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Side-by-side financial comparison of Aveanna Healthcare Holdings, Inc. (AVAH) 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 $621.9M, roughly 1.1× Aveanna Healthcare Holdings, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 2.3%, a 16.8% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 22.2%). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 14.0%).

Aveanna Healthcare Holdings, Inc. is a leading U.S. provider of home and community-based healthcare services. Its core offerings include pediatric home health, adult personal care, hospice care, and infusion therapy, serving patients across the United States through its nationwide network of local care centers, catering to both public and private payer segments.

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.

AVAH vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.1× larger
MEDP
$708.5M
$621.9M
AVAH
Growing faster (revenue YoY)
MEDP
MEDP
+9.8% gap
MEDP
32.0%
22.2%
AVAH
Higher net margin
MEDP
MEDP
16.8% more per $
MEDP
19.1%
2.3%
AVAH
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
14.0%
AVAH

Income Statement — Q3 FY2025 vs Q4 FY2025

Metric
AVAH
AVAH
MEDP
MEDP
Revenue
$621.9M
$708.5M
Net Profit
$14.1M
$135.1M
Gross Margin
32.6%
Operating Margin
8.6%
21.6%
Net Margin
2.3%
19.1%
Revenue YoY
22.2%
32.0%
Net Profit YoY
132.8%
15.5%
EPS (diluted)
$0.06
$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
AVAH
AVAH
MEDP
MEDP
Q4 25
$708.5M
Q3 25
$621.9M
$659.9M
Q2 25
$589.6M
$603.3M
Q1 25
$559.2M
$558.6M
Q4 24
$519.9M
$536.6M
Q3 24
$509.0M
$533.3M
Q2 24
$505.0M
$528.1M
Q1 24
$490.7M
$511.0M
Net Profit
AVAH
AVAH
MEDP
MEDP
Q4 25
$135.1M
Q3 25
$14.1M
$111.1M
Q2 25
$27.0M
$90.3M
Q1 25
$5.2M
$114.6M
Q4 24
$29.2M
$117.0M
Q3 24
$-42.8M
$96.4M
Q2 24
$13.9M
$88.4M
Q1 24
$-11.2M
$102.6M
Gross Margin
AVAH
AVAH
MEDP
MEDP
Q4 25
Q3 25
32.6%
Q2 25
35.8%
Q1 25
32.8%
Q4 24
33.0%
Q3 24
31.4%
Q2 24
31.3%
Q1 24
29.7%
Operating Margin
AVAH
AVAH
MEDP
MEDP
Q4 25
21.6%
Q3 25
8.6%
21.5%
Q2 25
13.6%
20.9%
Q1 25
9.3%
20.3%
Q4 24
8.8%
23.4%
Q3 24
6.7%
21.1%
Q2 24
7.4%
19.9%
Q1 24
4.7%
20.4%
Net Margin
AVAH
AVAH
MEDP
MEDP
Q4 25
19.1%
Q3 25
2.3%
16.8%
Q2 25
4.6%
15.0%
Q1 25
0.9%
20.5%
Q4 24
5.6%
21.8%
Q3 24
-8.4%
18.1%
Q2 24
2.8%
16.7%
Q1 24
-2.3%
20.1%
EPS (diluted)
AVAH
AVAH
MEDP
MEDP
Q4 25
$4.65
Q3 25
$0.06
$3.86
Q2 25
$0.13
$3.10
Q1 25
$0.03
$3.67
Q4 24
$0.15
$3.67
Q3 24
$-0.22
$3.01
Q2 24
$0.07
$2.75
Q1 24
$-0.06
$3.20

Balance Sheet & Financial Strength

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

Metric
AVAH
AVAH
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$145.9M
$497.0M
Total DebtLower is stronger
$1.3B
Stockholders' EquityBook value
$9.2M
$459.1M
Total Assets
$1.8B
$2.0B
Debt / EquityLower = less leverage
141.83×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
AVAH
AVAH
MEDP
MEDP
Q4 25
$497.0M
Q3 25
$145.9M
$285.4M
Q2 25
$100.7M
$46.3M
Q1 25
$71.5M
$441.4M
Q4 24
$84.3M
$669.4M
Q3 24
$78.5M
$656.9M
Q2 24
$47.7M
$510.9M
Q1 24
$42.6M
$407.0M
Total Debt
AVAH
AVAH
MEDP
MEDP
Q4 25
Q3 25
$1.3B
Q2 25
$1.3B
Q1 25
$1.3B
Q4 24
$1.3B
Q3 24
$1.3B
Q2 24
$1.3B
Q1 24
$1.3B
Stockholders' Equity
AVAH
AVAH
MEDP
MEDP
Q4 25
$459.1M
Q3 25
$9.2M
$293.6M
Q2 25
$-12.0M
$172.4M
Q1 25
$-100.1M
$593.6M
Q4 24
$-123.6M
$825.5M
Q3 24
$-156.4M
$881.4M
Q2 24
$-119.0M
$763.6M
Q1 24
$-136.3M
$671.5M
Total Assets
AVAH
AVAH
MEDP
MEDP
Q4 25
$2.0B
Q3 25
$1.8B
$1.8B
Q2 25
$1.8B
$1.6B
Q1 25
$1.7B
$1.9B
Q4 24
$1.7B
$2.1B
Q3 24
$1.6B
$2.1B
Q2 24
$1.7B
$1.9B
Q1 24
$1.6B
$1.8B
Debt / Equity
AVAH
AVAH
MEDP
MEDP
Q4 25
Q3 25
141.83×
Q2 25
Q1 25
Q4 24
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
AVAH
AVAH
MEDP
MEDP
Operating Cash FlowLast quarter
$33.2M
$192.7M
Free Cash FlowOCF − Capex
$188.1M
FCF MarginFCF / Revenue
26.6%
Capex IntensityCapex / Revenue
0.6%
Cash ConversionOCF / Net Profit
2.36×
1.43×
TTM Free Cash FlowTrailing 4 quarters
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
AVAH
AVAH
MEDP
MEDP
Q4 25
$192.7M
Q3 25
$33.2M
$246.2M
Q2 25
$51.6M
$148.5M
Q1 25
$-8.6M
$125.8M
Q4 24
$13.4M
$190.7M
Q3 24
$29.4M
$149.1M
Q2 24
$1.8M
$116.4M
Q1 24
$-12.0M
$152.7M
Free Cash Flow
AVAH
AVAH
MEDP
MEDP
Q4 25
$188.1M
Q3 25
$235.5M
Q2 25
$142.4M
Q1 25
$115.8M
Q4 24
$183.0M
Q3 24
$138.5M
Q2 24
$103.5M
Q1 24
$147.2M
FCF Margin
AVAH
AVAH
MEDP
MEDP
Q4 25
26.6%
Q3 25
35.7%
Q2 25
23.6%
Q1 25
20.7%
Q4 24
34.1%
Q3 24
26.0%
Q2 24
19.6%
Q1 24
28.8%
Capex Intensity
AVAH
AVAH
MEDP
MEDP
Q4 25
0.6%
Q3 25
1.6%
Q2 25
1.0%
Q1 25
1.8%
Q4 24
1.4%
Q3 24
2.0%
Q2 24
2.4%
Q1 24
1.1%
Cash Conversion
AVAH
AVAH
MEDP
MEDP
Q4 25
1.43×
Q3 25
2.36×
2.22×
Q2 25
1.91×
1.65×
Q1 25
-1.66×
1.10×
Q4 24
0.46×
1.63×
Q3 24
1.55×
Q2 24
0.13×
1.32×
Q1 24
1.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

AVAH
AVAH

Private Duty Services$514.4M83%
Home Health And Hospice$62.4M10%
Medical Solutions$45.1M7%

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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