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Medpace Holdings (MEDP) Q3 2026 earnings results (third quarter 2026)

10-Q filed Oct 22, 2026

Medpace Holdings (MEDP) reported revenue of $716M for the third quarter 2026 (Q3 2026), +9% from a year earlier and +1% from the quarter before. Operating margin was 23.1%, net earnings $137M (19.2% of revenue).

Revenue$716M
Year over year+9%
Quarter over quarter+1%
Operating margin23.1%
Net earnings$137M

Medpace Holdings, Q3 2026: revenue $716M (+8% year over year), operating margin 23.1%, net earnings $137M, operating cash flow $217M. The chart follows the revenue to costs, profit and cash.

Q3 2026AmountQ/QY/Y
Revenue$716M+1%+9%
Operating profit$166M+13%+17%
Net earnings$137M+13%+24%
Operating cash flow$217M+34%-12%
Free cash flow$196M+42%-17%

What changed

Revenue was $716.0M in Q3 2026, up 9% year over year and up 1% from the previous quarter. Metabolic was the largest line at 32% of revenue. Metabolic added $37.3M year over year (up 19%), 66% of the total change. AVAI declined 13%.

Operating profit was $165.5M, a 23.1% margin (up 1.6 points year over year). Of the extra revenue versus Q3 2025, 42% reached operating profit, above the 21% margin then. Total costs grew 6% against revenue growth of 9%. Net earnings were $137.5M, up 24% year over year. The effective tax rate was 19.6%.

Operating cash flow was $216.6M (down 12% year over year), 158% of net earnings. Non-cash charges added back $6.6M of depreciation and amortization and $7.6M of share-based compensation. Working capital and other items added $65.0M. Capital expenditures of $20.2M left free cash flow of $196.4M.

Questions

What was Medpace Holdings' revenue in the third quarter 2026?

Medpace Holdings (MEDP) reported revenue of $716M for the third quarter 2026 (Q3 2026), +9% from a year earlier and +1% from the quarter before.

Was Medpace Holdings profitable in the third quarter 2026?

Operating profit was $166M (23.1% of revenue) and net earnings $137M.

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Source: Medpace Holdings 10-Q on SEC EDGAR.