Medical - Diagnostics & Research
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5 / 10Stock Comparison
IQV vs PRA vs UNH vs CRL vs CVS
Revenue, margins, valuation, and 5-year total return — side by side.
Insurance - Property & Casualty
Medical - Healthcare Plans
Medical - Diagnostics & Research
Medical - Healthcare Plans
IQV vs PRA vs UNH vs CRL vs CVS — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Diagnostics & Research | Insurance - Property & Casualty | Medical - Healthcare Plans | Medical - Diagnostics & Research | Medical - 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 Margin | 26.1% | 25.5% | 18.8% | 24.9% | 13.9% |
| Operating Margin | 13.9% | 8.4% | 4.2% | 11.8% | 1.5% |
| Forward P/E | 14.1x | 21.8x | 20.2x | 16.4x | 12.2x |
| 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 CVS — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| IQVIA Holdings Inc. (IQV) | 100 | 119.5 | +19.5% |
| ProAssurance Corpor… (PRA) | 100 | 178.3 | +78.3% |
| UnitedHealth Group … (UNH) | 100 | 121.3 | +21.3% |
| Charles River Labor… (CRL) | 100 | 101.3 | +1.3% |
| CVS Health Corporat… (CVS) | 100 | 133.2 | +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.
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%
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
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)
Among these 5 stocks, CRL doesn't own a clear edge in any measured category.
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%
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 11.8% revenue growth vs PRA's -2.7% | |
| Value | Lower P/E (12.2x vs 16.4x) | |
| Quality / Margins | 8.3% margin vs CRL's -4.6% | |
| Stability / Safety | Beta 0.05 vs CRL's 1.52, lower leverage | |
| Dividends | 2.4% yield, 25-year raise streak, vs CVS's 3.1%, (3 stocks pay no dividend) | |
| Momentum (1Y) | +34.7% vs UNH's -3.2% | |
| Efficiency (ROA) | 4.7% 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
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.
Who Leads Where
CVS leads in 2 of 6 categories
IQV leads 1 • PRA leads 1 • UNH leads 0 • CRL leads 0 • 2 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
IQV leads this category, winning 5 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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% |
Valuation Metrics
CVS leads this category, winning 3 of 6 comparable metrics.
Valuation 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.
| Metric | |||||
|---|---|---|---|---|---|
| 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 EPS | 22.79x | 24.86x | 27.95x | -62.52x | 62.81x |
| Forward P/EPrice ÷ next-FY EPS est. | 14.06x | 21.76x | 20.19x | 16.42x | 12.19x |
| PEG RatioP/E ÷ EPS growth rate | 0.56x | — | — | — | — |
| EV / EBITDAEnterprise value multiple | 12.97x | 19.46x | 16.70x | 12.98x | 13.11x |
| Price / SalesMarket cap ÷ Revenue | 1.86x | 1.16x | 0.75x | 2.24x | 0.28x |
| Price / BookPrice ÷ Book value/share | 4.67x | 0.94x | 3.31x | 2.81x | 1.47x |
| Price / FCFMarket cap ÷ FCF | 14.78x | — | 20.88x | 17.31x | 14.27x |
Profitability & Efficiency
Evenly matched — IQV and PRA each lead in 3 of 9 comparable metrics.
Profitability & Efficiency
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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 0–9 | 4 | 3 | 6 | 4 | 5 |
| Debt / EquityFinancial leverage | 2.44x | 0.32x | 0.77x | 0.95x | 1.24x |
| 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 expense | 3.10x | 4.53x | 4.71x | 6.38x | 2.11x |
Total Returns (Dividends Reinvested)
CVS leads this category, winning 5 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
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.
| Metric | |||||
|---|---|---|---|---|---|
| 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% |
Risk & Volatility
PRA leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
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.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.33x | 0.05x | 0.59x | 1.52x | 0.05x |
| 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 0–100 | 58.5 | 48.4 | 75.9 | 57.2 | 69.3 |
| Avg Volume (50D)Average daily shares traded | 1.6M | 793K | 7.9M | 806K | 7.4M |
Analyst Outlook
Evenly matched — UNH and CVS each lead in 1 of 2 comparable metrics.
Analyst Outlook
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%.
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $225.63 | $18.33 | $385.43 | $205.43 | $95.20 |
| # AnalystsCovering analysts | 44 | 11 | 52 | 36 | 41 |
| Dividend YieldAnnual dividend ÷ price | — | — | +2.4% | — | +3.1% |
| Dividend StreakConsecutive years of raises | 2 | 0 | 25 | 1 | 0 |
| Dividend / ShareAnnual DPS | — | — | $8.70 | — | $2.67 |
| Buyback YieldShare repurchases ÷ mkt cap | +4.1% | 0.0% | +1.7% | +4.0% | 0.0% |
CVS leads in 2 of 6 categories (Valuation Metrics, Total Returns). IQV leads in 1 (Income & Cash Flow). 2 tied.
IQV vs PRA vs UNH vs CRL vs CVS: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is 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.
02Which 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.
03Which 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.
04Which 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.
05Which 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.
06Which 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.
07Is 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.
08Which 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.
09Is 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.
10What 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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