Drug Manufacturers - Specialty & Generic
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HROW vs ICUI vs ATRC vs MCK vs CAH
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Instruments & Supplies
Medical - Instruments & Supplies
Medical - Distribution
Medical - Distribution
HROW vs ICUI vs ATRC vs MCK vs CAH — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Drug Manufacturers - Specialty & Generic | Medical - Instruments & Supplies | Medical - Instruments & Supplies | Medical - Distribution | Medical - Distribution |
| Market Cap | $1.45B | $3.08B | $1.41B | $92.15B | $43.59B |
| Revenue (TTM) | $272M | $2.16B | $552M | $403.43B | $250.55B |
| Net Income (TTM) | $-5M | $47M | $-5M | $4.76B | $1.56B |
| Gross Margin | 75.1% | 37.9% | 75.5% | 3.6% | 3.7% |
| Operating Margin | 11.2% | 2.9% | -0.4% | 1.5% | 0.9% |
| Forward P/E | 82.9x | 15.2x | 370.7x | 19.3x | 17.9x |
| Total Debt | $252M | $1.39B | $88M | $7.39B | $9.35B |
| Cash & Equiv. | $73M | $308M | $167M | $5.69B | $3.87B |
HROW vs ICUI vs ATRC vs MCK vs CAH — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Harrow Health, Inc. (HROW) | 100 | 721.8 | +621.8% |
| ICU Medical, Inc. (ICUI) | 100 | 61.7 | -38.3% |
| AtriCure, Inc. (ATRC) | 100 | 58.1 | -41.9% |
| McKesson Corporation (MCK) | 100 | 474.1 | +374.1% |
| Cardinal Health, In… (CAH) | 100 | 338.7 | +238.7% |
Price return only. Dividends and distributions are not included.
Quick Verdict: HROW vs ICUI vs ATRC vs MCK vs CAH
Each card shows where this stock fits in a portfolio — not just who wins on paper.
HROW has the current edge in this matchup, primarily because of its strength in growth exposure and long-term compounding.
- Rev growth 36.4%, EPS growth 71.4%, 3Y rev CAGR 45.4%
- 9.1% 10Y total return vs MCK's 348.1%
- 36.4% revenue growth vs ICUI's -6.4%
- +58.8% vs ICUI's -8.5%
ICUI is the #2 pick in this set and the best alternative if value and quality is your priority.
- Lower P/E (15.2x vs 17.9x)
- 2.2% margin vs HROW's -1.9%
ATRC is the clearest fit if your priority is sleep-well-at-night.
- Lower volatility, beta 1.03, Low D/E 17.9%, current ratio 3.96x
MCK is the clearest fit if your priority is efficiency.
- 5.7% ROA vs HROW's -1.4%, ROIC 5.4% vs 9.5%
CAH ranks third and is worth considering specifically for income & stability and defensive.
- Dividend streak 20 yrs, beta 0.03, yield 1.1%
- Beta 0.03, yield 1.1%, current ratio 0.94x
- Beta 0.03 vs HROW's 2.13
- 1.1% yield, 20-year raise streak, vs MCK's 0.4%, (3 stocks pay no dividend)
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 36.4% revenue growth vs ICUI's -6.4% | |
| Value | Lower P/E (15.2x vs 17.9x) | |
| Quality / Margins | 2.2% margin vs HROW's -1.9% | |
| Stability / Safety | Beta 0.03 vs HROW's 2.13 | |
| Dividends | 1.1% yield, 20-year raise streak, vs MCK's 0.4%, (3 stocks pay no dividend) | |
| Momentum (1Y) | +58.8% vs ICUI's -8.5% | |
| Efficiency (ROA) | 5.7% ROA vs HROW's -1.4%, ROIC 5.4% vs 9.5% |
HROW vs ICUI vs ATRC vs MCK vs CAH — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
HROW vs ICUI vs ATRC vs MCK vs CAH — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
HROW leads in 2 of 6 categories
CAH leads 2 • ICUI leads 1 • MCK leads 1 • ATRC leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
HROW leads this category, winning 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
MCK is the larger business by revenue, generating $403.4B annually — 1481.5x HROW's $272M. Profitability is closely matched — net margins range from 2.2% (ICUI) to -1.9% (HROW). On growth, HROW holds the edge at +33.3% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $272M | $2.2B | $552M | $403.4B | $250.5B |
| EBITDAEarnings before interest/tax | $59M | $218M | $13M | $6.8B | $3.2B |
| Net IncomeAfter-tax profit | -$5M | $47M | -$5M | $4.8B | $1.6B |
| Free Cash FlowCash after capex | $73M | $80M | $54M | $6.0B | $4.4B |
| Gross MarginGross profit ÷ Revenue | +75.1% | +37.9% | +75.5% | +3.6% | +3.7% |
| Operating MarginEBIT ÷ Revenue | +11.2% | +2.9% | -0.4% | +1.5% | +0.9% |
| Net MarginNet income ÷ Revenue | -1.9% | +2.2% | -0.8% | +1.2% | +0.6% |
| FCF MarginFCF ÷ Revenue | +26.8% | +3.7% | +9.7% | +1.5% | +1.8% |
| Rev. Growth (YoY)Latest quarter vs prior year | +33.3% | -12.3% | +14.3% | +6.0% | +11.0% |
| EPS Growth (YoY)Latest quarter vs prior year | -5.3% | +2.9% | +101.6% | +37.0% | -19.5% |
Valuation Metrics
ICUI leads this category, winning 3 of 6 comparable metrics.
Valuation Metrics
At 28.7x trailing earnings, CAH trades at a 99% valuation discount to ICUI's 4186.1x P/E. On an enterprise value basis, ICUI's 12.8x EV/EBITDA is more attractive than ATRC's 77.7x.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $1.5B | $3.1B | $1.4B | $92.1B | $43.6B |
| Enterprise ValueMkt cap + debt − cash | $1.6B | $4.2B | $1.3B | $93.8B | $49.1B |
| Trailing P/EPrice ÷ TTM EPS | -278.93x | 4186.05x | -115.83x | 29.25x | 28.72x |
| Forward P/EPrice ÷ next-FY EPS est. | 82.86x | 15.23x | 370.67x | 19.28x | 17.94x |
| PEG RatioP/E ÷ EPS growth rate | — | — | — | 0.75x | — |
| EV / EBITDAEnterprise value multiple | — | 12.80x | 77.75x | 18.74x | 16.01x |
| Price / SalesMarket cap ÷ Revenue | 5.34x | 1.38x | 2.63x | 0.26x | 0.20x |
| Price / BookPrice ÷ Book value/share | 27.56x | 1.44x | 2.70x | — | — |
| Price / FCFMarket cap ÷ FCF | — | 33.50x | 29.15x | 17.63x | 23.56x |
Profitability & Efficiency
MCK leads this category, winning 5 of 9 comparable metrics.
Profitability & Efficiency
MCK delivers a 3.0% return on equity — every $100 of shareholder capital generates $3 in annual profit, vs $-10 for HROW. ATRC carries lower financial leverage with a 0.18x debt-to-equity ratio, signaling a more conservative balance sheet compared to HROW's 4.84x. On the Piotroski fundamental quality scale (0–9), ICUI scores 6/9 vs HROW's 4/9, reflecting solid financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | -10.1% | +2.2% | -1.0% | +3.0% | — |
| ROA (TTM)Return on assets | -1.4% | +1.2% | -0.7% | +5.7% | +2.8% |
| ROICReturn on invested capital | +9.5% | +2.5% | -0.6% | +5.4% | +33.8% |
| ROCEReturn on capital employed | +10.2% | +3.0% | -0.6% | +30.5% | +19.2% |
| Piotroski ScoreFundamental quality 0–9 | 4 | 6 | 5 | 6 | 6 |
| Debt / EquityFinancial leverage | 4.84x | 0.66x | 0.18x | — | — |
| Net DebtTotal debt minus cash | $179M | $1.1B | -$79M | $1.7B | $5.5B |
| Cash & Equiv.Liquid assets | $73M | $308M | $167M | $5.7B | $3.9B |
| Total DebtShort + long-term debt | $252M | $1.4B | $88M | $7.4B | $9.3B |
| Interest CoverageEBIT ÷ Interest expense | 0.53x | 1.54x | 0.47x | 33.79x | 6.38x |
Total Returns (Dividends Reinvested)
HROW leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in HROW five years ago would be worth $47,797 today (with dividends reinvested), compared to $3,579 for ATRC. Over the past 12 months, HROW leads with a +58.8% total return vs ICUI's -8.5%. The 3-year compound annual growth rate (CAGR) favors CAH at 31.5% vs ATRC's -16.5% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -21.8% | -11.2% | -29.2% | -8.5% | -9.5% |
| 1-Year ReturnPast 12 months | +58.8% | -8.5% | -8.3% | +4.6% | +22.0% |
| 3-Year ReturnCumulative with dividends | +43.0% | -33.1% | -41.8% | +106.4% | +127.3% |
| 5-Year ReturnCumulative with dividends | +378.0% | -38.4% | -64.2% | +286.9% | +235.7% |
| 10-Year ReturnCumulative with dividends | +914.3% | +19.0% | +95.1% | +348.1% | +160.8% |
| CAGR (3Y)Annualised 3-year return | +12.7% | -12.6% | -16.5% | +27.3% | +31.5% |
Risk & Volatility
CAH leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
CAH is the less volatile stock with a 0.03 beta — it tends to amplify market swings less than HROW's 2.13 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. CAH currently trades 79.3% from its 52-week high vs ATRC's 64.4% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 2.13x | 1.23x | 1.03x | 0.04x | 0.03x |
| 52-Week HighHighest price in past year | $54.85 | $160.29 | $43.18 | $999.00 | $233.60 |
| 52-Week LowLowest price in past year | $21.12 | $107.00 | $26.62 | $637.00 | $137.75 |
| % of 52W HighCurrent price vs 52-week peak | +71.2% | +76.8% | +64.4% | +75.3% | +79.3% |
| RSI (14)Momentum oscillator 0–100 | 54.6 | 41.7 | 45.0 | 16.2 | 33.2 |
| Avg Volume (50D)Average daily shares traded | 733K | 257K | 669K | 757K | 1.7M |
Analyst Outlook
CAH leads this category, winning 2 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: HROW as "Buy", ICUI as "Buy", ATRC as "Buy", MCK as "Buy", CAH as "Buy". Consensus price targets imply 93.8% upside for HROW (target: $76) vs 32.9% for ICUI (target: $164). For income investors, CAH offers the higher dividend yield at 1.10% vs MCK's 0.36%.
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $75.67 | $163.50 | $50.67 | $1006.50 | $249.67 |
| # AnalystsCovering analysts | 10 | 11 | 19 | 31 | 33 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | +0.4% | +1.1% |
| Dividend StreakConsecutive years of raises | 0 | — | — | 17 | 20 |
| Dividend / ShareAnnual DPS | — | — | — | $2.69 | $2.04 |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +0.3% | +0.8% | +3.4% | +1.8% |
HROW leads in 2 of 6 categories (Income & Cash Flow, Total Returns). CAH leads in 2 (Risk & Volatility, Analyst Outlook).
HROW vs ICUI vs ATRC vs MCK vs CAH: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is HROW or ICUI or ATRC or MCK or CAH a better buy right now?
For growth investors, Harrow Health, Inc.
(HROW) is the stronger pick with 36. 4% revenue growth year-over-year, versus -6. 4% for ICU Medical, Inc. (ICUI). Cardinal Health, Inc. (CAH) offers the better valuation at 28. 7x trailing P/E (17. 9x forward), making it the more compelling value choice. Analysts rate Harrow Health, Inc. (HROW) a "Buy" — based on 10 analyst ratings — the highest consensus in this comparison. The "better buy" depends entirely on your goals: growth investors should weight revenue trajectory, value investors should weight P/E and PEG, and income investors should weight dividend yield and streak.
02Which has the better valuation — HROW or ICUI or ATRC or MCK or CAH?
On trailing P/E, Cardinal Health, Inc.
(CAH) is the cheapest at 28. 7x versus ICU Medical, Inc. at 4186. 1x. On forward P/E, ICU Medical, Inc. is actually cheaper at 15. 2x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — HROW or ICUI or ATRC or MCK or CAH?
Over the past 5 years, Harrow Health, Inc.
(HROW) delivered a total return of +378. 0%, compared to -64. 2% for AtriCure, Inc. (ATRC). Over 10 years, the gap is even starker: HROW returned +914. 3% versus ICUI's +19. 0%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.
04Which is safer — HROW or ICUI or ATRC or MCK or CAH?
By beta (market sensitivity over 5 years), Cardinal Health, Inc.
(CAH) is the lower-risk stock at 0. 03β versus Harrow Health, Inc. 's 2. 13β — meaning HROW is approximately 6176% more volatile than CAH relative to the S&P 500. On balance sheet safety, AtriCure, Inc. (ATRC) carries a lower debt/equity ratio of 18% versus 5% for Harrow Health, Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — HROW or ICUI or ATRC or MCK or CAH?
By revenue growth (latest reported year), Harrow Health, Inc.
(HROW) is pulling ahead at 36. 4% versus -6. 4% for ICU Medical, Inc. (ICUI). On earnings-per-share growth, the picture is similar: ICU Medical, Inc. grew EPS 100. 6% year-over-year, compared to 14. 9% for McKesson Corporation. Over a 3-year CAGR, HROW leads at 45. 4% annualised revenue growth. Higher growth typically commands a higher valuation multiple — check whether the premium P/E or P/S is justified by the growth rate using the PEG ratio.
06Which has better profit margins — HROW or ICUI or ATRC or MCK or CAH?
McKesson Corporation (MCK) is the more profitable company, earning 0.
9% net margin versus -2. 1% for AtriCure, Inc. — meaning it keeps 0. 9% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HROW leads at 11. 2% versus -0. 6% for ATRC. At the gross margin level — before operating expenses — HROW leads at 75. 1%, reflecting greater pricing power or product mix advantage. Stronger margins indicate durable pricing power, lower cost of revenue, or higher mix of software/services. They are one of the clearest signs of business quality.
07Is HROW or ICUI or ATRC or MCK or CAH more undervalued right now?
On forward earnings alone, ICU Medical, Inc.
(ICUI) trades at 15. 2x forward P/E versus 370. 7x for AtriCure, Inc. — 355. 4x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for HROW: 93. 8% to $75. 67.
08Which pays a better dividend — HROW or ICUI or ATRC or MCK or CAH?
In this comparison, CAH (1.
1% yield), MCK (0. 4% yield) pay a dividend. HROW, ICUI, ATRC do not pay a meaningful dividend and should not be held primarily for income.
09Is HROW or ICUI or ATRC or MCK or CAH better for a retirement portfolio?
For long-horizon retirement investors, Cardinal Health, Inc.
(CAH) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 03), 1. 1% yield, +160. 8% 10Y return). Harrow Health, Inc. (HROW) carries a higher beta of 2. 13 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (CAH: +160. 8%, HROW: +914. 3%), confirming both are viable long-term holds — but the lower-volatility option typically results in less emotional selling during corrections. Retirement portfolios generally favour predictability over maximum returns. Consult a financial advisor before making allocation decisions.
10What are the main differences between HROW and ICUI and ATRC and MCK and CAH?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: HROW is a small-cap high-growth stock; ICUI is a small-cap quality compounder stock; ATRC is a small-cap quality compounder stock; MCK is a mid-cap high-growth stock; CAH is a mid-cap quality compounder stock. CAH pays a dividend while HROW, ICUI, ATRC, MCK do not, making them suitable for different income and tax situations. These fundamental differences mean investors should not choose between them on a single metric — the "better stock" depends entirely on which of these characteristics aligns with your investment strategy.
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