Medpace Holdings Inc

MEDP: XNAS (USA)

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Medpace Earnings: Despite Strong Revenue, Elevated Cancellations Worry Investors; Shares Tank 16%

Rachel Elfman

Feb 11, 2026

Medpace reported fourth-quarter revenue of $708.5 million, growing 32% over the prior-year period. However, elevated cancellations resulted in a net book/bill ratio of 1.04 times in the quarter, down sequentially from 1.20 in the third quarter. The stock dropped 16% on Feb. 10.

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Medpace Holdings Inc

Medpace Earnings: Despite Strong Revenue, Elevated Cancellations Worry Investors; Shares Tank 16%

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