Medpace Holdings, Inc. (NASDAQ: MEDP)

Sector: Healthcare Industry: Diagnostics & Research CIK: 0001668397
Market Cap 12.35 Bn
P/B 26.90
P/E 27.38
P/S 4.88
ROIC (Qtr) 93.55
Div Yield % 0.00
Rev 1y % (Qtr) 32.03
Total Debt (Qtr) 113.64 Mn
Debt/Equity (Qtr) 0.25
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About

Medpace Holdings, Inc., a prominent player in the healthcare sector, operates under the stock symbol MEDP. As a clinical contract research organization (CRO), the company specializes in providing outsourced clinical development services to the biotechnology, pharmaceutical, and medical device industries. Medpace's headquarters are in the United States, but its operations span across the globe, encompassing 42 countries. Medpace's core business revolves around supporting the entire clinical development process, from Phase I to Phase IV, across a...

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Investment thesis

Bull case

  • Strong operating cash flow of 713.22M provides robust 6.28x coverage of total debt 113.64M, indicating excellent debt servicing capability and financial flexibility.
  • Operating cash flow of 713.22M provides strong 20.50x coverage of stock compensation 34.79M, indicating sustainable incentive practices.
  • Strong tangible asset base of 1.28B provides 11.26x coverage of total debt 113.64M, indicating robust asset backing and low credit risk.
  • Strong operating cash flow of 713.22M provides 3.61x coverage of SG&A expenses 197.56M, showing efficient operational cost management.
  • Robust free cash flow of 681.87M exceeds capital expenditure of 31.36M by 21.75x, indicating strong organic growth funding capability.

Bear case

  • Operating cash flow of 713.22M barely covers its investment activities of (31.14M), with a coverage ratio of -22.90, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Operating cash flow of 713.22M provides insufficient coverage of deferred revenue obligations of 854.39M, which is 0.83x, raising concerns about future service delivery capabilities.
  • High financing cash flow of (860.39M) relative to working capital of (354.12M), which is 2.43x suggests concerning dependence on external funding for operational needs.
  • Operating cash flow of 713.22M is outpaced by equity issuance of (860.39M) (-0.83 ratio), indicating concerning reliance on equity markets for funding operations.
  • Cash position of 497.05M provides only -38.89x coverage of interest expenses of (12.78M), indicating potential refinancing risks in a rising rate environment.

Product and Service Breakdown of Revenue (2025)

Segments Breakdown of Revenue (2025)

Peer comparison

Companies in the Diagnostics & Research
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 TMO Thermo Fisher Scientific Inc. 195.62 Bn 145.81 18.20 35.68 Bn
2 DHR Danaher Corp /De/ 150.95 Bn 25.70 7.18 16.86 Bn
3 IDXX Idexx Laboratories Inc /De 50.58 Bn 49.23 12.14 1.09 Bn
4 A Agilent Technologies, Inc. 35.16 Bn 26.99 5.06 3.35 Bn
5 DGX Quest Diagnostics Inc 32.69 Bn 61.34 4.50 6.38 Bn
6 NTRA Natera, Inc. 28.52 Bn -92.25 13.48 0.18 Bn
7 IQV Iqvia Holdings Inc. 28.27 Bn 20.79 1.73 15.95 Bn
8 MTD Mettler Toledo International Inc/ 27.89 Bn 32.09 6.93 2.15 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 6.17 2.51
EV to Cash from Ops. EV/CFO 17.08 23.19
EV to Debt EV to Debt 107.21 49.21
EV to EBIT EV/EBIT 23.01 13.76
EV to EBITDA EV/EBITDA 20.79 15.54
EV to Free Cash Flow [EV/FCF] EV/FCF 17.87 16.92
EV to Market Cap EV to Market Cap 0.99 1.99
EV to Revenue EV/Rev 4.82 4.86
Price to Book Value [P/B] P/B 26.90 -21.66
Price to Earnings [P/E] P/E 27.38 12.88
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 -1.84
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 2.86
Dividend per Basic Share Div per Share (Qtr) 0.00 0.19
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 1.94
Interest Coverage Int. cover (Qtr) -41.44 -137.21
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) 14.21 -37.66
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -25.75 23.39
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 0.25
EBIAT Growth (1y) % EBIAT 1y % (Qtr) 14.97 28.29
EBITDA Growth (1y) % EBITDA 1y % (Qtr) 17.39 27.21
EBIT Growth (1y) % EBIT 1y % (Qtr) 17.45 25.03
EBT Growth (1y) % EBT 1y % (Qtr) 13.96 9.12
EPS Growth (1y) % EPS 1y % (Qtr) 19.75 32.52
FCF Growth (1y) % FCF 1y % (Qtr) 19.15 61.96
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) 15.89 185.72
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 1.28 0.57
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.01
Cash Ratio Cash Ratio (Qtr) 0.37 1.29
Current Ratio Curr Ratio (Qtr) 0.74 2.91
Debt to Equity Ratio Debt/Equity (Qtr) 0.25 -2.51
Interest Cover Ratio Int Coverage (Qtr) -41.44 -137.21
Times Interest Earned Times Interest Earned (Qtr) -41.44 -137.21
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) 23.00 -96.62
EBIT Margin % EBIT Margin % (Qtr) 20.93 -115.03
EBT Margin % EBT Margin % (Qtr) 21.44 -113.62
Gross Margin % Gross Margin % (Qtr) 30.10 44.75
Net Profit Margin % Net Margin % (Qtr) 17.80 -112.47