Logotype for Medpace Holdings Inc

Medpace (MEDP) Q3 2024 earnings summary

Event summary combining transcript, slides, and related documents.

Logotype for Medpace Holdings Inc

Q3 2024 earnings summary

19 Jan, 2026

Executive summary

  • Q3 2024 revenue rose 8.3% year-over-year to $533.3 million, with net income up 36.7% to $96.4 million and EBITDA up 31.7% to $118.8 million; backlog at quarter-end was $2.93 billion, up 8.8% year-over-year.

  • Net new business awards for Q3 2024 were $533.7 million, down 12.7% year-over-year, resulting in a book-to-bill ratio of 1.00x; backlog conversion rate was 18.2%.

  • Elevated cancellations persisted for the third consecutive quarter, mainly due to clients funded during the COVID period running out of capital, not performance issues.

  • The business environment remains stable outside of cancellations, with RFP flow and bookings pressured but win rates and pricing stable.

  • Cash and cash equivalents stood at $656.9 million as of September 30, 2024, with no outstanding debt.

Financial highlights

  • Q3 2024 revenue was $533.3 million (+8.3% YoY); nine-month revenue was $1.57 billion (+13.3% YoY).

  • Q3 EBITDA was $118.8 million (+31.7% YoY), with a margin of 22.3% (up from 18.3%); year-to-date EBITDA was $346.7 million (22.0% margin).

  • Q3 net income was $96.4 million (+36.7% YoY); nine-month net income was $287.4 million (+40.5% YoY); Q3 EPS was $3.01 (vs. $2.22 prior year).

  • Operating cash flow for Q3 was $149.1 million; year-to-date operating cash flow was $418.1 million.

  • Free cash flow for Q3 was $138.5 million, with a conversion rate of 116.6%.

Outlook and guidance

  • Full-year 2024 revenue expected between $2.09 billion and $2.13 billion, representing 10.8%–12.9% growth over 2023.

  • 2024 EBITDA forecasted at $450–$470 million, up 24.1%–29.7% year-over-year.

  • Net income guidance for 2024 is $376–$388 million; EPS expected at $11.71–$12.09.

  • Book-to-bill ratio is expected to remain below normal in Q4 and Q1 2025, with a return to above 1.15 in the second half of 2025 if cancellations normalize.

  • Guidance assumes a tax rate of 15.5%–16.5% and interest income of $24.4 million.

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