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Stock Comparison

MEDP vs PRA vs ICLR vs HCI

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$12.24B
5Y Perf.+361.9%
PRA
ProAssurance Corporation

Insurance - Property & Casualty

Financial ServicesNYSE • US
Market Cap$1.27B
5Y Perf.+78.3%
ICLR
ICON Public Limited Company

Medical - Diagnostics & Research

HealthcareNASDAQ • IE
Market Cap$9.54B
5Y Perf.-25.8%
HCI
HCI Group, Inc.

Insurance - Property & Casualty

Financial ServicesNYSE • US
Market Cap$1.99B
5Y Perf.+240.8%

MEDP vs PRA vs ICLR vs HCI — Key Financials

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

Company Snapshot
MEDP logoMEDP
PRA logoPRA
ICLR logoICLR
HCI logoHCI
IndustryMedical - Diagnostics & ResearchInsurance - Property & CasualtyMedical - Diagnostics & ResearchInsurance - Property & Casualty
Market Cap$12.24B$1.27B$9.54B$1.99B
Revenue (TTM)$2.68B$1.08B$8.10B$927M
Net Income (TTM)$460M$65M$599M$314M
Gross Margin29.1%25.5%26.9%66.5%
Operating Margin21.0%8.4%12.2%47.9%
Forward P/E25.2x21.8x10.5x9.2x
Total Debt$250M$435M$3.60B$68M
Cash & Equiv.$497M$36M$539M$1.21B

MEDP vs PRA vs ICLR vs HCILong-Term Stock Performance

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

MEDP
PRA
ICLR
HCI
StockMay 20May 26Return
Medpace Holdings, I… (MEDP)100461.9+361.9%
ProAssurance Corpor… (PRA)100178.3+78.3%
ICON Public Limited… (ICLR)10074.2-25.8%
HCI Group, Inc. (HCI)100340.8+240.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: MEDP vs PRA vs ICLR vs HCI

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

Bottom line: HCI leads in 4 of 7 categories, making it the strongest pick for growth and revenue expansion and valuation and capital efficiency. Medpace Holdings, Inc. is the stronger pick specifically for recent price momentum and sentiment and operational efficiency and capital deployment. PRA also leads in specific categories worth noting. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
MEDP
Medpace Holdings, Inc.
The Long-Run Compounder

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

  • 14.4% 10Y total return vs HCI's 436.8%
  • +42.9% vs ICLR's -10.0%
  • 24.8% ROA vs PRA's 1.2%, ROIC 154.9% vs 3.2%
Best for: long-term compounding
PRA
ProAssurance Corporation
The Insurance Pick

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

  • Lower volatility, beta 0.05, Low D/E 32.2%, current ratio 1.33x
  • Beta 0.05, current ratio 1.33x
  • Beta 0.05 vs ICLR's 1.60, lower leverage
Best for: sleep-well-at-night and defensive
ICLR
ICON Public Limited Company
The Value Angle

ICLR lags the leaders in this set but could rank higher in a more targeted comparison.

Best for: healthcare exposure
HCI
HCI Group, Inc.
The Insurance Pick

HCI carries the broadest edge in this set and is the clearest fit for income & stability and growth exposure.

  • Dividend streak 2 yrs, beta 0.39, yield 1.0%
  • Rev growth 20.2%, EPS growth 179.8%, 3Y rev CAGR 22.3%
  • PEG 0.19 vs ICLR's 1.50
  • 20.2% revenue growth vs PRA's -2.7%
Best for: income & stability and growth exposure
See the full category breakdown
CategoryWinnerWhy
GrowthHCI logoHCI20.2% revenue growth vs PRA's -2.7%
ValueHCI logoHCILower P/E (9.2x vs 10.5x), PEG 0.19 vs 1.50
Quality / MarginsHCI logoHCI33.9% margin vs PRA's 6.0%
Stability / SafetyPRA logoPRABeta 0.05 vs ICLR's 1.60, lower leverage
DividendsHCI logoHCI1.0% yield; 2-year raise streak; the other 3 pay no meaningful dividend
Momentum (1Y)MEDP logoMEDP+42.9% vs ICLR's -10.0%
Efficiency (ROA)MEDP logoMEDP24.8% ROA vs PRA's 1.2%, ROIC 154.9% vs 3.2%

MEDP vs PRA vs ICLR vs HCI — 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
ICLRICON Public Limited Company
FY 2012
Clinical Research
92.2%$1.0B
Central Laboratory
7.8%$87M
HCIHCI Group, Inc.
FY 2025
Real Estate Operations
100.0%$15M

MEDP vs PRA vs ICLR vs HCI — Financial Metrics

Side-by-side numbers across 4 stocks — who leads on profitability, valuation, growth, and risk.

BEST OVERALLHCILAGGINGICLR

Income & Cash Flow (Last 12 Months)

HCI leads this category, winning 4 of 6 comparable metrics.

ICLR is the larger business by revenue, generating $8.1B annually — 8.7x HCI's $927M. HCI is the more profitable business, keeping 33.9% 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…ICLR logoICLRICON Public Limit…HCI logoHCIHCI Group, Inc.
RevenueTrailing 12 months$2.7B$1.1B$8.1B$927M
EBITDAEarnings before interest/tax$577M$101M$1.4B$454M
Net IncomeAfter-tax profit$460M$65M$599M$314M
Free Cash FlowCash after capex$745M-$17M$996M$431M
Gross MarginGross profit ÷ Revenue+29.1%+25.5%+26.9%+66.5%
Operating MarginEBIT ÷ Revenue+21.0%+8.4%+12.2%+47.9%
Net MarginNet income ÷ Revenue+17.2%+6.0%+7.4%+33.9%
FCF MarginFCF ÷ Revenue+27.8%-1.6%+12.3%+46.4%
Rev. Growth (YoY)Latest quarter vs prior year+26.5%-2.0%+0.6%+11.9%
EPS Growth (YoY)Latest quarter vs prior year+16.6%+2.5%-98.7%+23.4%
HCI leads this category, winning 4 of 6 comparable metrics.

Valuation Metrics

HCI leads this category, winning 5 of 7 comparable metrics.

At 6.1x trailing earnings, HCI trades at a 78% valuation discount to MEDP's 28.1x P/E. Adjusting for growth (PEG ratio), HCI offers better value at 0.13x vs ICLR's 1.87x — a lower PEG means you pay less per unit of expected earnings growth.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…ICLR logoICLRICON Public Limit…HCI logoHCIHCI Group, Inc.
Market CapShares × price$12.2B$1.3B$9.5B$2.0B
Enterprise ValueMkt cap + debt − cash$12.0B$1.7B$12.6B$844M
Trailing P/EPrice ÷ TTM EPS28.06x24.86x13.12x6.15x
Forward P/EPrice ÷ next-FY EPS est.25.24x21.76x10.53x9.19x
PEG RatioP/E ÷ EPS growth rate0.88x1.87x0.13x
EV / EBITDAEnterprise value multiple21.31x19.46x7.95x1.92x
Price / SalesMarket cap ÷ Revenue4.84x1.16x1.15x2.20x
Price / BookPrice ÷ Book value/share27.57x0.94x1.09x1.77x
Price / FCFMarket cap ÷ FCF17.96x8.53x4.47x
HCI leads this category, winning 5 of 7 comparable metrics.

Profitability & Efficiency

HCI leads this category, winning 6 of 9 comparable metrics.

MEDP delivers a 120.9% return on equity — every $100 of shareholder capital generates $121 in annual profit, vs $5 for PRA. HCI carries lower financial leverage with a 0.06x debt-to-equity ratio, signaling a more conservative balance sheet compared to MEDP's 0.55x. On the Piotroski fundamental quality scale (0–9), HCI scores 8/9 vs PRA's 3/9, reflecting strong financial health.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…ICLR logoICLRICON Public Limit…HCI logoHCIHCI Group, Inc.
ROE (TTM)Return on equity+120.9%+5.0%+6.3%+32.0%
ROA (TTM)Return on assets+24.8%+1.2%+3.6%+13.2%
ROICReturn on invested capital+154.9%+3.2%+6.5%+6.8%
ROCEReturn on capital employed+65.7%+4.0%+7.8%+40.6%
Piotroski ScoreFundamental quality 0–96378
Debt / EquityFinancial leverage0.55x0.32x0.38x0.06x
Net DebtTotal debt minus cash-$247M$399M$3.1B-$1.1B
Cash & Equiv.Liquid assets$497M$36M$539M$1.2B
Total DebtShort + long-term debt$250M$435M$3.6B$68M
Interest CoverageEBIT ÷ Interest expense4.53x3.96x67.24x
HCI leads this category, winning 6 of 9 comparable metrics.

Total Returns (Dividends Reinvested)

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

A $10,000 investment in MEDP five years ago would be worth $25,938 today (with dividends reinvested), compared to $5,463 for ICLR. Over the past 12 months, MEDP leads with a +42.9% total return vs ICLR's -10.0%. The 3-year compound annual growth rate (CAGR) favors HCI at 45.7% vs ICLR's -13.0% — a key indicator of consistent wealth creation.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…ICLR logoICLRICON Public Limit…HCI logoHCIHCI Group, Inc.
YTD ReturnYear-to-date-24.9%+2.5%-33.7%-16.7%
1-Year ReturnPast 12 months+42.9%+7.2%-10.0%+2.4%
3-Year ReturnCumulative with dividends+104.6%+32.0%-34.1%+209.6%
5-Year ReturnCumulative with dividends+159.4%-3.2%-45.4%+105.3%
10-Year ReturnCumulative with dividends+1442.7%-18.8%+91.0%+436.8%
CAGR (3Y)Annualised 3-year return+27.0%+9.7%-13.0%+45.7%
MEDP leads this category, winning 3 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 ICLR's 1.60 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 ICLR's 59.2% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…ICLR logoICLRICON Public Limit…HCI logoHCIHCI Group, Inc.
Beta (5Y)Sensitivity to S&P 5001.26x0.05x1.60x0.39x
52-Week HighHighest price in past year$628.92$24.85$211.00$210.50
52-Week LowLowest price in past year$284.48$22.72$66.57$136.37
% of 52W HighCurrent price vs 52-week peak+68.2%+99.0%+59.2%+72.6%
RSI (14)Momentum oscillator 0–10040.648.462.148.7
Avg Volume (50D)Average daily shares traded371K793K1.1M167K
PRA leads this category, winning 2 of 2 comparable metrics.

Analyst Outlook

HCI leads this category, winning 1 of 1 comparable metric.

Analyst consensus: MEDP as "Hold", PRA as "Hold", ICLR as "Buy", HCI as "Buy". Consensus price targets imply 19.7% upside for ICLR (target: $150) vs -25.5% for PRA (target: $18). HCI is the only dividend payer here at 0.98% yield — a key consideration for income-focused portfolios.

MetricMEDP logoMEDPMedpace Holdings,…PRA logoPRAProAssurance Corp…ICLR logoICLRICON Public Limit…HCI logoHCIHCI Group, Inc.
Analyst RatingConsensus buy/hold/sellHoldHoldBuyBuy
Price TargetConsensus 12-month target$498.86$18.33$149.63$126.50
# AnalystsCovering analysts19113014
Dividend YieldAnnual dividend ÷ price+1.0%
Dividend StreakConsecutive years of raises02
Dividend / ShareAnnual DPS$1.50
Buyback YieldShare repurchases ÷ mkt cap+7.5%0.0%+5.2%+0.1%
HCI leads this category, winning 1 of 1 comparable metric.
Key Takeaway

HCI leads in 4 of 6 categories (Income & Cash Flow, Valuation Metrics). MEDP leads in 1 (Total Returns).

Best OverallHCI Group, Inc. (HCI)Leads 4 of 6 categories
Loading custom metrics...

MEDP vs PRA vs ICLR vs HCI: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is MEDP or PRA or ICLR or HCI a better buy right now?

For growth investors, HCI Group, Inc.

(HCI) is the stronger pick with 20. 2% revenue growth year-over-year, versus -2. 7% for ProAssurance Corporation (PRA). HCI Group, Inc. (HCI) offers the better valuation at 6. 1x trailing P/E (9. 2x forward), making it the more compelling value choice. Analysts rate ICON Public Limited Company (ICLR) a "Buy" — based on 30 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 or ICLR or HCI?

On trailing P/E, HCI Group, Inc.

(HCI) is the cheapest at 6. 1x versus Medpace Holdings, Inc. at 28. 1x. On forward P/E, HCI Group, Inc. is actually cheaper at 9. 2x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: HCI Group, Inc. wins at 0. 19x versus ICON Public Limited Company's 1. 50x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.

03

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

Over the past 5 years, Medpace Holdings, Inc.

(MEDP) delivered a total return of +159. 4%, compared to -45. 4% for ICON Public Limited Company (ICLR). Over 10 years, the gap is even starker: MEDP returned +1443% 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 — MEDP or PRA or ICLR or HCI?

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

05β versus ICON Public Limited Company's 1. 60β — meaning ICLR is approximately 3238% more volatile than PRA relative to the S&P 500. On balance sheet safety, HCI Group, Inc. (HCI) carries a lower debt/equity ratio of 6% versus 55% for Medpace Holdings, Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — MEDP or PRA or ICLR or HCI?

By revenue growth (latest reported year), HCI Group, Inc.

(HCI) is pulling ahead at 20. 2% versus -2. 7% for ProAssurance Corporation (PRA). On earnings-per-share growth, the picture is similar: HCI Group, Inc. grew EPS 179. 8% year-over-year, compared to -3. 9% for ProAssurance Corporation. Over a 3-year CAGR, HCI leads at 22. 3% 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 or ICLR or HCI?

HCI Group, Inc.

(HCI) is the more profitable company, earning 33. 2% net margin versus 4. 6% for ProAssurance Corporation — meaning it keeps 33. 2% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: HCI leads at 47. 7% versus 6. 6% for PRA. At the gross margin level — before operating expenses — HCI leads at 73. 2%, 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 or ICLR or HCI more undervalued right now?

The PEG ratio (forward P/E divided by expected earnings growth rate) is the most precise measure of undervaluation relative to growth potential.

By this metric, HCI Group, Inc. (HCI) is the more undervalued stock at a PEG of 0. 19x versus ICON Public Limited Company's 1. 50x. A PEG below 1. 0 is traditionally considered the threshold for growth-adjusted undervaluation. On forward earnings alone, HCI Group, Inc. (HCI) trades at 9. 2x forward P/E versus 25. 2x for Medpace Holdings, Inc. — 16. 0x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for ICLR: 19. 7% to $149. 63.

08

Which pays a better dividend — MEDP or PRA or ICLR or HCI?

In this comparison, HCI (1.

0% yield) pays a dividend. MEDP, PRA, ICLR do not pay a meaningful dividend and should not be held primarily for income.

09

Is MEDP or PRA or ICLR or HCI better for a retirement portfolio?

For long-horizon retirement investors, HCI Group, Inc.

(HCI) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 0. 39), 1. 0% yield, +436. 8% 10Y return). ICON Public Limited Company (ICLR) carries a higher beta of 1. 60 — meaning larger drawdowns in market downturns, which matters significantly when you cannot wait years for a recovery. Both have compounded well over 10 years (HCI: +436. 8%, ICLR: +91. 0%), 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 and ICLR and HCI?

These companies operate in different sectors (MEDP (Healthcare) and PRA (Financial Services) and ICLR (Healthcare) and HCI (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; ICLR is a small-cap deep-value stock; HCI is a small-cap high-growth stock. HCI pays a dividend while MEDP, PRA, ICLR 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.

Find Stocks Like These

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

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
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ICLR

Quality Business

  • Sector: Healthcare
  • Market Cap > $100B
  • Net Margin > 5%
Run This Screen
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HCI

Quality Mega-Cap Compounder

  • Sector: Financial Services
  • Market Cap > $100B
  • Revenue Growth > 5%
  • Net Margin > 20%
Run This Screen
Custom Screen

Beat Both

Find stocks that outperform MEDP and PRA and ICLR and HCI 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: 28.1x · PRA: 24.9x)

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