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MDGL

NEUTRAL
$525.67 Live
Madrigal Pharmaceuticals, Inc. · NASDAQ
Target $668.57 (+27.2%)
$265.0 52W Range $615.0

At a glance

Key valuation, profitability, growth, and risk metrics.

Updated Apr 14, 2026
Market cap
$12.06B
P/E
N/A
ROE
-42.5%
Profit margin
-30.1%
Debt/Equity
0.58
Dividend yield
N/A

AI Analysis

AI-powered fundamental assessment

Confidence
85%
MDGL exhibits a severe disconnect between its deterministic financial health and its growth trajectory, highlighted by a critically weak Piotroski F-Score of 1/9. While the company is experiencing explosive revenue growth of 210.80% YoY, it remains deeply unprofitable with a profit margin of -30.08% and a history of significant earnings misses. The valuation is aggressive, trading at a Price/Book of 19.92, which suggests the market is pricing in substantial future success. Despite a 'Strong Buy' analyst consensus and a high price target, heavy insider selling and a bearish technical trend suggest caution.

Key Strengths

Exceptional revenue growth (210.80% YoY)
Strong short-term liquidity with a Current Ratio of 4.01
High gross margins (94.14%) typical of successful biotech products
Strong analyst backing with a 'Strong Buy' consensus
Manageable Debt/Equity ratio of 0.58

Key Risks

Critically low Piotroski F-Score (1/9) indicating poor fundamental health
Consistent failure to meet earnings estimates (1/4 beats in last 4 quarters)
Extreme valuation premiums (P/B of 19.92 and P/S of 12.58)
Bearish insider sentiment with $18.42M in net sales and zero buys
Negative ROE (-42.49%) and ROA (-16.30%)
AI Fair Value Estimate
Based on comprehensive analysis
$580.0
+10.3% above current price

Performance Snowflake

Multi-dimensional analysis across 5 key categories

Overall
30
Weak
Value
20
Future
85
Past
30
Health
15
Dividend
0
AI Verdict
Speculative Growth
Key drivers: Hyper-growth in revenue, Severe fundamental weakness, High valuation premium, Insider divestment
Confidence
90%
Value
20/100

Graham Number is N/A due to lack of positive earnings; stock trades at a massive premium to book value.

Positives
  • Forward P/E of 41.09 is reasonable for high-growth biotech
Watchpoints
  • Price/Book of 19.92 is extremely high
  • Price/Sales of 12.58 indicates a steep premium
Future
85/100

Growth is the primary driver of the current stock price.

Positives
  • Triple-digit revenue growth
  • Strong analyst price targets ($668.57)
Watchpoints
  • Unproven ability to translate revenue into consistent earnings beats
Past
30/100

Historical performance is characterized by high volatility and earnings misses.

Positives
  • Strong 5-year price appreciation (+334.6%)
Watchpoints
  • Poor earnings track record with an average surprise of -83.44% over the last 4 quarters
Health
15/100

Deterministic health scores are very weak, reflecting a company still in the 'burn' phase.

Positives
  • High current and quick ratios indicate no immediate liquidity crisis
Watchpoints
  • Piotroski F-Score of 1/9 is a major red flag
  • Negative profit and operating margins
Dividend
0/100

Typical for growth-stage biotechnology firms.

Positives
No standout positives identified.
Watchpoints
  • No dividend payments
  • 0% payout ratio

Stock Price & Analyst Targets

Real-time price movements and analyst price targets

Current Price
$525.67
Analyst Target
$668.57
Upside/Downside
+27.2%

Multi-Horizon Performance vs Peers

Price momentum across 5Y → 1W horizons for MDGL and closest competitors.

Updated 2026-04-13
MDG
Madrigal Pharmaceuticals, Inc.
Primary
5Y
+334.6%
3Y
+119.2%
1Y
+63.1%
6M
+22.9%
1M
+18.2%
1W
-1.5%
ENS
The Ensign Group, Inc.
Peer
5Y
+121.6%
3Y
+109.3%
1Y
+65.7%
6M
+16.2%
1M
-2.4%
1W
+2.3%
JAZ
Jazz Pharmaceuticals plc
Peer
5Y
+19.7%
3Y
+32.4%
1Y
+90.3%
6M
+43.4%
1M
+4.7%
1W
+3.9%
EXE
Exelixis, Inc.
Peer
5Y
+91.2%
3Y
+119.8%
1Y
+29.5%
6M
+14.4%
1M
+4.3%
1W
+0.4%
ALG
Align Technology, Inc.
Peer
5Y
-70.6%
3Y
-48.8%
1Y
+2.3%
6M
+24.8%
1M
-16.9%
1W
-5.6%

Positive values indicate cumulative gains over the specified period. Comparables pulled from the same sector to highlight whether momentum is stock-specific or industry-wide.

Historical Performance Trends

Long-term financial metrics and growth patterns

Revenue & Net Income

Profit & Operating Margins

Return on Equity (ROE)

Quarterly Revenue Growth

Historical data shows last 12 quarters (3 years)

Valuation Metrics

Key valuation ratios and pricing indicators

P/E Ratio
N/A
Forward P/E
41.09
PEG Ratio
N/A
P/B Ratio
19.92
P/S Ratio
12.58
EV/Revenue
11.91
EV/EBITDA
-38.23
Market Cap
$12.06B

Profitability

Profit margins and return metrics

Profit Margin -30.08%
Operating Margin -18.57%
Gross Margin 94.14%
ROE -42.49%
ROA -16.3%

Growth

Revenue and earnings growth rates

Revenue Growth +210.8%
Earnings Growth N/A
Q/Q Revenue Growth +210.77%
Q/Q Earnings Growth N/A

Financial Health

Balance sheet strength and liquidity metrics

Debt/Equity
0.58
Moderate
Current Ratio
4.01
Strong
Quick Ratio
3.6
Excellent
Cash/Share
$42.88

Financial Statement Flow

Interactive flow visualization showing how money moves through the company Q4 2025

Revenue
$0.3B
Gross Margin
92.4%
Op. Margin
-18.6%
Net Margin
-18.2%
Total Assets
$1.3B
Liabilities
$0.7B
Equity
$0.6B
Debt/Equity
1.09x
Operating CF
$-0.1B
Free Cash Flow
$-0.1B
FCF Yield
100%

Quarterly Earnings History

EPS performance vs analyst estimates

2026-04-30
$N/A
2026-02-19
$-2.57
-192.2% surprise
2025-11-04
$-5.08
-104.3% surprise
2025-08-05
$-1.9
+46.2% surprise

Healthcare Sector Comparison

Comparing MDGL against 319 companies in the Healthcare sector (20 bullish, 107 neutral, 192 bearish)
Return on Equity (ROE)
-42.49%
This Stock
vs
-86.0%
Sector Avg
-50.6% (Below Avg)
Profit Margin
-30.08%
This Stock
vs
-11.76%
Sector Avg
+155.8% (Superior)
Debt to Equity
0.58
This Stock
vs
3.51
Sector Avg
-83.5% (Less Debt)
Revenue Growth
210.8%
This Stock
vs
90.15%
Sector Avg
+133.8% (Fast Growth)
Current Ratio
4.01
This Stock
vs
3.67
Sector Avg
+9.5% (Better)

Similar Companies

Peer comparison within the same industry

Recent Insider Trading

Insider buy and sell transactions from the last 6 months

HUNTSMAN CAROLE A
Officer
Sell
2026-03-06
419 shares · $180,983
KELLEY SHANNON T
General Counsel
Sell
2026-03-06
360 shares · $155,498
TAUB REBECCA M.D.
Director
Sell
2026-03-06
491 shares · $212,083
SIBOLD WILLIAM JOHN
Chief Executive Officer
Sell
2026-03-06
1,663 shares · $718,316
DIER MARDI C
Chief Financial Officer
Sell
2026-03-06
1,982 shares · $853,993
HUNTSMAN CAROLE A
Officer
Stock Award
2026-03-04
3,989 shares
KELLEY SHANNON T
General Counsel
Stock Award
2026-03-04
4,017 shares
SIBOLD WILLIAM JOHN
Chief Executive Officer
Stock Award
2026-03-04
14,995 shares
DIER MARDI C
Chief Financial Officer
Stock Award
2026-03-04
5,215 shares
SOERGEL DAVID M.D.
Officer
Stock Award
2026-03-04
4,374 shares
DIER MARDI C
Chief Financial Officer
Sell
2026-03-02
1,183 shares · $505,389
LEVY RICHARD S
Director
Option Exercise
2026-02-23
2,500 shares · $18,400
HUNTSMAN CAROLE A
Officer
Sell
2026-01-26
910 shares · $449,339
TAUB REBECCA M.D.
Director
Sell
2026-01-26
647 shares · $318,596
LEVY RICHARD S
Director
Option Exercise
2026-01-26
4,000 shares · $65,840
Insider transactions can signal confidence or concerns about company prospects

Wall Street Analysts

Professional analyst ratings and price targets

Consensus
STRONG_BUY
14 analysts
B of A Securities
2026-02-20
Maintains
Neutral Neutral
Barclays
2026-01-28
init
Overweight
Citizens
2026-01-20
Maintains
Market Outperform Market Outperform
Piper Sandler
2025-12-19
Maintains
Overweight Overweight
B. Riley Securities
2025-12-11
Maintains
Buy Buy
HC Wainwright & Co.
2025-11-21
Maintains
Buy Buy
Oppenheimer
2025-11-20
Maintains
Outperform Outperform
Truist Securities
2025-11-19
Maintains
Buy Buy
Canaccord Genuity
2025-11-13
Maintains
Buy Buy
HC Wainwright & Co.
2025-11-11
Maintains
Buy Buy

Past News Coverage

Recent headlines mentioning MDGL from our newsroom.

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