ICLR vs NEO vs GH Stock Comparison

Icon, Neogenomics and Guardant Health Prices as of Oct 26, 2026 Peers: Industry group
ICLR Icon Plc
$183.78 +6.6% 1M +3.2% 1Y
Market cap
$14.07B
P/E
43.8x
Revenue (TTM)
$8.33B
Div. yield
–
Contract Research Healthcare
3 wins
NEO Neogenomics Inc
$16.69 -13.7% 1M +56.4% 1Y
Market cap
$2.13B
P/E
–
Revenue (TTM)
$766.30M
Div. yield
–
Diagnostic Labs Healthcare
1 win
GH Guardant Health, Inc.
$173.25 -2.3% 1M +140.1% 1Y
Market cap
$23.15B
P/E
–
Revenue (TTM)
$1.18B
Div. yield
–
Diagnostic Labs Healthcare
4 wins

Head to Head

8 decided of 12

Guardant Health leads on 4 of the 12 questions below (Guardant Health 4, Icon 3, Neogenomics 1). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionICLRNEOGHLeader
Larger companyMarket capitalisation $14.07B $2.13B $23.15B GH
Cheaper on earningsLower P/E, profitable companies only 43.8x -41.7x -50.8x –
Cheaper on forward earningsLower price / next fiscal year consensus EPS 17.9x 83.5x — ICLR
Faster revenue growthRevenue growth, trailing twelve months +3.7% +11.2% +42.7% GH
More profitableNet margin, trailing twelve months 3.9% -6.8% -38.3% ICLR
Better return on capitalReturn on invested capital 1.3% — — –
Less leveragedLower net debt / EBITDA 3.5x — — –
Higher dividend yieldTrailing dividend yield — — — –
Better 1-year returnPrice return, last 12 months +3.2% +56.4% +140.1% GH
Better 5-year returnAnnualised price return, 5 years -8.2%/yr -17.8%/yr +9.1%/yr GH
Less volatileAnnualised volatility, 1 year 73.8% 53.8% 57.4% NEO
Higher overall scoreMean of the five percentile scores vs peers 65/100 55/100 26/100 ICLR

Percentile Scorecard

ICLRNEOGH

Each axis is the mean percentile of its metrics against the company's industry group. 100 is the best in the group, 50 the middle.

Scores by Axis

AxisICLRNEOGH
Valuation 92 #33 of 396 44 #16 of 28 30 #20 of 28
Growth 25 #272 of 363 78 #6 of 24 35 #16 of 24
Profitability 80 #65 of 325 38 #14 of 22 5 #21 of 22
Financial Health 38 #271 of 437 82 #7 of 35 59 #15 of 35
Shareholder Returns 89 #20 of 179 30 #8 of 11 0 #11 of 11
Overall 65 55 26
  • ICLR ranked among 451 companies in Healthcare
  • NEO ranked among 36 companies in Healthcare Providers
  • GH ranked among 36 companies in Healthcare Providers

Price Performance

Price return, split-adjusted, before dividends. Click a name to hide or show it.

Returns

PeriodICLRNEOGHSPY
1 month +6.6%-13.7%-2.3% -0.8%
3 months +8.9%+27.0%+19.1% +3.5%
6 months +78.1%+93.8%+95.8% +7.0%
Year to date +0.9%+41.9%+69.6% +12.2%
1 year +3.2%+56.4%+140.1% +13.0%
3 years -21.9%+22.6%+594.1% +86.3%
3 years, per year -7.9%+7.0%+90.8% +23.1%
5 years -34.8%-62.5%+54.3% +68.6%
5 years, per year -8.2%-17.8%+9.1% +11.0%
10 years +125.7%+134.1%— +258.0%
10 years, per year +8.5%+8.9%— +13.6%

Risk

MeasureICLRNEOGHSPY
Volatility, 1Y 73.8%53.8%57.4% 12.7%
Downside volatility, 1Y 87.9%53.3%48.7% 12.7%
Beta vs S&P 500, 1Y 1.451.051.02 1.00
Return / volatility, 1Y 0.041.052.44 1.02
Max drawdown, 5Y -76.9%-89.7%-86.7% -25.4%
From 52-week high -9.4%-16.2%-7.5% -1.8%
52-week high $202.92$19.91$187.22 $779.14
52-week low $80.08$7.19$69.58 $631.97

Valuation History

Weekly multiples on trailing twelve-month fundamentals. Negative or extreme readings (a loss year, a collapsed denominator) are left out so the chart stays readable.

MultipleICLRNEOGH
P/E now vs peer median 43.8xmedian 19.7x -41.7xmedian 17.7x -50.8xmedian 17.7x
P/S now vs peer median 1.7xmedian 3.4x 2.8xmedian 1.3x 19.6xmedian 1.3x
EV/EBITDA now vs peer median 23.5xmedian 14.5x -888.5xmedian 17.4x -51.2xmedian 17.4x
P/FCF now vs peer median 15.9xmedian 16.3x -290.3xmedian 24.8x -96.2xmedian 24.8x
P/B now vs peer median 1.5xmedian 1.5x 2.7xmedian 2.7x -103.9xmedian 2.7x
PEG now vs peer median -3.55median 0.41 -1.71median 0.58 -5.11median 0.58

Financial History

Reported figures by fiscal period, placed on the calendar year (or quarter) each period ended in, so companies with different fiscal years line up.

Trailing twelve monthsICLRNEOGH
Revenue $8.33B $766.30M $1.18B
Gross profit $2.01B $336.53M $769.16M
Operating income $325.64M -$68.44M -$470.26M
Net income $69.55M -$51.88M -$453.44M
Free cash flow $883.82M -$7.36M -$240.72M
R&D – $38.17M $375.79M
EPS (diluted) $4.16 $-0.40 $-3.41
Cash & equivalents $928.39M $145.54M $1.05B
Total debt $13.60B – –
Shares (diluted) 78.97M 130.83M 132.87M
Enterprise value $11.18B $1.52B $19.21B

All Metrics

58 metrics · best in bold

Bold marks the best reading: the lowest positive value for multiples, leverage and payout, the highest for everything else. The bar under each value is its percentile against that company's own peers. Hover a value for its rank and the peer median.

Valuation

12 metrics
MetricICLRNEOGH
P/E 43.8x -41.7x -50.8x
P/FCF 15.9x -290.3x -96.2x
P/Operating cash flow 13.2x 96.8x -125.0x
P/S 1.7x 2.8x 19.6x
P/B 1.5x 2.7x -103.9x
P/Tangible book 2.3x 4.1x -93.3x
EV/EBITDA 23.5x -888.5x -51.2x
EV/EBIT 50.8x -29.1x -47.0x
EV/Revenue 2.0x 2.6x 18.7x
EV/FCF 18.7x -270.5x -91.8x
EV/Operating cash flow 15.5x 90.2x -119.3x
PEG (3Y EPS CAGR) -3.55 -1.71 -5.11

Growth

14 metrics
MetricICLRNEOGH
Revenue growth (1Y) 3.7% 11.2% 42.7%
Revenue CAGR (3Y) 1.8% 11.6% 32.4%
Gross profit growth (1Y) -11.5% 11.2% 47.7%
Gross profit CAGR (3Y) -4.7% 15.1% –
Operating income growth (1Y) -66.6% 40.5% -2.1%
Operating income CAGR (3Y) -28.0% 19.4% 4.8%
Net income growth (1Y) -91.0% 50.1% -9.6%
Net income CAGR (3Y) -48.5% 23.2% 3.7%
EPS growth (1Y) -59.0% 51.2% -2.4%
EPS CAGR (3Y) -12.3% 24.3% 9.9%
Operating cash flow growth (1Y) -7.4% 56.9% 22.4%
Operating cash flow CAGR (3Y) 26.1% 38.3% 18.1%
Free cash flow growth (1Y) -10.7% 61.6% 11.4%
Free cash flow CAGR (3Y) 32.4% 51.4% 14.4%

Profitability

14 metrics
MetricICLRNEOGH
Gross margin 24.2% 43.9% 65.0%
EBITDA margin 8.4% -0.3% -36.5%
Operating margin 3.9% -8.9% -39.7%
Pretax margin 1.6% -7.1% -38.4%
Net margin 3.9% -6.8% -38.3%
FCF margin 10.6% -1.0% -20.3%
Operating cash flow margin 12.8% 2.9% -15.7%
Return on equity 6.4% -6.4% –
Return on assets 3.7% -3.8% -23.7%
Return on invested capital 1.3% – –
Return on capital employed 2.6% -5.5% -29.9%
Asset turnover 0.5x 0.6x 0.6x
Cash conversion (OCF / net income) 15.4x -0.4x 0.4x
Stock comp / revenue 1.4% 4.7% 16.2%

Financial Health

11 metrics
MetricICLRNEOGH
Debt / assets 20.7% – –
Debt / equity 0.4x – –
Net debt / EBITDA 3.5x – –
Debt / FCF 3.8x – –
Liabilities / assets 42.8% 41.9% 111.7%
Equity / assets 57.2% 58.1% -11.7%
Interest coverage 1.7x -26.5x -97.6x
Current ratio 1.0x 3.6x 4.0x
Quick ratio 0.6x 3.0x 3.5x
Cash ratio 0.2x 1.4x 3.1x
Altman Z-score 1.96 2.44 4.59

Shareholder Returns

7 metrics
MetricICLRNEOGH
Dividend yield – – –
Net buyback yield 1.7% -0.1% -1.7%
Shareholder yield 1.7% -0.1% -1.7%
Payout ratio (earnings) – – –
Payout ratio (FCF) – – –
Dividend growth (1Y) – – –
Dividend CAGR (3Y) – – –

Analyst Estimates

Solid lines are reported fiscal-year results; dashed lines are the consensus for the years ahead. Hover a year for the analysts' high and low, and how each result compared with its estimate.

ConsensusICLRNEOGH
Forward P/E 17.9xFY2026 83.5xFY2026 –
EPS, next fiscal year $10.25FY2026 $0.20FY2026 $-3.34FY2026
EPS growth, next FY -18.2%FY2026 +66.7%FY2026 –
EPS growth, the year after +22.2% +80.0% –
Revenue, next fiscal year $8.52BFY2026 $778.61MFY2026 $1.42BFY2026
Revenue growth, next FY +3.2%FY2026 +7.1%FY2026 +44.5%FY2026
Revenue growth, the year after -3.4% +6.5% +27.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersICLRNEOGH
Held by institutions 100.0% 100.0% 100.0%
Institutions holding 422 266 594
Change in shares held, QoQ +5.5% +8.1% -2.6%
Institutions buying 233 156 353
Institutions selling 138 62 180
Buyers to sellers 1.69 2.52 1.96

Return Correlation

Daily returns, last 12 months

1.00 means two stocks move in lockstep, 0 that they move independently. Pairs below about 0.5 diversify each other.

ICLRNEOGH
ICLR 1.00 0.25 0.20
NEO 0.25 1.00 0.38
GH 0.20 0.38 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, ICLR, NEO and GH?

Guardant Health (GH) is the largest by market capitalisation: Icon (ICLR) $14.07B, Neogenomics (NEO) $2.13B, Guardant Health (GH) $23.15B.

Which company is growing faster?

Guardant Health (GH) grew revenue fastest over the trailing twelve months: Icon (ICLR) +3.7%, Neogenomics (NEO) +11.2%, Guardant Health (GH) +42.7%.

Which company is more profitable?

Icon (ICLR) has the highest net margin (Icon (ICLR) 3.9%, Neogenomics (NEO) -6.8%, Guardant Health (GH) -38.3%).

Which stock has performed better?

Over the past year Guardant Health (GH) returned the most: Icon (ICLR) +3.2%, Neogenomics (NEO) +56.4%, Guardant Health (GH) +140.1%. Over five years, Guardant Health (GH) compounded fastest (Icon (ICLR) -8.2%/yr, Neogenomics (NEO) -17.8%/yr, Guardant Health (GH) +9.1%/yr). Returns are price only, before dividends.

Which stock is riskier?

By one-year price volatility, Neogenomics (NEO) has been the steadiest (Icon (ICLR) 73.8%, Neogenomics (NEO) 53.8%, Guardant Health (GH) 57.4%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, ICLR, NEO and GH?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Guardant Health (GH) leads on 4. Business Quant does not give investment advice; use the comparison as a starting point for your own research.

Data from SEC filings, exchange prices and consensus estimates, via Business Quant. Percentile scores compare each company with its own peer group, so two companies' scores are each relative to different peers unless you rank against the whole market. Price returns exclude dividends. Nothing on this page is investment advice.