Tearsheet

Alpha Cognition (ACOG)


Market Price (11/8/2025): $5.69 | Market Cap: $91.2 Mil
Sector: Health Care | Industry: Biotechnology

Alpha Cognition (ACOG)


Market Price (11/8/2025): $5.69
Market Cap: $91.2 Mil
Sector: Health Care
Industry: Biotechnology

Investment Highlights Why It Matters Which of these 2 stories sounds closer for this stock?

1. Generates cash flow

The stock generated 4% or more of the share price (called cash flow yield), and shows moderate 10-15% or more growth.

2. Riding a trend

Think Tesla during the pandemic of 2020 when EVs were riding a cultural high, or Nvidia in the current AI boom, or even Figma. These companies don’t have enough yield, or, enough growth, or both - however - they are riding a trend. They have momentum. These can be more volatile - they don’t have the floor of strong cash flow


0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -43%
Weak multi-year price returns
2Y Excs Rtn is -71%, 3Y Excs Rtn is -101%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -14 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -298%
1   Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -263%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -265%
2   Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -26%
0 Cash is significant % of market cap
Net D/ENet Debt/Equity. Debt net of cash. Negative indicates net cash. Equity is taken as the Market Capitalization is -43%
1 Weak multi-year price returns
2Y Excs Rtn is -71%, 3Y Excs Rtn is -101%
2 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -14 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -298%
3 Not cash flow generative
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is -263%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is -265%
4 Yield minus risk free rate is negative
ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is -26%

Market Valuation & Key Metrics

ACOG Stock


Return vs. Risk


Price Returns Compared

 202020212022202320242025Total [1]
Returns
ACOG Return---78%132%-53%-3%-77%
Peers Return-15%-9%-6%-3%-3%-18%-44%
S&P 500 Return16%27%-19%24%23%14%108%

Monthly Win Rates [3]
ACOG Win Rate-50%33%50%33%30% 
Peers Win Rate18%15%23%31%22%62% 
S&P 500 Win Rate58%75%42%67%75%70% 

Max Drawdowns [4]
ACOG Max Drawdown---85%-34%-61%-36% 
Peers Max Drawdown-20%-13%-14%-15%-30%-27% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: VRTX, APM, BBOT, GDTC, HIND.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 11/7/2025 (YTD)

How Low Can It Go

Unique KeyEventACOGS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-90.4%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven942.1%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven505 days464 days

Compare to VRTX, APM, BBOT, GDTC, HIND


In The Past

Alpha Cognition's stock fell -90.4% during the 2022 Inflation Shock from a high on 9/14/2021. A -90.4% loss requires a 942.1% gain to breakeven.

Preserve Wealth

Limiting losses and compounding gains is essential to preserving wealth over time.

Asset Allocation

Actively managed asset allocation strategies protect wealth. Learn more.

About Alpha Cognition (ACOG)

Better Bets than Alpha Cognition (ACOG)

Latest Trefis Analyses

Title
0ARTICLES

Trade Ideas

Select past ideas related to ACOG. For more, see Trefis Trade Ideas.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
GDRX_10312025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG10312025GDRXGoodRxDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
-7.7%-7.7%-7.7%
DXCM_10312025_Monopoly_xInd_xCD_Getting_Cheaper10312025DXCMDexComMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-5.5%-5.5%-5.5%
ACHC_10242025_Dip_Buyer_ValueBuy10242025ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-16.6%-16.6%-16.6%
PBH_10102025_Dip_Buyer_ValueBuy10102025PBHPrestige Consumer HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-1.7%-1.7%-1.9%
REGN_10032025_Dip_Buyer_ValueBuy10032025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
9.6%9.6%-7.0%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
GDRX_10312025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG10312025GDRXGoodRxDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
-7.7%-7.7%-7.7%
DXCM_10312025_Monopoly_xInd_xCD_Getting_Cheaper10312025DXCMDexComMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-5.5%-5.5%-5.5%
ACHC_10242025_Dip_Buyer_ValueBuy10242025ACHCAcadia HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-16.6%-16.6%-16.6%
PBH_10102025_Dip_Buyer_ValueBuy10102025PBHPrestige Consumer HealthcareDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
-1.7%-1.7%-1.9%
REGN_10032025_Dip_Buyer_ValueBuy10032025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
9.6%9.6%-7.0%

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Alpha Cognition

Financials

ACOGVRTXAPMBBOTGDTCHINDMedian
NameAlpha Co.Vertex P.Aptorum BridgeBi.CytoMed .Vyome  
Mkt Price5.72409.471.3812.151.885.515.62
Mkt Cap0.1104.7----52.4
Rev LTM511,723-0--5
Op Inc LTM-14-92--93---92
FCF LTM-123,337--60---12
FCF 3Y Avg-102,064----1,027
CFO LTM-123,718--60---12
CFO 3Y Avg-102,419----1,205

Growth & Margins

ACOGVRTXAPMBBOTGDTCHINDMedian
NameAlpha Co.Vertex P.Aptorum BridgeBi.CytoMed .Vyome  
Rev Chg LTM-10.3%----10.3%
Rev Chg 3Y Avg-10.5%----10.5%
Rev Chg Q-11.0%----11.0%
QoQ Delta Rev Chg LTM56.6%2.7%----29.6%
Op Mgn LTM-298.3%-0.8%-----149.5%
Op Mgn 3Y Avg-26.2%----26.2%
QoQ Delta Op Mgn LTM50.9%1.0%----25.9%
CFO/Rev LTM-263.1%31.7%-----115.7%
CFO/Rev 3Y Avg-23.1%----23.1%
FCF/Rev LTM-264.6%28.5%-----118.1%
FCF/Rev 3Y Avg-19.8%----19.8%

Valuation

ACOGVRTXAPMBBOTGDTCHINDMedian
NameAlpha Co.Vertex P.Aptorum BridgeBi.CytoMed .Vyome  
Mkt Cap0.1104.7----52.4
P/S20.08.9----14.5
P/EBIT-6.123.5----8.7
P/E-4.628.5----11.9
P/CFO-7.628.1----10.3
Total Yield-21.8%3.5%-----9.2%
Dividend Yield0.0%0.0%----0.0%
FCF Yield 3Y Avg-431.4%2.3%-----214.6%
D/E0.00.0----0.0
Net D/E-0.4-0.0-----0.2

Returns

ACOGVRTXAPMBBOTGDTCHINDMedian
NameAlpha Co.Vertex P.Aptorum BridgeBi.CytoMed .Vyome  
1M Rtn-25.9%-2.8%-42.7%1.0%-13.4%-6.1%-9.7%
3M Rtn-42.2%11.7%9.5%-0.5%-5.0%
6M Rtn-23.0%-3.7%60.3%--15.3%--9.5%
12M Rtn-39.4%-18.5%7.8%--26.0%--22.2%
3Y Rtn-38.4%33.6%-78.9%----38.4%
1M Excs Rtn-24.3%-1.2%-41.7%-1.7%-16.4%0.3%-9.0%
3M Excs Rtn-48.3%3.8%-8.4%--1.1%--4.8%
6M Excs Rtn-41.9%-22.5%41.4%--34.2%--28.4%
12M Excs Rtn-51.0%-34.4%-14.9%--44.7%--39.6%
3Y Excs Rtn-101.4%-46.9%-157.1%----101.4%

Financials

Price Behavior

Short Interest

Short Interest: As Of Date10152025
Short Interest: Shares Quantity70,281
Short Interest: % Change Since 9302025-14.2%
Average Daily Volume102,738
Days-to-Cover Short Interest1
Basic Shares Quantity16,020,702
Short % of Basic Shares0.4%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/13/2024-3.4%-9.5%-13.0%
SUMMARY STATS   
# Positive000
# Negative111
Median Positive   
Median Negative-3.4%-9.5%-13.0%
Max Positive   
Max Negative-3.4%-9.5%-13.0%

SEC Filings

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Report DateFiling DateFiling
6302025814202510-Q 6/30/2025
3312025515202510-Q 3/31/2025
12312024331202510-K 12/31/2024
93020241114202410-Q 9/30/2024

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0Wills Robert James 8202025Buy8.4915,000127,328127,328Form
1MERTZ PHILLIP JOSEPH 8202025Sell9.0027,778250,002202,158Form
2MERTZ LEONARD POWELL 8202025Buy9.0027,778250,0021,093,527Form
3McFadden Michael E.Chief Executive Officer11152024Buy5.752,60814,99681,316Form
4MERTZ LEONARD POWELL 11142024Buy5.758,69549,996538,919Form