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MEDP · Medpace Holdings, Inc.

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$597.26 +18.76 (+3.24%)
Market Cap
$16.15B
Shares
27.91M
All earnings calls

Earnings call · FY2025 Q4

Medpace Holdings, Inc. Q4 FY2025 Earnings Call

Medpace Holdings, Inc. Q4 FY2025 Earnings Call

Concluded Feb 10, 2026 Audio replay
Feb 10, 2026 41:25 79 turns
Period
FY2025 Q4
Runtime
41:25
Sources
4 artifacts

Executive readout · one minute

What matters this quarter

Medpace posted strong Q4 and full-year 2025 revenue growth of 32% and 20% respectively, but elevated backlog cancellations pushed book-to-bill to 1.04x and EBITDA margin contracted; 2026 guidance calls for 8.9-12.8% revenue growth and $605-635M EBITDA.

Backlog cancellations and book-to-bill 51 2026 financial guidance 30 Headcount and hiring 22 Metabolic trial mix and trial duration 17 Reimbursable costs and revenue mix 16 Client M&A and customer concentration 12

Management tone

Balanced

Net tone +5 · moderate hedging

Grounding quotes
  • “Cancellations were elevated again in Q4. Backlog cancellations in absolute and percent terms were the highest they have been in over a year. This resulted in a lower than anticipated net book-to-bill ratio of 1.04.”
  • “Good opportunities continue to present themselves and I rate the overall business environment as adequate and headed in the right direction.”
  • “I see no reason to expect the higher level of cancellations to continue but did not anticipate the spike in Q4. Only time will tell.”
  • “I do expect maybe some flatter top-line growth throughout the quarters than what we have experienced in past years.”

Forward guidance

7 guided metrics

Management's latest ranges and targets are included below.

Research coverage

4 live sources

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Revenue · derived Q4 $708.45M +32% YoY
Net income · derived Q4 $135.13M +15.5% YoY

Research materials

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Key takeaways

What improved, and what deserves a closer read.

Constructive signals

  • Q4 revenue grew 32% YoY to $708.5M; full-year revenue grew 20% to $2.53B
  • Q4 net new business awards of $736.6M, up 39.1% YoY, yielding 1.04x book-to-bill
  • Ending backlog grew 4.3% YoY to ~$3.0B, with $1.9B expected to convert in the next 12 months
  • Full-year 2025 GAAP net income rose 11.6% to $451.1M; EPS grew to $15.28 from $12.63
  • Q4 operating cash flow was $192.7M with net DSO of negative 58.7 days; $497M cash on hand
  • 2026 guidance: revenue $2.755B-$2.855B (8.9-12.8% growth) and EBITDA $605M-$635M (8.5-13.9% growth)

Risks & pressure points

  • Backlog cancellations in Q4 were the highest in over a year in absolute and percent terms, lowering book-to-bill to 1.04x
  • Q4 EBITDA margin contracted to 22.6% from 24.9% YoY; full-year EBITDA margin fell to 22% from 22.8%, pressured by higher reimbursable cost activity and therapeutic mix
  • Q4 net income margin declined to 19.1% from 21.8% YoY
  • Q4 direct costs jumped to $503.1M from $358.3M YoY
  • Net income growth lagged EBITDA growth due to lower interest income and a slightly higher effective tax rate
  • CEO described the overall business environment as only 'adequate,' citing elevated cancellations

Key moments

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“Cancellations were elevated again in Q4. Backlog cancellations in absolute and percent terms were the highest they have been in over a year. This resulted in a lower than anticipated net book-to-bill ratio of 1.04.” August Troendle, CEO
“Full year 2026 total revenue is expected in the range of $2.755 billion to $2.855 billion, which represents growth of 8.9% to 12.8% over 2025 total revenue of $2.53 billion. Our 2026 EBITDA is expected in the range of $605 million to $635 million, representing growth of 8.5% to 13.9% compared to EBITDA of $557.7 million in 2025.” Kevin Brady, CFO

Forward guidance

From the 8-K filed Feb 9, 2026.

Metric Guided
Revenue
2026
$2.76B – $2.86B
GAAP net income
full year 2026
$487M – $511M
EBITDA
full year 2026
$605M – $635M
Diluted earnings per share (GAAP)
full year 2026
$16.68 – $17.50

Guidance from the call

Stated verbally and extracted from the transcript.

Metric Guided
Net income
2026
$487M – $511M
EBITDA
2026
$605M – $635M
Earnings per diluted share
2026
$16.68 – $17.50
Full-screen source Call document