Medpace Holdings, Inc. · MEDP · FY2025 Q3 · Calendar Q4 2025

Medpace: Strong bookings support 2026 growth outlook

Medpace's Q3 results support a constructive operating picture: strong bookings, metabolic-trial demand, and a large backlog provide support for management's low double-digit 2026 revenue-growth outlook. The key test is whether backlog converts while pass-through costs normalize and margins remain stable.

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

Earnings scorecard

Reported versus consensus
Reported EPS $3.86 Consensus $3.53
EPS surprise +9.3% Reported versus consensus
Reported revenue $659.9M Consensus $641.0M
Revenue surprise +2.9% Reported versus consensus

Market reaction

event-close to next-session close
Stock move +9.1% Event window
SPY move +0.6% Same window
Abnormal move +8.5% Stock minus SPY
Volume 2.2× Versus trailing sessions
Subsequent drift -1.8% Up to 20 sessions
MEDPSPY benchmark

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What changed

Compared with the prior-quarter analysis, Medpace reported stronger Q3 bookings and a record 1.20 net book-to-bill, while keeping guidance sentiment maintained. Management added a low double-digit 2026 revenue-growth outlook and expects pass-through costs to peak in Q4 2025 before declining in 2026.

Guidance delta

Current guidance sentiment is maintained after the prior quarter's raise. Management indicated low double-digit revenue growth for 2026, with pass-through costs expected to level off.

Key takeaways

  • Q3 revenue rose 23.7% year over year to $659.9 million, driven by pass-through costs and metabolic-trial demand.
  • Net new award bookings rose 47.9% year over year; net book-to-bill reached 1.20 and backlog approached $3 billion.
  • EBITDA grew 24.9% with margins around 22.5%, while pass-through costs remained about 41%–42% of revenue.

Management priorities

  • Convert awarded work and backlog while managing cancellation risk
  • Accelerate hiring in the United States and India
  • Maintain focus on metabolic and obesity trials and preserve productivity gains

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Earnings History

Estimate Beat Miss Match
MEDP REVENUE earnings history estimate and actual scatter chart 10 reported fiscal quarters and 4 future estimate-only quarters. Q4 '23 estimate $512M Q4 '23 actual $498M, miss Q1 '24 estimate $512M Q1 '24 actual $511M, miss Q2 '24 estimate $528M Q2 '24 actual $528M, match Q3 '24 estimate $535M Q3 '24 actual $533M, miss Q2 '25 estimate $539M Q2 '25 actual $603M, beat Q3 '25 estimate $641M Q3 '25 actual $660M, beat Q4 '25 estimate $689M Q4 '25 actual $708M, beat Q1 '26 estimate $698M Q1 '26 actual $707M, beat Q2 '26 estimate $690M Q2 '26 actual $707M, beat Q3 '26 estimate $714M Q3 '26 actual $716M, beat Q4 '26 estimate $719M Q1 '27 estimate $729M Q2 '27 estimate $742M Q3 '27 estimate $768M
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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 · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-10-24T07:20:41.677040+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-24T07:20:41.674249+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.