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Achieve Life Sciences (ACHV) Stock Fundamentals, Analysis & Risk Signals

Health score, price, valuation, risk signals, and key metrics at a glance.

Achieve Life Sciences
NasdaqCM•Healthcare•Biotechnology
$7.97+0.55(0.07%)Market open
Market Cap
$739.67M

Achieve Life Sciences, Inc., a late-stage pharmaceutical company, develops and commercializes cytisinicline for nicotine independence in Canada, the United States, and the United Kingdom. The company offers cytisinicline, a naturally occurring alkaloid that interacts with nicotine receptors in the brain that reduces the severity of nicotine withdrawal symptoms. It has license and supply agreements with Sopharma AD and University of Bristol. Achieve Life Sciences, Inc., is headquartered in Bothell, Washington.

D

How this company scores

WeakMetricSide Score: 25/100

Grade capped at D — Negative equity — the balance sheet is insolvent. Strongest: Balance Sheet & Red Flags (7/25); weakest: Cash & Earnings Quality (6/25).

Profitability6/25
Growth6/25
Balance Sheet & Red Flags7/25
Cash & Earnings Quality6/25
Strengths
Net cash position
Grade capped at D
  • Negative equity — the balance sheet is insolvent.
  • Interest coverage below 1× (-52.6x) — earnings cannot cover interest.

Valuation vs. 5-year range

Today's multiple positioned against its own trailing range — a visual premium/discount check.

P/B · 13.3x5y range 1.9x – 255.6x
P/B 13.3x · above its 18-quarter median

Currently above its 18-quarter median.

Watch items

Data-driven signals worth keeping an eye on across the last 8 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 8 of the last 8 quarters — earnings are not translating to cash.

Price & Volume
Market Cap $739.67M

Metrics at a Glance

as of June 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$0
Q. Revenue
$0
TTM EBITDA
$-57.94M
16%
TTM Op. Income
$-58.28M
16%
Q. Op. Income
$-18.39M
46%
TTM Net Income
$-114.04M
126%
Q. Net Income
$-74.77M
488%
EPS
$-0.8
116%
Shares Out.
$93.51M
2Q
$0 in TTM revenue was flat at zero YoY, reaching $0 last quarter. TTM EBITDA of $-57.94M and TTM operating income of $-58.28M show growth is flowing through to the bottom line. However, net income is negative at $114.04M — growth is not yet reaching the bottom line.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
N/A
Op. Margin
-1839200000.0%
46%
Net Margin
-7476900000.0%
488%
Op. margin of -1839200000.0% is down 582900000.0% YoY — costs are rising relative to revenue. Net margin at -7476900000.0% Over the past year, operating margin is down 46% — a weakening trend.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
N/A
P/B Ratio
N/A
3Q
P/S of 0.0x and P/B of 0.0x.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$190.44M
223%
Cash
$47.96M
2Q
Long-Term Debt
$7.46M
2Q
Book Value
$-14.68M
4Q
D/E Ratio
N/A
3Q
Debt/EBITDA
N/A

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$-10.78M
19%
TTM Free Cash Flow
$-47.04M
18%
FCF Margin
N/A
FCF / Net Income
0.4
2Q
TTM FCF of $-47.04M on $-10.78M in operating cash flow. The FCF / Net Income ratio of 0.4x means cash covers only part of net income — earnings quality needs attention. Over the past year, free cash flow is down 18% — a weakening trend.

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Cash Burn

Red Flag

The last 8 consecutive quarters had negative FCF — the company is burning cash and may need external funding.

Share Dilution

Red Flag

Shares outstanding increased 172.2% — significant dilution, likely from stock compensation or capital raises.