Risk Sleuth
MEDP · 10-K filed 10 Feb 2026 · year to 31 Dec 2025

Medpace Holdings

23 named things its latest annual report says its results depend on, each in the company's own words. 15 of them are also named by other companies we've read.

Customers

Top ten customers

concentrated in · approximately 35.1% of our net revenuenamed as a risk
Although we did not have any customer that represented 10% or more of our net revenue during the year ended December 31, 2025, we derive approximately 35.1% of our net revenue from our top ten customers.Risk factors (Item 1A)

Also named by BGC, CBOE, CVLG, ENTG, FBIN, HUBB, LPX, MU and 9 more

Small biopharmaceutical companies

earns from · 82% of our net revenuenamed as a risk
Clinical trials can be costly and for the year ended December 31, 2025, 82% and 13% of our net revenue was derived from small biopharmaceutical companies and mid-sized biopharmaceutical companies, respectively, which may have limited access to capital.Risk factors (Item 1A)

Mid-sized biopharmaceutical companies

earns from · 13% of our net revenuenamed as a risk
Clinical trials can be costly and for the year ended December 31, 2025, 82% and 13% of our net revenue was derived from small biopharmaceutical companies and mid-sized biopharmaceutical companies, respectively, which may have limited access to capital.Risk factors (Item 1A)

Other companies

Medpace Investors LLC

approximately 19.0% of the outstanding sharesnamed as a risk
As of December 31, 2025, August J. Troendle, our Chief Executive Officer and founder, through his direct ownership of 646,184 shares of our common stock and his beneficial ownership of 4,733,019 shares of our common stock held by Medpace Investors LLC (“Medpace Investors”), controls approximately 19.0% of the outstanding shares of our common stock.Risk factors (Item 1A)

Competitors

IQVIA Holdings Inc.

competes with
Our major CRO competitors include IQVIA Holdings Inc., ICON plc, PPD, Inc. (now part of Thermo Fisher Scientific Inc.), Fortrea, Inc., and numerous specialty and regional CROs.Business (Item 1)

Also named by VEEV

ICON plc

competes with
Our major CRO competitors include IQVIA Holdings Inc., ICON plc, PPD, Inc. (now part of Thermo Fisher Scientific Inc.), Fortrea, Inc., and numerous specialty and regional CROs.Business (Item 1)

Also named by IQV

PPD, Inc. (Thermo Fisher Scientific Inc.)

competes with
Our major CRO competitors include IQVIA Holdings Inc., ICON plc, PPD, Inc. (now part of Thermo Fisher Scientific Inc.), Fortrea, Inc., and numerous specialty and regional CROs.Business (Item 1)

Fortrea, Inc.

competes with
Our major CRO competitors include IQVIA Holdings Inc., ICON plc, PPD, Inc. (now part of Thermo Fisher Scientific Inc.), Fortrea, Inc., and numerous specialty and regional CROs.Business (Item 1)

Places

China

subject tonamed as a risk
tariffs imposed by the U.S. government on certain imported goods, equipment, technology, or supplies used in our clinical trials, any retaliatory and/or reciprocal tariffs imposed on U.S. exports by foreign countries, including China, as well as any additional tariffs, duties, or other trade measures or restrictions could increase our operating costs, disrupt our global supply chain, lead to changes in the business environment in which we operate, or otherwise have a material adverse effect on our business, financial condition, or results of operations;Risk factors (Item 1A)

Also named by A, AA, AAOI, AAP, AAPL, AB, ADI, AEHR and 261 more

Cincinnati, Ohio

concentrated in
Our Bioanalytical Laboratory is located on our clinical research campus in Cincinnati, Ohio.Business (Item 1)

Commodities and inputs

Euro

exposed to its price · approximately 91.1% and 82.8% of revenue denominated in foreign currencies and approximately 49.7% and 51.6% of operational costs denominated in foreign currencies were Euro denominatednamed as a risk
Of these exposures, approximately 91.1% and 82.8% of revenue denominated in foreign currencies and approximately 49.7% and 51.6% of operational costs denominated in foreign currencies were Euro denominated for the years ended December 31, 2025 and 2024, respectively.Market risk (Item 7A)

Also named by ABBV, ABNB, ABT, ADBE, ADI, AME, AMG, AMGN and 186 more

Regulators

U.S. Food and Drug Administration (FDA)

subject tonamed as a risk
For example, we are subject to regulation by the FDA, and comparable foreign regulatory authorities relating to our activities in conducting pre-clinical studies and clinical trials.Risk factors (Item 1A)

Also named by A, ABBV, ABT, AMGN, ARE, ARWR, ATR, AXGN and 112 more

Drug Enforcement Administration (DEA)

subject tonamed as a risk
We are also subject to regulation by the Drug Enforcement Administration, or DEA, which regulates the distribution, recordkeeping, handling, security, and disposal of controlled substances.Risk factors (Item 1A)

Also named by CAH, COR, DGX, DHR, HALO, HSIC, IQV, LH and 7 more

European Medicines Agency (EMA)

subject to
Within the EU, these requirements are enforced by the EMA and requirements may vary slightly from one member state to another.Business (Item 1)

Also named by GEHC, GILD, INCY, KRYS, TMO, VKTX, WST, ZTS

Laws and programs

General Data Protection Regulation (GDPR)

subject to · up to 20 million EUR or up to 4% of the total worldwide annual turnovernamed as a risk
If we do not comply with our obligations under the GDPR we could be exposed to significant fines of up to 20 million EUR or up to 4% of the total worldwide annual turnover of the preceding financial year, whichever is higher.Risk factors (Item 1A)

Also named by A, AB, ABNB, ADBE, ADP, AGX, AIOT, AJG and 100 more

HIPAA

subject to · up to $1.5 million in annual civil penalties for each HIPAA violationnamed as a risk
Two of our subsidiaries, Medpace Clinical Pharmacology, LLC and C-MARC, LLC, are covered entities under HIPAA.Risk factors (Item 1A)

Also named by AFL, BAX, BBSI, CI, DHR, DOC, DOCN, DOCU and 19 more

Foreign Corrupt Practices Act (FCPA)

subject tonamed as a risk
We are required to comply with the FCPA, UK Bribery Act of 2010 and other U.S. and foreign anti-corruption laws, which prohibit companies from engaging in bribery including corruptly or improperly offering, promising, or providing money or anything else of value to foreign officials and certain other recipients.Risk factors (Item 1A)

Also named by A, ADBE, ADP, AIR, AJG, ALB, AME, AMZN and 112 more

Affordable Care Act

subject tonamed as a risk
If regulatory cost containment efforts limit the profitability of new drugs, our customers may reduce their R&D expenditures, which could reduce the business they outsource to us.Risk factors (Item 1A)

Also named by ABBV, ABT, ADP, AFL, BBSI, BRO, BWIN, COR and 8 more

Clinical Laboratory Improvement Amendments (CLIA)

subject tonamed as a risk
The sanction for failure to comply with CLIA requirements may be suspension, revocation or limitation of a laboratory’s CLIA certificate, which is necessary to conduct business, as well as significant fines and/or criminal penalties.Risk factors (Item 1A)

Also named by COO, DGX, GH, ILMN, IQV, LH, NTRA

Good Clinical Practice (GCP)

subject tonamed as a risk
Many of the functions we regularly perform in the conduct of clinical trials subject us directly to regulations (e.g., compliance with GCP), and in some circumstances, we will take on legal and regulatory responsibility either through a transfer of obligations to us from our clinical trial customers or our acting as local legal representative for certain of our clinical trial customers.Business (Item 1)

Also named by IQV

21 CFR Part 11

subject tonamed as a risk
Any failures to comply with those regulatory requirements could impact our customers’ ability to rely on the data contained in those electronic records in our systems or result in the FDA’s rejection of the data.Risk factors (Item 1A)

Federal Food, Drug, and Cosmetic Act

subject to
In the United States, these trials must be conducted in accordance with the Federal Food, Drug, and Cosmetic Act, its implementing regulations, and other federal and state requirements that require the drug to be tested and studied in certain ways prior to approval.Business (Item 1)

Also named by INGR, MKC

Technology

ClinTrak

depends onnamed as a risk
Our business depends on the continued effectiveness and availability of our information systems, including the information systems we use to provide our services to our customers, such as ClinTrak, and failures of these systems may materially limit our operations.Risk factors (Item 1A)