Biotechnology
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5 / 10Stock Comparison
TERN vs MDGL vs AKRO vs HIMS vs ELVN
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
Biotechnology
Medical - Equipment & Services
Biotechnology
TERN vs MDGL vs AKRO vs HIMS vs ELVN — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Biotechnology | Biotechnology | Biotechnology | Medical - Equipment & Services | Biotechnology |
| Market Cap | $4.63B | $12.27B | $4.50B | $6.63B | $2.39B |
| Revenue (TTM) | $0.00 | $1.13B | $0.00 | $2.35B | $0.00 |
| Net Income (TTM) | $-94M | $-309M | $-293M | $128M | $-104M |
| Gross Margin | — | 93.1% | — | 69.7% | — |
| Operating Margin | — | -27.7% | — | 4.6% | — |
| Forward P/E | — | — | — | 51.5x | — |
| Total Debt | $1M | $354M | $36M | $1.12B | $0.00 |
| Cash & Equiv. | $161M | $199M | $340M | $229M | $99M |
TERN vs MDGL vs AKRO vs HIMS vs ELVN — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Feb 21 | May 26 | Return |
|---|---|---|---|
| Terns Pharmaceutica… (TERN) | 100 | 233.8 | +133.8% |
| Madrigal Pharmaceut… (MDGL) | 100 | 426.9 | +326.9% |
| Akero Therapeutics,… (AKRO) | 100 | 178.8 | +78.8% |
| Hims & Hers Health,… (HIMS) | 100 | 186.5 | +86.5% |
| Enliven Therapeutic… (ELVN) | 100 | 81.9 | -18.1% |
Price return only. Dividends and distributions are not included.
Quick Verdict: TERN vs MDGL vs AKRO vs HIMS vs ELVN
Each card shows where this stock fits in a portfolio — not just who wins on paper.
TERN is the #2 pick in this set and the best alternative if sleep-well-at-night is your priority.
- Lower volatility, beta 0.39, Low D/E 0.4%, current ratio 23.14x
- +16.5% vs HIMS's -51.0%
MDGL ranks third and is worth considering specifically for growth exposure and long-term compounding.
- Rev growth 432.1%, EPS growth 41.3%
- 39.2% 10Y total return vs TERN's 187.9%
- 432.1% revenue growth vs AKRO's -24.6%
AKRO is the clearest fit if your priority is income & stability and defensive.
- beta 0.35
- Beta 0.35, current ratio 19.38x
- Beta 0.35 vs HIMS's 2.40, lower leverage
HIMS carries the broadest edge in this set and is the clearest fit for quality and efficiency.
- 5.5% margin vs MDGL's -27.3%
- 6.0% ROA vs AKRO's -29.1%, ROIC 10.7% vs -55.3%
Among these 5 stocks, ELVN doesn't own a clear edge in any measured category.
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 432.1% revenue growth vs AKRO's -24.6% | |
| Quality / Margins | 5.5% margin vs MDGL's -27.3% | |
| Stability / Safety | Beta 0.35 vs HIMS's 2.40, lower leverage | |
| Dividends | Tie | None of these 5 stocks pay a meaningful dividend |
| Momentum (1Y) | +16.5% vs HIMS's -51.0% | |
| Efficiency (ROA) | 6.0% ROA vs AKRO's -29.1%, ROIC 10.7% vs -55.3% |
TERN vs MDGL vs AKRO vs HIMS vs ELVN — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
Segment breakdown not available.
Segment breakdown not available.
Segment breakdown not available.
TERN vs MDGL vs AKRO vs HIMS vs ELVN — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
HIMS leads in 2 of 6 categories
TERN leads 1 • MDGL leads 0 • AKRO leads 0 • ELVN leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
HIMS leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
HIMS and ELVN operate at a comparable scale, with $2.3B and $0 in trailing revenue. HIMS is the more profitable business, keeping 5.5% of every revenue dollar as net income compared to MDGL's -27.3%. On growth, MDGL holds the edge at +126.8% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $0 | $1.1B | $0 | $2.3B | $0 |
| EBITDAEarnings before interest/tax | -$108M | -$312M | -$318M | $164M | -$119M |
| Net IncomeAfter-tax profit | -$94M | -$309M | -$293M | $128M | -$104M |
| Free Cash FlowCash after capex | -$78M | -$272M | -$250M | $73M | -$70M |
| Gross MarginGross profit ÷ Revenue | — | +93.1% | — | +69.7% | — |
| Operating MarginEBIT ÷ Revenue | — | -27.7% | — | +4.6% | — |
| Net MarginNet income ÷ Revenue | — | -27.3% | — | +5.5% | — |
| FCF MarginFCF ÷ Revenue | — | -24.1% | — | +3.1% | — |
| Rev. Growth (YoY)Latest quarter vs prior year | — | +126.8% | — | +28.4% | — |
| EPS Growth (YoY)Latest quarter vs prior year | +3.6% | +2.1% | +5.7% | -27.3% | +2.2% |
Valuation Metrics
Evenly matched — TERN and AKRO and HIMS each lead in 1 of 3 comparable metrics.
Valuation Metrics
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $4.6B | $12.3B | $4.5B | $6.6B | $2.4B |
| Enterprise ValueMkt cap + debt − cash | $4.5B | $12.4B | $4.2B | $7.5B | $2.3B |
| Trailing P/EPrice ÷ TTM EPS | -47.28x | -41.62x | -14.57x | 50.32x | -22.02x |
| Forward P/EPrice ÷ next-FY EPS est. | — | — | — | 51.51x | — |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | — | — |
| EV / EBITDAEnterprise value multiple | — | — | — | 42.68x | — |
| Price / SalesMarket cap ÷ Revenue | — | 12.80x | — | 2.82x | — |
| Price / BookPrice ÷ Book value/share | 12.17x | 19.91x | 4.89x | 12.25x | 4.97x |
| Price / FCFMarket cap ÷ FCF | — | — | — | 89.61x | — |
Profitability & Efficiency
HIMS leads this category, winning 5 of 9 comparable metrics.
Profitability & Efficiency
HIMS delivers a 23.7% return on equity — every $100 of shareholder capital generates $24 in annual profit, vs $-50 for MDGL. TERN carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to HIMS's 2.07x. On the Piotroski fundamental quality scale (0–9), HIMS scores 4/9 vs AKRO's 2/9, reflecting mixed financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | -30.0% | -50.2% | -30.6% | +23.7% | -24.2% |
| ROA (TTM)Return on assets | -28.5% | -25.4% | -29.1% | +6.0% | -23.4% |
| ROICReturn on invested capital | -42.2% | -29.4% | -55.3% | +10.7% | -32.8% |
| ROCEReturn on capital employed | -33.7% | -32.9% | -42.4% | +10.9% | -31.1% |
| Piotroski ScoreFundamental quality 0–9 | 3 | 3 | 2 | 4 | 3 |
| Debt / EquityFinancial leverage | 0.00x | 0.59x | 0.05x | 2.07x | — |
| Net DebtTotal debt minus cash | -$160M | $156M | -$304M | $892M | -$99M |
| Cash & Equiv.Liquid assets | $161M | $199M | $340M | $229M | $99M |
| Total DebtShort + long-term debt | $1M | $354M | $36M | $1.1B | $0 |
| Interest CoverageEBIT ÷ Interest expense | — | -17.51x | -62.41x | — | — |
Total Returns (Dividends Reinvested)
TERN leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in MDGL five years ago would be worth $41,011 today (with dividends reinvested), compared to $13,893 for ELVN. Over the past 12 months, TERN leads with a +1647.5% total return vs HIMS's -51.0%. The 3-year compound annual growth rate (CAGR) favors TERN at 59.1% vs AKRO's 6.3% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | +32.0% | -9.9% | — | -23.2% | +159.3% |
| 1-Year ReturnPast 12 months | +1647.5% | +79.0% | +27.7% | -51.0% | +120.5% |
| 3-Year ReturnCumulative with dividends | +302.7% | +73.2% | +20.1% | +116.6% | +110.5% |
| 5-Year ReturnCumulative with dividends | +218.6% | +310.1% | +100.0% | +137.6% | +38.9% |
| 10-Year ReturnCumulative with dividends | +187.9% | +3921.5% | +198.3% | +161.9% | -32.9% |
| CAGR (3Y)Annualised 3-year return | +59.1% | +20.1% | +6.3% | +29.4% | +28.2% |
Risk & Volatility
Evenly matched — TERN and AKRO each lead in 1 of 2 comparable metrics.
Risk & Volatility
AKRO is the less volatile stock with a 0.35 beta — it tends to amplify market swings less than HIMS's 2.40 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. TERN currently trades 99.6% from its 52-week high vs HIMS's 36.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.39x | 0.57x | 0.35x | 2.40x | 1.27x |
| 52-Week HighHighest price in past year | $53.18 | $615.00 | $57.35 | $70.43 | $48.50 |
| 52-Week LowLowest price in past year | $2.66 | $265.00 | $37.28 | $13.74 | $14.79 |
| % of 52W HighCurrent price vs 52-week peak | +99.6% | +87.0% | +95.3% | +36.4% | +83.1% |
| RSI (14)Momentum oscillator 0–100 | 74.2 | 61.2 | 70.4 | 54.5 | 49.7 |
| Avg Volume (50D)Average daily shares traded | 6.7M | 310K | 0 | 34.9M | 1.1M |
Analyst Outlook
Insufficient data to determine a leader in this category.
Analyst Outlook
Analyst consensus: TERN as "Buy", MDGL as "Buy", AKRO as "Buy", HIMS as "Hold", ELVN as "Buy". Consensus price targets imply 31.9% upside for MDGL (target: $706) vs -11.4% for AKRO (target: $48).
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Hold | Buy |
| Price TargetConsensus 12-month target | $55.56 | $705.67 | $48.40 | $29.67 | $43.33 |
| # AnalystsCovering analysts | 16 | 23 | 14 | 19 | 6 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — | — |
| Dividend StreakConsecutive years of raises | — | 1 | — | — | — |
| Dividend / ShareAnnual DPS | — | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | 0.0% | 0.0% | +1.4% | +0.0% |
HIMS leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TERN leads in 1 (Total Returns). 2 tied.
TERN vs MDGL vs AKRO vs HIMS vs ELVN: Key Questions Answered
9 questions · data-driven answers · updated daily
01Is TERN or MDGL or AKRO or HIMS or ELVN a better buy right now?
For growth investors, Madrigal Pharmaceuticals, Inc.
(MDGL) is the stronger pick with 432. 1% revenue growth year-over-year, versus 59. 0% for Hims & Hers Health, Inc. (HIMS). Hims & Hers Health, Inc. (HIMS) offers the better valuation at 50. 3x trailing P/E (51. 5x forward), making it the more compelling value choice. Analysts rate Terns Pharmaceuticals, Inc. (TERN) a "Buy" — based on 16 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which is the better long-term investment — TERN or MDGL or AKRO or HIMS or ELVN?
Over the past 5 years, Madrigal Pharmaceuticals, Inc.
(MDGL) delivered a total return of +310. 1%, compared to +38. 9% for Enliven Therapeutics, Inc. (ELVN). Over 10 years, the gap is even starker: MDGL returned +39. 2% versus ELVN's -32. 9%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
03Which is safer — TERN or MDGL or AKRO or HIMS or ELVN?
By beta (market sensitivity over 5 years), Akero Therapeutics, Inc.
(AKRO) is the lower-risk stock at 0. 35β versus Hims & Hers Health, Inc. 's 2. 40β — meaning HIMS is approximately 589% more volatile than AKRO relative to the S&P 500. On balance sheet safety, Terns Pharmaceuticals, Inc. (TERN) carries a lower debt/equity ratio of 0% versus 2% for Hims & Hers Health, Inc. — giving it more financial flexibility in a downturn.
04Which is growing faster — TERN or MDGL or AKRO or HIMS or ELVN?
By revenue growth (latest reported year), Madrigal Pharmaceuticals, Inc.
(MDGL) is pulling ahead at 432. 1% versus 59. 0% for Hims & Hers Health, Inc. (HIMS). On earnings-per-share growth, the picture is similar: Madrigal Pharmaceuticals, Inc. grew EPS 41. 3% year-over-year, compared to -29. 8% for Akero Therapeutics, Inc.. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
05Which has better profit margins — TERN or MDGL or AKRO or HIMS or ELVN?
Hims & Hers Health, Inc.
(HIMS) is the more profitable company, earning 5. 5% net margin versus -30. 1% for Madrigal Pharmaceuticals, Inc. — meaning it keeps 5. 5% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HIMS leads at 5. 2% versus -31. 3% for MDGL. At the gross margin level — before operating expenses — MDGL leads at 94. 1%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
06Is TERN or MDGL or AKRO or HIMS or ELVN more undervalued right now?
Analyst consensus price targets imply the most upside for MDGL: 31.
9% to $705. 67.
07Which pays a better dividend — TERN or MDGL or AKRO or HIMS or ELVN?
None of the stocks in this comparison currently pay a material dividend.
All are effectively zero-yield and should be held for capital appreciation rather than income.
08Is TERN or MDGL or AKRO or HIMS or ELVN better for a retirement portfolio?
For long-horizon retirement investors, Akero Therapeutics, Inc.
(AKRO) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 35), +198. 3% 10Y return). Hims & Hers Health, Inc. (HIMS) carries a higher beta of 2. 40 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (AKRO: +198. 3%, HIMS: +161. 9%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
09What are the main differences between TERN and MDGL and AKRO and HIMS and ELVN?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: TERN is a small-cap quality compounder stock; MDGL is a mid-cap high-growth stock; AKRO is a small-cap quality compounder stock; HIMS is a small-cap high-growth stock; ELVN is a small-cap quality compounder stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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