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Alkermes (ALKS)
NASDAQ:ALKS

Alkermes (ALKS) AI Stock Analysis

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ALKS

Alkermes

(NASDAQ:ALKS)

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Outperform 78 (OpenAI - 5.2)
Rating:78Outperform
Price Target:
$40.00
▲(14.42% Upside)
The score is driven primarily by strong financial performance (high margins, low leverage, and strong cash conversion) and a constructive earnings update with raised guidance and solid product growth. Valuation looks reasonable on a 14.644 P/E, while technicals are mixed due to a slightly negative MACD and elevated stochastic despite price holding above key moving averages.
Positive Factors
High gross and net margins
Sustained high gross and net margins reflect strong pricing power and low incremental costs for proprietary drugs (VIVITROL, ARISTADA, LYBALVI). Durable margins support internal funding of R&D, dividend of cash to shareholders, and resilience to revenue volatility over coming months.
Strong cash generation
Very strong free cash flow growth and healthy operating cash to net income ratio indicate high earnings quality and convertibility. This durable cash generation reduces financing reliance, funds pipeline investment and M&A, and improves balance sheet flexibility over a 2-6 month horizon.
Pipeline advancement in sleep disorders
Breakthrough designation and planned global Phase III elevate alixorexton from early to de‑risked late‑stage development. If successful, this structurally expands Alkermes into a multi‑billion sleep market, diversifying revenue beyond current psychiatry portfolio and underpinning long‑term growth.
Negative Factors
Rising R&D expense
Material R&D step‑up funds multiple phase 2/3 programs but increases cash burn and compresses near‑term margins. This spending is structural until readouts arrive; failure or delays in key trials would leave higher cost base without offsetting revenue, stressing returns.
Higher SG&A from commercial expansion
Elevated SG&A from expanding the psychiatry field organization raises fixed operating costs and reduces operating leverage. If product sales growth decelerates, the larger salesforce and promotional spend could pressure profitability for several quarters until revenue catches up.
Acquisition financing and integration risk
Paying up for Avadel and arranging bridge financing introduces execution, integration and short‑term liquidity risk. While strategic, the deal raises leverage and depends on realizing projected LUMRYZ synergies; poor integration could dilute margins and strain cash over 2–6 months.

Alkermes (ALKS) vs. SPDR S&P 500 ETF (SPY)

Alkermes Business Overview & Revenue Model

Company DescriptionAlkermes plc, a biopharmaceutical company, researches, develops, and commercializes pharmaceutical products to address unmet medical needs of patients in various therapeutic areas in the United States, Ireland, and internationally. Its marketed products include ARISTADA, an intramuscular injectable suspension for the treatment of schizophrenia; VIVITROL for the treatment of alcohol and prevention of opioid dependence; RISPERDAL CONSTA for the treatment of schizophrenia and bipolar I disorder; INVEGA SUSTENNA for the treatment of schizophrenia and schizoaffective disorder; XEPLION, INVEGA TRINZA, and TREVICTA to treat schizophrenia and schizoaffective; and VUMERITY for the treatment of relapsing forms of multiple sclerosis in adults, including clinically isolated syndrome, relapsing-remitting and active secondary progressive diseases. The company is also developing LYBALVI, an oral atypical antipsychotic drug candidate for the treatment of adults with schizophrenia and bipolar I disorder; and nemvaleukin alfa, an engineered fusion protein to expand tumor-killing immune cells and to avoid the activation of immunosuppressive cells. It has collaboration agreements primarily with Janssen Pharmaceutica N.V., Janssen Pharmaceutica Inc, and Janssen Pharmaceutica International. Alkermes plc was founded in 1987 and is headquartered in Dublin, Ireland.
How the Company Makes MoneyAlkermes generates revenue primarily through the sale of its proprietary pharmaceutical products, including Vivitrol and Aristada. The company also earns income from royalties on products developed through its proprietary technologies, as well as through collaborations and partnerships with other pharmaceutical companies. Significant partnerships, such as those with larger pharmaceutical firms, enhance its research and development capabilities and provide additional revenue streams. Alkermes also engages in licensing agreements that may contribute to its earnings, allowing it to leverage its drug development expertise while minimizing risk.

Alkermes Earnings Call Summary

Earnings Call Date:Oct 28, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 12, 2026
Earnings Call Sentiment Positive
The earnings call indicates a strong performance in Q3 2025, with significant revenue growth and raised financial guidance for the year. The acquisition of Avadel Pharmaceuticals is positioned as a strategic move to enhance Alkermes' portfolio and market position. While there are concerns over increased R&D and SG&A expenses, the overall outlook remains positive with promising advancements in the orexin 2 receptor agonist portfolio.
Q3-2025 Updates
Positive Updates
Strong Third Quarter Performance
Alkermes delivered a strong third quarter with total revenues of $394.2 million and net sales of $317.4 million, reflecting a 16% year-over-year growth.
Raised Financial Guidance for 2025
The company raised its full-year 2025 guidance, expecting total revenues of $1.43 billion to $1.49 billion, GAAP net income of $230 million to $250 million, and adjusted EBITDA of $365 million to $385 million.
Acquisition of Avadel Pharmaceuticals
Alkermes announced the proposed acquisition of Avadel Pharmaceuticals to diversify its commercial portfolio and strengthen profitability, with the FDA-approved LUMRYZ expected to generate $265-$275 million in net revenue in 2025.
Proprietary Products Performance
VIVITROL net sales reached $121.1 million, ARISTADA $98.1 million, and LYBALVI $98.2 million, with LYBALVI showing 32% year-over-year growth.
Expansion of Orexin 2 Receptor Agonist Portfolio
The orexin 2 receptor agonist portfolio, led by alixorexton, is advancing rapidly with positive Phase II data for narcolepsy type 1 and plans for a global Phase III program.
Negative Updates
Increased R&D Expenses
R&D expenses increased to $81.7 million compared to $59.9 million in Q3 last year, reflecting investments in the Vibrance Phase II studies and new orexin 2 receptor agonist candidates.
Increased SG&A Expenses
SG&A expenses were $171.8 million compared to $150.4 million in Q3 last year, driven by the expansion of the psychiatry field organization and promotional activities.
Company Guidance
During Alkermes' Third Quarter 2025 Financial Results Conference Call, the company raised its full-year 2025 guidance, reflecting confidence in its business momentum. The updated guidance anticipates total revenues between $1.43 billion and $1.49 billion, GAAP net income ranging from $230 million to $250 million, EBITDA between $270 million and $290 million, and adjusted EBITDA from $365 million to $385 million. The third quarter saw total revenues of $394.2 million, with proprietary product net sales of $317.4 million, marking a 16% year-over-year growth. Key drivers included VIVITROL, ARISTADA, and LYBALVI, with expected full-year net sales of $460–$470 million, $360–$370 million, and $340–$350 million, respectively. The company reported strong Q3 profitability with GAAP net income of $82.8 million, EBITDA of $96.9 million, and adjusted EBITDA of $121.5 million.

Alkermes Financial Statement Overview

Summary
Strong profitability (TTM gross margin 86.04%, net margin 22.27%) with positive TTM revenue growth (6.6%). Balance sheet is conservatively financed (debt-to-equity 0.041; equity ratio 74.42%) and cash generation is strong (FCF growth 229.8% TTM; operating cash flow to net income 1.14).
Income Statement
85
Very Positive
Alkermes shows strong profitability with a high gross profit margin of 86.04% and a net profit margin of 22.27% in the TTM period. The company has demonstrated a positive revenue growth rate of 6.6% in the TTM, recovering from a decline in the previous year. EBIT and EBITDA margins are also robust at 26.66% and 28.64%, respectively, indicating efficient operations and cost management.
Balance Sheet
78
Positive
The balance sheet is solid with a low debt-to-equity ratio of 0.041, reflecting minimal leverage and financial risk. The return on equity is strong at 21.40%, showcasing effective use of equity to generate profits. The equity ratio stands at 74.42%, indicating a strong equity base relative to total assets, enhancing financial stability.
Cash Flow
82
Very Positive
Cash flow performance is impressive, with a significant free cash flow growth rate of 229.8% in the TTM. The operating cash flow to net income ratio is healthy at 1.14, suggesting strong cash generation relative to profits. The free cash flow to net income ratio of 0.91 further supports the company's ability to convert earnings into cash.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue1.52B1.56B1.66B1.11B1.17B1.04B
Gross Profit1.31B1.31B1.41B893.73M976.43M860.44M
EBITDA435.78M494.86M519.48M59.77M177.60M-6.02M
Net Income338.83M367.07M355.76M-158.27M-48.17M-110.86M
Balance Sheet
Total Assets2.33B2.06B2.14B1.96B2.02B1.95B
Cash, Cash Equivalents and Short-Term Investments1.11B751.67M773.49M608.47M536.31M635.03M
Total Debt71.60M75.54M372.19M379.44M416.21M410.16M
Total Liabilities596.08M590.59M933.54M920.23M911.90M882.75M
Stockholders Equity1.73B1.46B1.20B1.04B1.11B1.07B
Cash Flow
Free Cash Flow490.87M405.64M353.31M-17.21M72.69M40.62M
Operating Cash Flow541.08M439.12M401.35M21.04M101.72M82.84M
Investing Cash Flow-40.72M-111.31M53.36M-64.54M-66.20M-11.48M
Financing Cash Flow-280.20M-494.14M-289.71M-1.57M29.07M-2.17M

Alkermes Technical Analysis

Technical Analysis Sentiment
Positive
Last Price34.96
Price Trends
50DMA
30.00
Positive
100DMA
30.05
Positive
200DMA
29.57
Positive
Market Momentum
MACD
1.44
Negative
RSI
67.08
Neutral
STOCH
75.91
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ALKS, the sentiment is Positive. The current price of 34.96 is above the 20-day moving average (MA) of 32.08, above the 50-day MA of 30.00, and above the 200-day MA of 29.57, indicating a bullish trend. The MACD of 1.44 indicates Negative momentum. The RSI at 67.08 is Neutral, neither overbought nor oversold. The STOCH value of 75.91 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for ALKS.

Alkermes Risk Analysis

Alkermes disclosed 44 risk factors in its most recent earnings report. Alkermes reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Alkermes Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
79
Outperform
$8.19B41.9319.66%54.51%275.94%
78
Outperform
$5.77B17.0522.35%1.08%3.40%
70
Outperform
$6.01B8.7597.54%
62
Neutral
$4.63B10.70111.96%100.88%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$4.76B-25.33%-81.10%-99.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ALKS
Alkermes
34.47
3.17
10.13%
PTCT
PTC Therapeutics
74.83
25.45
51.54%
TGTX
TG Therapeutics
29.73
-3.18
-9.66%
CRSP
Crispr Therapeutics AG
52.00
11.51
28.43%
KRYS
Krystal Biotech
279.57
118.27
73.32%

Alkermes Corporate Events

Business Operations and StrategyFinancial DisclosuresM&A Transactions
Alkermes plans Avadel acquisition to expand sleep portfolio
Positive
Jan 12, 2026

In 2025, Alkermes generated more than $1.45 billion in commercial revenues with strong cash flow and profitability and laid out a 2026 plan centered on driving growth in neuroscience and leading innovation in orexin 2 receptor agonists for sleep disorders. The company reported positive multi-week phase 2 Vibrance data in 2025 for its orexin 2 receptor agonist alixorexton in both narcolepsy type 1 and type 2, showing statistically significant and clinically meaningful improvements in wakefulness, excessive daytime sleepiness, cataplexy, fatigue and cognition with a favorable safety profile, leading to an FDA Breakthrough Therapy designation in narcolepsy type 1 and supporting the launch of a registrational phase 3 narcolepsy program in the first quarter of 2026. Management positions orexin 2 receptor agonists as a multi‑billion‑dollar opportunity, estimating a market of more than $10 billion across narcolepsy and idiopathic hypersomnia, underpinned by a large base of undertreated patients and an existing oxybate market exceeding $1.8 billion in 2024 revenues. The planned acquisition of Avadel in 2026, together with ongoing phase 2 work in idiopathic hypersomnia and anticipated phase 3 data for LUMRYZ in that indication, is designed to accelerate Alkermes’ entry into the commercial sleep medicine market, augment its revenue growth and profitability profile, and establish the company as a leader in a new therapeutic category within central disorders of hypersomnolence.

The most recent analyst rating on (ALKS) stock is a Buy with a $31.00 price target. To see the full list of analyst forecasts on Alkermes stock, see the ALKS Stock Forecast page.

Business Operations and StrategyProduct-Related Announcements
Alkermes Gains FDA Breakthrough Status for Narcolepsy Drug
Positive
Jan 6, 2026

On January 6, 2026, Alkermes announced that the U.S. Food and Drug Administration granted Breakthrough Therapy designation to alixorexton, its oral, selective orexin 2 receptor agonist, for the treatment of narcolepsy type 1, following encouraging phase 1 and phase 2 data, including positive results from the 92-patient Vibrance-1 study. In that phase 2 trial, alixorexton met its primary endpoint at all tested doses, showing statistically significant, clinically meaningful and dose-dependent improvements in wakefulness versus placebo on the Maintenance of Wakefulness Test, and was generally well tolerated, prompting Alkermes to plan initiation of a global phase 3 program for narcolepsy in the first quarter of 2026, a move that could strengthen its position in sleep-disorder therapeutics and potentially establish alixorexton as a new standard of care in narcolepsy type 1 if late-stage data and regulatory review are favorable.

The most recent analyst rating on (ALKS) stock is a Buy with a $37.00 price target. To see the full list of analyst forecasts on Alkermes stock, see the ALKS Stock Forecast page.

M&A TransactionsPrivate Placements and Financing
Alkermes Increases Offer for Avadel Acquisition
Positive
Nov 19, 2025

On November 18, 2025, Alkermes plc and Avadel Pharmaceuticals plc amended their transaction agreement, increasing the cash consideration for the acquisition of Avadel to $21.00 per share, while maintaining the contingent value right terms. This move followed Avadel’s receipt of a superior proposal from H. Lundbeck A/S, which was later deemed inferior to Alkermes’ revised offer. Additionally, Alkermes entered into an amended bridge loan agreement to finance the acquisition, ensuring compliance with Irish Takeover Code requirements. The acquisition is expected to close in the first quarter of 2026.

The most recent analyst rating on (ALKS) stock is a Buy with a $55.00 price target. To see the full list of analyst forecasts on Alkermes stock, see the ALKS Stock Forecast page.

Product-Related Announcements
Alkermes Announces Positive Results from Vibrance-2 Study
Positive
Nov 12, 2025

On November 12, 2025, Alkermes announced positive topline results from its Vibrance-2 phase 2 study, which evaluated the safety and efficacy of alixorexton in patients with narcolepsy type 2. The study demonstrated that alixorexton, a novel oral orexin 2 receptor agonist, met its dual primary endpoints by significantly improving wakefulness and reducing excessive daytime sleepiness compared to placebo. These results support the advancement of alixorexton to phase 3 trials, marking a significant milestone for the narcolepsy patient community and Alkermes’ development program.

The most recent analyst rating on (ALKS) stock is a Buy with a $44.00 price target. To see the full list of analyst forecasts on Alkermes stock, see the ALKS Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Jan 13, 2026