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

EXELIXIS, INC. is the larger business by last-quarter revenue ($598.7M vs $321.1M, roughly 1.9× MADRIGAL PHARMACEUTICALS, INC.). EXELIXIS, INC. runs the higher net margin — 40.8% vs -18.2%, a 59.1% gap on every dollar of revenue. On growth, MADRIGAL PHARMACEUTICALS, INC. posted the faster year-over-year revenue change (210.8% vs 5.6%). EXELIXIS, INC. produced more free cash flow last quarter ($332.4M vs $-133.8M).

Exelixis, Inc. is a genomics-based drug discovery company located in Alameda, California, and the producer of Cometriq, a treatment approved by the U.S. Food and Drug Administration (FDA) for medullary thyroid cancer with clinical activity in several other types of metastatic cancer.

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.

EXEL vs MDGL — Head-to-Head

Bigger by revenue
EXEL
EXEL
1.9× larger
EXEL
$598.7M
$321.1M
MDGL
Growing faster (revenue YoY)
MDGL
MDGL
+205.1% gap
MDGL
210.8%
5.6%
EXEL
Higher net margin
EXEL
EXEL
59.1% more per $
EXEL
40.8%
-18.2%
MDGL
More free cash flow
EXEL
EXEL
$466.2M more FCF
EXEL
$332.4M
$-133.8M
MDGL

Income Statement — Q4 2026 vs Q4 2025

Metric
EXEL
EXEL
MDGL
MDGL
Revenue
$598.7M
$321.1M
Net Profit
$244.5M
$-58.6M
Gross Margin
95.6%
Operating Margin
39.3%
-18.6%
Net Margin
40.8%
-18.2%
Revenue YoY
5.6%
210.8%
Net Profit YoY
74.8%
1.4%
EPS (diluted)
$0.89
$-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
EXEL
EXEL
MDGL
MDGL
Q1 26
$598.7M
Q4 25
$597.8M
$321.1M
Q3 25
$568.3M
$287.3M
Q2 25
$555.4M
$212.8M
Q1 25
$566.8M
$137.3M
Q4 24
$103.3M
Q3 24
$539.5M
$62.2M
Q2 24
$637.2M
$14.6M
Net Profit
EXEL
EXEL
MDGL
MDGL
Q1 26
$244.5M
Q4 25
$193.6M
$-58.6M
Q3 25
$184.8M
$-114.2M
Q2 25
$159.6M
$-42.3M
Q1 25
$139.9M
$-73.2M
Q4 24
$-59.4M
Q3 24
$118.0M
$-107.0M
Q2 24
$226.1M
$-152.0M
Gross Margin
EXEL
EXEL
MDGL
MDGL
Q1 26
95.6%
Q4 25
96.9%
Q3 25
96.6%
Q2 25
96.5%
Q1 25
96.5%
96.7%
Q4 24
Q3 24
96.8%
Q2 24
97.2%
Operating Margin
EXEL
EXEL
MDGL
MDGL
Q1 26
39.3%
Q4 25
39.6%
-18.6%
Q3 25
37.6%
-39.7%
Q2 25
33.6%
-22.2%
Q1 25
28.8%
-57.8%
Q4 24
-64.8%
Q3 24
25.2%
-187.1%
Q2 24
43.3%
-1110.4%
Net Margin
EXEL
EXEL
MDGL
MDGL
Q1 26
40.8%
Q4 25
32.4%
-18.2%
Q3 25
32.5%
-39.8%
Q2 25
28.7%
-19.9%
Q1 25
24.7%
-53.4%
Q4 24
-57.5%
Q3 24
21.9%
-172.0%
Q2 24
35.5%
-1038.2%
EPS (diluted)
EXEL
EXEL
MDGL
MDGL
Q1 26
$0.89
Q4 25
$0.69
$-2.55
Q3 25
$0.65
$-5.08
Q2 25
$0.55
$-1.90
Q1 25
$0.47
$-3.32
Q4 24
$-2.50
Q3 24
$0.40
$-4.92
Q2 24
$0.77
$-7.10

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
EXEL
EXEL
MDGL
MDGL
Cash + ST InvestmentsLiquidity on hand
$1.1B
$198.7M
Total DebtLower is stronger
$339.9M
Stockholders' EquityBook value
$2.2B
$602.7M
Total Assets
$2.8B
$1.3B
Debt / EquityLower = less leverage
0.56×

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

Cash + ST Investments
EXEL
EXEL
MDGL
MDGL
Q1 26
$1.1B
Q4 25
$988.5M
$198.7M
Q3 25
$791.1M
$295.7M
Q2 25
$1.0B
$186.2M
Q1 25
$1.1B
$183.6M
Q4 24
$100.0M
Q3 24
$1.2B
$232.7M
Q2 24
$1.0B
$494.6M
Total Debt
EXEL
EXEL
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
$116.6M
Stockholders' Equity
EXEL
EXEL
MDGL
MDGL
Q1 26
$2.2B
Q4 25
$2.2B
$602.7M
Q3 25
$2.0B
$625.7M
Q2 25
$2.1B
$696.0M
Q1 25
$2.2B
$710.6M
Q4 24
$754.4M
Q3 24
$2.3B
$777.2M
Q2 24
$2.1B
$857.1M
Total Assets
EXEL
EXEL
MDGL
MDGL
Q1 26
$2.8B
Q4 25
$2.8B
$1.3B
Q3 25
$2.7B
$1.4B
Q2 25
$2.8B
$1.0B
Q1 25
$2.9B
$996.6M
Q4 24
$1.0B
Q3 24
$3.0B
$1.1B
Q2 24
$2.8B
$1.1B
Debt / Equity
EXEL
EXEL
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
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
EXEL
EXEL
MDGL
MDGL
Operating Cash FlowLast quarter
$333.5M
$-133.5M
Free Cash FlowOCF − Capex
$332.4M
$-133.8M
FCF MarginFCF / Revenue
55.5%
-41.7%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
0.2%
0.1%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
1.36×
TTM Free Cash FlowTrailing 4 quarters
$875.8M

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

Operating Cash Flow
EXEL
EXEL
MDGL
MDGL
Q1 26
$333.5M
Q4 25
$290.3M
$-133.5M
Q3 25
$49.0M
$79.8M
Q2 25
$211.4M
$-47.1M
Q1 25
$240.3M
$-88.9M
Q4 24
$-104.5M
Q3 24
$271.3M
$-67.0M
Q2 24
$119.5M
$-134.9M
Free Cash Flow
EXEL
EXEL
MDGL
MDGL
Q1 26
$332.4M
Q4 25
$288.8M
$-133.8M
Q3 25
$46.2M
$79.0M
Q2 25
$208.5M
Q1 25
$236.3M
Q4 24
$-104.7M
Q3 24
$263.1M
$-67.8M
Q2 24
$113.0M
$-135.1M
FCF Margin
EXEL
EXEL
MDGL
MDGL
Q1 26
55.5%
Q4 25
48.3%
-41.7%
Q3 25
8.1%
27.5%
Q2 25
37.5%
Q1 25
41.7%
Q4 24
-101.3%
Q3 24
48.8%
-109.0%
Q2 24
17.7%
-922.8%
Capex Intensity
EXEL
EXEL
MDGL
MDGL
Q1 26
0.2%
Q4 25
0.2%
0.1%
Q3 25
0.5%
0.3%
Q2 25
0.5%
0.0%
Q1 25
0.7%
0.0%
Q4 24
0.2%
Q3 24
1.5%
1.3%
Q2 24
1.0%
0.9%
Cash Conversion
EXEL
EXEL
MDGL
MDGL
Q1 26
1.36×
Q4 25
1.50×
Q3 25
0.27×
Q2 25
1.32×
Q1 25
1.72×
Q4 24
Q3 24
2.30×
Q2 24
0.53×

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

EXEL
EXEL

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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