Strong Q1 2026 growth for Medpace (NASDAQ: MEDP) with raised outlook
Filing Impact
Filing Sentiment
Form Type
8-K
Rhea-AI Filing Summary
Medpace Holdings, Inc. reported strong first quarter 2026 results with revenue of $706.6 million, up 26.5% from $558.6 million a year earlier. GAAP net income was $123.9 million, or $4.28 per diluted share, compared with $114.6 million, or $3.67 per diluted share, as net income margin moved from 20.5% to 17.5%.
EBITDA increased 25.9% to $149.4 million with a 21.1% margin, while backlog rose 2.9% to $2,929.2 million and net new business awards were $618.4 million, yielding a 0.88x net book-to-bill ratio. Cash and cash equivalents reached $652.7 million. For full year 2026, Medpace forecasts revenue of $2.755–$2.855 billion, GAAP net income of $487.0–$511.0 million, EBITDA of $605.0–$635.0 million, and diluted EPS of $16.68–$17.50. The company also announced that President Jesse Geiger will retire effective May 31, 2026, with CEO August Troendle reassuming the President role until a successor is appointed.
Positive
- Strong top-line and earnings growth: Q1 2026 revenue rose 26.5% to $706.6 million, while GAAP net income increased to $123.9 million and diluted EPS to $4.28, with EBITDA up 25.9% to $149.4 million.
- Solid 2026 outlook: The company forecasts 2026 revenue of $2.755–$2.855 billion (8.9–12.8% growth over 2025) and EBITDA of $605.0–$635.0 million, signaling expectations for continued expansion.
Negative
- None.
Insights
Medpace posts strong Q1 growth and raises solid 2026 targets.
Medpace delivered robust top-line expansion in Q1 2026, with revenue up 26.5% to $706.6 million. GAAP EPS increased to $4.28 from $3.67, while EBITDA rose 25.9% to $149.4 million, keeping EBITDA margin just above 21%.
Backlog reached $2,929.2 million as of March 31, 2026, up 2.9% year over year, and net new business awards of $618.4 million yielded a net book-to-bill ratio of 0.88x. Cash and cash equivalents increased to $652.7 million, supported by $151.8 million in operating cash flow.
Full-year 2026 guidance calls for revenue of $2.755–$2.855 billion and GAAP net income of $487.0–$511.0 million, implying continued, though moderating, growth versus 2025. The announced retirement of President Jesse Geiger effective May 31, 2026, with CEO August Troendle reassuming the President title, represents a leadership transition but maintains continuity at the top.
8-K Event Classification
3 items: 2.02, 5.02, 9.01
3 items
Item 2.02
Results of Operations and Financial Condition
Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 5.02
Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers
Governance
Key personnel changes including departures, elections, or appointments of directors and executive officers.
Item 9.01
Financial Statements and Exhibits
Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Key Figures
Q1 2026 Revenue: $706.6 million
Q1 2026 GAAP Net Income: $123.9 million
Q1 2026 Diluted EPS: $4.28 per share
+5 more
8 metrics
Q1 2026 Revenue
$706.6 million
Three months ended March 31, 2026; up 26.5% year over year
Q1 2026 GAAP Net Income
$123.9 million
Three months ended March 31, 2026; up from $114.6 million in 2025
Q1 2026 Diluted EPS
$4.28 per share
Versus $3.67 per diluted share in Q1 2025
Q1 2026 EBITDA
$149.4 million
Non-GAAP EBITDA, up 25.9% from $118.6 million in Q1 2025
Backlog
$2,929.2 million
Backlog as of March 31, 2026; up 2.9% year over year
Net New Business Awards
$618.4 million
Q1 2026 net new business; net book-to-bill ratio 0.88x
Cash and Cash Equivalents
$652.7 million
Balance as of March 31, 2026
2026 Revenue Guidance
$2.755–$2.855 billion
Forecast for full year 2026; 8.9–12.8% growth over 2025
Key Terms
backlog conversion rate, net new business awards, net book-to-bill ratio, EBITDA margin, +2 more
6 terms
backlog conversion rate financial
"revenue of $706.6 million ... representing a backlog conversion rate of 23.3%"
Backlog conversion rate measures how quickly work that a company has promised but not yet delivered—orders, contracts or production backlog—turns into actual revenue or completed shipments over a set period. For investors it signals whether promised demand is being fulfilled on schedule and how reliably future sales will materialize; a higher rate is like seeing a long grocery list steadily checked off, while a lower rate suggests delays, capacity problems, or weakening demand that can affect near-term cash flow and growth forecasts.
net new business awards financial
"Net new business awards were $618.4 million in the first quarter of 2026"
net book-to-bill ratio financial
"resulted in a net book-to-bill ratio of 0.88x"
Net book-to-bill ratio measures the value of new orders a company receives during a period divided by the value of goods or services it ships or invoices in that same period, with “net” indicating orders are adjusted for cancellations or returns. It matters to investors because a ratio above one suggests rising demand and growing future revenue (more bookings than deliveries), while below one signals weakening demand or shrinking backlog, like taking more reservations than you can fulfill or vice versa.
EBITDA margin financial
"EBITDA was $149.4 million ... resulting in an EBITDA margin of 21.1%"
EBITDA margin is the share of each dollar of sales that a company keeps as operating cash profit before interest, taxes, and accounting for equipment wear and long-term investments. Think of it like the cash a store has left from every sale after paying day-to-day running costs but before paying rent, loan interest or replacing old machinery. Investors use it to compare core profitability and operational efficiency across companies by removing financing and accounting differences.
constant currency basis financial
"On a constant currency basis, revenue for the first quarter of 2026 increased 25.8%"
A "constant currency basis" is a way companies compare financial results by removing the effects of changing exchange rates between different currencies. It helps show how the business is really performing, without the confusion caused by currency value swings, much like adjusting for inflation to see true growth.
non-GAAP financial measures financial
"Certain financial measures presented in this press release, such as EBITDA and EBITDA margin, are not recognized under generally accepted accounting principles"
Non-GAAP financial measures are numbers companies use to show their financial performance that exclude certain expenses or income. They help investors see how the company might perform without one-time costs or other unusual items, giving a different perspective from official reports. However, since they can be adjusted, they don’t always tell the full story and should be looked at alongside standard financial figures.
Earnings Snapshot
Revenue: $706.6 million · Guidance included
Q1 2026
Revenue
$706.6 million
+26.5% year over year
GAAP Net Income
$123.9 million
from $114.6 million in Q1 2025
Diluted EPS (GAAP)
$4.28
from $3.67 in Q1 2025
EBITDA (Non-GAAP)
$149.4 million
+25.9% year over year
Guidance
For full year 2026, Medpace guides to revenue of $2.755–$2.855 billion, GAAP net income of $487.0–$511.0 million, EBITDA of $605.0–$635.0 million, and diluted EPS of $16.68–$17.50.
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
______________________________________________________
FORM 8-K
______________________________________________________
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): April 21, 2026
______________________________________________________
(Exact name of Registrant as Specified in Its Charter)
______________________________________________________
| (State or Other Jurisdiction of Incorporation) | (Commission File Number) | (IRS Employer Identification No.) | ||||||
| (Address of Principal Executive Offices) | (Zip Code) | |||||||
Registrant’s Telephone Number, Including Area Code: 513 579-9911
Not Applicable
(Former Name or Former Address, if Changed Since Last Report)
______________________________________________________
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) | |||||
| Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) | |||||
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) | |||||
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) | |||||
Securities registered pursuant to Section 12(b) of the Act:
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered | ||||||||||||
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).
Emerging growth company o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Item 2.02 Results of Operations and Financial Condition.
On April 22, 2026, Medpace Holdings, Inc. (the “Company”) issued a press release announcing its financial results for the three months ended March 31, 2026. The full text of the press release was posted on the Company’s internet website and is furnished as Exhibit 99.1 hereto and incorporated herein by reference.
Pursuant to General Instruction B.2 of Current Report on Form 8-K, the information contained in, or incorporated into, Item 2.02, including the press release attached as Exhibit 99.1, is being furnished and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any registration statement or other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference to such filing.
Item 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.
On April 21, 2026, Jesse Geiger notified the Company of his intent to resign as President and that he will retire from the Company effective May 31, 2026. This departure is not the result of any disagreement with the Company regarding its operations, policies, or practices. Effective on Mr. Geiger’s resignation date, the Company’s Chief Executive Officer, August Troendle, will reassume the role of President until such time as the Company appoints a successor.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits
| Exhibit No. | Description | |||||||
| 99.1 | Press release dated April 22, 2026 | |||||||
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL document) | |||||||
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
| MEDPACE HOLDINGS, INC. | |||||||||||
| Date: | April 22, 2026 | By: | /s/ Kevin M. Brady | ||||||||
| Kevin M. Brady, Chief Financial Officer | |||||||||||
Exhibit 99.1
Investor Contact:
Lauren Morris
283-227-6409
l.morris@medpace.com
FOR IMMEDIATE RELEASE
Media Contact:
Michael Maley
283-227-6367
m.maley@medpace.com
Medpace Holdings, Inc. Reports First Quarter 2026 Results
•Revenue of $706.6 million in the first quarter of 2026 increased 26.5% from revenue of $558.6 million for the comparable prior-year period, representing a backlog conversion rate of 23.3%.
•Net new business awards were $618.4 million in the first quarter of 2026, representing an increase of 23.7% from net new business awards of $500.0 million for the comparable prior-year period, which resulted in a net book-to-bill ratio of 0.88x.
•First quarter of 2026 GAAP net income was $123.9 million, or $4.28 per diluted share, versus GAAP net income of $114.6 million, or $3.67 per diluted share, for the comparable prior-year period. Net income margin was 17.5% and 20.5% for the first quarter of 2026 and 2025, respectively.
•EBITDA was $149.4 million for the first quarter of 2026, an increase of 25.9% from EBITDA of $118.6 million for the comparable prior-year period, resulting in an EBITDA margin of 21.1%.
CINCINNATI, OHIO, April 22, 2026-- Medpace Holdings, Inc. (Nasdaq: MEDP) (“Medpace”) today announced financial results for the first quarter ended March 31, 2026.
First Quarter 2026 Financial Results
Revenue for the three months ended March 31, 2026 increased 26.5% to $706.6 million, compared to $558.6 million for the comparable prior-year period. On a constant currency basis, revenue for the first quarter of 2026 increased 25.8% compared to the first quarter of 2025.
Backlog as of March 31, 2026 increased 2.9% to $2,929.2 million from $2,846.0 million as of March 31, 2025. Net new business awards were $618.4 million, representing a net book-to-bill ratio of 0.88x for the first quarter of 2026, as compared to $500.0 million for the comparable prior-year period. The Company calculates the net book-to-bill ratio by dividing net new business awards by revenue.
For the first quarter of 2026, total direct costs were $510.3 million, compared to total direct costs of $380.2 million in the first quarter of 2025. Selling, general and administrative (SG&A) expenses were $47.9 million in the first quarter of 2026, compared to SG&A expenses of $57.9 million in the first quarter of 2025.
GAAP net income for the first quarter of 2026 was $123.9 million, or $4.28 per diluted share, versus GAAP net income of $114.6 million, or $3.67 per diluted share, for the first quarter of 2025. This resulted in a net income margin of 17.5% and 20.5% for the first quarter of 2026 and 2025, respectively.
EBITDA for the first quarter of 2026 increased 25.9% to $149.4 million, or 21.1% of revenue, compared to $118.6 million, or 21.2% of revenue, for the comparable prior-year period. On a constant currency basis, EBITDA for the first quarter of 2026 increased 28.6% from the first quarter of 2025.
A reconciliation of the Company’s non-GAAP financial measures, including EBITDA and EBITDA margin to the corresponding GAAP measures is provided below.
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Balance Sheet and Liquidity
The Company’s Cash and cash equivalents were $652.7 million at March 31, 2026, and the Company generated $151.8 million in cash flow from operating activities during the first quarter of 2026.
2026 Financial Guidance
The Company forecasts 2026 revenue in the range of $2.755 billion to $2.855 billion, representing growth of 8.9% to 12.8% over 2025 revenue of $2.530 billion. GAAP net income for full year 2026 is forecasted in the range of $487.0 million to $511.0 million. Additionally, full year 2026 EBITDA is expected in the range of $605.0 million to $635.0 million. Based on forecasted 2026 revenue of $2.755 billion to $2.855 billion and GAAP net income of $487.0 million to $511.0 million, diluted earnings per share (GAAP) is forecasted in the range of $16.68 to $17.50. This guidance assumes a full year 2026 tax rate of 19.0% to 20.0%, interest income of $27.5 million, foreign exchange rates as of March 31, 2026, and 29.2 million diluted weighted average shares outstanding. This guidance does not include the potential impact of any share repurchases the Company may make pursuant to the share repurchase program after March 31, 2026.
Leadership Update
On April 21, 2026, Jesse Geiger notified the Company of his intent to resign as President and that he will retire from the Company effective May 31, 2026. This departure is not the result of any disagreement with the Company regarding its operations, policies, or practices. Effective on Mr. Geiger’s resignation date, the Company’s Chief Executive Officer, August Troendle, will reassume the role of President until such time as the Company appoints a successor.
Conference Call Details
Medpace will host a conference call at 9:00 a.m. ET, Thursday, April 23, 2026, to discuss its first quarter 2026 results.
To participate in the conference call, interested parties must register in advance by clicking on this link. While it is not required, it is recommended you join 10 minutes prior to the event start. Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique PIN that can be used to access the call.
To access the conference call via webcast, visit the “Investors” section of Medpace’s website at medpace.com. The webcast replay of the call will be available at the same site approximately one hour after the end of the call. A supplemental slide presentation will also be available at the “Investors” section of Medpace’s website prior to the start of the call.
About Medpace
Medpace is a scientifically-driven, global, full-service clinical contract research organization (CRO) providing Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Medpace’s mission is to accelerate the global development of safe and effective medical therapeutics through its high-science and disciplined operating approach that leverages regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system and anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, Medpace employs approximately 6,300 people across 46 countries as of March 31, 2026.
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including without limitation, statements regarding our forecasted financial results and the effective tax rate used for non-GAAP adjustment purposes. In this context, forward-looking statements often address expected future business and financial performance and financial condition, and often contain words such as “guidance,” “expect,” “anticipate,” “intend,” “plan,” “believe,” “seek,” “see,” “will,” “would,” “target,” “forecast,” “may,” “could,” “likely,” “anticipate,” “project,” “goal,” “objective,” “potential,” “range,” “estimate,” “preliminary,” “opportunity,” “outlook,” “trend,” “can,” “might,” “drives,” “hope,” “future,” “predict” and similar expressions, and variations or negatives of these words. However, the absence of these words does not mean that a statement is not forward-looking.
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These forward-looking statements are largely based on management’s current expectations and projections about future events and financial trends that we believe may affect, among other things, our financial condition, results of operations, business strategy, short-term and long-term business operations and objectives, and financial needs. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other factors that may cause our financial condition, actual results, performance (including share price performance), or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, the following: the potential loss, delay or non-renewal of our contracts, or the non-payment by customers for services we have performed; the failure to convert backlog to revenue at our present or historical conversion rate(s); the failure to maintain or generate new business awards; fluctuation in our results between fiscal quarters and years; the risks and uncertainties related to disruptions to or reductions in business operations or prospects due to pandemics, epidemics, widespread health emergencies, or outbreaks of infectious diseases; decreased operating margins due to increased pricing pressure or other factors; our failure to perform our services or operate our business in accordance with contractual requirements, government regulations and ethical considerations; the impact of underpricing our contracts, overrunning our cost estimates or failing to receive approval for or experiencing delays with documentation of change orders; the failure of third parties to provide us critical support services; our failure to increase our market share, grow our business, successfully execute our growth strategies or manage our growth effectively; the impact of a failure to retain key executives or other personnel or recruit qualified personnel; the risks associated with our information systems infrastructure, including potential cybersecurity breaches and other disruptions which could compromise patient information or our information; risks from use of machine learning and generative artificial intelligence (“AI”), including risks from insufficient human oversight of AI or lack of controls and procedures monitoring AI use; adverse results from customer or therapeutic area concentration; the risks associated with doing business internationally, including the effects of tariffs and trade wars; the risks associated with the Foreign Corrupt Practices Act and other anti-corruption laws; future net losses; the impact of changes in tax laws and regulations; our failure to attract suitable investigators and patients to our clinical trials; the liability risks associated with our research and development services, including risks of liability resulting from harm to patients; inadequate insurance coverage for our operations and indemnification obligations; fluctuations in exchange rates; general economic conditions, including inflation, in the markets in which we and our customers operate, including financial market conditions; the impact of unfavorable economic conditions, including conditions caused by the uncertain international economic environment and current and future international conflicts; the impact of a natural disaster or other catastrophic event; negative outsourcing trends in the biopharmaceutical industry and a reduction in aggregate expenditures and research and development budgets; our inability to compete effectively with other CROs; the impact of healthcare reform; the impact of consolidation in the biopharmaceutical industry; our failure to comply with federal, state and foreign healthcare laws; the effect of current and proposed laws and regulations regarding the protection of personal data; our potential involvement in costly intellectual property lawsuits; actions by regulatory authorities or customers to limit the scope of indications related to or withdraw an approved drug, biologic or medical device from the market; and the impact of industry-wide reputational harm to CROs. Moreover, we operate in a very competitive and rapidly changing environment in which new risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements we may make.
These and other factors discussed under the caption “Risk Factors” in Item 1A, Part I of our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, and our other reports filed with the SEC could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. We cannot guarantee that any forward-looking statement will be realized. Achievement of anticipated results is subject to substantial risks, uncertainties and inaccurate assumptions. If known or unknown risks or uncertainties materialize or if underlying assumptions prove inaccurate, actual results could vary materially from past results and those anticipated, estimated or projected. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and in our filings with the SEC. Any such forward-looking statements represent management’s estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, we disclaim any obligation to do so, even if subsequent events, developments or circumstances cause our views to change. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this press release.
Non-GAAP Financial Measures
Certain financial measures presented in this press release, such as EBITDA and EBITDA margin, are not recognized under generally accepted accounting principles in the United States of America, or U.S. GAAP. Management uses EBITDA and EBITDA margin or comparable metrics as a measurement used in evaluating our operating performance on a consistent basis, as a consideration to assess incentive compensation for our employees, for planning purposes, including
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the preparation of our internal annual operating budget, and to evaluate the performance and effectiveness of our operational strategies.
EBITDA and EBITDA margin have important limitations as analytical tools and you should not consider them in isolation, or as a substitute for, analysis of our results as reported under U.S. GAAP. See the condensed consolidated financial statements included elsewhere in this release for our U.S. GAAP results. Additionally, for reconciliations of EBITDA and EBITDA margin to our closest reported U.S. GAAP measures, refer to the appendix of this press release.
We believe that EBITDA and EBITDA margin are useful to provide additional information to investors about certain material non-cash and non-recurring items. While we believe these financial measures are commonly used by investors to evaluate our performance and that of our competitors, because not all companies use identical calculations, this presentation of EBITDA and EBITDA margin may not be comparable to other similarly titled measures of other companies and should not be considered as an alternative to performance measures derived in accordance with U.S. GAAP. EBITDA is calculated as net income attributable to Medpace Holdings, Inc. before income tax expense, interest income, net, depreciation and amortization. EBITDA margin is calculated by dividing EBITDA by Revenue, net for each period. Our presentation of EBITDA and EBITDA margin should not be construed as an inference that our future results will be unaffected by unusual or non-recurring items.
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MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
| (Amounts in thousands, except per share amounts) | Three Months Ended March 31, | ||||||||||
| 2026 | 2025 | ||||||||||
| Revenue, net | $ | 706,604 | $ | 558,570 | |||||||
| Operating expenses: | |||||||||||
| Direct service costs, excluding depreciation and amortization | 198,274 | 177,816 | |||||||||
| Reimbursed out-of-pocket expenses | 312,004 | 202,404 | |||||||||
| Total direct costs | 510,278 | 380,220 | |||||||||
| Selling, general and administrative | 47,917 | 57,897 | |||||||||
| Depreciation | 6,751 | 6,694 | |||||||||
| Amortization | 155 | 236 | |||||||||
| Total operating expenses | 565,101 | 445,047 | |||||||||
| Income from operations | 141,503 | 113,523 | |||||||||
| Other income, net: | |||||||||||
| Miscellaneous income (expense), net | 971 | (1,816) | |||||||||
| Interest income, net | 5,117 | 6,463 | |||||||||
| Total other income, net | 6,088 | 4,647 | |||||||||
| Income before income taxes | 147,591 | 118,170 | |||||||||
| Income tax provision | 23,721 | 3,575 | |||||||||
| Net income | $ | 123,870 | $ | 114,595 | |||||||
| Net income per share attributable to common shareholders: | |||||||||||
| Basic | $ | 4.35 | $ | 3.77 | |||||||
| Diluted | $ | 4.28 | $ | 3.67 | |||||||
| Weighted average common shares outstanding: | |||||||||||
| Basic | 28,445 | 30,387 | |||||||||
| Diluted | 28,962 | 31,196 | |||||||||
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MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
| (Amounts in thousands, except share amounts) | |||||||||||
As of | |||||||||||
| March 31, 2026 | December 31, 2025 | ||||||||||
| ASSETS | |||||||||||
| Current assets: | |||||||||||
| Cash and cash equivalents | $ | 652,681 | $ | 497,049 | |||||||
| Accounts receivable and unbilled, net | 394,581 | 402,078 | |||||||||
| Prepaid expenses and other current assets | 91,793 | 90,497 | |||||||||
| Total current assets | 1,139,055 | 989,624 | |||||||||
| Property and equipment, net | 136,548 | 131,055 | |||||||||
| Operating lease right-of-use assets | 126,812 | 117,815 | |||||||||
| Goodwill | 662,396 | 662,396 | |||||||||
| Intangible assets, net | 33,265 | 33,420 | |||||||||
| Deferred income taxes | 3,220 | 19,223 | |||||||||
| Other assets | 28,317 | 21,939 | |||||||||
| Total assets | $ | 2,129,613 | $ | 1,975,472 | |||||||
| LIABILITIES AND SHAREHOLDERS’ EQUITY | |||||||||||
| Current liabilities: | |||||||||||
| Accounts payable | $ | 34,429 | $ | 28,142 | |||||||
| Accrued expenses | 406,059 | 408,382 | |||||||||
| Advanced billings | 856,344 | 854,390 | |||||||||
| Other current liabilities | 48,182 | 52,834 | |||||||||
| Total current liabilities | 1,345,014 | 1,343,748 | |||||||||
| Operating lease liabilities | 122,256 | 113,643 | |||||||||
| Deferred income tax liability | 3,925 | 1,355 | |||||||||
| Other long-term liabilities | 60,104 | 57,655 | |||||||||
| Total liabilities | 1,531,299 | 1,516,401 | |||||||||
| Commitments and contingencies | |||||||||||
| Shareholders’ equity: | |||||||||||
Preferred stock - $0.01 par-value; 5,000,000 shares authorized; no shares issued and outstanding at March 31, 2026 and December 31, 2025 | — | — | |||||||||
Common stock - $0.01 par-value; 250,000,000 shares authorized at March 31, 2026 and December 31, 2025; 28,559,689 and 28,370,780 shares issued and outstanding at March 31, 2026 and December 31, 2025, respectively | 286 | 284 | |||||||||
Treasury stock - 69,623 shares at March 31, 2026 and December 31, 2025 | (12,156) | (12,156) | |||||||||
| Additional paid-in capital | 953,416 | 935,830 | |||||||||
| Accumulated deficit | (336,111) | (459,981) | |||||||||
| Accumulated other comprehensive loss | (7,121) | (4,906) | |||||||||
| Total shareholders’ equity | 598,314 | 459,071 | |||||||||
| Total liabilities and shareholders’ equity | $ | 2,129,613 | $ | 1,975,472 | |||||||
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MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
| (Amounts in thousands) | Three Months Ended March 31, | ||||||||||
| 2026 | 2025 | ||||||||||
| CASH FLOWS FROM OPERATING ACTIVITIES: | |||||||||||
| Net income | $ | 123,870 | $ | 114,595 | |||||||
| Adjustments to reconcile net income to net cash provided by operating activities: | |||||||||||
| Depreciation | 6,751 | 6,694 | |||||||||
| Amortization | 155 | 236 | |||||||||
| Stock-based compensation expense | 4,918 | 16,892 | |||||||||
| Noncash lease expense | 5,849 | 6,064 | |||||||||
| Deferred income tax provision | 18,543 | 749 | |||||||||
| Other | 400 | (502) | |||||||||
| Changes in assets and liabilities: | |||||||||||
| Accounts receivable and unbilled, net | 7,822 | (2,069) | |||||||||
| Prepaid expenses and other current assets | (1,795) | (17,553) | |||||||||
| Accounts payable | 84 | 10,720 | |||||||||
| Accrued expenses | (1,300) | (23,160) | |||||||||
| Advanced billings | 1,954 | 8,131 | |||||||||
| Lease liabilities | (5,294) | (6,548) | |||||||||
| Other assets and liabilities, net | (10,169) | 11,587 | |||||||||
| Net cash provided by operating activities | 151,788 | 125,836 | |||||||||
| CASH FLOWS FROM INVESTING ACTIVITIES: | |||||||||||
| Property and equipment expenditures | (6,814) | (9,994) | |||||||||
| Other | 66 | 7 | |||||||||
| Net cash used in investing activities | (6,748) | (9,987) | |||||||||
| CASH FLOWS FROM FINANCING ACTIVITIES: | |||||||||||
| Proceeds from stock option exercises | 12,670 | 25,934 | |||||||||
| Repurchases of common stock | — | (371,900) | |||||||||
| Net cash provided by (used in) financing activities | 12,670 | (345,966) | |||||||||
| EFFECT OF EXCHANGE RATES ON CASH, CASH EQUIVALENTS, AND RESTRICTED CASH | (2,078) | 2,117 | |||||||||
| INCREASE (DECREASE) IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH | 155,632 | (228,000) | |||||||||
| CASH, CASH EQUIVALENTS, AND RESTRICTED CASH — Beginning of period | 497,049 | 669,436 | |||||||||
| CASH, CASH EQUIVALENTS, AND RESTRICTED CASH — End of period | $ | 652,681 | $ | 441,436 | |||||||
7
MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP MEASURES (UNAUDITED)
| (Amounts in thousands, except percentages) | Three Months Ended March 31, | ||||||||||
| 2026 | 2025 | ||||||||||
| RECONCILIATION OF GAAP NET INCOME TO EBITDA | |||||||||||
| Net income (GAAP) | $ | 123,870 | $ | 114,595 | |||||||
| Interest income, net | (5,117) | (6,463) | |||||||||
| Income tax provision | 23,721 | 3,575 | |||||||||
| Depreciation | 6,751 | 6,694 | |||||||||
| Amortization | 155 | 236 | |||||||||
| EBITDA (Non-GAAP) | $ | 149,380 | $ | 118,637 | |||||||
| Net income margin (GAAP) | 17.5 | % | 20.5 | % | |||||||
| EBITDA margin (Non-GAAP) | 21.1 | % | 21.2 | % | |||||||
FY 2026 GUIDANCE RECONCILIATION (UNAUDITED)
| (Amounts in millions, except per share amounts) | Forecast 2026 | ||||||||||||||||||||||
| Net Income | Net income per diluted share | ||||||||||||||||||||||
| Low | High | Low | High | ||||||||||||||||||||
| Net income and net income per diluted share (GAAP) | $ | 487.0 | $ | 511.0 | $ | 16.68 | $ | 17.50 | |||||||||||||||
| Income tax provision | 117.4 | 123.4 | |||||||||||||||||||||
| Interest income, net | (27.5) | (27.5) | |||||||||||||||||||||
| Depreciation | 27.5 | 27.5 | |||||||||||||||||||||
| Amortization | 0.6 | 0.6 | |||||||||||||||||||||
| EBITDA (Non-GAAP) | $ | 605.0 | $ | 635.0 | |||||||||||||||||||
8
FAQ
How did Medpace (MEDP) perform financially in Q1 2026?
Medpace reported Q1 2026 revenue of $706.6 million, up 26.5% from $558.6 million a year earlier. GAAP net income was $123.9 million and diluted EPS reached $4.28, compared with $114.6 million and $3.67 in Q1 2025, respectively.
What were Medpace (MEDP) EBITDA and margins in the first quarter of 2026?
In Q1 2026, Medpace generated EBITDA of $149.4 million, up 25.9% from $118.6 million in Q1 2025. EBITDA margin was 21.1% of revenue, essentially flat versus 21.2% in the prior-year quarter, while GAAP net income margin was 17.5%.
What 2026 financial guidance did Medpace (MEDP) provide?
For full year 2026, Medpace forecasts revenue of $2.755–$2.855 billion, implying 8.9–12.8% growth over 2025. It expects GAAP net income of $487.0–$511.0 million, EBITDA of $605.0–$635.0 million, and diluted EPS between $16.68 and $17.50.
How did Medpace’s (MEDP) backlog and net new business trend in Q1 2026?
Backlog as of March 31, 2026 was $2,929.2 million, up 2.9% from $2,846.0 million a year earlier. Net new business awards totaled $618.4 million, up from $500.0 million, resulting in a net book-to-bill ratio of 0.88x for the quarter.
What is Medpace’s (MEDP) cash position and operating cash flow?
Medpace ended March 31, 2026 with cash and cash equivalents of $652.7 million. The company generated $151.8 million in cash flow from operating activities during the first quarter of 2026, reflecting strong cash conversion from its growing revenue base.
What leadership change did Medpace (MEDP) announce in this filing?
Medpace announced that President Jesse Geiger will retire effective May 31, 2026. The company stated the departure is not due to any disagreement, and CEO August Troendle will reassume the President role until a successor is appointed.