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

Palomar Holdings, Inc. is the larger business by last-quarter revenue ($253.4M vs $196.0M, roughly 1.3× Axsome Therapeutics, Inc.). On growth, Axsome Therapeutics, Inc. posted the faster year-over-year revenue change (65.0% vs 62.7%). Palomar Holdings, Inc. produced more free cash flow last quarter ($409.0M vs $-18.7M). Over the past eight quarters, Axsome Therapeutics, Inc.'s revenue compounded faster (61.7% CAGR vs 46.2%).

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.

Palomar Holdings, Inc. is a specialty insurance holding company that primarily provides property insurance products for catastrophe-exposed residential and commercial assets. It mainly operates across the United States, focusing on core segments including earthquake, flood, and windstorm coverage to meet high-risk property protection demands of customers.

AXSM vs PLMR — Head-to-Head

Bigger by revenue
PLMR
PLMR
1.3× larger
PLMR
$253.4M
$196.0M
AXSM
Growing faster (revenue YoY)
AXSM
AXSM
+2.4% gap
AXSM
65.0%
62.7%
PLMR
More free cash flow
PLMR
PLMR
$427.7M more FCF
PLMR
$409.0M
$-18.7M
AXSM
Faster 2-yr revenue CAGR
AXSM
AXSM
Annualised
AXSM
61.7%
46.2%
PLMR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AXSM
AXSM
PLMR
PLMR
Revenue
$196.0M
$253.4M
Net Profit
$-28.6M
Gross Margin
Operating Margin
-13.8%
28.7%
Net Margin
-14.6%
Revenue YoY
65.0%
62.7%
Net Profit YoY
61.9%
EPS (diluted)
$-0.55
$2.05

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
PLMR
PLMR
Q4 25
$196.0M
$253.4M
Q3 25
$171.0M
$244.7M
Q2 25
$150.0M
$203.3M
Q1 25
$121.5M
$174.6M
Q4 24
$118.8M
$155.8M
Q3 24
$104.8M
$148.5M
Q2 24
$87.2M
$131.1M
Q1 24
$75.0M
$118.5M
Net Profit
AXSM
AXSM
PLMR
PLMR
Q4 25
$-28.6M
Q3 25
$-47.2M
$51.5M
Q2 25
$-48.0M
$46.5M
Q1 25
$-59.4M
$42.9M
Q4 24
$-74.9M
Q3 24
$-64.6M
$30.5M
Q2 24
$-79.3M
$25.7M
Q1 24
$-68.4M
$26.4M
Operating Margin
AXSM
AXSM
PLMR
PLMR
Q4 25
-13.8%
28.7%
Q3 25
-27.0%
27.4%
Q2 25
-24.5%
29.5%
Q1 25
-46.9%
30.8%
Q4 24
-61.1%
28.9%
Q3 24
-59.8%
25.9%
Q2 24
-89.5%
25.5%
Q1 24
-89.7%
29.0%
Net Margin
AXSM
AXSM
PLMR
PLMR
Q4 25
-14.6%
Q3 25
-27.6%
21.0%
Q2 25
-32.0%
22.9%
Q1 25
-48.9%
24.6%
Q4 24
-63.1%
Q3 24
-61.7%
20.5%
Q2 24
-91.0%
19.6%
Q1 24
-91.1%
22.3%
EPS (diluted)
AXSM
AXSM
PLMR
PLMR
Q4 25
$-0.55
$2.05
Q3 25
$-0.94
$1.87
Q2 25
$-0.97
$1.68
Q1 25
$-1.22
$1.57
Q4 24
$-1.54
$1.29
Q3 24
$-1.34
$1.15
Q2 24
$-1.67
$1.00
Q1 24
$-1.44
$1.04

Balance Sheet & Financial Strength

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

Metric
AXSM
AXSM
PLMR
PLMR
Cash + ST InvestmentsLiquidity on hand
$322.9M
$106.9M
Total DebtLower is stronger
Stockholders' EquityBook value
$88.3M
$942.7M
Total Assets
$689.8M
$3.1B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AXSM
AXSM
PLMR
PLMR
Q4 25
$322.9M
$106.9M
Q3 25
$325.3M
$111.7M
Q2 25
$303.0M
$81.3M
Q1 25
$300.9M
$119.3M
Q4 24
$315.4M
$80.4M
Q3 24
$327.3M
$86.5M
Q2 24
$315.7M
$47.8M
Q1 24
$331.4M
$61.4M
Stockholders' Equity
AXSM
AXSM
PLMR
PLMR
Q4 25
$88.3M
$942.7M
Q3 25
$73.7M
$878.1M
Q2 25
$73.1M
$847.2M
Q1 25
$53.2M
$790.4M
Q4 24
$57.0M
$729.0M
Q3 24
$92.9M
$703.3M
Q2 24
$102.9M
$532.6M
Q1 24
$144.0M
$501.7M
Total Assets
AXSM
AXSM
PLMR
PLMR
Q4 25
$689.8M
$3.1B
Q3 25
$669.3M
$2.9B
Q2 25
$639.8M
$2.8B
Q1 25
$596.7M
$2.4B
Q4 24
$568.5M
$2.3B
Q3 24
$561.5M
$2.3B
Q2 24
$548.2M
$2.0B
Q1 24
$545.7M
$1.9B

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
PLMR
PLMR
Operating Cash FlowLast quarter
$-18.7M
$409.1M
Free Cash FlowOCF − Capex
$-18.7M
$409.0M
FCF MarginFCF / Revenue
-9.6%
161.4%
Capex IntensityCapex / Revenue
0.0%
0.1%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters
$-93.9M
$700.6M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AXSM
AXSM
PLMR
PLMR
Q4 25
$-18.7M
$409.1M
Q3 25
$1.0M
$83.6M
Q2 25
$-32.4M
$120.9M
Q1 25
$-43.4M
$87.2M
Q4 24
$-26.2M
$261.2M
Q3 24
$-18.6M
$100.3M
Q2 24
$-30.1M
$55.1M
Q1 24
$-53.5M
$33.1M
Free Cash Flow
AXSM
AXSM
PLMR
PLMR
Q4 25
$-18.7M
$409.0M
Q3 25
$988.0K
$83.6M
Q2 25
$-32.4M
$120.8M
Q1 25
$-43.7M
$87.1M
Q4 24
$-26.2M
$260.9M
Q3 24
$-18.7M
$100.1M
Q2 24
$-30.2M
Q1 24
$-53.6M
FCF Margin
AXSM
AXSM
PLMR
PLMR
Q4 25
-9.6%
161.4%
Q3 25
0.6%
34.2%
Q2 25
-21.6%
59.4%
Q1 25
-36.0%
49.9%
Q4 24
-22.1%
167.5%
Q3 24
-17.9%
67.4%
Q2 24
-34.6%
Q1 24
-71.4%
Capex Intensity
AXSM
AXSM
PLMR
PLMR
Q4 25
0.0%
0.1%
Q3 25
0.0%
0.0%
Q2 25
0.0%
0.0%
Q1 25
0.3%
0.0%
Q4 24
0.0%
0.2%
Q3 24
0.1%
0.1%
Q2 24
0.1%
0.0%
Q1 24
0.1%
0.0%
Cash Conversion
AXSM
AXSM
PLMR
PLMR
Q4 25
Q3 25
1.63×
Q2 25
2.60×
Q1 25
2.03×
Q4 24
Q3 24
3.29×
Q2 24
2.14×
Q1 24
1.26×

Financial Flow Comparison

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

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