Tearsheet

Vertex Pharmaceuticals (VRTX)


Market Price (9/16/2025): $392.5 | Market Cap: $100.8 Bil
Sector: Health Care | Industry: Biotechnology

Vertex Pharmaceuticals (VRTX)


Market Price (9/16/2025): $392.5
Market Cap: $100.8 Bil
Sector: Health Care
Industry: Biotechnology

Investment Highlights

0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 34%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 31%, CFO LTM is 3.8 Bil, FCF LTM is 3.5 Bil
Weak multi-year price returns
2Y Excs Rtn is -34%, 3Y Excs Rtn is -29%
Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -199 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -1.7%
1 Low stock price volatility
Vol 12M is 36%
  Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 23x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 26x, P/EPrice/Earnings or Price/(Net Income) is 28x
0 Attractive cash flow generation
CFO/Rev LTMCash Flow from Operations / Revenue (Sales), Last Twelve Months (LTM) is 34%, FCF/Rev LTMFree Cash Flow / Revenue (Sales), Last Twelve Months (LTM) is 31%, CFO LTM is 3.8 Bil, FCF LTM is 3.5 Bil
1 Low stock price volatility
Vol 12M is 36%
2 Weak multi-year price returns
2Y Excs Rtn is -34%, 3Y Excs Rtn is -29%
3 Not profitable at operating income level
Op Inc LTMOperating Income, Last Twelve Months is -199 Mil, Op Mgn LTMOperating Margin = Operating Income / Revenue Reflects profitability before taxes and before impact of capital structure (interest payments). is -1.7%
4 Expensive valuation multiples
P/EBITPrice/EBIT or Price/(Operating Income) ratio is 23x, P/CFOPrice/(Cash Flow from Operations). CFO is cash before capital expenditures. is 26x, P/EPrice/Earnings or Price/(Net Income) is 28x

Market Valuation

 9/16/252024202320222021
Share Price CYE$392.50$402.70$406.89$288.78$219.60
Market Cap CYE ($ Bil)100.8103.6104.974.255.9
Total Debt ($ Bil)1.51.70.80.91.0
Total Cash ($ Bil)6.46.111.210.87.5
Enterprise Value ($ Bil)95.9105.3105.775.156.9
Valuation Ratios     
P/S TTM8.89.410.68.37.5
P/EBIT TTM22.9372.123.717.220.3
P/E TTM27.7-193.929.022.324.2
Sector Ratios     
P/S TTM (Sector)3.83.64.14.57.3
P/EBIT TTM (Sector)-1.6-1.3-1.4-1.3-2.9
P/E TTM (Sector)-1.9-1.6-1.5-1.4-2.9
 9/16/2520242023
Share Price CYE$392.50$402.70$406.89
Market Cap CYE ($ Bil)100.8103.6104.9
Total Debt ($ Bil)1.51.70.8
Total Cash ($ Bil)6.46.111.2
Enterprise Value ($ Bil)95.9105.3105.7
Valuation Ratios   
P/S TTM8.89.410.6
P/EBIT TTM22.9372.123.7
P/E TTM27.7-193.929.0
Sector Ratios   
P/S TTM (Sector)3.83.64.1
P/EBIT TTM (Sector)-1.6-1.3-1.4
P/E TTM (Sector)-1.9-1.6-1.5

Business Description

Vertex Pharmaceuticals Incorporated, a biotechnology company, engages in developing and commercializing therapies for treating cystic fibrosis. The company markets SYMDEKO/SYMKEVI, ORKAMBI, and KALYDECO to treat patients with cystic fibrosis who have specific mutations in their cystic fibrosis transmembrane conductance regulator gene; and TRIKAFTA for the treatment of patients with CF 6 years of age or older who have at least one F508del mutation. Its pipeline includes VX-864 for the treatment of AAT deficiency, which is in Phase 2 clinical trial; VX-147 for the treatment of APOL1-mediated focal segmental glomerulosclerosis, or FSGS, and other serious kidney diseases which is in Phase 2 clinical trial; VX- 880, treatment for Type 1 Diabetes which is in Phase 1/2 clinical trial; VX-548, a NaV1.8 inhibitor for treatments of acute, neuropathic, musculoskeletal pain which is in Phase 2 clinical trial; and CTX001 for the treatment severe SCD and TDT which is in Phase 3 clinical trial. Show more

Price Returns Compared

Expand for Detailed View

 202020212022202320242025Total [1]
Returns
VRTX Return8%-7%32%41%-1%-2%80%
Peers Return7%-14%10%23%-25%22%13%
S&P 500 Return16%27%-19%24%23%12%104%

[1] Cumulative total returns since the beginning of 2020
[2] Peers: BIIB, BMRN, IONS, ACAD, ABBV. See VRTX Returns vs. Peers.
[3] 2025 data is for the year up to 9/15/2025 (YTD)

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Financials

VRTXBIIBBMRNIONSACADABBVMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.AbbVie  
Mkt Price393.21143.3253.1461.1024.67217.61102.21
Mkt Cap100.920.910.29.74.1384.715.6
Rev LTM11,4199,8163,0647171,01958,3286,440
Op Inc LTM-1992,274776-4729013,695433
FCF LTM3,5002,296691-5638818,2391,493
FCF 3Y Avg1,9841,667315-4384520,273991
CFO LTM3,8462,582767-50218819,2831,674
CFO 3Y Avg2,3241,968419-4017821,1541,194

Growth & Margins

VRTXBIIBBMRNIONSACADABBVMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.AbbVie  
Rev Chg LTM10.5%1.6%18.4%-7.6%14.4%6.1%8.3%
Rev Chg 3Y Avg11.0%-3.1%17.0%-1.4%27.9%0.6%5.8%
Rev Chg Q12.1%6.1%15.9%10.1%9.3%6.6%9.7%
QoQ Delta Rev Chg LTM2.9%1.5%3.8%1.7%2.3%1.7%2.0%
Op Mgn LTM-1.7%23.2%25.3%-65.9%8.9%23.5%16.0%
Op Mgn 3Y Avg26.5%23.4%14.0%-65.7%-3.9%27.2%18.7%
QoQ Delta Op Mgn LTM2.0%0.2%4.3%1.5%-0.0%1.0%1.2%
CFO/Rev LTM33.7%26.3%25.0%-70.0%18.4%33.1%25.7%
CFO/Rev 3Y Avg22.5%20.0%15.0%-59.0%7.1%37.5%17.5%
FCF/Rev LTM30.6%23.4%22.6%-78.5%8.7%31.3%23.0%
FCF/Rev 3Y Avg19.2%16.9%10.9%-64.4%3.8%36.0%13.9%

Valuation

VRTXBIIBBMRNIONSACADABBVMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.AbbVie  
Mkt Cap100.920.910.29.74.1384.715.6
P/S8.82.13.313.54.16.65.3
P/EBIT23.010.512.0-25.745.965.317.5
P/E27.714.215.5-21.218.6102.217.1
P/CFO26.28.113.3-19.322.020.016.6
Total Yield3.6%7.1%6.4%-4.7%5.4%3.9%4.6%
Dividend Yield0.0%0.0%0.0%0.0%0.0%2.9%0.0%
FCF Yield 3Y Avg2.1%6.6%2.7%-7.0%1.5%7.3%2.4%
D/E0.00.30.10.10.00.20.1
Net D/E-0.00.2-0.1-0.1-0.20.2-0.1

Returns

VRTXBIIBBMRNIONSACADABBVMedian
NameVertex P.Biogen BioMarin.Ionis Ph.ACADIA P.AbbVie  
1M Rtn0.1%3.4%-7.6%39.6%-2.6%5.3%1.8%
3M Rtn-12.8%9.4%-5.5%73.4%11.4%15.0%10.4%
6M Rtn-23.5%-0.2%-25.7%78.1%43.4%3.3%1.6%
12M Rtn-19.0%-26.7%-37.4%44.8%51.2%16.1%-1.5%
3Y Rtn35.7%-31.2%-39.8%31.9%36.9%69.1%33.8%
1M Excs Rtn-1.5%3.9%-10.6%40.3%-1.7%4.0%1.2%
3M Excs Rtn-24.3%-1.0%-16.2%61.0%3.0%4.2%1.0%
6M Excs Rtn-39.4%-14.5%-40.8%68.1%23.7%-12.7%-13.6%
12M Excs Rtn-36.3%-47.1%-56.4%24.6%35.6%-3.3%-19.8%
3Y Excs Rtn-29.1%-96.2%-108.0%-27.1%-23.5%8.2%-28.1%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
TRIKAFTA/KAFTRIO8,9457,6875,6973,864420
Other product revenues9241,244   
KALYDECO  684803991
ORKAMBI  7729081,332
Other revenues  132
SYMDEKO/SYMKEVI  4206291,418
Total9,8698,9317,5746,2064,163


Price Behavior

Short Interest

Short Interest: As Of Date8292025
Short Interest: Shares Quantity3,639,292
Short Interest: % Change Since 8152025-1.7%
Average Daily Volume1,570,284
Days-to-Cover Short Interest2.32
Basic Shares Quantity256,700,000
Short % of Basic Shares1.4%

Earnings Returns History

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 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
8/4/2025-20.6%-20.7%-16.0%
5/5/2025-10.0%-12.2%-10.9%
2/10/2025-3.1%-1.7%5.4%
11/4/20245.7%6.1%-1.9%
8/1/2024-2.2%-7.9%-2.0%
5/6/20241.9%6.8%20.0%
2/5/2024-3.0%-2.4%-4.0%
11/6/2023-1.9%-1.8%-8.4%
...
SUMMARY STATS   
# Positive121112
# Negative121312
Median Positive2.5%6.1%7.5%
Median Negative-3.1%-2.4%-5.1%
Max Positive9.0%11.9%20.0%
Max Negative-20.6%-20.7%-16.0%

SEC Filings

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Report DateFiling DateFiling
6302025805202510-Q 6/30/2025
3312025506202510-Q 3/31/2025
12312024213202510-K 12/31/2024
93020241105202410-Q 9/30/2024
6302024802202410-Q 6/30/2024
3312024507202410-Q 3/31/2024
12312023215202410-K 12/31/2023
93020231107202310-Q 9/30/2023
6302023802202310-Q 6/30/2023
3312023502202310-Q 3/31/2023
12312022210202310-K 12/31/2022
93020221028202210-Q 9/30/2022
6302022805202210-Q 6/30/2022
3312022506202210-Q 3/31/2022
12312021209202210-K 12/31/2021
93020211103202110-Q 9/30/2021

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0Bhatia Sangeeta N. 8292025Sell386.69266102,8601,765,240Form
1Kewalramani ReshmaCEO & President8072025Buy389.084,2901,669,15342,899,183Form
2SACHS BRUCE I 8072025Buy389.361,634636,21416,210,614Form
3ALTSHULER DAVIDEVP, Chief Scientific Officer5192025Sell424.695222,0849,887,208Form
4ALTSHULER DAVIDEVP, Chief Scientific Officer3172025Sell510.003,2311,647,81011,873,310Form