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Side-by-side financial comparison of Lantheus Holdings, Inc. (LNTH) 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 $406.8M, roughly 1.7× Lantheus Holdings, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 13.3%, a 5.8% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 4.0%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $81.4M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 4.9%).

Lantheus Holdings, Inc. is a global healthcare firm specializing in the development, manufacturing and commercialization of innovative diagnostic imaging agents and related solutions. Its offerings cover core medical segments including oncology, cardiology and urology, with primary markets across North America and other key global regions.

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.

LNTH vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.7× larger
MEDP
$708.5M
$406.8M
LNTH
Growing faster (revenue YoY)
MEDP
MEDP
+28.0% gap
MEDP
32.0%
4.0%
LNTH
Higher net margin
MEDP
MEDP
5.8% more per $
MEDP
19.1%
13.3%
LNTH
More free cash flow
MEDP
MEDP
$106.7M more FCF
MEDP
$188.1M
$81.4M
LNTH
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
4.9%
LNTH

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
LNTH
LNTH
MEDP
MEDP
Revenue
$406.8M
$708.5M
Net Profit
$54.1M
$135.1M
Gross Margin
59.2%
Operating Margin
19.0%
21.6%
Net Margin
13.3%
19.1%
Revenue YoY
4.0%
32.0%
Net Profit YoY
558.8%
15.5%
EPS (diluted)
$0.86
$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
LNTH
LNTH
MEDP
MEDP
Q4 25
$406.8M
$708.5M
Q3 25
$384.0M
$659.9M
Q2 25
$378.0M
$603.3M
Q1 25
$372.8M
$558.6M
Q4 24
$391.1M
$536.6M
Q3 24
$378.7M
$533.3M
Q2 24
$394.1M
$528.1M
Q1 24
$370.0M
$511.0M
Net Profit
LNTH
LNTH
MEDP
MEDP
Q4 25
$54.1M
$135.1M
Q3 25
$27.8M
$111.1M
Q2 25
$78.8M
$90.3M
Q1 25
$72.9M
$114.6M
Q4 24
$-11.8M
$117.0M
Q3 24
$131.1M
$96.4M
Q2 24
$62.1M
$88.4M
Q1 24
$131.1M
$102.6M
Gross Margin
LNTH
LNTH
MEDP
MEDP
Q4 25
59.2%
Q3 25
57.9%
Q2 25
63.8%
Q1 25
63.8%
Q4 24
63.5%
Q3 24
63.9%
Q2 24
64.9%
Q1 24
65.4%
Operating Margin
LNTH
LNTH
MEDP
MEDP
Q4 25
19.0%
21.6%
Q3 25
11.4%
21.5%
Q2 25
23.3%
20.9%
Q1 25
27.4%
20.3%
Q4 24
29.1%
23.4%
Q3 24
35.3%
21.1%
Q2 24
26.1%
19.9%
Q1 24
28.8%
20.4%
Net Margin
LNTH
LNTH
MEDP
MEDP
Q4 25
13.3%
19.1%
Q3 25
7.2%
16.8%
Q2 25
20.8%
15.0%
Q1 25
19.6%
20.5%
Q4 24
-3.0%
21.8%
Q3 24
34.6%
18.1%
Q2 24
15.8%
16.7%
Q1 24
35.4%
20.1%
EPS (diluted)
LNTH
LNTH
MEDP
MEDP
Q4 25
$0.86
$4.65
Q3 25
$0.41
$3.86
Q2 25
$1.12
$3.10
Q1 25
$1.02
$3.67
Q4 24
$-0.18
$3.67
Q3 24
$1.79
$3.01
Q2 24
$0.88
$2.75
Q1 24
$1.87
$3.20

Balance Sheet & Financial Strength

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

Metric
LNTH
LNTH
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$359.1M
$497.0M
Total DebtLower is stronger
$568.7M
Stockholders' EquityBook value
$1.1B
$459.1M
Total Assets
$2.2B
$2.0B
Debt / EquityLower = less leverage
0.52×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
LNTH
LNTH
MEDP
MEDP
Q4 25
$359.1M
$497.0M
Q3 25
$382.0M
$285.4M
Q2 25
$695.6M
$46.3M
Q1 25
$938.5M
$441.4M
Q4 24
$912.8M
$669.4M
Q3 24
$866.4M
$656.9M
Q2 24
$757.0M
$510.9M
Q1 24
$718.3M
$407.0M
Total Debt
LNTH
LNTH
MEDP
MEDP
Q4 25
$568.7M
Q3 25
$567.9M
Q2 25
$566.8M
Q1 25
$566.1M
Q4 24
$565.3M
Q3 24
$613.0K
Q2 24
$563.2M
Q1 24
$562.5M
Stockholders' Equity
LNTH
LNTH
MEDP
MEDP
Q4 25
$1.1B
$459.1M
Q3 25
$1.1B
$293.6M
Q2 25
$1.2B
$172.4M
Q1 25
$1.2B
$593.6M
Q4 24
$1.1B
$825.5M
Q3 24
$1.2B
$881.4M
Q2 24
$1.0B
$763.6M
Q1 24
$945.5M
$671.5M
Total Assets
LNTH
LNTH
MEDP
MEDP
Q4 25
$2.2B
$2.0B
Q3 25
$2.3B
$1.8B
Q2 25
$2.1B
$1.6B
Q1 25
$2.1B
$1.9B
Q4 24
$2.0B
$2.1B
Q3 24
$2.0B
$2.1B
Q2 24
$1.9B
$1.9B
Q1 24
$1.8B
$1.8B
Debt / Equity
LNTH
LNTH
MEDP
MEDP
Q4 25
0.52×
Q3 25
0.51×
Q2 25
0.49×
Q1 25
0.49×
Q4 24
0.52×
Q3 24
0.00×
Q2 24
0.55×
Q1 24
0.59×

Cash Flow & Capital Efficiency

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

Metric
LNTH
LNTH
MEDP
MEDP
Operating Cash FlowLast quarter
$90.2M
$192.7M
Free Cash FlowOCF − Capex
$81.4M
$188.1M
FCF MarginFCF / Revenue
20.0%
26.6%
Capex IntensityCapex / Revenue
2.2%
0.6%
Cash ConversionOCF / Net Profit
1.67×
1.43×
TTM Free Cash FlowTrailing 4 quarters
$354.1M
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
LNTH
LNTH
MEDP
MEDP
Q4 25
$90.2M
$192.7M
Q3 25
$105.3M
$246.2M
Q2 25
$87.1M
$148.5M
Q1 25
$107.6M
$125.8M
Q4 24
$157.7M
$190.7M
Q3 24
$175.1M
$149.1M
Q2 24
$84.7M
$116.4M
Q1 24
$127.2M
$152.7M
Free Cash Flow
LNTH
LNTH
MEDP
MEDP
Q4 25
$81.4M
$188.1M
Q3 25
$94.7M
$235.5M
Q2 25
$79.1M
$142.4M
Q1 25
$98.8M
$115.8M
Q4 24
$141.4M
$183.0M
Q3 24
$159.3M
$138.5M
Q2 24
$73.5M
$103.5M
Q1 24
$119.0M
$147.2M
FCF Margin
LNTH
LNTH
MEDP
MEDP
Q4 25
20.0%
26.6%
Q3 25
24.7%
35.7%
Q2 25
20.9%
23.6%
Q1 25
26.5%
20.7%
Q4 24
36.1%
34.1%
Q3 24
42.0%
26.0%
Q2 24
18.7%
19.6%
Q1 24
32.2%
28.8%
Capex Intensity
LNTH
LNTH
MEDP
MEDP
Q4 25
2.2%
0.6%
Q3 25
2.8%
1.6%
Q2 25
2.1%
1.0%
Q1 25
2.3%
1.8%
Q4 24
4.2%
1.4%
Q3 24
4.2%
2.0%
Q2 24
2.8%
2.4%
Q1 24
2.2%
1.1%
Cash Conversion
LNTH
LNTH
MEDP
MEDP
Q4 25
1.67×
1.43×
Q3 25
3.79×
2.22×
Q2 25
1.11×
1.65×
Q1 25
1.47×
1.10×
Q4 24
1.63×
Q3 24
1.34×
1.55×
Q2 24
1.36×
1.32×
Q1 24
0.97×
1.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

LNTH
LNTH

Radiopharmaceutical Oncology$240.2M59%
Definity$85.3M21%
Strategic Partnerships And Other$23.3M6%
Techne Lite$21.0M5%
Licenseand Royalty Revenues$17.4M4%
Other$13.6M3%
Other Precision Diagnostics$5.9M1%

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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