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Side-by-side financial comparison of Alpha Metallurgical Resources, Inc. (AMR) 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 $519.1M, roughly 1.4× Alpha Metallurgical Resources, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs -3.3%, a 22.4% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs -15.7%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $-10.0M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs -22.4%).

Alpha Metallurgical Resources, formerly Contura Energy, is a leading coal supplier with underground and surface coal mining complexes across Northern and Central Appalachia. Contura owns large coal basins in Pennsylvania, Virginia and West Virginia which supply both metallurgical coal to produce steel and thermal coal to generate power.

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.

AMR vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.4× larger
MEDP
$708.5M
$519.1M
AMR
Growing faster (revenue YoY)
MEDP
MEDP
+47.7% gap
MEDP
32.0%
-15.7%
AMR
Higher net margin
MEDP
MEDP
22.4% more per $
MEDP
19.1%
-3.3%
AMR
More free cash flow
MEDP
MEDP
$198.1M more FCF
MEDP
$188.1M
$-10.0M
AMR
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
-22.4%
AMR

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
AMR
AMR
MEDP
MEDP
Revenue
$519.1M
$708.5M
Net Profit
$-17.3M
$135.1M
Gross Margin
Operating Margin
-4.1%
21.6%
Net Margin
-3.3%
19.1%
Revenue YoY
-15.7%
32.0%
Net Profit YoY
-711.2%
15.5%
EPS (diluted)
$-1.35
$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
AMR
AMR
MEDP
MEDP
Q4 25
$519.1M
$708.5M
Q3 25
$525.2M
$659.9M
Q2 25
$548.7M
$603.3M
Q1 25
$529.7M
$558.6M
Q4 24
$615.4M
$536.6M
Q3 24
$669.8M
$533.3M
Q2 24
$800.1M
$528.1M
Q1 24
$861.3M
$511.0M
Net Profit
AMR
AMR
MEDP
MEDP
Q4 25
$-17.3M
$135.1M
Q3 25
$-5.5M
$111.1M
Q2 25
$-5.0M
$90.3M
Q1 25
$-33.9M
$114.6M
Q4 24
$-2.1M
$117.0M
Q3 24
$3.8M
$96.4M
Q2 24
$58.9M
$88.4M
Q1 24
$127.0M
$102.6M
Operating Margin
AMR
AMR
MEDP
MEDP
Q4 25
-4.1%
21.6%
Q3 25
-0.5%
21.5%
Q2 25
0.5%
20.9%
Q1 25
-7.6%
20.3%
Q4 24
1.6%
23.4%
Q3 24
0.8%
21.1%
Q2 24
8.8%
19.9%
Q1 24
16.5%
20.4%
Net Margin
AMR
AMR
MEDP
MEDP
Q4 25
-3.3%
19.1%
Q3 25
-1.1%
16.8%
Q2 25
-0.9%
15.0%
Q1 25
-6.4%
20.5%
Q4 24
-0.3%
21.8%
Q3 24
0.6%
18.1%
Q2 24
7.4%
16.7%
Q1 24
14.7%
20.1%
EPS (diluted)
AMR
AMR
MEDP
MEDP
Q4 25
$-1.35
$4.65
Q3 25
$-0.42
$3.86
Q2 25
$-0.38
$3.10
Q1 25
$-2.60
$3.67
Q4 24
$-0.09
$3.67
Q3 24
$0.29
$3.01
Q2 24
$4.49
$2.75
Q1 24
$9.59
$3.20

Balance Sheet & Financial Strength

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

Metric
AMR
AMR
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$415.6M
$497.0M
Total DebtLower is stronger
$9.8M
Stockholders' EquityBook value
$1.5B
$459.1M
Total Assets
$2.3B
$2.0B
Debt / EquityLower = less leverage
0.01×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AMR
AMR
MEDP
MEDP
Q4 25
$415.6M
$497.0M
Q3 25
$457.9M
$285.4M
Q2 25
$449.0M
$46.3M
Q1 25
$448.0M
$441.4M
Q4 24
$481.6M
$669.4M
Q3 24
$484.6M
$656.9M
Q2 24
$336.1M
$510.9M
Q1 24
$269.4M
$407.0M
Total Debt
AMR
AMR
MEDP
MEDP
Q4 25
$9.8M
Q3 25
$2.9M
Q2 25
$3.1M
Q1 25
$2.4M
Q4 24
$2.9M
Q3 24
$3.6M
Q2 24
$5.3M
Q1 24
$6.0M
Stockholders' Equity
AMR
AMR
MEDP
MEDP
Q4 25
$1.5B
$459.1M
Q3 25
$1.6B
$293.6M
Q2 25
$1.6B
$172.4M
Q1 25
$1.6B
$593.6M
Q4 24
$1.6B
$825.5M
Q3 24
$1.7B
$881.4M
Q2 24
$1.6B
$763.6M
Q1 24
$1.6B
$671.5M
Total Assets
AMR
AMR
MEDP
MEDP
Q4 25
$2.3B
$2.0B
Q3 25
$2.3B
$1.8B
Q2 25
$2.4B
$1.6B
Q1 25
$2.4B
$1.9B
Q4 24
$2.4B
$2.1B
Q3 24
$2.5B
$2.1B
Q2 24
$2.5B
$1.9B
Q1 24
$2.5B
$1.8B
Debt / Equity
AMR
AMR
MEDP
MEDP
Q4 25
0.01×
Q3 25
0.00×
Q2 25
0.00×
Q1 25
0.00×
Q4 24
0.00×
Q3 24
0.00×
Q2 24
0.00×
Q1 24
0.00×

Cash Flow & Capital Efficiency

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

Metric
AMR
AMR
MEDP
MEDP
Operating Cash FlowLast quarter
$19.0M
$192.7M
Free Cash FlowOCF − Capex
$-10.0M
$188.1M
FCF MarginFCF / Revenue
-1.9%
26.6%
Capex IntensityCapex / Revenue
5.6%
0.6%
Cash ConversionOCF / Net Profit
1.43×
TTM Free Cash FlowTrailing 4 quarters
$17.8M
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AMR
AMR
MEDP
MEDP
Q4 25
$19.0M
$192.7M
Q3 25
$50.5M
$246.2M
Q2 25
$53.2M
$148.5M
Q1 25
$22.2M
$125.8M
Q4 24
$56.3M
$190.7M
Q3 24
$189.5M
$149.1M
Q2 24
$138.1M
$116.4M
Q1 24
$196.1M
$152.7M
Free Cash Flow
AMR
AMR
MEDP
MEDP
Q4 25
$-10.0M
$188.1M
Q3 25
$25.4M
$235.5M
Q2 25
$18.6M
$142.4M
Q1 25
$-16.3M
$115.8M
Q4 24
$13.6M
$183.0M
Q3 24
$158.0M
$138.5M
Q2 24
$77.0M
$103.5M
Q1 24
$132.5M
$147.2M
FCF Margin
AMR
AMR
MEDP
MEDP
Q4 25
-1.9%
26.6%
Q3 25
4.8%
35.7%
Q2 25
3.4%
23.6%
Q1 25
-3.1%
20.7%
Q4 24
2.2%
34.1%
Q3 24
23.6%
26.0%
Q2 24
9.6%
19.6%
Q1 24
15.4%
28.8%
Capex Intensity
AMR
AMR
MEDP
MEDP
Q4 25
5.6%
0.6%
Q3 25
4.8%
1.6%
Q2 25
6.3%
1.0%
Q1 25
7.3%
1.8%
Q4 24
6.9%
1.4%
Q3 24
4.7%
2.0%
Q2 24
7.6%
2.4%
Q1 24
7.4%
1.1%
Cash Conversion
AMR
AMR
MEDP
MEDP
Q4 25
1.43×
Q3 25
2.22×
Q2 25
1.65×
Q1 25
1.10×
Q4 24
1.63×
Q3 24
49.81×
1.55×
Q2 24
2.34×
1.32×
Q1 24
1.54×
1.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

AMR
AMR

Segment breakdown not available.

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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