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Side-by-side financial comparison of ALTA EQUIPMENT GROUP INC. (ALTG) 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 $509.1M, roughly 1.4× ALTA EQUIPMENT GROUP INC.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs -2.3%, a 21.4% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 2.2%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $32.8M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 7.4%).

The Alta Car and Engineering Company was a British sports and racing car manufacturer, commonly known simply as Alta. Their cars contested five FIA World Championship races between 1950 and 1952, as well as Grand Prix events prior to this. They also supplied engines to a small number of other constructors, most notably the Connaught and HWM teams.

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.

ALTG vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.4× larger
MEDP
$708.5M
$509.1M
ALTG
Growing faster (revenue YoY)
MEDP
MEDP
+29.8% gap
MEDP
32.0%
2.2%
ALTG
Higher net margin
MEDP
MEDP
21.4% more per $
MEDP
19.1%
-2.3%
ALTG
More free cash flow
MEDP
MEDP
$155.3M more FCF
MEDP
$188.1M
$32.8M
ALTG
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
7.4%
ALTG

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
ALTG
ALTG
MEDP
MEDP
Revenue
$509.1M
$708.5M
Net Profit
$-11.7M
$135.1M
Gross Margin
23.5%
Operating Margin
1.0%
21.6%
Net Margin
-2.3%
19.1%
Revenue YoY
2.2%
32.0%
Net Profit YoY
-10.4%
15.5%
EPS (diluted)
$-0.38
$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
ALTG
ALTG
MEDP
MEDP
Q4 25
$509.1M
$708.5M
Q3 25
$422.6M
$659.9M
Q2 25
$481.2M
$603.3M
Q1 25
$423.0M
$558.6M
Q4 24
$498.1M
$536.6M
Q3 24
$448.8M
$533.3M
Q2 24
$488.1M
$528.1M
Q1 24
$441.6M
$511.0M
Net Profit
ALTG
ALTG
MEDP
MEDP
Q4 25
$-11.7M
$135.1M
Q3 25
$-41.6M
$111.1M
Q2 25
$-6.1M
$90.3M
Q1 25
$-20.9M
$114.6M
Q4 24
$-10.6M
$117.0M
Q3 24
$-27.7M
$96.4M
Q2 24
$-11.9M
$88.4M
Q1 24
$-11.9M
$102.6M
Gross Margin
ALTG
ALTG
MEDP
MEDP
Q4 25
23.5%
Q3 25
27.9%
Q2 25
25.4%
Q1 25
27.2%
Q4 24
23.4%
Q3 24
27.8%
Q2 24
27.0%
Q1 24
27.3%
Operating Margin
ALTG
ALTG
MEDP
MEDP
Q4 25
1.0%
21.6%
Q3 25
1.1%
21.5%
Q2 25
2.6%
20.9%
Q1 25
0.2%
20.3%
Q4 24
0.5%
23.4%
Q3 24
1.5%
21.1%
Q2 24
2.1%
19.9%
Q1 24
-0.2%
20.4%
Net Margin
ALTG
ALTG
MEDP
MEDP
Q4 25
-2.3%
19.1%
Q3 25
-9.8%
16.8%
Q2 25
-1.3%
15.0%
Q1 25
-4.9%
20.5%
Q4 24
-2.1%
21.8%
Q3 24
-6.2%
18.1%
Q2 24
-2.4%
16.7%
Q1 24
-2.7%
20.1%
EPS (diluted)
ALTG
ALTG
MEDP
MEDP
Q4 25
$-0.38
$4.65
Q3 25
$-1.31
$3.86
Q2 25
$-0.21
$3.10
Q1 25
$-0.65
$3.67
Q4 24
$-0.34
$3.67
Q3 24
$-0.86
$3.01
Q2 24
$-0.38
$2.75
Q1 24
$-0.38
$3.20

Balance Sheet & Financial Strength

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

Metric
ALTG
ALTG
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$18.6M
$497.0M
Total DebtLower is stronger
$724.0M
Stockholders' EquityBook value
$-8.8M
$459.1M
Total Assets
$1.3B
$2.0B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ALTG
ALTG
MEDP
MEDP
Q4 25
$18.6M
$497.0M
Q3 25
$14.1M
$285.4M
Q2 25
$13.2M
$46.3M
Q1 25
$11.1M
$441.4M
Q4 24
$13.4M
$669.4M
Q3 24
$14.6M
$656.9M
Q2 24
$4.5M
$510.9M
Q1 24
$5.6M
$407.0M
Total Debt
ALTG
ALTG
MEDP
MEDP
Q4 25
$724.0M
Q3 25
$745.6M
Q2 25
$732.6M
Q1 25
$735.0M
Q4 24
$695.3M
Q3 24
$712.6M
Q2 24
$727.3M
Q1 24
$674.4M
Stockholders' Equity
ALTG
ALTG
MEDP
MEDP
Q4 25
$-8.8M
$459.1M
Q3 25
$2.9M
$293.6M
Q2 25
$43.9M
$172.4M
Q1 25
$56.0M
$593.6M
Q4 24
$77.6M
$825.5M
Q3 24
$95.7M
$881.4M
Q2 24
$125.2M
$763.6M
Q1 24
$136.9M
$671.5M
Total Assets
ALTG
ALTG
MEDP
MEDP
Q4 25
$1.3B
$2.0B
Q3 25
$1.4B
$1.8B
Q2 25
$1.4B
$1.6B
Q1 25
$1.5B
$1.9B
Q4 24
$1.5B
$2.1B
Q3 24
$1.5B
$2.1B
Q2 24
$1.6B
$1.9B
Q1 24
$1.6B
$1.8B
Debt / Equity
ALTG
ALTG
MEDP
MEDP
Q4 25
Q3 25
257.10×
Q2 25
16.69×
Q1 25
13.13×
Q4 24
8.96×
Q3 24
7.45×
Q2 24
5.81×
Q1 24
4.93×

Cash Flow & Capital Efficiency

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

Metric
ALTG
ALTG
MEDP
MEDP
Operating Cash FlowLast quarter
$33.9M
$192.7M
Free Cash FlowOCF − Capex
$32.8M
$188.1M
FCF MarginFCF / Revenue
6.4%
26.6%
Capex IntensityCapex / Revenue
0.2%
0.6%
Cash ConversionOCF / Net Profit
1.43×
TTM Free Cash FlowTrailing 4 quarters
$23.8M
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ALTG
ALTG
MEDP
MEDP
Q4 25
$33.9M
$192.7M
Q3 25
$2.5M
$246.2M
Q2 25
$14.1M
$148.5M
Q1 25
$-17.5M
$125.8M
Q4 24
$34.9M
$190.7M
Q3 24
$46.3M
$149.1M
Q2 24
$-10.7M
$116.4M
Q1 24
$-13.5M
$152.7M
Free Cash Flow
ALTG
ALTG
MEDP
MEDP
Q4 25
$32.8M
$188.1M
Q3 25
$-1.7M
$235.5M
Q2 25
$11.9M
$142.4M
Q1 25
$-19.2M
$115.8M
Q4 24
$30.9M
$183.0M
Q3 24
$42.1M
$138.5M
Q2 24
$-13.5M
$103.5M
Q1 24
$-17.9M
$147.2M
FCF Margin
ALTG
ALTG
MEDP
MEDP
Q4 25
6.4%
26.6%
Q3 25
-0.4%
35.7%
Q2 25
2.5%
23.6%
Q1 25
-4.5%
20.7%
Q4 24
6.2%
34.1%
Q3 24
9.4%
26.0%
Q2 24
-2.8%
19.6%
Q1 24
-4.1%
28.8%
Capex Intensity
ALTG
ALTG
MEDP
MEDP
Q4 25
0.2%
0.6%
Q3 25
1.0%
1.6%
Q2 25
0.5%
1.0%
Q1 25
0.4%
1.8%
Q4 24
0.8%
1.4%
Q3 24
0.9%
2.0%
Q2 24
0.6%
2.4%
Q1 24
1.0%
1.1%
Cash Conversion
ALTG
ALTG
MEDP
MEDP
Q4 25
1.43×
Q3 25
2.22×
Q2 25
1.65×
Q1 25
1.10×
Q4 24
1.63×
Q3 24
1.55×
Q2 24
1.32×
Q1 24
1.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

ALTG
ALTG

New And Used Equipment Sales$300.9M59%
Parts Sales$68.1M13%
Services$59.3M12%
Rental Equipment Sales$38.0M7%
Design And Build Projects Automated Equipment Installation And System Integration Services$18.5M4%
Design And Build Solutions Automated Equipment Installation And System Integration And Software Services$14.6M3%
Master Distribution Segment$14.0M3%

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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