vs

Side-by-side financial comparison of Axsome Therapeutics, Inc. (AXSM) and AMICUS THERAPEUTICS, INC. (FOLD). Click either name above to swap in a different company.

Axsome Therapeutics, Inc. is the larger business by last-quarter revenue ($196.0M vs $185.2M, roughly 1.1× AMICUS THERAPEUTICS, INC.). AMICUS THERAPEUTICS, INC. runs the higher net margin — 0.9% vs -14.6%, a 15.5% gap on every dollar of revenue. On growth, Axsome Therapeutics, Inc. posted the faster year-over-year revenue change (65.0% vs 23.7%). AMICUS THERAPEUTICS, INC. produced more free cash flow last quarter ($16.0M vs $-18.7M). Over the past eight quarters, Axsome Therapeutics, Inc.'s revenue compounded faster (61.7% CAGR vs 29.5%).

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.

Amicus Therapeutics, Inc. is a public American biopharmaceutical company based in Philadelphia, Pennsylvania. The company went public in 2007 under the Nasdaq trading symbol FOLD. This followed a 2006 planned offering and subsequent withdrawal, which would have established the trading symbol as AMTX Prior to their IPO, Amicus was funded by a variety of venture capital firms including Radius Ventures, Canaan Partners and New Enterprise Associates.

AXSM vs FOLD — Head-to-Head

Bigger by revenue
AXSM
AXSM
1.1× larger
AXSM
$196.0M
$185.2M
FOLD
Growing faster (revenue YoY)
AXSM
AXSM
+41.3% gap
AXSM
65.0%
23.7%
FOLD
Higher net margin
FOLD
FOLD
15.5% more per $
FOLD
0.9%
-14.6%
AXSM
More free cash flow
FOLD
FOLD
$34.7M more FCF
FOLD
$16.0M
$-18.7M
AXSM
Faster 2-yr revenue CAGR
AXSM
AXSM
Annualised
AXSM
61.7%
29.5%
FOLD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AXSM
AXSM
FOLD
FOLD
Revenue
$196.0M
$185.2M
Net Profit
$-28.6M
$1.7M
Gross Margin
85.7%
Operating Margin
-13.8%
8.6%
Net Margin
-14.6%
0.9%
Revenue YoY
65.0%
23.7%
Net Profit YoY
61.9%
-88.5%
EPS (diluted)
$-0.55
$0.00

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
FOLD
FOLD
Q4 25
$196.0M
$185.2M
Q3 25
$171.0M
$169.1M
Q2 25
$150.0M
$154.7M
Q1 25
$121.5M
$125.2M
Q4 24
$118.8M
$149.7M
Q3 24
$104.8M
$141.5M
Q2 24
$87.2M
$126.7M
Q1 24
$75.0M
$110.4M
Net Profit
AXSM
AXSM
FOLD
FOLD
Q4 25
$-28.6M
$1.7M
Q3 25
$-47.2M
$17.3M
Q2 25
$-48.0M
$-24.4M
Q1 25
$-59.4M
$-21.7M
Q4 24
$-74.9M
$14.7M
Q3 24
$-64.6M
$-6.7M
Q2 24
$-79.3M
$-15.7M
Q1 24
$-68.4M
$-48.4M
Gross Margin
AXSM
AXSM
FOLD
FOLD
Q4 25
85.7%
Q3 25
88.5%
Q2 25
90.2%
Q1 25
90.7%
Q4 24
90.1%
Q3 24
90.6%
Q2 24
91.1%
Q1 24
87.7%
Operating Margin
AXSM
AXSM
FOLD
FOLD
Q4 25
-13.8%
8.6%
Q3 25
-27.0%
20.3%
Q2 25
-24.5%
-6.1%
Q1 25
-46.9%
-6.3%
Q4 24
-61.1%
10.7%
Q3 24
-59.8%
15.3%
Q2 24
-89.5%
11.8%
Q1 24
-89.7%
-25.1%
Net Margin
AXSM
AXSM
FOLD
FOLD
Q4 25
-14.6%
0.9%
Q3 25
-27.6%
10.2%
Q2 25
-32.0%
-15.8%
Q1 25
-48.9%
-17.3%
Q4 24
-63.1%
9.8%
Q3 24
-61.7%
-4.8%
Q2 24
-91.0%
-12.4%
Q1 24
-91.1%
-43.9%
EPS (diluted)
AXSM
AXSM
FOLD
FOLD
Q4 25
$-0.55
$0.00
Q3 25
$-0.94
$0.06
Q2 25
$-0.97
$-0.08
Q1 25
$-1.22
$-0.07
Q4 24
$-1.54
$0.05
Q3 24
$-1.34
$-0.02
Q2 24
$-1.67
$-0.05
Q1 24
$-1.44
$-0.16

Balance Sheet & Financial Strength

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

Metric
AXSM
AXSM
FOLD
FOLD
Cash + ST InvestmentsLiquidity on hand
$322.9M
$293.5M
Total DebtLower is stronger
$392.7M
Stockholders' EquityBook value
$88.3M
$274.2M
Total Assets
$689.8M
$949.9M
Debt / EquityLower = less leverage
1.43×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AXSM
AXSM
FOLD
FOLD
Q4 25
$322.9M
$293.5M
Q3 25
$325.3M
$263.8M
Q2 25
$303.0M
$231.0M
Q1 25
$300.9M
$250.6M
Q4 24
$315.4M
$249.9M
Q3 24
$327.3M
$249.8M
Q2 24
$315.7M
$260.1M
Q1 24
$331.4M
$239.6M
Total Debt
AXSM
AXSM
FOLD
FOLD
Q4 25
$392.7M
Q3 25
$392.0M
Q2 25
$391.3M
Q1 25
$390.7M
Q4 24
$390.1M
Q3 24
$389.5M
Q2 24
$388.9M
Q1 24
$388.4M
Stockholders' Equity
AXSM
AXSM
FOLD
FOLD
Q4 25
$88.3M
$274.2M
Q3 25
$73.7M
$230.4M
Q2 25
$73.1M
$204.3M
Q1 25
$53.2M
$193.6M
Q4 24
$57.0M
$194.0M
Q3 24
$92.9M
$178.8M
Q2 24
$102.9M
$132.5M
Q1 24
$144.0M
$130.7M
Total Assets
AXSM
AXSM
FOLD
FOLD
Q4 25
$689.8M
$949.9M
Q3 25
$669.3M
$868.8M
Q2 25
$639.8M
$815.3M
Q1 25
$596.7M
$789.8M
Q4 24
$568.5M
$785.0M
Q3 24
$561.5M
$786.6M
Q2 24
$548.2M
$749.5M
Q1 24
$545.7M
$721.8M
Debt / Equity
AXSM
AXSM
FOLD
FOLD
Q4 25
1.43×
Q3 25
1.70×
Q2 25
1.92×
Q1 25
2.02×
Q4 24
2.01×
Q3 24
2.18×
Q2 24
2.93×
Q1 24
2.97×

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
FOLD
FOLD
Operating Cash FlowLast quarter
$-18.7M
$16.3M
Free Cash FlowOCF − Capex
$-18.7M
$16.0M
FCF MarginFCF / Revenue
-9.6%
8.6%
Capex IntensityCapex / Revenue
0.0%
0.2%
Cash ConversionOCF / Net Profit
9.62×
TTM Free Cash FlowTrailing 4 quarters
$-93.9M
$29.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AXSM
AXSM
FOLD
FOLD
Q4 25
$-18.7M
$16.3M
Q3 25
$1.0M
$35.7M
Q2 25
$-32.4M
$-26.5M
Q1 25
$-43.4M
$7.8M
Q4 24
$-26.2M
$-3.9M
Q3 24
$-18.6M
$-23.0M
Q2 24
$-30.1M
$22.7M
Q1 24
$-53.5M
$-29.7M
Free Cash Flow
AXSM
AXSM
FOLD
FOLD
Q4 25
$-18.7M
$16.0M
Q3 25
$988.0K
$35.3M
Q2 25
$-32.4M
$-28.9M
Q1 25
$-43.7M
$7.5M
Q4 24
$-26.2M
$-4.2M
Q3 24
$-18.7M
$-23.3M
Q2 24
$-30.2M
$21.6M
Q1 24
$-53.6M
$-31.5M
FCF Margin
AXSM
AXSM
FOLD
FOLD
Q4 25
-9.6%
8.6%
Q3 25
0.6%
20.9%
Q2 25
-21.6%
-18.7%
Q1 25
-36.0%
6.0%
Q4 24
-22.1%
-2.8%
Q3 24
-17.9%
-16.5%
Q2 24
-34.6%
17.0%
Q1 24
-71.4%
-28.5%
Capex Intensity
AXSM
AXSM
FOLD
FOLD
Q4 25
0.0%
0.2%
Q3 25
0.0%
0.2%
Q2 25
0.0%
1.6%
Q1 25
0.3%
0.2%
Q4 24
0.0%
0.2%
Q3 24
0.1%
0.3%
Q2 24
0.1%
0.9%
Q1 24
0.1%
1.6%
Cash Conversion
AXSM
AXSM
FOLD
FOLD
Q4 25
9.62×
Q3 25
2.06×
Q2 25
Q1 25
Q4 24
-0.27×
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

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

Revenue Breakdown by Segment

AXSM
AXSM

Segment breakdown not available.

FOLD
FOLD

Other$105.8M57%
Galafold$64.8M35%
Pombiliti Opfolda$14.6M8%

Related Comparisons