Health Care

Medpace Holdings, Inc. (MEDP) options and signal

Figures as of 28 Sep 2026

MEDP is Medpace Holdings, Inc., a Health Care name the model ranks every trading day. The options figures are from the close on 28 Sep 2026. The model's figures are from 25 Sep 2026, one trading day behind the latest, as the Free plan shows them. Every model figure is paper trading.

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At a glance

Figure	Value	Date
IV rank	19 of 100	28 Sep
At the money IV	37.8%	28 Sep
Priced move to 16 Oct	7.6% down, 8.9% up	28 Sep
Call wall and put wall	700 and 570	28 Sep
Signal and the desk's view	No signal, view neutral	25 Sep
Last close	615.94	28 Sep
Next report	21 Oct 2026	28 Sep

Options Snapshot

MEDP's IV rank is 19 of 100 on 28 Sep 2026.

Figure	Value
IV rank	19 of 100
At the money IV	37.8%, near month, 18 days
Put/call ratio, open interest	2.15
Call open interest, strikes captured near the price	776 contracts
Put open interest, strikes captured near the price	1,670 contracts
Cost to trade at the money	Fair, 39.0% of the option's mid price

IV rank is where the at the money IV sits among MEDP's own weekly readings, 0 the lowest and 100 the highest.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Priced Range

On 28 Sep 2026, MEDP options priced a move of 7.6 percent down and 8.9 percent up by 16 Oct 2026.

Expiry	Days	Down	Up	Range
16 Oct 2026	18	7.6%	8.9%	569.34 to 670.94
20 Nov 2026	53	20.3%	20.3%	490.94 to 740.94
18 Dec 2026	81	22.1%	23.7%	479.94 to 761.94
15 Jan 2027	109	24.4%	27.0%	465.94 to 781.94
19 Mar 2027	172	30.2%	33.6%	429.94 to 822.94

The range is one standard deviation either side of the close of 615.94, as the option prices imply it.

A priced move restates option prices at the close and says nothing certain about where the price goes.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Gamma Map

On 28 Sep 2026, MEDP's call wall is the 700 strike and its put wall is the 570 strike.

Figure	Value
Call wall, most open call gamma	700
Put wall, most open put gamma	570
Net dollar gamma, calls minus puts	minus $1.56 million
Total dollar gamma, both sides	$3.34 million
Close	615.94

Dollar gamma is stated for a one percent move in the price.

Net is calls minus puts under the standard convention, not a record of who holds the contracts.

Net gamma changes sign at 2 strikes, so no single flip strike is named.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility History

On 28 Sep 2026, MEDP's at the money IV is 37.8 percent against 20 day realized volatility of 22.4 percent.

Figure	Value
At the money IV	37.8%
Realized volatility, 20 trading days	22.4%
Realized volatility, 60 trading days	37.4%
IV against its own weekly record	Low, in the bottom fifth
Weekly readings on record	431, from 12 Jan 2018
Weeks the price moved more than the one week priced move	23.3% of 236 weeks

Realized volatility is worked out from the daily closes the desk holds, not from the option chain.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility Weather

On 28 Sep 2026, MEDP's at the money IV runs from 37.8 percent at 18 days to 48.9 percent at 172 days.

Days to expiry	At the money IV
18	37.8%
53	53.3%
81	50.9%
109	48.0%
172	48.9%

Far expiries price more volatility than near ones, an upward sloping term structure.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility Smile

On 28 Sep 2026, at the 53 day expiry, MEDP's IV ten percent below the price sits 2.6 points below at the money IV.

Strike area	Implied volatility	Against at the money
10% below the price	50.6%	-2.6 points
At the money	53.3%	0.0 points
10% above the price	51.7%	-1.6 points

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Volatility Surface

On 28 Sep 2026, MEDP's surface spans 5 expiries out to 172 days, with IV from 3.1 to 55.9 percent near the price.

Figure	Value
Expiries captured	5
Nearest expiry	16 Oct 2026, 18 days
Farthest expiry	19 Mar 2027, 172 days
Points within 10% of the price, 7 days out or more	42
Lowest IV among them	3.1%
Highest IV among them	55.9%

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Expiry Ladder

On 28 Sep 2026, MEDP has 5 captured expiries, from 16 Oct 2026 to 19 Mar 2027.

Expiry	Days	At the money IV	Call open interest	Put open interest
16 Oct 2026	18	37.8%	132	537
20 Nov 2026	53	53.3%	338	31
18 Dec 2026	81	50.9%	210	1,072
15 Jan 2027	109	48.0%	74	23
19 Mar 2027	172	48.9%	22	9

Open interest is summed over the strikes captured near the price on each expiry.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Strike Table

On 28 Sep 2026, MEDP's largest open interest sits at the 570 strike, with 952 contracts across the captured expiries.

Strike	Call open interest	Put open interest	Total
570	11	941	952
590	13	297	310
700	303	0	303
620	46	165	211
370	0	65	65
670	49	7	56

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Since Yesterday

From 25 Sep 2026 to 28 Sep 2026, MEDP's at the money IV moved from 34.9 percent to 37.8 percent.

Figure	25 Sep	28 Sep	Change
At the money IV	34.9%	37.8%	+3.0 points
Open interest, strikes captured near the price	2,235	2,448	+213
Put/call ratio, open interest	1.97	2.15	+0.19

Open interest changes cannot identify buyers or sellers.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Changed Hands

On 28 Sep 2026, 669 MEDP option contracts traded, 0.9 times its own recent average.

Figure	Value
Calls traded	257
Puts traded	412
Against its recent average	0.9 times
Busier than	12 of its last 20 trading days
Open interest, whole chain	2,816 contracts
Volume to open interest	0.24
Unusual volume flag	No

Traded volume and open interest are shown side by side and never combined. Open interest changes cannot identify buyers or sellers.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Positioning Replay

The replay holds 34 trading days of MEDP's option positioning, from 10 Aug 2026 to 28 Sep 2026.

Date	Close	Net dollar gamma	Top call strike	Top put strike
10 Aug 2026	602.43	minus $627,400	610	560
21 Sep 2026	624.20	minus $1.47 million	650	570
28 Sep 2026	615.94	minus $1.56 million	700	570

Each frame restates one nightly capture. Net is calls minus puts, a convention, not who holds the contracts.

From the option chain at the close on 28 Sep 2026. Current on every plan.

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Read-out

On 25 Sep 2026 the desk's view of MEDP was neutral, paper trading.

Figure	Value
Side	Neutral at 45 trading days, no signal
Level above the close	625.01, the swing high of 16 Sep 2026
Level below the close	581.78, the swing low of 2 Sep 2026
Strategy family	Long straddle (buy a call and a put at the same strike)
Price target	None. The desk has no price model.

The levels are prices the shares turned at on the chart, with the date of each.

Paper trading. The model's figures from 25 Sep 2026, one trading day behind, as the Free plan shows them.

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Rank by Timeframe

On 25 Sep 2026 MEDP sat at the 29th percentile of the model's 45 trading day ranking, paper trading.

Timeframe	Percentile	Side
10 trading days	66 of 100	Neutral
20 trading days	65 of 100	Neutral
45 trading days	29 of 100	Neutral

100 is the top of the ranking. A name in the middle three fifths is neutral.

Paper trading. The model's figures from 25 Sep 2026, one trading day behind, as the Free plan shows them.

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Timeframe Agreement

On 25 Sep 2026 MEDP's near timeframes were neutral and its long timeframe was neutral, paper trading.

Group	Timeframes	Side	On that side
Near	10 day, 20 day	Neutral	0 of 2
Long	45 day	Neutral	0 of 1

Paper trading. The model's figures from 25 Sep 2026, one trading day behind, as the Free plan shows them.

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Signal History

On 25 Sep 2026 MEDP had carried no signal for at least 18 trading days, paper trading.

Trading day	Signal	45 day percentile
25 Sep 2026	None	29 of 100
24 Sep 2026	None	19 of 100
23 Sep 2026	None	29 of 100
22 Sep 2026	None	29 of 100
21 Sep 2026	None	75 of 100
18 Sep 2026	None	55 of 100
17 Sep 2026	None	62 of 100
16 Sep 2026	None	35 of 100

Paper trading. The model's figures from 25 Sep 2026, one trading day behind, as the Free plan shows them.

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Sector Split

On 25 Sep 2026, 32 of 120 Health Care names were bullish and 52 were bearish, paper trading.

Sector	Names	Bullish	Bearish	Neutral
Health Care	120	32	52	36

Paper trading. The model's figures from 25 Sep 2026, one trading day behind, as the Free plan shows them.

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Price Chart

MEDP closed at 615.94 on 28 Sep 2026.

Figure	Value
Last close	615.94
Change over 5 trading days	-1.3%
Change over 21 trading days	+0.7%
Change over 63 trading days	+15.2%
Change over 252 trading days	+26.2%
52 week high	677.90
52 week low	373.00
20 day moving average	604.48
50 day moving average	595.14
200 day moving average	522.81
RSI, 14 days	56

Worked out from the desk's own daily bars, adjusted for share splits.

From the daily bars through 28 Sep 2026. Current on every plan.

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Earnings Radar

MEDP reports next on 21 Oct 2026, a date confirmed by the company.

Figure	Value
Next report	21 Oct 2026, after the close
Date	Confirmed by the company
Move after the report of 23 Apr 2026	+4.3%
Move after the report of 21 Jan 2026	-2.3%
Move after the report of 21 Apr 2025	-2.3%
Move after the report of 10 Feb 2025	-7.5%

Earnings calendar as of 28 Sep 2026. Current on every plan.

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Public Filings

Company insiders reported 0 purchases and 2 sales of MEDP in the filings the desk holds.

Filed	Who	Trade	Size
23 Sep 2026	Troendle August J., director, President & CEO, 10% owner	Sold	27,833 shares, $17.29 million
23 Sep 2026	Troendle August J., director, President & CEO, 10% owner	Sold	16,083 shares, $10.11 million

Every filing is reproduced as filed, and each one reaches the public days or weeks after the trade.

Filings as of 28 Sep 2026. Current on every plan.

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Seasonality

In the 9 Septembers on record, MEDP's average change was minus 1.1 percent, and it rose in 55.6 percent of them.

Month	Average change	Middle change	Share of years up	Years
September	-1.1%	+0.2%	55.6%	9
October	+5.8%	-0.2%	50.0%	10
November	+5.8%	+6.3%	70.0%	10

Each figure is a month end to month end change in past years. A past month says nothing certain about the next one.

Monthly history through 28 Sep 2026. Current on every plan.

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Headlines

The desk's news feeds carried 1 headline naming MEDP in the 3 days to 28 Sep 2026.

Figure	Value
Headlines in the window	1
Latest	28 Sep 2026

The titles are in the Headlines window, with the time each was published.

Headlines as of 28 Sep 2026. Current on every plan.

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Questions

What is MEDP's IV rank?: MEDP's IV rank is 19 of 100 on 28 Sep 2026.
What move are MEDP options pricing?: On 28 Sep 2026, MEDP options priced a move of 7.6 percent down and 8.9 percent up by 16 Oct 2026.
Where are MEDP's call wall and put wall?: On 28 Sep 2026, MEDP's call wall is the 700 strike and its put wall is the 570 strike.
What was the desk's latest view of MEDP on the Free plan?: On 25 Sep 2026 the desk's view of MEDP was neutral, paper trading.
When does MEDP report earnings next?: MEDP reports next on 21 Oct 2026, a date confirmed by the company.

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