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Published: 2022-10-24 00:00:00 ET
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Exhibit 99.1
medpace-logoxonxwhitea.jpg
Investor Contact:
Lauren Morris
513.579.9911 x11994
l.morris@medpace.com
FOR IMMEDIATE RELEASE
Media Contact:
Julie Hopkins
513.579.9911 x12627
j.hopkins@medpace.com
Medpace Holdings, Inc. Reports Third Quarter 2022 Results
Revenue of $383.7 million in the third quarter of 2022 increased 29.8% from revenue of $295.6 million for the comparable prior-year period, representing a backlog conversion rate of 17.7%.
Net new business awards were $470.9 million in the third quarter of 2022, representing an increase of 15.4% from net new business awards of $408.0 million for the comparable prior-year period, which resulted in a net book-to-bill ratio of 1.23x.
Third quarter of 2022 GAAP net income was $66.0 million, or $2.05 per diluted share, versus GAAP net income of $48.6 million, or $1.29 per diluted share, for the comparable prior-year period. Net income margin was 17.2% and 16.4% for the third quarter of 2022 and 2021, respectively.
EBITDA was $89.3 million for the third quarter of 2022, an increase of 48.5% from EBITDA of $60.1 million for the comparable prior-year period, resulting in an EBITDA margin of 23.3%.
CINCINNATI, OHIO, October 24, 2022-- Medpace Holdings, Inc. (Nasdaq: MEDP) (“Medpace”) today announced financial results for the third quarter ended September 30, 2022.
Third Quarter 2022 Financial Results
Revenue for the three months ended September 30, 2022 increased 29.8% to $383.7 million, compared to $295.6 million for the comparable prior-year period. On a constant currency organic basis, revenue for the third quarter of 2022 increased 31.9% compared to the third quarter of 2021.
Backlog as of September 30, 2022 increased 20.9% to $2.2 billion from $1.8 billion as of September 30, 2021. Net new business awards were $470.9 million, representing a net book-to-bill ratio of 1.23x for the third quarter of 2022, as compared to $408.0 million for the comparable prior-year period. The Company calculates the net book-to-bill ratio by dividing net new business awards by revenue.
For the third quarter of 2022, total direct costs were $264.7 million, compared to total direct costs of $208.5 million in the third quarter of 2021. Selling, general and administrative (SG&A) expenses were $35.4 million in the third quarter of 2022, compared to SG&A expenses of $28.0 million in the third quarter of 2021.
GAAP net income for the third quarter of 2022 was $66.0 million, or $2.05 per diluted share, versus GAAP net income of $48.6 million, or $1.29 per diluted share, for the third quarter of 2021. This resulted in a net income margin of 17.2% and 16.4% for the third quarter of 2022 and 2021, respectively.
EBITDA for the third quarter of 2022 increased 48.5% to $89.3 million, or 23.3% of revenue, compared to $60.1 million, or 20.3% of revenue, for the comparable prior-year period. On a constant currency basis, EBITDA for the third quarter of 2022 increased 41.5% from the third quarter of 2021.
A reconciliation of the Company’s non-GAAP financial measures, including EBITDA and EBITDA margin to the corresponding GAAP measures is provided below.


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Year-to-Date 2022 Financial Results
Revenue for the nine months ended September 30, 2022 was $1,065.9 million, and increased 27.8% on a reported basis and 29.3% on a constant currency organic basis from the comparable prior-year period. Year-to-date GAAP net income was $176.7 million, or $5.18 per diluted share, compared to $131.8 million, or $3.49 per diluted share, for the comparable prior-year period. Year-to-date EBITDA was $227.7 million, or 21.4% of revenue, and increased 40.9% on a reported basis and 35.7% on a constant currency organic basis from the comparable prior-year period.

Balance Sheet and Liquidity
The Company’s Cash and cash equivalents were $31.0 million at September 30, 2022, and the Company generated $108.5 million in cash flow from operating activities during the third quarter of 2022. The Company paid $110.0 million against the credit facility during the third quarter of 2022. Short-term debt was $139.7 million at September 30, 2022.

Additionally, on October 21, 2022, the Company’s Board of Directors authorized share repurchases of up to $500.0 million of the Company’s common stock in the open market or negotiated transactions, at the discretion of the Company’s management. The extent and timing of repurchases depends on market conditions, applicable regulatory requirements, and other considerations. The share repurchase authorization does not obligate the Company to acquire any minimum amount of common stock and any program may be modified, limited, extended, suspended or terminated at any time at the Company’s discretion. The Company currently expects that any repurchases under the program would be made in compliance with the SEC’s Rules 10b-5 and 10b-18.
2022 Financial Guidance
The Company forecasts 2022 revenue in the range of $1.440 billion to $1.460 billion, representing growth of 26.1% to 27.8% over 2021 revenue of $1.142 billion. GAAP net income for full year 2022 is forecasted in the range of $232.0 million to $236.0 million. Additionally, full year 2022 EBITDA is expected in the range of $302.0 million to $310.0 million. Based on forecasted 2022 revenue of $1.440 billion to $1.460 billion and GAAP net income of $232.0 million to $236.0 million, diluted earnings per share (GAAP) is forecasted in the range of $6.88 to $7.00. This guidance assumes a full year 2022 tax rate of 16.0% to 17.0%, 33.7 million diluted weighted-average shares outstanding for 2022, and foreign exchange rates as of September 30, 2022. This does not reflect the potential impact of any share repurchases the Company may make after September 30, 2022.
2023 Financial Guidance

The Company forecasts 2023 revenue in the range of $1.680 billion to $1.740 billion. Full year 2023 EBITDA is expected in the range of $325.0 million to $350.0 million.
Conference Call Details
Medpace will host a conference call at 9:00 a.m. ET, Tuesday, October 25, 2022, to discuss its third quarter 2022 results.
To participate in the conference call, interested parties must register in advance by clicking on this link. While it is not required, it is recommended you join 10 minutes prior to the event start. Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique PIN that can be used to access the call.
To access the conference call via webcast, visit the “Investors” section of Medpace’s website at medpace.com. The webcast replay of the call will be available at the same site approximately one hour after the end of the call. A supplemental slide presentation will also be available at the “Investors” section of Medpace’s website prior to the start of the call.
About Medpace
Medpace is a scientifically-driven, global, full-service clinical contract research organization (CRO) providing Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Medpace’s mission is to accelerate the global development of safe and effective medical therapeutics through its high-science and disciplined operating approach that leverages regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system and anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, Medpace employs approximately 5,000 people across 40 countries as of September 30, 2022.
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Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this press release that do not relate to matters of historical fact should be considered forward-looking statements, including without limitation, statements regarding our forecasted financial results, the anticipated impacts of the coronavirus COVID-19 pandemic and international risks including the conflict involving Russia, Ukraine and surrounding countries, respectively, on our business, and the effective tax rate used for non-GAAP adjustment purposes. In this context, forward-looking statements often address expected future business and financial performance and financial condition, and often contain words such as “guidance,” “expect,” “anticipate,” “intend,” “plan,” “believe,” “seek,” “see,” “will,” “would,” “target,” “forecast,” “may,” “could,” “likely,” “anticipate,” “project,” “goal,” “objective,” “potential,” “range,” “estimate,” “preliminary,” similar expressions, and variations or negatives of these words.
These forward-looking statements are based on management’s current expectations. These statements are neither promises nor guarantees, but involve known and unknown risks, uncertainties and other important factors that may cause our financial condition, actual results, performance (including share price performance), or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements, including, but not limited to, the following: the potential loss, delay or non-renewal of our contracts, or the non-payment by customers for services we have performed; the failure to convert backlog to revenue at our present or historical conversion rate(s); the failure to maintain or generate new business awards; fluctuation in our results between fiscal quarters and years; the risks and uncertainties related to disruptions to or reductions in business operations or prospects due to pandemics, epidemics, widespread health emergencies, or outbreaks of infectious diseases such as coronavirus disease COVID-19; decreased operating margins due to increased pricing pressure or other factors; our failure to perform our services in accordance with contractual requirements, government regulations and ethical considerations; the impact of underpricing our contracts, overrunning our cost estimates or failing to receive approval for or experiencing delays with documentation of change orders; our failure to increase our market share, grow our business, successfully execute our growth strategies or manage our growth effectively; the impact of a failure to retain key executives or other personnel or recruit experienced personnel; the risks associated with our information systems infrastructure, including potential cybersecurity breaches and other disruptions which could compromise patient information or our information; adverse results from customer or therapeutic area concentration; the risks associated with doing business internationally, including the effects of tariffs and trade wars; the risks associated with the Foreign Corrupt Practices Act and other anti-corruption laws; future net losses; the impact of changes in tax laws and regulations; our failure to attract suitable investigators and patients to our clinical trials; the liability risks associated with our research and development services, including risks of liability resulting from harm to patients; inadequate insurance coverage for our operations and indemnification obligations; fluctuations in exchange rates; general economic conditions, including inflation, in the markets in which we operate, including financial market conditions; the impact of a natural disaster or other catastrophic event; negative outsourcing trends in the biopharmaceutical industry and a reduction in aggregate expenditures and research and development budgets; our inability to compete effectively with other CROs; the impact of healthcare reform; the impact of consolidation in the biopharmaceutical industry; our failure to comply with federal, state and foreign healthcare laws; the effect of current and proposed laws and regulations regarding the protection of personal data; our potential involvement in costly intellectual property lawsuits; actions by regulatory authorities or customers to limit the scope of indications related to or withdraw an approved drug, biologic or medical device from the market; the impact of industry-wide reputational harm to CROs; and the effect of the U.K.’s withdrawal from the EU, which could have implications on our research, commercial and general business operations in the U.K. and the EU.
These and other important factors discussed under the caption “Risk Factors” in our Annual Report on Form 10-K filed with the Securities and Exchange Commission, or SEC, and our other reports filed with the SEC could cause actual results to differ materially from those indicated by the forward-looking statements made in this press release. We cannot guarantee that any forward-looking statement will be realized. Achievement of anticipated results is subject to substantial risks, uncertainties and inaccurate assumptions. If known or unknown risks or uncertainties materialize or if underlying assumptions prove inaccurate, actual results could vary materially from past results and those anticipated, estimated or projected. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and in our filings with the SEC. Any such forward-looking statements represent management’s estimates as of the date of this press release. While we may elect to update such forward-looking statements at some point in the future, we disclaim any obligation to do so, even if subsequent events, developments or circumstances cause our views to change. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date of this press release.
Non-GAAP Financial Measures
Certain financial measures presented in this press release, such as EBITDA and EBITDA margin, are not recognized under generally accepted accounting principles in the United States of America, or U.S. GAAP. Management uses EBITDA and EBITDA margin or comparable metrics as a measurement used in evaluating our operating performance on a consistent basis, as a consideration to assess incentive compensation for our employees, for planning purposes, including the preparation of our internal annual operating budget, and to evaluate the performance and effectiveness of our operational strategies.
3


EBITDA and EBITDA margin have important limitations as analytical tools and you should not consider them in isolation, or as a substitute for, analysis of our results as reported under U.S. GAAP. See the condensed consolidated financial statements included elsewhere in this release for our U.S. GAAP results. Additionally, for reconciliations of EBITDA and EBITDA margin to our closest reported U.S. GAAP measures, refer to the appendix of this press release.
We believe that EBITDA and EBITDA margin are useful to provide additional information to investors about certain material non-cash and non-recurring items. While we believe these financial measures are commonly used by investors to evaluate our performance and that of our competitors, because not all companies use identical calculations, this presentation of EBITDA and EBITDA margin may not be comparable to other similarly titled measures of other companies and should not be considered as an alternative to performance measures derived in accordance with U.S. GAAP. EBITDA is calculated as net income attributable to Medpace Holdings, Inc. before income tax expense, interest expense, net, depreciation and amortization. EBITDA margin is calculated by dividing EBITDA by Revenue, net for each period. Our presentation of EBITDA and EBITDA margin should not be construed as an inference that our future results will be unaffected by unusual or non-recurring items.
4


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
(Amounts in thousands, except per share amounts)Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
Revenue, net$383,744 $295,567 $1,065,898 $833,825 
Operating expenses:
Direct service costs, excluding depreciation and amortization136,648 112,540 394,200 322,160 
Reimbursed out-of-pocket expenses128,062 95,934 354,991 271,494 
Total direct costs264,710 208,474 749,191 593,654 
Selling, general and administrative35,418 28,046 97,999 80,757 
Depreciation4,951 4,056 13,928 11,819 
Amortization838 1,278 2,514 3,835 
Total operating expenses305,917 241,854 863,632 690,065 
Income from operations77,827 53,713 202,266 143,760 
Other income, net:
Miscellaneous income, net5,649 1,064 9,027 2,253 
Interest expense, net(1,584)(41)(2,078)(82)
Total other income, net4,065 1,023 6,949 2,171 
Income before income taxes81,892 54,736 209,215 145,931 
Income tax provision15,865 6,162 32,517 14,117 
Net income$66,027 $48,574 $176,698 $131,814 
Net income per share attributable to common shareholders:
Basic$2.13 $1.35 $5.39 $3.67 
Diluted$2.05 $1.29 $5.18 $3.49 
Weighted average common shares outstanding:
Basic31,00935,81632,79135,822
Diluted32,25337,51934,09837,641
5


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
(Amounts in thousands, except share amounts)
As of
September 30,
2022
December 31,
2021
ASSETS
Current assets:
Cash and cash equivalents$31,007 $461,304 
Accounts receivable and unbilled, net249,086 186,432 
Prepaid expenses and other current assets57,648 43,176 
Total current assets337,741 690,912 
Property and equipment, net104,719 93,153 
Operating lease right-of-use assets139,071 129,558 
Goodwill662,396 662,396 
Intangible assets, net38,846 41,360 
Deferred income taxes27,023 25,134 
Other assets18,629 17,422 
Total assets$1,328,425 $1,659,935 
LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:
Accounts payable$28,245 $25,678 
Accrued expenses204,117 159,286 
Advanced billings417,927 344,641 
Short-term debt139,700 — 
Other current liabilities30,879 27,612 
Total current liabilities820,868 557,217 
Operating lease liabilities139,203 130,965 
Deferred income tax liability911 1,080 
Other long-term liabilities17,558 17,745 
Total liabilities978,540 707,007 
Commitments and contingencies
Shareholders’ equity:
Preferred stock - $0.01 par-value; 5,000,000 shares authorized; no shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively— — 
Common stock - $0.01 par-value; 250,000,000 shares authorized at September 30, 2022 and December 31, 2021, respectively; 31,098,397 and 36,006,778 shares issued and outstanding at September 30, 2022 and December 31, 2021, respectively309 360 
Treasury stock - 81,573 and 180,000 shares at September 30, 2022 and December 31, 2021, respectively(14,243)(5,427)
Additional paid-in capital759,986 727,857 
(Accumulated deficit) Retained earnings(380,115)234,984 
Accumulated other comprehensive loss(16,052)(4,846)
Total shareholders’ equity349,885 952,928 
Total liabilities and shareholders’ equity$1,328,425 $1,659,935 
6


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(Amounts in thousands)Nine Months Ended
September 30,
20222021
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income$176,698 $131,814 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation13,928 11,819 
Amortization2,514 3,835 
Stock-based compensation expense15,819 10,488 
Noncash lease expense13,460 11,878 
Deferred income tax (benefit) provision(2,126)3,299 
Amortization and adjustment of deferred credit(465)(501)
Other115 213 
Changes in assets and liabilities:
Accounts receivable and unbilled, net(62,438)(25,046)
Prepaid expenses and other current assets(17,397)(22,049)
Accounts payable770 2,150 
Accrued expenses47,848 24,691 
Advanced billings73,286 48,184 
Lease liabilities(11,134)(11,335)
Other assets and liabilities, net488 2,993 
Net cash provided by operating activities251,366 192,433 
CASH FLOWS FROM INVESTING ACTIVITIES:
Property and equipment expenditures(27,636)(19,155)
Other(1,886)(3,093)
Net cash used in investing activities(29,522)(22,248)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from stock option exercises16,313 15,212 
Repurchases of common stock(800,667)(62,096)
Proceeds from revolving loan299,200 — 
Payments on revolving loan(159,500)— 
Net cash used in financing activities(644,654)(46,884)
EFFECT OF EXCHANGE RATES ON CASH, CASH EQUIVALENTS, AND
RESTRICTED CASH
(7,487)(2,680)
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH(430,297)120,621 
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH — Beginning of period461,304 277,766 
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH — End of period$31,007 $398,387 
7


MEDPACE HOLDINGS, INC. AND SUBSIDIARIES
RECONCILIATION OF NON-GAAP MEASURES (UNAUDITED)
(Amounts in thousands)Three Months Ended
September 30,
Nine Months Ended
September 30,
2022202120222021
RECONCILIATION OF GAAP NET INCOME TO EBITDA
Net income (GAAP)$66,027 $48,574 $176,698 $131,814 
Interest expense, net1,584 41 2,078 82 
Income tax provision15,865 6,162 32,517 14,117 
Depreciation4,951 4,056 13,928 11,819 
Amortization838 1,278 2,514 3,835 
EBITDA (Non-GAAP)$89,265 $60,111 $227,735 $161,667 
Net income margin (GAAP)17.2 %16.4 %16.6 %15.8 %
EBITDA margin (Non-GAAP)23.3 %20.3 %21.4 %19.4 %
FY 2022 GUIDANCE RECONCILIATION (UNAUDITED)
(Amounts in millions, except per share amounts)Forecast 2022
Net IncomeNet income per diluted share
LowHighLowHigh
Net income and net income per diluted share (GAAP)$232.0 $236.0 $6.88 $7.00 
Income tax provision44.3 48.3 
Interest expense, net3.3 3.3 
Depreciation19.0 19.0 
Amortization3.4 3.4 
EBITDA (Non-GAAP)$302.0 $310.0 
8