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

West Pharmaceutical Services is the larger business by last-quarter revenue ($805.0M vs $708.5M, roughly 1.1× Medpace Holdings, Inc.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 16.4%, a 2.7% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 7.5%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $175.0M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs 7.6%).

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.

West Pharmaceutical Services, Inc. is a designer and manufacturer of injectable pharmaceutical packaging and delivery systems. Founded in 1923 by Herman O. West and J.R. Wike of Philadelphia, the company is headquartered in Exton, Pennsylvania. In its early years of development, West produced rubber components for packaging injectable drugs, providing a sterile environment for the producers of penicillin and insulin.

MEDP vs WST — Head-to-Head

Bigger by revenue
WST
WST
1.1× larger
WST
$805.0M
$708.5M
MEDP
Growing faster (revenue YoY)
MEDP
MEDP
+24.5% gap
MEDP
32.0%
7.5%
WST
Higher net margin
MEDP
MEDP
2.7% more per $
MEDP
19.1%
16.4%
WST
More free cash flow
MEDP
MEDP
$13.1M more FCF
MEDP
$188.1M
$175.0M
WST
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
7.6%
WST

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MEDP
MEDP
WST
WST
Revenue
$708.5M
$805.0M
Net Profit
$135.1M
$132.1M
Gross Margin
37.8%
Operating Margin
21.6%
19.5%
Net Margin
19.1%
16.4%
Revenue YoY
32.0%
7.5%
Net Profit YoY
15.5%
1.5%
EPS (diluted)
$4.65
$1.82

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
WST
WST
Q4 25
$708.5M
$805.0M
Q3 25
$659.9M
$804.6M
Q2 25
$603.3M
$766.5M
Q1 25
$558.6M
$698.0M
Q4 24
$536.6M
$748.8M
Q3 24
$533.3M
$746.9M
Q2 24
$528.1M
$702.1M
Q1 24
$511.0M
$695.4M
Net Profit
MEDP
MEDP
WST
WST
Q4 25
$135.1M
$132.1M
Q3 25
$111.1M
$140.0M
Q2 25
$90.3M
$131.8M
Q1 25
$114.6M
$89.8M
Q4 24
$117.0M
$130.1M
Q3 24
$96.4M
$136.0M
Q2 24
$88.4M
$111.3M
Q1 24
$102.6M
$115.3M
Gross Margin
MEDP
MEDP
WST
WST
Q4 25
37.8%
Q3 25
36.6%
Q2 25
35.7%
Q1 25
33.2%
Q4 24
36.5%
Q3 24
35.4%
Q2 24
32.8%
Q1 24
33.1%
Operating Margin
MEDP
MEDP
WST
WST
Q4 25
21.6%
19.5%
Q3 25
21.5%
20.8%
Q2 25
20.9%
20.1%
Q1 25
20.3%
15.3%
Q4 24
23.4%
21.3%
Q3 24
21.1%
21.6%
Q2 24
19.9%
18.0%
Q1 24
20.4%
17.7%
Net Margin
MEDP
MEDP
WST
WST
Q4 25
19.1%
16.4%
Q3 25
16.8%
17.4%
Q2 25
15.0%
17.2%
Q1 25
20.5%
12.9%
Q4 24
21.8%
17.4%
Q3 24
18.1%
18.2%
Q2 24
16.7%
15.9%
Q1 24
20.1%
16.6%
EPS (diluted)
MEDP
MEDP
WST
WST
Q4 25
$4.65
$1.82
Q3 25
$3.86
$1.92
Q2 25
$3.10
$1.82
Q1 25
$3.67
$1.23
Q4 24
$3.67
$1.78
Q3 24
$3.01
$1.85
Q2 24
$2.75
$1.51
Q1 24
$3.20
$1.55

Balance Sheet & Financial Strength

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

Metric
MEDP
MEDP
WST
WST
Cash + ST InvestmentsLiquidity on hand
$497.0M
$791.3M
Total DebtLower is stronger
$202.8M
Stockholders' EquityBook value
$459.1M
$3.2B
Total Assets
$2.0B
$4.3B
Debt / EquityLower = less leverage
0.06×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MEDP
MEDP
WST
WST
Q4 25
$497.0M
$791.3M
Q3 25
$285.4M
$628.5M
Q2 25
$46.3M
$509.7M
Q1 25
$441.4M
$404.2M
Q4 24
$669.4M
$484.6M
Q3 24
$656.9M
$490.9M
Q2 24
$510.9M
$446.2M
Q1 24
$407.0M
$601.8M
Total Debt
MEDP
MEDP
WST
WST
Q4 25
$202.8M
Q3 25
$202.7M
Q2 25
$202.6M
Q1 25
$202.6M
Q4 24
$202.6M
Q3 24
$202.6M
Q2 24
$205.8M
Q1 24
$206.2M
Stockholders' Equity
MEDP
MEDP
WST
WST
Q4 25
$459.1M
$3.2B
Q3 25
$293.6M
$3.1B
Q2 25
$172.4M
$2.9B
Q1 25
$593.6M
$2.7B
Q4 24
$825.5M
$2.7B
Q3 24
$881.4M
$2.8B
Q2 24
$763.6M
$2.6B
Q1 24
$671.5M
$2.7B
Total Assets
MEDP
MEDP
WST
WST
Q4 25
$2.0B
$4.3B
Q3 25
$1.8B
$4.1B
Q2 25
$1.6B
$4.0B
Q1 25
$1.9B
$3.6B
Q4 24
$2.1B
$3.6B
Q3 24
$2.1B
$3.7B
Q2 24
$1.9B
$3.5B
Q1 24
$1.8B
$3.6B
Debt / Equity
MEDP
MEDP
WST
WST
Q4 25
0.06×
Q3 25
0.07×
Q2 25
0.07×
Q1 25
0.08×
Q4 24
0.08×
Q3 24
0.07×
Q2 24
0.08×
Q1 24
0.08×

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
WST
WST
Operating Cash FlowLast quarter
$192.7M
$251.1M
Free Cash FlowOCF − Capex
$188.1M
$175.0M
FCF MarginFCF / Revenue
26.6%
21.7%
Capex IntensityCapex / Revenue
0.6%
9.5%
Cash ConversionOCF / Net Profit
1.43×
1.90×
TTM Free Cash FlowTrailing 4 quarters
$681.9M
$468.9M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MEDP
MEDP
WST
WST
Q4 25
$192.7M
$251.1M
Q3 25
$246.2M
$197.2M
Q2 25
$148.5M
$177.1M
Q1 25
$125.8M
$129.4M
Q4 24
$190.7M
$190.1M
Q3 24
$149.1M
$180.1M
Q2 24
$116.4M
$165.0M
Q1 24
$152.7M
$118.2M
Free Cash Flow
MEDP
MEDP
WST
WST
Q4 25
$188.1M
$175.0M
Q3 25
$235.5M
$133.9M
Q2 25
$142.4M
$101.9M
Q1 25
$115.8M
$58.1M
Q4 24
$183.0M
$85.2M
Q3 24
$138.5M
$98.8M
Q2 24
$103.5M
$64.8M
Q1 24
$147.2M
$27.6M
FCF Margin
MEDP
MEDP
WST
WST
Q4 25
26.6%
21.7%
Q3 25
35.7%
16.6%
Q2 25
23.6%
13.3%
Q1 25
20.7%
8.3%
Q4 24
34.1%
11.4%
Q3 24
26.0%
13.2%
Q2 24
19.6%
9.2%
Q1 24
28.8%
4.0%
Capex Intensity
MEDP
MEDP
WST
WST
Q4 25
0.6%
9.5%
Q3 25
1.6%
7.9%
Q2 25
1.0%
9.8%
Q1 25
1.8%
10.2%
Q4 24
1.4%
14.0%
Q3 24
2.0%
10.9%
Q2 24
2.4%
14.3%
Q1 24
1.1%
13.0%
Cash Conversion
MEDP
MEDP
WST
WST
Q4 25
1.43×
1.90×
Q3 25
2.22×
1.41×
Q2 25
1.65×
1.34×
Q1 25
1.10×
1.44×
Q4 24
1.63×
1.46×
Q3 24
1.55×
1.32×
Q2 24
1.32×
1.48×
Q1 24
1.49×
1.03×

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%

WST
WST

Proprietary Products$661.8M82%
Contract Manufactured Products$143.2M18%
Affiliated Entity$3.3M0%

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