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Side-by-side financial comparison of Ascendis Pharma A/S (ASND) and MADRIGAL PHARMACEUTICALS, INC. (MDGL). Click either name above to swap in a different company.

MADRIGAL PHARMACEUTICALS, INC. is the larger business by last-quarter revenue ($321.1M vs $267.3M, roughly 1.2× Ascendis Pharma A/S). On growth, MADRIGAL PHARMACEUTICALS, INC. posted the faster year-over-year revenue change (210.8% vs 42.3%).

Growth hormone therapy refers to the use of growth hormone (GH) as a prescription medication—it is one form of hormone therapy. Growth hormone is a peptide hormone secreted by the pituitary gland that stimulates growth and cell reproduction. In the past, growth hormone was extracted from human pituitary glands. Growth hormone is now produced by recombinant DNA technology and is prescribed for a variety of reasons. GH therapy has been a focus of social and ethical controversies for 50 years.

Intercept Pharmaceuticals, Inc. is an American biopharmaceutical company incorporated in 2002, focusing on the development of novel synthetic bile acid analogs to treat chronic liver diseases, such as primary biliary cirrhosis (PBC) now called primary biliary cholangitis, non-alcoholic fatty liver disease, cirrhosis, portal hypertension, primary sclerosing cholangitis and also the intestinal disorder, bile acid diarrhea.

ASND vs MDGL — Head-to-Head

Bigger by revenue
MDGL
MDGL
1.2× larger
MDGL
$321.1M
$267.3M
ASND
Growing faster (revenue YoY)
MDGL
MDGL
+168.5% gap
MDGL
210.8%
42.3%
ASND

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ASND
ASND
MDGL
MDGL
Revenue
$267.3M
$321.1M
Net Profit
$-58.6M
Gross Margin
90.5%
Operating Margin
-18.6%
Net Margin
-18.2%
Revenue YoY
42.3%
210.8%
Net Profit YoY
1.4%
EPS (diluted)
$-2.55

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ASND
ASND
MDGL
MDGL
Q4 25
$267.3M
$321.1M
Q3 25
$230.7M
$287.3M
Q2 25
$170.7M
$212.8M
Q1 25
$109.0M
$137.3M
Q4 24
$187.8M
$103.3M
Q3 24
$62.5M
$62.2M
Q2 24
$38.9M
Q1 24
$103.6M
$0
Net Profit
ASND
ASND
MDGL
MDGL
Q4 25
$-58.6M
Q3 25
$-65.9M
$-114.2M
Q2 25
$-42.0M
$-42.3M
Q1 25
$-102.2M
$-73.2M
Q4 24
$-59.4M
Q3 24
$-107.1M
$-107.0M
Q2 24
$-118.1M
Q1 24
$-141.5M
$-147.5M
Gross Margin
ASND
ASND
MDGL
MDGL
Q4 25
90.5%
Q3 25
89.5%
Q2 25
80.1%
Q1 25
82.6%
96.7%
Q4 24
91.9%
Q3 24
80.6%
Q2 24
68.2%
Q1 24
92.1%
Operating Margin
ASND
ASND
MDGL
MDGL
Q4 25
-18.6%
Q3 25
5.1%
-39.7%
Q2 25
-33.5%
-22.2%
Q1 25
-103.2%
-57.8%
Q4 24
-64.8%
Q3 24
-167.3%
-187.1%
Q2 24
-370.2%
Q1 24
-51.2%
Net Margin
ASND
ASND
MDGL
MDGL
Q4 25
-18.2%
Q3 25
-28.5%
-39.8%
Q2 25
-24.6%
-19.9%
Q1 25
-93.7%
-53.4%
Q4 24
-57.5%
Q3 24
-171.5%
-172.0%
Q2 24
-303.9%
Q1 24
-136.6%
EPS (diluted)
ASND
ASND
MDGL
MDGL
Q4 25
$-2.55
Q3 25
$-5.08
Q2 25
$-1.90
Q1 25
$-3.32
Q4 24
$-2.50
Q3 24
$-4.92
Q2 24
Q1 24
$-7.38

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ASND
ASND
MDGL
MDGL
Cash + ST InvestmentsLiquidity on hand
$665.3M
$198.7M
Total DebtLower is stronger
$339.9M
Stockholders' EquityBook value
$-175.8M
$602.7M
Total Assets
$1.4B
$1.3B
Debt / EquityLower = less leverage
0.56×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ASND
ASND
MDGL
MDGL
Q4 25
$665.3M
$198.7M
Q3 25
$582.2M
$295.7M
Q2 25
$533.6M
$186.2M
Q1 25
$559.4M
$183.6M
Q4 24
$604.3M
$100.0M
Q3 24
$675.6M
$232.7M
Q2 24
$279.4M
Q1 24
$345.9M
$622.5M
Total Debt
ASND
ASND
MDGL
MDGL
Q4 25
$339.9M
Q3 25
$339.8M
Q2 25
$118.4M
Q1 25
$118.0M
Q4 24
$117.6M
Q3 24
$117.1M
Q2 24
Q1 24
$116.1M
Stockholders' Equity
ASND
ASND
MDGL
MDGL
Q4 25
$-175.8M
$602.7M
Q3 25
$-188.0M
$625.7M
Q2 25
$-202.6M
$696.0M
Q1 25
$-205.0M
$710.6M
Q4 24
$-114.2M
$754.4M
Q3 24
$-105.1M
$777.2M
Q2 24
$-346.8M
Q1 24
$-257.2M
$850.8M
Total Assets
ASND
ASND
MDGL
MDGL
Q4 25
$1.4B
$1.3B
Q3 25
$1.2B
$1.4B
Q2 25
$1.2B
$1.0B
Q1 25
$1.1B
$996.6M
Q4 24
$1.3B
$1.0B
Q3 24
$1.2B
$1.1B
Q2 24
$819.0M
Q1 24
$866.7M
$1.1B
Debt / Equity
ASND
ASND
MDGL
MDGL
Q4 25
0.56×
Q3 25
0.54×
Q2 25
0.17×
Q1 25
0.17×
Q4 24
0.16×
Q3 24
0.15×
Q2 24
Q1 24
0.14×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ASND
ASND
MDGL
MDGL
Operating Cash FlowLast quarter
$58.2M
$-133.5M
Free Cash FlowOCF − Capex
$-133.8M
FCF MarginFCF / Revenue
-41.7%
Capex IntensityCapex / Revenue
0.1%
Cash ConversionOCF / Net Profit
TTM Free Cash FlowTrailing 4 quarters

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ASND
ASND
MDGL
MDGL
Q4 25
$58.2M
$-133.5M
Q3 25
$79.8M
Q2 25
$-47.1M
Q1 25
$-15.5M
$-88.9M
Q4 24
$-330.7M
$-104.5M
Q3 24
$-67.0M
Q2 24
Q1 24
$-109.7M
$-149.2M
Free Cash Flow
ASND
ASND
MDGL
MDGL
Q4 25
$-133.8M
Q3 25
$79.0M
Q2 25
Q1 25
Q4 24
$-104.7M
Q3 24
$-67.8M
Q2 24
Q1 24
$-149.5M
FCF Margin
ASND
ASND
MDGL
MDGL
Q4 25
-41.7%
Q3 25
27.5%
Q2 25
Q1 25
Q4 24
-101.3%
Q3 24
-109.0%
Q2 24
Q1 24
Capex Intensity
ASND
ASND
MDGL
MDGL
Q4 25
0.1%
Q3 25
0.3%
Q2 25
0.0%
Q1 25
0.0%
Q4 24
0.2%
Q3 24
1.3%
Q2 24
Q1 24

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ASND
ASND

Segment breakdown not available.

MDGL
MDGL

Rebates Customer Fees Credits Co Pay Assistance And Other$208.5M65%
Other$76.0M24%
Chargebacks Discounts For Prompt Pay And Other Allowances$36.6M11%

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