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Operator
Good day, ladies and gentlemen, and welcome to the Medpace Third Quarter 2022 Earnings Conference Call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session and instructions will follow at that time. As a reminder, this call may be recorded. I would now like to introduce your host for today's conference call, Lauren Morris, Medpace's Director of Investor Relations. You may begin.
Lauren Morris - Associate Director of Investors Relations
Good morning, and thank you for joining Medpace's Third Quarter 2022 Earnings Conference Call. Also on the call today is our CEO, August Troendle; our President, Jesse Geiger; and our CFO, Kevin Brady. Before we begin, I would like to remind you that our remarks and responses to your questions during this teleconference may include forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. These statements involve inherent assumptions with known and unknown risks and uncertainties as well as other important factors that could cause actual results to differ materially from our current expectations. These factors, including the ongoing impact of COVID-19 on our business, are discussed in our Form 10-K and other filings with the SEC.
Please note that we assume no obligation to update forward-looking statements even if estimates change. Accordingly, you should not rely on any of today's forward-looking statements as representing our views as of any date after today. During this call, we will also be referring to certain non-GAAP financial measures. These non-GAAP measures are not superior to or a replacement for the comparable GAAP measures, but we believe these measures help investors gain a more complete understanding of results. A reconciliation of such non-GAAP financial measures to the most directly comparable GAAP measures is available in the earnings press release and earnings call presentation slides provided in connection with today's call. The slides are available in the Investor Relations section of our website at investor.medpace.com.
With that, I would now like to turn the call over to August Rendell.
August James Troendle - Chairman & CEO
Good morning. RFP metrics were reasonably strong, though down slightly on a sequential basis in Q3. Initial award notifications, which I described in our second quarter call is weak, recovered strongly, and we're at a healthy level in the third quarter. This was a surprising outcome given the continued financial challenges faced by a large fraction of our clients; headwinds to revenue from delayed funding, reprioritization and even bankruptcy were higher in the quarter but not yet broad-based. The business environment is challenging, and we remain concerned that a prolonged period of depressed funding flows will eventually lead to a rapid escalation in project delays. Our initial 2023 guidance reflects this caution, and we anticipate slowing growth next year.
Jesse and Kevin will now review our financial results for Q3.
Jesse J. Geiger - President
Thank you, August, and good morning, everyone. Revenue for the third quarter of 2022 was $383.7 million, which represents a year-over-year increase of 29.8%. Net new business awards entering backlog in the third quarter increased 15.4% from the prior year to $470.9 million, resulting in a 1.23 net book-to-bill. Ending backlog as of September 30 was approximately $2.2 billion, an increase of 20.9% from the prior year. We project that approximately $1.17 billion of backlog will convert to revenue in the next 12 months. Backlog conversion in the third quarter was 17.7% of beginning backlog, and we continue to make progress in hiring, adding 11% to head count from the end of 2021 and 13.7% from the prior year.
And with that, I'll turn the call over to Kevin to review our financial performance in more detail as well as our guidance expectations for the balance of 2022 and initial guidance for 2023. Kevin?
Kevin M. Brady - CFO & Treasurer
Thank you, Jesse, and good morning to everyone listening in. As Jesse mentioned, revenue was $383.7 million in the third quarter of 2022. This represented a year-over-year increase of 29.8% on a reported basis and 31.9% on a constant currency basis. Revenue for the 9 months ended September 30, 2022, was $1.066 billion and increased 27.8% on a reported basis and 29.3% on a constant currency basis from the comparable prior year period.
EBITDA of $89.3 million increased 48.5% compared to $60.1 million in the third quarter of 2021. On a constant currency basis, third quarter EBITDA increased 41.5% compared to the prior year. Year-to-date EBITDA was $227.7 million and increased 40.9% on a reported basis and 35.7% on a constant currency basis from the comparable prior year period.
EBITDA margin for the third quarter was 23.3% compared to 20.3% in the prior year period. Year-to-date EBITDA margin was 21.4% compared to 19.4% in the prior year period. The increased EBITDA margin was driven by revenue growth, net foreign exchange benefits behind the strong U.S. dollar and slower headcount growth compared to 2021.
In the third quarter of 2022, net income of $66 million increased to 35.9% compared to net income of $48.6 million in the prior year period. Net income growth over the prior year was primarily driven by higher EBITDA, offset by interest expense and a higher effective tax rate.
Net income per diluted share for the quarter was $2.05 compared to $1.29 in the prior year period. Regarding customer concentration, our top 5 and top 10 customers represent roughly 17% and 25%, respectively, of our year-to-date revenue. In the third quarter, we generated $108.5 million in cash flow from operating activities, and our net days sales outstanding was negative 40.5 days. We did not repurchase any shares during the third quarter. In October, our Board of Directors authorized the company to repurchase up to $500 million of the company's common stock. During the quarter, we paid $110 million against the credit facility and our net debt position at the end of the quarter was $108.7 million, which was composed of debt of $139.7 million and cash of $31 million.
Our net leverage ratio is approximately 0.4x last 12 months EBITDA. Moving now to our updated guidance for 2022. Full year 2022 total revenue is now expected in the range of $1.44 billion to $1.46 billion, representing growth of 26.1% to 27.8% over 2021 total revenue of $1.142 billion. Our 2022 EBITDA is now expected in the range of $302 million to $310 million, representing growth of 35.4% to 39% compared to EBITDA of $223.1 million in 2021. Guidance is based on foreign exchange rates as of September 30. This guidance assumes a full year 2022 effective tax rate of 16% to 17% and 33.7 million diluted weighted average shares outstanding for 2022. There are no additional share repurchases in our guidance. We forecast 2022 net income in the range of $232 million to $236 million, which includes $3.3 million of interest expense on our outstanding debt. Earnings per diluted share is now expected to be in the range of $6.88 to $7.
As Jesse mentioned, we are providing initial 2023 guidance for revenue and EBITDA. For the full year 2023, we expect revenue in the range of $1.68 billion to $1.74 billion and EBITDA to be in the range of $325 million to $350 million. We plan to provide additional detailed full year 2023 guidance on our fourth quarter earnings call in February.
With that, I will turn the call back over to the operator so we can take your questions.
Operator
(Operator Instructions) Our first question or comment comes from the line of Dave Whittle from Jefferies.
David Howard Windley - MD & Equity Analyst
Obviously, you mentioned in your remarks some of the financial headwinds and even I think you mentioned even some bankruptcies, but that those weren't that broad, I guess, that mention seems, I guess, new or maybe somewhat intensified. So it would seem sequentially like a little bit of a headwind. I'm looking at some of the metrics like your revenue burn rate actually accelerating by quite a bit. And those things seem to be at odds. So maybe you could help us to understand like what helped the backlog burn rate to accelerate in the quarter and how the margin jumped so much sequentially. Was there any pull forward of revenue in the third quarter?
August James Troendle - Chairman & CEO
And no, I don't think there's any pull forward, but projects did progress. I think you've got 2 things going on. We're a little bit concerned about new project starts, but we haven't really seen broad-based delays there. But ongoing projects are going very well, and that's what's driving conversion is the ongoing projects. And I think that we made good progress on them. The pass-throughs were even higher than the service fees growth. But projects are progressing very nicely and to a better extent than we expected and is an amount of what we estimated for delays and slowdowns and cancellations were less than what we expected. So I think we had a very good conversion.
Kevin M. Brady - CFO & Treasurer
The other thing to consider -- on margin, sorry, Dave. The other thing to consider on margin in addition to revenue is just the FX impact that we saw in the quarter. The dollar, as you know, significantly strengthened again in the third quarter. And for us, it was about a $6.5 million impact when you also factor in the FX gain from the revaluation of our balance sheet.
David Howard Windley - MD & Equity Analyst
And that last part that you mentioned is the other income in –
Kevin M. Brady - CFO & Treasurer
That’s right.
David Howard Windley - MD & Equity Analyst
In the Component?
Kevin M. Brady - CFO & Treasurer
Yes, that's right.
David Howard Windley - MD & Equity Analyst
Yes. So that kind of addresses the margin question. I guess on that, obviously, you've talked about how contracts are solidified, sometimes some amount of time, probably less in your case than others perhaps in terms of the lead time before your steady start. But then you have multiple years of kind of living with those contracts and certain price escalators baked into those contracts that may not be able to be renegotiated? I guess, if anything, one would expect that those would be headwinds to your margin, FX maybe is overwhelming that. But have you been able to negotiate labor inflation up some to protect yourself there?
August James Troendle - Chairman & CEO
We haven't really addressed labor inflation on existing contracts to any extent. Obviously, we do annually and sometimes even small tweaks in between in terms of pricing on new projects, but they're not reflected in our current work, things that we're bidding in the last 9 months are not -- are really burning. So pretty much this reflects awards that were in place a few years back, and there's no real way to address inflation other than the contractual terms, which generally have a set fixed amount of increase each year.
David Howard Windley - MD & Equity Analyst
Okay. I'll leave it at that. I'll maybe come back later and let other people ask questions. Thank you.
Operator
Our next question or comment comes from the line of [Sandy] Draper from Guggenheim Partners.
Unidentified Analyst
Maybe a little bit of a follow-up to Dave's question, but thinking about your '23 guidance, which was immediately pretty strong. I was surprised August, you commented that feel like it baked in some conservatism. And so I know you're not going to give complete granular, but when I think about the inputs that are going to drive the revenue growth, you've got what your bookings and implied book-to-bill shake out to be. What the backlog burn is and some of that is trial but also mix of service revenue, et cetera.
And so, I'm just trying to think about in your -- and then maybe cancellations in your guidance, can you give us sort of some thoughts about, are you expecting bookings levels or book-to-bill that these types of levels implied? Or is it a deceleration? And generally, for '23, do you have an expectation of the backlog burn sort of stabling at this level because it sounds like it picked up? Or is it going to continue to stay up? I'm just trying to triangulate what's sort of built into the guidance? Because again, I was a little bit surprised when you positioned it saying on the conservative side because that's pretty darn healthy guidance.
August James Troendle - Chairman & CEO
Yes, I think we expect book-to-bill to be in a similar kind of range that they have been this year. We actually think they'd be stronger if we didn't expect to slow down. There's a lot of factors that go into that. So I don't know, but we did look at the entire pipeline and what prior -- what things we have for decision and what decisions have been made kind of our initial awards and how they're going to flow through and modeled that. And we then said, well, we do still expect -- we're kind of looking for Jamie Dimon's financial hurricane. I mean, we keep expecting that there is going to be a pretty broad-based slowdown in starts and also see some cancellations, uptick in cancellations that are meaningful, given the funding environment and given the feedback we've gotten from clients and what we're seeing.
But we've been able to work around it largely to-date. We do expect that to yet hit us at some point. If it doesn't, there's upside in our guidance. If it does, hopefully, we're not below where we've come out on our guidance. You can't -- there's nothing we can do about a very broad-based substantial cancellations situation. We don't anticipate that, but I do think we've put enough conservatism into the guidance that the slowdown we're kind of expecting will allow us to achieve within our guidance range.
Unidentified Analyst
That's really helpful. And then my next question, then I'll yield the floor. Probably for Kevin or maybe, Jessie, when I look at the EBITDA guidance for next year, obviously, growing slower than revenue. So just thinking through the margin, is there -- is some of that mostly coming to the gross margin side and thinking maybe it's a mix of service revenue to pass-throughs and maybe higher pass-throughs? Or is that sort of inflation? Just trying to think what is pushing on the expenses is more of a gross margin line is driven by general inflation or service revenue mix? Or is it more in the SG&A line?
Kevin M. Brady - CFO & Treasurer
Yes. Sandy, just to answer your question, there's a couple of things that are going on. One is the FX gain that you see in miscellaneous income, that's just driven by the revaluation of the balance sheet. And so to the extent that rates stay consistent, we don't expect to see a positive or negative influence from that in 2023. And there's $7.8 million year-to-date in foreign currency gains right now. The other component is just on -- in terms of building in some level of continued inflation or retention efforts in hiring is to make sure that we can support the anticipated growth in '23.
Unidentified Analyst
Great. That's really helpful. Thanks, Kevin, and I'll yield the floor.
Operator
Our next question comment comes from the line of just a second. Mr. Max Smock from William Blair.
Maxwell Andrew Smock - Research Analyst
I just wanted to ask a quick one here on revenue by customer care. Based on the back, it seems like midsize and large pharma were both really strong in the quarter. I think each increased by 1% based on year-to-date revenue and small biopharma, it seems like obviously very impressive, but as a percent of revenue, year-to-date dropped off a couple of percent. So I just wanted to see if you had any detail you could provide around whether or not there are any notable wins in the mid- to large pharma space that we should be aware of? And then any cause for concern on drop off in small biopharma as a percent of revenue beyond what you've already talked about in terms of some of the near-term headwinds from the slowdown in funding that we've seen over the last couple of quarters here.
Jesse J. Geiger - President
Yes, Max. Nothing really to point out there. Other than when we do have activity in the mid and large, it tends to be a little bit lumpier than how revenues spread across the population of small biotech customers. But nothing really that I'd point out there in terms of any therapeutic concentration or specific customer concentration that really drove activity in the quarter?
Maxwell Andrew Smock - Research Analyst
And then I wanted to go back to the 2023 guide again. And I appreciate the conservatism that you've built in there. But in terms of funding and whether or not we see it pick back up here in the near term, if we do actually see it pick back up here near term, do you think there could actually be some upside to 2023 guide or given the lag between bookings and revenue, would this actually be more of an impact for 2024?
And then assuming funding does kind of pick back up in the next couple of quarters, is it fair to think about revenue growth reaccelerating back into that 20% range in 2024 and beyond. And then -- sorry, for lumping a few in here, but relatedly, on the other hand, if we don't see funding pick back up, would you think about 2024, maybe dropping off further from the projected year-over-year growth that we're -- that you're guiding to in 2023?
August James Troendle - Chairman & CEO
Yes, sure, Max. The longer the slowdown in biotech funding, I think the greater the headwind for us. So I do think it is cumulative. So 2024 would be impacted by a very prolonged depression of revenues. If things snap back, yes, there's upside to the 2023. We've kind of baked in some disruption, both in terms of starting of programs delays as well as some kind of cancellation expectations to get to where we are in the guidance. Again, not a disastrous kind of scenario that could be below, but we have tried to be more conservative than usual in terms of anticipating that slowdown. But there certainly is upside if funding rebounded or we don't have the slowdown that we expected. And we would look at the last few years and you 20-plus percent revenue growth should be quite possible if things don't deteriorate or funding snaps back. Does that answer your question?
Maxwell Andrew Smock - Research Analyst
Yes. No, that's very helpful. And I'll leave it there.
Operator
Thank you. Our next question or comment comes from the line of John Sourbeer.
John Newton Sourbeer - Equity Research Associate
Congrats on quarter impressive guidance. Just I was wondering, is there any additional color you can provide on that recovery on the initial award notifications that you saw in 3Q versus 2Q? And do you think that recovery is sustainable as we head into 2023?
August James Troendle - Chairman & CEO
Yes. I think it's sustainable. We didn't really understand why it dropped. We thought it was the beginning of a broad-based slowdown, and we have not seen that yet. It did come back and the numbers were consistent with prior quarters, substantially up from Q2. So we haven't seen any more -- it's -- we thought the beginning of a broad-based slowdown -- it was a fault signal, I guess we could say, at least to-date. We still anticipate there to be some slowing, but we just haven't seen a great deal of it to-date. There's anecdotal. We do have -- we have had additional projects that have been delayed. And as I mentioned, even bankruptcy, which is pretty uncommon in an ongoing meaningful project. But we haven't seen it very broad-based to affect our growth to a large extent. I just have to leave it at that. So far, things look pretty good.
John Newton Sourbeer - Equity Research Associate
And then just on the cash burn and the increase Q-over-Q and year-over-year in 3Q. Just any additional color there and then just thoughts given some of the hiring over the last year on just what that trajectory looks like in 2023?
Kevin M. Brady - CFO & Treasurer
You said the cash burn?
John Newton Sourbeer - Equity Research Associate
Yes.
Kevin M. Brady - CFO & Treasurer
In the context of -- I mean, we're generating –
John Newton Sourbeer - Equity Research Associate
The cash conversion maybe being a little bit lower.
Kevin M. Brady - CFO & Treasurer
Yes, the cash conversion, it is pretty volatile for us. We had another good quarter of free cash flow generation. You're really just driven by earnings and positive working capital. We had a little bit of a blip in the first quarter, if you recall, but things have recovered nicely since then.
John Newton Sourbeer - Equity Research Associate
Got it. And then –
Jesse J. Geiger - President
Yes, John, I was just going to comment on the hiring and the headcount growth. We did pause a little bit or slow things down a little bit in the third quarter, just given the uncertainty in the environment, we are ramping that back up and do expect healthy hiring expectations in 2023. It does continue to be a challenging environment. So we're really focused on hiring. We're focused on retention because the labor market still is a tough one.
John Newton Sourbeer - Equity Research Associate
And then just last one on me, and I think that maybe Dave touched on it on existing contracts. But just on pricing for new contracts. Any thoughts there on -- are you seeing any pressure or just repricing for some of that wage increasing?
August James Troendle - Chairman & CEO
I think it's kind of -- we have as we always -- as each year, we do evaluate rates. And in the current environment, it is a little bit a larger bump than the last several years, but no, I haven't seen much push back. I think it's -- obviously, it's a competitive environment, and everyone is looking particularly in our clients in this current environment where their funding is down. They're looking for saving dollars and we have that conversation about how the inflationary environment is going to determine our rates. But as long as we're competitive, we've just not seen an unusual pushback at all, no.
John Newton Sourbeer - Equity Research Associate
Thanks for taking the questions.
Operator
(Operator Instructions) Our next question or comment comes from the line of Eric Coldwell from RW Baird.
Eric White Coldwell - Senior Research Analyst
On the -- there was a question earlier on the business mix in the quarter. And jumping off of that, do you possibly intend to or consider increasing your business development focus on larger clients in this environment? Do you maybe get a bit more aggressive on larger biotech or a little more open to working with big pharma, just to provide some additional avenues for growth in bookings, if you are worried about the smaller client trajectory?
August James Troendle - Chairman & CEO
Yes, Eric, this is August. No, that's just not really our focus and not where we -- where the model really match as well. And we just -- it's not where it's such a bad situation that we think we have to kind of jump out into a new adjacency. So it really is largely a different market there. We do pay a lot more focus on the funding of the client, and so we might move up in terms of size of the biotech clients to some extent. There may be some movement there, but I don't think we're really moving to midsize or large pharma companies with any kind of focus. Those opportunities occasionally come to us, but we don't go out soliciting in that group.
Eric White Coldwell - Senior Research Analyst
Bankruptcies, I'm curious, could you share how many total active clients you have this year and how many bankruptcies across that -- whatever that number, that cohort is, how many bankruptcies in total did you experience in 3Q or year-to-date?
August James Troendle - Chairman & CEO
No. I don't even know that that's a number because like how much work you're doing is what matters. We had one client that had a meaningful amount of work ongoing and was -- we actually had some loss because of it a few million dollars and lost opportunity. Bankruptcy that was a meaningful sized project. And that doesn't come up very often. I mean, usually, it's very late on and we have very little revenue left or something or very early on, and there's just not much impact. So it was more than usual in terms of just the dollar value, but I don't have a good metric on total number of clients over time that have declared bankruptcy.
And of course, again, you'd have to look at the impact of that, how big -- what the backlog was with them, when it happened and how much unpaid revenue did we have and all the rest of it. But I just don't have that.
Eric White Coldwell - Senior Research Analyst
Okay. And then I know you don't specifically quantify cancellation rates most of the time. But could you -- and I apologize if I missed this. Did you give a cancellation rate or quantify whether it was at above, below normal this period?
August James Troendle - Chairman & CEO
I did not, but our cancellation rate was actually in a very good range. Now what we do talked about in terms of cancellation, I should step back a second and say, we've talked variably. We have a formal cancellation rate, although we don't give it. So generally, but we talk about it being in the kind of 3% to 5% range. And that's a backlog. So that's an actual ongoing backlog that's 3% to 5%. Sometimes, we talk about total cancellation of projects. And we expand that to mean anything that's been awarded to us, even though it hasn't started and things just -- and at times of a slowdown, sometimes that's what happens as you get clients initially delay the startup. They say, wait a minute, we're still waiting to close on funding. And so we're holding off. We're not putting a backlog, we're not starting. And then eventually, they can't start it and they cancel it and so sometimes we talk about that.
In the broader scheme, we have not seen a very broad-based lift in cancellations. And our formal cancellation rate was well within that range of 3% to 5% for backlog projects. So from those kind of metrics, things look pretty good on the quarter. I mean they actually look better. Our kind of metrics in Q3 were better than Q2. So it's hard to see where things are going.
Eric White Coldwell - Senior Research Analyst
Can I -- when you say the metrics, it sounds like a broad-based comment, when you say metrics look better, would that translate also to win rate and pipeline. I'm curious if you can give us the –
August James Troendle - Chairman & CEO
Win rate ticked up, RFPs, as I mentioned, were slightly down, but win rate came back. I think we mentioned last quarter, it was down a little bit, but not a lot, but award notifications were strong. So across the -- it looks very -- like a very strong environment, but we've got a lot of clients that are also in financial distress we had more sort of impairments in things than usual over the last quarter or two.
So it's -- I don't know. It's -- we keep waiting for the real impact to hit and I haven't seen it, and I don't know if that it will hit, but the longer funding efficiency proceeds for our clients, I think the greater the risk. We -- the last slowdown, it was pretty rapid, and we saw a substantial broad-based slowing of the start and we saw cancellations. And we did a lot to try to invest in business development and broadening the view we get of clients and be able to adapt, hopefully, rapidly to a slowdown among a subset of our clients. And I think we've -- I think so far, we've done that outstandingly. -- how much you can do that, and how -- there's a limit to it. And eventually, we get hit. So I do think it depends on the duration -- the downdraft in funding was substantial. We've seen it in our clients. So far, we've been able to avoid that affecting our bookings and progression of overall number of projects, although there is a subset of our clients that are impaired, and so those have been delayed, and we've been able to pivot to others. How long that can go on? I just don't know.
Eric White Coldwell - Senior Research Analyst
Thank you for the answer.
Operator
Thank you -- our next question or comment is a follow-up from Mr. Dave Windley from -- I mean from Jefferies.
David Howard Windley - MD & Equity Analyst
August, you introduced this initial project awards metric last quarter, and we're all probably trying to understand how to think about it within the context of your sales pipeline progression to RFPs to initial project awards to bookings. And I'm going to guess that initial project awards moving to bookings is not lockstep. They're not -- it's not -- everything moves at 2 months or 3 months or 4 months or whatever. But if we have a full quarter's worth of initial project awards that were down 45% year-over-year from what you described last quarter.
And you apply that negative 45% to 3Q of last year's bookings, 4Q of last year's bookings, 1Q of this year, it suggests a well below 1.0 book-to-bill. And everything you're saying today suggests that you're going to sidestep that. You're going to be able to do the OA on a really bad book-to-bill -- or am I misinterpreting? Maybe I'm just giving you the opportunity to help us understand better how that initial project award flow proceeds to bookings and backlogs? And how you're able to smooth that over without having a book-to-bill that would really make an 18% growth rate next year look pretty challenging.
August James Troendle - Chairman & CEO
Yes. Well, I mean, I see where you're trying to go and say, you have this glitch in the pipeline and that has to show up late in the pipeline. I mean, later downflow. And I guess there's just a lot of factors that it isn't just liquid flowing through a pipe. We -- things fall out of there, the duration in which are certainly affected by the environment, the duration in which they take before they get to backlog is influenced.
And our win rate is a big factor in changing that. I mean you can have a much lower flow and the win rate comes up and can completely eliminate the deficiency down the line. So I guess I don't know. We -- there are a lot of moving parts. We had a decreased amount of -- but you have to put it in the context of several quarters of very strong initial award notifications. We had a very low quarter. I don't know why. They snapped back. And we have an changing win rate and duration of weights on projects. And projects fall out. I mean, just because their award notifications doesn't make -- I mean they ever make the backlog. That's part of the broader context of cancellations, but are not in our cancellation metric.
So if you have a reduced number of projects in initial award notifications, but you have somewhat lower attrition of those heading toward RFP. The same number they make it into RFP. And especially if you've got a changing win rate. So there are lots of ways to work around a low initial awards in a quarter. And I don't know if they're ever visible. If they'd be seen, it would be a couple of quarters down the line on average. That's what I said, I think, last quarter. But that's on average and that average doesn't mean anything. And other factors can change it, there'll be nothing.
Unidentified Company Representative
The other driver of revenue, right, is just what your burn rate is. And so it's a combination of burn, not just book-to-bill, but your burn rates, that's something to be considered as well.
David Howard Windley - MD & Equity Analyst
Okay. Appreciate the follow-up.
Operator
Thank you. I'm showing no additional questions or comments in the queue at this time. I'd like to turn the conference back over to management for any closing remarks.
Lauren Morris - Associate Director of Investors Relations
Yes. Thank you for joining us on today's call and for your interest in Medpace. We look forward to speaking with you again on our fourth quarter 2022 earnings call.
Operator
Ladies and gentlemen, thank you for participating in today's conference. This concludes the program. You may now disconnect. Everyone, have a wonderful day. Speakers, stand by.