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目錄

美國
證券交易委員會
華盛頓特區20549
___________________________________________
表格 10-Q
___________________________________________
(標記一個)
x根據1934年證券交易法第13或15(d)條款的季度報告。
截至截止季度 二零二四年九月三十日
o根據1934年證券交易法第13或15(d)條款的過渡報告
為過渡期從        至         。
委員會文件號碼: 001-37856
___________________________________________
Medpace Holdings, Inc.
(依憑章程所載的完整登記名稱)
___________________________________________
特拉華州32-0434904
(依據所在地或其他管轄區)
的註冊地或組織地點)
(國稅局雇主識別號碼)
識別號碼)
5375 Medpace Way, 辛辛那提, 俄亥俄州 45227
(主要行政辦公室的地址)(郵政編碼)
(513) 579-9911
(註冊人電話號碼,包括區號)
根據法案第12(b)條規定註冊的證券:
每種類別的名稱交易標的(s)每個註冊交易所的名稱
普通股票 $0.01 每股面值MEDP納斯達克全球精選市場
請勾選以下項目,以判定在過去12個月(或更短期間,該註冊人被要求提交報告)內所有根據1934年證券交易法第13條或第15(d)條要求提供報告的報告是否已經提交,並且該註冊人在過去90天中是否受到提交報告的要求。 xo
在前12個月內(或公司需要提交這些文件的較短時間內),公司是否已通過選中標記表明已閱讀並提交了應根據S-t法規第405條規定(本章第232.405條)提交的所有互動式數據文件? xo
請藉由勾選方框來指示公司是否為大型高速提交者、高速提交者、非高速提交者、較小的報告公司或新興成長公司。請參閱《交易所法》第120億2條對「大型高速提交者」、「高速提交者」、「較小的報告公司」和「新興成長公司」的定義。
大型加速歸檔人x加速歸檔人o
非加速歸檔人o小型報告公司o
新興成長型企業o
若為新興成長型公司,請勾選核准,以示公司是否已選擇不使用根據《交易所法》第13(a)條提供的任何新的或修訂的財務會計標準的延長過渡期。 o
在核准的名冊是否屬於殼公司(如股市法規第1202條所定義之意義)方面,請用勾選符號表示。是 ox
指示每一種發行人普通股的流通股數,截至最近可實施日期。
Class A普通股股份總數
普通股票 $0.01 每股面值
31,081,601 截至2024年10月18日,流通股份為


目錄
MEDPACE控股公司及附屬公司
表格10-Q
截至2024年9月30日的季度期結束
目 錄
項目編號頁面
28
-2-

目錄
第一部分 — 財務資訊
項目1. 基本報表
MEDPACE控股公司及附屬公司
簡明合併資產負債表(未經查核)
(除股份數量外,金額單位為千元)
截至日期
九月三十日,
2024
12月31日,
2023
資產
流動資產:
現金及現金等價物$656,900 $245,449 
應收賬款及待開票款,淨額(包括截至2024年9月30日和2023年12月31日之前的與相關方的款項,金額為$9.9 百萬美元和2.4 百萬,分別為2024年9月30日和2023年12月31日)
311,466 298,400 
預付費用和其他流通資產(包括截至2023年12月31日之前的與相關方的款項,金額為$0.3 百萬)
64,229 49,979 
全部流動資產1,032,595 593,828 
物業及設備,扣除折舊後淨值124,058 120,589 
營運租賃權使用資產130,547 144,801 
商譽662,396 662,396 
無形資產,扣除累計攤銷34,727 35,809 
推延所得稅76,683 74,435 
其他資產23,055 24,970 
資產總額$2,084,061 $1,656,828 
負債和股東權益
流動負債:
Accounts payable (includes $0.2 百萬美元和3.1 截至2024年9月30日和2023年12月,與相關方的資產合計為百萬美元。
$26,201 $31,869 
應計費用306,868 292,961 
愛文思控股帳款(包括2024年9月30日和2023年12月分別與相關方的百萬美元)。12.8 百萬美元和10.1 截至2024年9月30日和2023年12月,與相關方的資產帳款為百萬美元。
670,939 559,860 
其他流動負債37,346 40,441 
流動負債合計1,041,354 925,131 
營業租賃負債128,277 142,122 
未來所得稅負債2,289 2,404 
其他長期負債30,702 28,221 
總負債1,202,622 1,097,878 
承諾和事項(請參閱附註11)
股東權益:
優先股 - $0.01 面額; 5,000,000 授權股份為 2024年9月30日和2023年12月31日發行並流通的股份數。
  
普通股 - $0.01 面額; 250,000,000 2024年9月30日和2023年12月31日授權的股份數; 31,081,60130,752,292 於2024年9月30日和2023年12月31日分別發行和流通的股份
311 308 
庫藏股 - 70,07370,573 分別為2024年9月30日及2023年12月31日
(12,235)(12,322)
資本公積額額外增資836,903 802,681 
保留盈餘(累積赤字)65,636 (221,645)
累積其他全面損失(9,176)(10,072)
股東權益總額881,439 558,950 
總負債及股東權益$2,084,061 $1,656,828 

請參閱基本報表摘要中的注釋。
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目錄
MEDPACE控股公司及附屬公司
簡明合併損益表(未經核數)
(金額以千元為單位,除每股金額外)結束於三個月的期間
九月三十日,
九個月結束了
九月三十日,
 2024202320242023
營業收入,凈(其中包括自2024年和2023年9月30日結束時與相關方共計$百萬)15.5 百萬與相關方共計,截至2024年和2023年9月30日結束時(其中包括$百萬)39.5 百萬美元和44.6 於2024年和2023年截至9月30日的九個月分別向相關方收取百萬美元
$533,317 $492,499 $1,572,465 $1,387,441 
營業費用:
直接服務成本(不包括折舊和攤提)171,540 164,364 514,573 473,958 
外支出報酬的成本192,769 194,942 579,904 525,784 
總直接成本364,309 359,306 1,094,477 999,742 
銷售,一般及行政費用49,217 41,407 134,751 118,838 
折舊7,158 6,329 20,663 17,707 
攤銷360 549 1,082 1,649 
營業費用總計421,044 407,591 1,250,973 1,137,936 
營業收入112,273 84,908 321,492 249,505 
其他收益(支出),淨額:
其他(費用)收入,淨額(1,025)(1,602)3,435 (2,198)
利息收入(費用),淨額7,528 (105)17,113 (2,332)
其他綜合損益數額,淨額6,503 (1,707)20,548 (4,530)
稅前收入118,776 83,201 342,040 244,975 
所得稅負擔22,350 12,651 54,672 40,463 
凈利潤$96,426 $70,550 $287,368 $204,512 
普通股東應佔每股凈利潤:
基礎$3.11 $2.30 $9.28 $6.65 
稀釋$3.01 $2.22 $8.96 $6.42 
加權平均普通股股本:
基礎31,04730,62930,96030,723
稀釋32,08831,76232,06031,839
請參閱基本報表摘要中的注釋。

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目錄
MEDPACE控股公司及附屬公司
未經審計的綜合損益簡明綜合財務報表
(數字以千為單位)結束於三個月的期間
九月三十日,
九個月結束了
九月三十日,
2024202320242023
凈利潤$96,426 $70,550 $287,368 $204,512 
其他全面收益(損失)
外币翻译调整,税后净额3,413 (1,676)896 (478)
綜合收益$99,839 $68,874 $288,264 $204,034 
請參閱基本報表摘要中的注釋。
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目錄
MEDPACE控股公司及附屬公司
未經審計的精簡綜合股東權益報表
(數字以千為單位)
Common 股票
金融部門 股票
額外的
資本剩餘
資本
累積赤字
累計
其他
綜合
虧損
總計
賬戶餘額 — 2022年12月31日$309 $(12,497)$770,794 $(359,827)$(12,392)$386,387 
凈利潤72,894 72,894 
外幣兌換1,078 1,078 
以股份為基礎之報酬支出5,438 5,438 
行使股票期權4 2,459 2,463 
購回普通股(7)(120,991)(120,998)
庫藏股票的再發行175 (175) 
賬面餘額- 2023年3月31日$306 $(12,322)$778,691 $(408,099)$(11,314)$347,262 
凈利潤61,068 61,068 
外幣兌換120 120 
以股份為基礎之報酬支出4,906 4,906 
行使股票期權1 1,695 1,696 
購回普通股(1)(23,991)(23,992)
餘額 — 2023年6月30日$306 $(12,322)$785,292 $(371,022)$(11,194)$391,060 
凈利潤70,550 70,550 
外幣兌換(1,676)(1,676)
以股份為基礎之報酬支出5,007 5,007 
行使股票期權1 5,695 5,696 
購回普通股275 275 
賬戶餘額 — 2023年9月30日$307 $(12,322)$795,994 $(300,197)$(12,870)$470,912 
Common 股票
金融部門 股票
額外的
資本剩餘
資本
未分配利潤(累積虧損)
累計
其他
綜合
虧損
總計
賬目 ─ 2023年12月31日$308 $(12,322)$802,681 $(221,645)$(10,072)$558,950 
凈利潤102,591 102,591 
外幣兌換(1,969)(1,969)
以股份為基礎之報酬支出4,310 4,310 
行使股票期權2 7,658 7,660 
庫藏股票的再發行87 (87) 
賬戶餘額-2024年3月31日$310 $(12,235)$814,649 $(119,141)$(12,041)$671,542 
凈利潤88,351 88,351 
外幣兌換(548)(548)
以股份為基礎之報酬支出3,588 3,588 
行使股票期權666 666 
賬戶餘額 — 2024年6月30日$310 $(12,235)$818,903 $(30,790)$(12,589)$763,599 
凈利潤96,426 96,426 
外幣兌換3,413 3,413 
以股份為基礎之報酬支出11,727 11,727 
行使股票期權1 6,273 6,274 
賬戶餘額 — 2024年9月30日$311 $(12,235)$836,903 $65,636 $(9,176)$881,439 
See notes to condensed consolidated financial statements.
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MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(Amounts in thousands)Nine Months Ended
September 30,
20242023
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income$287,368 $204,512 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation20,663 17,707 
Amortization1,082 1,649 
Stock-based compensation expense19,625 15,351 
Noncash lease expense17,305 14,579 
Deferred income tax benefit(2,433)(11,308)
Other(3,836)821 
Changes in assets and liabilities:
Accounts receivable and unbilled, net(13,032)(39,314)
Prepaid expenses and other current assets(11,108)(8,954)
Accounts payable(3,029)(921)
Accrued expenses13,933 54,923 
Advanced billings111,079 56,026 
Lease liabilities(15,417)(14,433)
Other assets and liabilities, net(4,051)(13,659)
Net cash provided by operating activities418,149 276,979 
CASH FLOWS FROM INVESTING ACTIVITIES:
Property and equipment expenditures(28,905)(26,662)
Other8,159 30 
Net cash used in investing activities(20,746)(26,632)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from stock option exercises14,600 9,855 
Repurchases of common stock (144,020)
Proceeds from revolving loan 105,000 
Payments on revolving loan (155,000)
Net cash provided by (used in) financing activities14,600 (184,165)
EFFECT OF EXCHANGE RATES ON CASH, CASH EQUIVALENTS, AND
RESTRICTED CASH
(552)760 
INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH411,451 66,942 
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH — Beginning of period245,449 28,265 
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH — End of period$656,900 $95,207 
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION —
Acquisition of property and equipment—non-cash$2,685 $4,704 
See notes to condensed consolidated financial statements.
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MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
September 30, 2024
(1) Basis of Presentation
Description of Business
Medpace Holdings, Inc. (together with its subsidiaries, “Medpace” or the “Company”), a Delaware corporation, is a global provider of clinical research-based drug and medical device development services. The Company partners with pharmaceutical, biotechnology, and medical device companies in the development and execution of clinical trials. The Company’s drug development services focus on full service Phase I-IV clinical development services and include development plan design, project management, regulatory affairs, clinical monitoring, data management and analysis, pharmacovigilance new drug application submissions, post-marketing clinical support, laboratory services, clinical human pharmacology, imaging services, and electrocardiography reading support for clinical trials.
The Company’s operations are principally based in North America, Europe, and Asia.
Unaudited Interim Financial Information
The interim condensed consolidated financial statements include the accounts of the Company, are prepared in conformity with U.S. generally accepted accounting principles (“GAAP”), and are unaudited. In the opinion of the Company’s management, all adjustments of a normal recurring nature necessary for a fair presentation have been reflected. Certain financial information that is normally included in annual financial statements prepared in accordance with GAAP, but that is not required for interim reporting purposes, has been omitted. The preparation of the interim condensed consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the interim condensed consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results and outcomes could differ from management’s estimates and assumptions. As such, the information included in this quarterly report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements and related notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2023.
Share Repurchases

In the fourth quarter of 2022, the Board approved a stock repurchase program of up to $500.0 million. The Company did not execute any share repurchases during the three and nine months ended September 30, 2024. The Company did not execute any share repurchases during the three months ended September 30, 2023. During the nine months ended September 30, 2023, the Company repurchased 781,068 shares for $144.0 million. As of September 30, 2024, the Company has remaining authorization of $308.8 million under the repurchase program.
Repurchases under the share repurchase program are executed in the open market or negotiated transactions under trading plans put in place pursuant to Rule 10b5-1. The Company constructively retired the repurchased shares associated with these approved share repurchases, except for a small portion which were retained as Treasury Shares on the condensed consolidated statements of shareholders' equity. Retired share repurchase amounts paid in excess of par value are reflected within Accumulated deficit/Retained earnings in the Company’s condensed consolidated balance sheets.
Recently Issued Accounting Pronouncements
In November 2023, the FASB issued ASU 2023-07, "Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures" which requires entities to enhance disclosures around segment reporting. The guidance is effective for annual periods beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company expects to adopt the standard in the fourth quarter of 2024 by adding additional segment related disclosures to the consolidated financial statement footnotes.
In December 2023, the FASB issued ASU 2023-09, "Income Taxes (Topic 740): Improvements to Income Tax Disclosures" which requires entities to enhance disclosures around income taxes. The guidance is effective for annual periods beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the effect this standard will have on its consolidated financial statements and related disclosures.
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(2) Net Income Per Share
Basic and diluted earnings or loss per share (“EPS”) are computed using the two-class method, which is an earnings allocation that determines EPS for each class of common stock and participating securities according to dividends declared and participation rights in undistributed earnings. The Company’s Restricted Stock Awards (“RSA”) are considered participating securities because they are legally issued at the date of grant and holders are entitled to receive non-forfeitable dividends during the vesting term.
The computation of diluted EPS includes additional common shares, such as unvested Restricted Stock Units (“RSU”) and stock options with exercise prices less than the average market price of the Company’s common stock during the period (“in-the-money options”), which would be considered outstanding. This assumes that additional shares would have to be issued in cases where the exercise price of stock options is less than the value of the common stock being acquired because the cash proceeds received from the stock option holder would not be sufficient to acquire that same number of shares. The Company does not compute diluted EPS in cases where the inclusion of such additional shares would be anti-dilutive in effect.
The following table sets forth the computation of basic and diluted earnings per share for the three and nine months ended September 30, 2024 and 2023 (in thousands, except for earnings per share):
Three Months Ended
September 30,
Nine Months Ended
September 30,
2024202320242023
Weighted-average shares:
Common shares outstanding31,04730,62930,96030,723
RSAs 21421
Total weighted-average shares31,04730,65030,96430,744
Earnings per common share—Basic
Net income$96,426 $70,550 $287,368 $204,512 
Less: Undistributed earnings allocated to RSAs (48)(41)(138)
Net income available to common shareholders—Basic$96,426 $70,502 $287,327 $204,374 
Net income per common share—Basic$3.11 $2.30 $9.28 $6.65 
Basic weighted-average common shares outstanding31,04730,62930,96030,723
Effect of diluted shares1,0411,1331,1001,116
Diluted weighted-average shares outstanding32,08831,76232,06031,839
Net income per common share—Diluted$3.01 $2.22 $8.96 $6.42 
    
During the three and nine months ended September 30, 2024, the Company had (in thousands) 5.6 and 80.2 stock options, respectively, that were excluded due to the exercise price exceeding the average fair value of the Company’s common stock during the period. During the nine months ended September 30, 2023, the Company had (in thousands) 0.6 stock options that were excluded due to the exercise price exceeding the average fair value of the Company’s common stock during the period.
(3) Fair Value Measurements
The Company follows accounting guidance related to fair value measurements that defines fair value, establishes a framework for measuring fair value, and establishes a hierarchy for inputs used in measuring fair value. This hierarchy maximizes the use of “observable” inputs and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. The hierarchy specifies three levels based on the inputs, as follows:
Level 1: Valuations based on quoted prices in active markets for identical assets or liabilities.
Level 2: Valuations based on directly observable inputs or unobservable inputs corroborated by market data.
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Level 3: Valuations based on unobservable inputs supported by little or no market activity representing management’s determination of assumptions of how market participants would price the assets or liabilities.
The fair value of financial instruments such as cash and cash equivalents, accounts receivable and unbilled, net, accounts payable, accrued expenses and advanced billings approximate their carrying amounts due to their short term maturities.
The Company does not have material recurring fair value measurements as of September 30, 2024. There were no material transfers between Level 1, Level 2 or Level 3 during the three and nine months ended September 30, 2024 and September 30, 2023.
(4) Contract Assets and Contract Liabilities
Contract assets and liabilities are reflected in the Company’s condensed consolidated balance sheets within the accounts reflected below.
Contract Assets
Accounts receivable represent amounts due from the Company’s customers who are concentrated primarily in the pharmaceutical, biotechnology, and medical device industries. Unbilled represents revenue recognized to date that has not been billed or is not yet contractually billable to the customer. In general, amounts become billable upon the achievement of negotiated contractual events, in accordance with predetermined payment schedules or when a reimbursable expense has been incurred. Amounts classified to unbilled are those billable to customers within one year from the respective balance sheet date.
Accounts receivable and unbilled, net consisted of the following (in thousands):
As of
September 30,
2024
December 31,
2023
Accounts receivable$304,754 $275,932 
Unbilled receivables6,712 22,475 
Less: allowance for doubtful accounts (7)
Total accounts receivable and unbilled, net$311,466 $298,400 
Contract Liabilities
Advanced billings represent cash received from customers, or billed amounts per an agreed upon payment schedule, in advance of services being performed or revenue being recognized.
Advanced billings consisted of the following (in thousands):
As of
September 30,
2024
December 31,
2023
Advanced billings$670,939 $559,860 
As of September 30, 2024 and December 31, 2023, the Company had approximately $3.5 billion and $2.9 billion of performance obligations remaining to be performed for active projects.
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(5) Intangible Assets, Net
Intangible assets, net consisted of the following (in thousands):
As of
September 30,
2024
December 31,
2023
Intangible assets:
Finite-lived intangible assets:
Carrying amount:
Customer relationships145,051 145,051 
Accumulated amortization:
Customer relationships(141,970)(140,888)
Total finite-lived intangible assets, net3,081 4,163 
Trade name (indefinite-lived)31,646 31,646 
Total intangible assets, net$34,727 $35,809 
As of September 30, 2024, estimated amortization expense of the Company’s intangible assets for each of the next five years is as follows (in thousands):
Amortization
Remainder of 2024
$361 
2025946 
2026620 
2027577 
2028577 
$3,081 
(6) Accrued Expenses
Accrued expenses consisted of the following (in thousands):
As of
September 30,
2024
December 31,
2023
Employee compensation and benefits$77,927 $75,822 
Project related reimbursable expenses219,542 205,864 
Other9,399 11,275 
Total accrued expenses$306,868 $292,961 
(7) Short-term Debt
On September 30, 2019 (the “Closing Date”), the Company obtained an unsecured credit facility in an aggregate principal amount up to $50.0 million (as amended from time to time, the “Credit Facility”) through its wholly owned subsidiaries, Medpace, Inc., as borrower (the “Borrower”), and Medpace IntermediateCo, Inc., as guarantor (the “Guarantor”).
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On the Closing Date, the Borrower and lender entered into a Loan Agreement (as it may be amended from time to time, the “Loan Agreement”) providing for the Credit Facility, and the Guarantor executed a Guaranty Agreement providing for its guarantee of the payment and performance of the obligations under the Loan Agreement. On March 31, 2023, the Company entered into Amendment No. 5 to the Loan Agreement, which changed the aggregate principal amount that may be borrowed under the facility’s line of credit to up to $150.0 million, adjusted the interest rate and fee charged on the credit facility and extended the expiration date of revolving credit note to March 29, 2024. On March 28, 2024, the Company entered into Amendment No. 6 to the Loan Agreement, which changed the aggregate principal amount that may be borrowed under the facility’s line of credit to up to $10.0 million and extended the expiration date of revolving credit note to March 31, 2025. The Credit Facility bears interest at a rate of the sum of The Secured Overnight Financing Rate (SOFR) plus 125 basis points (1.25%) or the highest of the Prime Rate, the sum of the Overnight Bank Funding Rate plus 50 basis points (0.50%) and the sum of Daily Simple SOFR plus 100 basis points (1.00%).
The Loan Agreement contains other customary loan terms, representations and warranties, and affirmative and negative covenants, in each case, subject to customary limitations, exceptions and exclusions. The Loan Agreement contains certain events of default, including, among others, non-payment of principal or interest and breach of the covenants.
(8) Leases
The Company enters into leases for real estate and equipment. Real estate leases are for our corporate office space and laboratories around the world. Real estate leases have remaining lease terms of less than 1 year to 16 years. Many of the Company’s leases include options to extend the leases on a month to month basis or for set periods for up to 20 years. Many leases also include options to terminate the leases within 1 year or per other contractual terms.
The components of lease expense were as follows (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2024202320242023
Operating lease cost$7,959 $7,002 $23,727 $20,637 
Variable lease cost2,904 2,372 8,305 6,544 
Supplemental cash flow information related to the leases was as follows (in thousands):
Nine Months Ended September 30,
20242023
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$16,232 $14,883 
Right-of-use assets obtained in exchange for lease obligations:
Operating leases2,222 20,412 
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Supplemental balance sheet information related to the leases was as follows (in thousands):
As of
September 30,
2024
December 31,
2023
Operating lease right-of-use assets - related parties$76,954 $83,065 
Operating lease right-of-use assets - non-related parties53,593 61,736 
Operating lease right-of-use assets$130,547 $144,801 
Other current liabilities - related parties6,164 5,730 
Other current liabilities - non-related parties17,452 16,635 
Other current liabilities$23,616 $22,365 
Operating lease liabilities - related parties85,884 90,568 
Operating lease liabilities - non-related parties42,393 51,554 
Operating lease liabilities128,277 142,122 
Total operating lease liabilities$151,893 $164,487 
Weighted Average Remaining Lease Term (years)
Operating leases9.710.0
Weighted Average Discount Rate
Operating leases5.7 %5.6 %
Lease payments due related to lease liabilities as of September 30, 2024 were as follows (in thousands):
Related Party
Operating Leases
Non-Related Parties
Operating Leases
Total
Operating Leases
Remainder of 2024
$2,875 $5,599 $8,474 
202511,607 18,054 29,661 
202611,807 14,811 26,618 
202710,839 11,533 22,372 
20288,609 6,524 15,133 
Later years91,669 10,017 101,686 
Total lease payments137,406 66,538 203,944 
Less: imputed interest(45,358)(6,693)(52,051)
Total$92,048 $59,845 $151,893 
As of September 30, 2024, we have additional leases with contractual obligations, which have not yet commenced, including future payments of $4.8 million.
(9) Shareholder’s Equity and Stock-Based Compensation
The Company granted 191,776 awards to employees under the 2016 Incentive Award Plan during the nine months ended September 30, 2024, consisting of 116,626 RSU and 24,650 stock option awards having five year vesting schedules, 500 RSU having four year vesting schedules and 50,000 stock option awards that vested upon issuance. The Company granted an additional 6,542 stock option awards to non-employee directors under the 2016 Incentive Award Plan during the nine months ended September 30, 2024. These awards are scheduled to vest on the earlier of (a) the day immediately preceding the date of the first annual meeting following the date of grant and (b) the first anniversary of the date of grant, subject to the non-employee director continuing in service through the applicable vesting date.
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Award Activity
The following table sets forth the Company’s stock option activity:
Nine Months Ended September 30, 2024
Stock Options Weighted Average
Exercise Price
Outstanding - beginning of period1,343,287$100.75 
Granted81,192$378.45 
Exercised(235,451)$62.01 
Cancelled/Forfeited/Expired(4,953)$191.17 
Outstanding - end of period1,184,075$127.12 
Exercisable - end of period854,262$107.24 
The following table sets forth the Company’s RSA/RSU activity:
Nine Months Ended
September 30, 2024
Shares/Units
Outstanding and unvested - beginning of period390,998
Granted117,126
Vested(93,858)
Forfeited(21,186)
Outstanding and unvested - end of period393,080
Stock-based compensation expense recognized in the condensed consolidated statements of operations related to all outstanding stock-based compensation awards is summarized below (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2024202320242023
Total direct costs$2,787 $2,745 $7,565 $8,243 
Selling, general and administrative8,940 2,262 12,060 7,108 
Total stock-based compensation expense$11,727 $5,007 $19,625 $15,351 
(10) Income Taxes
The Company’s effective income tax rate was 18.8% and 15.2% for the three months ended September 30, 2024 and 2023, respectively. The Company's effective income tax rate was 16.0% and 16.5% for the nine months ended September 30, 2024 and 2023, respectively. The Company’s effective income tax rate for the three months ended September 30, 2024 and the nine months ended September 30, 2024 varied from the U.S. statutory rate of 21% primarily due to the impact of the state taxes, which was favorably offset by excess tax benefits recognized from share-based compensation and tax benefits related to Foreign Derived Intangible Income (FDII).
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(11) Commitments and Contingencies
Legal Proceedings
The Company is involved in legal proceedings from time to time in the ordinary course of its business, including employment claims and claims related to other business transactions. The Company cannot predict with certainty the outcome of such proceedings, but it believes that adequate reserves have been recorded and losses already recognized with respect to such proceedings, which were immaterial as of September 30, 2024 and December 31, 2023. There is a reasonable possibility that a loss exceeding amounts already recognized may be incurred related to these actions; however, the Company believes that such potential losses were immaterial as of September 30, 2024.
Purchase Commitments
The Company has several minimum purchase commitments for project related supplies totaling $15.9 million as of September 30, 2024. In return for the commitment, Medpace receives preferential pricing. The commitments expire at various times through 2029.
(12) Related Party Transactions
Employee Loans
The Company periodically extends short term loans or advances to employees, typically upon commencement of employment. Total receivables as a result of these employee advances of $0.3 million at September 30, 2024 and December 31, 2023, and are included in the Prepaid expenses and other current assets and Other assets line items of the condensed consolidated balance sheets, respectively, depending on the contractual repayment date.
Service Agreement
LIB Therapeutics LLC and subsidiaries (“LIB”)
Certain executives and employees of the Company, including the chief executive officer, are members of LIB’s board of managers. The Company entered into a MSA dated November 24, 2015 with LIB, a company that engages in research, development, marketing and commercialization of pharmaceutical drugs. Subsequently, the Company and LIB have entered into several task orders for the Company to perform clinical trial related services. The Company recognized total revenue from LIB of $8.3 million and $10.1 million during the three months ended September 30, 2024 and 2023, respectively, and $18.7 million and $33.1 million during the nine months ended September 30, 2024 and 2023, respectively, in the Company’s condensed consolidated statements of operations. As of September 30, 2024 and December 31, 2023, respectively, the Company had Advanced billings from LIB of $7.2 million and $7.6 million in the condensed consolidated balance sheets. In addition, as of September 30, 2024 and December 31, 2023, respectively, the Company had Accounts receivable and unbilled, net from LIB of $8.3 million and $0.5 million in the condensed consolidated balance sheets.
CinRX Pharma, subsidiaries and affiliates (“CinRx”)
Certain executives and employees of the Company, including the chief executive officer, are members of CinRx’s board of managers and/or have equity investments in CinRx, a biotech company. The Company and CinRx have entered into several task orders for the Company to perform clinical trial related services. The Company recognized total revenue from CinRx of $7.2 million and $5.3 million during the three months ended September 30, 2024 and 2023, respectively, and $20.8 million and $11.4 million during the nine months ended September 30, 2024 and 2023, respectively, in the Company’s condensed consolidated statements of operations. As of September 30, 2024 and December 31, 2023, respectively, the Company had Advanced billings from CinRx of $5.6 million and $2.5 million in the condensed consolidated balance sheets. As of September 30, 2024 and December 31, 2023 the Company had Accounts receivable and unbilled, net from CinRx of $1.6 million and $1.9 million, respectively, in the condensed consolidated balance sheets. In addition, as of September 30, 2024 and December 31, 2023 the Company had Prepaid expenses and other current assets with CinRx of less than $0.1 million and $0.2 million, respectively, in the condensed consolidated balance sheets.
The Summit Hotel (“The Summit”)
The Summit Hotel, located on the Medpace campus, is owned by the chief executive officer, and managed by an unrelated hospitality management entity. Medpace incurs travel lodging and meeting expenses at The Summit. Medpace incurred expenses of $0.1 million during the three months ended September 30, 2024 and 2023, and $0.3 million during the nine months ended September 30, 2024 and 2023 at The Summit.
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Leased Real Estate
Campus Headquarters Leases
The Company entered into an operating lease for the occupancy of office space in a building in Cincinnati, Ohio with an entity that is wholly owned by the chief executive officer of the Company. The Company has evaluated its relationship with the related party and concluded that the related party is not a variable interest entity because the Company has no direct ownership interest or relationship other than the lease. The lease was renewed in the first quarter of fiscal year 2023 for a term of ten years through December 2032 with a renewal option for one 10-year term at prevailing market rates. The Company pays rent, taxes, insurance, and maintenance expenses that arise from the use of the property. Annual base rent for its corporate headquarters allows for adjustments to the rental rate annually for increases in the consumer price index. The Company has determined that the lease is an operating lease. Operating lease cost recognized for the three months ended September 30, 2024 and 2023 was $0.7 million. Operating lease cost recognized for the nine months ended September 30, 2024 and 2023 was $2.1 million and $2.0 million, respectively. The operating lease cost was allocated between Total direct costs and Selling, general and administrative in the condensed consolidated statements of operations. The Operating lease right-of-use assets at September 30, 2024 and December 31, 2023 were $18.1 million and $19.3 million, respectively, in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at September 30, 2024 were $1.6 million and $16.9 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at December 31, 2023 were $1.5 million and $18.1 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets.
In 2018, Medpace, Inc. entered into a multi-year lease agreement governing future occupancy of additional office space in Cincinnati, Ohio with an entity that is wholly owned by the Company’s chief executive officer and certain members of his immediate family. The Company began to occupy the premises in the second quarter of fiscal year 2020. The lease expires in 2040 and the Company has two 10-year options to extend the term of the lease. The Company pays rent, taxes, insurance, and maintenance expenses that arise from the use of the property. Annual base rent for the corporate headquarters allows for adjustments to the rental rate annually for increases in the consumer price index. The Company has determined that the lease is an operating lease. Operating lease cost recognized for the three months ended September 30, 2024 and 2023 was $1.5 million. Operating lease cost recognized for the nine months ended September 30, 2024 and 2023 was $4.3 million. The operating lease cost was allocated between Total direct costs and Selling, general and administrative in the condensed consolidated statements of operations. The Operating lease right-of-use assets at September 30, 2024 and December 31, 2023 were $50.6 million and $51.9 million, respectively, in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at September 30, 2024 were $1.5 million and $62.4 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at December 31, 2023 were $1.3 million and $63.5 million, respectively and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets.
The Company entered into a multi-year lease agreement governing the occupancy of office space in a building in Cincinnati, Ohio with an entity that is wholly owned by the Company’s chief executive officer and certain members of his immediate family. The Company assumed occupancy in 2012 and the lease expires in 2027 with the Company having one 10-year option to extend the lease term. The Company pays rent, taxes, insurance, and maintenance expenses that arise from the use of the property. Annual base rent for the corporate headquarters allows for adjustments to the rental rate annually for increases in the consumer price index. The Company has determined that the lease is an operating lease. Operating lease cost recognized for the three months ended September 30, 2024 and 2023 was $0.6 million. Operating lease cost recognized for the nine months ended September 30, 2024 and 2023 was $1.9 million. The operating lease cost was allocated between Total direct costs and Selling, general and administrative in the condensed consolidated statements of operations. The Operating lease right-of-use assets at September 30, 2024 and December 31, 2023 were $6.9 million and $8.5 million, respectively, in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at September 30, 2024 were $2.2 million and $4.8 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at December 31, 2023 were $2.1 million and $6.4 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets.
The Company entered into a multi-year lease agreement governing the occupancy of office space in a building in Cincinnati, Ohio with an entity that is wholly owned by the Company’s chief executive officer and certain members of his immediate family. The Company assumed occupancy in 2012 and the lease expires in 2027 with the Company having one 10-year option to extend the lease term. In the first quarter of 2024, the Company reduced the lease term in connection with
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a plan to replace the leased office beginning in early 2025. The Company pays rent, taxes, insurance, and maintenance expenses that arise from the use of the property. Annual base rent for the corporate headquarters allows for adjustments to the rental rate annually for increases in the consumer price index. The Company has determined that the lease is an operating lease. Operating lease cost recognized for the three months ended September 30, 2024 and 2023 was $0.7 million and $0.3 million, respectively. Operating lease cost recognized for the nine months ended September 30, 2024 and 2023 was $2.2 million and $0.8 million, respectively. The operating lease cost was allocated between Total direct costs and Selling, general and administrative in the condensed consolidated statements of operations. The Operating lease right-of-use assets at September 30, 2024 and December 31, 2023 were $1.4 million and $3.4 million, respectively, in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at September 30, 2024 were $0.9 million and $1.8 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets. The current and long-term portions of the lease liabilities at December 31, 2023 were $0.9 million and $2.5 million, respectively, and were recognized in Other current liabilities and Operating lease liabilities in the condensed consolidated balance sheets.
Travel Services
The Company incurs expenses for travel services for company executives provided by private aviation charter companies which is a company controlled by the chief executive officer of the Company (each a “private aviation charter”). The Company may contract directly with the private aviation charter for the use of its aircraft or indirectly through a third party aircraft management and jet charter company (the “Aircraft Management Company”). The travel services provided are primarily for business purposes, with certain personal travel paid for as part of the executives’ compensation arrangements. The Aircraft Management Company also makes the private aviation charter aircraft available to third parties. The Company incurred travel expenses of $0.4 million and $0.7 million during the three months ended September 30, 2024 and 2023, respectively, and $1.4 million and $1.5 million during the nine months ended September 30, 2024 and 2023, respectively, related to these travel services. These travel expenses are recorded in Selling, general and administrative in the Company’s condensed consolidated statements of operations. As of September 30, 2024 and December 31, 2023, the Company had Accounts payable to the Aircraft Management Company of $0.1 million and $0.4 million, respectively, in the condensed consolidated balance sheets.
(13) Entity Wide Disclosures
Revenue by Category
The following table disaggregates our revenue by major source (in thousands):
Three Months Ended
September 30,
Nine Months Ended
September 30,
2024202320242023
Therapeutic Area
Oncology$164,917 $149,326 $483,067 $438,366 
Metabolic124,733 103,118 334,674 277,818 
Other107,371 106,160 328,203 294,319 
Cardiology55,814 44,360 172,150 142,107 
Central Nervous System42,098 43,989 132,753 120,412 
AVAI38,384 45,546 121,618 114,419 
Total revenue$533,317 $492,499 $1,572,465 $1,387,441 
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
You should read the following discussion and analysis of our financial condition and results of operations in conjunction with our condensed consolidated financial statements and the notes thereto included elsewhere in this Quarterly Report on Form 10-Q, with our audited consolidated financial statements and the notes thereto included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023 and with the information under the heading “Management Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023. This item and the related discussion contain forward-looking statements reflecting current expectations that involve risks and uncertainties. Actual results and the timing of events may differ materially from those indicated in such forward-looking statements. Important factors that may cause such differences include, but are not limited to, those discussed under the “Forward-Looking Statements” below and “Risk Factors” in “Item 1A Risk Factors” of Part I of our Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
Forward-Looking Statements
This Quarterly Report on Form 10-Q contains forward-looking statements. We intend such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. All statements other than statements of historical facts contained herein, are forward looking statements. Forward looking statements include, without limitation, statements regarding our results of operations; financial position and performance; liquidity and our ability to fund our business operations and initiatives; capital expenditure and debt service obligations; business strategies, plans and goals, including those related to marketing, acquisitions and expansion of our business; product approvals and plans; industry trends; general economic conditions, including inflation and other pricing pressures that could decrease our operating margins; expectations regarding consumer behaviors and trends; our culture and operating philosophy; human resource management; arrangements with and delivery of our services to the customers; conversion of backlog; dividend policy; legal proceedings; and our objectives for future operations. The words “expect,” “anticipate,” “intend,” “plan,” “believe,” “seek,” “see,” “will,” “would,” “target,” “likely,” “opportunity,” “may,” “could,” “outlook,” “can,” “trend,” “might,” “drives,” “hope,” “potential,” “project,” “predict,” and similar expressions are intended to identify forward-looking statements. However, the absence of these words does not mean that a statement is not forward-looking. Forward-looking statements are based largely on our current expectations and projections about future events and financial or other trends that we believe may affect our financial condition, results of operations, business strategy, short-term and long-term business operations and objectives, and financial needs. Any forward-looking statement speaks only as of the date it is made. These forward-looking statements are subject to inherent uncertainties, risks, changes in circumstances and other important factors that are difficult to predict. Moreover, we operate in a very competitive and rapidly changing environment in which new risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all important factors on our business or the extent to which any factor, or combination of such factors, may cause actual results to differ materially from those contained in any forward-looking statements we may make. In light of these risks, uncertainties and assumptions, the forward-looking events and circumstances discussed may not occur and our financial condition and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements. In other words, these statements are not guarantees of future performance and inherently involve a wide range of risks and uncertainties that are difficult to predict. We caution you therefore against relying on these forward-looking statements.
We qualify all of our forward-looking statements by these cautionary statements. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise. For a further discussion of the risks relating to our business, see “Item 1A Risk Factors” of our Annual Report on Form 10-K for the fiscal year ended December 31, 2023 and “Part II – Other Information, Item 1A Risk Factors” herein.
Business Overview
We are one of the world’s leading clinical contract research organizations, or CROs, by revenue, solely focused on providing scientifically-driven outsourced clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics. We differentiate ourselves from our competitors by our disciplined operating model centered on providing full-service Phase I-IV clinical development services and our therapeutic expertise. We believe this combination results in timely and cost-effective delivery of clinical development services for our customers. We believe that we are a partner of choice for small- and mid-sized biopharmaceutical companies based on our ability to consistently utilize our full-service, disciplined operating model to deliver timely and high-quality results for our customers.
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We focus on conducting clinical trials across all major therapeutic areas, with particular strength in Oncology, Metabolic Disease, Cardiology, Central Nervous System, or CNS, and Antiviral and Anti-infective, or AVAI. Our global platform includes approximately 5,900 employees across 43 countries as of September 30, 2024, providing our customers with broad access to diverse markets and patient populations as well as local regulatory expertise and market knowledge.
How We Generate Revenue
We earn fees through the performance of services detailed in our customer contracts. Contract scope and pricing is typically based on either a fixed-fee or unit-of-service model, with consideration of activities performed by third parties, as well as ancillary costs necessary to deliver on the contract scope that are reimbursable by our customers. Our contracts can range in duration from a few months to several years. These contracts are individually priced and negotiated based on the anticipated project scope, including the complexity of the project and the performance risks inherent in the project. The majority of our contracts are structured with an upfront fee that is collected at the time of contract signing, and the balance of the fee is collected over the duration of the contract either through an arranged billing schedule or upon completion of certain performance targets or defined milestones.
Revenue, which is distinct from billing and cash receipt, is recognized based on the satisfaction of the individual performance obligations identified in each contract. Substantially all of our customer contracts consist of a single performance obligation, as the promise to transfer the individual services defined in the contracts are not separately identifiable from other promises in the contract, and therefore not distinct. Our performance obligations are generally satisfied over time and recognized as services are performed. The progression of our contract performance obligations are measured primarily utilizing the input method of cost to cost. Cancellation provisions in our contracts allow our customers to terminate a contract either immediately or according to advance notice terms specified within the applicable contract, which is typically 30 days. Contract cancellation may occur for various reasons, including, but not limited to, adverse patient reactions, lack of efficacy, or inadequate patient enrollment. Upon cancellation, we are entitled to fees for services rendered through the date of termination, including payment for subsequent services necessary to conclude the study or close out the contract. These fees are typically discussed and agreed upon with the customer and are realized as revenue when we believe the amount can be estimated reliably and its realization is probable. Changes in revenue from period to period are driven primarily by new business volume and task order execution activity, project cancellations, and the mix of active studies during a given period that can vary based on therapeutic area and/or study life cycle stage.
Costs and Expenses
Our costs and expenses are comprised primarily of our total direct costs, selling, general and administrative costs, depreciation and amortization and income taxes.
Total Direct Costs
Total direct costs are primarily driven by labor and related employee benefits, but also include contracted third party service related expenses, fees paid to site investigators, reimbursed out of pocket expenses, laboratory supplies and other expenses contributing to service delivery. The other costs of service delivery can include office rent, utilities, supplies and software licenses which are allocated between Total direct costs and selling, general and administrative expenses based on the estimated contribution among service delivery and support function efforts on a percentage basis. Total direct costs are expensed as incurred and are not deferred in anticipation of contracts being awarded or finalization of changes in scope. Total direct costs, as a percentage of net revenue, can vary from period to period due to project labor efficiencies, changes in workforce, compensation/bonus programs and service mix.
Selling, General and Administrative
Selling, general and administrative expenses are primarily driven by compensation and related employee benefits, as well as rent, utilities, supplies, software licenses, professional fees (e.g., legal and accounting expenses), bad debt expense, travel, marketing and other operating expenses.
Depreciation
Depreciation is provided on our property and equipment on the straight-line method at rates adequate to allocate the cost of the applicable assets over their estimated useful lives, which is three to five years for computer hardware, software, phone, and medical imaging equipment, five to seven years for furniture and fixtures and other equipment, and thirty to forty years for buildings. Leasehold improvements are amortized on a straight-line basis over the shorter of the estimated useful life of the improvement or the associated remaining lease term.
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Amortization
Amortization relates to finite-lived intangible assets recognized as expense using the straight-line method or using an accelerated method over their estimated useful lives of 15 years.
Income Tax Provision
Income tax provision consists of federal, state and local taxes on income in multiple jurisdictions. Our income tax is impacted by the pre-tax earnings in jurisdictions with varying tax rates and any related tax credits that may be available to us. Our current and future provision for income taxes will vary from statutory rates due to the impact of valuation allowances in certain countries, income tax incentives, certain non-deductible expenses, and other discrete items.
Key Performance Metrics
To evaluate the performance of our business, we utilize a variety of financial and performance metrics. These key measures include new business awards, cancellations and backlog.
New Business Awards, Cancellations and Backlog
New business awards represent the value of anticipated future net revenue that has been awarded during the period that is recognized in backlog. This value is recognized upon the signing of a contract or receipt of a written pre-contract confirmation from a customer that confirms an agreement in principle on budget and scope. New business awards also include contract amendments, or changes in scope, where the customer has provided written authorization for changes in budget and scope or has approved us to perform additional work as of the measurement date. Awards may not be recognized as backlog after consideration of a number of factors, including whether (i) the relevant net revenue is expected only after a pending regulatory hurdle, which might result in cancellation of the study, (ii) the customer funding needed for commencement of the study is not believed to have been secured or (iii) study timelines are uncertain or not well defined. In addition, study amounts that extend beyond a three-year timeline are not included in backlog. The number and amount of new business awards can vary significantly from period to period, and an award’s contractual duration can range from several months to several years based on customer and project specifications.
Cancellations arise in the normal course of business and are reflected when we receive written confirmation from the customer to cease work on a contractual agreement. The majority of our customers can terminate our contracts without cause upon 30 days’ notice. Similar to new business awards, the number and amount of cancellations can vary significantly period over period due to timing of customer correspondence and study-specific circumstances.
Net new business awards represent gross new business awards received in a period offset by total cancellations in that period. Net new business awards were $533.7 million and $1,700.3 million for the three and nine months ended September 30, 2024, respectively. Net new business awards were $611.5 million and $1,742.1 million for the three and nine months ended September 30, 2023, respectively.
Backlog represents anticipated future net revenue from net new business awards that have not commenced or are currently in process but not complete. Reported backlog will fluctuate based on new business awards, changes in the scope of existing contracts, cancellations, revenue recognition on existing contracts and foreign exchange adjustments from non-U.S. dollar denominated backlog. As of September 30, 2024, our backlog increased by $237.9 million, or 8.8%, to $2,927.4 million compared to $2,689.5 million as of September 30, 2023. Included within backlog as of September 30, 2024 was approximately $1,610.0 million to $1,630.0 million that we expect to convert to net revenue over the next twelve months, with the remainder expected to convert to net revenue thereafter.
The effect of foreign currency adjustments on backlog was as follows: favorable foreign currency adjustments of $5.8 million for the three months ended September 30, 2024; unfavorable foreign currency adjustments of $2.2 million for the nine months ended September 30, 2024; favorable foreign currency adjustments of $1.3 million for the three months ended September 30, 2023; and favorable foreign currency adjustments of $5.3 million for the nine months ended September 30, 2023.
Backlog and net new business award metrics may not be reliable indicators of our future period revenue as they are subject to a variety of factors that may cause material fluctuations from period to period. These factors include, but are not limited to, changes in the scope of projects, cancellations, and duration and timing of services provided.
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Exchange Rate Fluctuations
The majority of our contracts and operational transactions are U.S. dollar denominated. The Euro represents the largest foreign currency denomination of our contractual and operational exposure. As a result, a portion of our revenue and expenses are subject to exchange rate fluctuations. We have translated the Euro into U.S. dollars using the following average exchange rates based on data obtained from www.xe.com:
Three Months Ended September 30,Nine Months Ended September 30,
2024202320242023
U.S. Dollars per Euro:1.10 1.09 1.09 1.08 
Results of Operations
Three Months Ended September 30, 2024 compared to Three Months Ended September 30, 2023
Three Months Ended September 30,
(Amounts in thousands, except percentages)20242023
Change
% Change
Revenue, net$533,317 $492,499 $40,818 8.3 %
Direct service costs, excluding depreciation and amortization171,540 164,364 7,176 4.4 %
Reimbursed out-of-pocket expenses192,769 194,942 (2,173)(1.1)%
Total direct costs364,309 359,306 5,003 1.4 %
Selling, general and administrative49,217 41,407 7,810 18.9 %
Depreciation7,158 6,329 829 13.1 %
Amortization360 549 (189)(34.4)%
Total operating expenses421,044 407,591 13,453 3.3 %
Income from operations112,273 84,908 27,365 
Miscellaneous expense, net(1,025)(1,602)577 
Interest income (expense), net7,528 (105)7,633 
Income before income taxes118,776 83,201 35,575 
Income tax provision22,350 12,651 9,699 
Net income$96,426 $70,550 $25,876 
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Nine Months Ended September 30, 2024 compared to Nine Months Ended September 30, 2023
Nine Months Ended September 30,
(Amounts in thousands, except percentages)20242023
Change
 
% Change
Revenue, net$1,572,465 $1,387,441 $185,024 13.3 %
Direct service costs, excluding depreciation and amortization514,573 473,958 40,615 8.6 %
Reimbursed out-of-pocket expenses579,904 525,784 54,120 10.3 %
Total direct costs1,094,477 999,742 94,735 9.5 %
Selling, general and administrative134,751 118,838 15,913 13.4 %
Depreciation20,663 17,707 2,956 16.7 %
Amortization1,082 1,649 (567)(34.4)%
Total operating expenses1,250,973 1,137,936 113,037 9.9 %
Income from operations321,492 249,505 71,987  
Miscellaneous income (expense), net3,435 (2,198)5,633  
Interest income (expense), net17,113 (2,332)19,445  
Income before income taxes342,040 244,975 97,065  
Income tax provision54,672 40,463 14,209  
Net income$287,368 $204,512 $82,856  
Total revenue
Total revenue increased by $40.8 million to $533.3 million for the three months ended September 30, 2024, from $492.5 million for the three months ended September 30, 2023. Total revenue increased by $185.0 million to $1,572.5 million for the nine months ended September 30, 2024, from $1,387.4 million for the nine months ended September 30, 2023. The increase for the three months ended September 30, 2024 was primarily driven by growth within the Metabolic, Oncology and Cardiology therapeutic areas, compared to the same period in the prior year. The increase for the nine months ended September 30, 2024 was broad based, but was primarily driven by growth within the Metabolic, Oncology, Cardiology and other therapeutic areas, compared to the same period in the prior year.
Total direct costs
Total direct costs increased by $5.0 million, to $364.3 million for the three months ended September 30, 2024 from $359.3 million for the three months ended September 30, 2023. Total direct costs increased by $94.7 million, to $1,094.5 million for the nine months ended September 30, 2024 from $999.7 million for the nine months ended September 30, 2023. The increase for the three months ended September 30, 2024 was primarily attributed to higher personnel costs to support the growth in service activities, partially offset by lower reimbursed out-of-pocket expenses. The increase for the nine months ended September 30, 2024 was primarily attributed to higher reimbursed out-of-pocket expenses and higher personnel costs to support the growth in service activities. The higher personnel costs portion increased by $9.5 million and $41.7 million for the three and nine months ended September 30, 2024, compared to the same periods in the prior year. Reimbursed out-of-pocket expenses, which can fluctuate significantly from period to period based on the timing of program initiation and closeout, decreased by $2.2 million and increased by $54.1 million for the three and nine months ended September 30, 2024, compared to the same periods in the prior year.
Selling, general and administrative
Selling, general and administrative expenses increased by $7.8 million, to $49.2 million for the three months ended September 30, 2024 from $41.4 million for the three months ended September 30, 2023. Selling, general and administrative expenses increased by $15.9 million, to $134.8 million for the nine months ended September 30, 2024 from $118.8 million for the nine months ended September 30, 2023. The increase was primarily attributed to higher personnel costs to support the growth in service activities. The higher personnel costs portion increased by $9.5 million and $16.9 million for the three and nine months ended September 30, 2024, compared to the same periods in the prior year.
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Depreciation and Amortization
Depreciation and amortization expense increased by $0.6 million, to $7.5 million for the three months ended September 30, 2024 from $6.9 million for the three months ended September 30, 2023. Depreciation and amortization expense increased by $2.4 million, to $21.7 million for the nine months ended September 30, 2024 from $19.4 million for the nine months ended September 30, 2023. The increase was primarily related to increased depreciation related to Property and equipment, net, compared to the same periods in the prior year.
Miscellaneous income (expense), net

Miscellaneous income (expense), net changed by $0.6 million to $1.0 million of expense for the three months ended September 30, 2024 from $1.6 million of expense for the three months ended September 30, 2023. Miscellaneous income (expense), net changed by $5.6 million to $3.4 million of income for the nine months ended September 30, 2024 from $2.2 million of expense for the nine months ended September 30, 2023. These changes were mainly attributable to foreign exchange gains and losses that arise in connection with the revaluation of short-term intercompany balances between our domestic and international subsidiaries and from the settlement of third-party accounts receivables and payables denominated in a currency other than the local currency of the entity making the payment, third-party investment gains or losses and proceeds from the recovery of a note receivable.
Interest income (expense), net
Interest income (expense), net changed by $7.6 million to $7.5 million of income for the three months ended September 30, 2024 from $0.1 million of expense for the three months ended September 30, 2023. Interest income (expense), net changed by $19.4 million to $17.1 million of income for the nine months ended September 30, 2024 from $2.3 million of expense for the nine months ended September 30, 2023. These changes were mainly attributable to increased interest income on Cash and cash equivalents and a reduction in short-term debt, compared to the same periods in the prior year.
Income tax provision
Income tax provision increased by $9.7 million, to $22.4 million for the three months ended September 30, 2024 from $12.7 million for the three months ended September 30, 2023. Income tax provision increased by $14.2 million, to $54.7 million for the nine months ended September 30, 2024 from $40.5 million for the nine months ended September 30, 2023. The overall effective tax rate for the three months ended September 30, 2024 was 18.8%, compared to an overall effective tax rate of 15.2% for the three months ended September 30, 2023. The overall effective tax rate for the nine months ended September 30, 2024 was 16.0% compared to an overall effective tax rate of 16.5% for the nine months ended September 30, 2023. The increase in the income tax provision and overall effective tax rate for the three months ended September 30, 2024 was primarily attributable to an increase in pre-tax book income, which was partially offset by an increase in tax benefits related to Foreign Derived Intangible Income (FDII) compared to the same period in the prior year. The increase in the income tax provision for the nine months ended September 30, 2024 was primarily attributable to an increase in pre-tax book income, which was partially offset by an increase in excess tax benefits recognized from share-based compensation and tax benefits related to FDII compared to the same period in the prior year. The decrease in the overall effective tax rate for the nine months ended September 30, 2024 was primarily attributable to an increase in excess tax benefits recognized from share-based compensation and tax benefits related to FDII compared to the same period in the prior year.
Liquidity and Capital Resources
We assess our liquidity in terms of our ability to generate cash to fund our operating, investing and financing activities. Our principal sources of liquidity are operating cash flows and from borrowings under our unsecured credit facility consisting of up to a $10.0 million revolving line of credit which we entered into on September 30, 2019 (the “Credit Facility”), and has subsequently been amended. As of September 30, 2024, we had cash and cash equivalents of $656.9 million which increased from $245.4 million as of December 31, 2023. Approximately $24.8 million of cash and cash equivalents, none of which was restricted, was held by our foreign subsidiaries as of September 30, 2024.
As of September 30, 2024, we had $10.0 million available for borrowing under the Credit Facility. Our expected primary cash needs on both a short and long-term basis are for investment in operational growth, including additional lease commitments, capital expenditures, share repurchases, selective strategic bolt-on acquisitions, other investments, and other general corporate needs. We have historically funded our operations and growth with cash flow from operations and borrowings under our credit facilities. We expect to continue expanding our operations through organic growth and potentially highly selective bolt-on acquisitions and investments. As of September 30, 2024, cash commitments to support
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operating business needs include lease liabilities discussed in Note 8 of the Condensed Consolidated Financial Statements, purchase commitments discussed in Note 11 of the Condensed Consolidated Financial Statements and capital expenditures primarily related to infrastructure investments in our facilities, equipment and technology. Capital spending as a percentage of revenue decreased by 8 basis points to 1.84% in the nine months ended September 30, 2024, compared to the same period in the prior year. We expect these activities will be funded from existing cash, cash flow from operations and, if necessary, borrowings under our existing or future credit facilities or other debt. We have deemed that foreign earnings will be indefinitely reinvested and therefore we have not provided taxes on these earnings. While we do not anticipate the need to repatriate these foreign earnings for liquidity purposes given our cash flows from operations and borrowings under existing and future credit facilities, we would incur taxes on these earnings if the need for repatriation due to liquidity purposes arises.
Nine Months Ended September 30,
Cash Flows (Amounts in thousands)20242023
Net cash provided by operating activities$418,149 $276,979 
Net cash used in investing activities(20,746)(26,632)
Net cash provided by (used in) financing activities14,600 (184,165)
Effect of exchange rates on cash, cash equivalents and restricted cash(552)760 
Increase in cash, cash equivalents and restricted cash$411,451 $66,942 
Cash Flow from Operating Activities
Cash flows from operations are driven mainly by net income, depreciation, stock-based compensation expense, noncash lease expense and net movement in advanced billings and accounts receivable and unbilled, net. Advanced billings and accounts receivable and unbilled, net fluctuate on a regular basis as we perform our services, bill our customers and ultimately collect on those receivables. We attempt to negotiate payment terms in order to provide for payments prior to or soon after the provision of services, but this timing of collection can vary significantly on a period by period comparative basis.
Net cash flows provided by operating activities was $418.1 million for the nine months ended September 30, 2024 beginning with net income of $287.4 million. Adjustments to reconcile net income to net cash provided by operating activities were $52.4 million, primarily related to depreciation of $20.7 million, stock-based compensation expense of $19.6 million and noncash lease expense of $17.3 million. Changes in operating assets and liabilities provided $78.4 million in operating cash flows and was primarily driven by increased advanced billings of $111.1 million, partially offset by decreased lease liabilities of $15.4 million and increased accounts receivable and unbilled, net of $13.0 million.
Net cash flows provided by operating activities was $277.0 million for the nine months ended September 30, 2023 beginning with net income of $204.5 million. Adjustments to reconcile net income to net cash provided by operating activities were $38.8 million, primarily related to deprecation of $17.7 million, stock-based compensation expense of $15.4 million and noncash lease expense of $14.6 million. Changes in operating assets and liabilities provided $33.7 million in operating cash flows and was primarily driven by increased advanced billings of $56.0 million and increased accrued expenses of $54.9 million, partially offset by increased accounts receivable and unbilled, net of $39.3 million, decreased lease liabilities of $14.4 million and a change in other assets and liabilities, net of $13.7 million.
Cash Flow from Investing Activities
Net cash used in investing activities was $20.7 million for the nine months ended September 30, 2024 primarily consisting of property and equipment expenditures of $28.9 million, partially offset by $8.2 million in other investing activity.
Net cash used in investing activities was $26.6 million for the nine months ended September 30, 2023 primarily consisting of property and equipment expenditures.
Cash Flow from Financing Activities
Net cash provided by financing activities was $14.6 million for the nine months ended September 30, 2024 related to proceeds from stock option exercises.
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Net cash used in financing activities was $184.2 million for the nine months ended September 30, 2023 primarily related to $144.0 million in repurchases of common stock and $155.0 million in repayments of the Credit Facility, partially offset by $105.0 million in proceeds related to the Credit Facility and $9.9 million in proceeds from stock option exercises.
Share Repurchases
In the fourth quarter of 2022, the Board approved a stock repurchase program of up to $500.0 million. The Company did not execute any share repurchases during the three and nine months ended September 30, 2024. The Company did not execute any share repurchases during the three months ended September 30, 2023. During the nine months ended September 30, 2023, the Company repurchased 781,068 shares for $144.0 million. As of September 30, 2024, the Company has remaining authorization of $308.8 million under the repurchase program.
Repurchases under the share repurchase program are executed in the open market or negotiated transactions under trading plans put in place pursuant to Rule 10b5-1. The Company constructively retired the repurchased shares associated with these approved share repurchases, except for a small portion which were retained as Treasury Shares on the condensed consolidated statements of shareholders' equity. Retired share repurchase amounts paid in excess of par value are reflected within Accumulated deficit/Retained earnings in the Company’s condensed consolidated balance sheets.
Indebtedness
As of September 30, 2024, we had no indebtedness. Refer to Note 7 of the Notes to Condensed Consolidated Financial Statements for details regarding our Credit Facility.
Critical Accounting Policies and Estimates
The preparation of financial statements in accordance with generally accepted accounting principles in the United States of America, or U.S. GAAP, requires us to make a variety of decisions which affect reported amounts and related disclosures, including the selection of appropriate accounting principles and the assumptions on which to base accounting estimates. In reaching such decisions, we apply judgment based on our understanding and analysis of the relevant circumstances, including our historical experience and other assumptions. Actual results could differ from our estimates. We are committed to incorporating accounting principles, assumptions and estimates that promote the representational faithfulness, verifiability, neutrality and transparency of the accounting information included in the financial statements.
There have been no significant changes in the critical accounting policies and estimates as previously described in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
Effect of Recent Accounting Pronouncements
Refer to Note 1 of the Condensed Consolidated Financial Statements for management’s discussion of the effect of recent accounting pronouncements.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
There have been no material changes to our quantitative and qualitative disclosures about market risk as compared to the quantitative and qualitative disclosures about market risk described in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023.
Item 4. Controls and Procedures
Limitations on Effectiveness of Controls and Procedures
In designing and evaluating our disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and procedures must reflect the fact that there are resource constraints and that management is required to apply judgment in evaluating the benefits of possible controls and procedures relative to their costs.
Evaluation of Disclosure Controls and Procedures
The Company’s management, with the participation of the Chief Executive Officer (the Principal Executive Officer) and Chief Financial Officer (the Principal Financial Officer), has evaluated the effectiveness of the Company’s disclosure controls and procedures, as defined in Rules 13(a)-15(e) and 15(d) -15(e) of the Securities Exchange Act of 1934 (“Exchange Act”), as of the end of the period covered by this report. Based on this evaluation, we concluded that, as of the
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end of the period covered by this report, our disclosure controls and procedures were effective in providing reasonable assurance that information required to be disclosed by us in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s forms and rules, and the material information relating to the Company is accumulated and communicated to management, including the Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosures.
Control systems, no matter how well designed and operated, can provide only reasonable, not absolute, assurance that control objectives are met. Because of inherent limitations in all control systems, no evaluation of controls can provide assurance that all control issues and instances of fraud, if any, within a company will be detected. Additionally, controls can be circumvented by individuals, by collusion of two or more people or by management override. Over time, controls can become inadequate because of changes in conditions or the degree of compliance may deteriorate. Further, the design of any system of controls is based in part upon assumptions about the likelihood of future events. There can be no assurance that any design will succeed in achieving its stated goals under all future conditions. Because of the inherent limitations in any cost-effective control system, misstatements due to errors or fraud may occur and not be detected.
Changes in Internal Control over Financial Reporting
In the ordinary course of business, we routinely enhance our information systems by either upgrading current systems or implementing new ones. There were no changes in our internal control over financial reporting that occurred during the three months ended September 30, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II—OTHER INFORMATION
Item 1. Legal Proceedings
We are party to legal proceedings incidental to our business. While the outcome of these matters could differ from management’s expectations, we do not believe that the resolution of these matters is reasonably likely to have a material adverse effect to our financial statements.
Item 1A. Risk Factors
For a discussion of our potential risks and uncertainties, see the information under the heading “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023. There have been no significant changes from the risk factors previously disclosed in our Annual Report.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Use of Proceeds from Registered Securities
Not applicable.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
Not applicable.
Item 5. Other Information
During the three months ended September 30, 2024, no director or officer of the Company adopted or terminated a “Rule 10b5-1 trading arrangement” or “non-Rule 10b5-1 trading arrangement,” as each term is defined in Item 408(a) of Regulation S-K, except as described in the table below:
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ActionDateTrading ArrangementTotal Shares to be Purchased or SoldDuration/Expiration Date
Rule 10b5-1*Non-Rule 10b5-1**
Robert O. Kraft, Director
Adopt
August 22, 2024 [1]
X
Up to 8,127 shares to be sold
August 28, 2024
* Intended to satisfy the affirmative defense of Rule 10b5-1(c).

** Not intended to satisfy the affirmative defense of Rule 10b5-1(c).

[1] On August 22, 2024, Robert O. Kraft placed a limit order to sell up to 8,127 shares issued to him pursuant to his contemporaneous exercise of stock options.
Item 6. Exhibits
The exhibits in the accompanying Exhibit Index preceding the signature page are filed or furnished as a part of this report and are incorporated herein by reference.
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EXHIBIT INDEX
Incorporated by Reference
Exhibit
Number
Exhibit DescriptionFormFile No.Exhibit
Filing
Date
Filed/
Furnished
Herewith
#10.1*
#10.2*
31.1*
31.2*
32.1**
32.2**
101.INSInline XBRL Instance Document – the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document*
101.SCHInline XBRL Taxonomy Extension Schema Document*
101.CALInline XBRL Taxonomy Calculation Linkbase Document*
101.DEFInline XBRL Taxonomy Extension Definition Linkbase Document*
101.LABInline XBRL Taxonomy Extension Label Linkbase Document*
101.PREInline XBRL Taxonomy Extension Presentation*
104Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101) 
*Filed herewith.
**Furnished herewith.
#    Indicates management contract or compensatory plan.

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
MEDPACE HOLDINGS, INC.
/s/ Kevin M. Brady
Kevin M. Brady
Chief Financial Officer
(Principal Financial Officer)
Date: October 22, 2024
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