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MDGL vs AKRO vs HIMS vs ELVN vs TERN

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
MDGL
Madrigal Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$12.27B
5Y Perf.+341.3%
AKRO
Akero Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$4.50B
5Y Perf.+78.8%
HIMS
Hims & Hers Health, Inc.

Medical - Equipment & Services

HealthcareNYSE • US
Market Cap$6.63B
5Y Perf.+76.1%
ELVN
Enliven Therapeutics, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$2.39B
5Y Perf.-20.0%
TERN
Terns Pharmaceuticals, Inc.

Biotechnology

HealthcareNASDAQ • US
Market Cap$4.63B
5Y Perf.+133.7%

MDGL vs AKRO vs HIMS vs ELVN vs TERN — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
MDGL logoMDGL
AKRO logoAKRO
HIMS logoHIMS
ELVN logoELVN
TERN logoTERN
IndustryBiotechnologyBiotechnologyMedical - Equipment & ServicesBiotechnologyBiotechnology
Market Cap$12.27B$4.50B$6.63B$2.39B$4.63B
Revenue (TTM)$1.13B$0.00$2.35B$0.00$0.00
Net Income (TTM)$-309M$-293M$128M$-104M$-94M
Gross Margin93.1%69.7%
Operating Margin-27.7%4.6%
Forward P/E51.5x
Total Debt$354M$36M$1.12B$0.00$1M
Cash & Equiv.$199M$340M$229M$99M$161M

MDGL vs AKRO vs HIMS vs ELVN vs TERNLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

MDGL
AKRO
HIMS
ELVN
TERN
StockFeb 21May 26Return
Madrigal Pharmaceut… (MDGL)100441.3+341.3%
Akero Therapeutics,… (AKRO)100178.8+78.8%
Hims & Hers Health,… (HIMS)100176.1+76.1%
Enliven Therapeutic… (ELVN)10080.0-20.0%
Terns Pharmaceutica… (TERN)100233.7+133.7%

Price return only. Dividends and distributions are not included.

Quick Verdict: MDGL vs AKRO vs HIMS vs ELVN vs TERN

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: HIMS leads in 2 of 6 categories (5-stock set), making it the strongest pick for profitability and margin quality and operational efficiency and capital deployment. Madrigal Pharmaceuticals, Inc. is the stronger pick specifically for growth and revenue expansion. AKRO and TERN also each lead in at least one category. As sector peers, any of these can serve as alternatives in the same allocation.
MDGL
Madrigal Pharmaceuticals, Inc.
The Growth Play

MDGL is the #2 pick in this set and the best alternative if growth exposure and long-term compounding is your priority.

  • Rev growth 432.1%, EPS growth 41.3%
  • 39.2% 10Y total return vs TERN's 187.9%
  • 432.1% revenue growth vs AKRO's -24.6%
Best for: growth exposure and long-term compounding
AKRO
Akero Therapeutics, Inc.
The Income Pick

AKRO ranks third and is worth considering specifically for income & stability and defensive.

  • beta 0.35
  • Beta 0.35, current ratio 19.38x
  • Beta 0.35 vs HIMS's 2.40, lower leverage
Best for: income & stability and defensive
HIMS
Hims & Hers Health, Inc.
The Quality Compounder

HIMS carries the broadest edge in this set and is the clearest fit for quality and efficiency.

  • 5.5% margin vs MDGL's -27.3%
  • 6.0% ROA vs AKRO's -29.1%, ROIC 10.7% vs -55.3%
Best for: quality and efficiency
ELVN
Enliven Therapeutics, Inc.
The Healthcare Pick

Among these 5 stocks, ELVN doesn't own a clear edge in any measured category.

Best for: healthcare exposure
TERN
Terns Pharmaceuticals, Inc.
The Defensive Pick

TERN is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 0.39, Low D/E 0.4%, current ratio 23.14x
  • +16.5% vs HIMS's -51.0%
Best for: sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthMDGL logoMDGL432.1% revenue growth vs AKRO's -24.6%
Quality / MarginsHIMS logoHIMS5.5% margin vs MDGL's -27.3%
Stability / SafetyAKRO logoAKROBeta 0.35 vs HIMS's 2.40, lower leverage
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)TERN logoTERN+16.5% vs HIMS's -51.0%
Efficiency (ROA)HIMS logoHIMS6.0% ROA vs AKRO's -29.1%, ROIC 10.7% vs -55.3%

MDGL vs AKRO vs HIMS vs ELVN vs TERN — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

MDGLMadrigal Pharmaceuticals, Inc.
FY 2025
Reportable Segment
100.0%$958M
AKROAkero Therapeutics, Inc.

Segment breakdown not available.

HIMSHims & Hers Health, Inc.

Segment breakdown not available.

ELVNEnliven Therapeutics, Inc.

Segment breakdown not available.

TERNTerns Pharmaceuticals, Inc.

Segment breakdown not available.

MDGL vs AKRO vs HIMS vs ELVN vs TERN — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLHIMSLAGGINGELVN

Income & Cash Flow (Last 12 Months)

HIMS leads this category, winning 3 of 6 comparable metrics.

HIMS and TERN operate at a comparable scale, with $2.3B and $0 in trailing revenue. HIMS is the more profitable business, keeping 5.5% of every revenue dollar as net income compared to MDGL's -27.3%. On growth, MDGL holds the edge at +126.8% YoY revenue growth, suggesting stronger near-term business momentum.

MetricMDGL logoMDGLMadrigal Pharmace…AKRO logoAKROAkero Therapeutic…HIMS logoHIMSHims & Hers Healt…ELVN logoELVNEnliven Therapeut…TERN logoTERNTerns Pharmaceuti…
RevenueTrailing 12 months$1.1B$0$2.3B$0$0
EBITDAEarnings before interest/tax-$312M-$318M$164M-$119M-$108M
Net IncomeAfter-tax profit-$309M-$293M$128M-$104M-$94M
Free Cash FlowCash after capex-$272M-$250M$73M-$70M-$78M
Gross MarginGross profit ÷ Revenue+93.1%+69.7%
Operating MarginEBIT ÷ Revenue-27.7%+4.6%
Net MarginNet income ÷ Revenue-27.3%+5.5%
FCF MarginFCF ÷ Revenue-24.1%+3.1%
Rev. Growth (YoY)Latest quarter vs prior year+126.8%+28.4%
EPS Growth (YoY)Latest quarter vs prior year+2.1%+5.7%-27.3%+2.2%+3.6%
HIMS leads this category, winning 3 of 6 comparable metrics.

Valuation Metrics

Evenly matched — AKRO and HIMS and TERN each lead in 1 of 3 comparable metrics.
MetricMDGL logoMDGLMadrigal Pharmace…AKRO logoAKROAkero Therapeutic…HIMS logoHIMSHims & Hers Healt…ELVN logoELVNEnliven Therapeut…TERN logoTERNTerns Pharmaceuti…
Market CapShares × price$12.3B$4.5B$6.6B$2.4B$4.6B
Enterprise ValueMkt cap + debt − cash$12.4B$4.2B$7.5B$2.3B$4.5B
Trailing P/EPrice ÷ TTM EPS-41.62x-14.57x50.32x-22.02x-47.28x
Forward P/EPrice ÷ next-FY EPS est.51.51x
PEG RatioP/E ÷ EPS growth rate
EV / EBITDAEnterprise value multiple42.68x
Price / SalesMarket cap ÷ Revenue12.80x2.82x
Price / BookPrice ÷ Book value/share19.91x4.89x12.25x4.97x12.17x
Price / FCFMarket cap ÷ FCF89.61x
Evenly matched — AKRO and HIMS and TERN each lead in 1 of 3 comparable metrics.

Profitability & Efficiency

HIMS leads this category, winning 5 of 9 comparable metrics.

HIMS delivers a 23.7% return on equity — every $100 of shareholder capital generates $24 in annual profit, vs $-50 for MDGL. TERN carries lower financial leverage with a 0.00x debt-to-equity ratio, signaling a more conservative balance sheet compared to HIMS's 2.07x. On the Piotroski fundamental quality scale (0–9), HIMS scores 4/9 vs AKRO's 2/9, reflecting mixed financial health.

MetricMDGL logoMDGLMadrigal Pharmace…AKRO logoAKROAkero Therapeutic…HIMS logoHIMSHims & Hers Healt…ELVN logoELVNEnliven Therapeut…TERN logoTERNTerns Pharmaceuti…
ROE (TTM)Return on equity-50.2%-30.6%+23.7%-24.2%-30.0%
ROA (TTM)Return on assets-25.4%-29.1%+6.0%-23.4%-28.5%
ROICReturn on invested capital-29.4%-55.3%+10.7%-32.8%-42.2%
ROCEReturn on capital employed-32.9%-42.4%+10.9%-31.1%-33.7%
Piotroski ScoreFundamental quality 0–932433
Debt / EquityFinancial leverage0.59x0.05x2.07x0.00x
Net DebtTotal debt minus cash$156M-$304M$892M-$99M-$160M
Cash & Equiv.Liquid assets$199M$340M$229M$99M$161M
Total DebtShort + long-term debt$354M$36M$1.1B$0$1M
Interest CoverageEBIT ÷ Interest expense-17.51x-62.41x
HIMS leads this category, winning 5 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

TERN leads this category, winning 3 of 6 comparable metrics.

A $10,000 investment in MDGL five years ago would be worth $41,011 today (with dividends reinvested), compared to $13,893 for ELVN. Over the past 12 months, TERN leads with a +1647.5% total return vs HIMS's -51.0%. The 3-year compound annual growth rate (CAGR) favors TERN at 59.1% vs AKRO's 6.3% — a key indicator of consistent wealth creation.

MetricMDGL logoMDGLMadrigal Pharmace…AKRO logoAKROAkero Therapeutic…HIMS logoHIMSHims & Hers Healt…ELVN logoELVNEnliven Therapeut…TERN logoTERNTerns Pharmaceuti…
YTD ReturnYear-to-date-9.9%-23.2%+159.3%+32.0%
1-Year ReturnPast 12 months+79.0%+27.7%-51.0%+120.5%+1647.5%
3-Year ReturnCumulative with dividends+73.2%+20.1%+116.6%+110.5%+302.7%
5-Year ReturnCumulative with dividends+310.1%+100.0%+137.6%+38.9%+218.6%
10-Year ReturnCumulative with dividends+3921.5%+198.3%+161.9%-32.9%+187.9%
CAGR (3Y)Annualised 3-year return+20.1%+6.3%+29.4%+28.2%+59.1%
TERN leads this category, winning 3 of 6 comparable metrics.

Risk & Volatility

Evenly matched — AKRO and TERN each lead in 1 of 2 comparable metrics.

AKRO is the less volatile stock with a 0.35 beta — it tends to amplify market swings less than HIMS's 2.40 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. TERN currently trades 99.6% from its 52-week high vs HIMS's 36.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricMDGL logoMDGLMadrigal Pharmace…AKRO logoAKROAkero Therapeutic…HIMS logoHIMSHims & Hers Healt…ELVN logoELVNEnliven Therapeut…TERN logoTERNTerns Pharmaceuti…
Beta (5Y)Sensitivity to S&P 5000.57x0.35x2.40x1.27x0.39x
52-Week HighHighest price in past year$615.00$57.35$70.43$48.50$53.18
52-Week LowLowest price in past year$265.00$37.28$13.74$14.79$2.66
% of 52W HighCurrent price vs 52-week peak+87.0%+95.3%+36.4%+83.1%+99.6%
RSI (14)Momentum oscillator 0–10061.270.454.549.774.2
Avg Volume (50D)Average daily shares traded310K034.9M1.1M6.7M
Evenly matched — AKRO and TERN each lead in 1 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Analyst consensus: MDGL as "Buy", AKRO as "Buy", HIMS as "Hold", ELVN as "Buy", TERN as "Buy". Consensus price targets imply 31.9% upside for MDGL (target: $706) vs -11.4% for AKRO (target: $48).

MetricMDGL logoMDGLMadrigal Pharmace…AKRO logoAKROAkero Therapeutic…HIMS logoHIMSHims & Hers Healt…ELVN logoELVNEnliven Therapeut…TERN logoTERNTerns Pharmaceuti…
Analyst RatingConsensus buy/hold/sellBuyBuyHoldBuyBuy
Price TargetConsensus 12-month target$705.67$48.40$29.67$43.33$55.56
# AnalystsCovering analysts231419616
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises1
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%0.0%+1.4%+0.0%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

HIMS leads in 2 of 6 categories (Income & Cash Flow, Profitability & Efficiency). TERN leads in 1 (Total Returns). 2 tied.

Best OverallHims & Hers Health, Inc. (HIMS)Leads 2 of 6 categories
Loading custom metrics...

MDGL vs AKRO vs HIMS vs ELVN vs TERN: Key Questions Answered

9 questions · data-driven answers · updated daily

01

Is MDGL or AKRO or HIMS or ELVN or TERN a better buy right now?

For growth investors, Madrigal Pharmaceuticals, Inc.

(MDGL) is the stronger pick with 432. 1% revenue growth year-over-year, versus 59. 0% for Hims & Hers Health, Inc. (HIMS). Hims & Hers Health, Inc. (HIMS) offers the better valuation at 50. 3x trailing P/E (51. 5x forward), making it the more compelling value choice. Analysts rate Madrigal Pharmaceuticals, Inc. (MDGL) a "Buy" — based on 23 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.

02

Which is the better long-term investment — MDGL or AKRO or HIMS or ELVN or TERN?

Over the past 5 years, Madrigal Pharmaceuticals, Inc.

(MDGL) delivered a total return of +310. 1%, compared to +38. 9% for Enliven Therapeutics, Inc. (ELVN). Over 10 years, the gap is even starker: MDGL returned +39. 2% versus ELVN's -32. 9%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

03

Which is safer — MDGL or AKRO or HIMS or ELVN or TERN?

By beta (market sensitivity over 5 years), Akero Therapeutics, Inc.

(AKRO) is the lower-risk stock at 0. 35β versus Hims & Hers Health, Inc. 's 2. 40β — meaning HIMS is approximately 589% more volatile than AKRO relative to the S&P 500. On balance sheet safety, Terns Pharmaceuticals, Inc. (TERN) carries a lower debt/equity ratio of 0% versus 2% for Hims & Hers Health, Inc. — giving it more financial flexibility in a downturn.

04

Which is growing faster — MDGL or AKRO or HIMS or ELVN or TERN?

By revenue growth (latest reported year), Madrigal Pharmaceuticals, Inc.

(MDGL) is pulling ahead at 432. 1% versus 59. 0% for Hims & Hers Health, Inc. (HIMS). On earnings-per-share growth, the picture is similar: Madrigal Pharmaceuticals, Inc. grew EPS 41. 3% year-over-year, compared to -29. 8% for Akero Therapeutics, Inc.. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.

05

Which has better profit margins — MDGL or AKRO or HIMS or ELVN or TERN?

Hims & Hers Health, Inc.

(HIMS) is the more profitable company, earning 5. 5% net margin versus -30. 1% for Madrigal Pharmaceuticals, Inc. — meaning it keeps 5. 5% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HIMS leads at 5. 2% versus -31. 3% for MDGL. At the gross margin level — before operating expenses — MDGL leads at 94. 1%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.

06

Is MDGL or AKRO or HIMS or ELVN or TERN more undervalued right now?

Analyst consensus price targets imply the most upside for MDGL: 31.

9% to $705. 67.

07

Which pays a better dividend — MDGL or AKRO or HIMS or ELVN or TERN?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

08

Is MDGL or AKRO or HIMS or ELVN or TERN better for a retirement portfolio?

For long-horizon retirement investors, Akero Therapeutics, Inc.

(AKRO) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 35), +198. 3% 10Y return). Hims & Hers Health, Inc. (HIMS) carries a higher beta of 2. 40 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (AKRO: +198. 3%, HIMS: +161. 9%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.

09

What are the main differences between MDGL and AKRO and HIMS and ELVN and TERN?

Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.

In terms of investment character: MDGL is a mid-cap high-growth stock; AKRO is a small-cap quality compounder stock; HIMS is a small-cap high-growth stock; ELVN is a small-cap quality compounder stock; TERN is a small-cap quality compounder stock. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.

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