Medpace Holdings, Inc. · MEDP · FY2025 Q2 · Calendar Q3 2025

Medpace raises guidance as cancellations fall and bookings improve

The current analysis supports a constructive near-term operating thesis: lower cancellations, stronger bookings, and demand for faster-burning metabolic studies improved backlog conversion and led to higher guidance. The evidence is tempered by uncertainty around funding, pass-through mix, hiring, and win rates.

Reported After market closeNASDAQHealthcare $18.68B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $3.10 Consensus $2.98
EPS surprise +4.0% Reported versus consensus
Reported revenue $603.3M Consensus $538.8M
Revenue surprise +12.0% Reported versus consensus

Market reaction

event-close to next-session close
Stock move +54.7% Event window
SPY move +0.0% Same window
Abnormal move +54.7% Stock minus SPY
Volume 10.9× Versus trailing sessions
Subsequent drift -3.3% Up to 20 sessions
MEDPSPY benchmark

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Transcript intelligence

What changed

Compared with the prior analysis, management's tone moved from cautious to confident: cancellations improved, bookings strengthened, guidance was raised, and accelerated second-half hiring was planned.

Guidance delta

Management raised 2025 revenue and EBITDA guidance, citing stronger bookings and higher pass-through costs.

Key takeaways

  • Lower cancellations and faster-burning metabolic studies supported backlog conversion.
  • Higher reimbursable costs contributed to the stronger outlook, but their durability remains a risk.
  • Management plans accelerated hiring in the second half to support anticipated growth.

Management priorities

  • Convert backlog with lower cancellations and stronger bookings.
  • Support metabolic and other fast-burning therapeutic studies.
  • Scale hiring while preserving productivity and use share repurchases opportunistically.

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Earnings History

Estimate Beat Miss Match
MEDP EPS earnings history estimate and actual scatter chart 10 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $2.22 Q4 '23 actual $2.46, beat Q1 '24 estimate $2.47 Q1 '24 actual $3.20, beat Q2 '24 estimate $2.54 Q2 '24 actual $2.75, beat Q3 '24 estimate $2.78 Q3 '24 actual $3.01, beat Q2 '25 estimate $2.98 Q2 '25 actual $3.10, beat Q3 '25 estimate $3.53 Q3 '25 actual $3.86, beat Q4 '25 estimate $4.19 Q4 '25 actual $4.67, beat Q1 '26 estimate $3.92 Q1 '26 actual $4.28, beat Q2 '26 estimate $3.98 Q2 '26 actual $4.25, beat Q3 '26 estimate $4.44 Q3 '26 actual $4.84, beat Q4 '26 estimate $4.80 Q1 '27 estimate $4.70 Q2 '27 estimate $4.71 Q3 '27 estimate $5.04
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Analyst Consensus ?

ConsensusHold17 ratings
Bullish423.5%
Neutral1376.5%
Bearish00.0%

1 unmapped firm rating excluded from the percentages.

Analyst 52W Price Targets

$669.2Current
$330Low
$581.38Average
$730High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 24, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
UBS Neutral NeutralMaintainOct 23, 2026
Truist Securities Hold HoldMaintainOct 23, 2026
TD Cowen Hold HoldMaintainOct 23, 2026
Barclays Equal Weight Equal WeightMaintainOct 23, 2026
Mizuho Outperform OutperformMaintainOct 7, 2026
Show 13 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $669.2. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Truist FinancialJailendra Singh$633$656.25 -5.4%Oct 23, 2026
UBSAnalyst unavailable$700$662.6 +4.6%Oct 23, 2026
Mizuho SecuritiesAnalyst unavailable$730$653.96 +9.1%Oct 23, 2026
Robert W. BairdAnalyst unavailable$699$653.96 +4.5%Oct 23, 2026
BarclaysAnalyst unavailable$675$653.96 +0.9%Oct 23, 2026
See 39 more

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Company context

Snapshot as of publication

Medpace Holdings, Inc., founded in Cincinnati, Ohio, in 1992, functions as a contract research organization (CRO) delivering clinical development and research services. The company assists pharmaceutical, biotechnology, and medical device clients throughout North America, Europe, and Asia. Its comprehensive suite of offerings covers the entire product lifecycle, from initial Phase I trials through to Phase IV post-market surveillance. Medpace's services include designing development programs, coordinating central laboratory functions, managing projects, navigating regulatory processes, overseeing clinical trials, handling data management and analytics, ensuring pharmacovigilance, aiding with new drug application submissions, and providing ongoing post-marketing clinical support. Furthermore, the company offers specialized bio-analytical laboratory testing, conducts clinical human pharmacology studies, provides imaging services, and delivers expert electrocardiography (ECG) reading for clinical research.

Historical context

All MEDP earnings

Healthcare peers this season

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Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:55.686058+00:00
  3. Polygon adjusted daily market bars · 2026-10-24T11:50:40.314835+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-24T11:50:40.311732+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-10-24. For educational purposes only; not investment advice.