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

Medpace Holdings, Inc. is the larger business by last-quarter revenue ($708.5M vs $702.8M, roughly 1.0× OLD NATIONAL BANCORP). OLD NATIONAL BANCORP runs the higher net margin — 33.3% vs 19.1%, a 14.2% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 0.6%). Over the past eight quarters, OLD NATIONAL BANCORP's revenue compounded faster (34.5% 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.

Old National Bank is an American regional bank with nearly 200 retail branches operated by Old National Bancorp and based in Chicago and Evansville, Indiana. With assets at $48.5 billion and 250 banking centers, Old National Bancorp is the largest financial services bank holding company headquartered in Indiana and one of the top 30 banking companies in the U.S. Old National Bank has locations in Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Tennessee, and Wisconsin.

MEDP vs ONB — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.0× larger
MEDP
$708.5M
$702.8M
ONB
Growing faster (revenue YoY)
MEDP
MEDP
+31.4% gap
MEDP
32.0%
0.6%
ONB
Higher net margin
ONB
ONB
14.2% more per $
ONB
33.3%
19.1%
MEDP
Faster 2-yr revenue CAGR
ONB
ONB
Annualised
ONB
34.5%
17.7%
MEDP

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
MEDP
MEDP
ONB
ONB
Revenue
$708.5M
$702.8M
Net Profit
$135.1M
$233.7M
Gross Margin
Operating Margin
21.6%
Net Margin
19.1%
33.3%
Revenue YoY
32.0%
0.6%
Net Profit YoY
15.5%
61.5%
EPS (diluted)
$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
MEDP
MEDP
ONB
ONB
Q1 26
$702.8M
Q4 25
$708.5M
$580.8M
Q3 25
$659.9M
$574.6M
Q2 25
$603.3M
$514.8M
Q1 25
$558.6M
$387.6M
Q4 24
$536.6M
$394.2M
Q3 24
$533.3M
$391.7M
Q2 24
$528.1M
$388.4M
Net Profit
MEDP
MEDP
ONB
ONB
Q1 26
$233.7M
Q4 25
$135.1M
$216.6M
Q3 25
$111.1M
$182.6M
Q2 25
$90.3M
$125.4M
Q1 25
$114.6M
$144.7M
Q4 24
$117.0M
$153.9M
Q3 24
$96.4M
$143.8M
Q2 24
$88.4M
$121.2M
Operating Margin
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
21.6%
46.7%
Q3 25
21.5%
40.5%
Q2 25
20.9%
30.2%
Q1 25
20.3%
46.8%
Q4 24
23.4%
47.2%
Q3 24
21.1%
47.2%
Q2 24
19.9%
40.3%
Net Margin
MEDP
MEDP
ONB
ONB
Q1 26
33.3%
Q4 25
19.1%
37.3%
Q3 25
16.8%
31.8%
Q2 25
15.0%
24.4%
Q1 25
20.5%
37.3%
Q4 24
21.8%
39.0%
Q3 24
18.1%
36.7%
Q2 24
16.7%
31.2%
EPS (diluted)
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
$4.65
$0.55
Q3 25
$3.86
$0.46
Q2 25
$3.10
$0.34
Q1 25
$3.67
$0.44
Q4 24
$3.67
$0.47
Q3 24
$3.01
$0.44
Q2 24
$2.75
$0.37

Balance Sheet & Financial Strength

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

Metric
MEDP
MEDP
ONB
ONB
Cash + ST InvestmentsLiquidity on hand
$497.0M
Total DebtLower is stronger
Stockholders' EquityBook value
$459.1M
$8.5B
Total Assets
$2.0B
$73.0B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
$497.0M
$1.8B
Q3 25
$285.4M
$1.7B
Q2 25
$46.3M
$1.8B
Q1 25
$441.4M
$1.2B
Q4 24
$669.4M
$1.2B
Q3 24
$656.9M
$1.2B
Q2 24
$510.9M
$1.2B
Stockholders' Equity
MEDP
MEDP
ONB
ONB
Q1 26
$8.5B
Q4 25
$459.1M
$8.5B
Q3 25
$293.6M
$8.3B
Q2 25
$172.4M
$8.1B
Q1 25
$593.6M
$6.5B
Q4 24
$825.5M
$6.3B
Q3 24
$881.4M
$6.4B
Q2 24
$763.6M
$6.1B
Total Assets
MEDP
MEDP
ONB
ONB
Q1 26
$73.0B
Q4 25
$2.0B
$72.2B
Q3 25
$1.8B
$71.2B
Q2 25
$1.6B
$71.0B
Q1 25
$1.9B
$53.9B
Q4 24
$2.1B
$53.6B
Q3 24
$2.1B
$53.6B
Q2 24
$1.9B
$53.1B

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
ONB
ONB
Operating Cash FlowLast quarter
$192.7M
Free Cash FlowOCF − Capex
$188.1M
FCF MarginFCF / Revenue
26.6%
Capex IntensityCapex / Revenue
0.6%
Cash ConversionOCF / Net Profit
1.43×
TTM Free Cash FlowTrailing 4 quarters
$681.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
$192.7M
$159.2M
Q3 25
$246.2M
$341.2M
Q2 25
$148.5M
$72.9M
Q1 25
$125.8M
$108.2M
Q4 24
$190.7M
$235.8M
Q3 24
$149.1M
$121.3M
Q2 24
$116.4M
$161.0M
Free Cash Flow
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
$188.1M
$137.3M
Q3 25
$235.5M
$333.6M
Q2 25
$142.4M
$64.1M
Q1 25
$115.8M
$102.4M
Q4 24
$183.0M
$229.0M
Q3 24
$138.5M
$115.7M
Q2 24
$103.5M
$151.6M
FCF Margin
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
26.6%
23.6%
Q3 25
35.7%
58.1%
Q2 25
23.6%
12.4%
Q1 25
20.7%
26.4%
Q4 24
34.1%
58.1%
Q3 24
26.0%
29.5%
Q2 24
19.6%
39.0%
Capex Intensity
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
0.6%
3.8%
Q3 25
1.6%
1.3%
Q2 25
1.0%
1.7%
Q1 25
1.8%
1.5%
Q4 24
1.4%
1.7%
Q3 24
2.0%
1.4%
Q2 24
2.4%
2.4%
Cash Conversion
MEDP
MEDP
ONB
ONB
Q1 26
Q4 25
1.43×
0.73×
Q3 25
2.22×
1.87×
Q2 25
1.65×
0.58×
Q1 25
1.10×
0.75×
Q4 24
1.63×
1.53×
Q3 24
1.55×
0.84×
Q2 24
1.32×
1.33×

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%

ONB
ONB

Segment breakdown not available.

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