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Side-by-side financial comparison of Addus HomeCare Corp (ADUS) and Medpace Holdings, Inc. (MEDP). Click either name above to swap in a different company.

Medpace Holdings, Inc. is the larger business by last-quarter revenue ($708.5M vs $373.1M, roughly 1.9× Addus HomeCare Corp). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 8.0%, a 11.1% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 25.6%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $16.1M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 15.3%).

Addus HomeCare Corp is a U.S.-based provider of comprehensive in-home care services, including personal care assistance, home health support, and hospice care. It primarily serves elderly, disabled, and chronically ill clients across multiple U.S. states, partnering with government payers, private insurers, and individual clients to deliver tailored care solutions.

Medpace Holdings, Inc. is a global clinical research organization (CRO) based in Cincinnati, Ohio, employing approximately 6,000 people. Operating under a full-service model, the company also offers global central laboratory, imaging core laboratory, and bioanalytical laboratory services, as well as a Phase I unit located on its headquarters and clinical research campus in Cincinnati, Ohio.

ADUS vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.9× larger
MEDP
$708.5M
$373.1M
ADUS
Growing faster (revenue YoY)
MEDP
MEDP
+6.5% gap
MEDP
32.0%
25.6%
ADUS
Higher net margin
MEDP
MEDP
11.1% more per $
MEDP
19.1%
8.0%
ADUS
More free cash flow
MEDP
MEDP
$172.0M more FCF
MEDP
$188.1M
$16.1M
ADUS
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
15.3%
ADUS

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ADUS
ADUS
MEDP
MEDP
Revenue
$373.1M
$708.5M
Net Profit
$29.8M
$135.1M
Gross Margin
33.1%
Operating Margin
11.3%
21.6%
Net Margin
8.0%
19.1%
Revenue YoY
25.6%
32.0%
Net Profit YoY
52.5%
15.5%
EPS (diluted)
$1.62
$4.65

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ADUS
ADUS
MEDP
MEDP
Q4 25
$373.1M
$708.5M
Q3 25
$362.3M
$659.9M
Q2 25
$349.4M
$603.3M
Q1 25
$337.7M
$558.6M
Q4 24
$297.1M
$536.6M
Q3 24
$289.8M
$533.3M
Q2 24
$286.9M
$528.1M
Q1 24
$280.7M
$511.0M
Net Profit
ADUS
ADUS
MEDP
MEDP
Q4 25
$29.8M
$135.1M
Q3 25
$22.8M
$111.1M
Q2 25
$22.1M
$90.3M
Q1 25
$21.2M
$114.6M
Q4 24
$19.5M
$117.0M
Q3 24
$20.2M
$96.4M
Q2 24
$18.1M
$88.4M
Q1 24
$15.8M
$102.6M
Gross Margin
ADUS
ADUS
MEDP
MEDP
Q4 25
33.1%
Q3 25
32.2%
Q2 25
32.6%
Q1 25
31.9%
Q4 24
34.2%
Q3 24
31.8%
Q2 24
32.5%
Q1 24
31.4%
Operating Margin
ADUS
ADUS
MEDP
MEDP
Q4 25
11.3%
21.6%
Q3 25
9.1%
21.5%
Q2 25
9.4%
20.9%
Q1 25
9.0%
20.3%
Q4 24
9.1%
23.4%
Q3 24
9.0%
21.1%
Q2 24
9.1%
19.9%
Q1 24
8.4%
20.4%
Net Margin
ADUS
ADUS
MEDP
MEDP
Q4 25
8.0%
19.1%
Q3 25
6.3%
16.8%
Q2 25
6.3%
15.0%
Q1 25
6.3%
20.5%
Q4 24
6.6%
21.8%
Q3 24
7.0%
18.1%
Q2 24
6.3%
16.7%
Q1 24
5.6%
20.1%
EPS (diluted)
ADUS
ADUS
MEDP
MEDP
Q4 25
$1.62
$4.65
Q3 25
$1.24
$3.86
Q2 25
$1.20
$3.10
Q1 25
$1.16
$3.67
Q4 24
$1.06
$3.67
Q3 24
$1.10
$3.01
Q2 24
$1.10
$2.75
Q1 24
$0.97
$3.20

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ADUS
ADUS
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$497.0M
Total DebtLower is stronger
$121.0M
Stockholders' EquityBook value
$1.1B
$459.1M
Total Assets
$1.4B
$2.0B
Debt / EquityLower = less leverage
0.11×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ADUS
ADUS
MEDP
MEDP
Q4 25
$497.0M
Q3 25
$285.4M
Q2 25
$46.3M
Q1 25
$97.0M
$441.4M
Q4 24
$98.9M
$669.4M
Q3 24
$222.9M
$656.9M
Q2 24
$173.3M
$510.9M
Q1 24
$76.7M
$407.0M
Total Debt
ADUS
ADUS
MEDP
MEDP
Q4 25
$121.0M
Q3 25
$150.6M
Q2 25
$169.1M
Q1 25
Q4 24
$218.4M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
ADUS
ADUS
MEDP
MEDP
Q4 25
$1.1B
$459.1M
Q3 25
$1.0B
$293.6M
Q2 25
$1.0B
$172.4M
Q1 25
$995.4M
$593.6M
Q4 24
$970.5M
$825.5M
Q3 24
$947.6M
$881.4M
Q2 24
$921.7M
$763.6M
Q1 24
$725.1M
$671.5M
Total Assets
ADUS
ADUS
MEDP
MEDP
Q4 25
$1.4B
$2.0B
Q3 25
$1.4B
$1.8B
Q2 25
$1.4B
$1.6B
Q1 25
$1.4B
$1.9B
Q4 24
$1.4B
$2.1B
Q3 24
$1.2B
$2.1B
Q2 24
$1.1B
$1.9B
Q1 24
$1.0B
$1.8B
Debt / Equity
ADUS
ADUS
MEDP
MEDP
Q4 25
0.11×
Q3 25
0.14×
Q2 25
0.17×
Q1 25
Q4 24
0.23×
Q3 24
Q2 24
Q1 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ADUS
ADUS
MEDP
MEDP
Operating Cash FlowLast quarter
$18.8M
$192.7M
Free Cash FlowOCF − Capex
$16.1M
$188.1M
FCF MarginFCF / Revenue
4.3%
26.6%
Capex IntensityCapex / Revenue
0.7%
0.6%
Cash ConversionOCF / Net Profit
0.63×
1.43×
TTM Free Cash FlowTrailing 4 quarters
$103.8M
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ADUS
ADUS
MEDP
MEDP
Q4 25
$18.8M
$192.7M
Q3 25
$51.3M
$246.2M
Q2 25
$22.5M
$148.5M
Q1 25
$18.9M
$125.8M
Q4 24
$10.4M
$190.7M
Q3 24
$48.5M
$149.1M
Q2 24
$18.8M
$116.4M
Q1 24
$38.7M
$152.7M
Free Cash Flow
ADUS
ADUS
MEDP
MEDP
Q4 25
$16.1M
$188.1M
Q3 25
$49.3M
$235.5M
Q2 25
$21.3M
$142.4M
Q1 25
$17.1M
$115.8M
Q4 24
$8.7M
$183.0M
Q3 24
$46.6M
$138.5M
Q2 24
$17.7M
$103.5M
Q1 24
$37.3M
$147.2M
FCF Margin
ADUS
ADUS
MEDP
MEDP
Q4 25
4.3%
26.6%
Q3 25
13.6%
35.7%
Q2 25
6.1%
23.6%
Q1 25
5.1%
20.7%
Q4 24
2.9%
34.1%
Q3 24
16.1%
26.0%
Q2 24
6.2%
19.6%
Q1 24
13.3%
28.8%
Capex Intensity
ADUS
ADUS
MEDP
MEDP
Q4 25
0.7%
0.6%
Q3 25
0.5%
1.6%
Q2 25
0.4%
1.0%
Q1 25
0.6%
1.8%
Q4 24
0.6%
1.4%
Q3 24
0.7%
2.0%
Q2 24
0.4%
2.4%
Q1 24
0.5%
1.1%
Cash Conversion
ADUS
ADUS
MEDP
MEDP
Q4 25
0.63×
1.43×
Q3 25
2.24×
2.22×
Q2 25
1.02×
1.65×
Q1 25
0.89×
1.10×
Q4 24
0.53×
1.63×
Q3 24
2.41×
1.55×
Q2 24
1.04×
1.32×
Q1 24
2.44×
1.49×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ADUS
ADUS

Personal Care$286.0M77%
Hospice$70.0M19%
Home Health$17.1M5%

MEDP
MEDP

Metabolic$249.8M35%
Oncology$195.9M28%
Other$88.3M12%
Central Nervous System$73.2M10%
Cardiology$63.0M9%
Antiviral And Anti Infective$38.3M5%
Related Party$10.3M1%

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