Medpace Holdings (MEDP) Tops Q4 EPS by 49c, Beats on Revenue; Offers FY26 Revenue Guidance

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Medpace Holdings, Inc. Reports Fourth Quarter and Full Year 2025 Results

February 9, 2026 4:15 PM EST

Revenue of $708.5 million in the fourth quarter of 2025 increased 32.0% from revenue of $536.6 million for the comparable prior-year period, representing a backlog conversion rate of 23.6%. Net new business awards were $736.6 million in the fourth quarter of 2025, representing an increase of 39.1% from net new business awards of $529.7 million for the comparable prior-year period, which resulted in a net book-to-bill ratio of 1.04x. Fourth quarter of 2025 GAAP net income was $135.1 million, or $4.67 per diluted share, versus GAAP net income of $117.0 million, or $3.67 per diluted share, for the comparable prior-year period. Net income margin was 19.1% and 21.8%... More