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Rhythm Pharmaceuticals (RYTM) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGM•Healthcare•Biotechnology
D
WeakMetricSide Score: 38/100
ProfitabilityProfit0/30
GrowthGrowth15/25
Balance SheetBalance21/25
Cash QualityCash2/20
Price & Volume
Market Cap $7.76B

Rhythm Pharmaceuticals, Inc., a commercial-stage biopharmaceutical company, focuses on the rare neuroendocrine diseases in the United States and internationally. The company's lead product candidate is IMCIVREE (setmelanotide), a rare melanocortin-4 receptor for the treatment of pro-opiomelanocortin (POMC), proprotein convertase subtilisin/kexin type 1, leptin receptor (LEPR) deficiency obesity, Bardet-Biedl and Alström syndrome, Prader-Willi syndrome, and hypothalamic obesity. It is in Phase 3 clinical trials for treating acquired hypothalamic obesity, congenital hypothalamic obesity, pro-opiomelanocortin (POMC) and LEPR insufficiency obesities, SRC1 deficiency obesity, and SH2B1 deficiency obesity; and in phase 2 clinical trails for the treatment of Prader-Willi syndrome and MC4R deficiency. The company is also developing bivamelagon, an investigational oral small molecule MC4R agonist that is in phase 2 clinical trial for the treatment of MC4R pathway diseases; and RM-718, a next generation MC4R peptide agonist that is in phase 1 clinical trial for the treatment of hypothalamic obesity. The company was formerly known as Rhythm Metabolic, Inc. and changed its name to Rhythm Pharmaceuticals, Inc. in October 2015. Rhythm Pharmaceuticals, Inc. was founded in 2008 and is headquartered in Boston, Massachusetts.

Moat Signals

Competitive analysis based on 35 quarters of fundamental data

Pricing Power

Weak Moat

Operating margins are under pressure, averaging -109.9%. The business may lack pricing power or face rising costs.'

Competitive Advantage

Weak Moat

ROE is low or negative, suggesting limited competitive advantage or capital allocation challenges.

Cash Generation

Weak Moat

Only 0 of the last 8 quarters had positive FCF — the business may require external capital to sustain operations.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~113.4% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 35 quarters

High Risk

Margin Pressure

Red Flag

The company posted negative operating margins in recent quarters — core operations are unprofitable.

Earnings Quality

Red Flag

Free cash flow has been negative in 8 of the last 8 quarters — earnings are not translating to cash.

Leverage Risk

Healthy

D/E ratio is 0.8 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Red Flag

The last 8 consecutive quarters had negative FCF — the company is burning cash and may need external funding.

Share Dilution

Red Flag

Shares outstanding increased 11.4% — significant dilution, likely from stock compensation or capital raises.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$217.16M
58.7%
Q. Revenue
$60.11M
TTM EBITDA
$-197.37M
14.3%
TTM Op. Income
$-197.37M
14.3%
Q. Op. Income
$-52.36M
TTM Net Income
$-202.68M
20.1%
Q. Net Income
$-55.64M
EPS
$-0.83
Shares Out.
$67.97M
7.8%
$217.16M in TTM revenue grew 58.7% YoY, reaching $60.11M last quarter. TTM EBITDA of $-197.37M and TTM operating income of $-197.37M shows growth is flowing through. However, net income is negative at $202.68M — growth is not yet reaching the bottom line. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
88.1%
0.8%
EBITDA Margin
-87.1%
Op. Margin
-87.1%
39.4%
Net Margin
-92.6%
38.8%
Op. margin of -87.1% is up 56.6% YoY — cost efficiency is improving. Net margin at -92.6% and gross margin of 88.1% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
N/A
P/S Ratio
35.7x
P/B Ratio
63.1x
P/S of 35.7x and P/B of 63.1x. A high P/S suggests growth expectations are priced in.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$442.32M
Cash
$62.14M
Long-Term Debt
$98.34M
Book Value
$122.91M
D/E Ratio
0.8
Debt/EBITDA
N/A
With $442.32M in assets and $98.34M in long-term debt, the D/E of 0.8and book value of $122.91M — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$-44.19M
Free Cash Flow
$-44.19M
9.5%
FCF Margin
-20.3%
FCF / Net Income
0.8
FCF of $-44.19M on $-44.19M in operating cash flow. The FCF / Net Income ratio of 0.2x indicates partial cash conversion — earnings quality needs attention.

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