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Side-by-side financial comparison of COMMERCE BANCSHARES INC (CBSH) and MADRIGAL PHARMACEUTICALS, INC. (MDGL). Click either name above to swap in a different company.

COMMERCE BANCSHARES INC is the larger business by last-quarter revenue ($475.7M vs $321.1M, roughly 1.5× MADRIGAL PHARMACEUTICALS, INC.). COMMERCE BANCSHARES INC runs the higher net margin — 29.8% vs -18.2%, a 48.0% gap on every dollar of revenue. On growth, MADRIGAL PHARMACEUTICALS, INC. posted the faster year-over-year revenue change (210.8% vs 11.1%).

Commerce Bancshares, Inc. is a regional bank holding company headquartered in Missouri, with principal offices in Kansas City and St. Louis. It is the corporate parent of Commerce Bank, which offers a diversified line of financial services, including business and personal banking, wealth management and investments through its affiliated companies.

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.

CBSH vs MDGL — Head-to-Head

Bigger by revenue
CBSH
CBSH
1.5× larger
CBSH
$475.7M
$321.1M
MDGL
Growing faster (revenue YoY)
MDGL
MDGL
+199.6% gap
MDGL
210.8%
11.1%
CBSH
Higher net margin
CBSH
CBSH
48.0% more per $
CBSH
29.8%
-18.2%
MDGL

Income Statement — Q1 FY2026 vs Q4 FY2025

Metric
CBSH
CBSH
MDGL
MDGL
Revenue
$475.7M
$321.1M
Net Profit
$141.6M
$-58.6M
Gross Margin
Operating Margin
-18.6%
Net Margin
29.8%
-18.2%
Revenue YoY
11.1%
210.8%
Net Profit YoY
10.5%
1.4%
EPS (diluted)
$0.96
$-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
CBSH
CBSH
MDGL
MDGL
Q1 26
$475.7M
Q4 25
$449.4M
$321.1M
Q3 25
$441.0M
$287.3M
Q2 25
$445.8M
$212.8M
Q1 25
$428.1M
$137.3M
Q4 24
$422.1M
$103.3M
Q3 24
$421.4M
$62.2M
Q2 24
$414.5M
Net Profit
CBSH
CBSH
MDGL
MDGL
Q1 26
$141.6M
Q4 25
$140.7M
$-58.6M
Q3 25
$141.5M
$-114.2M
Q2 25
$152.5M
$-42.3M
Q1 25
$131.6M
$-73.2M
Q4 24
$136.1M
$-59.4M
Q3 24
$138.0M
$-107.0M
Q2 24
$139.6M
Gross Margin
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
Q3 25
Q2 25
Q1 25
96.7%
Q4 24
Q3 24
Q2 24
Operating Margin
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
40.8%
-18.6%
Q3 25
41.9%
-39.7%
Q2 25
44.0%
-22.2%
Q1 25
39.2%
-57.8%
Q4 24
41.2%
-64.8%
Q3 24
42.4%
-187.1%
Q2 24
43.4%
Net Margin
CBSH
CBSH
MDGL
MDGL
Q1 26
29.8%
Q4 25
31.3%
-18.2%
Q3 25
32.1%
-39.8%
Q2 25
34.2%
-19.9%
Q1 25
30.7%
-53.4%
Q4 24
32.2%
-57.5%
Q3 24
32.8%
-172.0%
Q2 24
33.7%
EPS (diluted)
CBSH
CBSH
MDGL
MDGL
Q1 26
$0.96
Q4 25
$0.86
$-2.55
Q3 25
$1.06
$-5.08
Q2 25
$1.14
$-1.90
Q1 25
$0.98
$-3.32
Q4 24
$0.83
$-2.50
Q3 24
$1.01
$-4.92
Q2 24
$1.03

Balance Sheet & Financial Strength

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

Metric
CBSH
CBSH
MDGL
MDGL
Cash + ST InvestmentsLiquidity on hand
$198.7M
Total DebtLower is stronger
$339.9M
Stockholders' EquityBook value
$4.3B
$602.7M
Total Assets
$35.7B
$1.3B
Debt / EquityLower = less leverage
0.56×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
$198.7M
Q3 25
$295.7M
Q2 25
$186.2M
Q1 25
$183.6M
Q4 24
$100.0M
Q3 24
$232.7M
Q2 24
Total Debt
CBSH
CBSH
MDGL
MDGL
Q1 26
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
Stockholders' Equity
CBSH
CBSH
MDGL
MDGL
Q1 26
$4.3B
Q4 25
$3.8B
$602.7M
Q3 25
$3.8B
$625.7M
Q2 25
$3.6B
$696.0M
Q1 25
$3.5B
$710.6M
Q4 24
$3.3B
$754.4M
Q3 24
$3.4B
$777.2M
Q2 24
$3.1B
Total Assets
CBSH
CBSH
MDGL
MDGL
Q1 26
$35.7B
Q4 25
$32.9B
$1.3B
Q3 25
$32.3B
$1.4B
Q2 25
$32.3B
$1.0B
Q1 25
$32.4B
$996.6M
Q4 24
$32.0B
$1.0B
Q3 24
$31.5B
$1.1B
Q2 24
$30.6B
Debt / Equity
CBSH
CBSH
MDGL
MDGL
Q1 26
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

Cash Flow & Capital Efficiency

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

Metric
CBSH
CBSH
MDGL
MDGL
Operating Cash FlowLast quarter
$-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
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
$645.1M
$-133.5M
Q3 25
$129.0M
$79.8M
Q2 25
$111.2M
$-47.1M
Q1 25
$138.6M
$-88.9M
Q4 24
$577.9M
$-104.5M
Q3 24
$431.7M
$-67.0M
Q2 24
$147.4M
Free Cash Flow
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
$592.4M
$-133.8M
Q3 25
$113.3M
$79.0M
Q2 25
$100.5M
Q1 25
$126.0M
Q4 24
$531.7M
$-104.7M
Q3 24
$419.1M
$-67.8M
Q2 24
$138.9M
FCF Margin
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
131.8%
-41.7%
Q3 25
25.7%
27.5%
Q2 25
22.5%
Q1 25
29.4%
Q4 24
126.0%
-101.3%
Q3 24
99.5%
-109.0%
Q2 24
33.5%
Capex Intensity
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
11.7%
0.1%
Q3 25
3.6%
0.3%
Q2 25
2.4%
0.0%
Q1 25
2.9%
0.0%
Q4 24
10.9%
0.2%
Q3 24
3.0%
1.3%
Q2 24
2.1%
Cash Conversion
CBSH
CBSH
MDGL
MDGL
Q1 26
Q4 25
4.59×
Q3 25
0.91×
Q2 25
0.73×
Q1 25
1.05×
Q4 24
4.25×
Q3 24
3.13×
Q2 24
1.06×

Financial Flow Comparison

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

Revenue Breakdown by Segment

CBSH
CBSH

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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