Bull case
ICLR would need investors to value it at roughly 52x earnings — about 39x more generous than today's 14x forward P/E. That requires meaningful multiple expansion on top of continued earnings growth.
Wall Street verdict, consensus price target, and analyst rating breakdown — everything needed to frame the risk/reward at today's price.
Three scenarios for where ICLR stock could go
ICLR would need investors to value it at roughly 52x earnings — about 39x more generous than today's 14x forward P/E. That requires meaningful multiple expansion on top of continued earnings growth.
At 40x on FY1 earnings, the base case reflects a reasonable but not stretched valuation. It prices in continued growth without assuming an exceptional setup.
The bear case assumes sentiment or fundamentals disappoint enough to push ICLR down roughly 81% from the current price.
Not financial advice. Model confidence reflects internal scenario assumptions, not a guarantee of returns. Past performance does not predict future results.

ICON is a global contract research organization that provides outsourced clinical trial services to pharmaceutical, biotechnology, and medical device companies. It generates revenue primarily from clinical development services — including early-phase studies, patient recruitment, data management, and late-phase research — which account for the vast majority of its income. The company's competitive advantage lies in its global scale, integrated technology platform, and deep therapeutic expertise that creates switching costs for clients conducting complex, multi-year trials.
Quarterly beat-or-miss track record against analyst estimates, plus forward revenue and EPS outlook for the next two fiscal years.
| Quarter | EPS (Actual / Est) | EPS Surprise | Revenue (Actual / Est) | Rev Surprise |
|---|---|---|---|---|
| Q4 2025 | $3.31/$3.28 | +0.9% | $2.0B/$2.0B | +3.0% |
| Q2 2026 | $3.28/$3.19 | +2.8% | $2.0B/$2.0B | +0.5% |
| Q2 2026 | $2.52/$3.13 | -19.5% | $2.1B/$2.0B | +6.6% |
| Q2 2026 | $2.52/$2.95 | -14.6% | $2.1B/$2.0B | +6.6% |
ICLR beat EPS estimates in 2 of 4 tracked quarters. Mixed delivery makes the upcoming report a key data point for re-rating.
Product and geographic revenue mix from the latest annual disclosure, with year-over-year growth by segment.
Latest annual revenue by segment or product family
Latest annual revenue by reported region
Tap, hover, or focus a slice to inspect segment detail.
Current multiples compared to the S&P 500, the company's sector, and its own five-year average.
Fair value est. $203 — implies +39.0% from today's price.
| Metric | ICLR | S&P 500 | Healthcare | 5Y Avg ICLR |
|---|---|---|---|---|
| Forward PE | 13.8x | 18.8x-26% | 18.3x-24% | — |
| Trailing PE | 50.3x | 24.4x+106% | 22.1x+128% | 58.5x-14% |
| PEG Ratio | — | 1.66x | 1.59x | — |
| EV/EBITDA | 10.1x | 15.2x-34% | 14.2x-29% | 18.5x-45% |
| Price/FCF | 13.0x | 20.7x-37% | 18.5x-30% | 24.4x-47% |
| Price/Sales | 1.4x | 3.1x-56% | 2.6x-49% | 2.5x-46% |
| Dividend Yield | — | 1.91% | 1.50% | — |
Forward P/E and PEG reflect analyst consensus estimates. Historical averages use trailing ratios where forward data is unavailable.S&P 500 and sector benchmarks both use trailing median P/E — similar readings indicate the broader index and sector are priced alike.
Open valuation toolICLR generates $1.3B in free cash flow at a 16.4% margin — returns 6.7% of market cap to shareholders annually.
Revenue, margins, and cash generation
ROIC, leverage, and debt serviceability
~2.2 years to full repayment at current FCF run-rate
How capital is returned to owners
All figures from the trailing twelve months. ROIC uses invested capital (equity + net debt).
Open full ratios pageKey factors that could pressure the stock price, compress the multiple, or weigh on future results.
AI analysis · updated June 18, 2026
Recent revelations of accounting scrutiny have heightened volatility and overshadowed ICON's position as a leading clinical research organization.
The bear case price target of $52 implies significant downside risk due to potential P/E multiple compression and revenue/margin uncertainties.
ICLR stock has experienced heightened volatility in recent trading sessions, reflecting investor concerns beyond fundamental performance.
These are risk mechanisms, not predictions. The key question is which would force a cut to earnings estimates or a lower multiple than the market currently prices in.
Structural drivers behind the upside case and why the stock could outperform over the next 12 months.
AI analysis · updated June 18, 2026
Book-to-bill ratio recovers to 1.2x+ in 2026-2027, driving backlog and revenue re-acceleration toward 5% organic growth.
Combined with buybacks, margin improvement, and intangible amortization burn-down, the company projects $15+ adj. EPS by FY 2028.
The bullish case supports a re-rating to 12-15x forward earnings, implying a stock price range of $180-$225.
ICLR's trailing and forward P/E ratios were 19.57 and 13.21 respectively, indicating potential undervaluation relative to growth prospects.
Modest revenue growth reported in Q4 and full-year 2025, with expectations of acceleration driven by backlog and operational improvements.
A real bull case compounds — each driver matters most when it strengthens margins, supports capital returns, and keeps the company above the market's minimum growth bar simultaneously.
52-week range context and price returns across multiple time horizons. Dividend contribution is shown separately in the Capital Return section.
Range context matters because valuation compression and earnings misses rarely hit from the same starting point. A stock already far below its high can still fall, but it is no longer carrying the same embedded optimism as one pressing a fresh peak.
Valuation, growth, and margin comparison against the closest publicly traded peers for this company.
| Company | Mkt Cap | Fwd PE | Rev Grw | Margin | Rating | Upside |
|---|---|---|---|---|---|---|
ICL ICLR ICON Public Limited Company | $11.2B | 13.8x | +7.3% | 6.0% | Buy | -4.2% |
CRL CRL Charles River Laboratories International, Inc. | $8.9B | 16.7x | +3.7% | -4.6% | Buy | +15.8% |
IQV IQV IQVIA Holdings Inc. | $28.5B | 13.1x | +5.7% | 8.3% | Buy | +30.8% |
MED MEDP Medpace Holdings, Inc. | $13.1B | 27.1x | +9.8% | 17.2% | Hold | +8.4% |
PRA PRA ProAssurance Corporation | $1.3B | 20.1x | +2.0% | 6.0% | Hold | -25.6% |
LH LH Labcorp Holdings Inc. | $21.1B | 14.2x | +5.8% | 6.7% | Buy | +21.7% |
This peer comparison reflects companies with similar business models, product lines, or market positioning, supplemented by industry grouping when direct matches are limited.
ICLR returns 6.7% annually — null% through dividends and 6.7% through buybacks.
Yield, cadence, and growth quality
How much per-share support comes from repurchases
Common questions answered from live analyst data and company financials.
ICON Public Limited Company (ICLR) is rated Buy by Wall Street analysts as of 2026. Of 30 analysts covering the stock, 15 rate it Buy or Strong Buy, 13 rate it Hold, and 2 rate it Sell or Strong Sell. The consensus 12-month price target is $140, implying -4.2% from the current price of $146. The bear case scenario is $264 and the bull case is $552.
The Wall Street consensus price target for ICLR is $140 based on 30 analyst estimates. The high-end target is $216 (+47.9% from today), and the low-end target is $100 (-31.5%). The base case model target is $419.
ICLR trades at 13.8x times forward earnings. The stock trades at a notable premium to the broad market, which is typical for businesses with strong free cash flow and above-average growth expectations. Based on current multiples versus the peer group, the relative model signals cheap versus peers. Whether the stock is over or undervalued ultimately depends on whether consensus earnings estimates are achievable.
The primary risks for ICLR in 2026 are: (1) Accounting scrutiny — Recent revelations of accounting scrutiny have heightened volatility and overshadowed ICON's position as a leading clinical research organization. (2) Valuation de-rating — The bear case price target of $52 implies significant downside risk due to potential P/E multiple compression and revenue/margin uncertainties. (3) Market volatility — ICLR stock has experienced heightened volatility in recent trading sessions, reflecting investor concerns beyond fundamental performance. Each factor has the potential to pressure earnings or compress the stock's valuation multiple.
Analyst consensus estimates ICLR will report consensus revenue of $8.8B (+7.3% year-over-year) and EPS of $8.32 (+34.5% year-over-year) for the upcoming fiscal year. The following year, analysts project $9.2B in revenue.
ICON Public Limited Company is expected to report its next earnings on approximately 2026-07-22. Consensus expects EPS of $3.01 and revenue of $2.0B. Over recent quarters, ICLR has beaten EPS estimates 75% of the time.
ICON Public Limited Company (ICLR) generated $1.3B in free cash flow over the trailing twelve months — a free cash flow margin of 16.4%. ICLR returns capital to shareholders through and share repurchases ($750M TTM).