Medpace Surges After Q3 Earnings Beat Estimates and Shows Growth

Medpace Holdings Inc. (NASDAQ:MEDP) experienced a significant increase in its stock value on Thursday following the release of its third-quarter earnings report. The clinical contract research organization reported earnings of $3.86 per share, exceeding analyst expectations of $3.52. Additionally, the company’s revenue reached $659.9 million, surpassing the consensus estimate of $640.99 million and marking a 23.7% increase year over year.
The robust performance was underscored by a 23.4% rise in revenue on a constant currency basis. As of September 30, 2025, Medpace’s backlog increased by 2.5%, amounting to approximately $3 billion. The third quarter also saw net new business awards totaling $789.6 million, leading to a net book-to-bill ratio of 1.20x for the quarter, significantly higher than $533.7 million in the same period last year.
Financial Highlights and Analyst Insights
Earnings before interest, taxes, depreciation, and amortization (EBITDA) for the quarter climbed to $148.4 million, representing 22.5% of revenue. This marks an increase of 24.9% compared to $118.8 million, or 22.3% of revenue, in the previous year.
Medpace has also updated its guidance for fiscal 2025, raising its earnings per share estimate from a range of $13.76-$14.53 to $14.60-$14.86, which is above the consensus of $14.07. Furthermore, the company adjusted its sales guidance upward from $2.42 billion-$2.52 billion to $2.48 billion-$2.53 billion, in contrast to the consensus estimate of $2.46 billion.
Analyst insights from William Blair emphasized the strong bookings recorded during the quarter. Max Smock, an analyst at William Blair, noted that management’s outlook appears more optimistic, anticipating that the book-to-bill ratio may return to 1.15x in the latter half of the fiscal year. He expressed surprise at the notable rebound in bookings, with net new business awards increasing by approximately 30% sequentially and 60% from the first quarter of 2025.
Smock further indicated that the results support the view that demand in the biotech sector has stabilized and is beginning to improve. He highlighted Medpace’s success in securing significant contracts in the metabolic sector, particularly related to GLP-1, a class of drugs used for diabetes management and weight loss.
Stock Performance and Market Reactions
Following the positive earnings report, Medpace’s stock rose by 7.08%, reaching $585.43 during the latest trading session. This increase reflects investor confidence in the company’s performance and its future prospects.
As Medpace continues to expand its operations and secure new contracts, the market is keenly observing its trajectory, particularly as the demand for biotech services evolves. The company’s strong financial results and updated guidance may position it favorably in a competitive industry, paving the way for sustained growth.
In summary, the third-quarter earnings report from Medpace Holdings Inc. demonstrates impressive growth and a promising outlook, underscoring the company’s resilience in the clinical research market.