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IQVIA Holdings vs Medpace Holdings: IQV and MEDP compared

IQVIA Holdings is the larger company: $4.4B of revenue in its latest quarter (Q3 2026) against $716M for Medpace Holdings (Q3 2026). Medpace Holdings is growing faster (+8% against +8% a year earlier). Medpace Holdings is more profitable, with an operating margin of 23.1% against 12.9%.

IQVIA Holdings vs Medpace Holdings, latest quarterIQVIA Holdings vs Medpace Holdings, latest quarterIQVIA Holdings (IQV)Medpace Holdings (MEDP)Revenue$4.4B$716MRevenue growth, Y/Y+8%+8%Operating margin12.9%23.1%Net margin7.9%19.2%Free cash flow$667M$196M

Where the money goes: IQV and MEDP

IQVIA Holdings (IQV) · Q3 2026

IQVIA Holdings, Q3 2026: revenue $4.4B (+8% year over year), operating margin 12.9%, net earnings $352M, operating cash flow $825M. The chart follows the revenue to costs, profit and cash.

Medpace Holdings (MEDP) · Q3 2026

Medpace Holdings, Q3 2026: revenue $716M (+8% year over year), operating margin 23.1%, net earnings $137M, operating cash flow $217M. The chart follows the revenue to costs, profit and cash.

IQVIA Holdings revenue by segment, Q3 2026IQVIA Holdings revenue by segment, Q3 2026Research & Development Solutions$2.6BCommercial Solutions$1.8B
Medpace Holdings revenue by segment, Q3 2026Medpace Holdings revenue by segment, Q3 2026Metabolic$230MOther$209MOncology$100MCardiology$83.6M
IQVIA Holdings (IQV)Medpace Holdings (MEDP)
Latest quarterQ3 2026Q3 2026
Revenue$4.4B$716M
Revenue growth, Y/Y+8%+8%
Operating margin12.9%23.1%
Net earnings$352M$137M
Net margin7.9%19.2%
Operating cash flow$825M$217M
Free cash flow$667M$196M
Market value$44.2B$18.5B
P/E32.3×36.2×
Analysts’ mean target$311.89$651.31

Where the revenue comes from

IQVIA Holdings

Medpace Holdings

Questions

Which is bigger, IQVIA Holdings or Medpace Holdings?

IQVIA Holdings is the larger company: $4.4B of revenue in its latest quarter (Q3 2026) against $716M for Medpace Holdings (Q3 2026).

Is IQVIA Holdings or Medpace Holdings growing faster?

Medpace Holdings is growing faster (+8% against +8% a year earlier).

Which is more profitable, IQVIA Holdings or Medpace Holdings?

Medpace Holdings is more profitable, with an operating margin of 23.1% against 12.9%.

More: IQVIA Holdings earnings · how IQVIA Holdings makes money · Medpace Holdings earnings · how Medpace Holdings makes money

From the companies' latest 10-Q, 10-K or earnings release (10-Q filed Oct 27, 2026; 10-Q filed Oct 22, 2026). Fiscal quarters can end on different dates. Not investment advice.