In today’s fast-paced healthcare market, AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD) stand out as key players in the biopharmaceutical sector. Both companies share a focus on innovative drug development, addressing critical health needs across oncology, infectious diseases, and more. Their competitive landscapes and diverging strategies make them compelling subjects for comparison. Join me as we delve into the strengths and potentials of these two titans to determine which may be the more promising investment for your portfolio.

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Company Overview

AstraZeneca PLC Overview

AstraZeneca PLC, headquartered in Cambridge, UK, is a leading biopharmaceutical company that emphasizes the discovery, development, manufacture, and commercialization of innovative prescription medicines. With a strong focus on areas such as oncology, cardiovascular, renal, and metabolic diseases, AstraZeneca has established a diverse portfolio of products, including Tagrisso and Imfinzi. The company has also expanded its market presence with vaccines and treatments for COVID-19 and rare diseases. AstraZeneca’s commitment to partnerships, including collaborations in AI-driven drug discovery, positions it as a forward-thinking organization in the healthcare sector.

Gilead Sciences, Inc. Overview

Gilead Sciences, Inc., based in Foster City, California, is a prominent biopharmaceutical firm specializing in the discovery, development, and commercialization of medicines addressing unmet medical needs globally. The company’s product range includes treatments for HIV/AIDS, liver diseases, and various cancers, with notable therapies such as Biktarvy and Veklury. Gilead’s strategic collaborations with other biopharmaceutical entities enhance its research capabilities and product offerings, consistently aiming to improve patient outcomes in critical therapeutic areas.

Key similarities between AstraZeneca and Gilead include their focus on innovative drug development and a commitment to addressing significant healthcare challenges. However, their business models differ slightly; AstraZeneca emphasizes a broader therapeutic range, while Gilead is more specialized in antiviral and oncology treatments.

Income Statement Comparison

The following table presents a comparison of the latest income statements for AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD), highlighting key financial metrics for the most recent fiscal year.

MetricAstraZeneca PLC (AZN)Gilead Sciences, Inc. (GILD)
Revenue54.1B28.8B
EBITDA15.4B4.4B
EBIT10.4B1.7B
Net Income7.0B0.5B
EPS1.140.38

Interpretation of Income Statement

In 2024, AstraZeneca reported a notable revenue increase to 54.1B, up from 45.8B in 2023, reflecting a robust demand for its products. Gilead also saw growth, with revenue rising to 28.8B from 27.1B. However, Gilead’s net income of 0.5B indicates a significant decline compared to 5.7B in 2023, primarily due to increased operational costs. Meanwhile, AstraZeneca maintained healthy margins, with EBIT and EBITDA margins remaining stable. Gilead’s declining net income signals potential operational inefficiencies or increased competition, warranting caution for investors considering exposure to these stocks.

Financial Ratios Comparison

In this section, I present a comparative analysis of key financial metrics for AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD) based on the most recent data available.

MetricAstraZeneca PLC (AZN)Gilead Sciences, Inc. (GILD)
ROE13.01%2.89%
ROIC16.18%8.61%
P/E28.8717.85
P/B4.984.43
Current Ratio0.931.60
Quick Ratio0.741.45
D/E0.741.09
Debt-to-Assets28.95%40.22%
Interest Coverage5.951.70
Asset Turnover0.520.44
Fixed Asset Turnover4.645.31
Payout ratio65.80%67.24%
Dividend yield2.28%3.77%

Interpretation of Financial Ratios

AstraZeneca shows stronger returns on equity (ROE) and invested capital (ROIC), indicating effective management of resources compared to Gilead. However, Gilead has a higher current ratio, suggesting better liquidity. AstraZeneca’s higher debt-to-assets ratio raises concerns about financial leverage, while Gilead’s interest coverage ratio is significantly lower, indicating potential risks in meeting debt obligations. Overall, both companies have solid fundamentals, but AstraZeneca’s growth metrics are more compelling.

Dividend and Shareholder Returns

AstraZeneca PLC (AZN) offers a dividend yield of 2.28% with a payout ratio close to 66%. This indicates a balanced approach to returning value while still investing in growth. Gilead Sciences, Inc. (GILD), on the other hand, provides a higher yield of 3.77% but has a payout ratio of 67%, suggesting a sustainable dividend strategy. Both companies also engage in share buybacks, enhancing shareholder value. Overall, their distributions support long-term value creation, balancing returns with growth initiatives.

Strategic Positioning

AstraZeneca PLC (AZN) holds a significant market share in oncology and respiratory therapies, positioning itself strongly against competitors like Gilead Sciences, Inc. (GILD). While AZN’s market cap stands at approximately $276B, GILD trails with around $155B. Both face competitive pressures from emerging biopharmaceuticals and technological disruptions, particularly in AI-driven drug development. As they innovate, maintaining a focus on unmet medical needs will be crucial for sustaining growth and market relevance.

Stock Comparison

In this section, I will analyze the stock price movements of AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD) over the past year, highlighting key dynamics in their trading performance.

stock price comparison

Trend Analysis

AstraZeneca PLC (AZN) has experienced a price increase of 34.41% over the past year. The stock is currently in a bullish trend, with notable acceleration, as indicated by a standard deviation of 6.46. The highest price reached during this period was 89.1, while the lowest was 62.26. Recently, from August 31, 2025, to November 16, 2025, AZN recorded a price change of 11.51%, further reinforcing its bullish outlook.

Gilead Sciences, Inc. (GILD) has shown an even stronger performance, with a remarkable price increase of 56.94% over the same time frame. This stock is also classified as bullish, with acceleration noted and a standard deviation of 18.13. The highest price for GILD was 125.02, and the lowest was 64.27. From August 31, 2025, to November 16, 2025, GILD realized a 10.67% price change, confirming its bullish trend.

Both stocks exhibit significant upward trends, which could be appealing for investors looking for growth opportunities. However, I advise paying attention to the overall market conditions and individual stock volatility to manage risks effectively.

Analyst Opinions

Recent analyst recommendations highlight a split sentiment for two key players in the pharmaceutical sector. For AstraZeneca PLC (AZN), analysts rate it at B+, suggesting a cautious hold due to a strong return on equity and assets, but lower scores in price-to-earnings metrics. Gilead Sciences, Inc. (GILD) receives a stronger A- rating, indicating a buy consensus, driven by robust cash flow and equity performance. Overall, the consensus for GILD is a buy, while AZN leans towards a hold for the current year.

Stock Grades

In the current market, I have compiled the latest stock ratings from reputable grading companies for AstraZeneca PLC and Gilead Sciences, Inc.

AstraZeneca PLC Grades

Grading CompanyActionNew GradeDate
UBSupgradeBuy2025-02-13
UBSupgradeNeutral2024-11-20
Erste GroupupgradeBuy2024-09-11
TD CowenmaintainBuy2024-08-12
Argus ResearchmaintainBuy2024-05-30
BMO CapitalmaintainOutperform2024-04-26
Deutsche BankupgradeHold2024-04-16
BMO CapitalmaintainOutperform2024-02-12
Deutsche BankdowngradeHold2024-02-08
JefferiesdowngradeHold2024-01-03

Gilead Sciences, Inc. Grades

Grading CompanyActionNew GradeDate
NeedhammaintainBuy2025-11-13
Truist SecuritiesmaintainBuy2025-11-03
JP MorganmaintainOverweight2025-10-31
Cantor FitzgeraldmaintainOverweight2025-10-31
RBC CapitalmaintainSector Perform2025-10-31
NeedhammaintainBuy2025-10-31
Wells FargomaintainOverweight2025-10-31
TD CowenmaintainBuy2025-10-23
CitigroupmaintainBuy2025-10-08
JP MorganmaintainOverweight2025-09-16

Overall, AstraZeneca has seen a positive shift in grades, moving from sell and hold ratings to more favorable buy recommendations. Gilead, on the other hand, has maintained a strong position with consistent buy and overweight ratings, indicating robust investor confidence.

Target Prices

The current consensus target prices for AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD) indicate bullish expectations from analysts.

CompanyTarget HighTarget LowConsensus
AstraZeneca PLC979797
Gilead Sciences, Inc.147105127

For AstraZeneca, analysts project a target price of 97, aligning precisely with its current price of 89.1. In contrast, Gilead’s consensus of 127 suggests a potential upside compared to its current price of 125.02, reflecting positive market sentiment.

Strengths and Weaknesses

Here is a comparative analysis of the strengths and weaknesses of AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD).

CriterionAstraZeneca (AZN)Gilead Sciences (GILD)
DiversificationHigh (broad product range across various therapeutic areas)Moderate (focus on HIV, oncology, and liver diseases)
ProfitabilityStrong (net profit margin ~13%)Moderate (net profit margin ~17%)
InnovationHigh (investment in R&D, strong pipeline)Moderate (steady product launches)
Global presenceExtensive (operations in multiple continents)Strong (international operations, but slightly less global reach)
Market ShareSignificant (leading position in multiple markets)Strong (notable in HIV and oncology)
Debt levelModerate (debt to equity ratio ~0.73)High (debt to equity ratio ~1.38)

Key takeaways: AstraZeneca shows strong diversification and innovation, while Gilead excels in profitability but carries a higher debt load. Both companies hold significant market positions, but their strategies and financial structures differ considerably.

Risk Analysis

The table below outlines key risks associated with AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD) as of the most recent fiscal year.

MetricAstraZeneca PLC (AZN)Gilead Sciences, Inc. (GILD)
Market RiskHighModerate
Regulatory RiskModerateHigh
Operational RiskModerateModerate
Environmental RiskLowModerate
Geopolitical RiskModerateHigh

In synthesizing the risks, I note that both companies face substantial regulatory and geopolitical risks, especially given the evolving landscape of healthcare regulations and international relations. AstraZeneca’s low environmental risk contrasts with Gilead’s moderate exposure, indicating differences in operational impact.

Which one to choose?

When comparing AstraZeneca PLC (AZN) and Gilead Sciences, Inc. (GILD), GILD shows a stronger overall performance with a higher analyst rating of A- compared to AZN’s B+. In terms of profitability, GILD’s net profit margin is significantly higher at 20.89% versus AZN’s 13.01%, reflecting better operational efficiency. GILD also exhibits a solid trend with a price change of 56.94% over the last year, compared to AZN’s 34.41%. However, AZN has a more favorable debt-to-equity ratio, indicating lower financial risk.

For growth-focused investors, GILD appears favorable, while those prioritizing stability may consider AZN due to its lower debt levels. Each company faces risks such as competition in the pharmaceutical industry and dependency on market conditions.

Disclaimer: This article is not financial advice. Each investor is responsible for their own investment decisions.

Go further

I encourage you to read the complete analyses of AstraZeneca PLC and Gilead Sciences, Inc. to enhance your investment decisions: