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Medpace Holdings (MEDP) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NasdaqGS•Healthcare•Diagnostics & Research
A
ExcellentMetricSide Score: 86/100
ProfitabilityProfit30/30
GrowthGrowth25/25
Balance SheetBalance13/25
Cash QualityCash18/20
Price & Volume
Market Cap $15.86B

Medpace Holdings, Inc. provides clinical research-based drug and medical device development services in North America, Europe, Asia, South America, Africa, and Australia. The company offers a suite of services supporting the clinical development process from Phase I to Phase IV in various therapeutic areas. It provides clinical development services to the pharmaceutical, biotechnology, and medical device industries; and 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 services. In addition, the company offers bio-analytical laboratory services, clinical human pharmacology, imaging services, and electrocardiography reading support for clinical trials. Medpace Holdings, Inc. was founded in 1992 and is based in Cincinnati, Ohio.

Moat Signals

Competitive analysis based on 39 quarters of fundamental data

Pricing Power

Strong Moat

Operating margins are stable at ~21.1%, suggesting durable pricing power and cost discipline.

Competitive Advantage

Strong Moat

Consistently high ROE averaging 96.3% suggests a durable competitive advantage and efficient capital allocation.

Cash Generation

Strong Moat

Free cash flow is consistently positive and growing — a hallmark of a capital-light business that can self-fund growth.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~31.9% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 39 quarters

Low Risk

Margin Pressure

Healthy

Margins are stable or improving at ~21.0% — no sign of cost or pricing stress.

Earnings Quality

Healthy

FCF covers net income by 1.4x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

Limited debt-to-equity data available.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Shares decreased 8.2% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$2.68B
24.2%
Q. Revenue
$706.60M
TTM EBITDA
$591.01M
21.7%
TTM Op. Income
$562.91M
23.4%
Q. Op. Income
$141.50M
TTM Net Income
$460.40M
10.6%
Q. Net Income
$123.87M
EPS
$4.35
Shares Out.
$28.45M
6.4%
$2.68B in TTM revenue grew 24.2% YoY, reaching $706.60M last quarter. TTM EBITDA of $591.01M and TTM operating income of $562.91M shows growth is flowing through. Net income of $460.40M TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
21.0%
Op. Margin
20.0%
1.5%
Net Margin
17.5%
14.6%
Op. margin of 20.0% is down 0.3% YoY — costs are rising relative to revenue. Net margin at 17.5%.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
34.5x
P/S Ratio
5.9x
P/B Ratio
26.5x
At 34.5x P/E, the stock trades at a premium — the market expects above-average growth. P/S of 5.9x and P/B of 26.5x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$2.13B
Cash
$652.68M
Long-Term Debt
N/A
Book Value
$598.31M
D/E Ratio
N/A
Debt/EBITDA
0.0

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$151.79M
Free Cash Flow
$144.97M
25.1%
FCF Margin
5.4%
FCF / Net Income
1.2
FCF of $144.97M on $151.79M in operating cash flow. The FCF / Net Income ratio of 0.3x indicates partial cash conversion — earnings quality needs attention.

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