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Gilead Sciences (GILD)
NASDAQ:GILD

Gilead Sciences (GILD) AI Stock Analysis

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GILD

Gilead Sciences

(NASDAQ:GILD)

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Outperform 74 (OpenAI - 5.2)
Rating:74Outperform
Price Target:
$168.00
▲(13.79% Upside)
Action:ReiteratedDate:02/25/26
The score is driven primarily by strong financial performance (TTM profitability rebound and consistently high free cash flow) and constructive technical momentum (price above key moving averages with healthy MACD/RSI). Earnings-call guidance and sentiment are supportive due to continued base-business and HIV/prevention growth, though policy and cell-therapy headwinds temper upside. Valuation is reasonable but not clearly cheap at ~22.5x earnings with a ~2.1% dividend yield.
Positive Factors
Free Cash Flow Generation
Consistently high free cash flow (~$7.4B–$10.8B annually; TTM ~$9.7B) underpins durable capital flexibility: funds R&D, disciplined buybacks/dividends, and strategic M&A without immediate reliance on equity financing, supporting long-term investment and shareholder returns.
Market-leading HIV Franchise
A dominant HIV franchise (Biktarvy market leadership and substantial HIV sales) provides durable, recurring revenue and pricing leverage. Strong prevention uptake (YES2GO/Descovy) and payer coverage expand addressable market, anchoring predictable cash flow and funding pipeline investments.
Pipeline Depth and Strategic Cell-Therapy Deal
Acquiring Arcellx and controlling anito‑cel accelerates cell-therapy scale-up and removes profit-sharing, enhancing long-term oncology growth optionality. Combined with a catalyst-rich late-stage pipeline and multiple prospective launches, this materially diversifies revenue drivers beyond antivirals.
Negative Factors
Meaningful Leverage
A sizable debt burden (historical debt/equity ~1.1–1.7) constrains financial flexibility for large-scale investment and raises interest and refinancing risk in adverse conditions. Data inconsistencies in the latest period also reduce visibility into leverage trends and liquidity buffers.
Earnings Volatility
Large swings in margins and returns across years indicate earnings sensitivity to product cycles, one-offs, and portfolio mix. This volatility undermines predictability for cash flow, capital allocation and long-range planning, complicating sustained margin guidance despite current strong run rates.
Policy & Competitive Headwinds
Structural policy shifts (Medicare Part D/Medicaid/ACA changes) and competitive dynamics in cell therapy create durable revenue pressure. Measured multi-hundred-million dollar impacts and channel shifts can depress realized pricing and volumes, limiting topline and margin expansion over the medium term.

Gilead Sciences (GILD) vs. SPDR S&P 500 ETF (SPY)

Gilead Sciences Business Overview & Revenue Model

Company DescriptionGilead Sciences, Inc., a biopharmaceutical company, discovers, develops, and commercializes medicines in the areas of unmet medical need in the United States, Europe, and internationally. The company provides Biktarvy, Genvoya, Descovy, Odefsey, Truvada, Complera/ Eviplera, Stribild, and Atripla products for the treatment of HIV/AIDS; Veklury, an injection for intravenous use, for the treatment of coronavirus disease 2019; and Epclusa, Harvoni, Vosevi, Vemlidy, and Viread for the treatment of liver diseases. It also offers Yescarta, Tecartus, Trodelvy, and Zydelig products for the treatment of hematology, oncology, and cell therapy patients. In addition, the company provides Letairis, an oral formulation for the treatment of pulmonary arterial hypertension; Ranexa, an oral formulation for the treatment of chronic angina; and AmBisome, a liposomal formulation for the treatment of serious invasive fungal infections. Gilead Sciences, Inc. has collaboration agreements with Arcus Biosciences, Inc.; Pionyr Immunotherapeutics Inc.; Tizona Therapeutics, Inc.; Tango Therapeutics, Inc.; Jounce Therapeutics, Inc.; Galapagos NV; Janssen Sciences Ireland Unlimited Company; Japan Tobacco, Inc.; Gadeta B.V.; Bristol-Myers Squibb Company; Dragonfly Therapeutics, Inc.; and Merck & Co, Inc. The company was incorporated in 1987 and is headquartered in Foster City, California.
How the Company Makes MoneyGilead Sciences generates revenue primarily through the sale of its pharmaceutical products, particularly those targeting HIV, hepatitis C, and cancer. The company’s key revenue streams include direct sales to healthcare providers and hospitals, as well as partnerships with other pharmaceutical companies for co-marketing and distribution of certain products. Gilead also engages in licensing agreements that allow it to earn royalties on the sales of its drugs by other manufacturers. Significant partnerships, such as collaborations with research institutions and other biotech firms, play a critical role in expanding Gilead’s product pipeline and market reach, ultimately bolstering its earnings. The company maintains a strong focus on research and development, which enables it to introduce new products that can drive future revenue growth.

Gilead Sciences Key Performance Indicators (KPIs)

Any
Any
Revenue by Type
Revenue by Type
Analyzes income from different sources, highlighting which areas are driving growth and which might be underperforming, crucial for assessing the company's financial health and strategic focus.
Chart InsightsGilead's 'Other' revenue type experienced significant volatility, with a dramatic spike in Q3 2025, likely due to one-time factors. Meanwhile, the 'Product' segment shows steady growth, reflecting robust performance in key therapeutic areas. The latest earnings call highlights strong growth in the HIV portfolio, particularly with Biktarvy and Descovy, and successful launches like Yeztugo. Despite challenges in oncology and cell therapy, Gilead's strategic focus on HIV and liver therapies is driving revenue growth, with raised expectations for 2025 despite Medicare Part D headwinds.
Data provided by:The Fly

Gilead Sciences Earnings Call Summary

Earnings Call Date:Feb 10, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 23, 2026
Earnings Call Sentiment Positive
The call emphasized strong commercial execution (notably in HIV treatment and prevention, liver, and Trodelvy) and a robust, diversified late-stage pipeline with multiple near-term catalysts and disciplined financial management. These positives were balanced against clear near-term headwinds: policy-driven pricing impacts (Part D/Medicaid/ACA), a substantial decline in COVID-related Vecluri revenue, and competitive pressures in cell therapy expected to reduce Kite revenues in 2026. Management reiterated conservative discipline on M&A and continued commitment to shareholder returns. Overall, company achievements, pipeline momentum, and outperformance against guidance materially outweigh the headwinds, which are largely known, quantified, and described as manageable.
Q4-2025 Updates
Positive Updates
Strong HIV Franchise Growth and Market Leadership
HIV business grew 6% year-over-year in 2025 (driven by Biktarvy +7%), with full-year HIV sales of $20.8 billion. Biktarvy full-year sales were $14.3 billion, up 7% YoY and remains >52% share in the U.S. switch/treatment market. Company noted that excluding an estimated ~ $900M Part D headwind, HIV growth would have been ~10% in 2025.
Robust HIV Prevention Momentum (YES2GO & Descovy)
YES2GO launch exceeded coverage goals (90% payer coverage and ~90% of covered individuals with $0 copay). YES2GO sales: $96M in Q4 and $150M for full-year 2025; management guides ~ $800M revenue for YES2GO in 2026. HIV prevention momentum: Q4 prevention sales grew ~53% YoY; Descovy full-year sales $2.8B, up 31% YoY (Q4 Descovy +33% YoY; Descovy accounts for ~80% of its sales from prevention).
Overall Revenue and Base Business Outperformance
Full-year total product sales were $28.9 billion (up 1% YoY). Base business (excluding Vecluri) was $28.0 billion, more than $300 million above the high end of guidance and up ~4% YoY (or ~8% excluding Medicare Part D redesign impact). Q4 product sales excluding Vecluri were $7.7 billion, +7% YoY and +9% sequentially.
Strong Liver and Trodelvy Performance
Liver business grew 6% YoY to $3.2 billion in 2025. Libdelzi showed strong adoption: Q4 Libdelzi sales were $150M (a 42% sequential increase) and U.S. market share leader >50% in second-line PBC. Trodelvy full-year sales grew 6% to $1.4 billion; Q4 sales $384M, +8% YoY and sequentially.
Clinical & Pipeline Momentum — Multiple Near-Term Catalysts
Company highlighted a ‘‘catalyst-rich’’ 2026 with multiple Phase III readouts and up to four potential commercial launches (Trodelvy first-line TNBC, Viclen (bictegravir+lenacapavir), Anidocel, and bruleviratide). Management emphasized up to 10 potential launches through 2027 and 53 ongoing clinical programs, and positive Phase III readouts already published (e.g., Trodelvy ASCENT-03/04 in NEJM and NCCN guideline recognition).
Solid Profitability and Capital Returns
Non-GAAP product gross margin was 86.4% (in line with guidance). Full-year non-GAAP operating margin ~45% (roughly 48% excluding acquired IPR&D and a $400M one-time item). Non-GAAP diluted EPS was $8.15 for 2025; excluding ~$3.14/share Simbae impact, EPS increased by $0.40 vs 2024. Returned $5.9 billion to shareholders in 2025 and returned ~63% of free cash flow to shareholders (dividends + buybacks).
Kite/Anidocel: Highly Differentiated Clinical Data
Anidocel (BCMA CAR-T) data from Phase II IMagine I: 96% overall response rate, 74% complete response, and 95% MRD negativity with a predictable/manageable safety profile. Anidocel filing submitted and company is preparing for potential H2 2026 launch (modest 2026 contribution expected with larger 2027 opportunity).
Negative Updates
Cell Therapy Headwinds and Declining Revenue
Kite/cell therapy revenue was $1.8 billion for 2025, down ~7% YoY reflecting in- and out-of-class competition. Management expects Kite revenue to decline ~10% in 2026 driven by continued competitive entrants and increased clinical trial activity siphoning volumes.
Significant Decline in Vecluri (COVID) Sales
Vecluri (COVID-related product) revenue declined ~49% YoY to $911 million in 2025 (a ~$900M decrease), reflecting lower COVID-19 hospitalization trends and reduced demand versus 2024.
Policy-Driven Headwinds (Part D, Medicaid Pricing, ACA Changes)
Company cited an estimated ~$900M headwind in 2025 associated with Medicare Part D redesign (Andy also referenced ~$1.1B impact), and expects approximately a 2% headwind to HIV growth in 2026 related to a drug pricing agreement (Medicaid pricing) and potential shifts into lower-price channels from ACA changes.
Near-Term EPS / Quarterly Mix Pressure
Fourth-quarter non-GAAP diluted EPS was $1.86 vs $1.90 in the prior-year quarter, reflecting higher acquired IPR&D expenses partially offset by higher product sales and lower SG&A. Full-year EPS was $8.15, with a notable one-time ~ $3.14/share impact from Simbae-related items.
Competition Impact on Near-Term Launches and Volumes
Management highlighted continued competitive pressure across cell therapy markets and new entrants in several countries expected in 2026; clinical trials are also diverting patients from commercial treatment volumes, creating near-term volume headwinds.
Acquired IPR&D and Investment Spend
Acquired IPR&D expense was approximately $1.0 billion in 2025 (reflecting early-stage business development) with expected acquired IPR&D investments of ~ $300 million in 2026 for known commitments; these items weigh on operating results but are strategic investments.
Company Guidance
Gilead guided 2026 total product sales of $29.6–30.0 billion, with Vecluri sales of ~ $600 million and base business sales of $29.0–29.4 billion (4–5% growth vs. 2025). Management expects HIV sales to grow ~6% (noting an approximate 2% drag from the December drug‑pricing agreement and ACA changes — absent those headwinds HIV would be ~8% and company growth would be ~6–7%), YES2GO revenue of roughly $800 million (vs. $150 million in 2025), and Kite/cell therapy revenue to decline ~10% year‑over‑year. Financial assumptions include a product gross margin of ~87%, R&D up low‑single digits, acquired IPR&D of ~ $300 million, SG&A up mid‑single digits, non‑GAAP operating income of $13.8–14.3 billion, a ~20% tax rate, and non‑GAAP diluted EPS of $8.45–8.85; the company reiterated returning at least 50% of free cash flow to shareholders (returned $5.9 billion and ~63% of FCF in 2025).

Gilead Sciences Financial Statement Overview

Summary
Strong current profitability rebound (TTM net margin ~27.9%, EBIT margin ~37.5%) and consistently high gross margins (~76%–81%) are supported by robust, recurring free cash flow (~$9.7B TTM). Offsets include meaningful leverage (debt-to-equity ~1.1–1.7 historically), notable earnings volatility across years, and a flagged inconsistency in the latest balance-sheet line items (debt/equity shown as 0), which reduces confidence in the latest-period balance-sheet precision.
Income Statement
78
Positive
Profitability rebounded sharply in TTM (Trailing-Twelve-Months), with net profit margin rising to ~27.9% (vs. ~1.7% in 2024) and strong operating profitability (EBIT margin ~37.5%). Gross margin remains consistently high (~76%–81%), supporting durable earnings power. Revenue growth improved in TTM (Trailing-Twelve-Months) (~12.2%) after modest growth in 2024 (~6.0%) and flat-to-slightly down results in 2022–2023. Key weakness is earnings volatility across years (notably very low profitability in 2020 and 2024), which tempers confidence in stability despite the strong current run-rate.
Balance Sheet
52
Neutral
Leverage is meaningful, with debt-to-equity generally around ~1.1–1.7 across 2020–2024, indicating debt is a sizable part of the capital structure. Asset base is stable (~$59–68B), and return on equity is strong in better profit years (e.g., ~24.8% in 2023 and ~40.7% in TTM (Trailing-Twelve-Months)), but it drops sharply when earnings weaken (e.g., ~0.7% in 2020 and ~2.5% in 2024). In TTM (Trailing-Twelve-Months), reported total debt and equity are shown as 0 while debt-to-equity is provided, so balance-sheet precision for the latest period is limited—this data inconsistency is a risk flag for interpretation.
Cash Flow
81
Very Positive
Cash generation is a clear strength: free cash flow is consistently high (about $7.4B–$10.8B annually), and in TTM (Trailing-Twelve-Months) free cash flow (~$9.7B) nearly matches reported net income (free cash flow to net income ~0.95), indicating solid earnings quality. Operating cash flow is also robust (TTM (Trailing-Twelve-Months) ~$10.0B). A watch-out is that operating cash flow has not consistently covered net income above 1.0 (coverage ~0.71–0.98 historically; ~0.79 in TTM (Trailing-Twelve-Months)), and free cash flow growth has been volatile (negative in 2022–2023, modest in 2024, very strong in TTM (Trailing-Twelve-Months)).
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue29.44B28.75B27.12B27.28B27.30B
Gross Profit25.52B22.50B20.62B21.62B20.70B
EBITDA10.82B4.43B10.50B8.85B11.33B
Net Income8.51B480.00M5.67B4.59B6.22B
Balance Sheet
Total Assets59.02B58.99B62.13B63.17B67.95B
Cash, Cash Equivalents and Short-Term Investments10.61B11.57B7.26B6.38B6.52B
Total Debt0.0026.71B24.99B25.23B26.70B
Total Liabilities36.41B39.75B39.38B41.96B46.89B
Stockholders Equity22.62B19.33B22.83B21.24B21.07B
Cash Flow
Free Cash Flow10.02B10.30B7.42B8.34B10.80B
Operating Cash Flow10.02B10.83B8.01B9.07B11.38B
Investing Cash Flow-4.79B-3.45B-2.27B-2.47B-3.13B
Financing Cash Flow-7.75B-3.43B-5.13B-6.47B-8.88B

Gilead Sciences Technical Analysis

Technical Analysis Sentiment
Positive
Last Price147.64
Price Trends
50DMA
133.69
Positive
100DMA
127.02
Positive
200DMA
118.42
Positive
Market Momentum
MACD
5.18
Positive
RSI
55.82
Neutral
STOCH
25.05
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For GILD, the sentiment is Positive. The current price of 147.64 is below the 20-day moving average (MA) of 148.30, above the 50-day MA of 133.69, and above the 200-day MA of 118.42, indicating a neutral trend. The MACD of 5.18 indicates Positive momentum. The RSI at 55.82 is Neutral, neither overbought nor oversold. The STOCH value of 25.05 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for GILD.

Gilead Sciences Risk Analysis

Gilead Sciences disclosed 22 risk factors in its most recent earnings report. Gilead Sciences reported the most risks in the "Tech & Innovation" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Gilead Sciences Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$307.60B17.013.12%1.59%58.02%
74
Outperform
$183.17B22.1040.57%2.52%2.76%6407.19%
73
Outperform
$154.31B19.906.65%4.44%128.96%
71
Outperform
$206.39B26.67106.10%3.00%11.03%65.22%
71
Outperform
$125.45B17.7040.53%4.84%1.26%
69
Neutral
$115.01B19.636.76%4.58%-9.32%120.62%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
GILD
Gilead Sciences
147.64
39.14
36.07%
AMGN
Amgen
382.87
76.84
25.11%
BMY
Bristol-Myers Squibb
61.60
6.19
11.17%
MRK
Merck & Company
123.93
35.81
40.64%
PFE
Pfizer
27.14
2.21
8.86%
SNY
Sanofi
47.31
-5.88
-11.06%

Gilead Sciences Corporate Events

Business Operations and StrategyM&A Transactions
Gilead Sciences to Acquire Arcellx in Major Cell-Therapy Deal
Positive
Feb 23, 2026

On February 22–23, 2026, Gilead Sciences agreed to acquire Arcellx in a cash‑and‑CVR deal valuing the target at an implied $7.8 billion at closing. A Gilead subsidiary will launch a tender offer at $115 per share plus a $5 contingent value right tied to $6 billion in cumulative global net sales of Arcellx’s lead CAR T therapy anitocabtagene autoleucel (anito‑cel) by year‑end 2029.

The transaction, approved by both boards and expected to close in the second quarter of 2026 subject to antitrust and tender conditions, will give Gilead full control of anito‑cel and eliminate collaboration profit‑sharing, milestones and royalties, with the deal expected to be earnings‑accretive from 2028 after potential FDA approval. The U.S. Food and Drug Administration has accepted the Biologics License Application for anito‑cel as a fourth‑line treatment for relapsed or refractory multiple myeloma, underpinned by Phase 1 and pivotal Phase 2 data, positioning Gilead to strengthen its cell‑therapy franchise through Kite while leveraging Arcellx’s D‑Domain platform across future oncology and in vivo cell‑therapy programs.

The most recent analyst rating on (GILD) stock is a Hold with a $155.00 price target. To see the full list of analyst forecasts on Gilead Sciences stock, see the GILD 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: Feb 25, 2026