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About

Alto Neuroscience, Inc. operates as a clinical-stage biopharmaceutical company in the United States. The company's product pipeline includes ALTO-100, which is in Phase 2b clinical trial for the treatment of patients with bipolar depression (BPD). It also develops ALTO-300, a small molecule melatonergic agonist and serotonergic antagonist with antidepressant properties, which is in Phase 2b clinical trial to treat patients with major depressive disorder (MDD); ALTO-101, a novel small molecule phosphodiesterase 4 inhibitor that is in Phase 2 proof-of-concept (POC) trial for the treatment of cognitive impairment associated with schizophrenia; ALTO-203, a novel small-molecule histamine H3 receptor inverse agonist, which is in Phase 2 POC trial to treat patients with MDD and higher levels of anhedonia; ALTO-202, an investigational orally bioavailable antagonist of the GluN2B subunit of the NMDA receptor that is in Phase 1 clinical trial for the treatment of MDD; and ALTO-208, a fixed-dose combination of pramipexole and aprepitant, an antiemetic, neurokinin-1 (NK-1) receptor antagonist for patients with Parkinson's disease for patients with Parkinson's disease. The company was incorporated in 2019 and is headquartered in Mountain View, California.

Fundamentals
Scroll to Statements
Sector Healthcare Industry Biotechnology Market Cap 694.64M
Enterprise Value 582.23M Income -62.26M Sales
Book/sh 4.11 Cash/sh 4.44 Dividend Yield
Payout 0.00% Employees 76 IPO
P/E Forward P/E -9.81 PEG
P/S P/B 5.45 P/C
EV/EBITDA -8.87 EV/Sales Quick Ratio 15.24
Current Ratio 15.42 Debt/Eq 22.77 LT Debt/Eq
EPS (ttm) -2.12 EPS next Y -2.28 EPS Growth
Revenue Growth Earnings 2026-05-14 ROA -24.48%
ROE -45.01% ROIC Gross Margin 0.00%
Oper. Margin 0.00% Profit Margin 0.00% Shs Outstand 31.07M
Shs Float 18.27M Short Float 8.07% Short Ratio 9.35
Short Interest 52W High 25.17 52W Low 1.60
Beta 2.59 Avg Volume 257.70K Volume 362.60K
Target Price $33.62 Recom Strong_buy Prev Close $24.29
Price $22.36 Change -7.95%
Valuation Models

Price estimates from analyst targets and simple models.

1. Analyst consensus
$33.63
Mean price target
2. Current target
$22.36
Latest analyst target
3. DCF / Fair value
$-21.21
Simplified: (Free Cash Flow ÷ Shares) × 18 (P/FCF multiple). Not a …
Ratings
Current target
$22.36
Low
$22.00
High
$50.00
Mean
$33.63

Latest analyst rating changes

Date Action Analyst Rating Change Price Target
2026-03-17 main Chardan Capital Buy → Buy $30
2026-03-17 main Wedbush Neutral → Neutral $22
2026-02-17 main BTIG Buy → Buy $28
2026-01-05 main Chardan Capital Buy → Buy $30
2025-11-17 init BTIG — → Buy $27
2025-11-13 main Baird Outperform → Outperform $22
2025-11-12 main Jefferies Buy → Buy $25
2025-10-24 main HC Wainwright & Co. Buy → Buy $50
2025-10-20 main Baird Outperform → Outperform $16
2025-09-29 init Chardan Capital — → Buy $15
2025-08-18 reit HC Wainwright & Co. Buy → Buy $10
2025-06-26 reit HC Wainwright & Co. Buy → Buy $10
2025-05-15 reit Wedbush Neutral → Neutral $4
2025-04-07 init HC Wainwright & Co. — → Buy $10
2024-12-16 init Jones Trading — → Buy $18
2024-11-13 main Stifel Buy → Buy $10
2024-10-23 down Wedbush Outperform → Neutral $4
2024-10-23 main Baird Outperform → Outperform $10
2024-09-10 reit Wedbush Outperform → Outperform $29
2024-09-03 init Wedbush — → Outperform $29
Insider Transactions
Date Shares Value Url Text Insider Position Transaction Start Date Ownership
0 15000 190833 Purchase at price 12.53 - 13.22 per share. SAVITZ ADAM Officer 2024-07-10 00:00:00 I
1 6150 100628 Purchase at price 15.80 - 16.56 per share. SMITH NICHOLAS CONRAD Chief Financial Officer 2024-03-28 00:00:00 D
Financials
Line Item2024-12-312023-12-312022-12-312021-12-31
TaxEffectOfUnusualItems0.000.000.000.00
TaxRateForCalcs0.000.000.000.00
NormalizedEBITDA-59.55M-34.56M-27.00M-8.83M
TotalUnusualItems525.00K-369.00K-107.00K
TotalUnusualItemsExcludingGoodwill525.00K-369.00K-107.00K
NetIncomeFromContinuingOperationNetMinorityInterest-61.43M-36.30M-27.71M-9.19M
ReconciledDepreciation502.00K373.00K342.00K145.00K
EBITDA-59.55M-34.56M-27.37M-8.94M
EBIT-60.06M-34.94M-27.71M-9.08M
NetInterestIncome7.48M979.00K114.00K2.00K
InterestExpense1.38M1.37M0.00
InterestIncome8.85M2.35M114.00K2.00K
NormalizedIncome-61.43M-36.30M-27.34M-9.08M
NetIncomeFromContinuingAndDiscontinuedOperation-61.43M-36.30M-27.71M-9.19M
TotalExpenses68.61M37.81M27.45M9.29M
TotalOperatingIncomeAsReported-68.61M-37.81M-29.19M-12.06M
DilutedAverageShares24.60M25.57M12.98M9.73M
BasicAverageShares24.60M25.57M12.98M9.73M
DilutedEPS-2.50-1.42-2.13-0.94
BasicEPS-2.50-1.42-2.13-0.94
DilutedNIAvailtoComStockholders-61.43M-36.30M-27.71M-9.19M
NetIncomeCommonStockholders-61.43M-36.30M-27.71M-9.19M
NetIncome-61.43M-36.30M-27.71M-9.19M
NetIncomeIncludingNoncontrollingInterests-61.43M-36.30M-27.71M-9.19M
NetIncomeContinuousOperations-61.43M-36.30M-27.71M-9.19M
PretaxIncome-61.43M-36.30M-27.71M-9.19M
OtherIncomeExpense-297.00K525.00K-369.00K-107.00K
OtherNonOperatingIncomeExpenses-297.00K525.00K
GainOnSaleOfSecurity525.00K-369.00K-107.00K
NetNonOperatingInterestIncomeExpense7.48M979.00K114.00K2.00K
InterestExpenseNonOperating1.38M1.37M0.00
InterestIncomeNonOperating8.85M2.35M114.00K2.00K
OperatingIncome-68.61M-37.81M-27.45M-9.08M
OperatingExpense68.61M37.81M27.45M9.29M
OtherOperatingExpenses-1.74M-2.97M
ResearchAndDevelopment47.00M30.29M23.69M8.37M
SellingGeneralAndAdministration21.61M7.52M5.50M3.90M
GeneralAndAdministrativeExpense21.61M7.52M5.50M3.90M
OtherGandA21.61M7.52M5.50M3.90M
TotalRevenue0.000.000.00210.00K
OperatingRevenue0.000.000.00210.00K
Line Item2024-12-312023-12-312022-12-312021-12-31
OrdinarySharesNumber26.99M25.57M25.57M25.57M
ShareIssued26.99M25.57M25.57M25.57M
TotalDebt16.94M9.99M9.75M0.00
TangibleBookValue151.46M-71.67M-38.41M-12.48M
InvestedCapital163.02M-61.81M-28.94M-12.48M
WorkingCapital159.33M79.78M43.66M25.87M
NetTangibleAssets151.46M-71.67M-38.41M-12.48M
CapitalLeaseObligations5.39M125.00K283.00K0.00
CommonStockEquity151.46M-71.67M-38.41M-12.48M
TotalCapitalization163.02M-61.81M-28.94M-12.48M
TotalEquityGrossMinorityInterest151.46M-71.67M-38.41M-12.48M
StockholdersEquity151.46M-71.67M-38.41M-12.48M
GainsLossesNotAffectingRetainedEarnings-101.00K-79.00K-46.00K-22.00K
OtherEquityAdjustments-101.00K-79.00K-46.00K-22.00K
RetainedEarnings-138.40M-76.97M-40.66M-12.95M
AdditionalPaidInCapital289.95M5.37M2.30M494.00K
CapitalStock3.00K0.000.000.00
CommonStock3.00K0.000.000.00
TotalLiabilitiesNetMinorityInterest26.08M158.30M89.26M41.27M
TotalNonCurrentLiabilitiesNetMinorityInterest16.07M152.69M83.70M39.46M
OtherNonCurrentLiabilities123.00K
PreferredSecuritiesOutsideStockEquity0.00141.48M72.23M38.16M
DerivativeProductLiabilities0.001.35M1.88M1.30M
LongTermDebtAndCapitalLeaseObligation16.07M9.86M9.46M
LongTermCapitalLeaseObligation4.52M0.00
LongTermDebt11.56M9.86M9.46M
CurrentLiabilities10.01M5.61M5.56M1.81M
OtherCurrentLiabilities515.00K193.00K
CurrentDebtAndCapitalLeaseObligation870.00K125.00K283.00K
CurrentCapitalLeaseObligation870.00K125.00K283.00K0.00
PayablesAndAccruedExpenses9.14M5.49M5.28M1.81M
CurrentAccruedExpenses7.56M4.41M3.67M1.21M
InterestPayable78.00K84.00K0.00
Payables1.58M1.07M1.61M600.00K
AccountsPayable1.58M1.07M1.61M600.00K
TotalAssets177.54M86.63M50.85M28.79M
TotalNonCurrentAssets8.21M1.24M1.63M1.11M
OtherNonCurrentAssets504.00K131.00K461.00K50.00K
NetPPE7.70M1.11M1.17M1.06M
AccumulatedDepreciation-1.00M-684.00K-579.00K-244.00K
GrossPPE8.71M1.79M1.75M1.30M
Leases246.00K0.00
OtherProperties7.34M1.20M1.13M818.00K
MachineryFurnitureEquipment1.12M589.00K620.00K486.00K
BuildingsAndImprovements5.04M0.00
Properties0.000.00
CurrentAssets169.34M85.39M49.22M27.68M
OtherCurrentAssets30.00K112.00K213.00K
CurrentDeferredAssets0.002.21M0.00
PrepaidAssets1.08M522.00K330.00K236.00K
Receivables8.00K333.00K1.74M
OtherReceivables8.00K333.00K248.00K
AccountsReceivable333.00K1.50M
CashCashEquivalentsAndShortTermInvestments168.23M82.55M48.34M25.70M
CashAndCashEquivalents168.23M82.55M48.34M25.70M
Line Item2024-12-312023-12-312022-12-312021-12-31
FreeCashFlow-49.50M-33.92M-21.13M-9.94M
IssuanceOfDebt0.009.82M0.00
IssuanceOfCapitalStock137.58M70.00M34.30M31.89M
CapitalExpenditure-2.08M-470.00K-732.00K-680.00K
InterestPaidSupplementalData999.00K912.00K0.00
EndCashPosition168.73M82.55M48.34M25.70M
BeginningCashPosition82.55M48.34M25.70M4.01M
EffectOfExchangeRateChanges-11.00K-8.00K-24.00K-50.00K
ChangesInCash86.19M34.21M22.66M21.75M
FinancingCashFlow135.69M68.13M43.79M31.69M
CashFlowFromContinuingFinancingActivities135.69M68.13M43.79M31.69M
NetOtherFinancingCharges-2.08M-2.05M-341.00K-205.00K
ProceedsFromStockOptionExercised187.00K181.00K
NetPreferredStockIssuance0.0070.00M34.26M31.89M
PreferredStockIssuance0.0070.00M34.26M31.89M
NetCommonStockIssuance137.58M0.0043.00K7.00K
CommonStockIssuance137.58M0.0043.00K7.00K
NetIssuancePaymentsOfDebt0.009.82M0.00
NetLongTermDebtIssuance0.009.82M0.00
LongTermDebtIssuance0.009.82M0.00
InvestingCashFlow-2.08M-470.00K-732.00K-680.00K
CashFlowFromContinuingInvestingActivities-2.08M-470.00K-732.00K-680.00K
CapitalExpenditureReported-2.08M-470.00K-732.00K-680.00K
OperatingCashFlow-47.42M-33.45M-20.39M-9.26M
CashFlowFromContinuingOperatingActivities-47.42M-33.45M-20.39M-9.26M
ChangeInWorkingCapital4.06M-698.00K4.58M-572.00K
ChangeInPayablesAndAccruedExpense4.52M-989.00K3.48M1.10M
ChangeInAccruedExpense4.01M-357.00K2.47M639.00K
ChangeInPayable516.00K-632.00K1.01M458.00K
ChangeInAccountPayable516.00K-632.00K1.01M458.00K
ChangeInPrepaidAssets-463.00K291.00K-59.00K-384.00K
ChangeInReceivables325.00K1.16M-1.28M
ChangesInAccountReceivables325.00K1.16M-1.28M
OtherNonCashItems1.76M151.00K263.00K18.00K
StockBasedCompensation7.63M2.89M1.76M227.00K
DepreciationAmortizationDepletion502.00K373.00K342.00K145.00K
DepreciationAndAmortization502.00K373.00K342.00K145.00K
OperatingGainsLosses52.00K140.00K369.00K107.00K
GainLossOnInvestmentSecurities-525.00K369.00K107.00K
NetIncomeFromContinuingOperations-61.43M-36.30M-27.71M-9.19M
SEC Filings

Recent 10-K, 10-Q, 8-K, and Form 4 (insider) filings.

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