Medical - Diagnostics & Research
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LH vs SLNO vs IQV vs DGX
Revenue, margins, valuation, and 5-year total return — side by side.
Biotechnology
Medical - Diagnostics & Research
Medical - Diagnostics & Research
LH vs SLNO vs IQV vs DGX — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | ||||
|---|---|---|---|---|
| Industry | Medical - Diagnostics & Research | Biotechnology | Medical - Diagnostics & Research | Medical - Diagnostics & Research |
| Market Cap | $21.24B | $2.76B | $30.32B | $21.12B |
| Revenue (TTM) | $14.14B | $190M | $16.63B | $11.28B |
| Net Income (TTM) | $942M | $21M | $1.39B | $1.02B |
| Gross Margin | 27.8% | 98.6% | 26.1% | 33.2% |
| Operating Margin | 11.0% | 5.4% | 13.9% | 14.3% |
| Forward P/E | 14.5x | 13.4x | 14.1x | 17.8x |
| Total Debt | $7.20B | $3M | $16.17B | $6.92B |
| Cash & Equiv. | $532M | $70M | $1.98B | $420M |
LH vs SLNO vs IQV vs DGX — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | May 20 | May 26 | Return |
|---|---|---|---|
| Labcorp Holdings In… (LH) | 100 | 171.3 | +71.3% |
| Soleno Therapeutics… (SLNO) | 100 | 21.0 | -79.0% |
| IQVIA Holdings Inc. (IQV) | 100 | 119.5 | +19.5% |
| Quest Diagnostics I… (DGX) | 100 | 161.3 | +61.3% |
Price return only. Dividends and distributions are not included.
Quick Verdict: LH vs SLNO vs IQV vs DGX
Each card shows where this stock fits in a portfolio — not just who wins on paper.
LH is the clearest fit if your priority is growth exposure and sleep-well-at-night.
- Rev growth 7.2%, EPS growth 18.3%, 3Y rev CAGR 5.6%
- Lower volatility, beta 0.52, Low D/E 83.4%, current ratio 1.42x
SLNO carries the broadest edge in this set and is the clearest fit for growth and value.
- 113.2% revenue growth vs IQV's 5.9%
- Lower P/E (13.4x vs 17.8x)
- 11.0% margin vs LH's 6.7%
IQV is the clearest fit if your priority is momentum.
- +16.5% vs SLNO's -29.1%
DGX is the #2 pick in this set and the best alternative if income & stability and long-term compounding is your priority.
- Dividend streak 15 yrs, beta 0.07, yield 1.6%
- 181.3% 10Y total return vs IQV's 166.5%
- Beta 0.07, yield 1.6%, current ratio 1.04x
- Beta 0.07 vs IQV's 1.33, lower leverage
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 113.2% revenue growth vs IQV's 5.9% | |
| Value | Lower P/E (13.4x vs 17.8x) | |
| Quality / Margins | 11.0% margin vs LH's 6.7% | |
| Stability / Safety | Beta 0.07 vs IQV's 1.33, lower leverage | |
| Dividends | 1.6% yield, 15-year raise streak, vs LH's 1.1%, (2 stocks pay no dividend) | |
| Momentum (1Y) | +16.5% vs SLNO's -29.1% | |
| Efficiency (ROA) | 6.3% ROA vs SLNO's 4.6%, ROIC 8.8% vs 3.8% |
LH vs SLNO vs IQV vs DGX — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
Segment breakdown not available.
LH vs SLNO vs IQV vs DGX — Financial Metrics
Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
DGX leads in 3 of 6 categories
SLNO leads 2 • LH leads 1 • IQV leads 0
Explore the data ↓Income & Cash Flow (Last 12 Months)
SLNO leads this category, winning 4 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
IQV is the larger business by revenue, generating $16.6B annually — 87.4x SLNO's $190M. Profitability is closely matched — net margins range from 11.0% (SLNO) to 6.7% (LH). On growth, DGX holds the edge at +9.2% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | ||||
|---|---|---|---|---|
| RevenueTrailing 12 months | $14.1B | $190M | $16.6B | $11.3B |
| EBITDAEarnings before interest/tax | $2.2B | $12M | $3.5B | $1.9B |
| Net IncomeAfter-tax profit | $942M | $21M | $1.4B | $1.0B |
| Free Cash FlowCash after capex | $1.4B | $47M | $2.7B | $1.3B |
| Gross MarginGross profit ÷ Revenue | +27.8% | +98.6% | +26.1% | +33.2% |
| Operating MarginEBIT ÷ Revenue | +11.0% | +5.4% | +13.9% | +14.3% |
| Net MarginNet income ÷ Revenue | +6.7% | +11.0% | +8.3% | +9.1% |
| FCF MarginFCF ÷ Revenue | +9.8% | +24.6% | +16.1% | +11.8% |
| Rev. Growth (YoY)Latest quarter vs prior year | +5.8% | — | +8.4% | +9.2% |
| EPS Growth (YoY)Latest quarter vs prior year | +32.9% | +163.0% | +15.0% | +15.5% |
Valuation Metrics
LH leads this category, winning 3 of 6 comparable metrics.
Valuation Metrics
At 21.8x trailing earnings, DGX trades at a 84% valuation discount to SLNO's 135.8x P/E. On an enterprise value basis, LH's 12.7x EV/EBITDA is more attractive than SLNO's 158.7x.
| Metric | ||||
|---|---|---|---|---|
| Market CapShares × price | $21.2B | $2.8B | $30.3B | $21.1B |
| Enterprise ValueMkt cap + debt − cash | $27.9B | $2.7B | $44.5B | $27.6B |
| Trailing P/EPrice ÷ TTM EPS | 24.67x | 135.77x | 22.79x | 21.81x |
| Forward P/EPrice ÷ next-FY EPS est. | 14.45x | 13.41x | 14.06x | 17.77x |
| PEG RatioP/E ÷ EPS growth rate | — | — | 0.56x | — |
| EV / EBITDAEnterprise value multiple | 12.70x | 158.68x | 12.97x | 12.71x |
| Price / SalesMarket cap ÷ Revenue | 1.52x | 14.49x | 1.86x | 1.91x |
| Price / BookPrice ÷ Book value/share | 2.50x | 6.39x | 4.67x | 2.96x |
| Price / FCFMarket cap ÷ FCF | 17.61x | 59.06x | 14.78x | 15.54x |
Profitability & Efficiency
DGX leads this category, winning 5 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 SLNO. SLNO carries lower financial leverage with a 0.01x debt-to-equity ratio, signaling a more conservative balance sheet compared to IQV's 2.44x. On the Piotroski fundamental quality scale (0–9), LH scores 7/9 vs IQV's 4/9, reflecting strong financial health.
| Metric | ||||
|---|---|---|---|---|
| ROE (TTM)Return on equity | +10.9% | +5.9% | +22.1% | +13.8% |
| ROA (TTM)Return on assets | +5.1% | +4.6% | +4.7% | +6.3% |
| ROICReturn on invested capital | +7.8% | +3.8% | +8.7% | +8.8% |
| ROCEReturn on capital employed | +9.9% | +3.7% | +11.0% | +11.5% |
| Piotroski ScoreFundamental quality 0–9 | 7 | 7 | 4 | 7 |
| Debt / EquityFinancial leverage | 0.83x | 0.01x | 2.44x | 0.95x |
| Net DebtTotal debt minus cash | $6.7B | -$67M | $14.2B | $6.5B |
| Cash & Equiv.Liquid assets | $532M | $70M | $2.0B | $420M |
| Total DebtShort + long-term debt | $7.2B | $3M | $16.2B | $6.9B |
| Interest CoverageEBIT ÷ Interest expense | 6.22x | 4.81x | 3.10x | 6.26x |
Total Returns (Dividends Reinvested)
SLNO leads this category, winning 3 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in DGX five years ago would be worth $14,771 today (with dividends reinvested), compared to $6,360 for SLNO. Over the past 12 months, IQV leads with a +16.5% total return vs SLNO's -29.1%. The 3-year compound annual growth rate (CAGR) favors SLNO at 36.1% vs IQV's -2.0% — a key indicator of consistent wealth creation.
| Metric | ||||
|---|---|---|---|---|
| YTD ReturnYear-to-date | +2.8% | +12.3% | -20.7% | +10.8% |
| 1-Year ReturnPast 12 months | +6.1% | -29.1% | +16.5% | +9.9% |
| 3-Year ReturnCumulative with dividends | +39.4% | +152.1% | -5.9% | +48.5% |
| 5-Year ReturnCumulative with dividends | +12.6% | -36.4% | -23.8% | +47.7% |
| 10-Year ReturnCumulative with dividends | +150.7% | -87.8% | +166.5% | +181.3% |
| CAGR (3Y)Annualised 3-year return | +11.7% | +36.1% | -2.0% | +14.1% |
Risk & Volatility
DGX leads this category, winning 2 of 2 comparable metrics.
Risk & Volatility
DGX is the less volatile stock with a 0.07 beta — it tends to amplify market swings less than IQV's 1.33 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. DGX currently trades 89.4% from its 52-week high vs SLNO's 58.6% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | ||||
|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 0.52x | 0.92x | 1.33x | 0.07x |
| 52-Week HighHighest price in past year | $293.72 | $90.32 | $247.05 | $213.50 |
| 52-Week LowLowest price in past year | $239.67 | $29.47 | $134.65 | $164.65 |
| % of 52W HighCurrent price vs 52-week peak | +87.9% | +58.6% | +72.3% | +89.4% |
| RSI (14)Momentum oscillator 0–100 | 40.3 | 77.5 | 58.5 | 40.1 |
| Avg Volume (50D)Average daily shares traded | 579K | 3.8M | 1.6M | 841K |
Analyst Outlook
DGX leads this category, winning 2 of 2 comparable metrics.
Analyst Outlook
Analyst consensus: LH as "Buy", SLNO as "Buy", IQV as "Buy", DGX as "Hold". Consensus price targets imply 51.1% upside for SLNO (target: $80) vs 15.6% for DGX (target: $221). For income investors, DGX offers the higher dividend yield at 1.64% vs LH's 1.11%.
| Metric | ||||
|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Buy | Buy | Hold |
| Price TargetConsensus 12-month target | $311.33 | $80.00 | $225.63 | $220.57 |
| # AnalystsCovering analysts | 35 | 13 | 44 | 34 |
| Dividend YieldAnnual dividend ÷ price | +1.1% | — | — | +1.6% |
| Dividend StreakConsecutive years of raises | 0 | — | 2 | 15 |
| Dividend / ShareAnnual DPS | $2.87 | — | — | $3.12 |
| Buyback YieldShare repurchases ÷ mkt cap | +2.1% | +3.6% | +4.1% | +2.1% |
DGX leads in 3 of 6 categories (Profitability & Efficiency, Risk & Volatility). SLNO leads in 2 (Income & Cash Flow, Total Returns).
LH vs SLNO vs IQV vs DGX: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is LH or SLNO or IQV or DGX a better buy right now?
For growth investors, Quest Diagnostics Incorporated (DGX) is the stronger pick with 11.
8% revenue growth year-over-year, versus 5. 9% for IQVIA Holdings Inc. (IQV). Quest Diagnostics Incorporated (DGX) offers the better valuation at 21. 8x trailing P/E (17. 8x forward), making it the more compelling value choice. Analysts rate Labcorp Holdings Inc. (LH) a "Buy" — based on 35 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 — LH or SLNO or IQV or DGX?
On trailing P/E, Quest Diagnostics Incorporated (DGX) is the cheapest at 21.
8x versus Soleno Therapeutics, Inc. at 135. 8x. On forward P/E, Soleno Therapeutics, Inc. is actually cheaper at 13. 4x — notably different from the trailing picture, reflecting expected earnings growth.
03Which is the better long-term investment — LH or SLNO or IQV or DGX?
Over the past 5 years, Quest Diagnostics Incorporated (DGX) delivered a total return of +47.
7%, compared to -36. 4% for Soleno Therapeutics, Inc. (SLNO). Over 10 years, the gap is even starker: DGX returned +181. 3% versus SLNO's -87. 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 — LH or SLNO or IQV or DGX?
By beta (market sensitivity over 5 years), Quest Diagnostics Incorporated (DGX) is the lower-risk stock at 0.
07β versus IQVIA Holdings Inc. 's 1. 33β — meaning IQV is approximately 1715% more volatile than DGX relative to the S&P 500. On balance sheet safety, Soleno Therapeutics, Inc. (SLNO) carries a lower debt/equity ratio of 1% versus 2% for IQVIA Holdings Inc. — giving it more financial flexibility in a downturn.
05Which is growing faster — LH or SLNO or IQV or DGX?
By revenue growth (latest reported year), Quest Diagnostics Incorporated (DGX) is pulling ahead at 11.
8% versus 5. 9% for IQVIA Holdings Inc. (IQV). On earnings-per-share growth, the picture is similar: Soleno Therapeutics, Inc. grew EPS 108. 9% year-over-year, compared to 4. 7% for IQVIA Holdings Inc.. Over a 3-year CAGR, LH leads at 5. 6% 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 — LH or SLNO or IQV or DGX?
Soleno Therapeutics, Inc.
(SLNO) is the more profitable company, earning 11. 0% net margin versus 6. 3% for Labcorp Holdings Inc. — meaning it keeps 11. 0% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: DGX leads at 14. 5% versus 7. 9% for SLNO. At the gross margin level — before operating expenses — SLNO leads at 98. 6%, 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 LH or SLNO or IQV or DGX more undervalued right now?
On forward earnings alone, Soleno Therapeutics, Inc.
(SLNO) trades at 13. 4x forward P/E versus 17. 8x for Quest Diagnostics Incorporated — 4. 4x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for SLNO: 51. 1% to $80. 00.
08Which pays a better dividend — LH or SLNO or IQV or DGX?
In this comparison, DGX (1.
6% yield), LH (1. 1% yield) pay a dividend. SLNO, IQV do not pay a meaningful dividend and should not be held primarily for income.
09Is LH or SLNO or IQV or DGX better for a retirement portfolio?
For long-horizon retirement investors, Quest Diagnostics Incorporated (DGX) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0.
07), 1. 6% yield, +181. 3% 10Y return). Both have compounded well over 10 years (DGX: +181. 3%, IQV: +166. 5%), 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 LH and SLNO and IQV and DGX?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
LH, DGX pay a dividend while SLNO, IQV 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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