Medpace Reports Strong Q4 and Full Year 2025 Financial Results
Written by Emily J. Thompson, Senior Investment Analyst
Updated: 6 days ago
0mins
Should l Buy MEDP?
Source: seekingalpha
- Strong Quarterly Performance: Medpace's Q4 GAAP EPS of $4.67 exceeded expectations by $0.48, with revenue reaching $708.5 million, a 32% year-over-year increase, indicating robust growth in the clinical research sector.
- Annual Revenue Growth: For the year ended December 31, 2025, revenue was $2.5302 billion, up 20% from $2.1091 billion in 2024, with a constant currency increase of 19.7%, reflecting the company's solid market performance and sustained client demand.
- Increase in New Business Awards: The net new business awards for 2025 totaled $2.6468 billion, with a net book-to-bill ratio of 1.05, an improvement over 2024's $2.230 billion, demonstrating the company's success in securing new projects and enhancing market competitiveness.
- Improved Profitability: Medpace reported a GAAP net income of $451.1 million for 2025, translating to $15.28 per diluted share, with a net income margin of 17.8%, and despite a slight decline from 19.2% in 2024, EBITDA rose 16.1% to $557.7 million, showcasing ongoing improvements in profitability.
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Analyst Views on MEDP
Wall Street analysts forecast MEDP stock price to rise
7 Analyst Rating
1 Buy
4 Hold
2 Sell
Hold
Current: 416.040
Low
462.00
Averages
569.17
High
660.00
Current: 416.040
Low
462.00
Averages
569.17
High
660.00
About MEDP
Medpace Holdings, Inc. 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. The Company partners with pharmaceutical, biotechnology, and medical device companies in the development and execution of clinical trials. The Company’s drug development services focus on full-service Phase I-IV clinical development services and include development plan design, coordinated central laboratory, project management, regulatory affairs, clinical monitoring, data management and analysis, pharmacovigilance new drug application submissions, and post-marketing clinical support. The Company also provides bio-analytical laboratory services, clinical human pharmacology, imaging services, and electrocardiography reading support for clinical trials. The Company’s operations are principally based in North America, Europe, and Asia.
About the author
Emily J. Thompson
Emily J. Thompson, a Chartered Financial Analyst (CFA) with 12 years in investment research, graduated with honors from the Wharton School. Specializing in industrial and technology stocks, she provides in-depth analysis for Intellectia’s earnings and market brief reports.
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- Analyst Rating Changes: Top Wall Street analysts have adjusted their ratings on several companies, indicating a shift in market sentiment regarding these firms' prospects, which could influence investor decisions and market dynamics.
- Upgrades and Downgrades: While specific names of upgrades and downgrades are not detailed, such changes typically have a direct impact on the short-term performance of the affected stocks, prompting investors to pay close attention to these shifts.
- Market Reaction Expectations: Adjustments in analyst ratings may trigger market volatility, especially when investor expectations are high for certain stocks, potentially leading to significant price fluctuations.
- Investor Decision Impact: Investors considering buying WMT stock should take into account the latest insights from analysts to make more informed investment decisions, even though specific analyst opinions were not elaborated in the report.
See More
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- U.S. Stock Market Performance: Stock indexes in the U.S. closed mixed on Tuesday, with the S&P 500 increasing by 0.10%.
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- Significant Revenue Growth: Medpace reported Q4 2025 revenue of $708.5 million, a 32% year-over-year increase, with full-year revenue reaching $2.53 billion, reflecting a 20% growth from 2024, indicating strong market performance.
- Strong EBITDA Performance: The company achieved an EBITDA of $160.2 million in Q4, up 20% year-over-year, with full-year EBITDA at $557.7 million, although the EBITDA margin slightly decreased to 22.6%, demonstrating stable profitability.
- Cancellation Rate Risk: CEO Troendle highlighted that the cancellation rate in Q4 was the highest in over a year, resulting in a net book-to-bill ratio of 1.04, although management remains cautiously optimistic about future cancellation trends.
- Positive 2026 Outlook: Medpace expects total revenue for 2026 to range between $2.755 billion and $2.855 billion, representing growth of 8.9% to 12.8%, with EBITDA projected between $605 million and $635 million, reflecting confidence in future growth.
See More
Medpace Reports Strong Q4 Results but Stock Drops on Book-to-Bill Disappointment
- Strong Financial Performance: Medpace Holdings (MEDP) reported Q4 2025 GAAP EPS of $4.67, beating expectations by $0.48, and revenue of $708.5 million, exceeding forecasts by $17.57 million, indicating robust financial health.
- Optimistic 2026 Outlook: The company projects 2026 revenue between $2.755 billion and $2.855 billion, with consensus at $2.81 billion, while diluted EPS is expected to range from $16.68 to $17.50, surpassing the consensus of $16.49, reflecting strong growth potential.
- Disappointing Book-to-Bill Ratio: Despite the strong financial results, the book-to-bill ratio came in at 1.04, below the expected 1.15, indicating slightly weaker demand, which may undermine investor confidence and contribute to the stock's decline.
- Cash Flow Changes: Medpace ended 2025 with cash and cash equivalents of $497 million, down from $669.4 million at the end of 2024, suggesting potential pressures on cash management that could impact future investment capabilities.
See More
