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Side-by-side financial comparison of Axogen, Inc. (AXGN) and MADRIGAL PHARMACEUTICALS, INC. (MDGL), based on the latest 10-Q / 10-K filings. Click either name above to swap in a different company.

MADRIGAL PHARMACEUTICALS, INC. is the larger business by last-quarter revenue ($321.1M vs $59.9M, roughly 5.4× Axogen, Inc.). MADRIGAL PHARMACEUTICALS, INC. runs the higher net margin — -22.0% vs -18.2%, a 3.7% gap on every dollar of revenue. On growth, MADRIGAL PHARMACEUTICALS, INC. posted the faster year-over-year revenue change (210.8% vs 21.3%). Axogen, Inc. produced more free cash flow last quarter ($1.8M vs $-133.8M).

Axogen is a developer of surgical solutions, including human tissue grafts, based in Alachua, Florida. Axogen products are designed to remedy peripheral nerve damage. In 2013 the company raised $18 million in its initial public offering (IPO). Axogen uses a cell graft technology AVANCE to mimic a human nerve. The company also creates nerve connectors and soft tissue membranes. The company reports sensory and movement recovery in 87 percent of patients with peripheral nerve injuries. Axogen is...

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.

AXGN vs MDGL — Head-to-Head

Bigger by revenue
MDGL
MDGL
5.4× larger
MDGL
$321.1M
$59.9M
AXGN
Growing faster (revenue YoY)
MDGL
MDGL
+189.5% gap
MDGL
210.8%
21.3%
AXGN
Higher net margin
MDGL
MDGL
3.7% more per $
MDGL
-18.2%
-22.0%
AXGN
More free cash flow
AXGN
AXGN
$135.6M more FCF
AXGN
$1.8M
$-133.8M
MDGL

Income Statement — Q4 2025 vs Q4 2025

Metric
AXGN
AXGN
MDGL
MDGL
Revenue
$59.9M
$321.1M
Net Profit
$-13.2M
$-58.6M
Gross Margin
74.1%
Operating Margin
-16.3%
-18.6%
Net Margin
-22.0%
-18.2%
Revenue YoY
21.3%
210.8%
Net Profit YoY
-3023.6%
1.4%
EPS (diluted)
$-0.28
$-2.55

Green = leading value per metric. Periods may differ when fiscal calendars don't align — see 8-quarter trend below.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history — bar widths are scaled to the larger of the two companies so you can eyeball the size gap and growth trajectory without doing math. Quarters aligned by calendar period (report date) so offset fiscal years line up.

Revenue
AXGN
AXGN
MDGL
MDGL
Q4 25
$59.9M
$321.1M
Q3 25
$60.1M
$287.3M
Q2 25
$56.7M
$212.8M
Q1 25
$48.6M
$137.3M
Q4 24
$49.4M
$103.3M
Q3 24
$48.6M
$62.2M
Q2 24
$47.9M
$14.6M
Q1 24
$41.4M
$0
Net Profit
AXGN
AXGN
MDGL
MDGL
Q4 25
$-13.2M
$-58.6M
Q3 25
$708.0K
$-114.2M
Q2 25
$579.0K
$-42.3M
Q1 25
$-3.8M
$-73.2M
Q4 24
$450.0K
$-59.4M
Q3 24
$-1.9M
$-107.0M
Q2 24
$-1.9M
$-152.0M
Q1 24
$-6.6M
$-147.5M
Gross Margin
AXGN
AXGN
MDGL
MDGL
Q4 25
74.1%
Q3 25
76.6%
Q2 25
74.2%
Q1 25
71.9%
96.7%
Q4 24
76.1%
Q3 24
74.9%
Q2 24
73.8%
Q1 24
78.8%
Operating Margin
AXGN
AXGN
MDGL
MDGL
Q4 25
-16.3%
-18.6%
Q3 25
3.2%
-39.7%
Q2 25
3.0%
-22.2%
Q1 25
-3.4%
-57.8%
Q4 24
4.1%
-64.8%
Q3 24
-0.6%
-187.1%
Q2 24
-0.9%
-1110.4%
Q1 24
-11.0%
Net Margin
AXGN
AXGN
MDGL
MDGL
Q4 25
-22.0%
-18.2%
Q3 25
1.2%
-39.8%
Q2 25
1.0%
-19.9%
Q1 25
-7.9%
-53.4%
Q4 24
0.9%
-57.5%
Q3 24
-3.8%
-172.0%
Q2 24
-4.0%
-1038.2%
Q1 24
-16.0%
EPS (diluted)
AXGN
AXGN
MDGL
MDGL
Q4 25
$-0.28
$-2.55
Q3 25
$0.01
$-5.08
Q2 25
$0.01
$-1.90
Q1 25
$-0.08
$-3.32
Q4 24
$-0.00
$-2.50
Q3 24
$-0.04
$-4.92
Q2 24
$-0.04
$-7.10
Q1 24
$-0.15
$-7.38

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest filing — the kind of financial-strength check premium terminals charge for.

Metric
AXGN
AXGN
MDGL
MDGL
Cash + ST InvestmentsLiquidity on hand
$41.5M
$198.7M
Total DebtLower is stronger
$48.4M
$339.9M
Stockholders' EquityBook value
$128.8M
$602.7M
Total Assets
$221.7M
$1.3B
Debt / EquityLower = less leverage
0.38×
0.56×

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Cash + ST Investments
AXGN
AXGN
MDGL
MDGL
Q4 25
$41.5M
$198.7M
Q3 25
$35.8M
$295.7M
Q2 25
$29.9M
$186.2M
Q1 25
$22.1M
$183.6M
Q4 24
$33.5M
$100.0M
Q3 24
$24.5M
$232.7M
Q2 24
$21.1M
$494.6M
Q1 24
$17.6M
$622.5M
Total Debt
AXGN
AXGN
MDGL
MDGL
Q4 25
$48.4M
$339.9M
Q3 25
$48.2M
$339.8M
Q2 25
$47.9M
$118.4M
Q1 25
$47.7M
$118.0M
Q4 24
$47.5M
$117.6M
Q3 24
$47.3M
$117.1M
Q2 24
$47.0M
$116.6M
Q1 24
$46.8M
$116.1M
Stockholders' Equity
AXGN
AXGN
MDGL
MDGL
Q4 25
$128.8M
$602.7M
Q3 25
$120.8M
$625.7M
Q2 25
$112.3M
$696.0M
Q1 25
$105.4M
$710.6M
Q4 24
$103.9M
$754.4M
Q3 24
$99.4M
$777.2M
Q2 24
$95.7M
$857.1M
Q1 24
$93.2M
$850.8M
Total Assets
AXGN
AXGN
MDGL
MDGL
Q4 25
$221.7M
$1.3B
Q3 25
$216.4M
$1.4B
Q2 25
$205.5M
$1.0B
Q1 25
$196.2M
$996.6M
Q4 24
$203.7M
$1.0B
Q3 24
$192.0M
$1.1B
Q2 24
$188.9M
$1.1B
Q1 24
$186.5M
$1.1B
Debt / Equity
AXGN
AXGN
MDGL
MDGL
Q4 25
0.38×
0.56×
Q3 25
0.40×
0.54×
Q2 25
0.43×
0.17×
Q1 25
0.45×
0.17×
Q4 24
0.46×
0.16×
Q3 24
0.48×
0.15×
Q2 24
0.49×
0.14×
Q1 24
0.50×
0.14×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Net income can be massaged; cash flow is harder to fake.

Metric
AXGN
AXGN
MDGL
MDGL
Operating Cash FlowLast quarter
$3.0M
$-133.5M
Free Cash FlowOCF − Capex
$1.8M
$-133.8M
FCF MarginFCF / Revenue
3.0%
-41.7%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
2.1%
0.1%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
TTM Free Cash FlowTrailing 4 quarters
$-2.9M

8-quarter trend — quarters aligned by calendar period so offset fiscal years match up.

Operating Cash Flow
AXGN
AXGN
MDGL
MDGL
Q4 25
$3.0M
$-133.5M
Q3 25
$3.2M
$79.8M
Q2 25
$7.7M
$-47.1M
Q1 25
$-13.2M
$-88.9M
Q4 24
$8.7M
$-104.5M
Q3 24
$3.9M
$-67.0M
Q2 24
$4.2M
$-134.9M
Q1 24
$-12.3M
$-149.2M
Free Cash Flow
AXGN
AXGN
MDGL
MDGL
Q4 25
$1.8M
$-133.8M
Q3 25
$1.7M
$79.0M
Q2 25
$7.0M
Q1 25
$-13.4M
Q4 24
$8.1M
$-104.7M
Q3 24
$3.3M
$-67.8M
Q2 24
$3.3M
$-135.1M
Q1 24
$-13.2M
$-149.5M
FCF Margin
AXGN
AXGN
MDGL
MDGL
Q4 25
3.0%
-41.7%
Q3 25
2.8%
27.5%
Q2 25
12.4%
Q1 25
-27.7%
Q4 24
16.3%
-101.3%
Q3 24
6.8%
-109.0%
Q2 24
6.8%
-922.8%
Q1 24
-31.9%
Capex Intensity
AXGN
AXGN
MDGL
MDGL
Q4 25
2.1%
0.1%
Q3 25
2.5%
0.3%
Q2 25
1.3%
0.0%
Q1 25
0.5%
0.0%
Q4 24
1.4%
0.2%
Q3 24
1.2%
1.3%
Q2 24
1.9%
0.9%
Q1 24
2.2%
Cash Conversion
AXGN
AXGN
MDGL
MDGL
Q4 25
Q3 25
4.55×
Q2 25
13.35×
Q1 25
Q4 24
19.41×
Q3 24
Q2 24
Q1 24

Financial Flow Comparison

Sankey diagram of revenue → gross profit → operating profit → net profit for each company. Charts shown full-width and stacked so both segment hierarchies are readable side-by-side on desktop and mobile.

Revenue Breakdown by Segment

AXGN
AXGN

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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