VERTEX PHARMACEUTICALS INC / MA(VRTX)Stock Analysis
AI analysis on 2,800+ stocks →Deep AI analysis on 2,800+ stocks →13F Pro Quality Score
Rank #101 of 2,879 stocksTOP 5%
Rankings refresh quarterly once 80% of peers have filed (~45 days after quarter-end). Next update: ~Aug 14, 2026.
Revenue Growth
Profitability
Balance Sheet
Earnings Quality
Free Cash Flow
Institutional Flow
Revenue Scale
Dilution Risk
VRTX Stock Analysis & AI Quality Score
AI stock analysis and institutional research for VERTEX PHARMACEUTICALS INC / MA (VRTX), a Healthcare sector company. 13F Pro's AI-powered ranking engine scores VRTX at 76.6/100 on a 32-signal composite quality model, placing it at rank #101 of 2,879 stocks — the top 5% of the AI-ranked universe. VRTX scores in the top quartile across balance sheet strength (93.0), profitability (92.6), free cash flow (88.4). Areas of concern include earnings quality (39.6), which score below median versus the broader universe. Shareholder dilution risk is elevated at 23.8/100, reflecting ongoing share issuance or stock-based compensation. Based on the latest XBRL financial filings (Q1 2026), VERTEX PHARMACEUTICALS INC / MA reports quarterly revenue of $3.0B, net income of $1.0B, an operating margin of 38.1%. Top institutional holders of VRTX by reported 13-F value include Capital World Investors, BlackRock,, Capital Research Global Investors, based on the most recent SEC filings. VRTX trades on the Nasdaq exchange and files with the SEC under CIK 875320. 13F Pro's AI research platform runs 10 specialized AI analysts — value, growth, momentum, macro, and activist specialists — that debate VRTX daily and publish AI-generated analysis with cited SEC sources. The platform aggregates historical XBRL financial facts, 10-Q and 10-K filings, insider Form 4 transactions, and institutional 13-F holdings for VERTEX PHARMACEUTICALS INC / MA directly from SEC EDGAR. VERTEX PHARMACEUTICALS INC / MA's 13F Pro composite quality score has ranged between 8 and 87 since 2021, currently 76.6 — a declining long-term trajectory across 56 quarterly and live scoring snapshots.
What's Driving VRTX's Business? Latest 10-Q Breakdown
AI-extracted from VERTEX PHARMACEUTICALS INC / MA's 10-Q filed 2026-05-05 — Q1 2026 (quarter ended March 31, 2026). Every figure is machine-verified against the filing text on SEC EDGAR.
Vertex Q1 2026 net product revenues grew 8% YoY to $2.99B, driven by TRIKAFTA, ALYFTREK, CASGEVY and JOURNAVX, with net income of $1.03B up 60% YoY.
Biggest Revenue Drivers
Total revenue: $2,986.9M+8% YoY
Continued performance of CF therapies; TRIKAFTA/KAFTRIO revenue of $2,354.7M down 7% but offset by ALYFTREK growth of 687% to $424.4M.
Sickle cell disease and beta thalassemia; secured pricing agreement in Germany and pediatric submission in U.S.
Acute pain product launched March 2025; over 350,000 prescriptions filled in Q1 2026; new Medicare Part D coverage agreement effective May 1.
Largest Expense Items
Investment in pipeline including cell and genetic therapy; development expenses of $756.6M reflect mid- and late-stage programs for povetacicept, T1D, peripheral neuropathic pain and AMKD.
Increased internal headcount and commercial investment to support JOURNAVX and povetacicept in IgAN.
Cost as percentage of net product revenues 13.2% in both Q1 2026 and Q1 2025; third-party royalties on CF products offset by product mix changes.
Watch Items from the Filing
- ALYFTREK royalty dispute: Royalty Pharma initiated arbitration October 2025 claiming royalty burden on ALYFTREK is ~8% versus Vertex's position of 4%; total ALYFTREK net sales to date $1.3B; outcome could materially impact future margins.
- New product launches gaining momentum: JOURNAVX filled >350k prescriptions in Q1 2026 post-launch (March 2025); CASGEVY revenues up 202% YoY to $42.9M; povetacicept BLA submitted March 2026 for IgAN with expedited 6-month FDA review timeline.
- Strong cash position and deployment: Cash, equivalents and marketable securities increased to $13.0B as of March 31 2026 from $12.3B at year-end; $3.0B remaining on May 2025 authorized share repurchase program.
AI-extracted and verified against SEC EDGAR filing text. Not investment advice.
Revenue
Q1 2026
$3.0B
Net Income
Q1 2026
$1.0B
Free Cash Flow
Q1 2026
$1.3B
Operating Margin
Q1 2026
38.1%
Revenue & Net Income
Earnings Per Share
Key Financials Over Time
Export Financial Table · Pro+Revenue
+8.9% YoYNet Income
+838.1% YoYOperating Income
+1891.9% YoYEPS (Diluted)
+836.5% YoYTotal Assets
+13.8% YoYOp. Cash Flow
+837.2% YoY| Metric | FY 2025 | FY 2024 | FY 2023 | FY 2022 | FY 2021 | FY 2019 |
|---|---|---|---|---|---|---|
| Revenue | $12.00B +8.9% | $11.02B +11.7% | $9.87B +10.5% | $8.93B +17.9% | $7.57B +82.0% | $4.16B |
| Net Income | $3.95B +838.1% | $-535.6M -114.8% | $3.62B +9.0% | $3.32B +41.8% | $2.34B +99.0% | $1.18B |
| Operating Income | $4.17B +1891.9% | $-232.9M -106.1% | $3.83B -11.0% | $4.31B +54.8% | $2.78B +132.3% | $1.20B |
| EPS (Diluted) | $15.32 +836.5% | $-2.08 -115.0% | $13.89 +8.3% | $12.82 +42.3% | $9.01 +99.8% | $4.51 |
| Total Assets | $25.64B +13.8% | $22.53B -0.9% | $22.73B +25.2% | $18.15B +35.1% | $13.43B +61.5% | $8.32B |
| Operating Cash Flow | $3.63B +837.2% | $-492.6M -113.9% | $3.54B -14.3% | $4.13B +56.2% | $2.64B +68.5% | $1.57B |
AI Insight: VRTX Financial Trends
Revenue growth momentum accelerated through 2025 but Q1 2026 showed first sequential decline in over a year.
• Revenue grew from $2,646M in Q2 2024 to $3,190M in Q4 2025, representing 20.6% growth over six quarters.
• Operating income turned positive after Q2 2024's -$3,515M loss, stabilizing around $1,100M-$1,200M range through 2025.
• Equity strengthened consistently from $14,775M in Q2 2024 to $19,362M in Q1 2026.
⚠ Revenue declined 6.4% sequentially in Q1 2026 to $2,987M after four consecutive quarters of growth.
⚠ Operating cash flow remains volatile, dropping to $498M in Q4 2025 before rebounding to $1,428M in Q1 2026.
AI Insight: VRTX Ratio Trends
Vertex shows strong profitability recovery from Q2 2024 lows, with operating margins stabilizing above 37% through Q1 2026.
• Operating margin rebounded from -132.8% in Q2 2024 to 38.1% in Q1 2026, indicating strong operational recovery.
• ROE recovered from -97.3% in Q2 2024 to 21.3% in Q1 2026, though below the 25%+ levels seen in Q2-Q4 2025.
• ROIC stabilized around 23-27% range after bottoming at -95.2% in Q2 2024, demonstrating improved capital efficiency.
⚠ ROE declined from 25.5% in Q4 2025 to 21.3% in Q1 2026, breaking four-quarter improvement streak.
⚠ Net profit margin dipped from 37.3% in Q4 2025 to 34.5% in Q1 2026, suggesting potential margin pressure.
Get alerted when VRTX's score changes
Free account: watchlist tracking, the daily AI brief, and the AI screener.
Available Research
13F Pro tracks comprehensive data for VERTEX PHARMACEUTICALS INC / MA including:
Top Institutional Holders of VRTX
Capital World Investors
$11.3B25,368,124 shBlackRock, Inc.
$10.7B23,969,517 shCapital Research Global Investors
$9.4B21,125,964 shVANGUARD CAPITAL MANAGEMENT LLC
$7.4B16,512,810 shSTATE STREET CORP
$5.2B11,730,139 shGEODE CAPITAL MANAGEMENT, LLC
$2.7B6,139,621 shVANGUARD PORTFOLIO MANAGEMENT LLC
$2.3B5,145,609 shCapital International Investors
$2.3B5,126,077 shLOOMIS SAYLES & CO L P
$1.8B4,003,821 shALLIANCEBERNSTEIN L.P.
$1.8B3,910,786 sh
| Fund | Value | Shares |
|---|---|---|
| Capital World Investors | $11.3B | 25,368,124 |
| BlackRock, Inc. | $10.7B | 23,969,517 |
| Capital Research Global Investors | $9.4B | 21,125,964 |
| VANGUARD CAPITAL MANAGEMENT LLC | $7.4B | 16,512,810 |
| STATE STREET CORP | $5.2B | 11,730,139 |
| GEODE CAPITAL MANAGEMENT, LLC | $2.7B | 6,139,621 |
| VANGUARD PORTFOLIO MANAGEMENT LLC | $2.3B | 5,145,609 |
| Capital International Investors | $2.3B | 5,126,077 |
| LOOMIS SAYLES & CO L P | $1.8B | 4,003,821 |
| ALLIANCEBERNSTEIN L.P. | $1.8B | 3,910,786 |
More Healthcare Companies
View all Healthcare →Put VRTX on your watchlist
Track score changes the day VERTEX PHARMACEUTICALS INC / MA files with the SEC, follow the hedge funds that own it, screen 2,800+ AI-scored stocks, and get the daily brief — free.
Free tier includes 13F data, economic indicators, and market overview. Pro starts at $6.67/mo (billed annually).
Popular Research
Is VRTX a good stock to buy?
13F Pro's AI-powered analysis of VERTEX PHARMACEUTICALS INC / MA (VRTX) draws on SEC EDGAR-sourced fundamentals, institutional 13F holdings, and insider Form 4 transactions in the Healthcare sector (listed on Nasdaq). The 32-signal AI Quality Score, current rank, and full bull/bear verdict for VRTX are available on the VRTX stock profile dashboard — with the same data, AI insights, ratios, and institutional activity refreshed after every 10-K, 10-Q, 13F, and Form 4 filing.
Which hedge funds own VRTX?
Institutional investors are required to disclose their holdings quarterly via SEC Form 13F. 13F Pro aggregates these filings to show which hedge funds, mutual funds, and asset managers are buying or selling VRTX. Combined with insider transaction data from Form 4 filings and AI-powered analysis from 10 specialized research agents, 13F Pro provides a comprehensive view of VERTEX PHARMACEUTICALS INC / MA's investment landscape.