Biotech Value-Chain Screen

Biotech Universe

Each name scored against its own layer of true peers. Commercial names score on full fundamentals; pre-revenue clinical names score on trend, analysts and roster only. A long-term entry tool, not a trading signal.

Last updated
Jun 12, 2026
Live · FMP · benchmark XBI
The Biotech Space · 2026-06-12
Close the underweight through quality names; keep the all-or-nothing clinical bets smallThe healthcare rotation is firming — multiple independent sources

Our clinical read is anchored to Peter Mantas (gene-therapy and rare-disease specialist): catalyst-driven names like uniQure (Huntington's disease program) and ClearPoint Neuro, where the swing factor is FDA approval pathways rather than the science itself. The bigger story is the sector rotation, which now has a third independent angle: Jordi Visser frames Eli Lilly's weight-loss-drug cash flows as what finances the next generation of biology-focused AI — making healthcare an application of the AI boom, not a defensive hiding place. Healthcare remains the most under-owned major sector (its S&P weight fell from ~16% to ~8%) and the XLV healthcare fund is leading the market above its trend lines. The offset: rates staying higher hurts companies whose profits are years away, so for any pre-revenue clinical name, survival math — cash runway and share dilution — gates everything.

Voices: Peter Mantas (gene therapy / rare disease — the clinical anchor), Larry McDonald (healthcare as the most under-owned sector), Jordi Visser (the Eli Lilly / AI-financing frame), Patrick Ceresna (options strategist — the collar structure)
Dissent: Higher-for-longer rates are a steady headwind for long-duration clinical names — the reason position size stays small and survival math comes first.
Changes my mind: XLV losing its trend lines ends the rotation case; ISRG closing below ~$396-398 invalidates that specific entry.
Last change: 2026-06-12 — Visser's Eli Lilly angle added as the third independent leg of the rotation case
How to read this page

Every company is scored only against its true peer group on four axes — Value (price vs earnings), Quality (profitability, debt), Trend (price momentum), Analysts (Wall Street view). Green letters = strong vs peers, red = weak. SCREEN+ means top of its peer group and SCREEN− bottom — these are research rankings that flag where to look next, not buy or sell orders. Click any company row for a plain-English read.

Today's triage relative rankings, top and bottom of each peer cohort — candidates for the diligence checklist, not recommendations
SCREEN+ · 14
SCREEN− · 8
DIVERGENCES
none — model and roster agree
BIOTECH SPACE TEMPERATURE how extended the universe is right now — context, not in the per-name scores
cold · oversold → deploy53 · Neutralhot · extended → be selective
Backdrop: VIX 19 (calm) · Biotech (XBI) +12% vs 200-day (risk-on) · 55% of biotech names above their 200-day MA
LARGE PHARMA & COMMERCIAL profitable, commercial-stage pharma · 7 names · click a row for the read
#NameScreenScoreAxes V·Q·T·ARosterPriceValuation
1 IRWD SCREEN+ +0.91 VQTA · $3.64 +0.3% Fwd P/E 3×
5× EBITDA · +19% FCF · 2.7× sales
Screen+ (top of cohort): cheap vs peers, average quality, on an attractive pullback, analysts cautious — top of its layer.
Quality ROIC 30% ND/EBITDA 1.8 · Trend 200d +13% · 52w 63% · RS1y +200% · Analysts upside +32% · rating +0.27
2 CYTK SCREEN+ +0.58 VQTA · $70.45 +1.7% 20 mo runway · 10.0x cash
$-402M net cash · +7% shares
Screen+ (clinical): mid-trend. Catalyst-driven and binary, size small.
Runway 20mo · EV/cash 10.0x · Dilution +7% · Analysts +42%
3 INCY SCREEN+ +0.56 VQTA · $107.96 +0.1% Fwd P/E 12×
10× EBITDA · +7% FCF · 3.4× sales
Screen+ (top of cohort): cheap vs peers, average quality, mid-trend, analysts cautious.
Quality ROIC 20% ND/EBITDA -1.8 · Trend 200d +12% · 52w 94% · RS1y -3% · Analysts upside +2% · rating +0.48
4 IONS SCREEN+ +0.51 VQTA · $73.84 +0.0% 100 mo runway · 4.4x cash
$+63M net cash · +7% shares
Screen+ (clinical): on a pullback. Catalyst-driven and binary, size small.
Runway 100mo · EV/cash 4.4x · Dilution +7% · Analysts +45%
5 ALNY SCREEN+ +0.51 VQTA · $286.61 -1.0% Fwd P/E 27×
62× EBITDA · +2% FCF · 8.8× sales
Screen+ (top of cohort): expensive vs peers, high quality, on an attractive pullback, analysts bullish.
Quality ROIC 20% ND/EBITDA -0.7 · Trend 200d -24% · 52w 1% · RS1y -65% · Analysts upside +55% · rating +0.73
6 LLY SCREEN− -1.17 VQTA · $1,149 -1.0% Fwd P/E 26×
34× EBITDA · +1% FCF · 15.5× sales
Screen− (bottom of cohort): expensive vs peers, average quality, extended or lagging.
Quality ROIC 32% ND/EBITDA 1.1 · Trend 200d +20% · 52w 98% · RS1y -18% · Analysts upside +10% · rating +0.67
7 HIMS SCREEN− -1.90 VQTA · $27.78 -3.8% Fwd P/E 59×
71× EBITDA · +1% FCF · 3.0× sales
Screen− (bottom of cohort): fairly valued, weak quality, on an attractive pullback, analysts cautious.
Quality ROIC 1% ND/EBITDA 9.1 · Trend 200d -17% · 52w 26% · RS1y -111% · Analysts upside -3% · rating +0.35
TOOLS, DX & DEVICES life-science tools, diagnostics & devices · 9 names · click a row for the read
#NameScreenScoreAxes V·Q·T·ARosterPriceValuation
1 TEM SCREEN+ +1.48 VQTA · $49.37 -0.5% 38 mo runway · 11.5x cash
$-61M net cash · +7% shares
Screen+ (clinical): pipeline fairly priced, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 38mo · EV/cash 11.5x · Dilution +7% · Analysts +50%
2 ILMN SCREEN+ +1.13 VQTA · $162.19 -2.4% Fwd P/E 27×
18× EBITDA · +4% FCF · 5.9× sales
Screen+ (top of cohort): cheap vs peers, average quality, mid-trend, analysts cautious.
Quality ROIC 14% ND/EBITDA 1.0 · Trend 200d +29% · 52w 90% · RS1y +25% · Analysts upside -7% · rating +0.42
3 GRAL SCREEN+ +0.71 VQTA · $60.31 +0.2% 36 mo runway · 1.6x cash
$+806M net cash · +15% shares
Screen+ (clinical): pipeline cheap vs peers, funding-stretched, mid-trend. Catalyst-driven and binary, size small.
Runway 36mo · EV/cash 1.6x · Dilution +15% · Analysts +22%
4 ISRG SCREEN+ +0.56 VQTA · $405.92 -1.7% Fwd P/E 34×
38× EBITDA · +2% FCF · 13.4× sales
Screen+ (top of cohort): expensive vs peers, average quality, mid-trend.
Quality ROIC 16% ND/EBITDA -0.5 · Trend 200d -17% · 52w 2% · RS1y -80% · Analysts upside +49% · rating +0.60
5 RGEN -0.04 VQTA · $133.50 +0.1% Fwd P/E 52×
42× EBITDA · +1% FCF · 10.0× sales
Mid-cohort: expensive vs peers, average quality, mid-trend, analysts bullish.
Quality ROIC 2% ND/EBITDA 0.6 · Trend 200d -3% · 52w 44% · RS1y -58% · Analysts upside +22% · rating +0.92
6 PSNL -0.43 VQTA · $9.63 +2.3% 36 mo runway · 2.7x cash
$+208M net cash · +51% shares
Mid-cohort (clinical): pipeline cheap vs peers, funding-stretched, mid-trend. Catalyst-driven and binary, size small.
Runway 36mo · EV/cash 2.7x · Dilution +51% · Analysts +14%
7 TWST SCREEN− -0.50 VQTA · $76.44 +3.2% 37 mo runway · 19.3x cash
$+95M net cash · +3% shares
Screen− (clinical): pipeline rich vs peers, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 37mo · EV/cash 19.3x · Dilution +3% · Analysts -11%
8 AXGN SCREEN− -1.25 VQTA · $42.00 -0.8% 145 mo runway · 53.9x cash
$+16M net cash · +4% shares
Screen− (clinical): pipeline rich vs peers, well-funded, mid-trend. Catalyst-driven and binary, size small.
Runway 145mo · EV/cash 53.9x · Dilution +4% · Analysts +12%
9 TXG SCREEN− -1.65 VQTA · $29.11 +0.2% 1228× EBITDA
+3% FCF · 5.1× sales
Screen− (bottom of cohort): expensive vs peers, pre-revenue / unprofitable, mid-trend, analysts cautious.
Quality ROIC -4% ND/EBITDA -153.7 · Trend 200d +55% · 52w 81% · RS1y +116% · Analysts upside -23% · rating +0.41
GENE EDITING & CLINICAL pre-revenue clinical & platform names · 15 names · click a row for the read
#NameScreenScoreAxes V·Q·T·ARosterPriceValuation
1 CRBU SCREEN+ +1.50 VQTA · $1.71 +3.0% 15 mo runway · 0.3x cash
$+112M net cash · +3% shares
Screen+ (clinical): pipeline cheap vs peers, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 15mo · EV/cash 0.3x · Dilution +3% · Analysts +192%
2 CRSP SCREEN+ +1.10 VQTA · $50.96 +1.5% 69 mo runway · 1.5x cash
$+1581M net cash · +7% shares
Screen+ (clinical): pipeline fairly priced, well-funded, mid-trend. Catalyst-driven and binary, size small.
Runway 69mo · EV/cash 1.5x · Dilution +7% · Analysts +41%
3 RPID SCREEN+ +0.89 VQTA · $1.84 -2.1% 14 mo runway · 1.8x cash
$+14M net cash · +3% shares
Screen+ (clinical): pipeline fairly priced, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 14mo · EV/cash 1.8x · Dilution +3% · Analysts +280%
4 CRNX SCREEN+ +0.75 VQTA · $33.98 +1.3% 32 mo runway · 2.2x cash
$+979M net cash · +16% shares
Screen+ (clinical): pipeline fairly priced, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 32mo · EV/cash 2.2x · Dilution +16% · Analysts +153%
5 GHRS SCREEN+ +0.52 VQTA · $21.45 +3.8% 77 mo runway · 3.7x cash
$+280M net cash · +17% shares
Screen+ (clinical): pipeline rich vs peers, well-funded, extended or lagging. Catalyst-driven and binary, size small.
Runway 77mo · EV/cash 3.7x · Dilution +17% · Analysts +89%
6 ABCL +0.47 VQTA · $5.31 +0.8% 37 mo runway · 2.2x cash
$+391M net cash · +1% shares
Mid-cohort (clinical): pipeline fairly priced, well-funded, mid-trend. Catalyst-driven and binary, size small.
Runway 37mo · EV/cash 2.2x · Dilution +1% · Analysts +41%
7 QURE +0.35 VQTA · $27.28 +1.7% 42 mo runway · 2.4x cash
$+86M net cash · +18% shares
Mid-cohort (clinical): pipeline fairly priced, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 42mo · EV/cash 2.4x · Dilution +18% · Analysts +31%
8 NRIX +0.11 VQTA · $18.11 +6.7% 27 mo runway · 1.7x cash
$+537M net cash · +29% shares
Mid-cohort (clinical): pipeline fairly priced, funding-stretched, extended or lagging. Catalyst-driven and binary, size small.
Runway 27mo · EV/cash 1.7x · Dilution +29% · Analysts +82%
9 REPL +0.07 VQTA · $9.02 +4.6% 29 mo runway · 0.7x cash
$+408M net cash · +21% shares
Mid-cohort (clinical): pipeline cheap vs peers, adequately funded, extended or lagging. Catalyst-driven and binary, size small.
Runway 29mo · EV/cash 0.7x · Dilution +21% · Analysts +55%
10 RXRX -0.12 VQTA · $3.23 +2.7% 24 mo runway · 1.1x cash
$+665M net cash · +63% shares
Mid-cohort (clinical): pipeline cheap vs peers, funding-stretched, mid-trend. Catalyst-driven and binary, size small.
Runway 24mo · EV/cash 1.1x · Dilution +63% · Analysts +155%
11 SANA -0.15 VQTA · $2.79 +0.9% 11 mo runway · 4.7x cash
$+60M net cash · +10% shares
Mid-cohort (clinical): pipeline rich vs peers, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 11mo · EV/cash 4.7x · Dilution +10% · Analysts +210%
12 BLLN <1yr -0.24 VQTA · $101.81 +2.2% Fwd P/E 84×
114× EBITDA · +1% FCF · 12.2× sales
Mid-cohort: .
Quality ROIC 5% ND/EBITDA -10.4 · Trend 200d +15% · 52w 57% · RS1y n/a <1yr-hist · Analysts upside +23% · rating +0.75
13 SMMT SCREEN− -1.54 VQTA · $13.09 +0.0% 26 mo runway · 17.5x cash
$+514M net cash · +4% shares
Screen− (clinical): pipeline rich vs peers, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 26mo · EV/cash 17.5x · Dilution +4% · Analysts +45%
14 CLPT SCREEN− -1.59 VQTA · $13.85 +0.0% 23 mo runway · 8.8x cash
$-12M net cash · +5% shares
Screen− (clinical): pipeline rich vs peers, adequately funded, mid-trend. Catalyst-driven and binary, size small.
Runway 23mo · EV/cash 8.8x · Dilution +5% · Analysts +16%
15 CMPS SCREEN− -2.13 VQTA · $12.19 +6.8% 11 mo runway · 6.8x cash
$+129M net cash · +39% shares
Screen− (clinical): pipeline rich vs peers, funding-stretched, mid-trend. Catalyst-driven and binary, size small.
Runway 11mo · EV/cash 6.8x · Dilution +39% · Analysts +52%
SECTOR ETFS biotech ETFs (price-only) · 2 names · click a row for the read
#NameScreenScoreAxes V·Q·T·ARosterPriceValuation
1 XBI ETF +0.00 VQTA · $134.46 +1.3% ETF — price only
Price-only ETF (no fundamentals); on trend it is middling.
Trend 200d +12% · 52w 93% · RS1y +0%
1 ARKG ETF +0.00 VQTA · $34.08 +1.3% ETF — price only
Price-only ETF (no fundamentals); on trend it is middling.
Trend 200d +16% · 52w 83% · RS1y -15%
Method. Five axes, fundamentals-led: Value 30 · Quality 25 · Trend/Entry 15 · Analysts 15 · Roster 15 (conviction tilt from the tracked thought leaders). Scores are cross-sectional within each peer layer (robust z, re-standardized); SCREEN+ ≥ +0.5σ, SCREEN− ≤ −0.5σ. Relative rankings for triage — which names earn the diligence checklist — never buy/sell recommendations; decisions live at the sleeve level. ETFs score on price/momentum only. Clinical, pre-revenue names are scored differently from the commercial names: the Pipeline column reads enterprise value against cash on hand (cheaper = lower, below net cash = market assigns the pipeline negative value), and the Survival column reads cash runway and share dilution, all straight from the filings. These are catalyst-driven and binary, so size them small. Data: FMP. Not investment advice.