Medpace Q2 2026 slides: bookings surge 28%, guidance raised By Investing.com
Medpace (NASDAQ:MEDP) reported Q2 2026 revenue of $707.3M, up 17.2% YoY, with net new business awards rising 28.2% to $795.7M and a book-to-bill of 1.13x. Diluted EPS was $4.25. The company raised FY2026 guidance to revenue $2.805B-$2.885B and EBITDA $618M-$642M.
How this was made
The 30-second read
Why it matters
The key trade driver is the combination of accelerating net new business awards (+28.2%) and an across-the-board guidance increase for 2026 revenue, EBITDA, and EPS.
Market read
Investors likely reprice Medpace’s 2026 growth trajectory due to improved book-to-bill and higher revenue/EBITDA/EPS ranges.
What to watch
Customer concentration increased (top five at 31% of revenue), and free cash flow conversion moderated versus the prior year, which could temper the quality of earnings.
Background
Medpace is a clinical research organization; the article frames Q2 performance around bookings, backlog conversion, and profitability, then updates full-year guidance.
Ticker impact
Medpace reported Q2 2026 revenue of $707.3M (+17.2% YoY), net bookings +28.2%, and raised full-year 2026 guidance.
Bullish bias for the next several sessions as investors reprice 2026 growth and backlog conversion.
The article provides specific, time-sensitive datapoints: Q2 results, book-to-bill improvement, and higher FY revenue/EBITDA/EPS ranges, which typically drive immediate repricing.
Market effects
Positive read-through for clinical research outsourcing demand and backlog conversion trends, potentially supporting sentiment across CRO peers.
Primarily US-listed growth/CRO sentiment; limited direct regional spillover beyond healthcare services investors.
Global biopharma outsourcing demand signal, though the article is company-specific and does not cite cross-border regulatory or macro shocks.
Counterpoint
Bookings strength may not fully translate into revenue if backlog conversion slows or cancellations rise in the second half, despite the raised guidance.
Key entities
- companyMedpace Holdings
Reported Q2 2026 results with a bookings surge and raised full-year 2026 guidance.
- personAugust Troendle
CEO quoted on oncology regaining momentum and cardiometabolic bookings notifications dropping.

