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Medpace Holdings Inc. Q2 Earnings Call Highlights

Medpace Holdings Inc. Q2 Earnings Call Highlights

Medpace Holdings Inc ((MEDP)) has held its Q2 earnings call. Read on for the main highlights of the call.

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Medpace Holdings Inc. recently held its second-quarter 2025 earnings call, which conveyed a generally positive sentiment. The company reported strong revenue growth and increased EBITDA, alongside improved revenue guidance. However, the call also highlighted some challenges, including a decreased backlog, lower win rates, and higher reimbursable costs. The sustainability of this growth trajectory into 2026 remains a topic of discussion.

Strong Revenue Growth

Medpace Holdings Inc. reported impressive revenue figures for the second quarter of 2025, with revenue reaching $603.3 million, marking a 14.2% increase year-over-year. For the first half of 2025, the revenue totaled $1.16 billion, reflecting an 11.8% rise compared to the same period in 2024.

Increased EBITDA

The company’s EBITDA for Q2 2025 was $130.5 million, a notable 16.2% increase from the previous year. On a constant currency basis, this increase was even more pronounced at 18.5%, underscoring the company’s operational efficiency.

Improved Revenue Guidance

Medpace raised its revenue guidance for the full year 2025 by $280 million at the midpoint. The company now expects total revenue to range between $2.42 billion and $2.52 billion, representing a growth of 14.7% to 19.5% over 2024.

Stable Funding Environment

The earnings call highlighted a stable and improving funding environment, characterized by fewer cancellations and better-than-expected funding for ongoing studies. This stability is a positive sign for the company’s future prospects.

Cash Flow and Share Repurchase

Medpace generated $148.5 million in cash flow from operating activities during Q2 2025. Additionally, the company repurchased 1.75 million shares for $518.5 million, reflecting a commitment to returning value to shareholders.

Decreased Backlog

The company’s backlog as of June 30, 2025, stood at $2.9 billion, a slight decrease of 1.8% from the prior year. This decline in backlog is a point of concern for future growth.

Lower Win Rate

Medpace experienced a lower competitive win rate in Q2 2025, attributed to losses on large projects despite a high number of decisions being made. This suggests challenges in securing new business.

Higher Reimbursable Costs

The company’s EBITDA margin was impacted by higher reimbursable costs and foreign exchange losses due to a weaker U.S. dollar. These factors pose challenges to maintaining profitability.

Concerns Over Sustainable Growth

Questions remain regarding the sustainability of Medpace’s growth rates into 2026, particularly if the mix of faster-burning studies and reimbursable costs changes. This uncertainty is something investors will be watching closely.

Forward-Looking Guidance

Medpace’s forward-looking guidance is optimistic, with a projected revenue range for 2025 between $2.42 billion and $2.52 billion, indicating growth of 14.7% to 19.5% over 2024. The company anticipates a potential return to a book-to-bill ratio above 1.15x in Q3 2025. EBITDA is expected to range from $515 million to $545 million, with a forecasted net income between $405 million and $428 million.

In summary, Medpace Holdings Inc.’s earnings call reflected a positive outlook with strong financial performance and improved guidance. However, challenges such as decreased backlog and lower win rates were noted. The sustainability of growth into 2026 remains uncertain, but the company’s forward-looking guidance suggests continued optimism.

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