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Insmed vs Madrigal Pharmaceuticals

Madrigal Pharmaceuticals is the larger business, with $958m of revenue in fiscal 2025 against $606m for Insmed (1.6 times as much). Madrigal Pharmaceuticals grew faster (432.1% against 66.7%). Madrigal Pharmaceuticals kept more of each dollar of sales as profit: a net margin of -30.1% against -210.5%. Insmed carries less debt relative to equity (74.0% against 80.6%).

Latest fiscal yearInsmedINSM, 2025Madrigal PharmaceuticalsMDGL, 2025
Revenue $606m $958m
Revenue growth 66.7% 432.1%
Net income −$1.28bn −$288m
Operating margin -205.6% -31.3%
Net margin -210.5% -30.1%
Return on equity — -42.5%
Free cash flow −$968m −$190m
Cash $510m $199m
Total debt $547m $486m
Debt to equity 74.0% 80.6%
Dividend per share — —
Dividend yield — —
Share buybacks — —
Employees 1,664 915
Market value $23.17bn $9.38bn
Price vs our value range — —
Moat score 24 (Weak) —
Insider trades, 12 months 0 buys, 169 sales 0 buys, 202 sales

Each figure is from the company's latest annual report and links to the page it comes from. Fiscal years can end on different dates. Market value and the value verdict use the delayed price shown on the stock pages. Not a recommendation.

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Figures from each company's latest annual report filed with the SEC (10-K or 20-F), as reported, with the fiscal year shown. Not investment advice. How we read filings: methodology.