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Acadia Pharmaceuticals (ACAD) Q1 2026 earnings results (first quarter 2026)

10-Q filed May 7, 2026

Acadia Pharmaceuticals (ACAD) reported revenue of $268M for the first quarter 2026 (Q1 2026), +10% from a year earlier and -6% from the quarter before. Operating margin was -1.7%, net earnings $3.6M (1.4% of revenue).

Revenue$268M
Year over year+10%
Quarter over quarter-6%
Operating margin-1.7%
Net earnings$3.6M

Acadia Pharmaceuticals, Q1 2026: revenue $268M (+10% year over year), operating margin -1.7%, net earnings $3.6M, operating cash flow $34.0M. The chart follows the revenue to costs, profit and cash.

Q1 2026AmountQ/QY/Y
Revenue$268M-6%+10%
Operating profit−$4.6M-127%-124%
Net earnings$3.6M-99%-81%
Operating cash flow$34.0M—+67%
Free cash flow$28.8M—+42%

What changed

Revenue was $268.1M in Q1 2026, up 10% year over year and down 6% from the previous quarter.

Operating costs exceeded revenue by $4.6M, an operating margin of -1.7%. Total costs grew 21% against revenue growth of 10%. The fastest-growing cost line was SG&A (+35%). Net earnings were $3.6M, down 81% year over year. The effective tax rate was 8.6%. Non-operating items added $8.6M, 216% of pre-tax earnings, so the bottom line overstates operating performance.

Operating cash flow was $34.0M (up 67% year over year), 934% of net earnings. Non-cash charges added back $3.0M of depreciation and amortization and $14.7M of share-based compensation. Working capital and other items added $12.7M. Capital expenditures of $5.2M left free cash flow of $28.8M.

Questions

What was Acadia Pharmaceuticals' revenue in the first quarter 2026?

Acadia Pharmaceuticals (ACAD) reported revenue of $268M for the first quarter 2026 (Q1 2026), +10% from a year earlier and -6% from the quarter before.

Was Acadia Pharmaceuticals profitable in the first quarter 2026?

Operating loss was $4.6M (-1.7% of revenue) and net earnings $3.6M.

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Source: Acadia Pharmaceuticals 10-Q on SEC EDGAR.