ALNY vs GILD vs MDGL Stock Comparison

Alnylam Pharmaceuticals, Gilead Sciences and Madrigal Pharmaceuticals Prices as of Oct 27, 2026 Peers: Industry group
GILD Gilead Sciences, Inc.
$159.08 +5.4% 1M +32.0% 1Y
Market cap
$198.21B
P/E
–
Revenue (TTM)
$30.46B
Div. yield
–
Biotechnology Healthcare
3 wins

Head to Head

8 decided of 12

Gilead Sciences leads on 3 of the 12 questions below (Gilead Sciences 3, Madrigal Pharmaceuticals 3, Alnylam Pharmaceuticals 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionALNYGILDMDGLLeader
Larger companyMarket capitalisation $31.06B $198.21B $12.52B GILD
Cheaper on earningsLower P/E, profitable companies only 42.4x -61.2x -38.5x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS 33.5x — — –
Faster revenue growthRevenue growth, trailing twelve months +90.1% +5.5% +149.0% MDGL
More profitableNet margin, trailing twelve months 15.3% -10.6% -25.3% ALNY
Better return on capitalReturn on invested capital — -6.0% — –
Less leveragedLower net debt / EBITDA — 87.7x 1.6x MDGL
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months -52.6% +32.0% +1.0% GILD
Better 5-year returnAnnualised price return, 5 years +6.9%/yr +18.8%/yr +41.0%/yr MDGL
Less volatileAnnualised volatility, 1 year 51.2% 26.9% 43.5% GILD
Higher overall scoreMean of the five percentile scores vs peers 77/100 61/100 66/100 ALNY

Percentile Scorecard

ALNYGILDMDGL

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisALNYGILDMDGL
Valuation 81 #118 of 625 90 #61 of 625 74 #163 of 625
Growth 98 #13 of 602 31 #416 of 602 68 #194 of 602
Profitability 93 #41 of 551 85 #83 of 551 74 #144 of 551
Financial Health 45 #359 of 656 21 #516 of 656 41 #389 of 656
Shareholder Returns 67 #121 of 365 77 #86 of 365 75 #91 of 365
Overall 77 61 66
  • ALNY ranked among 672 companies in Pharmaceuticals and Biotechnology
  • GILD ranked among 672 companies in Pharmaceuticals and Biotechnology
  • MDGL ranked among 672 companies in Pharmaceuticals and Biotechnology

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodALNYGILDMDGLSPY
1 month -11.4%+5.4%-14.8% -0.2%
3 months -21.4%+18.4%-18.3% +3.9%
6 months -24.9%+23.1%-14.8% +8.2%
Year to date -43.0%+29.6%-24.4% +12.9%
1 year -52.6%+32.0%+1.0% +12.3%
3 years +49.4%+107.6%+265.7% +87.4%
3 years, per year +14.3%+27.6%+54.1% +23.3%
5 years +39.9%+136.2%+457.5% +67.9%
5 years, per year +6.9%+18.8%+41.0% +10.9%
10 years +526.3%+109.8%+2,491.7% +261.1%
10 years, per year +20.1%+7.7%+38.5% +13.7%

Risk

MeasureALNYGILDMDGLSPY
Volatility, 1Y 51.2%26.9%43.5% 12.7%
Downside volatility, 1Y 62.6%24.0%41.4% 12.7%
Beta vs S&P 500, 1Y 0.340.300.30 1.00
Return / volatility, 1Y -1.031.190.02 0.97
Max drawdown, 5Y -58.2%-29.4%-61.4% -25.4%
From 52-week high -52.9%0.0%-27.0% -1.2%
52-week high $481.59$159.08$602.83 $779.14
52-week low $205.48$117.88$412.35 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleALNYGILDMDGL
P/E now vs peer median 41.3xmedian 17.2x -61.0xmedian 17.2x -39.5xmedian 17.2x
P/S now vs peer median 6.3xmedian 9.0x 6.5xmedian 9.0x 10.0xmedian 9.0x
EV/EBITDA now vs peer median 25.6xmedian 16.3x 838.3xmedian 16.3x -38.6xmedian 16.3x
P/FCF now vs peer median 37.0xmedian 18.7x 15.3xmedian 18.7x -62.2xmedian 18.7x
P/B now vs peer median 22.4xmedian 2.2x 16.7xmedian 2.2x 24.5xmedian 2.2x
PEG now vs peer median 1.09median 0.33 1.63median 0.33 -2.67median 0.33

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsALNYGILDMDGL
Revenue $4.80B $30.46B $1.28B
Gross profit $3.83B $24.24B –
Operating income $999.78M -$2.50B -$322.62M
Net income $733.11M -$3.24B -$325.11M
Free cash flow $819.87M $12.94B -$206.29M
R&D $1.51B $6.07B $490.14M
EPS (diluted) $5.30 $-2.61 $-11.15
Cash & equivalents $1.71B $3.18B $292.73M
Total debt – $26.25B $340.79M
Shares (diluted) 138.28M 1.24B 29.15M
Enterprise value $19.11B $172.41B $8.77B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricALNYGILDMDGL
P/E 41.3x -61.0x -39.5x
P/FCF 37.0x 15.3x -62.2x
P/Operating cash flow 33.3x 14.6x -64.9x
P/S 6.3x 6.5x 10.0x
P/B 22.4x 16.7x 24.5x
P/Tangible book 22.4x -89.6x 24.8x
EV/EBITDA 25.6x 838.3x -38.6x
EV/EBIT 27.0x -88.3x -38.2x
EV/Revenue 5.6x 7.2x 9.6x
EV/FCF 33.0x 17.0x -59.8x
EV/Operating cash flow 29.6x 16.3x -62.4x
PEG (3Y EPS CAGR) 1.09 1.63 -2.67

Growth

14 metrics
MetricALNYGILDMDGL
Revenue growth (1Y) 90.1% 5.5% 149.0%
Revenue CAGR (3Y) 57.2% 3.6% –
Gross profit growth (1Y) 79.7% 6.9% –
Gross profit CAGR (3Y) 54.6% 3.7% –
Operating income growth (1Y) 654.9% -131.0% -4.1%
Operating income CAGR (3Y) 47.5% -31.9% 0.8%
Net income growth (1Y) 356.5% -151.3% -15.3%
Net income CAGR (3Y) 39.1% -37.3% 0.5%
EPS growth (1Y) 342.3% -151.8% 12.1%
EPS CAGR (3Y) 37.9% -37.5% 14.8%
Operating cash flow growth (1Y) 2,299% 37.3% 35.7%
Operating cash flow CAGR (3Y) 57.8% 12.5% 10.6%
Free cash flow growth (1Y) 1,151% 38.1% 33.1%
Free cash flow CAGR (3Y) 52.1% 13.2% 9.4%

Profitability

14 metrics
MetricALNYGILDMDGL
Gross margin 79.8% 79.6% –
EBITDA margin 22.0% 0.9% -24.9%
Operating margin 20.8% -8.2% -25.1%
Pretax margin 16.0% -6.4% -24.8%
Net margin 15.3% -10.6% -25.3%
FCF margin 17.1% 42.5% -16.1%
Operating cash flow margin 19.0% 44.5% -15.4%
Return on equity 63.8% -18.4% -59.8%
Return on assets 14.5% -6.1% -25.8%
Return on invested capital – -6.0% –
Return on capital employed 26.1% -6.0% -37.4%
Asset turnover 0.9x 0.6x 1.0x
Cash conversion (OCF / net income) 1.2x -4.2x 0.6x
Stock comp / revenue 7.0% 3.0% 9.5%

Financial Health

11 metrics
MetricALNYGILDMDGL
Debt / assets – 53.2% 27.4%
Debt / equity – 2.2x 0.7x
Net debt / EBITDA – 87.7x 1.6x
Debt / FCF – 2.0x -1.7x
Liabilities / assets 75.6% 76.0% 57.9%
Equity / assets 24.4% 24.0% 42.1%
Interest coverage 3.8x -2.5x -10.2x
Current ratio 3.1x 1.3x 3.2x
Quick ratio 2.8x 0.7x 2.8x
Cash ratio 2.2x 0.3x 2.2x
Altman Z-score 4.86 3.74 9.13

Shareholder Returns

7 metrics
MetricALNYGILDMDGL
Dividend yield – 2.0% –
Net buyback yield -0.5% 0.6% -0.3%
Shareholder yield -0.5% 2.6% -0.3%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusALNYGILDMDGL
Forward P/E 33.5xFY2026 – –
EPS, next fiscal year $6.76FY2026 $-0.39FY2026 $-6.25FY2026
EPS growth, next FY +190.1%FY2026 -104.8%FY2026 –
EPS growth, the year after +34.3% – –
Revenue, next fiscal year $5.68BFY2026 $28.65BFY2026 $1.46BFY2026
Revenue growth, next FY +53.1%FY2026 -2.7%FY2026 +52.7%FY2026
Revenue growth, the year after +27.8% +18.1% +36.3%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersALNYGILDMDGL
Held by institutions 99.7% 89.6% 80.9%
Institutions holding 786 2,290 412
Change in shares held, QoQ +3.8% +5.1% -0.6%
Institutions buying 412 1,113 225
Institutions selling 277 850 128
Buyers to sellers 1.49 1.31 1.76

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ALNYGILDMDGL
ALNY 1.00 0.27 0.33
GILD 0.27 1.00 0.19
MDGL 0.33 0.19 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, ALNY, GILD and MDGL?

Gilead Sciences (GILD) is the largest by market capitalisation: Alnylam Pharmaceuticals (ALNY) $31.06B, Gilead Sciences (GILD) $198.21B, Madrigal Pharmaceuticals (MDGL) $12.52B.

Which company is growing faster?

Madrigal Pharmaceuticals (MDGL) grew revenue fastest over the trailing twelve months: Alnylam Pharmaceuticals (ALNY) +90.1%, Gilead Sciences (GILD) +5.5%, Madrigal Pharmaceuticals (MDGL) +149.0%.

Which company is more profitable?

Alnylam Pharmaceuticals (ALNY) has the highest net margin (Alnylam Pharmaceuticals (ALNY) 15.3%, Gilead Sciences (GILD) -10.6%, Madrigal Pharmaceuticals (MDGL) -25.3%).

Which stock has performed better?

Over the past year Gilead Sciences (GILD) returned the most: Alnylam Pharmaceuticals (ALNY) -52.6%, Gilead Sciences (GILD) +32.0%, Madrigal Pharmaceuticals (MDGL) +1.0%. Over five years, Madrigal Pharmaceuticals (MDGL) compounded fastest (Alnylam Pharmaceuticals (ALNY) +6.9%/yr, Gilead Sciences (GILD) +18.8%/yr, Madrigal Pharmaceuticals (MDGL) +41.0%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Gilead Sciences (GILD) has been the steadiest (Alnylam Pharmaceuticals (ALNY) 51.2%, Gilead Sciences (GILD) 26.9%, Madrigal Pharmaceuticals (MDGL) 43.5%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ALNY, GILD and MDGL?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Gilead Sciences (GILD) leads on 3. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.