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Side-by-side financial comparison of INTEGRA LIFESCIENCES HOLDINGS CORP (IART) 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 $434.9M, roughly 1.6× INTEGRA LIFESCIENCES HOLDINGS CORP). On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs -1.7%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $-5.4M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 8.6%).

Integra LifeSciences Holdings Corporation is a global medical device manufacturing company headquartered in Princeton, New Jersey. Founded in 1989, the company manufactures products for skin regeneration, neurosurgery, reconstructive and general surgery. Integra artificial skin became the first commercially reproducible skin tissue used to treat severe burns and other skin wounds.

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.

IART vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.6× larger
MEDP
$708.5M
$434.9M
IART
Growing faster (revenue YoY)
MEDP
MEDP
+33.8% gap
MEDP
32.0%
-1.7%
IART
More free cash flow
MEDP
MEDP
$193.5M more FCF
MEDP
$188.1M
$-5.4M
IART
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
8.6%
IART

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
IART
IART
MEDP
MEDP
Revenue
$434.9M
$708.5M
Net Profit
$135.1M
Gross Margin
50.8%
Operating Margin
5.3%
21.6%
Net Margin
19.1%
Revenue YoY
-1.7%
32.0%
Net Profit YoY
15.5%
EPS (diluted)
$-0.03
$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
IART
IART
MEDP
MEDP
Q4 25
$434.9M
$708.5M
Q3 25
$402.1M
$659.9M
Q2 25
$415.6M
$603.3M
Q1 25
$382.7M
$558.6M
Q4 24
$442.6M
$536.6M
Q3 24
$380.8M
$533.3M
Q2 24
$418.2M
$528.1M
Q1 24
$368.9M
$511.0M
Net Profit
IART
IART
MEDP
MEDP
Q4 25
$135.1M
Q3 25
$-5.4M
$111.1M
Q2 25
$-484.1M
$90.3M
Q1 25
$-25.3M
$114.6M
Q4 24
$117.0M
Q3 24
$-10.7M
$96.4M
Q2 24
$-12.4M
$88.4M
Q1 24
$-3.3M
$102.6M
Gross Margin
IART
IART
MEDP
MEDP
Q4 25
50.8%
Q3 25
51.5%
Q2 25
50.4%
Q1 25
50.8%
Q4 24
56.3%
Q3 24
52.6%
Q2 24
54.0%
Q1 24
56.1%
Operating Margin
IART
IART
MEDP
MEDP
Q4 25
5.3%
21.6%
Q3 25
2.9%
21.5%
Q2 25
-123.4%
20.9%
Q1 25
-4.0%
20.3%
Q4 24
8.0%
23.4%
Q3 24
-2.1%
21.1%
Q2 24
-0.7%
19.9%
Q1 24
1.1%
20.4%
Net Margin
IART
IART
MEDP
MEDP
Q4 25
19.1%
Q3 25
-1.3%
16.8%
Q2 25
-116.5%
15.0%
Q1 25
-6.6%
20.5%
Q4 24
21.8%
Q3 24
-2.8%
18.1%
Q2 24
-3.0%
16.7%
Q1 24
-0.9%
20.1%
EPS (diluted)
IART
IART
MEDP
MEDP
Q4 25
$-0.03
$4.65
Q3 25
$-0.07
$3.86
Q2 25
$-6.31
$3.10
Q1 25
$-0.33
$3.67
Q4 24
$0.25
$3.67
Q3 24
$-0.14
$3.01
Q2 24
$-0.16
$2.75
Q1 24
$-0.04
$3.20

Balance Sheet & Financial Strength

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

Metric
IART
IART
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$263.7M
$497.0M
Total DebtLower is stronger
$726.6M
Stockholders' EquityBook value
$1.0B
$459.1M
Total Assets
$3.6B
$2.0B
Debt / EquityLower = less leverage
0.70×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
IART
IART
MEDP
MEDP
Q4 25
$263.7M
$497.0M
Q3 25
$267.9M
$285.4M
Q2 25
$253.6M
$46.3M
Q1 25
$273.3M
$441.4M
Q4 24
$273.6M
$669.4M
Q3 24
$277.6M
$656.9M
Q2 24
$296.9M
$510.9M
Q1 24
$663.1M
$407.0M
Total Debt
IART
IART
MEDP
MEDP
Q4 25
$726.6M
Q3 25
$736.3M
Q2 25
$745.9M
Q1 25
$755.6M
Q4 24
$760.5M
Q3 24
$765.3M
Q2 24
$770.2M
Q1 24
$775.0M
Stockholders' Equity
IART
IART
MEDP
MEDP
Q4 25
$1.0B
$459.1M
Q3 25
$1.0B
$293.6M
Q2 25
$1.0B
$172.4M
Q1 25
$1.5B
$593.6M
Q4 24
$1.5B
$825.5M
Q3 24
$1.5B
$881.4M
Q2 24
$1.5B
$763.6M
Q1 24
$1.6B
$671.5M
Total Assets
IART
IART
MEDP
MEDP
Q4 25
$3.6B
$2.0B
Q3 25
$3.6B
$1.8B
Q2 25
$3.7B
$1.6B
Q1 25
$4.1B
$1.9B
Q4 24
$4.0B
$2.1B
Q3 24
$4.1B
$2.1B
Q2 24
$4.1B
$1.9B
Q1 24
$4.1B
$1.8B
Debt / Equity
IART
IART
MEDP
MEDP
Q4 25
0.70×
Q3 25
0.71×
Q2 25
0.72×
Q1 25
0.50×
Q4 24
0.49×
Q3 24
0.50×
Q2 24
0.50×
Q1 24
0.48×

Cash Flow & Capital Efficiency

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

Metric
IART
IART
MEDP
MEDP
Operating Cash FlowLast quarter
$11.8M
$192.7M
Free Cash FlowOCF − Capex
$-5.4M
$188.1M
FCF MarginFCF / Revenue
-1.2%
26.6%
Capex IntensityCapex / Revenue
4.0%
0.6%
Cash ConversionOCF / Net Profit
1.43×
TTM Free Cash FlowTrailing 4 quarters
$-31.1M
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
IART
IART
MEDP
MEDP
Q4 25
$11.8M
$192.7M
Q3 25
$40.9M
$246.2M
Q2 25
$8.9M
$148.5M
Q1 25
$-11.3M
$125.8M
Q4 24
$50.7M
$190.7M
Q3 24
$22.5M
$149.1M
Q2 24
$40.4M
$116.4M
Q1 24
$15.8M
$152.7M
Free Cash Flow
IART
IART
MEDP
MEDP
Q4 25
$-5.4M
$188.1M
Q3 25
$25.8M
$235.5M
Q2 25
$-11.2M
$142.4M
Q1 25
$-40.2M
$115.8M
Q4 24
$21.1M
$183.0M
Q3 24
$-7.2M
$138.5M
Q2 24
$10.7M
$103.5M
Q1 24
$291.0K
$147.2M
FCF Margin
IART
IART
MEDP
MEDP
Q4 25
-1.2%
26.6%
Q3 25
6.4%
35.7%
Q2 25
-2.7%
23.6%
Q1 25
-10.5%
20.7%
Q4 24
4.8%
34.1%
Q3 24
-1.9%
26.0%
Q2 24
2.6%
19.6%
Q1 24
0.1%
28.8%
Capex Intensity
IART
IART
MEDP
MEDP
Q4 25
4.0%
0.6%
Q3 25
3.8%
1.6%
Q2 25
4.8%
1.0%
Q1 25
7.6%
1.8%
Q4 24
6.7%
1.4%
Q3 24
7.8%
2.0%
Q2 24
7.1%
2.4%
Q1 24
4.2%
1.1%
Cash Conversion
IART
IART
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

IART
IART

Neurosurgery$226.2M52%
Asia Pacific$53.7M12%
Instruments$52.3M12%
ENT$44.8M10%
Other$38.9M9%
Rest Of The World$19.0M4%

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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