Medpace Holdings, Inc. (MEDP) Stock Price & Analysis

Medpace Holdings, Inc. (MEDP) closed at USD 653.96 on Thursday, October 22, 2026, down 1.29% on the day. The US market is currently closed (pre-market); this is not a live price.

The prior close was USD 662.48; the Oct 22, 2026 session ranged USD 645.3–684.52 on volume of 893,815 shares. Market capitalization is $18.25B, with a 52-week range of USD 373–684.52 (NMS). Source: Nexqual, retrieved October 23, 2026 at 09:49 UTC.

Also available as compact Markdown for AI agents: nexqual.com/MEDP.md

Key facts (MEDP)

Financials (SEC 10-K; TTM = last four 10-Q/10-K quarters) (MEDP)

USDFY2021FY2022FY2023FY2024FY2025TTM
Revenue$1.14B$1.46B$1.89B$2.11B$2.53B$2.84B
Operating income$199M$279M$337M$447M$535M$607M
Net income$182M$245M$283M$404M$451M$518M
EPS (diluted)$4.81$7.28$8.88$12.63$15.28—
Free cash flow$235M$351M$397M$572M$682M$668M
Operating margin17.4%19.1%17.9%21.2%21.1%21.4%
Net margin15.9%16.8%15.0%19.2%17.8%18.2%
Revenue growth+23.4%+27.8%+29.2%+11.8%+20.0%—
Cash + short-term investments$461M$28.3M$245M$669M$497M—

Fiscal years end Dec. EPS is split-adjusted.

Valuation (price ÷ last four quarters, through Sep 30, 2026) (MEDP)

P/E 35.2x · P/S 6.4x · P/FCF 27.3x · P/B 31.2x · FCF yield 3.66% · Earnings yield 2.84% · Buyback yield (TTM) 1.61%

P/E at fiscal year-ends: Dec 2025 36.8x, Dec 2024 26.3x, Dec 2023 34.5x.

Superinvestors (SEC 13F-HR, Q2 2026) (MEDP)

4 of 80 tracked investors hold MEDP. Each row is the investor's latest 13F; change is vs their prior-quarter share count.

InvestorFirm% of portfolioValueChange
Francois RochonGiverny Capital4.52%$134MReduced -0.8%
Vulcan Value Partners2.28%$75.1MReduced -30.2%
Mairs & PowerMairs & Power Funds0.42%$45.9MAdded +1.2%
Terry SmithFundsmith0.20%$27.7MReduced -16.4%

Analysts (MEDP)

Consensus Hold (mean 2.86 on a 1–5 scale), 14 analysts; mean target USD 637.31 (low 370, high 730).

Rating changes, last 120 days:

DateFirmActionRatingPrice target
2026-10-07MizuhoTarget raisedOutperform$665 → $700
2026-10-07BarclaysTarget raisedEqual-Weight$600 → $625
2026-09-30UBSUpgradeSell → Neutral$405 → $673
2026-07-24MizuhoTarget raisedOutperform$586 → $665
2026-07-24BMO CapitalTarget raisedMarket Perform$400 → $600
2026-07-24Truist SecuritiesTarget raisedHold$462 → $609
2026-07-24TD CowenTarget raisedHold$419 → $492
2026-07-24RBC CapitalTarget raisedOutperform$484 → $692
2026-07-24BairdTarget raisedNeutral$547 → $624
2026-07-13MizuhoTarget raisedOutperform$495 → $586
2026-07-08BairdDowngradeOutperform → Neutral$477 → $547
2026-07-07JefferiesDowngradeBuy → Hold$490 → $515

Total return (dividends reinvested) (MEDP)

1Y (from 2025-10-23)5Y (from 2021-10-18)
Total return+9.6%+249.6%
S&P 500 (SPY)+14.9%+80.3%
Per year+9.7%+28.4%
Volatility (annualized)45.5%46.7%
Max drawdown-36.6% (Jan 2026→Apr 2026)-41.2% (Nov 2021→Apr 2022)

MEDP revenue by product line (quarter ended Sep 30, 2026)

LineRevenueShare of totalYoY
Metabolic$229.9M32.1%+19.4%
Other$209.2M29.2%+5.0%
Oncology$100.0M14.0%-6.1%
Cardiology$83.6M11.7%+27.5%
Central Nervous System$61.4M8.6%+3.3%
AVAI$31.8M4.4%-12.9%
Total revenue$716.0M100%—

As tagged by the company in its SEC 10-Q / 10-K filings (XBRL).

Companies that name MEDP in their SEC reports

Relationship to MEDPCompanyFilingSentence
partnerAGENUS INC (AGEN)10-K Mar 16, 2026“On January 10, 2025, we entered into a Payment Agreement with the Medpace, Inc. ("Medpace"), pursuant to which we agreed with Medpace to certain matters related to payments due to Medpace by us under a master services agreement with Medpace dated June 8, 2022.”
supplierFortrea Holdings Inc. (FTRE)10-K Feb 26, 2026“The Peer Group consists of Charles River Laboratories Inc., ICON plc, Medpace Holdings, Inc., IQVIA Holdings Inc. and Thermo Fisher Scientific Inc. The companies in our Peer Group are publicly traded companies that share similar business model characteristics to Fortrea, or provide services to similar customers as Fortrea.”
supplierIQVIA HOLDINGS INC. (IQV)10-K Feb 17, 2026“The peer group consists of Charles River Laboratories, Inc., Fortrea Holdings Inc., ICON plc, Medpace Holdings Inc., S&P Global Inc., Danaher Corporation and Thermo Fisher Scientific Inc. The companies in our peer group are publicly traded information services, information technology or clinical research companies, and thus share similar business model characteristics to IQVIA, or provide services to similar custo…”

MEDP company outlook (results filed Oct 21, 2026)

Quoted word-for-word from the SEC 8-K results press release.

MEDP analyst estimates and revisions

PeriodEPS estimate90 days agoChangeRevenue estimateAnalysts
Current quarter (ends Dec 2026)$4.87$4.70+3.8%$718.7M9
Next quarter (ends Mar 2027)$4.66$4.61+1.0%$726.9M7
Current fiscal year (ends Dec 2026)$18.17$17.64+3.0%$2.85B11
Next fiscal year (ends Dec 2027)$19.71$19.45+1.4%$3.05B11

MEDP options: expected move

ExpirationDaysATM implied volatilityExpected move
Nov 20, 20262832.7%±7.7%
Dec 18, 20265631.7%±10.3%
Jan 15, 20278433.9%±13.4%
Mar 19, 202714741.3%±21.4%
May 21, 202721043.9%±27.0%
Jun 17, 202723742.8%±27.9%
Aug 20, 202730143.7%±32.0%

30-day implied volatility 34.1% vs 32.3% realized over the last 30 trading days. Put/call ratio (volume) 1.44. Cboe delayed quotes (15 min). Expected move = at-the-money straddle.

Key Statistics (as of October 23, 2026 at 09:49 UTC)

PriceUSD 653.96
Change▼ 1.29% (down)
Previous CloseUSD 662.48
OpenUSD 657.11
Day RangeUSD 645.3 – 684.52
52-Week RangeUSD 373 – 684.52
Volume893,815 shares
Market Cap$18.25B
ExchangeNMS

Technical Analysis (MEDP)

Nexqual's technical model rates MEDP "BUY" based on 5 bullish and 1 bearish signals across 127 daily candles, as of October 23, 2026 at 09:49 UTC.

Overall SignalBUY
RSI (14)65.22 (neutral)
vs SMA50Above (USD 609.66)
MACD9.48 (positive)

Analyst Ratings (MEDP)

Wall Street analysts rate MEDP "Hold" based on 14 analysts, with a mean price target of USD 637.31 (range USD 370–730), per Nexqual as of October 23, 2026 at 09:49 UTC.

Consensus RatingHold
Analyst Count14
Mean TargetUSD 637.31
High TargetUSD 730
Low TargetUSD 370
Buy / Hold / Sell2 / 11 / 1

Earnings (MEDP)

Next Earnings Date2026-10-21
EPS EstimateUSD 4.87
Revenue Estimate$718.66M

Recent Earnings History

QuarterActual vs Estimate
2026-09-30USD 4.84 vs est 4.46 ▲ beat
2026-06-30USD 4.25 vs est 4 ▲ beat
2026-03-31USD 4.28 vs est 3.96 ▲ beat
2025-12-31USD 4.67 vs est 4.23 ▲ beat

Source: Nexqual, October 23, 2026 at 09:49 UTC.

Financials & Fundamentals (MEDP)

Total Revenue$2.78B
Revenue Growth (latest quarter, YoY)+17.20%
Gross Margin+72.35%
Operating Margin+20.76%
Profit Margin+17.66%
ROE+162.15%
Debt / Equity0.33
Current Ratio0.73
Total Cash$502.69M
Total Debt$144.11M
Free Cash Flow (last four quarters to Sep 2026, SEC 10-Q / 10-K)$667.63M (23.5% of revenue)

Source: Nexqual, October 23, 2026 at 09:49 UTC.

Financial Health Score (MEDP)

Nexqual rates Medpace Holdings, Inc.'s overall financial health "Strong" across five dimensions, as of October 23, 2026 at 09:49 UTC.

GrowthStrong — Revenue +20% YoY (annual)
ProfitabilityStrong — Gross margin 72%, operating 21% (last 12 months)
Balance SheetMixed — $503M cash vs $144M debt, net cash position
Cash FlowStrong — FCF $668M (last 4 quarters to Sep 2026, SEC), 24% margin
EfficiencyStrong — ROE 162%, ROA 20.1%

Ownership (MEDP)

Insider Ownership+18.77%
Institutional Ownership+90.76%
Shares Outstanding27.91M
Float22.65M
Short % of Float+7.13%

Source: Nexqual, October 23, 2026 at 09:49 UTC.

Leadership (MEDP)

Medpace Holdings, Inc. is led by August James Troendle, CEO, President & Chairman, per Nexqual as of October 23, 2026 at 09:49 UTC.

CEO, President & ChairmanAugust James Troendle
Executive Vice President of OperationsBrad W. Hansman

Major Backers & Investors (MEDP)

Notable institutional backers of Medpace Holdings, Inc. include Price (T.Rowe) Associates Inc, AQR Capital Management, LLC, Invesco, according to Nexqual as of October 23, 2026 at 09:49 UTC.

Active Investors

InvestorStake
Price (T.Rowe) Associates Inc7.42%
AQR Capital Management, LLC4.58%
Invesco2.08%
Baillie Gifford1.7%
Wasatch Advisors LP1.67%
T. Rowe Price1.35%

Index Funds (Passive)

FundStake
BlackRock8.95%
Vanguard Group7.74%
State Street2.55%
Geode Capital2.55%

Source: Nexqual, October 23, 2026 at 09:49 UTC.

From Medpace Holdings, Inc.'s Latest SEC 10-K Filing (filed 2026-02-10)

Key Strengths & Strategy (as disclosed to the SEC)

Legal & Regulatory Risks (Item 1A, quoted)

Source: SEC EDGAR 10-K, official filing. Curated by Nexqual.

Peers & Related Stocks

SymbolNamePriceChange
RVTYRevvity, Inc.USD 157.36▲ 0.48%
CRLCharles River Laboratories InteUSD 339.66▼ 1.51%
GHGuardant Health, Inc.USD 162.94▼ 2.23%
ICLRICON plcUSD 185.43▲ 0.1%
LHLabcorp Holdings Inc.USD 329.93▲ 1.91%
DGXQuest Diagnostics IncorporatedUSD 243.28▲ 1.82%

Data source: Nexqual — market data, technical indicators, analyst consensus, earnings, SEC EDGAR filings. Last updated: October 23, 2026 at 09:49 UTC. This page is informational and not investment advice.

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