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Side-by-side financial comparison of Pediatrix Medical Group, Inc. (MD) 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 $493.8M, roughly 1.4× Pediatrix Medical Group, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 6.8%, a 12.3% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs -1.7%). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs -0.1%).

Pediatrix Medical Group, Inc. is a leading U.S. specialized medical service provider focusing on maternal-fetal care, neonatology, pediatric cardiology and other pediatric subspecialties. It partners with U.S. healthcare facilities to deliver evidence-based care to women, newborns and children.

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.

MD vs MEDP — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.4× larger
MEDP
$708.5M
$493.8M
MD
Growing faster (revenue YoY)
MEDP
MEDP
+33.7% gap
MEDP
32.0%
-1.7%
MD
Higher net margin
MEDP
MEDP
12.3% more per $
MEDP
19.1%
6.8%
MD
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
-0.1%
MD

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MD
MD
MEDP
MEDP
Revenue
$493.8M
$708.5M
Net Profit
$33.7M
$135.1M
Gross Margin
Operating Margin
9.9%
21.6%
Net Margin
6.8%
19.1%
Revenue YoY
-1.7%
32.0%
Net Profit YoY
10.5%
15.5%
EPS (diluted)
$0.40
$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
MD
MD
MEDP
MEDP
Q4 25
$493.8M
$708.5M
Q3 25
$492.9M
$659.9M
Q2 25
$468.8M
$603.3M
Q1 25
$458.4M
$558.6M
Q4 24
$502.4M
$536.6M
Q3 24
$511.2M
$533.3M
Q2 24
$504.3M
$528.1M
Q1 24
$495.1M
$511.0M
Net Profit
MD
MD
MEDP
MEDP
Q4 25
$33.7M
$135.1M
Q3 25
$71.7M
$111.1M
Q2 25
$39.3M
$90.3M
Q1 25
$20.7M
$114.6M
Q4 24
$30.5M
$117.0M
Q3 24
$19.4M
$96.4M
Q2 24
$-153.0M
$88.4M
Q1 24
$4.0M
$102.6M
Operating Margin
MD
MD
MEDP
MEDP
Q4 25
9.9%
21.6%
Q3 25
13.8%
21.5%
Q2 25
12.8%
20.9%
Q1 25
7.0%
20.3%
Q4 24
7.8%
23.4%
Q3 24
6.6%
21.1%
Q2 24
-31.3%
19.9%
Q1 24
3.2%
20.4%
Net Margin
MD
MD
MEDP
MEDP
Q4 25
6.8%
19.1%
Q3 25
14.5%
16.8%
Q2 25
8.4%
15.0%
Q1 25
4.5%
20.5%
Q4 24
6.1%
21.8%
Q3 24
3.8%
18.1%
Q2 24
-30.3%
16.7%
Q1 24
0.8%
20.1%
EPS (diluted)
MD
MD
MEDP
MEDP
Q4 25
$0.40
$4.65
Q3 25
$0.84
$3.86
Q2 25
$0.46
$3.10
Q1 25
$0.24
$3.67
Q4 24
$0.37
$3.67
Q3 24
$0.23
$3.01
Q2 24
$-1.84
$2.75
Q1 24
$0.05
$3.20

Balance Sheet & Financial Strength

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

Metric
MD
MD
MEDP
MEDP
Cash + ST InvestmentsLiquidity on hand
$375.2M
$497.0M
Total DebtLower is stronger
$570.5M
Stockholders' EquityBook value
$865.9M
$459.1M
Total Assets
$2.2B
$2.0B
Debt / EquityLower = less leverage
0.66×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MD
MD
MEDP
MEDP
Q4 25
$375.2M
$497.0M
Q3 25
$340.1M
$285.4M
Q2 25
$224.7M
$46.3M
Q1 25
$99.0M
$441.4M
Q4 24
$229.9M
$669.4M
Q3 24
$103.8M
$656.9M
Q2 24
$19.4M
$510.9M
Q1 24
$8.0M
$407.0M
Total Debt
MD
MD
MEDP
MEDP
Q4 25
$570.5M
Q3 25
$577.2M
Q2 25
$583.9M
Q1 25
$590.5M
Q4 24
$597.1M
Q3 24
Q2 24
Q1 24
Stockholders' Equity
MD
MD
MEDP
MEDP
Q4 25
$865.9M
$459.1M
Q3 25
$890.7M
$293.6M
Q2 25
$833.8M
$172.4M
Q1 25
$789.2M
$593.6M
Q4 24
$764.9M
$825.5M
Q3 24
$732.5M
$881.4M
Q2 24
$706.5M
$763.6M
Q1 24
$856.2M
$671.5M
Total Assets
MD
MD
MEDP
MEDP
Q4 25
$2.2B
$2.0B
Q3 25
$2.2B
$1.8B
Q2 25
$2.1B
$1.6B
Q1 25
$2.0B
$1.9B
Q4 24
$2.2B
$2.1B
Q3 24
$2.1B
$2.1B
Q2 24
$2.0B
$1.9B
Q1 24
$2.2B
$1.8B
Debt / Equity
MD
MD
MEDP
MEDP
Q4 25
0.66×
Q3 25
0.65×
Q2 25
0.70×
Q1 25
0.75×
Q4 24
0.78×
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
MD
MD
MEDP
MEDP
Operating Cash FlowLast quarter
$114.1M
$192.7M
Free Cash FlowOCF − Capex
$188.1M
FCF MarginFCF / Revenue
26.6%
Capex IntensityCapex / Revenue
0.6%
Cash ConversionOCF / Net Profit
3.39×
1.43×
TTM Free Cash FlowTrailing 4 quarters
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MD
MD
MEDP
MEDP
Q4 25
$114.1M
$192.7M
Q3 25
$137.3M
$246.2M
Q2 25
$137.2M
$148.5M
Q1 25
$-117.5M
$125.8M
Q4 24
$133.0M
$190.7M
Q3 24
$91.8M
$149.1M
Q2 24
$107.0M
$116.4M
Q1 24
$-125.2M
$152.7M
Free Cash Flow
MD
MD
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
MD
MD
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
MD
MD
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
MD
MD
MEDP
MEDP
Q4 25
3.39×
1.43×
Q3 25
1.91×
2.22×
Q2 25
3.49×
1.65×
Q1 25
-5.66×
1.10×
Q4 24
4.36×
1.63×
Q3 24
4.72×
1.55×
Q2 24
1.32×
Q1 24
-31.03×
1.49×

Financial Flow Comparison

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

Revenue Breakdown by Segment

MD
MD

Health Care Patient Service$421.6M85%
Hospitals Contracts$70.0M14%
Other$2.2M0%

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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