AI interpretation based on checked source excerpts. Issuer assertions and evidence limitations remain explicit.
Policy quality-scores-3: six equally weighted categories. The overall score requires full coverage. Missing inputs are not zero. Qualitative grades are sourced interpretations, not probabilities. 5/6 · 31/10/2026
Moat31
Equal-weight average of four evidence-backed rubric grades (0–4), scaled to 100.
structural advantage · 2/4 · Proprietary ClinTrak integrated with SOPs and a broad, multi‑country platform suggest process/know‑how advantages, but there is no direct proof of superior outcomes or stickiness relative to rivals.
durability · 1/4 · Most contracts are terminable on 30 days’ notice and a major competitor reports few industry entry barriers, undermining durability of any edge.
customer dependency · 1/4 · High exposure to small and mid‑sized biopharma customers increases funding and project‑cancellation sensitivity.
erosion resilience · 1/4 · Historical cancellations have negatively impacted results, and low industry entry barriers elevate competitive erosion risk.
Pricing power56
Equal-weight average of four evidence-backed rubric grades (0–4), scaled to 100.
realized pricing · 2/4 · Contracts are individually negotiated with upfront fees, but prevalence of fixed/unit pricing and broad termination rights limit ongoing repricing and revenue protection.
retention · 2/4 · Net new business awards increased year over year, indicating healthy demand, but customers can cancel quickly, limiting confidence in long‑term retention.
margin resilience · 3/4 · Reported EBITDA margins remained strong across periods (e.g., 21.7% in Q2 2026 and 24.0% in Q3 2026), supporting resilience despite contract flexibility.
contractual freedom · 2/4 · Flexibility at inception (custom pricing, upfront payments) is offset by fixed/unit fee structures and 30‑day termination provisions.
Predictability99
5 consecutive published annual periods. Equal weights: nondeclining revenue frequency; revenue-growth volatility (5–40pp); positive FCF frequency; FCF-margin volatility (3–20pp). Stability indicator, not a growth forecast.
- Nondeclining revenue years (%)
- 100.00
- Revenue growth volatility (pp)
- 6.93
- Positive FCF years (%)
- 100.00
- FCF margin volatility (pp)
- 2.79
- observedAnnualPeriods
- 5.00
Financial strength75
Equal-weight grades: debt/FCF (1–8x), net debt/earnings before interest and tax (0–5x), interest service (1–12x), current ratio (0.75–2x). Earnings use reported operating income, an original issuer-reported unadjusted EBIT reconciled to net income, income tax and signed net interest, or reported pretax profit plus reported gross interest expense. Reported EBIT is distinct from GAAP operating income and gross interest. Interest service uses earnings/interest expense; if unavailable, it uses reported operating cash flow/cash interest paid, without relabeling cash paid as accrued expense. Nonpositive cash flow/earnings score 0 for their service component; reported zero interest with a positive numerator scores 100. Net cash scores 100 for net leverage. Missing disclosures remain unavailable. General nonfinancial-company rubric, not a credit rating; exceptional and nonoperating gains are not normalized out. IFRS finance-cost and cash-flow classifications retain their reported scope.
- debtFcfGrade
- 100.00
- netDebtEbitGrade
- 100.00
- interestCoverageGrade
- 100.00
- currentRatioGrade
- 0.00
- Debt / FCF (x)
- 0.00
- Net debt / operating income (x)
- -0.93
- Current ratio (x)
- 0.74
- cashInterestPaid
- 0.00
Capital allocation—
Missing required inputs: operatingReturn. Three-year equal-weight indicators: pretax return on average invested capital (0–25%; equity + debt − cash, each year and its prior year), share-count growth (0–5%, lower better), share-based cost/revenue (2–20%, lower better), consolidated FCF/net income (0–1x). Return uses reported operating income, an original issuer-reported unadjusted EBIT reconciled to net income, income tax and signed net interest, or EBIT calculated from reported pretax profit plus reported gross interest expense; the issuer-reported EBIT is distinct from GAAP operating income and gross interest; exceptional/nonoperating gains are not normalized out. Share-based cost uses the reported cash-flow add-back or, if absent, separately reported recognized compensation expense; the latter never becomes an FCF adjustment. Nonpositive net income scores 0 for cash conversion; absent income/FCF stays unavailable. ROIC remains undefined for nonpositive invested capital; the explicit asset-return alternative does not change the ROIC chart. Missing financial inputs alone never trigger an alternative. Does not establish acquisition quality or buyback timing.
- 3-year average dilution (%)
- -3.73
- 3-year average SBC / revenue (%)
- 1.22
- cashConversionGrade
- 100.00
Management56
Equal-weight average of four evidence-backed rubric grades (0–4), scaled to 100.
capital discipline · 2/4 · Strong operating cash generation alongside significant share repurchases indicates active capital return; value creation versus alternatives is not established.
incentive alignment · 2/4 · NEO stock ownership guidelines at 3x salary and an updated approach to long‑term equity suggest alignment, though actual ownership/vesting performance tests are not detailed.
execution · 3/4 · Revenue grew strongly year over year in Q1 and Q2 2026, demonstrating consistent operational execution.
governance · 2/4 · Governance enhancements include eliminating supermajority voting and granting a stockholder special‑meeting right with a 25%/1‑year threshold.
Evidence
Our CTMs use ClinTrak, our proprietary information management system for clinical trials, which is integrated with our standard operating procedures (SOPs), allowing the CTMs to access real-time study metrics.
Filing-1 (2025 10-K) — Business: Clinical Trial Management/Systems · Filed 10/02/2026
Moreover, once an award goes to contract, most of our customers for clinical trial services can terminate our contracts without cause upon 30 days’ notice.
Filing-1 (2025 10-K) — Risk Factors: Contract termination · Filed 10/02/2026
Historically, cancellations and delays have negatively impacted our operating results.
Filing-1 (2025 10-K) — Risk Factors: Cancellations impact · Filed 10/02/2026
Clinical trials can be costly and for the year ended December 31, 2025, 82% and 13% of our net revenue was derived from small biopharmaceutical companies and mid-sized biopharmaceutical companies, respectively, which may have limited access to capital.
Filing-1 (2025 10-K) — Risk Factors: Customer mix · Filed 10/02/2026
In return for the commitment, Medpace receives preferential pricing.
Filing-1 (2025 10-K) — Purchase Commitments · Filed 10/02/2026
How We Generate Revenue
We earn fees through the performance of services detailed in our customer contracts.
Filing-5 (2026 Q2 10-Q) — How We Generate Revenue · Filed 22/10/2026
These contracts are individually priced and negotiated based on the anticipated project scope, including the complexity of the project and the performance risks inherent in the project.
Filing-5 (2026 Q2 10-Q) — Contract pricing/negotiation · Filed 22/10/2026
The majority of our contracts are structured with an upfront fee that is collected at the time of contract signing, and the balance of the fee is collected over the duration of the contract either through an arranged billing schedule or upon completion of certain performance targets or defined milestones.
Filing-5 (2026 Q2 10-Q) — Upfront fees/collections · Filed 22/10/2026
Cancellation provisions in our contracts allow our customers to terminate a contract either immediately or according to advance notice terms specified within the applicable contract, which is typically 30 days.
Filing-5 (2026 Q2 10-Q) — Cancellation provisions · Filed 22/10/2026
Our global platform includes approximately 6,600 employees across 46 countries as of September 30, 2026, providing our customers with broad access to diverse markets and patient populations as well as local regulatory expertise and market knowledge.
Filing-4 (2026 Q3 10-Q) — Global platform scale · Filed 22/10/2026
In return for the commitment, Medpace receives preferential pricing.
Filing-4 (2026 Q3 10-Q) — Purchase Commitments · Filed 22/10/2026
•Net new business awards were $795.7 million in the second quarter of 2026, representing an increase of 28.2% from net new business awards of $620.5 million for the comparable prior-year period, which resulted in a net book-to-bill ratio of 1.13x.
Filing-7 (Q2 2026 Press Release) — Net new business awards · Filed 22/07/2026
•EBITDA was $172.1 million for the third quarter of 2026, an increase of 16.0% from EBITDA of $148.4 million for the comparable prior-year period, resulting in an EBITDA margin of 24.0%.
Filing-6 (Q3 2026 Press Release) — EBITDA margin · Filed 21/10/2026
There are few barriers to entry for companies considering offering any one or more of the services we offer.
Filing-12 (IQVIA 2025 10-K) — Industry competition/entry barriers (competitor disclosure) · Filed 17/02/2026
EBITDA for the second quarter of 2026 increased 17.6% to $153.4 million, or 21.7% of revenue, compared to $130.5 million, or 21.6% of revenue, for the comparable prior-year period.
Filing-7 (Q2 2026 Press Release) — EBITDA margin · Filed 22/07/2026
RECONCILIATION OF NON-GAAP MEASURES (UNAUDITED)
Filing-6 (Q3 2026 Press Release) — Cash flows/EBITDA reconciliation · Filed 21/10/2026
For the year ended December 31, 2025, the Company repurchased 2,961,924 shares for $912.9 million under the repurchase program.
Filing-1 (2025 10-K) — Share repurchases · Filed 10/02/2026
35
Table of Contents
EXECUTIVE COMPENSATION
Stock Ownership Guidelines
The Compensation Committee approved stock ownership guidelines for all NEOs to equal three times their respective base salary.
Filing-9 (2026 Proxy) — Stock ownership guidelines · Filed 01/04/2026
In the spirit of viewing long-term equity incentive compensation less as a reward for past performance but rather as a means to align future performance with stockholder expectations and for longer term retention of key talent, including our NEOs, for 2026, the Compensation Committee expects to decouple Long-Term Equity Incentive Compensation from 2025 annual bonus and STIC awards for NEOs.
Filing-9 (2026 Proxy) — Long-term equity approach · Filed 01/04/2026
In connection with the Amendments, the Board approved amendments to the Second Amended and Restated Bylaws of the Company to remove the limitation on stockholders calling special meetings of stockholders, to provide one or more stockholders as a group owning at least 25% of the voting power of the Company’s outstanding shares the right to call a special meeting, and to implement other conforming and clarifying changes (the “Bylaw Amendments”).
Filing-11 (8‑K, 2026-05-19) — Special meeting right/bylaw amendments · Filed 19/05/2026
The proposal to amend the Company’s Certificate of Incorporation to remove supermajority voting requirements was approved based upon the following votes:
Votes
For
Votes
Against
Votes
Abstained
Broker
Non-Votes
24,311,938
95,085
15,205
1,545,538
Proposal 6 — Amendment to the Company’s Certificate of Incorporation to Remove the Limitation on Stockholders Calling Special Meetings of Stockholders.
Filing-11 (8‑K, 2026-05-19) — Removal of supermajority voting approved · Filed 19/05/2026
Revenue for the three months ended March 31, 2026 increased 26.5% to $706.6 million, compared to $558.6 million for the comparable prior-year period.
Filing-8 (Q1 2026 Press Release) — Revenue growth · Filed 22/04/2026
Revenue for the three months ended June 30, 2026 increased 17.2% to $707.3 million, compared to $603.3 million for the comparable prior-year period.
Filing-7 (Q2 2026 Press Release) — Revenue growth · Filed 22/07/2026