NGM·Healthcare·$521M·#188 / 520 in Healthcare

AQST Aquestive Therapeutics, Inc.

53SPECULATIVE

CATEGORY BREAKDOWN

GROWTH22
QUALITY59
STABILITY90
VALUATION39
GOVERNANCE17

METRIC BREAKDOWN

Revenue Growth (YoY)

Year-over-year revenue growth rate

+13.8%
22

> 50% strong

Gross Margin

Revenue retained after direct costs

69.0%
98

> 50% strong

Cash Runway

Months of cash at current burn rate

24 months
85

> 24 months ideal

Debt / Equity

Total debt relative to shareholder equity

-63.2%
100

< 25% strong

Price / Sales

Market cap relative to trailing revenue

11.7x
39

< 3x strong

Rule of 40

Growth rate plus operating margin

-40
0

> 40 excellent

Insider Ownership

Percentage of shares held by insiders

3.3%
26

> 20% strong

Share Dilution (12M)

Share count increase over last 12 months

+33.5%
0

< 5% ideal

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AI ANALYSIS REPORT

AI-GENERATED

BUSINESS SUMMARY

Aquestive Therapeutics, Inc. (AQST) is a healthcare company trading on NGM with a market capitalization of $521M. The company currently carries a SPECULATIVE rating of 53/100, suggesting a mixed fundamental profile with both strengths and weaknesses. The fundamental profile shows moderate revenue growth at 13.8% year-over-year, paired with strong gross margins well above industry average at 69.0%. The balance sheet shows a net cash position (negative debt-to-equity), meaning more cash than debt, and the company has adequate cash runway of about 2 years.

VERDICT

AQST scores 53/100 — a mixed profile with some promising metrics alongside notable weaknesses. This is a higher-risk, higher-reward proposition that depends heavily on execution. This report is based on the latest available financial data and is intended as a starting point for research, not a buy or sell recommendation.

MARKET OPPORTUNITY

In the healthcare sector, cash runway and pipeline progress are critical metrics. Revenue quality depends on whether income comes from product sales, partnerships, or milestones. Aquestive Therapeutics, Inc. operates with low insider ownership of 3.3%, which may indicate limited management alignment, which provides a signal about management's confidence in the company's direction. At a market cap of $521M, the company is premium-valued, reflecting high growth expectations at 11.7x P/S. The combination of these factors positions AQST as a higher-risk position that requires careful due diligence before considering an investment.

REVENUE QUALITY

Revenue growth stands at 13.8% year-over-year, which is in line with the typical small-cap growth rate. Gross margins of 69.0% are strong and suggest pricing power or an asset-light business model. The Rule of 40 score of -40 is well below the benchmark, indicating challenges in both growth and profitability. Cash runway of 24 months provides a comfortable buffer for executing on growth plans.

COMPETITIVE ADVANTAGE

Evaluating Aquestive Therapeutics, Inc.'s competitive position requires looking beyond the numbers. Insider ownership at 3.3% is relatively low, which may indicate that management's interests are less aligned with shareholders. The high gross margins suggest some form of competitive moat — whether through proprietary technology, brand value, regulatory barriers, or network effects. The ongoing share dilution is a concern, as it reduces existing shareholders' ownership stake over time. Investors should research the specific sources of competitive advantage — patents, customer switching costs, scale economies, or brand — that could protect margins over time.

GROWTH THESIS

AQST presents a speculative fundamental profile that requires a specific thesis to justify investment. Key catalysts to watch include: revenue growth trajectory over the next 2-3 quarters, margin expansion or contraction, and any changes in insider buying or selling activity.

KEY RISKS

Execution risk is significant — many small-cap companies in this sector fail to transition from growth to profitability. Ongoing share dilution of 33.5% erodes per-share value and suggests the company relies on equity issuance for operations or compensation. Small-cap stocks carry inherently higher risk than large-caps, including limited analyst coverage, lower institutional ownership, and higher sensitivity to market downturns. Always conduct thorough due diligence beyond quantitative metrics.

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Report generated: Mar 26, 2026

SCORE HISTORY

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DATA INFO

Last updated: Mar 11, 2026

Sources: SEC EDGAR, Financial Modeling Prep, Yahoo Finance. Not financial advice.