10-K annual report · filed Feb 19, 2026

MADRIGAL PHARMACEUTICALS, INC. (MDGL) FY2025 10-K Annual Report

Short answer

MADRIGAL PHARMACEUTICALS, INC. (MDGL) filed its fiscal 2025 10-K annual report with the SEC on Feb 19, 2026. It reported revenue of $958M (+432.1% year over year) and net income of −$288M.

  • Top risk flagged: Regulatory risk: accelerated approval of Rezdiffra under FDA Subpart H pathway contingent on completing MAESTRO-NASH trials for full approval

FY2025 key financial metrics · XBRL

Revenue
$958M
+432.1% YoY
Net income
−$288M
+38.1% YoY
Operating margin
-31.3%
+245.1 pp YoY
EPS (diluted)
−$12.85
+41.3% YoY
ROE
-47.8%
+13.9 pp YoY
Operating cash flow
−$190M
+58.4% YoY

Source: XBRL data from the MADRIGAL PHARMACEUTICALS, INC. (MDGL) FY2025 10-K on SEC EDGAR. USD.

MADRIGAL PHARMACEUTICALS, INC. FY2025 10-K analysis

AI summary of each section, grounded in the filing text

Business Overview

  • Core business model: development and commercialization of pharmaceutical therapies for liver diseases, primarily noncirrhotic MASH
  • New product: Launch and full-year commercialization of Rezdiffra in U.S. (approved Mar 2024) and market entry in Germany (Sep 2025)
  • Strategic shift: Expansion of commercial infrastructure and geographic presence in Europe with emphasis on Rezdiffra sales growth
  • Quantitative highlight: Product revenue surged to $958.4M in 2025 from $180.1M in 2024, with SG&A expenses increasing 87% to $813.8M reflecting expanded commercial activities
  • Noteworthy fact: Entered $500M senior secured credit facility in July 2025, repaid and terminated prior $250M Hercules Loan Facility, signaling strengthened financial positioning

Management Discussion & Analysis

  • No profitability or margin percentages disclosed
  • Forward-looking focus on expanding Rezdiffra use via MAESTRO-NASH OUTCOMES trial and pipeline development of MGL-2086, ervogastat, siRNA programs

Risk Factors

  • Regulatory risk: accelerated approval of Rezdiffra under FDA Subpart H pathway contingent on completing MAESTRO-NASH trials for full approval
  • Geopolitical/macro risk: U.S. Medicare drug price negotiation program starting 2026 may cap prices and impose rebates on high-spend drugs like Rezdiffra
  • Operational risk: dependence on third-party manufacturers to meet cGMP standards and commercial supply demands for Rezdiffra
  • Competitive risk: potential competition from off-label use of marketed products and future MASH therapies impacting Rezdiffra market share
  • Financial risk: reliance on successful third-party payor coverage and reimbursement, including Medicare, Medicaid, and PBMs, to support Rezdiffra sales

Generated from the filing text; verify against the original. How to read a 10-K

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