2024 Q1 Form 10-K Financial Statement

#000095017024019118 Filed on February 23, 2024

View on sec.gov

Income Statement

Concept 2024 Q1 2023 Q4 2023
Revenue $75.00M $71.53M $270.6M
YoY Change -20.7% 193.5%
Cost Of Revenue $6.297M $7.377M $26.07M
YoY Change -16.66% 222.01% 401.25%
Gross Profit $68.70M $64.15M $244.5M
YoY Change -21.05% 190.54% -4802.6%
Gross Profit Margin 91.6% 89.69% 90.37%
Selling, General & Admin $98.97M $86.81M $323.1M
YoY Change 33.4% 41.16% 102.9%
% of Gross Profit 144.06% 135.32% 132.14%
Research & Development $36.83M $30.80M $97.94M
YoY Change 106.99% 109.64% 69.02%
% of Gross Profit 53.61% 48.01% 40.05%
Depreciation & Amortization $132.0K $1.607M $459.0K
YoY Change 46.67% -5.03% 74.23%
% of Gross Profit 0.19% 2.5% 0.19%
Operating Expenses $135.8M $162.4M $421.1M
YoY Change 47.63% 98.09% 93.86%
Operating Profit -$67.28M -$98.27M -$231.8M
YoY Change 955.46% 64.02% 28.94%
Interest Expense -$1.082M -$703.0K -$6.453M
YoY Change -52.21% -46.85% -12.02%
% of Operating Profit
Other Income/Expense, Net
YoY Change
Pretax Income -$68.36M -$98.98M -$238.3M
YoY Change 691.35% 61.62% 27.33%
Income Tax $0.00 -$325.0K $1.000M
% Of Pretax Income
Net Earnings -$68.36M -$98.65M -$239.2M
YoY Change 509.35% 61.09% 27.84%
Net Earnings / Revenue -91.14% -137.91% -88.41%
Basic Earnings Per Share -$1.44 -$5.27
Diluted Earnings Per Share -$1.44 -$2.08 -$5.27
COMMON SHARES
Basic Shares Outstanding 47.37M 47.32M 45.43M
Diluted Shares Outstanding 47.39M 45.43M

Balance Sheet

Concept 2024 Q1 2023 Q4 2023
SHORT-TERM ASSETS
Cash & Short-Term Investments $331.4M $386.2M $386.2M
YoY Change 34.45% 92.29% 92.29%
Cash & Equivalents $331.4M $386.2M $386.2M
Short-Term Investments
Other Short-Term Assets $12.03M $8.115M $8.115M
YoY Change 131.34% 191.84% 191.84%
Inventory $15.58M $15.14M $15.14M
Prepaid Expenses
Receivables $101.4M $94.82M $94.82M
Other Receivables $0.00 $0.00 $0.00
Total Short-Term Assets $460.5M $504.3M $504.3M
YoY Change 51.25% 105.28% 105.28%
LONG-TERM ASSETS
Property, Plant & Equipment $812.0K $846.0K $7.618M
YoY Change 15.5% 17.09% 566.6%
Goodwill $12.00M $12.04M
YoY Change 16.39% 16.8%
Intangibles $51.70M $53.29M
YoY Change -11.0% -10.69%
Long-Term Investments
YoY Change
Other Assets $14.28M $53.29M $11.03M
YoY Change -8.03% 261.97% -25.09%
Total Long-Term Assets $85.24M $83.97M $83.97M
YoY Change 0.6% -2.17% -2.17%
TOTAL ASSETS
Total Short-Term Assets $460.5M $504.3M $504.3M
Total Long-Term Assets $85.24M $83.97M $83.97M
Total Assets $545.7M $588.2M $588.2M
YoY Change 40.23% 77.46% 77.46%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $53.79M $40.68M $40.68M
YoY Change 50.38% 5.37% 5.37%
Accrued Expenses $83.87M $91.77M $91.77M
YoY Change 42.44% 76.29% 76.29%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $632.0K
YoY Change
Total Short-Term Liabilities $144.0M $138.9M $138.9M
YoY Change 43.11% 43.8% 43.8%
LONG-TERM LIABILITIES
Long-Term Debt $178.7M $178.1M $178.1M
YoY Change 21.05% 88.92% 88.92%
Other Long-Term Liabilities $77.26M $80.34M $80.34M
YoY Change 165.49% 158.31% 158.31%
Total Long-Term Liabilities $178.7M $178.1M $258.4M
YoY Change 21.05% 88.92% 106.13%
TOTAL LIABILITIES
Total Short-Term Liabilities $144.0M $138.9M $138.9M
Total Long-Term Liabilities $178.7M $178.1M $258.4M
Total Liabilities $401.7M $397.3M $397.3M
YoY Change 44.82% 79.01% 79.01%
SHAREHOLDERS EQUITY
Retained Earnings -$903.9M -$835.6M
YoY Change 48.77% 40.13%
Common Stock $1.048B $1.027B
YoY Change 45.68% 45.43%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity $144.0M $191.0M $191.0M
YoY Change
Total Liabilities & Shareholders Equity $545.7M $588.2M $588.2M
YoY Change 40.23% 77.46% 77.46%

Cashflow Statement

Concept 2024 Q1 2023 Q4 2023
OPERATING ACTIVITIES
Net Income -$68.36M -$98.65M -$239.2M
YoY Change 509.35% 61.09% 27.84%
Depreciation, Depletion And Amortization $132.0K $1.607M $459.0K
YoY Change 46.67% -5.03% 74.23%
Cash From Operating Activities -$53.47M -$30.36M -$145.1M
YoY Change 818.52% 10.15% 24.52%
INVESTING ACTIVITIES
Capital Expenditures $98.00K $7.000K $582.0K
YoY Change 38.03% -96.13% -17.11%
Acquisitions
YoY Change
Other Investing Activities $0.00 $0.00
YoY Change -100.0%
Cash From Investing Activities -$98.00K -$7.000K -$582.0K
YoY Change 38.03% -96.13% -98.92%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $258.8M
YoY Change 9.27%
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities -1.187M -2.000K 331.0M
YoY Change -102.3% -100.19% 16.32%
NET CHANGE
Cash From Operating Activities -53.47M -30.36M -145.1M
Cash From Investing Activities -98.00K -7.000K -582.0K
Cash From Financing Activities -1.187M -2.000K 331.0M
Net Change In Cash -54.75M -30.37M 185.4M
YoY Change -219.88% 13.84% 62.06%
FREE CASH FLOW
Cash From Operating Activities -$53.47M -$30.36M -$145.1M
Capital Expenditures $98.00K $7.000K $582.0K
Free Cash Flow -$53.57M -$30.37M -$145.7M
YoY Change 809.11% 9.46% 24.27%

Facts In Submission

Frame Concept Type Concept / XBRL Key Value Unit
CY2023 dei Document Fiscal Period Focus
DocumentFiscalPeriodFocus
FY
CY2023 dei Entity Central Index Key
EntityCentralIndexKey
0001579428
CY2023 dei Amendment Flag
AmendmentFlag
false
CY2023Q4 us-gaap Preferred Stock Value
PreferredStockValue
CY2022Q4 us-gaap Preferred Stock Value
PreferredStockValue
CY2023 dei Document Type
DocumentType
10-K
CY2023 dei Document Annual Report
DocumentAnnualReport
true
CY2023 dei Document Period End Date
DocumentPeriodEndDate
2023-12-31
CY2023 dei Current Fiscal Year End Date
CurrentFiscalYearEndDate
--12-31
CY2023 dei Document Fiscal Year Focus
DocumentFiscalYearFocus
2023
CY2023 dei Document Transition Report
DocumentTransitionReport
false
CY2023 dei Entity File Number
EntityFileNumber
001-37635
CY2023 dei Entity Registrant Name
EntityRegistrantName
AXSOME THERAPEUTICS, INC.
CY2023 dei Entity Incorporation State Country Code
EntityIncorporationStateCountryCode
DE
CY2023 dei Entity Tax Identification Number
EntityTaxIdentificationNumber
45-4241907
CY2023 dei Entity Address Address Line1
EntityAddressAddressLine1
One World Trade Center
CY2023 dei Entity Address Address Line2
EntityAddressAddressLine2
22nd Floor
CY2023 dei Entity Address City Or Town
EntityAddressCityOrTown
New York
CY2023 dei Entity Address State Or Province
EntityAddressStateOrProvince
NY
CY2023 dei Entity Address Postal Zip Code
EntityAddressPostalZipCode
10007
CY2023 dei City Area Code
CityAreaCode
212
CY2023 dei Local Phone Number
LocalPhoneNumber
332-3241
CY2023 dei Security12b Title
Security12bTitle
Common Stock, Par Value $0.0001 Per Share
CY2023 dei Trading Symbol
TradingSymbol
AXSM
CY2023 dei Security Exchange Name
SecurityExchangeName
NASDAQ
CY2023 dei Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
Yes
CY2023 dei Entity Voluntary Filers
EntityVoluntaryFilers
No
CY2023 dei Entity Current Reporting Status
EntityCurrentReportingStatus
Yes
CY2023 dei Entity Interactive Data Current
EntityInteractiveDataCurrent
Yes
CY2023 dei Entity Filer Category
EntityFilerCategory
Large Accelerated Filer
CY2023 dei Entity Small Business
EntitySmallBusiness
false
CY2023 dei Entity Emerging Growth Company
EntityEmergingGrowthCompany
false
CY2023 dei Icfr Auditor Attestation Flag
IcfrAuditorAttestationFlag
true
CY2023 dei Document Fin Stmt Error Correction Flag
DocumentFinStmtErrorCorrectionFlag
false
CY2023 dei Entity Shell Company
EntityShellCompany
false
CY2023Q2 dei Entity Public Float
EntityPublicFloat
2800000000
CY2024Q1 dei Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
47374375
CY2023Q4 ecd Rule10b51 Arr Adopted Flag
Rule10b51ArrAdoptedFlag
false
CY2023Q4 ecd Rule10b51 Arr Trmntd Flag
Rule10b51ArrTrmntdFlag
false
CY2023 dei Auditor Firm
AuditorFirmId
34
CY2023 dei Auditor Firm
AuditorFirmId
34
CY2023 dei Auditor Name
AuditorName
Deloitte & Touche LLP
CY2023 dei Auditor Location
AuditorLocation
Morristown, New Jersey
CY2023 dei Auditor Name
AuditorName
Deloitte & Touche LLP
CY2023 dei Auditor Location
AuditorLocation
Morristown, New Jersey
CY2023Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
386193000
CY2022Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
200842000
CY2023Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
94820000
CY2022Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
37699000
CY2023Q4 us-gaap Inventory Net
InventoryNet
15135000
CY2022Q4 us-gaap Inventory Net
InventoryNet
4320000
CY2023Q4 us-gaap Prepaid Expense And Other Assets Current
PrepaidExpenseAndOtherAssetsCurrent
8115000
CY2022Q4 us-gaap Prepaid Expense And Other Assets Current
PrepaidExpenseAndOtherAssetsCurrent
2781000
CY2023Q4 us-gaap Assets Current
AssetsCurrent
504263000
CY2022Q4 us-gaap Assets Current
AssetsCurrent
245642000
CY2023Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
846000
CY2022Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
722000
CY2023Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
6772000
CY2022Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
420000
CY2023Q4 us-gaap Goodwill
Goodwill
12042000
CY2022Q4 us-gaap Goodwill
Goodwill
10310000
CY2023Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
53286000
CY2022Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
59661000
CY2023Q4 us-gaap Other Inventory Noncurrent
OtherInventoryNoncurrent
11027000
CY2022Q4 us-gaap Other Inventory Noncurrent
OtherInventoryNoncurrent
14721000
CY2023Q4 us-gaap Assets
Assets
588236000
CY2022Q4 us-gaap Assets
Assets
331476000
CY2023Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
40679000
CY2022Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
38605000
CY2023Q4 us-gaap Accounts Payable And Other Accrued Liabilities Current
AccountsPayableAndOtherAccruedLiabilitiesCurrent
90501000
CY2022Q4 us-gaap Accounts Payable And Other Accrued Liabilities Current
AccountsPayableAndOtherAccruedLiabilitiesCurrent
51631000
CY2023Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
1267000
CY2022Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
425000
CY2023Q4 us-gaap Business Combination Contingent Consideration Liability Current
BusinessCombinationContingentConsiderationLiabilityCurrent
6407000
CY2022Q4 us-gaap Business Combination Contingent Consideration Liability Current
BusinessCombinationContingentConsiderationLiabilityCurrent
5900000
CY2023Q4 us-gaap Liabilities Current
LiabilitiesCurrent
138854000
CY2022Q4 us-gaap Liabilities Current
LiabilitiesCurrent
96561000
CY2023Q4 us-gaap Business Combination Contingent Consideration Liability Noncurrent
BusinessCombinationContingentConsiderationLiabilityNoncurrent
73300000
CY2022Q4 us-gaap Business Combination Contingent Consideration Liability Noncurrent
BusinessCombinationContingentConsiderationLiabilityNoncurrent
31100000
CY2023Q4 us-gaap Long Term Debt Noncurrent
LongTermDebtNoncurrent
178070000
CY2022Q4 us-gaap Long Term Debt Noncurrent
LongTermDebtNoncurrent
94259000
CY2023Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
7035000
CY2023Q4 us-gaap Liabilities
Liabilities
397259000
CY2022Q4 us-gaap Liabilities
Liabilities
221920000
CY2022Q4 us-gaap Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
0.0001
CY2023Q4 us-gaap Preferred Stock Par Or Stated Value Per Share
PreferredStockParOrStatedValuePerShare
0.0001
CY2023Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
10000000
CY2022Q4 us-gaap Preferred Stock Shares Authorized
PreferredStockSharesAuthorized
10000000
CY2022Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0
CY2023Q4 us-gaap Preferred Stock Shares Issued
PreferredStockSharesIssued
0
CY2022Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0
CY2023Q4 us-gaap Preferred Stock Shares Outstanding
PreferredStockSharesOutstanding
0
CY2022Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0.0001
CY2023Q4 us-gaap Common Stock Par Or Stated Value Per Share
CommonStockParOrStatedValuePerShare
0.0001
CY2022Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
150000000
CY2023Q4 us-gaap Common Stock Shares Authorized
CommonStockSharesAuthorized
150000000
CY2023Q4 us-gaap Common Stock Shares Outstanding
CommonStockSharesOutstanding
47351363
CY2023Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
47351363
CY2022Q4 us-gaap Common Stock Shares Outstanding
CommonStockSharesOutstanding
43498617
CY2022Q4 us-gaap Common Stock Shares Issued
CommonStockSharesIssued
43498617
CY2023Q4 us-gaap Common Stock Value
CommonStockValue
5000
CY2022Q4 us-gaap Common Stock Value
CommonStockValue
4000
CY2023Q4 us-gaap Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
1026543000
CY2022Q4 us-gaap Additional Paid In Capital Common Stock
AdditionalPaidInCapitalCommonStock
705885000
CY2023Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-835571000
CY2022Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-596333000
CY2023Q4 us-gaap Stockholders Equity
StockholdersEquity
190977000
CY2022Q4 us-gaap Stockholders Equity
StockholdersEquity
109556000
CY2023Q4 us-gaap Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
588236000
CY2022Q4 us-gaap Liabilities And Stockholders Equity
LiabilitiesAndStockholdersEquity
331476000
CY2023 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
270600000
CY2022 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
50037000
CY2023 us-gaap Cost Of Goods And Service Excluding Depreciation Depletion And Amortization
CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization
26065000
CY2022 us-gaap Cost Of Goods And Service Excluding Depreciation Depletion And Amortization
CostOfGoodsAndServiceExcludingDepreciationDepletionAndAmortization
5198000
CY2023 us-gaap Research And Development Expense
ResearchAndDevelopmentExpense
97944000
CY2022 us-gaap Research And Development Expense
ResearchAndDevelopmentExpense
57947000
CY2021 us-gaap Research And Development Expense
ResearchAndDevelopmentExpense
58061000
CY2023 us-gaap Selling General And Administrative Expense
SellingGeneralAndAdministrativeExpense
323123000
CY2023 us-gaap Adjustments To Additional Paid In Capital Warrant Issued
AdjustmentsToAdditionalPaidInCapitalWarrantIssued
1635000
CY2023 axsm Adjustments To Additional Paid In Capital Shares Tendered For Withholding Taxes
AdjustmentsToAdditionalPaidInCapitalSharesTenderedForWithholdingTaxes
1835000
CY2022 us-gaap Selling General And Administrative Expense
SellingGeneralAndAdministrativeExpense
159254000
CY2021 us-gaap Selling General And Administrative Expense
SellingGeneralAndAdministrativeExpense
66646000
CY2023 axsm Change In Fair Value Of Contingent Considerations
ChangeInFairValueOfContingentConsiderations
48918000
CY2022 axsm Change In Fair Value Of Contingent Considerations
ChangeInFairValueOfContingentConsiderations
3298000
CY2023 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
6375000
CY2022 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
4139000
CY2023 us-gaap Costs And Expenses
CostsAndExpenses
502425000
CY2022 us-gaap Costs And Expenses
CostsAndExpenses
229836000
CY2021 us-gaap Costs And Expenses
CostsAndExpenses
124707000
CY2023 us-gaap Operating Income Loss
OperatingIncomeLoss
-231825000
CY2022 us-gaap Operating Income Loss
OperatingIncomeLoss
-179799000
CY2021 us-gaap Operating Income Loss
OperatingIncomeLoss
-124707000
CY2023 us-gaap Investment Income Net
InvestmentIncomeNet
-6453000
CY2022 us-gaap Investment Income Net
InvestmentIncomeNet
-7335000
CY2021 us-gaap Investment Income Net
InvestmentIncomeNet
-5696000
CY2023 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
-238278000
CY2022 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
-187134000
CY2021 us-gaap Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
-130403000
CY2023 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
960000
CY2023 us-gaap Net Income Loss
NetIncomeLoss
-239238000
CY2022 us-gaap Net Income Loss
NetIncomeLoss
-187134000
CY2021 us-gaap Net Income Loss
NetIncomeLoss
-130403000
CY2023 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-5.27
CY2023 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-5.27
CY2022 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-4.60
CY2022 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-4.60
CY2021 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-3.47
CY2021 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-3.47
CY2023 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
45425212
CY2023 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
45425212
CY2022 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
40655941
CY2022 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
40655941
CY2021 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
37618599
CY2021 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
37618599
CY2020Q4 us-gaap Stockholders Equity
StockholdersEquity
113793000
CY2021 us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
20803000
CY2021 us-gaap Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
4402000
CY2021 axsm Stock Issued During Period Value Financing
StockIssuedDuringPeriodValueFinancing
7212000
CY2021 axsm Adjustments To Additional Paid In Capital Shares Tendered For Withholding Taxes
AdjustmentsToAdditionalPaidInCapitalSharesTenderedForWithholdingTaxes
176000
CY2021 us-gaap Net Income Loss
NetIncomeLoss
-130403000
CY2021Q4 us-gaap Stockholders Equity
StockholdersEquity
15631000
CY2022 us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
37726000
CY2022 us-gaap Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
6251000
CY2022 axsm Stock Issued During Period Value Financing
StockIssuedDuringPeriodValueFinancing
236788000
CY2022 us-gaap Adjustments To Additional Paid In Capital Warrant Issued
AdjustmentsToAdditionalPaidInCapitalWarrantIssued
826000
CY2022 axsm Adjustments To Additional Paid In Capital Shares Tendered For Withholding Taxes
AdjustmentsToAdditionalPaidInCapitalSharesTenderedForWithholdingTaxes
532000
CY2022 us-gaap Net Income Loss
NetIncomeLoss
-187134000
CY2022Q4 us-gaap Stockholders Equity
StockholdersEquity
109556000
CY2023 us-gaap Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue
65357000
CY2023 us-gaap Stock Issued During Period Value Stock Options Exercised
StockIssuedDuringPeriodValueStockOptionsExercised
12419000
CY2023 axsm Stock Issued During Period Value Financing
StockIssuedDuringPeriodValueFinancing
243083000
CY2023 us-gaap Net Income Loss
NetIncomeLoss
-239238000
CY2023Q4 us-gaap Stockholders Equity
StockholdersEquity
190977000
CY2023 us-gaap Profit Loss
ProfitLoss
-239238000
CY2022 us-gaap Profit Loss
ProfitLoss
-187134000
CY2021 us-gaap Profit Loss
ProfitLoss
-130403000
CY2023 us-gaap Share Based Compensation
ShareBasedCompensation
62620000
CY2022 us-gaap Share Based Compensation
ShareBasedCompensation
37726000
CY2021 us-gaap Share Based Compensation
ShareBasedCompensation
20803000
CY2023 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
6375000
CY2022 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
4139000
CY2023 us-gaap Amortization Of Debt Discount Premium
AmortizationOfDebtDiscountPremium
2574000
CY2022 us-gaap Amortization Of Debt Discount Premium
AmortizationOfDebtDiscountPremium
1483000
CY2021 us-gaap Amortization Of Debt Discount Premium
AmortizationOfDebtDiscountPremium
1077000
CY2023 us-gaap Depreciation
Depreciation
459000
CY2022 us-gaap Depreciation
Depreciation
263000
CY2021 us-gaap Depreciation
Depreciation
76000
CY2023 axsm Change In Fair Value Of Contingent Considerations
ChangeInFairValueOfContingentConsiderations
48918000
CY2022 axsm Change In Fair Value Of Contingent Considerations
ChangeInFairValueOfContingentConsiderations
3298000
CY2023 axsm Non Cash Lease Expense
NonCashLeaseExpense
1450000
CY2022 axsm Non Cash Lease Expense
NonCashLeaseExpense
1162000
CY2021 axsm Non Cash Lease Expense
NonCashLeaseExpense
1079000
CY2023 axsm Change In Operating Lease Liability
ChangeInOperatingLeaseLiability
154000
CY2022 axsm Change In Operating Lease Liability
ChangeInOperatingLeaseLiability
-1118000
CY2021 axsm Change In Operating Lease Liability
ChangeInOperatingLeaseLiability
-1182000
CY2023 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
57121000
CY2022 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
37699000
CY2023 us-gaap Increase Decrease In Inventories
IncreaseDecreaseInInventories
8156000
CY2022 us-gaap Increase Decrease In Inventories
IncreaseDecreaseInInventories
1331000
CY2023 axsm Increase Decrease In Prepaid Expense And Other Assets Current
IncreaseDecreaseInPrepaidExpenseAndOtherAssetsCurrent
5335000
CY2022 axsm Increase Decrease In Prepaid Expense And Other Assets Current
IncreaseDecreaseInPrepaidExpenseAndOtherAssetsCurrent
2735000
CY2021 axsm Increase Decrease In Prepaid Expense And Other Assets Current
IncreaseDecreaseInPrepaidExpenseAndOtherAssetsCurrent
-103000
CY2023 axsm Non Current Inventory And Other Assets
NonCurrentInventoryAndOtherAssets
-3694000
CY2022 axsm Non Current Inventory And Other Assets
NonCurrentInventoryAndOtherAssets
3944000
CY2021 axsm Non Current Inventory And Other Assets
NonCurrentInventoryAndOtherAssets
6000
CY2023 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
2074000
CY2022 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
25456000
CY2021 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
-355000
CY2023 us-gaap Increase Decrease In Other Accounts Payable And Accrued Liabilities
IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities
36452000
CY2022 us-gaap Increase Decrease In Other Accounts Payable And Accrued Liabilities
IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities
43923000
CY2021 us-gaap Increase Decrease In Other Accounts Payable And Accrued Liabilities
IncreaseDecreaseInOtherAccountsPayableAndAccruedLiabilities
582000
CY2023 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-145080000
CY2022 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-116511000
CY2021 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
-108226000
CY2023 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
582000
CY2022 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
702000
CY2021 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
308000
CY2022 us-gaap Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
53000000
CY2023 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-582000
CY2022 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-53702000
CY2021 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-308000
CY2023 us-gaap Proceeds From Long Term Lines Of Credit
ProceedsFromLongTermLinesOfCredit
85000000
CY2022 us-gaap Proceeds From Long Term Lines Of Credit
ProceedsFromLongTermLinesOfCredit
45000000
CY2023 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
1442000
CY2022 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
487000
CY2021 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
309000
CY2023 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
258750000
CY2022 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
243763000
CY2021 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
7436000
CY2023 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
15668000
CY2022 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
6975000
CY2021 us-gaap Payments Of Stock Issuance Costs
PaymentsOfStockIssuanceCosts
223000
CY2023 us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
12419000
CY2022 us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
6251000
CY2021 us-gaap Proceeds From Stock Options Exercised
ProceedsFromStockOptionsExercised
4402000
CY2023 axsm Payment Of Contingent Consideration
PaymentOfContingentConsideration
-6211000
CY2022 axsm Payment Of Contingent Consideration
PaymentOfContingentConsideration
-2438000
CY2023 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
1835000
CY2022 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
532000
CY2021 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
176000
CY2023 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
331013000
CY2022 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
284582000
CY2021 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
11130000
CY2023 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
185351000
CY2022 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
114369000
CY2021 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
-97404000
CY2022Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
200842000
CY2021Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
86473000
CY2020Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
183877000
CY2023Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
386193000
CY2022Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
200842000
CY2021Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
86473000
CY2023 us-gaap Interest Paid Net
InterestPaidNet
16730000
CY2022 us-gaap Interest Paid Net
InterestPaidNet
7686000
CY2021 us-gaap Interest Paid Net
InterestPaidNet
4625000
CY2023 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
7802000
CY2022 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
561000
CY2023 axsm Fair Value Of Contingent Consideration In A Business Combination
FairValueOfContingentConsiderationInABusinessCombination
79707000
CY2022 axsm Fair Value Of Contingent Consideration In A Business Combination
FairValueOfContingentConsiderationInABusinessCombination
37000000
CY2023 axsm Warrants Issued With Debt Financing
WarrantsIssuedWithDebtFinancing
1635000
CY2022 axsm Warrants Issued With Debt Financing
WarrantsIssuedWithDebtFinancing
0
CY2023Q4 axsm Number Of Not Yet Approved Product Candidates
NumberOfNotYetApprovedProductCandidates
3
CY2023Q4 axsm Number Of Approved Products
NumberOfApprovedProducts
2
CY2023Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-835600000
CY2023 us-gaap Use Of Estimates
UseOfEstimates
<p style="font-size:10pt;margin-top:12pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-weight:bold;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">Use of Estimates</span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:12pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">Management considers many factors in developing the estimates and assumptions that are used in the preparation of these financial statements. Management must apply significant judgment in this process. In addition, other factors may affect estimates, including expected business and operational changes, sensitivity and volatility associated with the assumptions used in developing estimates, and whether historical trends are expected to be representative of future trends. The estimation process often may yield a range of potentially reasonable estimates of ultimate future outcomes, and management must select an amount that falls within that range of reasonable estimates. This process may result in actual results differing materially from those estimated amounts used in the preparation of the financial statements if these results differ from historical experience, or other assumptions do not turn out to be substantially accurate, even if such assumptions are reasonable when made. In preparing these financial statements, management used significant estimates in the following areas, among others: stock-based compensation expense; determination of fair value of warrants; accounting for research and development costs; accounting for acquisitions; impairments of goodwill and the intangible asset; determination of fair value of contingent consideration; chargebacks, cash discounts, sales rebates, returns and other adjustments; and the recoverability of the Company’s net deferred tax assets and related valuation allowance.</span></p>
CY2023 us-gaap Number Of Operating Segments
NumberOfOperatingSegments
1
CY2023Q4 us-gaap Cash Equivalents At Carrying Value
CashEquivalentsAtCarryingValue
386200000
CY2023 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<p style="font-size:10pt;margin-top:12pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-weight:bold;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">Concentration of Risk</span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:12pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;font-style:italic;min-width:fit-content;">Concentration of Credit Risk -</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> Financial instruments that potentially subject the Company to a concentration of credit risk consist of cash and cash equivalents. The Company maintains its cash at financial institutions, which cash exceeds insured limits. At December 31, 2023</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;">, the majority of the Company’s cash was held by </span><span style="font-size:10pt;font-family:Times New Roman;color:#000000;white-space:pre-wrap;min-width:fit-content;">two</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> financial institutions, and amounts on deposit were in excess of government-provided insurance limits. The Company places its cash and cash equivalents in what it believes to be high credit quality banks and money market funds and has not recognized any losses from credit risks on such accounts since inception. See Accounts Receivables, net below for further information.</span></p><p style="text-indent:6.667%;font-size:10pt;margin-top:12pt;font-family:Times New Roman;margin-bottom:0;text-align:left;"><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;font-style:italic;min-width:fit-content;">Concentration of Risk, Other-</span><span style="color:#000000;white-space:pre-wrap;font-size:10pt;font-family:Times New Roman;min-width:fit-content;"> The Company has a limited number of contract manufacturers for its products. At times the Company may have only one manufacturer or supplier for its products.</span></p>
CY2023Q4 axsm Number Of Financial Institutions Holding Deposits
NumberOfFinancialInstitutionsHoldingDeposits
2
CY2023 us-gaap Number Of Reporting Units
NumberOfReportingUnits
1
CY2023 us-gaap Revenue Performance Obligation Description Of Payment Terms
RevenuePerformanceObligationDescriptionOfPaymentTerms
60 days or less
CY2023Q4 us-gaap Allowance For Doubtful Accounts Receivable
AllowanceForDoubtfulAccountsReceivable
0
CY2023Q4 axsm Number Of Customers
NumberOfCustomers
3
CY2023Q4 us-gaap Property Plant And Equipment Useful Life
PropertyPlantAndEquipmentUsefulLife
P3Y
CY2023 us-gaap Advertising Expense
AdvertisingExpense
100300000
CY2022 us-gaap Advertising Expense
AdvertisingExpense
35300000
CY2022 us-gaap Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
74065
CY2021 us-gaap Business Acquisitions Pro Forma Revenue
BusinessAcquisitionsProFormaRevenue
51670
CY2022 us-gaap Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
-211571
CY2021 us-gaap Business Acquisitions Pro Forma Net Income Loss
BusinessAcquisitionsProFormaNetIncomeLoss
-283831
CY2023Q4 axsm Trade Receivables
TradeReceivables
107320000
CY2022Q4 axsm Trade Receivables
TradeReceivables
46796000
CY2023Q4 axsm Reserves For Variable Consideration
ReservesForVariableConsideration
12500000
CY2022Q4 axsm Reserves For Variable Consideration
ReservesForVariableConsideration
9097000
CY2023Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
94820000
CY2022Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
37699000
CY2023Q4 us-gaap Inventory Raw Materials
InventoryRawMaterials
5534000
CY2022Q4 us-gaap Inventory Raw Materials
InventoryRawMaterials
2473000
CY2023Q4 us-gaap Inventory Work In Process
InventoryWorkInProcess
10287000
CY2022Q4 us-gaap Inventory Work In Process
InventoryWorkInProcess
13965000
CY2023Q4 us-gaap Inventory Finished Goods
InventoryFinishedGoods
9643000
CY2022Q4 us-gaap Inventory Finished Goods
InventoryFinishedGoods
1590000
CY2023Q4 axsm Inventory Current And Noncurrent
InventoryCurrentAndNoncurrent
25464000
CY2022Q4 axsm Inventory Current And Noncurrent
InventoryCurrentAndNoncurrent
18028000
CY2023 us-gaap Inventory Write Down
InventoryWriteDown
0
CY2023Q4 us-gaap Inventory Net
InventoryNet
15135000
CY2022Q4 us-gaap Inventory Net
InventoryNet
4320000
CY2023Q4 us-gaap Inventory Noncurrent
InventoryNoncurrent
10329000
CY2022Q4 us-gaap Inventory Noncurrent
InventoryNoncurrent
13708000
CY2023Q4 axsm Inventory Current And Noncurrent
InventoryCurrentAndNoncurrent
25464000
CY2022Q4 axsm Inventory Current And Noncurrent
InventoryCurrentAndNoncurrent
18028000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
6375000
CY2022Q4 us-gaap Goodwill
Goodwill
10310000
CY2023 us-gaap Goodwill Period Increase Decrease
GoodwillPeriodIncreaseDecrease
1732000
CY2023Q4 us-gaap Goodwill
Goodwill
12042000
CY2022Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
63800000
CY2022Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
-4139000
CY2022Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
59661000
CY2022Q4 us-gaap Finite Lived Intangible Asset Useful Life
FiniteLivedIntangibleAssetUsefulLife
P10Y
CY2023Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
63800000
CY2023Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
-10514000
CY2023Q4 us-gaap Intangible Assets Net Excluding Goodwill
IntangibleAssetsNetExcludingGoodwill
53286000
CY2023Q4 us-gaap Finite Lived Intangible Asset Useful Life
FiniteLivedIntangibleAssetUsefulLife
P9Y
CY2023 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
6400000
CY2022 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
4100000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
6392000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
6375000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
6375000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
6392000
CY2023Q4 us-gaap Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
21377000
CY2023Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
53286000
CY2022Q4 us-gaap Fair Value Measurement With Unobservable Inputs Reconciliations Recurring Basis Liability Value
FairValueMeasurementWithUnobservableInputsReconciliationsRecurringBasisLiabilityValue
37000000
CY2023 axsm Change In Fair Value Of Contingent Considerations
ChangeInFairValueOfContingentConsiderations
48918000
CY2023 us-gaap Fair Value Measurement With Unobservable Inputs Reconciliation Recurring Basis Liability Settlements
FairValueMeasurementWithUnobservableInputsReconciliationRecurringBasisLiabilitySettlements
-6211000
CY2023Q4 us-gaap Fair Value Measurement With Unobservable Inputs Reconciliations Recurring Basis Liability Value
FairValueMeasurementWithUnobservableInputsReconciliationsRecurringBasisLiabilityValue
79707000
CY2023Q4 axsm Accrued Research And Development Current
AccruedResearchAndDevelopmentCurrent
6503000
CY2022Q4 axsm Accrued Research And Development Current
AccruedResearchAndDevelopmentCurrent
4714000
CY2023Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
20457000
CY2022Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
11284000
CY2023Q4 axsm Accrued Selling General And Administrative Current
AccruedSellingGeneralAndAdministrativeCurrent
9242000
CY2022Q4 axsm Accrued Selling General And Administrative Current
AccruedSellingGeneralAndAdministrativeCurrent
6596000
CY2023Q4 us-gaap Accrued Sales Commission Current
AccruedSalesCommissionCurrent
46713000
CY2022Q4 us-gaap Accrued Sales Commission Current
AccruedSalesCommissionCurrent
26545000
CY2023Q4 us-gaap Accrued Royalties Current
AccruedRoyaltiesCurrent
5927000
CY2022Q4 us-gaap Accrued Royalties Current
AccruedRoyaltiesCurrent
1617000
CY2023Q4 us-gaap Interest Payable Current
InterestPayableCurrent
1659000
CY2022Q4 us-gaap Interest Payable Current
InterestPayableCurrent
875000
CY2023Q4 us-gaap Accounts Payable And Other Accrued Liabilities Current
AccountsPayableAndOtherAccruedLiabilitiesCurrent
90501000
CY2022Q4 us-gaap Accounts Payable And Other Accrued Liabilities Current
AccountsPayableAndOtherAccruedLiabilitiesCurrent
51631000
CY2023Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
180000000
CY2022Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
95000000
CY2023Q4 axsm Debt Instrument Accreted Final Payment Fee
DebtInstrumentAccretedFinalPaymentFee
2610000
CY2022Q4 axsm Debt Instrument Accreted Final Payment Fee
DebtInstrumentAccretedFinalPaymentFee
1363000
CY2023Q4 us-gaap Debt Instrument Unamortized Discount Noncurrent
DebtInstrumentUnamortizedDiscountNoncurrent
4540000
CY2022Q4 us-gaap Debt Instrument Unamortized Discount Noncurrent
DebtInstrumentUnamortizedDiscountNoncurrent
2104000
CY2023Q4 us-gaap Long Term Debt Noncurrent
LongTermDebtNoncurrent
178070000
CY2022Q4 us-gaap Long Term Debt Noncurrent
LongTermDebtNoncurrent
94259000
CY2023 us-gaap Interest Expense Debt Excluding Amortization
InterestExpenseDebtExcludingAmortization
17514000
CY2022 us-gaap Interest Expense Debt Excluding Amortization
InterestExpenseDebtExcludingAmortization
8176000
CY2021 us-gaap Interest Expense Debt Excluding Amortization
InterestExpenseDebtExcludingAmortization
4617000
CY2023 us-gaap Amortization Of Financing Costs
AmortizationOfFinancingCosts
1197000
CY2022 us-gaap Amortization Of Financing Costs
AmortizationOfFinancingCosts
668000
CY2021 us-gaap Amortization Of Financing Costs
AmortizationOfFinancingCosts
554000
CY2023Q4 us-gaap Long Term Debt Maturities Repayments Of Principal In Year Five
LongTermDebtMaturitiesRepaymentsOfPrincipalInYearFive
180000000
CY2023Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
180000000
CY2023 us-gaap Lessee Operating Lease Existence Of Option To Extend
LesseeOperatingLeaseExistenceOfOptionToExtend
true
CY2023Q1 axsm Sublease Agreement Term
SubleaseAgreementTerm
P10Y
CY2023Q4 us-gaap Lessee Operating Lease Renewal Term
LesseeOperatingLeaseRenewalTerm
P5Y
CY2023Q4 us-gaap Operating Lease Weighted Average Remaining Lease Term1
OperatingLeaseWeightedAverageRemainingLeaseTerm1
P4Y3M18D
CY2023Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.12
CY2023 us-gaap Lessee Operating Lease Description
LesseeOperatingLeaseDescription
The Company entered into a lease for the previous office space at 22 Cortlandt St, New York, NY and extended the lease through April 30, 2023. The lease ended in April 2023
CY2023 us-gaap Lessee Operating Lease Option To Extend
LesseeOperatingLeaseOptionToExtend
extended the lease through April 30, 2023
CY2023 us-gaap Operating Lease Expense
OperatingLeaseExpense
2200000
CY2022 us-gaap Operating Lease Expense
OperatingLeaseExpense
1300000
CY2021 us-gaap Operating Lease Expense
OperatingLeaseExpense
1200000
CY2023 us-gaap Operating Lease Cost
OperatingLeaseCost
2173000
CY2022 us-gaap Operating Lease Cost
OperatingLeaseCost
1208000
CY2021 us-gaap Operating Lease Cost
OperatingLeaseCost
1148000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
1240000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
1932000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
2521000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
2521000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
3231000
CY2023Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
11445000
CY2023Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
3143000
CY2023Q4 us-gaap Operating Lease Liability
OperatingLeaseLiability
8302000
CY2023 axsm Equity Instrument Voting Rights Per Share
EquityInstrumentVotingRightsPerShare
1
CY2022Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
6617728
CY2022Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
31.8
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
2529767
CY2023 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
67.4
CY2023 us-gaap Stock Issued During Period Shares Stock Options Exercised
StockIssuedDuringPeriodSharesStockOptionsExercised
358760
CY2023 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
34.52
CY2023 axsm Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures Or Canceled In Period
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresOrCanceledInPeriod
326441
CY2023 axsm Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures Or Canceled In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresOrCanceledInPeriodWeightedAverageExercisePrice
53.23
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
8462294
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
41.48
CY2023 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2
P7Y1M6D
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
323159
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber
8462294
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageExercisePrice
41.48
CY2023 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested And Expected To Vest Outstanding Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageRemainingContractualTerm1
P7Y1M6D
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Outstanding Aggregate Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingAggregateIntrinsicValue
323159
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
4523493
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
28.3
CY2023 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1
P5Y8M12D
CY2023Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Exercisable Aggregate Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableAggregateIntrinsicValue
232383
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Payments
ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendPayments
0
CY2023 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
53.07
CY2022 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
28.18
CY2021 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Weighted Average Grant Date Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
39.64
CY2023Q4 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Stock Options
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions
162000000
CY2023 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedPeriodForRecognition1
P2Y9M18D
CY2023Q4 us-gaap Sharebased Compensation Arrangement By Sharebased Payment Award Options Nonvested Number Of Shares
SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsNonvestedNumberOfShares
6169
CY2023 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
62620
CY2022 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
37726
CY2021 us-gaap Allocated Share Based Compensation Expense
AllocatedShareBasedCompensationExpense
20801
CY2023 us-gaap Employee Service Share Based Compensation Allocation Of Recognized Period Costs Capitalized Amount
EmployeeServiceShareBasedCompensationAllocationOfRecognizedPeriodCostsCapitalizedAmount
2700000
CY2022 us-gaap Employee Service Share Based Compensation Allocation Of Recognized Period Costs Capitalized Amount
EmployeeServiceShareBasedCompensationAllocationOfRecognizedPeriodCostsCapitalizedAmount
1300000
CY2020Q4 us-gaap Class Of Warrant Or Right Outstanding
ClassOfWarrantOrRightOutstanding
15541
CY2020Q4 us-gaap Class Of Warrant Or Right Exercise Price Of Warrants Or Rights1
ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
80.43
CY2021 axsm Warrants Issued In Period
WarrantsIssuedInPeriod
0
CY2021 axsm Warrants Issued In Period Weighted Average Exercise Price
WarrantsIssuedInPeriodWeightedAverageExercisePrice
0
CY2021 axsm Warrants Exercised In Period
WarrantsExercisedInPeriod
0
CY2021 axsm Warrants Exercised In Period Weighted Average Exercise Price
WarrantsExercisedInPeriodWeightedAverageExercisePrice
0
CY2021Q4 us-gaap Class Of Warrant Or Right Outstanding
ClassOfWarrantOrRightOutstanding
15541
CY2021Q4 us-gaap Class Of Warrant Or Right Exercise Price Of Warrants Or Rights1
ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
80.43
CY2022 axsm Warrants Issued In Period
WarrantsIssuedInPeriod
35255
CY2022 axsm Warrants Issued In Period Weighted Average Exercise Price
WarrantsIssuedInPeriodWeightedAverageExercisePrice
31.91
CY2022 axsm Warrants Exercised In Period
WarrantsExercisedInPeriod
0
CY2022 axsm Warrants Exercised In Period Weighted Average Exercise Price
WarrantsExercisedInPeriodWeightedAverageExercisePrice
0
CY2022Q4 us-gaap Class Of Warrant Or Right Outstanding
ClassOfWarrantOrRightOutstanding
50796
CY2022Q4 us-gaap Class Of Warrant Or Right Exercise Price Of Warrants Or Rights1
ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
46.75
CY2023 axsm Warrants Issued In Period
WarrantsIssuedInPeriod
28424
CY2023 axsm Warrants Issued In Period Weighted Average Exercise Price
WarrantsIssuedInPeriodWeightedAverageExercisePrice
74.75
CY2023 axsm Warrants Exercised In Period
WarrantsExercisedInPeriod
0
CY2023 axsm Warrants Exercised In Period Weighted Average Exercise Price
WarrantsExercisedInPeriodWeightedAverageExercisePrice
0
CY2023Q4 us-gaap Class Of Warrant Or Right Outstanding
ClassOfWarrantOrRightOutstanding
79220
CY2023Q4 us-gaap Class Of Warrant Or Right Exercise Price Of Warrants Or Rights1
ClassOfWarrantOrRightExercisePriceOfWarrantsOrRights1
56.8
CY2023 us-gaap Net Income Loss
NetIncomeLoss
-239238000
CY2022 us-gaap Net Income Loss
NetIncomeLoss
-187134000
CY2021 us-gaap Net Income Loss
NetIncomeLoss
-130403000
CY2023 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
45425212
CY2023 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
45425212
CY2022 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
40655941
CY2022 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
40655941
CY2021 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
37618599
CY2021 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
37618599
CY2023 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-5.27
CY2023 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-5.27
CY2022 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-4.60
CY2022 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-4.60
CY2021 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-3.47
CY2021 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-3.47
CY2023 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
9402424
CY2022 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
7354899
CY2021 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
5432543
CY2023 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
270600000
CY2022 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
50037000
CY2023 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
270600000
CY2022 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
50037000
CY2022 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2021 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.210
CY2023 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.026
CY2023Q4 us-gaap Operating Loss Carryforwards
OperatingLossCarryforwards
547000000
CY2023Q4 axsm Operating Loss Carryforwards Foreign
OperatingLossCarryforwardsForeign
700000
CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Domestic
DeferredTaxAssetsOperatingLossCarryforwardsDomestic
114889000
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Domestic
DeferredTaxAssetsOperatingLossCarryforwardsDomestic
96156000
CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Foreign
DeferredTaxAssetsOperatingLossCarryforwardsForeign
697000
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards Foreign
DeferredTaxAssetsOperatingLossCarryforwardsForeign
2795000
CY2023Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards State And Local
DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal
34365000
CY2022Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards State And Local
DeferredTaxAssetsOperatingLossCarryforwardsStateAndLocal
32029000
CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
20007000
CY2022Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefits
11028000
CY2023Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
21034000
CY2022Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
15016000
CY2023Q4 axsm Deferred Tax Assets Interest Expense
DeferredTaxAssetsInterestExpense
1327000
CY2022Q4 axsm Deferred Tax Assets Interest Expense
DeferredTaxAssetsInterestExpense
319000
CY2023Q4 us-gaap Deferred Tax Assets Goodwill And Intangible Assets
DeferredTaxAssetsGoodwillAndIntangibleAssets
4242000
CY2022Q4 us-gaap Deferred Tax Assets Goodwill And Intangible Assets
DeferredTaxAssetsGoodwillAndIntangibleAssets
10422000
CY2023Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals
6058000
CY2022Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals
2113000
CY2023Q4 axsm Deferred Tax Assets Setion174 Capitlization
DeferredTaxAssetsSetion174Capitlization
22248000
CY2022Q4 axsm Deferred Tax Assets Setion174 Capitlization
DeferredTaxAssetsSetion174Capitlization
14541000
CY2023Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
315000
CY2022Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
110000
CY2023Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
225182000
CY2022Q4 us-gaap Deferred Tax Assets Gross
DeferredTaxAssetsGross
184529000
CY2023Q4 axsm Deferred Tax Liabilities Fixed Assets
DeferredTaxLiabilitiesFixedAssets
78000
CY2023Q4 us-gaap Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
1661000
CY2022Q4 us-gaap Deferred Tax Liabilities Leasing Arrangements
DeferredTaxLiabilitiesLeasingArrangements
104000
CY2023Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
1739000
CY2022Q4 us-gaap Deferred Income Tax Liabilities
DeferredIncomeTaxLiabilities
104000
CY2023Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
223443000
CY2022Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
184425000
CY2023 us-gaap Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
39000000
CY2022 us-gaap Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
26900000
CY2021 us-gaap Valuation Allowance Deferred Tax Asset Change In Amount
ValuationAllowanceDeferredTaxAssetChangeInAmount
49600000
CY2023 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
1000000
CY2023 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.21
CY2022 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.045
CY2021 us-gaap Effective Income Tax Rate Reconciliation State And Local Income Taxes
EffectiveIncomeTaxRateReconciliationStateAndLocalIncomeTaxes
0.140
CY2023 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
-0.018
CY2022 us-gaap Effective Income Tax Rate Reconciliation Foreign Income Tax Rate Differential
EffectiveIncomeTaxRateReconciliationForeignIncomeTaxRateDifferential
0.012
CY2023 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
0.007
CY2022 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
0.01
CY2021 us-gaap Effective Income Tax Rate Reconciliation Nondeductible Expense Share Based Compensation Cost
EffectiveIncomeTaxRateReconciliationNondeductibleExpenseShareBasedCompensationCost
0.018
CY2023 axsm Effective Income Tax Rate Reconciliation Limitation Percent
EffectiveIncomeTaxRateReconciliationLimitationPercent
-0.014
CY2023 axsm Effective Income Tax Rate Reconciliation Permanent Differences Percent
EffectiveIncomeTaxRateReconciliationPermanentDifferencesPercent
-0.004
CY2022 axsm Effective Income Tax Rate Reconciliation Permanent Differences Percent
EffectiveIncomeTaxRateReconciliationPermanentDifferencesPercent
-0.003
CY2021 axsm Effective Income Tax Rate Reconciliation Permanent Differences Percent
EffectiveIncomeTaxRateReconciliationPermanentDifferencesPercent
-0.001
CY2023 us-gaap Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
0.019
CY2022 us-gaap Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
-0.006
CY2021 us-gaap Effective Income Tax Rate Reconciliation Tax Credits
EffectiveIncomeTaxRateReconciliationTaxCredits
0.013
CY2022 us-gaap Effective Income Tax Rate Reconciliation Prior Year Income Taxes
EffectiveIncomeTaxRateReconciliationPriorYearIncomeTaxes
-0.029
CY2023 us-gaap Effective Income Tax Rate Reconciliation Gilti Percent
EffectiveIncomeTaxRateReconciliationGiltiPercent
0.02
CY2023 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.21
CY2022 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.239
CY2021 us-gaap Effective Income Tax Rate Reconciliation Change In Deferred Tax Assets Valuation Allowance
EffectiveIncomeTaxRateReconciliationChangeInDeferredTaxAssetsValuationAllowance
-0.38
CY2023 us-gaap Effective Income Tax Rate Continuing Operations
EffectiveIncomeTaxRateContinuingOperations
-0.004

Files In Submission

Name View Source Status
0000950170-24-019118-index-headers.html Edgar Link pending
0000950170-24-019118-index.html Edgar Link pending
0000950170-24-019118.txt Edgar Link pending
0000950170-24-019118-xbrl.zip Edgar Link pending
axsm-20231231.htm Edgar Link pending
axsm-20231231.xsd Edgar Link pending
axsm-ex10_2.htm Edgar Link pending
axsm-20231231_htm.xml Edgar Link completed
axsm-ex19_1.htm Edgar Link pending
axsm-ex21_1.htm Edgar Link pending
axsm-ex23_1.htm Edgar Link pending
axsm-ex23_2.htm Edgar Link pending
axsm-ex31_1.htm Edgar Link pending
axsm-ex31_2.htm Edgar Link pending
axsm-ex32_1.htm Edgar Link pending
axsm-ex32_2.htm Edgar Link pending
axsm-ex97_1.htm Edgar Link pending
Financial_Report.xlsx Edgar Link pending
img240245562_0.jpg Edgar Link pending
img240245562_1.jpg Edgar Link pending
MetaLinks.json Edgar Link pending
R1.htm Edgar Link pending
R10.htm Edgar Link pending
R11.htm Edgar Link pending
R12.htm Edgar Link pending
R13.htm Edgar Link pending
R14.htm Edgar Link pending
R15.htm Edgar Link pending
R16.htm Edgar Link pending
R17.htm Edgar Link pending
R18.htm Edgar Link pending
R19.htm Edgar Link pending
R2.htm Edgar Link pending
R20.htm Edgar Link pending
R21.htm Edgar Link pending
R22.htm Edgar Link pending
R23.htm Edgar Link pending
R24.htm Edgar Link pending
R25.htm Edgar Link pending
R26.htm Edgar Link pending
R27.htm Edgar Link pending
R28.htm Edgar Link pending
R29.htm Edgar Link pending
R3.htm Edgar Link pending
R30.htm Edgar Link pending
R31.htm Edgar Link pending
R32.htm Edgar Link pending
R33.htm Edgar Link pending
R34.htm Edgar Link pending
R35.htm Edgar Link pending
R36.htm Edgar Link pending
R37.htm Edgar Link pending
R38.htm Edgar Link pending
R39.htm Edgar Link pending
R4.htm Edgar Link pending
R40.htm Edgar Link pending
R41.htm Edgar Link pending
R42.htm Edgar Link pending
R43.htm Edgar Link pending
R44.htm Edgar Link pending
R45.htm Edgar Link pending
R46.htm Edgar Link pending
R47.htm Edgar Link pending
R48.htm Edgar Link pending
R49.htm Edgar Link pending
R5.htm Edgar Link pending
R50.htm Edgar Link pending
R51.htm Edgar Link pending
R52.htm Edgar Link pending
R53.htm Edgar Link pending
R54.htm Edgar Link pending
R55.htm Edgar Link pending
R56.htm Edgar Link pending
R57.htm Edgar Link pending
R58.htm Edgar Link pending
R59.htm Edgar Link pending
R6.htm Edgar Link pending
R60.htm Edgar Link pending
R61.htm Edgar Link pending
R62.htm Edgar Link pending
R63.htm Edgar Link pending
R64.htm Edgar Link pending
R65.htm Edgar Link pending
R66.htm Edgar Link pending
R67.htm Edgar Link pending
R68.htm Edgar Link pending
R69.htm Edgar Link pending
R7.htm Edgar Link pending
R70.htm Edgar Link pending
R71.htm Edgar Link pending
R72.htm Edgar Link pending
R73.htm Edgar Link pending
R74.htm Edgar Link pending
R75.htm Edgar Link pending
R76.htm Edgar Link pending
R77.htm Edgar Link pending
R78.htm Edgar Link pending
R79.htm Edgar Link pending
R8.htm Edgar Link pending
R80.htm Edgar Link pending
R81.htm Edgar Link pending
R82.htm Edgar Link pending
R83.htm Edgar Link pending
R84.htm Edgar Link pending
R85.htm Edgar Link pending
R86.htm Edgar Link pending
R9.htm Edgar Link pending
report.css Edgar Link pending
Show.js Edgar Link pending
FilingSummary.xml Edgar Link unprocessable