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Side-by-side financial comparison of MADRIGAL PHARMACEUTICALS, INC. (MDGL) and Sotera Health Co (SHC). Click either name above to swap in a different company.

MADRIGAL PHARMACEUTICALS, INC. is the larger business by last-quarter revenue ($321.1M vs $303.4M, roughly 1.1× Sotera Health Co). Sotera Health Co runs the higher net margin — 11.5% vs -18.2%, a 29.7% gap on every dollar of revenue. On growth, MADRIGAL PHARMACEUTICALS, INC. posted the faster year-over-year revenue change (210.8% vs 4.6%). Sotera Health Co produced more free cash flow last quarter ($52.4M vs $-133.8M).

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.

Sotera Health Co is a global provider of end-to-end medical safety solutions. It offers sterilization services, analytical laboratory testing, and regulatory advisory support for medical device manufacturers, pharmaceutical firms, and food and consumer product companies, helping clients meet industry standards and ensure product safety for end users worldwide.

MDGL vs SHC — Head-to-Head

Bigger by revenue
MDGL
MDGL
1.1× larger
MDGL
$321.1M
$303.4M
SHC
Growing faster (revenue YoY)
MDGL
MDGL
+206.2% gap
MDGL
210.8%
4.6%
SHC
Higher net margin
SHC
SHC
29.7% more per $
SHC
11.5%
-18.2%
MDGL
More free cash flow
SHC
SHC
$186.3M more FCF
SHC
$52.4M
$-133.8M
MDGL

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MDGL
MDGL
SHC
SHC
Revenue
$321.1M
$303.4M
Net Profit
$-58.6M
$34.8M
Gross Margin
54.7%
Operating Margin
-18.6%
23.2%
Net Margin
-18.2%
11.5%
Revenue YoY
210.8%
4.6%
Net Profit YoY
1.4%
182.8%
EPS (diluted)
$-2.55
$0.12

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
MDGL
MDGL
SHC
SHC
Q4 25
$321.1M
$303.4M
Q3 25
$287.3M
$311.3M
Q2 25
$212.8M
$294.3M
Q1 25
$137.3M
$254.5M
Q4 24
$103.3M
$290.2M
Q3 24
$62.2M
$285.5M
Q2 24
$276.6M
Q1 24
$0
$248.2M
Net Profit
MDGL
MDGL
SHC
SHC
Q4 25
$-58.6M
$34.8M
Q3 25
$-114.2M
$48.4M
Q2 25
$-42.3M
$8.0M
Q1 25
$-73.2M
$-13.3M
Q4 24
$-59.4M
$12.3M
Q3 24
$-107.0M
$17.0M
Q2 24
$8.8M
Q1 24
$-147.5M
$6.3M
Gross Margin
MDGL
MDGL
SHC
SHC
Q4 25
54.7%
Q3 25
57.0%
Q2 25
56.6%
Q1 25
96.7%
53.2%
Q4 24
56.6%
Q3 24
55.4%
Q2 24
55.2%
Q1 24
51.2%
Operating Margin
MDGL
MDGL
SHC
SHC
Q4 25
-18.6%
23.2%
Q3 25
-39.7%
23.4%
Q2 25
-22.2%
6.4%
Q1 25
-57.8%
-5.8%
Q4 24
-64.8%
30.0%
Q3 24
-187.1%
28.2%
Q2 24
27.8%
Q1 24
21.4%
Net Margin
MDGL
MDGL
SHC
SHC
Q4 25
-18.2%
11.5%
Q3 25
-39.8%
15.5%
Q2 25
-19.9%
2.7%
Q1 25
-53.4%
-5.2%
Q4 24
-57.5%
4.2%
Q3 24
-172.0%
6.0%
Q2 24
3.2%
Q1 24
2.5%
EPS (diluted)
MDGL
MDGL
SHC
SHC
Q4 25
$-2.55
$0.12
Q3 25
$-5.08
$0.17
Q2 25
$-1.90
$0.03
Q1 25
$-3.32
$-0.05
Q4 24
$-2.50
$0.05
Q3 24
$-4.92
$0.06
Q2 24
$0.03
Q1 24
$-7.38
$0.02

Balance Sheet & Financial Strength

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

Metric
MDGL
MDGL
SHC
SHC
Cash + ST InvestmentsLiquidity on hand
$198.7M
$344.6M
Total DebtLower is stronger
$339.9M
$2.1B
Stockholders' EquityBook value
$602.7M
$606.0M
Total Assets
$1.3B
$3.3B
Debt / EquityLower = less leverage
0.56×
3.53×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MDGL
MDGL
SHC
SHC
Q4 25
$198.7M
$344.6M
Q3 25
$295.7M
$299.2M
Q2 25
$186.2M
$332.4M
Q1 25
$183.6M
$304.4M
Q4 24
$100.0M
$277.2M
Q3 24
$232.7M
$306.7M
Q2 24
$246.1M
Q1 24
$622.5M
$261.1M
Total Debt
MDGL
MDGL
SHC
SHC
Q4 25
$339.9M
$2.1B
Q3 25
$339.8M
$2.1B
Q2 25
$118.4M
$2.2B
Q1 25
$118.0M
$2.2B
Q4 24
$117.6M
$2.2B
Q3 24
$117.1M
$2.2B
Q2 24
$2.2B
Q1 24
$116.1M
$2.2B
Stockholders' Equity
MDGL
MDGL
SHC
SHC
Q4 25
$602.7M
$606.0M
Q3 25
$625.7M
$550.5M
Q2 25
$696.0M
$511.3M
Q1 25
$710.6M
$414.1M
Q4 24
$754.4M
$404.9M
Q3 24
$777.2M
$470.2M
Q2 24
$422.8M
Q1 24
$850.8M
$429.4M
Total Assets
MDGL
MDGL
SHC
SHC
Q4 25
$1.3B
$3.3B
Q3 25
$1.4B
$3.2B
Q2 25
$1.0B
$3.2B
Q1 25
$996.6M
$3.1B
Q4 24
$1.0B
$3.1B
Q3 24
$1.1B
$3.1B
Q2 24
$3.1B
Q1 24
$1.1B
$3.1B
Debt / Equity
MDGL
MDGL
SHC
SHC
Q4 25
0.56×
3.53×
Q3 25
0.54×
3.89×
Q2 25
0.17×
4.34×
Q1 25
0.17×
5.36×
Q4 24
0.16×
5.49×
Q3 24
0.15×
4.73×
Q2 24
5.26×
Q1 24
0.14×
5.19×

Cash Flow & Capital Efficiency

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

Metric
MDGL
MDGL
SHC
SHC
Operating Cash FlowLast quarter
$-133.5M
$103.1M
Free Cash FlowOCF − Capex
$-133.8M
$52.4M
FCF MarginFCF / Revenue
-41.7%
17.3%
Capex IntensityCapex / Revenue
0.1%
16.7%
Cash ConversionOCF / Net Profit
2.96×
TTM Free Cash FlowTrailing 4 quarters
$149.2M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MDGL
MDGL
SHC
SHC
Q4 25
$-133.5M
$103.1M
Q3 25
$79.8M
$71.2M
Q2 25
$-47.1M
$57.4M
Q1 25
$-88.9M
$55.5M
Q4 24
$-104.5M
$55.7M
Q3 24
$-67.0M
$97.5M
Q2 24
$61.3M
Q1 24
$-149.2M
$9.7M
Free Cash Flow
MDGL
MDGL
SHC
SHC
Q4 25
$-133.8M
$52.4M
Q3 25
$79.0M
$35.0M
Q2 25
$26.2M
Q1 25
$35.6M
Q4 24
$-104.7M
$-10.2M
Q3 24
$-67.8M
$61.1M
Q2 24
$19.4M
Q1 24
$-149.5M
$-25.2M
FCF Margin
MDGL
MDGL
SHC
SHC
Q4 25
-41.7%
17.3%
Q3 25
27.5%
11.2%
Q2 25
8.9%
Q1 25
14.0%
Q4 24
-101.3%
-3.5%
Q3 24
-109.0%
21.4%
Q2 24
7.0%
Q1 24
-10.2%
Capex Intensity
MDGL
MDGL
SHC
SHC
Q4 25
0.1%
16.7%
Q3 25
0.3%
11.6%
Q2 25
0.0%
10.6%
Q1 25
0.0%
7.8%
Q4 24
0.2%
22.7%
Q3 24
1.3%
12.7%
Q2 24
15.2%
Q1 24
14.1%
Cash Conversion
MDGL
MDGL
SHC
SHC
Q4 25
2.96×
Q3 25
1.47×
Q2 25
7.21×
Q1 25
Q4 24
4.52×
Q3 24
5.73×
Q2 24
7.00×
Q1 24
1.53×

Financial Flow Comparison

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

Revenue Breakdown by Segment

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%

SHC
SHC

Transferred At Point In Time$198.4M65%
Nelson Labs$55.2M18%
Nordion$49.8M16%

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