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

Medpace Holdings, Inc. is the larger business by last-quarter revenue ($708.5M vs $394.6M, roughly 1.8× Zeta Global Holdings Corp.). Medpace Holdings, Inc. runs the higher net margin — 19.1% vs 1.7%, a 17.4% gap on every dollar of revenue. On growth, Medpace Holdings, Inc. posted the faster year-over-year revenue change (32.0% vs 25.4%). Medpace Holdings, Inc. produced more free cash flow last quarter ($188.1M vs $60.9M). Over the past eight quarters, Zeta Global Holdings Corp.'s revenue compounded faster (42.3% 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.

Zeta Global Holdings Corp. is an American marketing technology company which was founded in 2007. Zeta offers companies a suite of multichannel marketing tools focused on creating, maintaining, and monetizing customer relationships. The company went public on the New York Stock Exchange on June 10, 2021, at a US$1.7 billion valuation.

MEDP vs ZETA — Head-to-Head

Bigger by revenue
MEDP
MEDP
1.8× larger
MEDP
$708.5M
$394.6M
ZETA
Growing faster (revenue YoY)
MEDP
MEDP
+6.6% gap
MEDP
32.0%
25.4%
ZETA
Higher net margin
MEDP
MEDP
17.4% more per $
MEDP
19.1%
1.7%
ZETA
More free cash flow
MEDP
MEDP
$127.2M more FCF
MEDP
$188.1M
$60.9M
ZETA
Faster 2-yr revenue CAGR
ZETA
ZETA
Annualised
ZETA
42.3%
17.7%
MEDP

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
MEDP
MEDP
ZETA
ZETA
Revenue
$708.5M
$394.6M
Net Profit
$135.1M
$6.5M
Gross Margin
59.5%
Operating Margin
21.6%
4.5%
Net Margin
19.1%
1.7%
Revenue YoY
32.0%
25.4%
Net Profit YoY
15.5%
-57.1%
EPS (diluted)
$4.65
$0.04

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
ZETA
ZETA
Q4 25
$708.5M
$394.6M
Q3 25
$659.9M
$337.2M
Q2 25
$603.3M
$308.4M
Q1 25
$558.6M
$264.4M
Q4 24
$536.6M
$314.7M
Q3 24
$533.3M
$268.3M
Q2 24
$528.1M
$227.8M
Q1 24
$511.0M
$194.9M
Net Profit
MEDP
MEDP
ZETA
ZETA
Q4 25
$135.1M
$6.5M
Q3 25
$111.1M
$-3.6M
Q2 25
$90.3M
$-12.8M
Q1 25
$114.6M
$-21.6M
Q4 24
$117.0M
$15.2M
Q3 24
$96.4M
$-17.4M
Q2 24
$88.4M
$-28.1M
Q1 24
$102.6M
$-39.6M
Gross Margin
MEDP
MEDP
ZETA
ZETA
Q4 25
59.5%
Q3 25
60.5%
Q2 25
62.1%
Q1 25
60.9%
Q4 24
60.0%
Q3 24
60.6%
Q2 24
60.0%
Q1 24
60.6%
Operating Margin
MEDP
MEDP
ZETA
ZETA
Q4 25
21.6%
4.5%
Q3 25
21.5%
2.6%
Q2 25
20.9%
-1.7%
Q1 25
20.3%
-6.1%
Q4 24
23.4%
2.2%
Q3 24
21.1%
-4.6%
Q2 24
19.9%
-11.7%
Q1 24
20.4%
-18.4%
Net Margin
MEDP
MEDP
ZETA
ZETA
Q4 25
19.1%
1.7%
Q3 25
16.8%
-1.1%
Q2 25
15.0%
-4.2%
Q1 25
20.5%
-8.2%
Q4 24
21.8%
4.8%
Q3 24
18.1%
-6.5%
Q2 24
16.7%
-12.3%
Q1 24
20.1%
-20.3%
EPS (diluted)
MEDP
MEDP
ZETA
ZETA
Q4 25
$4.65
$0.04
Q3 25
$3.86
$-0.02
Q2 25
$3.10
$-0.06
Q1 25
$3.67
$-0.10
Q4 24
$3.67
$0.10
Q3 24
$3.01
$-0.09
Q2 24
$2.75
$-0.16
Q1 24
$3.20
$-0.23

Balance Sheet & Financial Strength

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

Metric
MEDP
MEDP
ZETA
ZETA
Cash + ST InvestmentsLiquidity on hand
$497.0M
$319.8M
Total DebtLower is stronger
$197.1M
Stockholders' EquityBook value
$459.1M
$804.6M
Total Assets
$2.0B
$1.5B
Debt / EquityLower = less leverage
0.24×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
MEDP
MEDP
ZETA
ZETA
Q4 25
$497.0M
$319.8M
Q3 25
$285.4M
$385.2M
Q2 25
$46.3M
$365.3M
Q1 25
$441.4M
$364.4M
Q4 24
$669.4M
$366.2M
Q3 24
$656.9M
$418.5M
Q2 24
$510.9M
$154.7M
Q1 24
$407.0M
$141.6M
Total Debt
MEDP
MEDP
ZETA
ZETA
Q4 25
$197.1M
Q3 25
$196.9M
Q2 25
$196.7M
Q1 25
$196.5M
Q4 24
$196.3M
Q3 24
$196.1M
Q2 24
$184.4M
Q1 24
$184.2M
Stockholders' Equity
MEDP
MEDP
ZETA
ZETA
Q4 25
$459.1M
$804.6M
Q3 25
$293.6M
$689.2M
Q2 25
$172.4M
$673.3M
Q1 25
$593.6M
$676.6M
Q4 24
$825.5M
$676.8M
Q3 24
$881.4M
$474.9M
Q2 24
$763.6M
$217.0M
Q1 24
$671.5M
$191.6M
Total Assets
MEDP
MEDP
ZETA
ZETA
Q4 25
$2.0B
$1.5B
Q3 25
$1.8B
$1.2B
Q2 25
$1.6B
$1.1B
Q1 25
$1.9B
$1.1B
Q4 24
$2.1B
$1.1B
Q3 24
$2.1B
$869.1M
Q2 24
$1.9B
$583.9M
Q1 24
$1.8B
$550.3M
Debt / Equity
MEDP
MEDP
ZETA
ZETA
Q4 25
0.24×
Q3 25
0.29×
Q2 25
0.29×
Q1 25
0.29×
Q4 24
0.29×
Q3 24
0.41×
Q2 24
0.85×
Q1 24
0.96×

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
ZETA
ZETA
Operating Cash FlowLast quarter
$192.7M
$64.1M
Free Cash FlowOCF − Capex
$188.1M
$60.9M
FCF MarginFCF / Revenue
26.6%
15.4%
Capex IntensityCapex / Revenue
0.6%
0.8%
Cash ConversionOCF / Net Profit
1.43×
9.81×
TTM Free Cash FlowTrailing 4 quarters
$681.9M
$185.1M

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
MEDP
MEDP
ZETA
ZETA
Q4 25
$192.7M
$64.1M
Q3 25
$246.2M
$57.9M
Q2 25
$148.5M
$42.0M
Q1 25
$125.8M
$34.8M
Q4 24
$190.7M
$43.7M
Q3 24
$149.1M
$34.4M
Q2 24
$116.4M
$31.1M
Q1 24
$152.7M
$24.7M
Free Cash Flow
MEDP
MEDP
ZETA
ZETA
Q4 25
$188.1M
$60.9M
Q3 25
$235.5M
$52.4M
Q2 25
$142.4M
$39.7M
Q1 25
$115.8M
$32.1M
Q4 24
$183.0M
$35.4M
Q3 24
$138.5M
$29.5M
Q2 24
$103.5M
$24.4M
Q1 24
$147.2M
$18.9M
FCF Margin
MEDP
MEDP
ZETA
ZETA
Q4 25
26.6%
15.4%
Q3 25
35.7%
15.6%
Q2 25
23.6%
12.9%
Q1 25
20.7%
12.1%
Q4 24
34.1%
11.3%
Q3 24
26.0%
11.0%
Q2 24
19.6%
10.7%
Q1 24
28.8%
9.7%
Capex Intensity
MEDP
MEDP
ZETA
ZETA
Q4 25
0.6%
0.8%
Q3 25
1.6%
1.6%
Q2 25
1.0%
0.8%
Q1 25
1.8%
1.0%
Q4 24
1.4%
2.6%
Q3 24
2.0%
1.8%
Q2 24
2.4%
3.0%
Q1 24
1.1%
3.0%
Cash Conversion
MEDP
MEDP
ZETA
ZETA
Q4 25
1.43×
9.81×
Q3 25
2.22×
Q2 25
1.65×
Q1 25
1.10×
Q4 24
1.63×
2.87×
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%

ZETA
ZETA

Segment breakdown not available.

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