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Medpace (MEDP) Q3 FY26 earnings call

Earnings call· Sep 2026 (Q3 FY26)· Health Care· Oct 22, 2026

Source: earnings call transcript

Medpace delivered a robust third quarter, marked by record net new business awards and strong profitability, driven by high-quality RFP activity and effective process adjustments. While the business environment remains strong, management is taking a cautious approach to 2027 guidance, deferring a firm outlook until Q4 reporting to better assess the evolving cancellation patterns and overall market dynamics.

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MEDP operating KPIs by quarter

MEDP operating KPIs stated on its earnings calls, by fiscal quarter
KPI Mar 2026 Q1 FY26 Jun 2026 Q2 FY26This call Sep 2026 Q3 FY26Change vs prior quarter
Net book-to-bill ratio
0.88 ratio Net bookings were below the level of -- seen in Q4, but well above those in Q1 2025 with a net book-to-bill ratio of 0.88. Source: earnings call transcript
1.13 ratio Net new business awards entering backlog in the second quarter increased 28.2% from the prior year to $795.7 million, resulting in a 1.13 net book-to-bill. Source: earnings call transcript
—+28.4%
Net new business awards
$618.4M Net new business awards entering backlog in the first quarter increased 23.7% from the prior year to $618.4 million, resulting in a 0.88 net book-to-bill. Source: earnings call transcript
$795.7M Net new business awards entering backlog in the second quarter increased 28.2% from the prior year to $795.7 million, resulting in a 1.13 net book-to-bill. Source: earnings call transcript
$873.4M Net new business awards entering backlog in the third quarter increased 10.6% from the prior year to $873.4 million. Source: earnings call transcript
+9.8%
Backlog
~$2.9B Ending backlog as of March 31, 2026, was approximately $2.9 billion, an increase of 2.9% from the prior year. Source: earnings call transcript
~$3B Ending backlog as of June 30, 2026, is approximately $3 billion an increase of 4.9% from the prior year. Source: earnings call transcript
~$3.2B Ending backlog as of September 30, 2026, was approximately $3.2 billion, an increase of 5.6% from the prior year. Source: earnings call transcript
—
Backlog conversion rate
23.3% We project that approximately $1.94 billion of backlog will convert to revenue in the next 12 months, and backlog conversion in the first quarter was 23.3% of beginning backlog. Source: earnings call transcript
24.1% Backlog conversion in the second quarter was 24.1% of beginning backlog. Source: earnings call transcript
23.8% Backlog conversion in the third quarter was 23.8% of beginning backlog. Source: earnings call transcript
-0.3 pt

Operating figures the company stated on at least two of the calls shown, checked against each call's transcript. Click a figure to read the sentence. A dash means it was not stated that quarter.

Inve summary of the company's earnings call; see how call summaries are prepared. Not investment advice.