STOCK TITAN

Medpace approves up to $1B share buyback

The board replaced the prior authorization, which had $527.0 million remaining, with authority for up to $1.0 billion in repurchases through December 31, 2028.

(High)

Sentiment and the balance of points

Rhea-AI Sentiment reads the wording of the document, how positive or negative its language is on a 1 to 5 scale. The balance of points shown with the takes weighs what the document actually discloses, so the two can disagree, for example when a trial that missed its main goal is described in upbeat language.

Form Type
8-K

Rhea-AI Filing Summary

Medpace Holdings, Inc. (MEDP) reported third-quarter 2026 revenue of $716.0 million, up 8.5% year over year. GAAP net income was $137.5 million, or $4.84 per diluted share, versus $111.1 million and $3.86; EBITDA was $172.1 million, up 16.0%. Backlog was $3,167.2 million as of September 30, 2026, up 5.6% year over year. Nine-month GAAP net income was $382.7 million.

Medpace forecast 2026 revenue of $2.835 billion to $2.855 billion, GAAP net income of $514.0 million to $524.0 million, EBITDA of $638.0 million to $652.0 million, and diluted GAAP EPS of $17.97 to $18.32. Effective October 20, 2026, the board ended the authorization with $527.0 million remaining and approved a new authorization for up to $1.0 billion in common-stock repurchases until December 31, 2028, at management’s discretion. Repurchases will be funded from cash on hand and may use open-market, privately negotiated, Rule 10b5-1 or other transactions. The authorization requires no minimum purchases and may be modified, limited, extended, suspended or terminated by the board at any time without prior notice.

2 points · 0 major

How this balance works

Rhea-AI gives every point it takes from this document a weight. Minor counts 1, Moderate 3 and Major 9, so one Major point outweighs several Minor ones. The bar adds up the weights on each side, and when neither side holds more than 65% of the total the balance reads Mixed.

It reads the document as published, with the same rules for every company, and it does not look at what the market expected or at how the stock traded, so a point can be objectively good on a day the stock falls.

Rhea-AI Sentiment measures something else, the tone of the wording.

0 major · 0 points

How the balance works

Positive

  • Moderate pointThird-quarter revenue rose 8.5% to $716.0 million year over year.
  • Moderate pointThird-quarter EBITDA rose 16.0% to $172.1 million year over year.

Negative

  • None.

Filing Explained

At 2026-09-30, Medpace reported $705.3 million in cash, compared with the $1.0 billion repurchase ceiling approved on 2026-10-20; the cash balance predates that authorization and is not an amount disclosed as committed to repurchases.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 8.01 Other Events Other
Voluntary disclosure of events the company deems important to shareholders but not covered by other items.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, or exhibit attachments filed with this report.
Third-quarter revenue $716.0 million Three months ended September 30, 2026; up 8.5% year over year
Third-quarter GAAP net income $137.5 million Three months ended September 30, 2026; compared with $111.1 million in 2025
Diluted GAAP earnings per share $4.84 Third quarter 2026; compared with $3.86 in 2025
Third-quarter EBITDA $172.1 million Three months ended September 30, 2026; up 16.0% year over year
Backlog $3,167.2 million As of September 30, 2026; up 5.6% year over year
2026 revenue guidance $2.835 billion to $2.855 billion Forecast for full-year 2026
2026 common-stock repurchase authorization Up to $1.0 billion Approved effective October 20, 2026; authorization runs until December 31, 2028
Cash and cash equivalents $705.3 million As of September 30, 2026
backlog conversion rate financial
"representing a backlog conversion rate of 23.8%"
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 $873.4 million"
EBITDA margin financial
"EBITDA margin (Non-GAAP)"
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.
Rule 10b5-1 regulatory
"transactions in accordance with Rule 10b5-1 of the Exchange Act"
Rule 10b5-1 is a regulation that allows company insiders to buy or sell their shares at predetermined times, even if they have access to non-public information. It acts like setting a schedule in advance for transactions, helping prevent accusations of unfair trading. This rule provides a way for insiders to plan trades transparently, giving investors confidence that these transactions are not based on hidden information.
clinical contract research organization technical
"full-service clinical contract research organization (CRO)"
Revenue $716.0 million +8.5% year over year
GAAP net income $137.5 million Compared with $111.1 million in the third quarter of 2025
Diluted GAAP earnings per share $4.84 Compared with $3.86 in the third quarter of 2025
EBITDA $172.1 million +16.0% year over year
Guidance

For full-year 2026, revenue of $2.835 billion to $2.855 billion; GAAP net income of $514.0 million to $524.0 million; EBITDA of $638.0 million to $652.0 million; and diluted GAAP EPS of $17.97 to $18.32.

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What were MEDP’s third-quarter 2026 results?

MEDP reported third-quarter revenue of $716.0 million, up 8.5% year over year; GAAP net income was $137.5 million, or $4.84 per diluted share, and EBITDA was $172.1 million, up 16.0%.

What is Medpace’s new MEDP share repurchase authorization?

Effective October 20, 2026, the board approved authorization for up to $1.0 billion in common-stock repurchases until December 31, 2028. Management may choose amounts and prices, subject to alternative uses of capital, market conditions and applicable regulatory requirements. Repurchases will be funded from cash on hand.

What assumptions does Medpace’s 2026 guidance use?

The guidance assumes a full-year 2026 tax rate of 19.0% to 19.5%, $22.9 million in interest income, foreign exchange rates as of September 30, 2026, and 28.6 million diluted weighted-average shares outstanding.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Available on EDGAR Accepted by SEC EDGAR Learn about SEC filing dates
FALSE000166839700016683972026-10-202026-10-20

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): October 20, 2026
______________________________________________________
Medpace Holdings, Inc.
(Exact name of Registrant as Specified in Its Charter)
______________________________________________________
Delaware001-3785632-0434904
(State or Other Jurisdiction
of Incorporation)
(Commission File Number)(IRS Employer
Identification No.)
5375 Medpace Way
Cincinnati, Ohio
45227
(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:
oWritten communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
oSoliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o
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 classTrading
Symbol(s)
Name of each exchange on which registered
Common Stock $0.01 par valueMEDPNASDAQ Global Select Market
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 October 21, 2026, Medpace Holdings, Inc. (the “Company”) issued a press release announcing its financial results for the three and nine months ended September 30, 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 8.01 Other Events.
Effective October 20, 2026 (“Effective Date”), the Company’s Board of Directors (“Board”) terminated the Company’s current stock repurchase authorization of the Company’s common stock, $0.01 par value (“common stock”) which was set to expire on December 31, 2026. As of the Effective Date, this repurchase authorization had $527.0 million remaining.
Effective as of the Effective Date, the Board approved a new stock repurchase authorization, pursuant to which the Company is authorized to repurchase up to $1.0 billion shares of common stock until December 31, 2028, at the discretion of the Company’s management. Repurchases under this new authorization may be made, from time to time, in amounts and at prices the Company deems appropriate, subject to alternative uses of capital, prevailing market conditions, applicable regulatory requirements, and other considerations. Under the new authorization, any such repurchases may be executed using open market purchases, privately negotiated transactions, transactions in accordance with Rule 10b5-1 of the Exchange Act, or other transactions, and will be funded from cash on hand. The new authorization does not obligate the Company to acquire any minimum amount of common stock and the new authorization may be modified, limited, extended, suspended or terminated by the Board at any time without prior notice.
Item 9.01 Financial Statements and Exhibits.
(d) Exhibits
Exhibit No.Description
99.1
Press release dated October 21, 2026
104Cover 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:October 21, 2026By:/s/ Kevin M. Brady
Kevin M. Brady, Chief Financial Officer


Exhibit 99.1
medpace-logoxonxwhite.jpg
Investor Contact:
David Ruhe
283-227-6472
d.ruhe@medpace.com
FOR IMMEDIATE RELEASE
Media Contact:
Michael Maley
283-227-6367
m.maley@medpace.com
Medpace Holdings, Inc. Reports Third Quarter 2026 Results
•Revenue of $716.0 million in the third quarter of 2026 increased 8.5% from revenue of $659.9 million for the comparable prior-year period, representing a backlog conversion rate of 23.8%.
•Net new business awards were $873.4 million in the third quarter of 2026, representing an increase of 10.6% from net new business awards of $789.6 million for the comparable prior-year period.
•Third quarter of 2026 GAAP net income was $137.5 million, or $4.84 per diluted share, versus GAAP net income of $111.1 million, or $3.86 per diluted share, for the comparable prior-year period. Net income margin was 19.2% and 16.8% for the third quarter of 2026 and 2025, respectively.
•EBITDA was $172.1 million for the third quarter of 2026, an increase of 16.0% from EBITDA of $148.4 million for the comparable prior-year period, resulting in an EBITDA margin of 24.0%.
CINCINNATI, OHIO, October 21, 2026-- Medpace Holdings, Inc. (Nasdaq: MEDP) (“Medpace”) today announced financial results for the third quarter ended September 30, 2026.
Third Quarter 2026 Financial Results
Revenue for the three months ended September 30, 2026 increased 8.5% to $716.0 million, compared to $659.9 million for the comparable prior-year period. On a constant currency basis, revenue for the third quarter of 2026 increased 8.6% compared to the third quarter of 2025.
Backlog as of September 30, 2026 increased 5.6% to $3,167.2 million from $3,000.6 million as of September 30, 2025. Net new business awards were $873.4 million, as compared to $789.6 million for the comparable prior-year period.
For the third quarter of 2026, total direct costs were $492.1 million, compared to total direct costs of $463.0 million in the third quarter of 2025. Selling, general and administrative (SG&A) expenses were $51.8 million in the third quarter of 2026, compared to SG&A expenses of $48.1 million in the third quarter of 2025.
GAAP net income for the third quarter of 2026 was $137.5 million, or $4.84 per diluted share, versus GAAP net income of $111.1 million, or $3.86 per diluted share, for the third quarter of 2025. This resulted in a net income margin of 19.2% and 16.8% for the third quarter of 2026 and 2025, respectively.
EBITDA for the third quarter of 2026 increased 16.0% to $172.1 million, or 24.0% of revenue, compared to $148.4 million, or 22.5% of revenue, for the comparable prior-year period. On a constant currency basis, EBITDA for the third quarter of 2026 increased 16.0% from the third 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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Year-to-Date 2026 Financial Results
Revenue for the nine months ended September 30, 2026 was $2,129.9 million, and increased 16.9% on a reported basis and 16.7% on a constant currency basis from the comparable prior-year period. Year-to-date 2026 GAAP net income was $382.7 million, or $13.37 per diluted share, compared to $316.0 million, or $10.64 per diluted share, for the comparable prior-year period. Year-to-date 2026 EBITDA was $474.9 million, or 22.3% of revenue, and increased 19.5% on a reported basis and 20.4% on a constant currency basis from the comparable prior-year period.
Balance Sheet and Liquidity
The Company’s Cash and cash equivalents were $705.3 million at September 30, 2026, and the Company generated $216.6 million in cash flow from operating activities during the third quarter of 2026. There were no share repurchases in the third quarter of 2026. As of September 30, 2026, the Company had $527.0 million remaining under its authorized share repurchase program.

Effective October 20, 2026 (“Effective Date”), the Company’s Board of Directors (“Board”) terminated the Company’s current stock repurchase authorization of the Company’s common stock, $0.01 par value (“common stock”) which was set to expire on December 31, 2026. As of the Effective Date, this repurchase authorization had $527.0 million remaining.

Effective as of the Effective Date, the Board approved a new stock repurchase authorization, pursuant to which the Company is authorized to repurchase up to $1.0 billion shares of common stock until December 31, 2028, at the discretion of the Company’s management. Repurchases under this new authorization may be made, from time to time, in amounts and at prices the Company deems appropriate, subject to alternative uses of capital, prevailing market conditions, applicable regulatory requirements, and other considerations. Under the new authorization, any such repurchases may be executed using open market purchases, privately negotiated transactions, transactions in accordance with Rule 10b5-1 of the Exchange Act, or other transactions, and will be funded from cash on hand. The new authorization does not obligate the Company to acquire any minimum amount of common stock and the new authorization may be modified, limited, extended, suspended or terminated by the Board at any time without prior notice.
2026 Financial Guidance
The Company forecasts 2026 revenue in the range of $2.835 billion to $2.855 billion, representing growth of 12.0% to 12.8% over 2025 revenue of $2.530 billion. GAAP net income for full year 2026 is forecasted in the range of $514.0 million to $524.0 million. Additionally, full year 2026 EBITDA is expected in the range of $638.0 million to $652.0 million. Based on forecasted 2026 revenue of $2.835 billion to $2.855 billion and GAAP net income of $514.0 million to $524.0 million, diluted earnings per share (GAAP) is forecasted in the range of $17.97 to $18.32. This guidance assumes a full year 2026 tax rate of 19.0% to 19.5%, interest income of $22.9 million, foreign exchange rates as of September 30, 2026, and 28.6 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 September 30, 2026.
Conference Call Details
Medpace will host a conference call at 9:00 a.m. ET, Thursday, October 22, 2026, to discuss its third 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
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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 6,600 people across 46 countries as of September 30, 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,” “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.
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
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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 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
September 30,
Nine Months Ended
September 30,
2026202520262025
Revenue, net$716,000 $659,903 $2,129,935 $1,821,784 
Operating expenses:
Direct service costs, excluding depreciation and amortization204,851 186,335 605,680 549,977 
Reimbursed out-of-pocket expenses287,264 276,629 902,407 716,505 
Total direct costs492,115 462,964 1,508,087 1,266,482 
Selling, general and administrative51,765 48,082 147,785 152,643 
Depreciation6,425 6,813 19,731 20,284 
Amortization155 236 465 709 
Total operating expenses550,460 518,095 1,676,068 1,440,118 
Income from operations165,540 141,808 453,867 381,666 
Other income, net:
Miscellaneous income (expense), net17 (489)841 (5,180)
Interest income, net5,349 1,517 15,452 9,058 
Total other income, net5,366 1,028 16,293 3,878 
Income before income taxes170,906 142,836 470,160 385,544 
Income tax provision33,446 31,701 87,468 69,554 
Net income$137,460 $111,135 $382,692 $315,990 
Net income per share attributable to common shareholders:
Basic$4.92 $3.95 $13.58 $10.88 
Diluted$4.84 $3.86 $13.37 $10.64 
Weighted average common shares outstanding:
Basic27,94028,13628,18429,033
Diluted28,37228,81728,63029,710
5


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
(Amounts in thousands, except share amounts)
As of
September 30,
2026
December 31,
2025
ASSETS
Current assets:
Cash and cash equivalents$705,315 $497,049 
Accounts receivable and unbilled, net447,642 402,078 
Prepaid expenses and other current assets92,043 90,497 
Total current assets1,245,000 989,624 
Property and equipment, net175,004 131,055 
Operating lease right-of-use assets152,549 117,815 
Goodwill662,396 662,396 
Intangible assets, net32,955 33,420 
Deferred income taxes3,272 19,223 
Other assets31,419 21,939 
Total assets$2,302,595 $1,975,472 
LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:
Accounts payable$43,682 $28,142 
Accrued expenses443,331 408,382 
Advanced billings961,855 854,390 
Other current liabilities47,229 52,834 
Total current liabilities1,496,097 1,343,748 
Operating lease liabilities146,041 113,643 
Deferred income tax liability13,657 1,355 
Other long-term liabilities61,861 57,655 
Total liabilities1,717,656 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 September 30, 2026 and December 31, 2025
— — 
Common stock - $0.01 par-value; 250,000,000 shares authorized at September 30, 2026 and December 31, 2025; 27,966,686 and 28,370,780 shares issued and outstanding at September 30, 2026 and December 31, 2025, respectively
280 284 
Treasury stock - 69,593 and 69,623 shares at September 30, 2026 and December 31, 2025, respectively
(12,151)(12,156)
Additional paid-in capital978,282 935,830 
Accumulated deficit(373,573)(459,981)
Accumulated other comprehensive loss(7,899)(4,906)
Total shareholders’ equity584,939 459,071 
Total liabilities and shareholders’ equity$2,302,595 $1,975,472 
6


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(Amounts in thousands)Nine Months Ended
September 30,
20262025
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income$382,692 $315,990 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation19,731 20,284 
Amortization465 709 
Stock-based compensation expense16,870 29,166 
Noncash lease expense18,063 17,329 
Deferred income tax provision28,220 63,366 
Other669 (433)
Changes in assets and liabilities:
Accounts receivable and unbilled, net(45,148)(77,119)
Prepaid expenses and other current assets(2,576)(15,607)
Accounts payable1,469 1,296 
Accrued expenses36,101 57,521 
Advanced billings107,465 123,743 
Lease liabilities(17,807)(18,131)
Other assets and liabilities, net(15,818)2,457 
Net cash provided by operating activities530,396 520,571 
CASH FLOWS FROM INVESTING ACTIVITIES:
Property and equipment expenditures(50,886)(26,820)
Other115 153 
Net cash used in investing activities(50,771)(26,667)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from stock option exercises25,590 34,272 
Repurchases of common stock(294,764)(917,389)
Net cash used in financing activities(269,174)(883,117)
EFFECT OF EXCHANGE RATES ON CASH AND CASH EQUIVALENTS(2,185)5,128 
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS208,266 (384,085)
CASH AND CASH EQUIVALENTS — Beginning of period497,049 669,436 
CASH AND CASH EQUIVALENTS — End of period$705,315 $285,351 
7


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP MEASURES (UNAUDITED)
(Amounts in thousands, except percentages)Three Months Ended
September 30,
Nine Months Ended
September 30,
2026202520262025
RECONCILIATION OF GAAP NET INCOME TO EBITDA
Net income (GAAP)$137,460 $111,135 $382,692 $315,990 
Interest income, net(5,349)(1,517)(15,452)(9,058)
Income tax provision33,446 31,701 87,468 69,554 
Depreciation6,425 6,813 19,731 20,284 
Amortization155 236 465 709 
EBITDA (Non-GAAP)$172,137 $148,368 $474,904 $397,479 
Net income margin (GAAP)19.2 %16.8 %18.0 %17.3 %
EBITDA margin (Non-GAAP)24.0 %22.5 %22.3 %21.8 %
FY 2026 GUIDANCE RECONCILIATION (UNAUDITED)
(Amounts in millions, except per share amounts)
Forecast 2026
Net IncomeNet income per diluted share
LowHighLowHigh
Net income and net income per diluted share (GAAP)$514.0 $524.0 $17.97 $18.32 
     Income tax provision119.5 123.5 
     Interest income, net(22.9)(22.9)
     Depreciation26.8 26.8 
     Amortization0.6 0.6 
EBITDA (Non-GAAP)$638.0 $652.0 
8

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