MDGL vs GILD vs ALNY Stock Comparison

Madrigal Pharmaceuticals, Gilead Sciences and Alnylam 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.

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

Percentile Scorecard

MDGLGILDALNY

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

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

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

Risk

MeasureMDGLGILDALNYSPY
Volatility, 1Y 43.5%26.9%51.2% 12.7%
Downside volatility, 1Y 41.4%24.0%62.6% 12.7%
Beta vs S&P 500, 1Y 0.300.300.34 1.00
Return / volatility, 1Y 0.021.19-1.03 0.97
Max drawdown, 5Y -61.4%-29.4%-58.2% -25.4%
From 52-week high -27.0%0.0%-52.9% -1.2%
52-week high $602.83$159.08$481.59 $779.14
52-week low $412.35$117.88$205.48 $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.

MultipleMDGLGILDALNY
P/E now vs peer median -39.5xmedian 17.2x -61.0xmedian 17.2x 41.3xmedian 17.2x
P/S now vs peer median 10.0xmedian 9.0x 6.5xmedian 9.0x 6.3xmedian 9.0x
EV/EBITDA now vs peer median -38.6xmedian 16.3x 838.3xmedian 16.3x 25.6xmedian 16.3x
P/FCF now vs peer median -62.2xmedian 18.7x 15.3xmedian 18.7x 37.0xmedian 18.7x
P/B now vs peer median 24.5xmedian 2.2x 16.7xmedian 2.2x 22.4xmedian 2.2x
PEG now vs peer median -2.67median 0.33 1.63median 0.33 1.09median 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 monthsMDGLGILDALNY
Revenue $1.28B $30.46B $4.80B
Gross profit – $24.24B $3.83B
Operating income -$322.62M -$2.50B $999.78M
Net income -$325.11M -$3.24B $733.11M
Free cash flow -$206.29M $12.94B $819.87M
R&D $490.14M $6.07B $1.51B
EPS (diluted) $-11.15 $-2.61 $5.30
Cash & equivalents $292.73M $3.18B $1.71B
Total debt $340.79M $26.25B –
Shares (diluted) 29.15M 1.24B 138.28M
Enterprise value $8.77B $172.41B $19.11B

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

Growth

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

Profitability

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

Financial Health

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

Shareholder Returns

7 metrics
MetricMDGLGILDALNY
Dividend yield – 2.0% –
Net buyback yield -0.3% 0.6% -0.5%
Shareholder yield -0.3% 2.6% -0.5%
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.

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

Institutional Ownership

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

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.

MDGLGILDALNY
MDGL 1.00 0.19 0.33
GILD 0.19 1.00 0.27
ALNY 0.33 0.27 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, MDGL, GILD and ALNY?

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

Which company is growing faster?

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

Which company is more profitable?

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

Which stock has performed better?

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

Which stock is riskier?

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

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

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.