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

NEUROCRINE BIOSCIENCES INC is the larger business by last-quarter revenue ($805.5M vs $321.1M, roughly 2.5× MADRIGAL PHARMACEUTICALS, INC.). NEUROCRINE BIOSCIENCES INC runs the higher net margin — -18.2% vs 19.1%, a 37.3% gap on every dollar of revenue. On growth, MADRIGAL PHARMACEUTICALS, INC. posted the faster year-over-year revenue change (210.8% vs 28.3%). NEUROCRINE BIOSCIENCES INC produced more free cash flow last quarter ($386.0M 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.

Neurocrine Biosciences, Inc. is an American biopharmaceutical company founded in 1992. It is headquartered in San Diego, California, and led by CEO Kyle Gano as of October 11, 2024. Neurocrine develops treatments for neurological and endocrine-related diseases and disorders. In 2017, the company's drug valbenazine (Ingrezza) was approved in the US to treat adults with tardive dyskinesia (TD).

MDGL vs NBIX — Head-to-Head

Bigger by revenue
NBIX
NBIX
2.5× larger
NBIX
$805.5M
$321.1M
MDGL
Growing faster (revenue YoY)
MDGL
MDGL
+182.4% gap
MDGL
210.8%
28.3%
NBIX
Higher net margin
NBIX
NBIX
37.3% more per $
NBIX
19.1%
-18.2%
MDGL
More free cash flow
NBIX
NBIX
$519.9M more FCF
NBIX
$386.0M
$-133.8M
MDGL

Income Statement — Q4 2025 vs Q4 2025

Metric
MDGL
MDGL
NBIX
NBIX
Revenue
$321.1M
$805.5M
Net Profit
$-58.6M
$153.7M
Gross Margin
97.8%
Operating Margin
-18.6%
26.2%
Net Margin
-18.2%
19.1%
Revenue YoY
210.8%
28.3%
Net Profit YoY
1.4%
49.1%
EPS (diluted)
$-2.55
$1.49

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
MDGL
MDGL
NBIX
NBIX
Q4 25
$321.1M
$805.5M
Q3 25
$287.3M
$794.9M
Q2 25
$212.8M
$687.5M
Q1 25
$137.3M
$572.6M
Q4 24
$103.3M
$627.7M
Q3 24
$62.2M
$622.1M
Q2 24
$14.6M
$590.2M
Q1 24
$0
$515.3M
Net Profit
MDGL
MDGL
NBIX
NBIX
Q4 25
$-58.6M
$153.7M
Q3 25
$-114.2M
$209.5M
Q2 25
$-42.3M
$107.5M
Q1 25
$-73.2M
$7.9M
Q4 24
$-59.4M
$103.1M
Q3 24
$-107.0M
$129.8M
Q2 24
$-152.0M
$65.0M
Q1 24
$-147.5M
$43.4M
Gross Margin
MDGL
MDGL
NBIX
NBIX
Q4 25
97.8%
Q3 25
98.2%
Q2 25
98.4%
Q1 25
96.7%
98.4%
Q4 24
98.5%
Q3 24
98.7%
Q2 24
98.4%
Q1 24
98.5%
Operating Margin
MDGL
MDGL
NBIX
NBIX
Q4 25
-18.6%
26.2%
Q3 25
-39.7%
30.1%
Q2 25
-22.2%
21.2%
Q1 25
-57.8%
4.1%
Q4 24
-64.8%
22.6%
Q3 24
-187.1%
29.5%
Q2 24
-1110.4%
24.6%
Q1 24
19.3%
Net Margin
MDGL
MDGL
NBIX
NBIX
Q4 25
-18.2%
19.1%
Q3 25
-39.8%
26.4%
Q2 25
-19.9%
15.6%
Q1 25
-53.4%
1.4%
Q4 24
-57.5%
16.4%
Q3 24
-172.0%
20.9%
Q2 24
-1038.2%
11.0%
Q1 24
8.4%
EPS (diluted)
MDGL
MDGL
NBIX
NBIX
Q4 25
$-2.55
$1.49
Q3 25
$-5.08
$2.04
Q2 25
$-1.90
$1.06
Q1 25
$-3.32
$0.08
Q4 24
$-2.50
$1.00
Q3 24
$-4.92
$1.24
Q2 24
$-7.10
$0.63
Q1 24
$-7.38
$0.42

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
MDGL
MDGL
NBIX
NBIX
Cash + ST InvestmentsLiquidity on hand
$198.7M
$713.0M
Total DebtLower is stronger
$339.9M
Stockholders' EquityBook value
$602.7M
$3.3B
Total Assets
$1.3B
$4.6B
Debt / EquityLower = less leverage
0.56×

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

Cash + ST Investments
MDGL
MDGL
NBIX
NBIX
Q4 25
$198.7M
$713.0M
Q3 25
$295.7M
$340.2M
Q2 25
$186.2M
$264.0M
Q1 25
$183.6M
$194.1M
Q4 24
$100.0M
$233.0M
Q3 24
$232.7M
$349.1M
Q2 24
$494.6M
$139.7M
Q1 24
$622.5M
$396.3M
Total Debt
MDGL
MDGL
NBIX
NBIX
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
Q1 24
$116.1M
Stockholders' Equity
MDGL
MDGL
NBIX
NBIX
Q4 25
$602.7M
$3.3B
Q3 25
$625.7M
$3.0B
Q2 25
$696.0M
$2.7B
Q1 25
$710.6M
$2.5B
Q4 24
$754.4M
$2.6B
Q3 24
$777.2M
$2.7B
Q2 24
$857.1M
$2.5B
Q1 24
$850.8M
$2.4B
Total Assets
MDGL
MDGL
NBIX
NBIX
Q4 25
$1.3B
$4.6B
Q3 25
$1.4B
$4.3B
Q2 25
$1.0B
$3.9B
Q1 25
$996.6M
$3.7B
Q4 24
$1.0B
$3.7B
Q3 24
$1.1B
$3.5B
Q2 24
$1.1B
$3.3B
Q1 24
$1.1B
$3.5B
Debt / Equity
MDGL
MDGL
NBIX
NBIX
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×
Q1 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
MDGL
MDGL
NBIX
NBIX
Operating Cash FlowLast quarter
$-133.5M
$388.4M
Free Cash FlowOCF − Capex
$-133.8M
$386.0M
FCF MarginFCF / Revenue
-41.7%
47.9%
Capex IntensityCapex / Revenue; lower = less reinvestment burden
0.1%
0.3%
Cash ConversionOCF / Net Profit; >1× = earnings back up with cash
2.53×
TTM Free Cash FlowTrailing 4 quarters
$743.9M

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

Operating Cash Flow
MDGL
MDGL
NBIX
NBIX
Q4 25
$-133.5M
$388.4M
Q3 25
$79.8M
$227.5M
Q2 25
$-47.1M
$102.0M
Q1 25
$-88.9M
$64.8M
Q4 24
$-104.5M
$242.5M
Q3 24
$-67.0M
$158.0M
Q2 24
$-134.9M
$64.6M
Q1 24
$-149.2M
$130.3M
Free Cash Flow
MDGL
MDGL
NBIX
NBIX
Q4 25
$-133.8M
$386.0M
Q3 25
$79.0M
$214.3M
Q2 25
$89.5M
Q1 25
$54.1M
Q4 24
$-104.7M
$235.2M
Q3 24
$-67.8M
$149.9M
Q2 24
$-135.1M
$53.0M
Q1 24
$-149.5M
$119.1M
FCF Margin
MDGL
MDGL
NBIX
NBIX
Q4 25
-41.7%
47.9%
Q3 25
27.5%
27.0%
Q2 25
13.0%
Q1 25
9.4%
Q4 24
-101.3%
37.5%
Q3 24
-109.0%
24.1%
Q2 24
-922.8%
9.0%
Q1 24
23.1%
Capex Intensity
MDGL
MDGL
NBIX
NBIX
Q4 25
0.1%
0.3%
Q3 25
0.3%
1.7%
Q2 25
0.0%
1.8%
Q1 25
0.0%
1.9%
Q4 24
0.2%
1.2%
Q3 24
1.3%
1.3%
Q2 24
0.9%
2.0%
Q1 24
2.2%
Cash Conversion
MDGL
MDGL
NBIX
NBIX
Q4 25
2.53×
Q3 25
1.09×
Q2 25
0.95×
Q1 25
8.20×
Q4 24
2.35×
Q3 24
1.22×
Q2 24
0.99×
Q1 24
3.00×

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

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%

NBIX
NBIX

INGREZZA Net Product Sales$653.8M81%
CRENESSITY Net Product Sales$135.4M17%
Other Income$12.6M2%
Collaboration Revenue$7.2M1%

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