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Vertex Pharmaceuticals Incorpor (VRTX) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Biotechnology
A
ExcellentMetricSide Score: 87/100
ProfitabilityProfit30/30
GrowthGrowth23/25
Balance SheetBalance17/25
Cash QualityCash17/20
Price & Volume
Market Cap $134.17B

Vertex Pharmaceuticals Incorporated operates as a biotechnology company in the United States, Europe, and internationally. The company offers transformative medicines for people with serious diseases with a focus on specialty markets, such as cystic fibrosis (CF), sickle cell disease (SCD), transfusion dependent beta thalassemia (TDT), and acute pain. It markets TRIKAFTA/KAFTRIO for people with CF with at least one F508del mutation for 2 years of age and older; ALYFTREK for the treatment for people with CF 6 years of age and older; SYMDEKO/SYMKEVI for treatment of patients with CF 6 years of age and older; ORKAMBI for CF patients 1 year or older; and KALYDECO for the treatment of patients with 1 month or older who have CF with ivacaftor. The company also develops CASGEVY for the treatment of SCD and TDT; JOURNAVX for the treatment of acute pain in adults; VX-522, a CFTR mRNA therapeutic designed to treat the underlying cause of CF, which is in Phase 1/2 clinical trial; inaxaplin for the treatment of APOL1-mediated kidney disease, which is in single Phase 2 trial; VX-264 for treating Type 1 Diabetes; VX-670 for the treatment of myotonic dystrophy type 1; and VX-407, a small molecule corrector for the treatment of autosomal dominant polycystic kidney disease. The company sells its products primarily to specialty pharmacy and distributors, wholesalers, retail pharmacies, hospitals, and clinics. Vertex Pharmaceuticals Incorporated was founded in 1989 and is headquartered in Boston, Massachusetts.

Moat Signals

Competitive analysis based on 65 quarters of fundamental data

Pricing Power

Weak Moat

Operating margins are under pressure, averaging 14.8%. The business may lack pricing power or face rising costs.'

Competitive Advantage

Weak Moat

ROE is low or negative, suggesting limited competitive advantage or capital allocation challenges.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~18.2% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 65 quarters

Some Concerns

Margin Pressure

Red Flag

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

Earnings Quality

Healthy

FCF covers net income by 0.9x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

Limited debt-to-equity data available.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Share count is stable — no significant dilution or buyback activity.

Metrics at a Glance

as of March 2026

Revenue & Profit

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

TTM Revenue
$12.22B
10.1%
Q. Revenue
$2.99B
TTM EBITDA
$4.90B
1006.8%
TTM Op. Income
$4.68B
730.6%
Q. Op. Income
$1.14B
TTM Net Income
$4.34B
538.7%
Q. Net Income
$1.03B
EPS
$4.06
Shares Out.
$254.10M
1.1%
$12.22B in TTM revenue grew 10.1% YoY, reaching $2.99B last quarter. TTM EBITDA of $4.90B and TTM operating income of $4.68B shows growth is flowing through. Net income of $4.34B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
40.0%
Op. Margin
38.1%
67.5%
Net Margin
34.5%
48.0%
Op. margin of 38.1% is up 15.4% YoY — cost efficiency is improving. Net margin at 34.5%.

Price Ratios

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

P/E Ratio
30.9x
P/S Ratio
11.0x
P/B Ratio
6.9x
At 30.9x P/E, the stock trades at a premium — the market expects above-average growth. P/S of 11.0x and P/B of 6.9x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

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

Total Assets
$26.48B
Cash
$5.49B
Long-Term Debt
N/A
Book Value
$19.36B
D/E Ratio
N/A
Debt/EBITDA
0.0

Cash Flow

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

Op. Cash Flow
$1.43B
Free Cash Flow
$1.29B
66.4%
FCF Margin
10.6%
FCF / Net Income
1.3
FCF of $1.29B on $1.43B in operating cash flow. The FCF / Net Income ratio of 0.3x indicates partial cash conversion — earnings quality needs attention.

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