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Medpace Holdings Financials

MEDP
Source SEC Filings (10-K/10-Q) Updated Dec 31, 2025 Currency USD FYE December

This page shows Medpace Holdings (MEDP) financial statements, including the income statement, balance sheet, cash flow statement, and key financial ratios. View 11 years of annual fundamentals and quarterly data, with year-over-year growth rates and compound annual growth rates (CAGR). All figures are derived from SEC filings (10-K and 10-Q reports).

Financial Health Signals

Profitability Growth Leverage Liquidity Cash Flow Returns 62 / 100
Financial Profile 62/100

Based on FY2025 annual data. Scores normalized against common benchmarks. How we calculate these scores

Profitability
69

Medpace Holdings has an operating margin of 21.1%, meaning the company retains $21 of operating profit per $100 of revenue. This strong profitability earns a score of 69/100, reflecting efficient cost management and pricing power. This is down from 21.2% the prior year.

Growth
67

Medpace Holdings's revenue surged 20.0% year-over-year to $2.5B, reflecting rapid business expansion. This strong growth earns a score of 67/100.

Leverage
35

Medpace Holdings has a moderate D/E ratio of 3.30. This balance of debt and equity financing earns a leverage score of 35/100.

Liquidity
9

Medpace Holdings's current ratio of 0.74 means current assets barely cover short-term liabilities. This tight liquidity results in a low score of 9/100, which could limit financial flexibility.

Cash Flow
92

Medpace Holdings converts 27.0% of revenue into free cash flow ($681.9M). This strong cash generation earns a score of 92/100.

Returns
100

Medpace Holdings earns a strong 98.3% return on equity (ROE), meaning it generates $98 of profit for every $100 of shareholders' equity. This efficient capital use earns a returns score of 100/100. This is up from 49.0% the prior year.

Altman Z-Score Safe
7.23

Medpace Holdings scores 7.23, well above the 2.99 safe threshold. The score is driven primarily by a large market capitalization ($14.1B) relative to total liabilities ($1.5B). This indicates low bankruptcy risk based on profitability, leverage, and asset efficiency.

Piotroski F-Score Neutral
6/9

Medpace Holdings passes 6 of 9 financial strength tests. All 4 profitability signals pass (positive income, cash flow, and earnings quality), 1 of 3 leverage/liquidity signals pass, both operating efficiency signals pass.

Earnings Quality Cash-Backed
1.58x

For every $1 of reported earnings, Medpace Holdings generates $1.58 in operating cash flow ($713.2M OCF vs $451.1M net income). This indicates profits are well-supported by actual cash generation, not accounting adjustments.

Key Financial Metrics

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Earnings & Revenue

Revenue
$2.5B
YoY+20.0%
5Y CAGR+22.3%
10Y CAGR+21.6%

Medpace Holdings generated $2.5B in revenue in fiscal year 2025. This represents an increase of 20.0% from the prior year.

EBITDA
$563.1M
YoY+18.3%
5Y CAGR+24.7%
10Y CAGR+20.1%

Medpace Holdings's EBITDA was $563.1M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 18.3% from the prior year.

Net Income
$451.1M
YoY+11.6%
5Y CAGR+25.4%

Medpace Holdings reported $451.1M in net income in fiscal year 2025. This represents an increase of 11.6% from the prior year.

EPS (Diluted)
$15.28
YoY+21.0%
5Y CAGR+31.8%

Medpace Holdings earned $15.28 per diluted share (EPS) in fiscal year 2025. This represents an increase of 21.0% from the prior year.

Cash & Balance Sheet

Free Cash Flow
$681.9M
YoY+19.2%
5Y CAGR+24.6%
10Y CAGR+24.0%

Medpace Holdings generated $681.9M in free cash flow in fiscal year 2025, representing cash available after capex. This represents an increase of 19.2% from the prior year.

Cash & Debt
$497.0M
YoY-25.8%
5Y CAGR+12.3%
10Y CAGR+42.0%

Medpace Holdings held $497.0M in cash against $0 in long-term debt as of fiscal year 2025.

Dividends Per Share
N/A
Shares Outstanding
28M
YoY-6.8%
5Y CAGR-4.5%
10Y CAGR-1.4%

Medpace Holdings had 28M shares outstanding in fiscal year 2025. This represents a decrease of 6.8% from the prior year.

Margins & Returns

Gross Margin
N/A
Operating Margin
21.1%
YoY-0.1pp
5Y CAGR+3.1pp
10Y CAGR+15.4pp

Medpace Holdings's operating margin was 21.1% in fiscal year 2025, reflecting core business profitability. This is down 0.1 percentage points from the prior year.

Net Margin
17.8%
YoY-1.3pp
5Y CAGR+2.1pp
10Y CAGR+20.3pp

Medpace Holdings's net profit margin was 17.8% in fiscal year 2025, showing the share of revenue converted to profit. This is down 1.3 percentage points from the prior year.

Return on Equity
98.3%
YoY+49.3pp
5Y CAGR+80.2pp
10Y CAGR+100.4pp

Medpace Holdings's ROE was 98.3% in fiscal year 2025, measuring profit generated per dollar of shareholder equity. This is up 49.3 percentage points from the prior year.

Capital Allocation

R&D Spending
N/A
Share Buybacks
$917.4M
YoY+440.1%
5Y CAGR+56.3%

Medpace Holdings spent $917.4M on share buybacks in fiscal year 2025, returning capital to shareholders by reducing shares outstanding. This represents an increase of 440.1% from the prior year.

Capital Expenditures
$31.4M
YoY-14.2%
5Y CAGR+0.0%
10Y CAGR+17.1%

Medpace Holdings invested $31.4M in capex in fiscal year 2025, funding long-term assets and infrastructure. This represents a decrease of 14.2% from the prior year.

MEDP Income Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Revenue $708.5M+7.4% $659.9M+9.4% $603.3M+8.0% $558.6M+4.1% $536.6M+0.6% $533.3M+1.0% $528.1M+3.3% $511.0M
Cost of Revenue N/A N/A N/A N/A N/A N/A N/A N/A
Gross Profit N/A N/A N/A N/A N/A N/A N/A N/A
R&D Expenses N/A N/A N/A N/A N/A N/A N/A N/A
SG&A Expenses $44.9M-6.6% $48.1M+3.0% $46.7M-19.4% $57.9M+27.4% $45.4M-7.7% $49.2M+18.7% $41.5M-6.0% $44.1M
Operating Income $153.3M+8.1% $141.8M+12.2% $126.3M+11.3% $113.5M-9.5% $125.4M+11.7% $112.3M+6.8% $105.2M+1.0% $104.1M
Interest Expense N/A N/A N/A N/A N/A N/A N/A N/A
Income Tax $21.7M-31.5% $31.7M-7.5% $34.3M+858.8% $3.6M-78.8% $16.9M-24.5% $22.4M+1.0% $22.1M+117.2% $10.2M
Net Income $135.1M+21.6% $111.1M+23.1% $90.3M-21.2% $114.6M-2.1% $117.0M+21.4% $96.4M+9.1% $88.4M-13.9% $102.6M
EPS (Diluted) N/A $3.86+24.5% $3.10-15.5% $3.67 N/A $3.01+9.5% $2.75-14.1% $3.20

MEDP Balance Sheet

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Total Assets $2.0B+12.7% $1.8B+11.5% $1.6B-17.2% $1.9B-9.7% $2.1B+0.8% $2.1B+8.5% $1.9B+6.9% $1.8B
Current Assets $989.6M+34.2% $737.3M+41.6% $520.8M-36.6% $821.4M-20.2% $1.0B-0.3% $1.0B+18.3% $872.5M+17.1% $744.9M
Cash & Equivalents $497.0M+74.2% $285.4M+515.9% $46.3M-89.5% $441.4M-34.1% $669.4M+1.9% $656.9M+28.6% $510.9M+25.5% $407.0M
Inventory N/A N/A N/A N/A N/A N/A N/A N/A
Accounts Receivable N/A N/A N/A N/A N/A N/A N/A N/A
Goodwill $662.4M0.0% $662.4M0.0% $662.4M0.0% $662.4M0.0% $662.4M0.0% $662.4M0.0% $662.4M0.0% $662.4M
Total Liabilities $1.5B+3.9% $1.5B+4.3% $1.4B+7.3% $1.3B+2.2% $1.3B+6.0% $1.2B+4.0% $1.2B+2.9% $1.1B
Current Liabilities $1.3B+4.7% $1.3B+5.2% $1.2B+8.7% $1.1B+1.6% $1.1B+6.1% $1.0B+4.9% $993.1M+3.8% $956.6M
Long-Term Debt N/A N/A N/A N/A N/A N/A N/A N/A
Total Equity $459.1M+56.3% $293.6M+70.4% $172.4M-71.0% $593.6M-28.1% $825.5M-6.3% $881.4M+15.4% $763.6M+13.7% $671.5M
Retained Earnings -$460.0M+22.9% -$596.2M+15.2% -$703.2M-160.7% -$269.7M-3402.5% $8.2M-87.6% $65.6M+313.2% -$30.8M+74.2% -$119.1M

MEDP Cash Flow Statement

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Operating Cash Flow $192.7M-21.8% $246.2M+65.8% $148.5M+18.0% $125.8M-34.0% $190.7M+27.9% $149.1M+28.1% $116.4M-23.8% $152.7M
Capital Expenditures $4.5M-57.7% $10.7M+75.2% $6.1M-38.8% $10.0M+30.8% $7.6M-27.5% $10.5M-18.1% $12.9M+134.1% $5.5M
Free Cash Flow $188.1M-20.1% $235.5M+65.4% $142.4M+22.9% $115.8M-36.7% $183.0M+32.1% $138.5M+33.8% $103.5M-29.7% $147.2M
Investing Cash Flow -$4.5M+58.0% -$10.7M-77.1% -$6.0M+39.7% -$10.0M-32.1% -$7.6M+27.9% -$10.5M+18.0% -$12.8M-605.5% $2.5M
Financing Cash Flow $22.7M+566.0% $3.4M+100.6% -$540.6M-56.2% -$346.0M-105.2% -$168.6M-2787.4% $6.3M+842.0% $666K-91.3% $7.7M
Dividends Paid N/A N/A N/A N/A N/A N/A N/A N/A
Share Buybacks $0-100.0% $4.6M-99.2% $540.9M+45.4% $371.9M+118.9% $169.9M $0 $0 $0

MEDP Financial Ratios

Metric Q4'25 Q3'25 Q2'25 Q1'25 Q4'24 Q3'24 Q2'24 Q1'24
Gross Margin N/A N/A N/A N/A N/A N/A N/A N/A
Operating Margin 21.6%+0.1pp 21.5%+0.6pp 20.9%+0.6pp 20.3%-3.0pp 23.4%+2.3pp 21.1%+1.1pp 19.9%-0.5pp 20.4%
Net Margin 19.1%+2.2pp 16.8%+1.9pp 15.0%-5.6pp 20.5%-1.3pp 21.8%+3.7pp 18.1%+1.3pp 16.7%-3.3pp 20.1%
Return on Equity 29.4%-8.4pp 37.9%-14.5pp 52.4%+33.1pp 19.3%+5.1pp 14.2%+3.2pp 10.9%-0.6pp 11.6%-3.7pp 15.3%
Return on Assets 6.8%+0.5pp 6.3%+0.6pp 5.7%-0.3pp 6.0%+0.5pp 5.6%+0.9pp 4.6%+0.0pp 4.6%-1.1pp 5.7%
Current Ratio 0.74+0.2 0.57+0.1 0.43-0.3 0.73-0.2 0.93-0.1 0.99+0.1 0.88+0.1 0.78
Debt-to-Equity 3.30-1.7 4.97-3.1 8.12+5.9 2.20+0.7 1.54+0.2 1.36-0.2 1.51-0.2 1.67
FCF Margin 26.6%-9.1pp 35.7%+12.1pp 23.6%+2.9pp 20.7%-13.4pp 34.1%+8.1pp 26.0%+6.4pp 19.6%-9.2pp 28.8%

Note: The current ratio is below 1.0 (0.74), indicating current liabilities exceed current assets, which may suggest potential short-term liquidity concerns.

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Frequently Asked Questions

Medpace Holdings (MEDP) reported $2.5B in total revenue for fiscal year 2025. This represents a 20.0% change compared to the previous fiscal year. Revenue measures the total income earned from the company's primary business operations before any expenses are deducted.

Medpace Holdings (MEDP) revenue grew by 20% year-over-year, from $2.1B to $2.5B in fiscal year 2025.

Yes, Medpace Holdings (MEDP) reported a net income of $451.1M in fiscal year 2025, with a net profit margin of 17.8%.

Medpace Holdings (MEDP) reported diluted earnings per share of $15.28 for fiscal year 2025. This represents a 21.0% change compared to the previous fiscal year. EPS represents the portion of a company's net income allocated to each outstanding share of common stock and is widely used to evaluate profitability on a per-share basis.

Medpace Holdings (MEDP) had EBITDA of $563.1M in fiscal year 2025, measuring earnings before interest, taxes, depreciation, and amortization.

Medpace Holdings (MEDP) had an operating margin of 21.1% in fiscal year 2025, reflecting the profitability of core business operations before interest and taxes.

Medpace Holdings (MEDP) had a net profit margin of 17.8% in fiscal year 2025, representing the share of revenue converted into profit after all expenses.

Medpace Holdings (MEDP) has a return on equity of 98.3% for fiscal year 2025, measuring how efficiently the company generates profit from shareholder equity.

Medpace Holdings (MEDP) generated $681.9M in free cash flow during fiscal year 2025. This represents a 19.2% change compared to the previous fiscal year. Free cash flow represents the cash a company generates after accounting for capital expenditures, and is widely used to assess financial flexibility and shareholder value.

Medpace Holdings (MEDP) generated $713.2M in operating cash flow during fiscal year 2025, representing cash generated from core business activities.

Medpace Holdings (MEDP) had $2.0B in total assets as of fiscal year 2025, including both current and long-term assets.

Medpace Holdings (MEDP) invested $31.4M in capital expenditures during fiscal year 2025, funding long-term assets and infrastructure.

Yes, Medpace Holdings (MEDP) spent $917.4M on share buybacks during fiscal year 2025, returning capital to shareholders by reducing shares outstanding.

Medpace Holdings (MEDP) had 28M shares outstanding as of fiscal year 2025.

Medpace Holdings (MEDP) had a current ratio of 0.74 as of fiscal year 2025, which is below 1.0, which may suggest potential liquidity concerns.

Medpace Holdings (MEDP) had a debt-to-equity ratio of 3.30 as of fiscal year 2025, measuring the company's financial leverage by comparing total debt to shareholder equity.

Medpace Holdings (MEDP) had a return on assets of 22.8% for fiscal year 2025, measuring how efficiently the company uses its assets to generate profit.

Medpace Holdings (MEDP) has an Altman Z-Score of 7.23, placing it in the Safe Zone (low bankruptcy risk). The Z-Score combines five financial ratios—working capital, retained earnings, EBIT, market capitalization, and revenue relative to total assets—to predict the likelihood of bankruptcy. Scores above 2.99 indicate financial safety while scores below 1.81 suggest financial distress. Learn more in our complete guide to financial health indicators.

Medpace Holdings (MEDP) has a Piotroski F-Score of 6 out of 9, indicating neutral financial health. The F-Score evaluates nine binary signals across profitability (positive ROA, positive cash flow, improving ROA, earnings quality), leverage (decreasing debt, improving liquidity, no share dilution), and operating efficiency (improving gross margin, improving asset turnover). Scores of 7–9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Medpace Holdings (MEDP) has an earnings quality ratio of 1.58x, considered cash-backed (high quality). This ratio compares operating cash flow to net income. A ratio above 1.0x means the company generates more cash than its reported earnings, indicating sustainable, cash-backed profits. Ratios below 1.0x suggest earnings rely on accounting accruals rather than actual cash generation. Learn more in our complete guide to financial health indicators.

Medpace Holdings (MEDP) scores 62 out of 100 on our Financial Profile, indicating moderate overall financial health. This composite score evaluates six dimensions: profitability (operating margin), revenue growth, leverage (debt-to-equity), liquidity (current ratio), cash flow quality (free cash flow margin), and shareholder returns (return on equity). Each dimension is normalized against standard financial benchmarks. Learn more in our complete guide to financial health indicators.

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