vs

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

Medpace Holdings, Inc. is the larger business by last-quarter revenue ($708.5M vs $614.5M, roughly 1.2× Cloudflare, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs -2.0%, a 21.0% gap on every dollar of revenue. On growth, Cloudflare, Inc. posted the faster year-over-year revenue change (33.6% vs 32.0%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $105.2M). Over the past eight quarters, Cloudflare, Inc.'s revenue compounded faster (27.4% CAGR vs 17.7%).

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.

Cloudflare, Inc. is an American technology company headquartered in San Francisco, California, that provides a range of internet services, including content delivery network (CDN) services, cloud cybersecurity, DDoS mitigation, and ICANN-accredited domain registration. The company's services act primarily as a reverse proxy between website visitors and a customer's hosting provider, improving performance and protecting against malicious traffic.

MEDP vs NET — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.2× larger
MEDP
$708.5M
$614.5M
NET
Growing faster (revenue YoY)
NET
NET
+1.6% gap
NET
33.6%
32.0%
MEDP
Higher net margin
MEDP
MEDP
21.0% more per $
MEDP
19.1%
-2.0%
NET
More free cash flow
MEDP
MEDP
$82.9M more FCF
MEDP
$188.1M
$105.2M
NET
Faster 2-yr revenue CAGR
NET
NET
Annualised
NET
27.4%
17.7%
MEDP

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MEDP
MEDP
NET
NET
Revenue
$708.5M
$614.5M
Net Profit
$135.1M
$-12.1M
Gross Margin
73.6%
Operating Margin
21.6%
-8.0%
Net Margin
19.1%
-2.0%
Revenue YoY
32.0%
33.6%
Net Profit YoY
15.5%
6.0%
EPS (diluted)
$4.65
$-0.03

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
MEDP
MEDP
NET
NET
Q4 25
$708.5M
$614.5M
Q3 25
$659.9M
$562.0M
Q2 25
$603.3M
$512.3M
Q1 25
$558.6M
$479.1M
Q4 24
$536.6M
$459.9M
Q3 24
$533.3M
$430.1M
Q2 24
$528.1M
$401.0M
Q1 24
$511.0M
$378.6M
Net Profit
MEDP
MEDP
NET
NET
Q4 25
$135.1M
$-12.1M
Q3 25
$111.1M
$-1.3M
Q2 25
$90.3M
$-50.4M
Q1 25
$114.6M
$-38.5M
Q4 24
$117.0M
$-12.8M
Q3 24
$96.4M
$-15.3M
Q2 24
$88.4M
$-15.1M
Q1 24
$102.6M
$-35.5M
Gross Margin
MEDP
MEDP
NET
NET
Q4 25
73.6%
Q3 25
74.0%
Q2 25
74.9%
Q1 25
75.9%
Q4 24
76.4%
Q3 24
77.7%
Q2 24
77.8%
Q1 24
77.5%
Operating Margin
MEDP
MEDP
NET
NET
Q4 25
21.6%
-8.0%
Q3 25
21.5%
-6.7%
Q2 25
20.9%
-13.1%
Q1 25
20.3%
-11.1%
Q4 24
23.4%
-7.5%
Q3 24
21.1%
-7.2%
Q2 24
19.9%
-8.7%
Q1 24
20.4%
-14.4%
Net Margin
MEDP
MEDP
NET
NET
Q4 25
19.1%
-2.0%
Q3 25
16.8%
-0.2%
Q2 25
15.0%
-9.8%
Q1 25
20.5%
-8.0%
Q4 24
21.8%
-2.8%
Q3 24
18.1%
-3.6%
Q2 24
16.7%
-3.8%
Q1 24
20.1%
-9.4%
EPS (diluted)
MEDP
MEDP
NET
NET
Q4 25
$4.65
$-0.03
Q3 25
$3.86
$0.00
Q2 25
$3.10
$-0.15
Q1 25
$3.67
$-0.11
Q4 24
$3.67
$-0.05
Q3 24
$3.01
$-0.04
Q2 24
$2.75
$-0.04
Q1 24
$3.20
$-0.10

Balance Sheet & Financial Strength

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

Metric
MEDP
MEDP
NET
NET
Cash + ST InvestmentsLiquidity on hand
$497.0M
$943.5M
Total DebtLower is stronger
Stockholders' EquityBook value
$459.1M
$1.5B
Total Assets
$2.0B
$6.0B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MEDP
MEDP
NET
NET
Q4 25
$497.0M
$943.5M
Q3 25
$285.4M
$1.1B
Q2 25
$46.3M
$1.5B
Q1 25
$441.4M
$204.5M
Q4 24
$669.4M
$147.7M
Q3 24
$656.9M
$182.9M
Q2 24
$510.9M
$157.0M
Q1 24
$407.0M
$254.4M
Stockholders' Equity
MEDP
MEDP
NET
NET
Q4 25
$459.1M
$1.5B
Q3 25
$293.6M
$1.3B
Q2 25
$172.4M
$1.2B
Q1 25
$593.6M
$1.4B
Q4 24
$825.5M
$1.0B
Q3 24
$881.4M
$973.1M
Q2 24
$763.6M
$881.5M
Q1 24
$671.5M
$797.2M
Total Assets
MEDP
MEDP
NET
NET
Q4 25
$2.0B
$6.0B
Q3 25
$1.8B
$5.8B
Q2 25
$1.6B
$5.6B
Q1 25
$1.9B
$3.7B
Q4 24
$2.1B
$3.3B
Q3 24
$2.1B
$3.1B
Q2 24
$1.9B
$2.9B
Q1 24
$1.8B
$2.8B

Cash Flow & Capital Efficiency

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

Metric
MEDP
MEDP
NET
NET
Operating Cash FlowLast quarter
$192.7M
$190.4M
Free Cash FlowOCF − Capex
$188.1M
$105.2M
FCF MarginFCF / Revenue
26.6%
17.1%
Capex IntensityCapex / Revenue
0.6%
13.9%
Cash ConversionOCF / Net Profit
1.43×
TTM Free Cash FlowTrailing 4 quarters
$681.9M
$287.5M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MEDP
MEDP
NET
NET
Q4 25
$192.7M
$190.4M
Q3 25
$246.2M
$167.1M
Q2 25
$148.5M
$99.8M
Q1 25
$125.8M
$145.8M
Q4 24
$190.7M
$127.3M
Q3 24
$149.1M
$104.7M
Q2 24
$116.4M
$74.8M
Q1 24
$152.7M
$73.6M
Free Cash Flow
MEDP
MEDP
NET
NET
Q4 25
$188.1M
$105.2M
Q3 25
$235.5M
$82.5M
Q2 25
$142.4M
$39.9M
Q1 25
$115.8M
$59.9M
Q4 24
$183.0M
$54.2M
Q3 24
$138.5M
$54.5M
Q2 24
$103.5M
$45.2M
Q1 24
$147.2M
$41.5M
FCF Margin
MEDP
MEDP
NET
NET
Q4 25
26.6%
17.1%
Q3 25
35.7%
14.7%
Q2 25
23.6%
7.8%
Q1 25
20.7%
12.5%
Q4 24
34.1%
11.8%
Q3 24
26.0%
12.7%
Q2 24
19.6%
11.3%
Q1 24
28.8%
11.0%
Capex Intensity
MEDP
MEDP
NET
NET
Q4 25
0.6%
13.9%
Q3 25
1.6%
15.1%
Q2 25
1.0%
11.7%
Q1 25
1.8%
17.9%
Q4 24
1.4%
15.9%
Q3 24
2.0%
11.7%
Q2 24
2.4%
7.4%
Q1 24
1.1%
8.5%
Cash Conversion
MEDP
MEDP
NET
NET
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

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%

NET
NET

Sales Channel Directly To Consumer$438.5M71%
Sales Channel Through Intermediary$176.0M29%

Related Comparisons