Medical - Diagnostics & Research
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5 / 10Stock Comparison
SHC vs MEDP vs ICLR vs CRL vs IQV
Revenue, margins, valuation, and 5-year total return — side by side.
Medical - Diagnostics & Research
Medical - Diagnostics & Research
Medical - Diagnostics & Research
Medical - Diagnostics & Research
SHC vs MEDP vs ICLR vs CRL vs IQV — Key Financials
Market cap, revenue, margins, and valuation side-by-side.
| Company Snapshot | |||||
|---|---|---|---|---|---|
| Industry | Medical - Diagnostics & Research | Medical - Diagnostics & Research | Medical - Diagnostics & Research | Medical - Diagnostics & Research | Medical - Diagnostics & Research |
| Market Cap | $4.50B | $12.11B | $9.51B | $8.76B | $30.33B |
| Revenue (TTM) | $1.19B | $2.68B | $8.10B | $4.03B | $16.63B |
| Net Income (TTM) | $118M | $460M | $599M | $-185M | $1.39B |
| Gross Margin | 55.3% | 29.1% | 26.9% | 31.9% | 26.1% |
| Operating Margin | 34.9% | 21.0% | 12.2% | 11.8% | 13.9% |
| Forward P/E | 16.2x | 25.0x | 10.7x | 16.0x | 14.0x |
| Total Debt | $2.27B | $250M | $3.60B | $3.07B | $16.17B |
| Cash & Equiv. | $346M | $497M | $539M | $214M | $1.98B |
SHC vs MEDP vs ICLR vs CRL vs IQV — Long-Term Stock Performance
Price return indexed to 100 at period start. Dividends excluded.
| Stock | Nov 20 | May 26 | Return |
|---|---|---|---|
| Sotera Health Compa… (SHC) | 100 | 58.3 | -41.7% |
| Medpace Holdings, I… (MEDP) | 100 | 330.3 | +230.3% |
| ICON Public Limited… (ICLR) | 100 | 63.9 | -36.1% |
| Charles River Labor… (CRL) | 100 | 75.7 | -24.3% |
| IQVIA Holdings Inc. (IQV) | 100 | 105.8 | +5.8% |
Price return only. Dividends and distributions are not included.
Quick Verdict: SHC vs MEDP vs ICLR vs CRL vs IQV
Each card shows where this stock fits in a portfolio — not just who wins on paper.
SHC ranks third and is worth considering specifically for income & stability and defensive.
- Dividend streak 2 yrs, beta 1.34
- Beta 1.34, current ratio 2.46x
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%
- 14.3% 10Y total return vs IQV's 166.6%
- Lower volatility, beta 1.21, Low D/E 54.6%, current ratio 0.74x
- 20.0% revenue growth vs CRL's -0.9%
ICLR is the #2 pick in this set and the best alternative if value is your priority.
- Lower P/E (10.7x vs 16.0x)
CRL lags the leaders in this set but could rank higher in a more targeted comparison.
IQV is the clearest fit if your priority is valuation efficiency.
- PEG 0.34 vs ICLR's 1.53
See the full category breakdown
| Category | Winner | Why |
|---|---|---|
| Growth | 20.0% revenue growth vs CRL's -0.9% | |
| Value | Lower P/E (10.7x vs 16.0x) | |
| Quality / Margins | 17.2% margin vs CRL's -4.6% | |
| Stability / Safety | Beta 1.21 vs ICLR's 1.64 | |
| Dividends | Tie | None of these 5 stocks pay a meaningful dividend |
| Momentum (1Y) | +41.0% vs ICLR's -10.1% | |
| Efficiency (ROA) | 24.8% ROA vs CRL's -2.5%, ROIC 154.9% vs 6.3% |
SHC vs MEDP vs ICLR vs CRL vs IQV — Revenue Breakdown by Segment
How each company's revenue is distributed across its business units
SHC vs MEDP vs ICLR vs CRL vs IQV — Financial Metrics
Side-by-side numbers across 5 stocks — who leads on profitability, valuation, growth, and risk.
Who Leads Where
MEDP leads in 2 of 6 categories
ICLR leads 1 • SHC leads 0 • CRL leads 0 • IQV leads 0 • 3 tied
Explore the data ↓Income & Cash Flow (Last 12 Months)
Evenly matched — SHC and MEDP each lead in 3 of 6 comparable metrics.
Income & Cash Flow (Last 12 Months)
IQV is the larger business by revenue, generating $16.6B annually — 14.0x SHC's $1.2B. MEDP is the more profitable business, keeping 17.2% of every revenue dollar as net income compared to CRL's -4.6%. On growth, MEDP holds the edge at +26.5% YoY revenue growth, suggesting stronger near-term business momentum.
| Metric | |||||
|---|---|---|---|---|---|
| RevenueTrailing 12 months | $1.2B | $2.7B | $8.1B | $4.0B | $16.6B |
| EBITDAEarnings before interest/tax | $517M | $577M | $1.4B | $824M | $3.5B |
| Net IncomeAfter-tax profit | $118M | $460M | $599M | -$185M | $1.4B |
| Free Cash FlowCash after capex | $112M | $745M | $996M | $391M | $2.7B |
| Gross MarginGross profit ÷ Revenue | +55.3% | +29.1% | +26.9% | +31.9% | +26.1% |
| Operating MarginEBIT ÷ Revenue | +34.9% | +21.0% | +12.2% | +11.8% | +13.9% |
| Net MarginNet income ÷ Revenue | +9.9% | +17.2% | +7.4% | -4.6% | +8.3% |
| FCF MarginFCF ÷ Revenue | +9.4% | +27.8% | +12.3% | +9.7% | +16.1% |
| Rev. Growth (YoY)Latest quarter vs prior year | +10.0% | +26.5% | +0.6% | +1.2% | +8.4% |
| EPS Growth (YoY)Latest quarter vs prior year | +2.9% | +16.6% | -98.7% | -160.0% | +15.0% |
Valuation Metrics
ICLR leads this category, winning 5 of 7 comparable metrics.
Valuation Metrics
At 13.1x trailing earnings, ICLR trades at a 78% valuation discount to SHC's 58.4x P/E. Adjusting for growth (PEG ratio), IQV offers better value at 0.56x vs ICLR's 1.86x — a lower PEG means you pay less per unit of expected earnings growth.
| Metric | |||||
|---|---|---|---|---|---|
| Market CapShares × price | $4.5B | $12.1B | $9.5B | $8.8B | $30.3B |
| Enterprise ValueMkt cap + debt − cash | $6.4B | $11.9B | $12.6B | $11.6B | $44.5B |
| Trailing P/EPrice ÷ TTM EPS | 58.44x | 27.75x | 13.06x | -61.04x | 22.79x |
| Forward P/EPrice ÷ next-FY EPS est. | 16.23x | 24.96x | 10.73x | 16.00x | 13.96x |
| PEG RatioP/E ÷ EPS growth rate | — | 0.87x | 1.86x | — | 0.56x |
| EV / EBITDAEnterprise value multiple | 21.20x | 21.07x | 7.92x | 12.75x | 12.98x |
| Price / SalesMarket cap ÷ Revenue | 3.87x | 4.79x | 1.15x | 2.18x | 1.86x |
| Price / BookPrice ÷ Book value/share | 7.46x | 27.27x | 1.09x | 2.74x | 4.68x |
| Price / FCFMarket cap ÷ FCF | 30.16x | 17.76x | 8.50x | 16.90x | 14.79x |
Profitability & Efficiency
MEDP leads this category, winning 6 of 9 comparable metrics.
Profitability & Efficiency
MEDP delivers a 120.9% return on equity — every $100 of shareholder capital generates $121 in annual profit, vs $-6 for CRL. ICLR carries lower financial leverage with a 0.38x debt-to-equity ratio, signaling a more conservative balance sheet compared to SHC's 3.75x. On the Piotroski fundamental quality scale (0–9), ICLR scores 7/9 vs IQV's 4/9, reflecting strong financial health.
| Metric | |||||
|---|---|---|---|---|---|
| ROE (TTM)Return on equity | +20.6% | +120.9% | +6.3% | -5.7% | +22.1% |
| ROA (TTM)Return on assets | +3.7% | +24.8% | +3.6% | -2.5% | +4.7% |
| ROICReturn on invested capital | +11.8% | +154.9% | +6.5% | +6.3% | +8.7% |
| ROCEReturn on capital employed | +13.3% | +65.7% | +7.8% | +8.1% | +11.0% |
| Piotroski ScoreFundamental quality 0–9 | 6 | 6 | 7 | 4 | 4 |
| Debt / EquityFinancial leverage | 3.75x | 0.55x | 0.38x | 0.95x | 2.44x |
| Net DebtTotal debt minus cash | $1.9B | -$247M | $3.1B | $2.9B | $14.2B |
| Cash & Equiv.Liquid assets | $346M | $497M | $539M | $214M | $2.0B |
| Total DebtShort + long-term debt | $2.3B | $250M | $3.6B | $3.1B | $16.2B |
| Interest CoverageEBIT ÷ Interest expense | 2.38x | — | 3.96x | 4.29x | 3.10x |
Total Returns (Dividends Reinvested)
MEDP leads this category, winning 5 of 6 comparable metrics.
Total Returns (Dividends Reinvested)
A $10,000 investment in MEDP five years ago would be worth $26,697 today (with dividends reinvested), compared to $5,336 for CRL. Over the past 12 months, MEDP leads with a +41.0% total return vs ICLR's -10.1%. The 3-year compound annual growth rate (CAGR) favors MEDP at 26.5% vs ICLR's -13.1% — a key indicator of consistent wealth creation.
| Metric | |||||
|---|---|---|---|---|---|
| YTD ReturnYear-to-date | -10.8% | -25.7% | -34.0% | -12.3% | -20.7% |
| 1-Year ReturnPast 12 months | +19.3% | +41.0% | -10.1% | +25.7% | +16.6% |
| 3-Year ReturnCumulative with dividends | +5.3% | +102.4% | -34.4% | -6.5% | -5.9% |
| 5-Year ReturnCumulative with dividends | -34.3% | +167.0% | -44.8% | -46.6% | -22.8% |
| 10-Year ReturnCumulative with dividends | -37.1% | +1425.7% | +90.2% | +114.0% | +166.6% |
| CAGR (3Y)Annualised 3-year return | +1.7% | +26.5% | -13.1% | -2.2% | -2.0% |
Risk & Volatility
Evenly matched — SHC and MEDP each lead in 1 of 2 comparable metrics.
Risk & Volatility
MEDP is the less volatile stock with a 1.21 beta — it tends to amplify market swings less than ICLR's 1.64 beta. A beta below 1.0 means the stock typically moves less than the S&P 500. SHC currently trades 79.5% from its 52-week high vs ICLR's 59.0% drawdown — a narrower gap to the peak suggests stronger recent price momentum.
| Metric | |||||
|---|---|---|---|---|---|
| Beta (5Y)Sensitivity to S&P 500 | 1.34x | 1.21x | 1.64x | 1.44x | 1.32x |
| 52-Week HighHighest price in past year | $19.85 | $628.92 | $211.00 | $228.88 | $247.05 |
| 52-Week LowLowest price in past year | $10.80 | $284.48 | $66.57 | $132.58 | $134.65 |
| % of 52W HighCurrent price vs 52-week peak | +79.5% | +67.4% | +59.0% | +77.6% | +72.3% |
| RSI (14)Momentum oscillator 0–100 | 54.1 | 41.4 | 62.8 | 57.4 | 60.3 |
| Avg Volume (50D)Average daily shares traded | 3.1M | 371K | 1.1M | 792K | 1.5M |
Analyst Outlook
Evenly matched — SHC and IQV each lead in 1 of 1 comparable metric.
Analyst Outlook
Analyst consensus: SHC as "Buy", MEDP as "Hold", ICLR as "Buy", CRL as "Buy", IQV as "Buy". Consensus price targets imply 39.4% upside for SHC (target: $22) vs 16.2% for CRL (target: $206).
| Metric | |||||
|---|---|---|---|---|---|
| Analyst RatingConsensus buy/hold/sell | Buy | Hold | Buy | Buy | Buy |
| Price TargetConsensus 12-month target | $22.00 | $498.86 | $152.13 | $206.43 | $223.75 |
| # AnalystsCovering analysts | 12 | 19 | 30 | 36 | 44 |
| Dividend YieldAnnual dividend ÷ price | — | — | — | — | — |
| Dividend StreakConsecutive years of raises | 2 | — | — | 1 | 2 |
| Dividend / ShareAnnual DPS | — | — | — | — | — |
| Buyback YieldShare repurchases ÷ mkt cap | 0.0% | +7.6% | +5.3% | +4.1% | +4.1% |
MEDP leads in 2 of 6 categories (Profitability & Efficiency, Total Returns). ICLR leads in 1 (Valuation Metrics). 3 tied.
SHC vs MEDP vs ICLR vs CRL vs IQV: Key Questions Answered
10 questions · data-driven answers · updated daily
01Is SHC or MEDP or ICLR or CRL or IQV 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 -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. 7x forward), making it the more compelling value choice. Analysts rate Sotera Health Company (SHC) a "Buy" — based on 12 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 — SHC or MEDP or ICLR or CRL or IQV?
On trailing P/E, ICON Public Limited Company (ICLR) is the cheapest at 13.
1x versus Sotera Health Company at 58. 4x. On forward P/E, ICON Public Limited Company is actually cheaper at 10. 7x. The PEG ratio (P/E divided by earnings growth rate) is the most growth-adjusted single valuation metric: IQVIA Holdings Inc. wins at 0. 34x versus ICON Public Limited Company's 1. 53x — a PEG below 1. 0 traditionally signals the market is underpricing earnings growth.
03Which is the better long-term investment — SHC or MEDP or ICLR or CRL or IQV?
Over the past 5 years, Medpace Holdings, Inc.
(MEDP) delivered a total return of +167. 0%, compared to -46. 6% for Charles River Laboratories International, Inc. (CRL). Over 10 years, the gap is even starker: MEDP returned +1426% versus SHC's -37. 1%. 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 — SHC or MEDP or ICLR or CRL or IQV?
By beta (market sensitivity over 5 years), Medpace Holdings, Inc.
(MEDP) is the lower-risk stock at 1. 21β versus ICON Public Limited Company's 1. 64β — meaning ICLR is approximately 35% more volatile than MEDP relative to the S&P 500. On balance sheet safety, ICON Public Limited Company (ICLR) carries a lower debt/equity ratio of 38% versus 4% for Sotera Health Company — giving it more financial flexibility in a downturn.
05Which is growing faster — SHC or MEDP or ICLR or CRL or IQV?
By revenue growth (latest reported year), Medpace Holdings, Inc.
(MEDP) is pulling ahead at 20. 0% versus -0. 9% for Charles River Laboratories International, Inc. (CRL). On earnings-per-share growth, the picture is similar: Sotera Health Company grew EPS 68. 8% year-over-year, compared to -1555. 0% for Charles River Laboratories International, Inc.. 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.
06Which has better profit margins — SHC or MEDP or ICLR or CRL or IQV?
Medpace Holdings, Inc.
(MEDP) is the more profitable company, earning 17. 8% net margin versus -3. 6% for Charles River Laboratories International, Inc. — meaning it keeps 17. 8% of every revenue dollar as bottom-line profit. Operating margin tells a similar story: SHC leads at 33. 8% versus 12. 6% for CRL. At the gross margin level — before operating expenses — SHC leads at 55. 5%, 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 SHC or MEDP or ICLR or CRL or IQV 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. 34x versus ICON Public Limited Company's 1. 53x. 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. 7x forward P/E versus 25. 0x for Medpace Holdings, Inc. — 14. 2x cheaper on a one-year earnings basis. Analyst consensus price targets imply the most upside for SHC: 39. 4% to $22. 00.
08Which pays a better dividend — SHC or MEDP or ICLR or CRL or IQV?
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.
09Is SHC or MEDP or ICLR or CRL or IQV 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. 21), +1426% 10Y return). ICON Public Limited Company (ICLR) carries a higher beta of 1. 64 — 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: +1426%, ICLR: +90. 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 SHC and MEDP and ICLR and CRL and IQV?
Both stocks operate in the Healthcare sector, making this a peer-level intra-sector comparison — the same macro tailwinds and headwinds will affect both.
In terms of investment character: SHC is a small-cap quality compounder stock; MEDP is a mid-cap high-growth stock; ICLR is a small-cap deep-value stock; CRL is a small-cap quality compounder stock; IQV is a mid-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.
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