STOCK TITAN

Medpace Holdings, Inc. (MEDP) Financials

MEDP
Trailing 12 months to June 30, 2026
Revenue $2.8B +24.7% YoY
Net Income $491.5M +17.5% YoY
EPS (Diluted) $17.03 +26.6% YoY
Free Cash Flow $706.7M +21.9% YoY
Market Cap $17.3B as of Oct 17, 2026
Price / Sales 6.2x on $2.8B revenue, trailing 12 months to June 30, 2026
Price / Earnings 35.1x on $491.5M net income, trailing 12 months to June 30, 2026
Price / Book 39.8x on $433.9M equity, Q2 FY2026

A multiple compares the market's price with a filed figure; it says what the market pays, not how the business is doing. The market capitalization is the vendor's as of Oct 17, 2026; every other figure is from the SEC filings on this page. Not financial advice.

Source SEC Filings (10-K/10-Q) Latest period Q2 FY2026, ended Jun 30, 2026 Reported Currency USD FYE December

Newest figures come from the 10-Q for Q2 FY2026, filed Jul 23, 2026. Each column of the statement tables below links to the filing it was taken from, and every filing is listed on the MEDP SEC filings page.

Medpace Holdings, Inc. (MEDP) reported $2.8B in revenue over the twelve months to Jun 30, 2026, up 24.7% from the prior twelve months. This page shows its 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).

Rhea AI MEDP FY2025

Profit is scaling with revenue, but aggressive share repurchases have made the balance sheet more leveraged and less liquid.

FY2025 operating cash flow reached $713M versus net income of $451M, indicating accounting earnings converted into cash rather than remaining tied up in working capital. Free cash flow was $682M against only $31M of capital spending, showing an operation that currently requires relatively little reinvestment to produce cash.

Revenue increased 20.0% in FY2025 while operating margin held near 21.1%, indicating expansion largely preserved its operating economics rather than creating a new margin step-up. Net margin fell to 17.8% despite stable operating profitability, so costs below operating income absorbed more of the year's gain.

The company used $917M for share repurchases in FY2025 while shares outstanding fell 6.8%, connecting capital returns to a thinner equity base. Equity ended at $459M and the current ratio was 0.7x, leaving short-term obligations greater than current assets while debt-to-equity rose to 3.3x.

[ NOT FINANCIAL ADVICE ]

Financial Health Signals

Profitability Growth Leverage Liquidity CashFlow Returns 62 / 100
Financial Health Score 62/100

Scored against operating companies for FY2025. Each of the six dimensions is a percentile rank within that peer group; the overall is their average, with missing dimensions counted as zero out of six. A high score means strong standing among peers, not absolute cross-industry strength. How this score is calculated →

Health score ≠ stock price. This rates the quality of Medpace Holdings, Inc.'s business: profitability, growth, balance sheet strength. It doesn't tell you whether the stock is a good buy at today's price. Not financial advice. Use it alongside valuation analysis and your own research.

Profitability
89

Medpace Holdings, Inc. 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 89/100, reflecting efficient cost management and pricing power. This is down from 21.2% the prior year.

Growth
77

Medpace Holdings, Inc.'s revenue surged 20.0% year-over-year to $2.5B, reflecting rapid business expansion. This strong growth earns a score of 77/100.

Leverage
19

Medpace Holdings, Inc. has elevated debt relative to equity (D/E of 3.30), meaning the company relies heavily on borrowed funds. This high leverage results in a low score of 19/100, reflecting increased financial risk.

Liquidity
9

Medpace Holdings, Inc.'s current ratio of 0.74 is below the typical benchmark, resulting in a score of 9/100. This tight liquidity could limit financial flexibility if cash inflows slow.

Cash Flow
91

Medpace Holdings, Inc. converts 27.0% of revenue into free cash flow ($681.9M). This strong cash generation earns a score of 91/100.

Returns
87

Medpace Holdings, Inc. 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 87/100. This is up from 49.0% the prior year.

Altman Z-Score Safe
8.46

Medpace Holdings, Inc. scores 8.46, well above the 2.99 safe threshold. The score is driven primarily by a large market capitalization ($17.3B) relative to total liabilities ($1.5B). This indicates low bankruptcy risk based on profitability, leverage, and asset efficiency.

Distress-screening estimate for non-financial companies. Not computed for banks or insurers, where the Altman model does not apply.

Piotroski F-Score Partial
6/7

Medpace Holdings, Inc. passes 6 of 7 computable financial strength tests (2 of the nine could not be computed from available data). All 4 profitability signals pass (positive income, cash flow, and earnings quality), 1 of 2 leverage/liquidity signals pass, both operating efficiency signals pass.

Earnings Quality Cash-Backed
1.58x

For every $1 of reported earnings, Medpace Holdings, Inc. 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

Export CSV

Earnings & Revenue

Revenue
$707.3M
YoY+17.2%
QoQ+0.1%
5Y CAGR+20.5%
10Y CAGR+20.9%

Medpace Holdings, Inc. generated $707.3M in revenue in Q2 2026. This represents an increase of 17.2% from the same quarter a year earlier. Against the prior quarter it is up 0.1%.

EBITDA
$153.5M
YoY+15.1%
QoQ+3.5%
5Y CAGR+26.4%
10Y CAGR+18.3%

Medpace Holdings, Inc.'s EBITDA was $153.5M in Q2 2026, measuring earnings before interest, taxes, depreciation, and amortization. This represents an increase of 15.1% from the same quarter a year earlier. Against the prior quarter it is up 3.5%.

Net Income
$121.4M
YoY+34.5%
QoQ-2.0%
5Y CAGR+24.9%
10Y CAGR+37.7%

Medpace Holdings, Inc. reported $121.4M in net income in Q2 2026. This represents an increase of 34.5% from the same quarter a year earlier. Against the prior quarter it is down 2.0%.

EPS (Diluted)
$4.25
YoY+37.1%
QoQ-0.7%
5Y CAGR+32.0%
10Y CAGR+39.7%

Medpace Holdings, Inc. earned $4.25 per diluted share (EPS) in Q2 2026. This represents an increase of 37.1% from the same quarter a year earlier. Against the prior quarter it is down 0.7%.

Cash & Balance Sheet

Free Cash Flow
$138.1M
YoY-3.0%
QoQ-4.7%
5Y CAGR+19.5%
10Y CAGR+37.7%

Medpace Holdings, Inc. generated $138.1M in free cash flow in Q2 2026, representing cash available after capex. This represents a decrease of 3.0% from the same quarter a year earlier. Against the prior quarter it is down 4.7%.

Cash & Debt
$502.7M
YoY+985.0%
QoQ-23.0%
5Y CAGR+8.2%
10Y CAGR+40.3%

Medpace Holdings, Inc. held $502.7M in cash as of Q2 2026; long-term debt is not reported for that period.

Shares Outstanding
28M
YoY-0.6%
QoQ-2.3%
5Y CAGR-4.9%

Medpace Holdings, Inc. had 28M shares outstanding in Q2 2026. This represents a decrease of 0.6% from the same quarter a year earlier. Against the prior quarter it is down 2.3%.

Dividends Per Share

Not reported for Q2 2026.

Margins & Returns

Operating Margin
20.8%
YoY-0.2pp
QoQ+0.7pp
5Y change+5.5pp
10Y change+7.4pp

Medpace Holdings, Inc.'s operating margin was 20.8% in Q2 2026, reflecting core business profitability. This is down 0.2 percentage points from the same quarter a year earlier. Against the prior quarter it is up 0.7 percentage points.

Net Margin
17.2%
YoY+2.2pp
QoQ-0.4pp
5Y change+2.8pp
10Y change+12.5pp

Medpace Holdings, Inc.'s net profit margin was 17.2% in Q2 2026, showing the share of revenue converted to profit. This is up 2.2 percentage points from the same quarter a year earlier. Against the prior quarter it is down 0.4 percentage points.

Return on Equity
28.0%
YoY-24.4pp
QoQ+7.3pp
5Y change+23.3pp

Medpace Holdings, Inc.'s ROE was 28.0% in Q2 2026, measuring profit generated per dollar of shareholder equity. This is down 24.4 percentage points from the same quarter a year earlier. Against the prior quarter it is up 7.3 percentage points.

Gross Margin

Not reported for Q2 2026.

Capital Allocation

Share Buybacks
$294.8M
YoY-45.5%
5Y CAGR+39.5%

Medpace Holdings, Inc. spent $294.8M on share buybacks in Q2 2026, returning capital to shareholders by reducing shares outstanding. This represents a decrease of 45.5% from the same quarter a year earlier.

Capital Expenditures
$23.9M
YoY+291.2%
QoQ+250.9%
5Y CAGR+31.8%
10Y CAGR+26.7%

Medpace Holdings, Inc. invested $23.9M in capex in Q2 2026, funding long-term assets and infrastructure. This represents an increase of 291.2% from the same quarter a year earlier. Against the prior quarter it is up 250.9%.

R&D Spending

Not reported for Q2 2026.

MEDP Income Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

MEDP quarterly income statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Revenue$707.3M+17.2%$706.6M+26.5%$708.5M+32.0%$659.9M+23.7%$603.3M+14.2%$558.6M+9.3%$536.6M+7.7%$533.3M+8.3%
SG&A Expenses$48.1M+3.1%$47.9M-17.2%$44.9M-1.1%$48.1M-2.3%$46.7M+12.6%$57.9M+31.3%$45.4M+6.9%$49.2M+18.9%
Operating Income$146.8M+16.2%$141.5M+24.6%$153.3M+22.2%$141.8M+26.3%$126.3M+20.1%$113.5M+9.1%$125.4M+43.6%$112.3M+32.2%
EBITDA$153.5M+15.1%$148.4M+23.2%$160.4M+20.7%$148.9M+24.3%$133.3M+18.7%$120.5M+8.5%$132.9M+40.9%$119.8M+30.5%
Income Tax$30.3M-11.6%$23.7M+563.5%$21.7M+28.7%$31.7M+41.8%$34.3M+54.9%$3.6M-64.9%$16.9M+35.9%$22.4M+76.7%
Net Income$121.4M+34.5%$123.9M+8.1%$135.1M+15.5%$111.1M+15.3%$90.3M+2.2%$114.6M+11.7%$117.0M+49.5%$96.4M+36.7%
EPS (Basic)$4.31+36.4%$4.35+15.4%$4.76+25.9%$3.95+27.0%$3.16+10.9%$3.77+13.6%$3.78+48.2%$3.11+35.2%
EPS (Diluted)$4.25+37.1%$4.28+16.6%$4.64+26.4%$3.86+28.2%$3.10+12.7%$3.67+14.7%$3.67+49.2%$3.01+35.6%
Diluted Shares (Avg)29M-2.0%29M-7.2%N/A29M-10.2%29M-9.2%31M-2.5%N/A32M+1.0%

Not reported in any period shown, so not listed: Cost of Revenue, Gross Profit, R&D Expenses, Interest Expense.

MEDP Balance Sheet

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

MEDP quarterly balance sheet
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Total Assets$2.1B+30.9%$2.1B+12.2%$2.0B-6.0%$1.8B-15.9%$1.6B-18.1%$1.9B+5.7%$2.1B+26.8%$2.1B+40.2%
Current Assets$1.1B+101.7%$1.1B+38.7%$989.6M-3.8%$737.3M-28.6%$520.8M-40.3%$821.4M+10.3%$1.0B+73.3%$1.0B+130.0%
Cash & Equivalents$502.7M+985.0%$652.7M+47.9%$497.0M-25.8%$285.4M-56.6%$46.3M-90.9%$441.4M+8.5%$669.4M+172.7%$656.9M+590.0%
Short-Term Investments$0$0$0$0$0$0$0$0
Long-Term Investments$0$0$0$0$0$0$0$0
Goodwill$662.4M0.0%$662.4M0.0%$662.4M0.0%$662.4M0.0%$662.4M0.0%$662.4M0.0%$662.4M0.0%$662.4M0.0%
Total Liabilities$1.6B+16.0%$1.5B+17.5%$1.5B+18.9%$1.5B+21.3%$1.4B+21.0%$1.3B+16.0%$1.3B+16.2%$1.2B+18.4%
Current Liabilities$1.4B+17.6%$1.3B+19.8%$1.3B+21.7%$1.3B+23.3%$1.2B+22.9%$1.1B+17.3%$1.1B+19.4%$1.0B+22.7%
Non-Current Liabilities$187.9M+5.0%$186.3M+2.7%$172.7M+1.1%$175.5M+8.8%$178.9M+9.5%$181.4M+8.3%$170.8M-1.1%$161.3M-3.6%
Total Equity$433.9M+151.7%$598.3M+0.8%$459.1M-44.4%$293.6M-66.7%$172.4M-77.4%$593.6M-11.6%$825.5M+47.7%$881.4M+87.2%
Retained Earnings-$511.4M+27.3%-$336.1M-24.6%-$460.0M-5732.2%-$596.2M-1008.4%-$703.2M-2183.9%-$269.7M-126.4%$8.2M+103.7%$65.6M+121.9%

Not reported in any period shown, so not listed: Inventory, Accounts Receivable, Long-Term Debt.

MEDP Cash Flow Statement

Figures in USD, abbreviated K (thousand), M (million), B (billion), T (trillion). Negative values carry a minus sign and red type. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

MEDP quarterly cash flow statement
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Operating Cash Flow$162.0M+9.1%$151.8M+20.6%$192.7M+1.0%$246.2M+65.2%$148.5M+27.6%$125.8M-17.6%$190.7M+21.9%$149.1M+30.3%
Depreciation & Amortization$6.7M-4.3%$6.9M-0.3%$7.1M-5.0%$7.0M-6.2%$7.0M-3.1%$6.9M-0.9%$7.5M+7.7%$7.5M+9.3%
Stock-Based Compensation$4.3M-26.9%$4.9M-70.9%N/A$6.3M-46.1%$6.0M+65.9%$16.9M+291.9%N/A$11.7M+134.2%
Capital Expenditures$23.9M+291.2%$6.8M-31.8%$4.5M-40.7%$10.7M+1.7%$6.1M-52.5%$10.0M+81.8%$7.6M-23.5%$10.5M+21.1%
Free Cash Flow$138.1M-3.0%$145.0M+25.1%$188.1M+2.8%$235.5M+70.0%$142.4M+37.6%$115.8M-21.3%$183.0M+25.0%$138.5M+31.1%
Investing Cash Flow-$23.9M-296.8%-$6.7M+32.4%-$4.5M+40.8%-$10.7M-1.7%-$6.0M+52.9%-$10.0M-494.7%-$7.6M+5.4%-$10.5M-21.1%
Financing Cash Flow-$288.3M+46.7%$12.7M+103.7%$22.7M+113.5%$3.4M-45.6%-$540.6M-81265.8%-$346.0M-4616.5%-$168.6M-11170.8%$6.3M+112.7%
Share Buybacks$294.8M-45.5%$0-100.0%$0-100.0%$4.6M$540.9M$371.9M$169.9M$0

Not reported in any period shown, so not listed: Dividends Paid.

MEDP Financial Ratios

Margins and returns are percentages; the remaining ratios are unitless multiples. Each change compares the year with the year before it, and each quarter with the same quarter a year earlier.

MEDP quarterly financial ratios
MetricQ2'2610-QQ1'2610-QQ4'2510-QQ3'2510-QQ2'2510-QQ1'2510-QQ4'2410-KQ3'2410-Q
Operating Margin20.8%-0.2pp20.0%-0.3pp21.6%-1.7pp21.5%+0.4pp20.9%+1.0pp20.3%0.0pp23.4%+5.8pp21.1%+3.8pp
Net Margin17.2%+2.2pp17.5%-3.0pp19.1%-2.7pp16.8%-1.2pp15.0%-1.8pp20.5%+0.5pp21.8%+6.1pp18.1%+3.8pp
Return on Equity28.0%-24.4pp20.7%+1.4pp29.4%+15.3pp37.9%+26.9pp52.4%+40.8pp19.3%+4.0pp14.2%+0.2pp10.9%-4.0pp
Return on Assets5.9%+0.2pp5.8%-0.2pp6.8%+1.3pp6.3%+1.7pp5.7%+1.1pp6.0%+0.3pp5.6%+0.8pp4.6%-0.1pp
Current Ratio0.73+0.3x0.85+0.1x0.74-0.2x0.57-0.4x0.43-0.5x0.730.0x0.93+0.3x0.99+0.5x
Debt-to-Equity3.74-4.4x2.56+0.4x3.30+1.8x4.97+3.6x8.12+6.6x2.20+0.5x1.54-0.4x1.36-0.8x
Asset Turnover0.340.0x0.330.0x0.36+0.1x0.38+0.1x0.38+0.1x0.290.0x0.260.0x0.26-0.1x
FCF Margin19.5%-4.1pp20.5%-0.2pp26.6%-7.6pp35.7%+9.7pp23.6%+4.0pp20.7%-8.1pp34.1%+4.7pp26.0%+4.5pp

Not reported in any period shown, so not listed: Gross Margin.

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

Similar Companies

Newest fiscal year on record for each company. The health score is the peer-relative Financial Health Score for that year; a dash means no score is published for it.

Company Fiscal year Revenue Net income Net margin Market cap Health score
Medpace Holdings, Inc. MEDP FY2025 $2.5B $451.1M 17.8% $17.3B 62/100
Icon Plc ICLR FY2025 $8.3B $229.3M 2.8% $13.1B 45/100
Illumina Inc ILMN FY2025 $4.3B $850.0M 19.6% $39.6B 44/100
Waters Corp WAT FY2025 $3.2B $642.6M 20.3% $42.9B 71/100
Exact Sciences Corp EXAS FY2025 $3.2B -$207.9M -6.4% $20.0B 47/100

Frequently Asked Questions

What is Medpace Holdings, Inc.'s annual revenue?

Medpace Holdings, Inc. (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.

How fast is Medpace Holdings, Inc.'s revenue growing?

Medpace Holdings, Inc. (MEDP) revenue grew by 20.0% year-over-year, from $2.1B to $2.5B in fiscal year 2025.

Is Medpace Holdings, Inc. profitable?

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

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

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

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

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

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

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

Medpace Holdings, Inc. (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, Inc. (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, Inc. (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, Inc. (MEDP) trades at 35.1x earnings, its market capitalization divided by net income of $491.5M net income, trailing 12 months to June 30, 2026. The market capitalization is $17.3B as of Oct 17, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

Medpace Holdings, Inc. (MEDP) trades at 6.2x sales, its market capitalization divided by revenue of $2.8B revenue, trailing 12 months to June 30, 2026. The market capitalization is $17.3B as of Oct 17, 2026; a multiple compares that price with a filed figure and says nothing about the quality of the business.

Medpace Holdings, Inc. (MEDP) has an Altman Z-Score of 8.46, 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, Inc. (MEDP) has a Piotroski F-Score of 6 out of 7 computable signals; 2 of the nine could not be computed from available data, so the full-scale strength rating is not shown. 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 to 9 indicate strong and improving fundamentals. Learn more in our complete guide to financial health indicators.

Medpace Holdings, Inc. (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, Inc. (MEDP) scores 62 out of 100 on our Financial Health Score, indicating moderate standing within its operating companies peer group. The score is a 0-100 composite of six dimensions (Profitability, Growth, Leverage, Liquidity, Cash Flow, Returns), each ranked as a percentile relative to companies in the same scoring family (banks against banks, REITs against REITs, and so on) rather than across all industries. It rates the quality of the business, not whether the stock is fairly priced, and is not financial advice. Learn more in our complete guide to financial health indicators.

Back to top