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IQV vs PRA vs UNH vs CRL vs CVS

Revenue, margins, valuation, and 5-year total return — side by side.

Live fundamentals10-year financials5-year price chart
IQV
IQVIA Holdings Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$30.32B
5Y Perf.+19.5%
PRA
ProAssurance Corporation

Insurance - Property & Casualty

Financial ServicesNYSE • US
Market Cap$1.27B
5Y Perf.+78.3%
UNH
UnitedHealth Group Incorporated

Medical - Healthcare Plans

HealthcareNYSE • US
Market Cap$335.60B
5Y Perf.+21.3%
CRL
Charles River Laboratories International, Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$8.98B
5Y Perf.+1.3%
CVS
CVS Health Corporation

Medical - Healthcare Plans

HealthcareNYSE • US
Market Cap$111.40B
5Y Perf.+33.2%

IQV vs PRA vs UNH vs CRL vs CVS — Key Financials

Market cap, revenue, margins, and valuation side-by-side.

Company Snapshot
IQV logoIQV
PRA logoPRA
UNH logoUNH
CRL logoCRL
CVS logoCVS
IndustryMedical - Diagnostics & ResearchInsurance - Property & CasualtyMedical - Healthcare PlansMedical - Diagnostics & ResearchMedical - Healthcare Plans
Market Cap$30.32B$1.27B$335.60B$8.98B$111.40B
Revenue (TTM)$16.63B$1.08B$449.71B$4.03B$407.90B
Net Income (TTM)$1.39B$65M$12.04B$-185M$2.93B
Gross Margin26.1%25.5%18.8%24.9%13.9%
Operating Margin13.9%8.4%4.2%11.8%1.5%
Forward P/E14.1x21.8x20.2x16.4x12.2x
Total Debt$16.17B$435M$78.39B$3.07B$93.59B
Cash & Equiv.$1.98B$36M$24.36B$214M$8.51B

IQV vs PRA vs UNH vs CRL vs CVSLong-Term Stock Performance

Price return indexed to 100 at period start. Dividends excluded.

IQV
PRA
UNH
CRL
CVS
StockMay 20May 26Return
IQVIA Holdings Inc. (IQV)100119.5+19.5%
ProAssurance Corpor… (PRA)100178.3+78.3%
UnitedHealth Group … (UNH)100121.3+21.3%
Charles River Labor… (CRL)100101.3+1.3%
CVS Health Corporat… (CVS)100133.2+33.2%

Price return only. Dividends and distributions are not included.

Quick Verdict: IQV vs PRA vs UNH vs CRL vs CVS

Each card shows where this stock fits in a portfolio — not just who wins on paper.

Bottom line: IQV and UNH are tied at the top with 2 categories each (5-stock set) — the right choice depends on your priorities. UnitedHealth Group Incorporated is the stronger pick specifically for growth and revenue expansion and dividend income and shareholder returns. CVS and PRA also each lead in at least one category. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
IQV
IQVIA Holdings Inc.
The Quality Compounder

IQV has the current edge in this matchup, primarily because of its strength in quality and efficiency.

  • 8.3% margin vs CRL's -4.6%
  • 4.7% ROA vs CRL's -2.5%, ROIC 8.7% vs 6.3%
Best for: quality and efficiency
PRA
ProAssurance Corporation
The Insurance Pick

PRA is the clearest fit if your priority is sleep-well-at-night.

  • Lower volatility, beta 0.05, Low D/E 32.2%, current ratio 1.33x
  • Beta 0.05 vs CRL's 1.52, lower leverage
Best for: sleep-well-at-night
UNH
UnitedHealth Group Incorporated
The Insurance Pick

UNH is the #2 pick in this set and the best alternative if growth exposure and long-term compounding is your priority.

  • Rev growth 11.8%, EPS growth -14.7%, 3Y rev CAGR 11.4%
  • 220.6% 10Y total return vs IQV's 166.5%
  • 11.8% revenue growth vs PRA's -2.7%
  • 2.4% yield, 25-year raise streak, vs CVS's 3.1%, (3 stocks pay no dividend)
Best for: growth exposure and long-term compounding
CRL
Charles River Laboratories International, Inc.
The Healthcare Pick

Among these 5 stocks, CRL doesn't own a clear edge in any measured category.

Best for: healthcare exposure
CVS
CVS Health Corporation
The Insurance Pick

CVS ranks third and is worth considering specifically for income & stability and defensive.

  • Dividend streak 0 yrs, beta 0.05, yield 3.1%
  • Beta 0.05, yield 3.1%, current ratio 0.84x
  • Lower P/E (12.2x vs 16.4x)
  • +34.7% vs UNH's -3.2%
Best for: income & stability and defensive
See the full category breakdown
CategoryWinnerWhy
GrowthUNH logoUNH11.8% revenue growth vs PRA's -2.7%
ValueCVS logoCVSLower P/E (12.2x vs 16.4x)
Quality / MarginsIQV logoIQV8.3% margin vs CRL's -4.6%
Stability / SafetyPRA logoPRABeta 0.05 vs CRL's 1.52, lower leverage
DividendsUNH logoUNH2.4% yield, 25-year raise streak, vs CVS's 3.1%, (3 stocks pay no dividend)
Momentum (1Y)CVS logoCVS+34.7% vs UNH's -3.2%
Efficiency (ROA)IQV logoIQV4.7% ROA vs CRL's -2.5%, ROIC 8.7% vs 6.3%

IQV vs PRA vs UNH vs CRL vs CVS — Revenue Breakdown by Segment

How each company's revenue is distributed across its business units

IQVIQVIA Holdings Inc.
FY 2025
Research And Development Solutions
54.5%$8.9B
Technology And Analytics Solutions
40.6%$6.6B
Contract Sales And Medical Solutions
4.8%$788M
PRAProAssurance Corporation
FY 2025
Specialty Property and Casualty
77.5%$724M
Workers' Compensation Insurance Segment
17.6%$164M
Segregated Portfolio Cell Reinsurance
4.9%$46M
UNHUnitedHealth Group Incorporated
FY 2025
Unitedhealthcare
94.4%$332.4B
Optumhealth
5.6%$19.8B
CRLCharles River Laboratories International, Inc.
FY 2025
Discovery and Safety Assessment
59.8%$2.4B
Research Models and Services
21.1%$846M
Manufacturing Support
19.1%$766M
CVSCVS Health Corporation
FY 2025
Pharmacy Revenue
58.9%$229.0B
Premiums
34.6%$134.8B
Front Store Revenue
5.5%$21.5B
Product and Service, Other
1.0%$3.9B

IQV vs PRA vs UNH vs CRL vs CVS — Financial Metrics

Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLCVSLAGGINGCRL

Income & Cash Flow (Last 12 Months)

IQV leads this category, winning 5 of 6 comparable metrics.

UNH is the larger business by revenue, generating $449.7B annually — 416.7x PRA's $1.1B. IQV is the more profitable business, keeping 8.3% of every revenue dollar as net income compared to CRL's -4.6%. On growth, IQV holds the edge at +8.4% YoY revenue growth, suggesting stronger near-term business momentum.

MetricIQV logoIQVIQVIA Holdings In…PRA logoPRAProAssurance Corp…UNH logoUNHUnitedHealth Grou…CRL logoCRLCharles River Lab…CVS logoCVSCVS Health Corpor…
RevenueTrailing 12 months$16.6B$1.1B$449.7B$4.0B$407.9B
EBITDAEarnings before interest/tax$3.5B$101M$23.2B$757M$10.5B
Net IncomeAfter-tax profit$1.4B$65M$12.0B-$185M$2.9B
Free Cash FlowCash after capex$2.7B-$17M$19.7B$391M$7.4B
Gross MarginGross profit ÷ Revenue+26.1%+25.5%+18.8%+24.9%+13.9%
Operating MarginEBIT ÷ Revenue+13.9%+8.4%+4.2%+11.8%+1.5%
Net MarginNet income ÷ Revenue+8.3%+6.0%+2.7%-4.6%+0.7%
FCF MarginFCF ÷ Revenue+16.1%-1.6%+4.4%+9.7%+1.8%
Rev. Growth (YoY)Latest quarter vs prior year+8.4%-2.0%+2.0%+1.2%+6.2%
EPS Growth (YoY)Latest quarter vs prior year+15.0%+2.5%+0.7%-160.0%+63.1%
IQV leads this category, winning 5 of 6 comparable metrics.

Valuation Metrics

CVS leads this category, winning 3 of 6 comparable metrics.

At 22.8x trailing earnings, IQV trades at a 64% valuation discount to CVS's 62.8x P/E. On an enterprise value basis, IQV's 13.0x EV/EBITDA is more attractive than PRA's 19.5x.

MetricIQV logoIQVIQVIA Holdings In…PRA logoPRAProAssurance Corp…UNH logoUNHUnitedHealth Grou…CRL logoCRLCharles River Lab…CVS logoCVSCVS Health Corpor…
Market CapShares × price$30.3B$1.3B$335.6B$9.0B$111.4B
Enterprise ValueMkt cap + debt − cash$44.5B$1.7B$389.6B$11.8B$196.5B
Trailing P/EPrice ÷ TTM EPS22.79x24.86x27.95x-62.52x62.81x
Forward P/EPrice ÷ next-FY EPS est.14.06x21.76x20.19x16.42x12.19x
PEG RatioP/E ÷ EPS growth rate0.56x
EV / EBITDAEnterprise value multiple12.97x19.46x16.70x12.98x13.11x
Price / SalesMarket cap ÷ Revenue1.86x1.16x0.75x2.24x0.28x
Price / BookPrice ÷ Book value/share4.67x0.94x3.31x2.81x1.47x
Price / FCFMarket cap ÷ FCF14.78x20.88x17.31x14.27x
CVS leads this category, winning 3 of 6 comparable metrics.

Profitability & Efficiency

Evenly matched — IQV and PRA each lead in 3 of 9 comparable metrics.

IQV delivers a 22.1% return on equity — every $100 of shareholder capital generates $22 in annual profit, vs $-6 for CRL. PRA carries lower financial leverage with a 0.32x debt-to-equity ratio, signaling a more conservative balance sheet compared to IQV's 2.44x. On the Piotroski fundamental quality scale (0–9), UNH scores 6/9 vs PRA's 3/9, reflecting solid financial health.

MetricIQV logoIQVIQVIA Holdings In…PRA logoPRAProAssurance Corp…UNH logoUNHUnitedHealth Grou…CRL logoCRLCharles River Lab…CVS logoCVSCVS Health Corpor…
ROE (TTM)Return on equity+22.1%+5.0%+11.5%-5.7%+3.9%
ROA (TTM)Return on assets+4.7%+1.2%+3.9%-2.5%+1.1%
ROICReturn on invested capital+8.7%+3.2%+9.2%+6.3%+5.0%
ROCEReturn on capital employed+11.0%+4.0%+9.7%+8.1%+6.1%
Piotroski ScoreFundamental quality 0–943645
Debt / EquityFinancial leverage2.44x0.32x0.77x0.95x1.24x
Net DebtTotal debt minus cash$14.2B$399M$54.0B$2.9B$85.1B
Cash & Equiv.Liquid assets$2.0B$36M$24.4B$214M$8.5B
Total DebtShort + long-term debt$16.2B$435M$78.4B$3.1B$93.6B
Interest CoverageEBIT ÷ Interest expense3.10x4.53x4.71x6.38x2.11x
Evenly matched — IQV and PRA each lead in 3 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

CVS leads this category, winning 5 of 6 comparable metrics.

A $10,000 investment in CVS five years ago would be worth $11,700 today (with dividends reinvested), compared to $5,311 for CRL. Over the past 12 months, CVS leads with a +34.7% total return vs UNH's -3.2%. The 3-year compound annual growth rate (CAGR) favors CVS at 11.0% vs UNH's -7.1% — a key indicator of consistent wealth creation.

MetricIQV logoIQVIQVIA Holdings In…PRA logoPRAProAssurance Corp…UNH logoUNHUnitedHealth Grou…CRL logoCRLCharles River Lab…CVS logoCVSCVS Health Corpor…
YTD ReturnYear-to-date-20.7%+2.5%+10.6%-10.1%+10.6%
1-Year ReturnPast 12 months+16.5%+7.2%-3.2%+32.8%+34.7%
3-Year ReturnCumulative with dividends-5.9%+32.0%-19.9%-4.2%+36.6%
5-Year ReturnCumulative with dividends-23.8%-3.2%-2.6%-46.9%+17.0%
10-Year ReturnCumulative with dividends+166.5%-18.8%+220.6%+119.2%+3.5%
CAGR (3Y)Annualised 3-year return-2.0%+9.7%-7.1%-1.4%+11.0%
CVS leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

PRA leads this category, winning 2 of 2 comparable metrics.

PRA is the less volatile stock with a 0.05 beta — it tends to amplify market swings less than CRL's 1.52 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. PRA currently trades 99.0% from its 52-week high vs IQV's 72.3% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricIQV logoIQVIQVIA Holdings In…PRA logoPRAProAssurance Corp…UNH logoUNHUnitedHealth Grou…CRL logoCRLCharles River Lab…CVS logoCVSCVS Health Corpor…
Beta (5Y)Sensitivity to S&P 5001.33x0.05x0.59x1.52x0.05x
52-Week HighHighest price in past year$247.05$24.85$395.52$228.88$88.63
52-Week LowLowest price in past year$134.65$22.72$234.60$131.30$58.35
% of 52W HighCurrent price vs 52-week peak+72.3%+99.0%+93.5%+79.5%+98.5%
RSI (14)Momentum oscillator 0–10058.548.475.957.269.3
Avg Volume (50D)Average daily shares traded1.6M793K7.9M806K7.4M
PRA leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Evenly matched — UNH and CVS each lead in 1 of 2 comparable metrics.

Analyst consensus: IQV as "Buy", PRA as "Hold", UNH as "Buy", CRL as "Buy", CVS as "Buy". Consensus price targets imply 26.3% upside for IQV (target: $226) vs -25.5% for PRA (target: $18). For income investors, CVS offers the higher dividend yield at 3.06% vs UNH's 2.35%.

MetricIQV logoIQVIQVIA Holdings In…PRA logoPRAProAssurance Corp…UNH logoUNHUnitedHealth Grou…CRL logoCRLCharles River Lab…CVS logoCVSCVS Health Corpor…
Analyst RatingConsensus buy/hold/sellBuyHoldBuyBuyBuy
Price TargetConsensus 12-month target$225.63$18.33$385.43$205.43$95.20
# AnalystsCovering analysts4411523641
Dividend YieldAnnual dividend ÷ price+2.4%+3.1%
Dividend StreakConsecutive years of raises202510
Dividend / ShareAnnual DPS$8.70$2.67
Buyback YieldShare repurchases ÷ mkt cap+4.1%0.0%+1.7%+4.0%0.0%
Evenly matched — UNH and CVS each lead in 1 of 2 comparable metrics.
Key Takeaway

CVS leads in 2 of 6 categories (Valuation Metrics, Total Returns). IQV leads in 1 (Income & Cash Flow). 2 tied.

Best OverallCVS Health Corporation (CVS)Leads 2 of 6 categories
Loading custom metrics...

IQV vs PRA vs UNH vs CRL vs CVS: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is IQV or PRA or UNH or CRL or CVS a better buy right now?

For growth investors, UnitedHealth Group Incorporated (UNH) is the stronger pick with 11.

8% revenue growth year-over-year, versus -2. 7% for ProAssurance Corporation (PRA). IQVIA Holdings Inc. (IQV) offers the better valuation at 22. 8x trailing P/E (14. 1x forward), making it the more compelling value choice. Analysts rate IQVIA Holdings Inc. (IQV) a "Buy" — based on 44 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.

02

Which has the better valuation — IQV or PRA or UNH or CRL or CVS?

On trailing P/E, IQVIA Holdings Inc.

(IQV) is the cheapest at 22. 8x versus CVS Health Corporation at 62. 8x. On forward P/E, CVS Health Corporation is actually cheaper at 12. 2x — notably different from the trailing picture, reflecting expected earnings growth.

03

Which is the better long-term investment — IQV or PRA or UNH or CRL or CVS?

Over the past 5 years, CVS Health Corporation (CVS) delivered a total return of +17.

0%, compared to -46. 9% for Charles River Laboratories International, Inc. (CRL). Over 10 years, the gap is even starker: UNH returned +220. 6% versus PRA's -18. 8%. Past returns do not guarantee future results, and the stock with the higher historical return may already have its best growth priced in.

04

Which is safer — IQV or PRA or UNH or CRL or CVS?

By beta (market sensitivity over 5 years), ProAssurance Corporation (PRA) is the lower-risk stock at 0.

05β versus Charles River Laboratories International, Inc. 's 1. 52β — meaning CRL is approximately 3064% more volatile than PRA relative to the S&P 500. On balance sheet safety, ProAssurance Corporation (PRA) carries a lower debt/equity ratio of 32% versus 2% for IQVIA Holdings Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — IQV or PRA or UNH or CRL or CVS?

By revenue growth (latest reported year), UnitedHealth Group Incorporated (UNH) is pulling ahead at 11.

8% versus -2. 7% for ProAssurance Corporation (PRA). On earnings-per-share growth, the picture is similar: IQVIA Holdings Inc. grew EPS 4. 7% year-over-year, compared to -1555. 0% for Charles River Laboratories International, Inc.. Over a 3-year CAGR, UNH leads at 11. 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.

06

Which has better profit margins — IQV or PRA or UNH or CRL or CVS?

IQVIA Holdings Inc.

(IQV) is the more profitable company, earning 8. 3% net margin versus -3. 6% for Charles River Laboratories International, Inc. — meaning it keeps 8. 3% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: IQV leads at 14. 0% versus 2. 6% for CVS. At the gross margin level — before operating expenses — PRA leads at 39. 4%, 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.

07

Is IQV or PRA or UNH or CRL or CVS more undervalued right now?

On forward earnings alone, CVS Health Corporation (CVS) trades at 12.

2x forward P/E versus 21. 8x for ProAssurance Corporation — 9. 6x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for IQV: 26. 3% to $225. 63.

08

Which pays a better dividend — IQV or PRA or UNH or CRL or CVS?

In this comparison, CVS (3.

1% yield), UNH (2. 4% yield) pay a dividend. IQV, PRA, CRL do not pay a meaningful dividend and should not be held primarily for income.

09

Is IQV or PRA or UNH or CRL or CVS better for a retirement portfolio?

For long-horizon retirement investors, CVS Health Corporation (CVS) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.

05), 3. 1% yield). Charles River Laboratories International, Inc. (CRL) carries a higher beta of 1. 52 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (CVS: +3. 5%, CRL: +119. 2%), 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.

10

What are the main differences between IQV and PRA and UNH and CRL and CVS?

These companies operate in different sectors (IQV (Healthcare) and PRA (Financial Services) and UNH (Healthcare) and CRL (Healthcare) and CVS (Healthcare)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

In terms of investment character: IQV is a mid-cap quality compounder stock; PRA is a small-cap quality compounder stock; UNH is a large-cap quality compounder stock; CRL is a small-cap quality compounder stock; CVS is a mid-cap income-oriented stock. UNH, CVS pay a dividend while IQV, PRA, CRL 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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Beat Both

Find stocks that outperform IQV and PRA and UNH and CRL and CVS on the metrics below

Revenue Growth>
%
(IQV: 8.4% · PRA: -2.0%)
Net Margin>
%
(IQV: 8.3% · PRA: 6.0%)
P/E Ratio<
x
(IQV: 22.8x · PRA: 24.9x)

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