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Stock Comparison

RFL vs IQV vs MEDP vs CRL vs ICLR

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

Live fundamentals10-year financials5-year price chart
RFL
Rafael Holdings, Inc.

Real Estate - Services

Real EstateNYSE • US
Market Cap$65M
5Y Perf.-92.6%
IQV
IQVIA Holdings Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$30.32B
5Y Perf.+19.5%
MEDP
Medpace Holdings, Inc.

Medical - Diagnostics & Research

HealthcareNASDAQ • US
Market Cap$12.24B
5Y Perf.+361.9%
CRL
Charles River Laboratories International, Inc.

Medical - Diagnostics & Research

HealthcareNYSE • US
Market Cap$8.98B
5Y Perf.+1.3%
ICLR
ICON Public Limited Company

Medical - Diagnostics & Research

HealthcareNASDAQ • IE
Market Cap$9.54B
5Y Perf.-25.8%

RFL vs IQV vs MEDP vs CRL vs ICLR — Key Financials

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

Company Snapshot
RFL logoRFL
IQV logoIQV
MEDP logoMEDP
CRL logoCRL
ICLR logoICLR
IndustryReal Estate - ServicesMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Diagnostics & ResearchMedical - Diagnostics & Research
Market Cap$65M$30.32B$12.24B$8.98B$9.54B
Revenue (TTM)$1M$16.63B$2.68B$4.03B$8.10B
Net Income (TTM)$-31M$1.39B$460M$-185M$599M
Gross Margin80.0%26.1%29.1%24.9%26.9%
Operating Margin-34.5%13.9%21.0%11.8%12.2%
Forward P/E14.1x25.2x16.4x10.5x
Total Debt$692K$16.17B$250M$3.07B$3.60B
Cash & Equiv.$53M$1.98B$497M$214M$539M

RFL vs IQV vs MEDP vs CRL vs ICLRLong-Term Stock Performance

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

RFL
IQV
MEDP
CRL
ICLR
StockMay 20May 26Return
Rafael Holdings, In… (RFL)1007.4-92.6%
IQVIA Holdings Inc. (IQV)100119.5+19.5%
Medpace Holdings, I… (MEDP)100461.9+361.9%
Charles River Labor… (CRL)100101.3+1.3%
ICON Public Limited… (ICLR)10074.2-25.8%

Price return only. Dividends and distributions are not included.

Quick Verdict: RFL vs IQV vs MEDP vs CRL vs ICLR

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

Bottom line: MEDP leads in 3 of 7 categories (5-stock set), making it the strongest pick for profitability and margin quality and recent price momentum and sentiment. Rafael Holdings, Inc. is the stronger pick specifically for growth and revenue expansion and capital preservation and lower volatility. ICLR also leads in specific categories worth noting. This set spans 2 sectors — these stocks serve different portfolio roles, not just different price points.
RFL
Rafael Holdings, Inc.
The Real Estate Income Play

RFL is the #2 pick in this set and the best alternative if growth exposure and sleep-well-at-night is your priority.

  • Rev growth 44.0%, EPS growth 28.3%, 3Y rev CAGR 30.8%
  • Lower volatility, beta 0.99, Low D/E 0.7%, current ratio 4.89x
  • Beta 0.99, current ratio 4.89x
  • 44.0% FFO/revenue growth vs CRL's -0.9%
Best for: growth exposure and sleep-well-at-night
IQV
IQVIA Holdings Inc.
The Income Pick

IQV is the clearest fit if your priority is income & stability and valuation efficiency.

  • Dividend streak 2 yrs, beta 1.33
  • PEG 0.35 vs ICLR's 1.50
Best for: income & stability and valuation efficiency
MEDP
Medpace Holdings, Inc.
The Long-Run Compounder

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

  • 14.4% 10Y total return vs IQV's 166.5%
  • 17.2% margin vs RFL's -30.4%
  • +42.9% vs RFL's -12.3%
  • 24.8% ROA vs RFL's -30.5%, ROIC 154.9% vs -29.6%
Best for: 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
ICLR
ICON Public Limited Company
The Value Play

ICLR ranks third and is worth considering specifically for value.

  • Lower P/E (10.5x vs 16.4x)
Best for: value
See the full category breakdown
CategoryWinnerWhy
GrowthRFL logoRFL44.0% FFO/revenue growth vs CRL's -0.9%
ValueICLR logoICLRLower P/E (10.5x vs 16.4x)
Quality / MarginsMEDP logoMEDP17.2% margin vs RFL's -30.4%
Stability / SafetyRFL logoRFLBeta 0.99 vs ICLR's 1.60, lower leverage
DividendsTieNone of these 5 stocks pay a meaningful dividend
Momentum (1Y)MEDP logoMEDP+42.9% vs RFL's -12.3%
Efficiency (ROA)MEDP logoMEDP24.8% ROA vs RFL's -30.5%, ROIC 154.9% vs -29.6%

RFL vs IQV vs MEDP vs CRL vs ICLR — Revenue Breakdown by Segment

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

RFLRafael Holdings, Inc.
FY 2023
Real Estate
100.0%$279,000
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
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
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
ICLRICON Public Limited Company
FY 2012
Clinical Research
92.2%$1.0B
Central Laboratory
7.8%$87M

RFL vs IQV vs MEDP vs CRL vs ICLR — Financial Metrics

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

BEST OVERALLMEDPLAGGINGCRL

Income & Cash Flow (Last 12 Months)

Evenly matched — RFL and MEDP each lead in 3 of 6 comparable metrics.

IQV is the larger business by revenue, generating $16.6B annually — 16163.3x RFL's $1M. MEDP is the more profitable business, keeping 17.2% of every revenue dollar as net income compared to RFL's -30.4%. On growth, RFL holds the edge at +87.5% YoY revenue growth, suggesting stronger near-term business momentum.

MetricRFL logoRFLRafael Holdings, …IQV logoIQVIQVIA Holdings In…MEDP logoMEDPMedpace Holdings,…CRL logoCRLCharles River Lab…ICLR logoICLRICON Public Limit…
RevenueTrailing 12 months$1M$16.6B$2.7B$4.0B$8.1B
EBITDAEarnings before interest/tax-$35M$3.5B$577M$757M$1.4B
Net IncomeAfter-tax profit-$31M$1.4B$460M-$185M$599M
Free Cash FlowCash after capex-$23M$2.7B$745M$391M$996M
Gross MarginGross profit ÷ Revenue+80.0%+26.1%+29.1%+24.9%+26.9%
Operating MarginEBIT ÷ Revenue-34.5%+13.9%+21.0%+11.8%+12.2%
Net MarginNet income ÷ Revenue-30.4%+8.3%+17.2%-4.6%+7.4%
FCF MarginFCF ÷ Revenue-22.0%+16.1%+27.8%+9.7%+12.3%
Rev. Growth (YoY)Latest quarter vs prior year+87.5%+8.4%+26.5%+1.2%+0.6%
EPS Growth (YoY)Latest quarter vs prior year+48.6%+15.0%+16.6%-160.0%-98.7%
Evenly matched — RFL and MEDP each lead in 3 of 6 comparable metrics.

Valuation Metrics

ICLR leads this category, winning 4 of 7 comparable metrics.

At 13.1x trailing earnings, ICLR trades at a 53% valuation discount to MEDP's 28.1x P/E. Adjusting for growth (PEG ratio), IQV offers better value at 0.56x vs ICLR's 1.87x — a lower PEG means you pay less per unit of expected earnings growth.

MetricRFL logoRFLRafael Holdings, …IQV logoIQVIQVIA Holdings In…MEDP logoMEDPMedpace Holdings,…CRL logoCRLCharles River Lab…ICLR logoICLRICON Public Limit…
Market CapShares × price$65M$30.3B$12.2B$9.0B$9.5B
Enterprise ValueMkt cap + debt − cash$13M$44.5B$12.0B$11.8B$12.6B
Trailing P/EPrice ÷ TTM EPS-1.23x22.79x28.06x-62.52x13.12x
Forward P/EPrice ÷ next-FY EPS est.14.06x25.24x16.42x10.53x
PEG RatioP/E ÷ EPS growth rate0.56x0.88x1.87x
EV / EBITDAEnterprise value multiple12.97x21.31x12.98x7.95x
Price / SalesMarket cap ÷ Revenue71.00x1.86x4.84x2.24x1.15x
Price / BookPrice ÷ Book value/share0.38x4.67x27.57x2.81x1.09x
Price / FCFMarket cap ÷ FCF14.78x17.96x17.31x8.53x
ICLR leads this category, winning 4 of 7 comparable metrics.

Profitability & Efficiency

MEDP leads this category, winning 5 of 9 comparable metrics.

MEDP delivers a 120.9% return on equity — every $100 of shareholder capital generates $121 in annual profit, vs $-36 for RFL. RFL 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), ICLR scores 7/9 vs CRL's 4/9, reflecting strong financial health.

MetricRFL logoRFLRafael Holdings, …IQV logoIQVIQVIA Holdings In…MEDP logoMEDPMedpace Holdings,…CRL logoCRLCharles River Lab…ICLR logoICLRICON Public Limit…
ROE (TTM)Return on equity-36.4%+22.1%+120.9%-5.7%+6.3%
ROA (TTM)Return on assets-30.5%+4.7%+24.8%-2.5%+3.6%
ROICReturn on invested capital-29.6%+8.7%+154.9%+6.3%+6.5%
ROCEReturn on capital employed-27.2%+11.0%+65.7%+8.1%+7.8%
Piotroski ScoreFundamental quality 0–944647
Debt / EquityFinancial leverage0.01x2.44x0.55x0.95x0.38x
Net DebtTotal debt minus cash-$52M$14.2B-$247M$2.9B$3.1B
Cash & Equiv.Liquid assets$53M$2.0B$497M$214M$539M
Total DebtShort + long-term debt$692,000$16.2B$250M$3.1B$3.6B
Interest CoverageEBIT ÷ Interest expense-39.68x3.10x6.38x3.96x
MEDP leads this category, winning 5 of 9 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 $25,938 today (with dividends reinvested), compared to $275 for RFL. Over the past 12 months, MEDP leads with a +42.9% total return vs RFL's -12.3%. The 3-year compound annual growth rate (CAGR) favors MEDP at 27.0% vs RFL's -13.7% — a key indicator of consistent wealth creation.

MetricRFL logoRFLRafael Holdings, …IQV logoIQVIQVIA Holdings In…MEDP logoMEDPMedpace Holdings,…CRL logoCRLCharles River Lab…ICLR logoICLRICON Public Limit…
YTD ReturnYear-to-date+1.6%-20.7%-24.9%-10.1%-33.7%
1-Year ReturnPast 12 months-12.3%+16.5%+42.9%+32.8%-10.0%
3-Year ReturnCumulative with dividends-35.7%-5.9%+104.6%-4.2%-34.1%
5-Year ReturnCumulative with dividends-97.3%-23.8%+159.4%-46.9%-45.4%
10-Year ReturnCumulative with dividends-73.9%+166.5%+1442.7%+119.2%+91.0%
CAGR (3Y)Annualised 3-year return-13.7%-2.0%+27.0%-1.4%-13.0%
MEDP leads this category, winning 5 of 6 comparable metrics.

Risk & Volatility

Evenly matched — RFL and CRL each lead in 1 of 2 comparable metrics.

RFL is the less volatile stock with a 0.99 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. CRL currently trades 79.5% from its 52-week high vs RFL's 40.1% drawdown — a narrower gap to the peak suggests stronger recent price momentum.

MetricRFL logoRFLRafael Holdings, …IQV logoIQVIQVIA Holdings In…MEDP logoMEDPMedpace Holdings,…CRL logoCRLCharles River Lab…ICLR logoICLRICON Public Limit…
Beta (5Y)Sensitivity to S&P 5000.99x1.33x1.26x1.52x1.60x
52-Week HighHighest price in past year$3.19$247.05$628.92$228.88$211.00
52-Week LowLowest price in past year$1.12$134.65$284.48$131.30$66.57
% of 52W HighCurrent price vs 52-week peak+40.1%+72.3%+68.2%+79.5%+59.2%
RSI (14)Momentum oscillator 0–10052.058.540.657.262.1
Avg Volume (50D)Average daily shares traded84K1.6M371K806K1.1M
Evenly matched — RFL and CRL each lead in 1 of 2 comparable metrics.

Analyst Outlook

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

Analyst consensus: IQV as "Buy", MEDP as "Hold", CRL as "Buy", ICLR as "Buy". Consensus price targets imply 26.3% upside for IQV (target: $226) vs 12.9% for CRL (target: $205).

MetricRFL logoRFLRafael Holdings, …IQV logoIQVIQVIA Holdings In…MEDP logoMEDPMedpace Holdings,…CRL logoCRLCharles River Lab…ICLR logoICLRICON Public Limit…
Analyst RatingConsensus buy/hold/sellBuyHoldBuyBuy
Price TargetConsensus 12-month target$225.63$498.86$205.43$149.63
# AnalystsCovering analysts44193630
Dividend YieldAnnual dividend ÷ price
Dividend StreakConsecutive years of raises21
Dividend / ShareAnnual DPS
Buyback YieldShare repurchases ÷ mkt cap0.0%+4.1%+7.5%+4.0%+5.2%
IQV leads this category, winning 1 of 1 comparable metric.
Key Takeaway

MEDP leads in 2 of 6 categories (Profitability & Efficiency, Total Returns). ICLR leads in 1 (Valuation Metrics). 2 tied.

Best OverallMedpace Holdings, Inc. (MEDP)Leads 2 of 6 categories
Loading custom metrics...

RFL vs IQV vs MEDP vs CRL vs ICLR: Key Questions Answered

10 questions · data-driven answers · updated daily

01

Is RFL or IQV or MEDP or CRL or ICLR a better buy right now?

For growth investors, Rafael Holdings, Inc.

(RFL) is the stronger pick with 44. 0% revenue growth year-over-year, versus -0. 9% for Charles River Laboratories International, Inc. (CRL). ICON Public Limited Company (ICLR) offers the better valuation at 13. 1x trailing P/E (10. 5x 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 — RFL or IQV or MEDP or CRL or ICLR?

On trailing P/E, ICON Public Limited Company (ICLR) is the cheapest at 13.

1x versus Medpace Holdings, Inc. at 28. 1x. On forward P/E, ICON Public Limited Company is actually cheaper at 10. 5x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: IQVIA Holdings Inc. wins at 0. 35x 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 — RFL or IQV or MEDP or CRL or ICLR?

Over the past 5 years, Medpace Holdings, Inc.

(MEDP) delivered a total return of +159. 4%, compared to -97. 3% for Rafael Holdings, Inc. (RFL). Over 10 years, the gap is even starker: MEDP returned +1443% versus RFL's -73. 9%. 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 — RFL or IQV or MEDP or CRL or ICLR?

By beta (market sensitivity over 5 years), Rafael Holdings, Inc.

(RFL) is the lower-risk stock at 0. 99β versus ICON Public Limited Company's 1. 60β — meaning ICLR is approximately 62% more volatile than RFL relative to the S&P 500. On balance sheet safety, Rafael Holdings, Inc. (RFL) carries a lower debt/equity ratio of 1% versus 2% for IQVIA Holdings Inc. — giving it more financial flexibility in a downturn.

05

Which is growing faster — RFL or IQV or MEDP or CRL or ICLR?

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

(RFL) is pulling ahead at 44. 0% versus -0. 9% for Charles River Laboratories International, Inc. (CRL). On earnings-per-share growth, the picture is similar: ICON Public Limited Company grew EPS 28. 8% year-over-year, compared to -1555. 0% for Charles River Laboratories International, Inc.. Over a 3-year CAGR, RFL leads at 30. 8% 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 — RFL or IQV or MEDP or CRL or ICLR?

Medpace Holdings, Inc.

(MEDP) is the more profitable company, earning 17. 8% net margin versus -33. 3% for Rafael Holdings, Inc. — 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 -28. 5% for RFL. At the gross margin level — before operating expenses — RFL leads at 54. 0%, 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 RFL or IQV or MEDP or CRL or ICLR 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, IQVIA Holdings Inc. (IQV) is the more undervalued stock at a PEG of 0. 35x 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, ICON Public Limited Company (ICLR) trades at 10. 5x forward P/E versus 25. 2x for Medpace Holdings, Inc. — 14. 7x 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 — RFL or IQV or MEDP or CRL or ICLR?

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 RFL or IQV or MEDP or CRL or ICLR better for a retirement portfolio?

For long-horizon retirement investors, Medpace Holdings, Inc.

(MEDP) is the stronger choice — it scores higher on the combination of lower volatility, dividend reliability, and long-term compounding (low volatility (β 1. 26), +1443% 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 (MEDP: +1443%, 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 RFL and IQV and MEDP and CRL and ICLR?

These companies operate in different sectors (RFL (Real Estate) and IQV (Healthcare) and MEDP (Healthcare) and CRL (Healthcare) and ICLR (Healthcare)), which means they face different economic cycles, regulatory environments, and macro sensitivities — making direct comparison nuanced.

In terms of investment character: RFL is a small-cap high-growth stock; IQV is a mid-cap quality compounder stock; MEDP is a mid-cap high-growth stock; CRL is a small-cap quality compounder stock; ICLR is a small-cap deep-value 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.

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