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Side-by-side financial comparison of Medpace Holdings, Inc. (MEDP) and EXPRO GROUP HOLDINGS N.V. (XPRO). Click either name above to swap in a different company.

Medpace Holdings, Inc. is the larger business by last-quarter revenue ($708.5M vs $382.1M, roughly 1.9× EXPRO GROUP HOLDINGS N.V.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 1.5%, a 17.6% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs -12.5%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $23.2M). Over the past eight quarters, Medpace Holdings, Inc.'s revenue compounded faster (17.7% CAGR vs -0.2%).

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.

Expro is an energy services provider headquartered in Houston, Texas, United States.

MEDP vs XPRO — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.9× larger
MEDP
$708.5M
$382.1M
XPRO
Growing faster (revenue YoY)
MEDP
MEDP
+44.6% gap
MEDP
32.0%
-12.5%
XPRO
Higher net margin
MEDP
MEDP
17.6% more per $
MEDP
19.1%
1.5%
XPRO
More free cash flow
MEDP
MEDP
$164.9M more FCF
MEDP
$188.1M
$23.2M
XPRO
Faster 2-yr revenue CAGR
MEDP
MEDP
Annualised
MEDP
17.7%
-0.2%
XPRO

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MEDP
MEDP
XPRO
XPRO
Revenue
$708.5M
$382.1M
Net Profit
$135.1M
$5.8M
Gross Margin
Operating Margin
21.6%
3.1%
Net Margin
19.1%
1.5%
Revenue YoY
32.0%
-12.5%
Net Profit YoY
15.5%
-74.9%
EPS (diluted)
$4.65
$0.05

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
XPRO
XPRO
Q4 25
$708.5M
$382.1M
Q3 25
$659.9M
$411.4M
Q2 25
$603.3M
$422.7M
Q1 25
$558.6M
$390.9M
Q4 24
$536.6M
$436.8M
Q3 24
$533.3M
$422.8M
Q2 24
$528.1M
$469.6M
Q1 24
$511.0M
$383.5M
Net Profit
MEDP
MEDP
XPRO
XPRO
Q4 25
$135.1M
$5.8M
Q3 25
$111.1M
$14.0M
Q2 25
$90.3M
$18.0M
Q1 25
$114.6M
$13.9M
Q4 24
$117.0M
$23.0M
Q3 24
$96.4M
$16.3M
Q2 24
$88.4M
$15.3M
Q1 24
$102.6M
$-2.7M
Operating Margin
MEDP
MEDP
XPRO
XPRO
Q4 25
21.6%
3.1%
Q3 25
21.5%
6.4%
Q2 25
20.9%
7.7%
Q1 25
20.3%
2.6%
Q4 24
23.4%
7.3%
Q3 24
21.1%
6.2%
Q2 24
19.9%
5.9%
Q1 24
20.4%
2.2%
Net Margin
MEDP
MEDP
XPRO
XPRO
Q4 25
19.1%
1.5%
Q3 25
16.8%
3.4%
Q2 25
15.0%
4.3%
Q1 25
20.5%
3.6%
Q4 24
21.8%
5.3%
Q3 24
18.1%
3.8%
Q2 24
16.7%
3.3%
Q1 24
20.1%
-0.7%
EPS (diluted)
MEDP
MEDP
XPRO
XPRO
Q4 25
$4.65
$0.05
Q3 25
$3.86
$0.12
Q2 25
$3.10
$0.16
Q1 25
$3.67
$0.12
Q4 24
$3.67
$0.20
Q3 24
$3.01
$0.14
Q2 24
$2.75
$0.13
Q1 24
$3.20
$-0.02

Balance Sheet & Financial Strength

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

Metric
MEDP
MEDP
XPRO
XPRO
Cash + ST InvestmentsLiquidity on hand
$497.0M
$196.1M
Total DebtLower is stronger
$79.1M
Stockholders' EquityBook value
$459.1M
$1.5B
Total Assets
$2.0B
$2.3B
Debt / EquityLower = less leverage
0.05×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MEDP
MEDP
XPRO
XPRO
Q4 25
$497.0M
$196.1M
Q3 25
$285.4M
$197.9M
Q2 25
$46.3M
$206.8M
Q1 25
$441.4M
$179.3M
Q4 24
$669.4M
$183.0M
Q3 24
$656.9M
$165.7M
Q2 24
$510.9M
$133.5M
Q1 24
$407.0M
$163.2M
Total Debt
MEDP
MEDP
XPRO
XPRO
Q4 25
$79.1M
Q3 25
$99.1M
Q2 25
$121.1M
Q1 25
$121.1M
Q4 24
$121.1M
Q3 24
$121.1M
Q2 24
$121.1M
Q1 24
$40.0M
Stockholders' Equity
MEDP
MEDP
XPRO
XPRO
Q4 25
$459.1M
$1.5B
Q3 25
$293.6M
$1.5B
Q2 25
$172.4M
$1.5B
Q1 25
$593.6M
$1.5B
Q4 24
$825.5M
$1.5B
Q3 24
$881.4M
$1.5B
Q2 24
$763.6M
$1.5B
Q1 24
$671.5M
$1.3B
Total Assets
MEDP
MEDP
XPRO
XPRO
Q4 25
$2.0B
$2.3B
Q3 25
$1.8B
$2.3B
Q2 25
$1.6B
$2.3B
Q1 25
$1.9B
$2.3B
Q4 24
$2.1B
$2.3B
Q3 24
$2.1B
$2.3B
Q2 24
$1.9B
$2.3B
Q1 24
$1.8B
$2.0B
Debt / Equity
MEDP
MEDP
XPRO
XPRO
Q4 25
0.05×
Q3 25
0.07×
Q2 25
0.08×
Q1 25
0.08×
Q4 24
0.08×
Q3 24
0.08×
Q2 24
0.08×
Q1 24
0.03×

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
XPRO
XPRO
Operating Cash FlowLast quarter
$192.7M
$57.1M
Free Cash FlowOCF − Capex
$188.1M
$23.2M
FCF MarginFCF / Revenue
26.6%
6.1%
Capex IntensityCapex / Revenue
0.6%
8.9%
Cash ConversionOCF / Net Profit
1.43×
9.89×
TTM Free Cash FlowTrailing 4 quarters
$681.9M
$97.8M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MEDP
MEDP
XPRO
XPRO
Q4 25
$192.7M
$57.1M
Q3 25
$246.2M
$63.2M
Q2 25
$148.5M
$48.4M
Q1 25
$125.8M
$41.5M
Q4 24
$190.7M
$97.4M
Q3 24
$149.1M
$55.3M
Q2 24
$116.4M
$-13.2M
Q1 24
$152.7M
$29.9M
Free Cash Flow
MEDP
MEDP
XPRO
XPRO
Q4 25
$188.1M
$23.2M
Q3 25
$235.5M
$39.0M
Q2 25
$142.4M
$27.2M
Q1 25
$115.8M
$8.4M
Q4 24
$183.0M
$53.0M
Q3 24
$138.5M
$23.3M
Q2 24
$103.5M
$-49.5M
Q1 24
$147.2M
$-801.0K
FCF Margin
MEDP
MEDP
XPRO
XPRO
Q4 25
26.6%
6.1%
Q3 25
35.7%
9.5%
Q2 25
23.6%
6.4%
Q1 25
20.7%
2.1%
Q4 24
34.1%
12.1%
Q3 24
26.0%
5.5%
Q2 24
19.6%
-10.5%
Q1 24
28.8%
-0.2%
Capex Intensity
MEDP
MEDP
XPRO
XPRO
Q4 25
0.6%
8.9%
Q3 25
1.6%
5.9%
Q2 25
1.0%
5.0%
Q1 25
1.8%
8.5%
Q4 24
1.4%
10.2%
Q3 24
2.0%
7.6%
Q2 24
2.4%
7.7%
Q1 24
1.1%
8.0%
Cash Conversion
MEDP
MEDP
XPRO
XPRO
Q4 25
1.43×
9.89×
Q3 25
2.22×
4.52×
Q2 25
1.65×
2.69×
Q1 25
1.10×
2.98×
Q4 24
1.63×
4.23×
Q3 24
1.55×
3.40×
Q2 24
1.32×
-0.86×
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%

XPRO
XPRO

NLA$130.3M34%
ESSA$116.3M30%
MENA$93.0M24%
Other$42.5M11%

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