.0M
$12.3M
Q1 25
$-59.4M
$11.4M
Q4 24
$-74.9M
Q3 24
$-64.6M
$12.1M
Q2 24
$-79.3M
$5.5M
Operating Margin
AXSM
AXSM
BOW
BOW
Q1 26
-33.1%
Q4 25
-13.8%
11.7%
Q3 25
-27.0%
13.3%
Q2 25
-24.5%
11.9%
Q1 25
-46.9%
11.8%
Q4 24
-61.1%
Q3 24
-59.8%
13.5%
Q2 24
-89.5%
7.5%
Net Margin
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
-14.6%
9.8%
Q3 25
-27.6%
10.5%
Q2 25
-32.0%
9.3%
Q1 25
-48.9%
9.3%
Q4 24
-63.1%
Q3 24
-61.7%
10.4%
Q2 24
-91.0%
5.6%
EPS (diluted)
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
$-0.55
$0.44
Q3 25
$-0.94
$0.45
Q2 25
$-0.97
$0.36
Q1 25
$-1.22
$0.34
Q4 24
$-1.54
Q3 24
$-1.34
$0.36
Q2 24
$-1.67
$0.20

Balance Sheet & Financial Strength

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

Metric
AXSM
AXSM
BOW
BOW
Cash + ST InvestmentsLiquidity on hand
$305.1M
$193.5M
Total DebtLower is stronger
$70.0M
$146.4M
Stockholders' EquityBook value
$448.3M
Total Assets
$713.6M
$2.4B
Debt / EquityLower = less leverage
0.33×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AXSM
AXSM
BOW
BOW
Q1 26
$305.1M
Q4 25
$322.9M
$193.5M
Q3 25
$325.3M
$197.9M
Q2 25
$303.0M
$114.8M
Q1 25
$300.9M
$88.0M
Q4 24
$315.4M
Q3 24
$327.3M
$132.9M
Q2 24
$315.7M
$180.3M
Total Debt
AXSM
AXSM
BOW
BOW
Q1 26
$70.0M
Q4 25
$146.4M
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Stockholders' Equity
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
$88.3M
$448.3M
Q3 25
$73.7M
$430.2M
Q2 25
$73.1M
$407.2M
Q1 25
$53.2M
$391.0M
Q4 24
$57.0M
Q3 24
$92.9M
$364.7M
Q2 24
$102.9M
$339.9M
Total Assets
AXSM
AXSM
BOW
BOW
Q1 26
$713.6M
Q4 25
$689.8M
$2.4B
Q3 25
$669.3M
$2.1B
Q2 25
$639.8M
$1.9B
Q1 25
$596.7M
$1.8B
Q4 24
$568.5M
Q3 24
$561.5M
$1.5B
Q2 24
$548.2M
$1.4B
Debt / Equity
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
0.33×
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24

Cash Flow & Capital Efficiency

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

Metric
AXSM
AXSM
BOW
BOW
Operating Cash FlowLast quarter
$331.6M
Free Cash FlowOCF − Capex
$326.0M
FCF MarginFCF / Revenue
214.9%
Capex IntensityCapex / Revenue
3.7%
Cash ConversionOCF / Net Profit
22.34×
TTM Free Cash FlowTrailing 4 quarters
$593.4M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
$-18.7M
$331.6M
Q3 25
$1.0M
$114.7M
Q2 25
$-32.4M
$109.0M
Q1 25
$-43.4M
$47.7M
Q4 24
$-26.2M
Q3 24
$-18.6M
$119.4M
Q2 24
$-30.1M
Free Cash Flow
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
$-18.7M
$326.0M
Q3 25
$988.0K
$113.5M
Q2 25
$-32.4M
$107.4M
Q1 25
$-43.7M
$46.5M
Q4 24
$-26.2M
Q3 24
$-18.7M
$118.4M
Q2 24
$-30.2M
FCF Margin
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
-9.6%
214.9%
Q3 25
0.6%
78.8%
Q2 25
-21.6%
80.6%
Q1 25
-36.0%
37.9%
Q4 24
-22.1%
Q3 24
-17.9%
101.4%
Q2 24
-34.6%
Capex Intensity
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
0.0%
3.7%
Q3 25
0.0%
0.9%
Q2 25
0.0%
1.2%
Q1 25
0.3%
1.0%
Q4 24
0.0%
Q3 24
0.1%
0.9%
Q2 24
0.1%
Cash Conversion
AXSM
AXSM
BOW
BOW
Q1 26
Q4 25
22.34×
Q3 25
7.56×
Q2 25
8.83×
Q1 25
4.18×
Q4 24
Q3 24
9.88×
Q2 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

AXSM
AXSM

Product sales, net$189.4M99%
Royalty revenue and milestone revenue$1.8M1%

BOW
BOW

Segment breakdown not available.

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