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

Medpace Holdings, Inc. is the larger business by last-quarter revenue ($708.5M vs $613.5M, roughly 1.2× Tyler Technologies). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 13.2%, 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 8.6%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $2.0M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 6.5%).

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.

Tyler Technologies, Inc. is an American technology company based in Plano, Texas, that provides proprietary software to the U.S. public sector. Tyler Technologies has offices in 17 states and one in Toronto, Ontario, Canada.

MEDP vs TYL — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.2× larger
MEDP
$708.5M
$613.5M
TYL
Growing faster (revenue YoY)
MEDP
MEDP
+23.5% gap
MEDP
32.0%
8.6%
TYL
Higher net margin
MEDP
MEDP
5.8% more per $
MEDP
19.1%
13.2%
TYL
More free cash flow
MEDP
MEDP
$186.1M more FCF
MEDP
$188.1M
$2.0M
TYL
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
6.5%
TYL

Income Statement — Q4 FY2025 vs Q1 FY2026

Metric
MEDP
MEDP
TYL
TYL
Revenue
$708.5M
$613.5M
Net Profit
$135.1M
$81.2M
Gross Margin
48.3%
Operating Margin
21.6%
16.3%
Net Margin
19.1%
13.2%
Revenue YoY
32.0%
8.6%
Net Profit YoY
15.5%
EPS (diluted)
$4.65
$1.88

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
TYL
TYL
Q1 26
$613.5M
Q4 25
$708.5M
$575.2M
Q3 25
$659.9M
$595.9M
Q2 25
$603.3M
$596.1M
Q1 25
$558.6M
$565.2M
Q4 24
$536.6M
$541.1M
Q3 24
$533.3M
$543.3M
Q2 24
$528.1M
$541.0M
Net Profit
MEDP
MEDP
TYL
TYL
Q1 26
$81.2M
Q4 25
$135.1M
$65.5M
Q3 25
$111.1M
$84.4M
Q2 25
$90.3M
$84.6M
Q1 25
$114.6M
$81.1M
Q4 24
$117.0M
$65.2M
Q3 24
$96.4M
$75.9M
Q2 24
$88.4M
$67.7M
Gross Margin
MEDP
MEDP
TYL
TYL
Q1 26
48.3%
Q4 25
45.5%
Q3 25
47.2%
Q2 25
45.8%
Q1 25
47.3%
Q4 24
43.8%
Q3 24
43.7%
Q2 24
44.0%
Operating Margin
MEDP
MEDP
TYL
TYL
Q1 26
16.3%
Q4 25
21.6%
13.0%
Q3 25
21.5%
16.4%
Q2 25
20.9%
16.0%
Q1 25
20.3%
15.8%
Q4 24
23.4%
13.2%
Q3 24
21.1%
15.2%
Q2 24
19.9%
14.4%
Net Margin
MEDP
MEDP
TYL
TYL
Q1 26
13.2%
Q4 25
19.1%
11.4%
Q3 25
16.8%
14.2%
Q2 25
15.0%
14.2%
Q1 25
20.5%
14.3%
Q4 24
21.8%
12.1%
Q3 24
18.1%
14.0%
Q2 24
16.7%
12.5%
EPS (diluted)
MEDP
MEDP
TYL
TYL
Q1 26
$1.88
Q4 25
$4.65
$1.50
Q3 25
$3.86
$1.93
Q2 25
$3.10
$1.93
Q1 25
$3.67
$1.84
Q4 24
$3.67
$1.48
Q3 24
$3.01
$1.74
Q2 24
$2.75
$1.57

Balance Sheet & Financial Strength

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

Metric
MEDP
MEDP
TYL
TYL
Cash + ST InvestmentsLiquidity on hand
$497.0M
$346.4M
Total DebtLower is stronger
Stockholders' EquityBook value
$459.1M
$3.6B
Total Assets
$2.0B
$4.8B
Debt / EquityLower = less leverage

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MEDP
MEDP
TYL
TYL
Q1 26
$346.4M
Q4 25
$497.0M
$1.1B
Q3 25
$285.4M
$950.8M
Q2 25
$46.3M
$892.3M
Q1 25
$441.4M
$807.4M
Q4 24
$669.4M
$768.0M
Q3 24
$656.9M
$544.3M
Q2 24
$510.9M
$258.0M
Total Debt
MEDP
MEDP
TYL
TYL
Q1 26
Q4 25
$599.7M
Q3 25
$599.2M
Q2 25
$598.8M
Q1 25
$598.4M
Q4 24
$597.9M
Q3 24
$597.5M
Q2 24
$597.1M
Stockholders' Equity
MEDP
MEDP
TYL
TYL
Q1 26
$3.6B
Q4 25
$459.1M
$3.7B
Q3 25
$293.6M
$3.6B
Q2 25
$172.4M
$3.6B
Q1 25
$593.6M
$3.5B
Q4 24
$825.5M
$3.4B
Q3 24
$881.4M
$3.3B
Q2 24
$763.6M
$3.1B
Total Assets
MEDP
MEDP
TYL
TYL
Q1 26
$4.8B
Q4 25
$2.0B
$5.6B
Q3 25
$1.8B
$5.5B
Q2 25
$1.6B
$5.4B
Q1 25
$1.9B
$5.2B
Q4 24
$2.1B
$5.2B
Q3 24
$2.1B
$5.0B
Q2 24
$1.9B
$4.8B
Debt / Equity
MEDP
MEDP
TYL
TYL
Q1 26
Q4 25
0.16×
Q3 25
0.17×
Q2 25
0.16×
Q1 25
0.17×
Q4 24
0.18×
Q3 24
0.18×
Q2 24
0.19×

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
TYL
TYL
Operating Cash FlowLast quarter
$192.7M
$107.3M
Free Cash FlowOCF − Capex
$188.1M
$2.0M
FCF MarginFCF / Revenue
26.6%
0.3%
Capex IntensityCapex / Revenue
0.6%
Cash ConversionOCF / Net Profit
1.43×
1.32×
TTM Free Cash FlowTrailing 4 quarters
$681.9M
$585.7M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MEDP
MEDP
TYL
TYL
Q1 26
$107.3M
Q4 25
$192.7M
$243.9M
Q3 25
$246.2M
$255.2M
Q2 25
$148.5M
$98.3M
Q1 25
$125.8M
$56.2M
Q4 24
$190.7M
$224.8M
Q3 24
$149.1M
$263.7M
Q2 24
$116.4M
$64.3M
Free Cash Flow
MEDP
MEDP
TYL
TYL
Q1 26
$2.0M
Q4 25
$188.1M
$239.6M
Q3 25
$235.5M
$251.3M
Q2 25
$142.4M
$92.8M
Q1 25
$115.8M
$53.8M
Q4 24
$183.0M
$221.0M
Q3 24
$138.5M
$260.8M
Q2 24
$103.5M
$57.7M
FCF Margin
MEDP
MEDP
TYL
TYL
Q1 26
0.3%
Q4 25
26.6%
41.7%
Q3 25
35.7%
42.2%
Q2 25
23.6%
15.6%
Q1 25
20.7%
9.5%
Q4 24
34.1%
40.8%
Q3 24
26.0%
48.0%
Q2 24
19.6%
10.7%
Capex Intensity
MEDP
MEDP
TYL
TYL
Q1 26
Q4 25
0.6%
0.8%
Q3 25
1.6%
0.7%
Q2 25
1.0%
0.9%
Q1 25
1.8%
0.4%
Q4 24
1.4%
0.7%
Q3 24
2.0%
0.5%
Q2 24
2.4%
1.2%
Cash Conversion
MEDP
MEDP
TYL
TYL
Q1 26
1.32×
Q4 25
1.43×
3.72×
Q3 25
2.22×
3.02×
Q2 25
1.65×
1.16×
Q1 25
1.10×
0.69×
Q4 24
1.63×
3.45×
Q3 24
1.55×
3.47×
Q2 24
1.32×
0.95×

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%

TYL
TYL

Subscriptions$429.7M70%
Maintenance$108.9M18%
Other$74.9M12%

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