Logotype for Medpace Holdings Inc

Medpace (MEDP) Q1 2025 earnings summary

Event summary combining transcript, slides, and related documents.

Logotype for Medpace Holdings Inc

Q1 2025 earnings summary

21 Dec, 2025

Executive summary

  • Q1 2025 revenue rose 9.3% year-over-year to $558.6 million, with net income up 11.7% to $114.6 million and diluted EPS increasing to $3.67 from $3.20.

  • EBITDA increased 2.6% to $118.6 million, with a margin of 21.2%, while operating income rose 9.1% to $113.5 million.

  • Net new business awards declined 18.8% year-over-year to $500 million, resulting in a book-to-bill ratio of 0.90.

  • Backlog decreased 2.1% to $2.85 billion as of March 31, 2025, with $1.6–$1.62 billion expected to convert to revenue in the next 12 months.

  • Share repurchases totaled $389.8 million for 1.19 million shares in Q1 2025, with a $1.0 billion increase to the repurchase program approved in April.

Financial highlights

  • Net income per diluted share was $3.67, up from $3.20 in Q1 2024.

  • Operating cash flow for Q1 2025 was $125.8 million, with cash and equivalents at $441.4 million at quarter-end.

  • Free cash flow for Q1 2025 was $115.8 million, with a conversion rate of 97.6%.

  • SG&A expenses increased 31.3% year-over-year to $57.9 million.

  • Top five customers accounted for 22% of Q1 revenue, with no single customer above 10%.

Outlook and guidance

  • 2025 revenue guidance is $2.14–$2.24 billion, representing 1.5%–6.2% growth over 2024.

  • 2025 EBITDA is expected between $462–$492 million, ranging from a 3.8% decline to 2.5% growth versus 2024.

  • Net income guidance for 2025 is $378–$402 million; EPS expected at $12.26–$13.04, assuming a 15.5%–16.5% tax rate.

  • Guidance assumes 30.8 million diluted shares and no additional share repurchases.

  • The company expects to fund growth and capital needs through operating cash flow and expanded credit facilities.

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