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

EPAM Systems is the larger business by last-quarter revenue ($1.4B vs $708.5M, roughly 2.0× Medpace Holdings, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 7.8%, a 11.3% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 12.8%). EPAM Systems produced more free cash flow last quarter ($268.1M vs $188.1M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 9.9%).

EPAM Systems, Inc. is an American company that specializes in software engineering services, digital platform engineering, and digital product design, operating out of Newtown, Pennsylvania. EPAM is a founding member of the MACH Alliance.

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.

EPAM vs MEDP — Head-to-Head

Bigger by revenue
EPAM
EPAM
2.0× larger
EPAM
$1.4B
$708.5M
MEDP
Growing faster (revenue YoY)
MEDP
MEDP
+19.3% gap
MEDP
32.0%
12.8%
EPAM
Higher net margin
MEDP
MEDP
11.3% more per $
MEDP
19.1%
7.8%
EPAM
More free cash flow
EPAM
EPAM
$80.0M more FCF
EPAM
$268.1M
$188.1M
MEDP
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
9.9%
EPAM

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
EPAM
EPAM
MEDP
MEDP
Revenue
$1.4B
$708.5M
Net Profit
$109.4M
$135.1M
Gross Margin
30.1%
Operating Margin
10.6%
21.6%
Net Margin
7.8%
19.1%
Revenue YoY
12.8%
32.0%
Net Profit YoY
5.9%
15.5%
EPS (diluted)
$1.97
$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
EPAM
EPAM
MEDP
MEDP
Q4 25
$1.4B
$708.5M
Q3 25
$1.4B
$659.9M
Q2 25
$1.4B
$603.3M
Q1 25
$1.3B
$558.6M
Q4 24
$1.2B
$536.6M
Q3 24
$1.2B
$533.3M
Q2 24
$1.1B
$528.1M
Q1 24
$1.2B
$511.0M
Net Profit
EPAM
EPAM
MEDP
MEDP
Q4 25
$109.4M
$135.1M
Q3 25
$106.8M
$111.1M
Q2 25
$88.0M
$90.3M
Q1 25
$73.5M
$114.6M
Q4 24
$103.3M
$117.0M
Q3 24
$136.3M
$96.4M
Q2 24
$98.6M
$88.4M
Q1 24
$116.2M
$102.6M
Gross Margin
EPAM
EPAM
MEDP
MEDP
Q4 25
30.1%
Q3 25
29.5%
Q2 25
28.8%
Q1 25
26.9%
Q4 24
30.4%
Q3 24
34.6%
Q2 24
29.3%
Q1 24
28.4%
Operating Margin
EPAM
EPAM
MEDP
MEDP
Q4 25
10.6%
21.6%
Q3 25
10.4%
21.5%
Q2 25
9.3%
20.9%
Q1 25
7.6%
20.3%
Q4 24
10.9%
23.4%
Q3 24
15.2%
21.1%
Q2 24
10.5%
19.9%
Q1 24
9.5%
20.4%
Net Margin
EPAM
EPAM
MEDP
MEDP
Q4 25
7.8%
19.1%
Q3 25
7.7%
16.8%
Q2 25
6.5%
15.0%
Q1 25
5.6%
20.5%
Q4 24
8.3%
21.8%
Q3 24
11.7%
18.1%
Q2 24
8.6%
16.7%
Q1 24
10.0%
20.1%
EPS (diluted)
EPAM
EPAM
MEDP
MEDP
Q4 25
$1.97
$4.65
Q3 25
$1.91
$3.86
Q2 25
$1.56
$3.10
Q1 25
$1.28
$3.67
Q4 24
$1.80
$3.67
Q3 24
$2.37
$3.01
Q2 24
$1.70
$2.75
Q1 24
$1.97
$3.20

Balance Sheet & Financial Strength

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

Metric
EPAM
EPAM
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$1.3B
$497.0M
Total DebtLower is stronger
Stockholders' EquityBook value
$3.7B
$459.1M
Total Assets
$4.9B
$2.0B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
EPAM
EPAM
MEDP
MEDP
Q4 25
$1.3B
$497.0M
Q3 25
$1.2B
$285.4M
Q2 25
$1.0B
$46.3M
Q1 25
$1.2B
$441.4M
Q4 24
$1.3B
$669.4M
Q3 24
$2.1B
$656.9M
Q2 24
$1.8B
$510.9M
Q1 24
$2.0B
$407.0M
Stockholders' Equity
EPAM
EPAM
MEDP
MEDP
Q4 25
$3.7B
$459.1M
Q3 25
$3.7B
$293.6M
Q2 25
$3.7B
$172.4M
Q1 25
$3.6B
$593.6M
Q4 24
$3.6B
$825.5M
Q3 24
$3.6B
$881.4M
Q2 24
$3.4B
$763.6M
Q1 24
$3.5B
$671.5M
Total Assets
EPAM
EPAM
MEDP
MEDP
Q4 25
$4.9B
$2.0B
Q3 25
$4.8B
$1.8B
Q2 25
$4.7B
$1.6B
Q1 25
$4.7B
$1.9B
Q4 24
$4.8B
$2.1B
Q3 24
$4.5B
$2.1B
Q2 24
$4.2B
$1.9B
Q1 24
$4.4B
$1.8B

Cash Flow & Capital Efficiency

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

Metric
EPAM
EPAM
MEDP
MEDP
Operating Cash FlowLast quarter
$282.9M
$192.7M
Free Cash FlowOCF − Capex
$268.1M
$188.1M
FCF MarginFCF / Revenue
19.0%
26.6%
Capex IntensityCapex / Revenue
1.1%
0.6%
Cash ConversionOCF / Net Profit
2.59×
1.43×
TTM Free Cash FlowTrailing 4 quarters
$612.7M
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
EPAM
EPAM
MEDP
MEDP
Q4 25
$282.9M
$192.7M
Q3 25
$294.7M
$246.2M
Q2 25
$53.2M
$148.5M
Q1 25
$24.2M
$125.8M
Q4 24
$130.3M
$190.7M
Q3 24
$242.0M
$149.1M
Q2 24
$57.0M
$116.4M
Q1 24
$129.9M
$152.7M
Free Cash Flow
EPAM
EPAM
MEDP
MEDP
Q4 25
$268.1M
$188.1M
Q3 25
$286.4M
$235.5M
Q2 25
$43.4M
$142.4M
Q1 25
$14.8M
$115.8M
Q4 24
$114.5M
$183.0M
Q3 24
$237.0M
$138.5M
Q2 24
$52.3M
$103.5M
Q1 24
$123.2M
$147.2M
FCF Margin
EPAM
EPAM
MEDP
MEDP
Q4 25
19.0%
26.6%
Q3 25
20.5%
35.7%
Q2 25
3.2%
23.6%
Q1 25
1.1%
20.7%
Q4 24
9.2%
34.1%
Q3 24
20.3%
26.0%
Q2 24
4.6%
19.6%
Q1 24
10.6%
28.8%
Capex Intensity
EPAM
EPAM
MEDP
MEDP
Q4 25
1.1%
0.6%
Q3 25
0.6%
1.6%
Q2 25
0.7%
1.0%
Q1 25
0.7%
1.8%
Q4 24
1.3%
1.4%
Q3 24
0.4%
2.0%
Q2 24
0.4%
2.4%
Q1 24
0.6%
1.1%
Cash Conversion
EPAM
EPAM
MEDP
MEDP
Q4 25
2.59×
1.43×
Q3 25
2.76×
2.22×
Q2 25
0.60×
1.65×
Q1 25
0.33×
1.10×
Q4 24
1.26×
1.63×
Q3 24
1.77×
1.55×
Q2 24
0.58×
1.32×
Q1 24
1.12×
1.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

EPAM
EPAM

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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