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Stock Comparison

MEDP vs PRA

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

Live fundamentals10-year financials5-year price chart
MEDP
Medpace Holdings, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$12.19B
5Y Perf.+359.8%
PRA
ProAssurance Corporation

Insurance - Property & Casualty

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

MEDP vs PRA — Key Financials

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

Company Snapshot
MEDP logoMEDP
PRA logoPRA
IndustryMedical - Diagnostics & ResearchInsurance - Property & Casualty
Market Cap$12.19B$1.27B
Revenue (TTM)$2.68B$1.08B
Net Income (TTM)$460M$65M
Gross Margin29.1%25.5%
Operating Margin21.0%8.4%
Forward P/E25.1x21.8x
Total Debt$250M$435M
Cash & Equiv.$497M$36M

MEDP vs PRALong-Term Stock Performance

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

MEDP
PRA
StockMay 20May 26Return
Medpace Holdings, I… (MEDP)100459.8+359.8%
ProAssurance Corpor… (PRA)100178.3+78.3%

Price return only. Dividends and distributions are not included.

Quick Verdict: MEDP vs PRA

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

Bottom line: MEDP leads in 4 of 7 categories, making it the strongest pick for growth and revenue expansion and profitability and margin quality. ProAssurance Corporation is the stronger pick specifically for valuation and capital efficiency and capital preservation and lower volatility. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
MEDP
Medpace Holdings, Inc.
The Growth Play

MEDP carries the broadest edge in this set and is the clearest fit for growth exposure and long-term compounding.

  • Rev growth 20.0%, EPS growth 21.0%, 3Y rev CAGR 20.1%
  • 14.4% 10Y total return vs PRA's -18.0%
  • 20.0% revenue growth vs PRA's -2.7%
Best for: growth exposure and long-term compounding
PRA
ProAssurance Corporation
The Insurance Pick

PRA is the clearest fit if your priority is income & stability and sleep-well-at-night.

  • Dividend streak 0 yrs, beta 0.05
  • Lower volatility, beta 0.05, Low D/E 32.2%, current ratio 1.33x
  • Beta 0.05, current ratio 1.33x
Best for: income & stability and sleep-well-at-night
See the full category breakdown
CategoryWinnerWhy
GrowthMEDP logoMEDP20.0% revenue growth vs PRA's -2.7%
ValuePRA logoPRALower P/E (21.8x vs 25.1x)
Quality / MarginsMEDP logoMEDP17.2% margin vs PRA's 6.0%
Stability / SafetyPRA logoPRABeta 0.05 vs MEDP's 1.26, lower leverage
DividendsTieNeither stock pays a meaningful dividend
Momentum (1Y)MEDP logoMEDP+47.8% vs PRA's +7.1%
Efficiency (ROA)MEDP logoMEDP24.8% ROA vs PRA's 1.2%, ROIC 154.9% vs 3.2%

MEDP vs PRA — Revenue Breakdown by Segment

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

MEDPMedpace Holdings, Inc.
FY 2025
Oncology
29.5%$748M
Metabolic
29.4%$745M
Other
16.1%$409M
Central Nervous System
10.1%$255M
Cardiology
9.5%$239M
Antiviral And Anti Infective
5.3%$135M
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

MEDP vs PRA — Financial Metrics

Side-by-side numbers across 2 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLMEDPLAGGINGPRA

Income & Cash Flow (Last 12 Months)

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

MEDP is the larger business by revenue, generating $2.7B annually — 2.5x PRA's $1.1B. MEDP is the more profitable business, keeping 17.2% of every revenue dollar as net income compared to PRA's 6.0%. On growth, MEDP holds the edge at +26.5% YoY revenue growth, suggesting stronger near-term business momentum.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…
RevenueTrailing 12 months$2.7B$1.1B
EBITDAEarnings before interest/tax$577M$101M
Net IncomeAfter-tax profit$460M$65M
Free Cash FlowCash after capex$745M-$17M
Gross MarginGross profit ÷ Revenue+29.1%+25.5%
Operating MarginEBIT ÷ Revenue+21.0%+8.4%
Net MarginNet income ÷ Revenue+17.2%+6.0%
FCF MarginFCF ÷ Revenue+27.8%-1.6%
Rev. Growth (YoY)Latest quarter vs prior year+26.5%-2.0%
EPS Growth (YoY)Latest quarter vs prior year+16.6%+2.5%
MEDP leads this category, winning 5 of 6 comparable metrics.

Valuation Metrics

PRA leads this category, winning 5 of 5 comparable metrics.

At 24.8x trailing earnings, PRA trades at a 11% valuation discount to MEDP's 27.9x P/E. On an enterprise value basis, PRA's 19.5x EV/EBITDA is more attractive than MEDP's 21.2x.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…
Market CapShares × price$12.2B$1.3B
Enterprise ValueMkt cap + debt − cash$11.9B$1.7B
Trailing P/EPrice ÷ TTM EPS27.93x24.85x
Forward P/EPrice ÷ next-FY EPS est.25.13x21.75x
PEG RatioP/E ÷ EPS growth rate0.88x
EV / EBITDAEnterprise value multiple21.21x19.45x
Price / SalesMarket cap ÷ Revenue4.82x1.16x
Price / BookPrice ÷ Book value/share27.45x0.94x
Price / FCFMarket cap ÷ FCF17.87x
PRA leads this category, winning 5 of 5 comparable metrics.

Profitability & Efficiency

MEDP leads this category, winning 7 of 8 comparable metrics.

MEDP delivers a 120.9% return on equity — every $100 of shareholder capital generates $121 in annual profit, vs $5 for PRA. PRA carries lower financial leverage with a 0.32x debt-to-equity ratio, signaling a more conservative balance sheet compared to MEDP's 0.55x. On the Piotroski fundamental quality scale (0–9), MEDP scores 6/9 vs PRA's 3/9, reflecting solid financial health.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…
ROE (TTM)Return on equity+120.9%+5.0%
ROA (TTM)Return on assets+24.8%+1.2%
ROICReturn on invested capital+154.9%+3.2%
ROCEReturn on capital employed+65.7%+4.0%
Piotroski ScoreFundamental quality 0–963
Debt / EquityFinancial leverage0.55x0.32x
Net DebtTotal debt minus cash-$247M$399M
Cash & Equiv.Liquid assets$497M$36M
Total DebtShort + long-term debt$250M$435M
Interest CoverageEBIT ÷ Interest expense4.53x
MEDP leads this category, winning 7 of 8 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in MEDP five years ago would be worth $26,038 today (with dividends reinvested), compared to $9,564 for PRA. Over the past 12 months, MEDP leads with a +47.8% total return vs PRA's +7.1%. The 3-year compound annual growth rate (CAGR) favors MEDP at 26.8% vs PRA's 9.7% — a key indicator of consistent wealth creation.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…
YTD ReturnYear-to-date-25.3%+2.4%
1-Year ReturnPast 12 months+47.8%+7.1%
3-Year ReturnCumulative with dividends+103.7%+31.9%
5-Year ReturnCumulative with dividends+160.4%-4.4%
10-Year ReturnCumulative with dividends+1435.8%-18.0%
CAGR (3Y)Annualised 3-year return+26.8%+9.7%
MEDP 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 MEDP's 1.26 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 MEDP's 67.9% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…
Beta (5Y)Sensitivity to S&P 5001.26x0.05x
52-Week HighHighest price in past year$628.92$24.85
52-Week LowLowest price in past year$284.10$22.72
% of 52W HighCurrent price vs 52-week peak+67.9%+99.0%
RSI (14)Momentum oscillator 0–10041.552.6
Avg Volume (50D)Average daily shares traded372K798K
PRA leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

Insufficient data to determine a leader in this category.

Wall Street rates MEDP as "Hold" and PRA as "Hold". Consensus price targets imply 16.9% upside for MEDP (target: $499) vs -25.5% for PRA (target: $18).

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…
Analyst RatingConsensus buy/hold/sellHoldHold
Price TargetConsensus 12-month target$498.86$18.33
# AnalystsCovering analysts1911
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises0
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap+7.5%0.0%
Insufficient data to determine a leader in this category.
Key Takeaway

MEDP leads in 3 of 6 categories (Income & Cash Flow, Profitability & Efficiency). PRA leads in 2 (Valuation Metrics, Risk & Volatility).

Best OverallMedpace Holdings, Inc. (MEDP)Leads 3 of 6 categories
Loading custom metrics...

MEDP vs PRA: Frequently Asked Questions

10 questions · data-driven answers · updated daily

01

Is MEDP or PRA a better buy right now?

For growth investors, Medpace Holdings, Inc.

(MEDP) is the stronger pick with 20. 0% revenue growth year-over-year, versus -2. 7% for ProAssurance Corporation (PRA). ProAssurance Corporation (PRA) offers the better valuation at 24. 8x trailing P/E (21. 8x forward), making it the more compelling value choice. Analysts rate Medpace Holdings, Inc. (MEDP) a "Hold" — based on 19 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 — MEDP or PRA?

On trailing P/E, ProAssurance Corporation (PRA) is the cheapest at 24.

8x versus Medpace Holdings, Inc. at 27. 9x. On forward P/E, ProAssurance Corporation is actually cheaper at 21. 8x.

03

Which is the better long-term investment — MEDP or PRA?

Over the past 5 years, Medpace Holdings, Inc.

(MEDP) delivered a total return of +160. 4%, compared to -4. 4% for ProAssurance Corporation (PRA). Over 10 years, the gap is even starker: MEDP returned +1436% versus PRA's -18. 0%. 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 — MEDP or PRA?

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

05β versus Medpace Holdings, Inc. 's 1. 26β — meaning MEDP is approximately 2515% 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 55% for Medpace Holdings, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — MEDP or PRA?

By revenue growth (latest reported year), Medpace Holdings, Inc.

(MEDP) is pulling ahead at 20. 0% versus -2. 7% for ProAssurance Corporation (PRA). On earnings-per-share growth, the picture is similar: Medpace Holdings, Inc. grew EPS 21. 0% year-over-year, compared to -3. 9% for ProAssurance Corporation. Over a 3-year CAGR, MEDP leads at 20. 1% 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 — MEDP or PRA?

Medpace Holdings, Inc.

(MEDP) is the more profitable company, earning 17. 8% net margin versus 4. 6% for ProAssurance Corporation — meaning it keeps 17. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: MEDP leads at 21. 1% versus 6. 6% for PRA. 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 MEDP or PRA more undervalued right now?

On forward earnings alone, ProAssurance Corporation (PRA) trades at 21.

8x forward P/E versus 25. 1x for Medpace Holdings, Inc. — 3. 4x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for MEDP: 16. 9% to $498. 86.

08

Which pays a better dividend — MEDP or PRA?

None of the stocks in this comparison currently pay a material dividend.

All are effectively zero-yield and should be held for capital appreciation rather than income.

09

Is MEDP or PRA better for a retirement portfolio?

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

05)). Both have compounded well over 10 years (PRA: -18. 0%, MEDP: +1436%), 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 MEDP and PRA?

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

In terms of investment character: MEDP is a mid-cap high-growth stock; PRA is a small-cap quality compounder stock. 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.

Find Stocks Like These

Explore pre-built screens for each stock's profile, or build a custom screen to find stocks that outperform both.

Stocks Like

MEDP

High-Growth Compounder

  • Sector: Healthcare
  • Market Cap > $100B
  • Revenue Growth > 13%
  • Net Margin > 10%
Run This Screen
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PRA

Quality Business

  • Sector: Financial Services
  • Market Cap > $100B
  • Net Margin > 5%
Run This Screen
Custom Screen

Beat Both

Find stocks that outperform MEDP and PRA on the metrics below

Revenue Growth>
%
(MEDP: 26.5% · PRA: -2.0%)
Net Margin>
%
(MEDP: 17.2% · PRA: 6.0%)
P/E Ratio<
x
(MEDP: 27.9x · PRA: 24.8x)

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