IQV vs TMO vs MEDP Stock Comparison

Iqvia Holdings, Thermo Fisher Scientific and Medpace Holdings Prices as of Nov 2, 2026 Peers: Industry group
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IQV Iqvia Holdings Inc.
$258.37 +0.0% 1M +19.4% 1Y
Market cap
$43.59B
P/E
31.3x
Revenue (TTM)
$17.31B
Div. yield
–
Contract Research Healthcare
3 wins
MEDP Medpace Holdings, Inc.
$648.14 +8.1% 1M +10.8% 1Y
Market cap
$18.45B
P/E
35.6x
Revenue (TTM)
$2.84B
Div. yield
–
Contract Research Healthcare
4 wins

Head to Head

11 decided of 12

Thermo Fisher Scientific leads on 4 of the 12 questions below (Thermo Fisher Scientific 4, Medpace Holdings 4, Iqvia Holdings 3). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionIQVTMOMEDPLeader
Larger companyMarket capitalisation $43.59B $259.10B $18.45B TMO
Cheaper on earningsLower P/E, profitable companies only 31.3x 36.6x 35.6x IQV
Cheaper on forward earningsLower price / next fiscal year consensus EPS 21.6x 27.0x 37.3x IQV
Faster revenue growthRevenue growth, trailing twelve months +8.8% +8.3% +20.4% MEDP
More profitableNet margin, trailing twelve months 8.1% 14.9% 18.2% MEDP
Better return on capitalReturn on invested capital 8.2% 8.0% — IQV
Less leveragedLower net debt / EBITDA 3.9x 3.1x — TMO
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.00% –
Better 1-year returnPrice return, last 12 months +19.4% +20.3% +10.8% TMO
Better 5-year returnAnnualised price return, 5 years +0.3%/yr +1.2%/yr +23.7%/yr MEDP
Less volatileAnnualised volatility, 1 year 40.7% 30.0% 45.8% TMO
Higher overall scoreMean of the five percentile scores vs peers 71/100 59/100 75/100 MEDP

Percentile Scorecard

IQVTMOMEDP

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

AxisIQVTMOMEDP
Valuation 80 #3 of 11 60 #91 of 227 50 #6 of 11
Growth 80 #3 of 11 39 #135 of 220 100 #1 of 11
Profitability 90 #2 of 11 83 #36 of 209 100 #1 of 11
Financial Health 33 #9 of 13 31 #166 of 240 50 #7 of 13
Shareholder Returns – 83 #25 of 138 –
Overall 71 59 75
  • IQV ranked among 13 companies in Pharma Services
  • TMO ranked among 247 companies in Medical Devices and Diagnostics
  • MEDP ranked among 13 companies in Pharma Services

Price Performance

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

Returns

PeriodIQVTMOMEDPSPY
1 month +0.0%+4.2%+8.1% -2.3%
3 months +10.7%+18.9%+13.1% -0.7%
6 months +60.5%+47.6%+55.4% +4.8%
Year to date +14.6%+17.8%+15.4% +10.3%
1 year +19.4%+20.3%+10.8% +10.3%
3 years +31.0%+50.1%+136.4% +73.0%
3 years, per year +9.4%+14.5%+33.2% +20.1%
5 years +1.5%+6.3%+189.0% +61.9%
5 years, per year +0.3%+1.2%+23.7% +10.1%
10 years +257.1%+368.3%+2,072.8% +258.6%
10 years, per year +13.6%+16.7%+36.1% +13.6%

Risk

MeasureIQVTMOMEDPSPY
Volatility, 1Y 40.7%30.0%45.8% 12.8%
Downside volatility, 1Y 39.9%28.6%54.0% 12.8%
Beta vs S&P 500, 1Y 0.770.630.72 1.00
Return / volatility, 1Y 0.480.680.24 0.80
Max drawdown, 5Y -51.5%-41.5%-42.9% -25.4%
From 52-week high -7.5%-3.7%-6.4% -3.5%
52-week high $279.38$709.29$692.68 $779.14
52-week low $156.66$438.34$393.42 $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.

MultipleIQVTMOMEDP
P/E now vs peer median 30.5xmedian 35.0x 35.8xmedian 28.4x 35.0xmedian 35.0x
P/S now vs peer median 2.5xmedian 2.5x 5.3xmedian 3.0x 6.4xmedian 2.5x
EV/EBITDA now vs peer median 16.2xmedian 28.8x 24.9xmedian 18.0x 27.5xmedian 28.8x
P/FCF now vs peer median 20.5xmedian 20.5x 33.2xmedian 25.0x 27.2xmedian 20.5x
P/B now vs peer median 6.3xmedian 2.7x 4.6xmedian 2.3x 31.0xmedian 2.7x
PEG now vs peer median 2.65median 1.94 4.73median 0.93 1.23median 1.94

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 monthsIQVTMOMEDP
Revenue $17.31B $47.35B $2.84B
Gross profit $5.72B $19.45B $827.16M
Operating income $2.22B $8.47B $607.14M
Net income $1.40B $7.09B $517.83M
Free cash flow $2.08B $7.60B $667.63M
R&D – $1.40B –
EPS (diluted) $8.35 $19.06 $18.25
Cash & equivalents $2.25B $5.46B $705.32M
Total debt $16.07B $41.37B –
Shares (diluted) 167.00M 371.00M 28.37M
Enterprise value $34.84B $235.61B $16.10B

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
MetricIQVTMOMEDP
P/E 30.5x 35.8x 35.0x
P/FCF 20.5x 33.2x 27.2x
P/Operating cash flow 15.6x 27.1x 25.1x
P/S 2.5x 5.3x 6.4x
P/B 6.3x 4.6x 31.0x
P/Tangible book 20.7x 6.9x 32.8x
EV/EBITDA 16.2x 24.9x 27.5x
EV/EBIT 25.3x 34.0x 28.7x
EV/Revenue 3.2x 6.1x 6.1x
EV/FCF 27.0x 37.9x 26.1x
EV/Operating cash flow 20.5x 30.9x 24.1x
PEG (3Y EPS CAGR) 2.65 4.73 1.23

Growth

14 metrics
MetricIQVTMOMEDP
Revenue growth (1Y) 8.8% 8.3% 20.4%
Revenue CAGR (3Y) 5.2% 2.9% 16.8%
Gross profit growth (1Y) 6.6% 7.8% 12.8%
Gross profit CAGR (3Y) 3.4% 4.0% 18.0%
Operating income growth (1Y) 1.7% 12.8% 19.7%
Operating income CAGR (3Y) 6.2% 7.2% 23.0%
Net income growth (1Y) 9.0% 7.9% 19.6%
Net income CAGR (3Y) 7.8% 6.2% 23.8%
EPS growth (1Y) 11.7% 9.7% 21.5%
EPS CAGR (3Y) 11.5% 7.6% 28.5%
Operating cash flow growth (1Y) -2.4% 21.9% 1.7%
Operating cash flow CAGR (3Y) 11.7% 4.5% 20.5%
Free cash flow growth (1Y) -6.0% 24.3% -1.4%
Free cash flow CAGR (3Y) 16.3% 5.1% 20.9%

Profitability

14 metrics
MetricIQVTMOMEDP
Gross margin 33.1% 41.1% 29.1%
EBITDA margin 20.0% 24.4% 22.4%
Operating margin 12.8% 17.9% 21.4%
Pretax margin 9.0% 16.7% 22.1%
Net margin 8.1% 14.9% 18.2%
FCF margin 12.0% 16.0% 23.5%
Operating cash flow margin 15.8% 19.7% 25.5%
Return on equity 21.4% 13.2% 101.7%
Return on assets 4.6% 6.2% 23.8%
Return on invested capital 8.2% 8.0% –
Return on capital employed 9.9% 8.5% 88.8%
Asset turnover 0.6x 0.4x 1.3x
Cash conversion (OCF / net income) 2.0x 1.3x 1.4x
Stock comp / revenue 1.8% 0.7% 0.8%

Financial Health

11 metrics
MetricIQVTMOMEDP
Debt / assets 52.7% 36.2% –
Debt / equity 2.4x 0.8x –
Net debt / EBITDA 3.9x 3.1x –
Debt / FCF 7.7x 5.4x –
Liabilities / assets 77.7% 52.1% 74.6%
Equity / assets 22.3% 47.9% 25.4%
Interest coverage 2.8x 5.5x –
Current ratio 0.8x 1.8x 0.8x
Quick ratio 1.0x 1.2x 0.8x
Cash ratio 0.3x 0.4x 0.5x
Altman Z-score 2.22 4.11 8.08

Shareholder Returns

7 metrics
MetricIQVTMOMEDP
Dividend yield – 0.3% –
Net buyback yield 2.7% 1.6% 1.4%
Shareholder yield 2.7% 1.9% 1.4%
Payout ratio (earnings) – 9.5% –
Payout ratio (FCF) – 8.9% –
Dividend growth (1Y) – 8.0% –
Dividend CAGR (3Y) – 10.1% –

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.

ConsensusIQVTMOMEDP
Forward P/E 21.6xFY2026 27.0xFY2026 37.3xFY2026
EPS, next fiscal year $12.14FY2026 $25.91FY2026 $17.80FY2026
EPS growth, next FY +1.8%FY2026 +13.3%FY2026 +16.5%FY2026
EPS growth, the year after +13.3% +2.0% +6.2%
Revenue, next fiscal year $18.58BFY2026 $50.12BFY2026 $2.94BFY2026
Revenue growth, next FY +13.9%FY2026 +12.5%FY2026 +16.4%FY2026
Revenue growth, the year after -3.5% -2.8% +6.0%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersIQVTMOMEDP
Held by institutions 94.1% 90.2% 87.8%
Institutions holding 1,085 2,625 695
Change in shares held, QoQ +0.3% +0.8% +3.2%
Institutions buying 532 1,144 279
Institutions selling 424 1,145 304
Buyers to sellers 1.25 1.00 0.92

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.

IQVTMOMEDP
IQV 1.00 0.67 0.56
TMO 0.67 1.00 0.63
MEDP 0.56 0.63 1.00

Add a Peer

Largest companies in the same industry

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Frequently Asked Questions

Which is bigger, IQV, TMO and MEDP?

Thermo Fisher Scientific (TMO) is the largest by market capitalisation: Iqvia Holdings (IQV) $43.59B, Thermo Fisher Scientific (TMO) $259.10B, Medpace Holdings (MEDP) $18.45B.

Which stock is cheaper, IQV, TMO and MEDP?

Iqvia Holdings (IQV) trades on the lowest price-to-earnings ratio (Iqvia Holdings (IQV) 31.3x, Thermo Fisher Scientific (TMO) 36.6x, Medpace Holdings (MEDP) 35.6x). On next year's consensus earnings, Iqvia Holdings (IQV) is cheapest (Iqvia Holdings (IQV) 21.6x, Thermo Fisher Scientific (TMO) 27.0x, Medpace Holdings (MEDP) 37.3x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Medpace Holdings (MEDP) grew revenue fastest over the trailing twelve months: Iqvia Holdings (IQV) +8.8%, Thermo Fisher Scientific (TMO) +8.3%, Medpace Holdings (MEDP) +20.4%.

Which company is more profitable?

Medpace Holdings (MEDP) has the highest net margin (Iqvia Holdings (IQV) 8.1%, Thermo Fisher Scientific (TMO) 14.9%, Medpace Holdings (MEDP) 18.2%). On return on invested capital, Iqvia Holdings (IQV) leads (Iqvia Holdings (IQV) 8.2%, Thermo Fisher Scientific (TMO) 8.0%).

Which stock has performed better?

Over the past year Thermo Fisher Scientific (TMO) returned the most: Iqvia Holdings (IQV) +19.4%, Thermo Fisher Scientific (TMO) +20.3%, Medpace Holdings (MEDP) +10.8%. Over five years, Medpace Holdings (MEDP) compounded fastest (Iqvia Holdings (IQV) +0.3%/yr, Thermo Fisher Scientific (TMO) +1.2%/yr, Medpace Holdings (MEDP) +23.7%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Iqvia Holdings (IQV) 0.00%, Thermo Fisher Scientific (TMO) 0.00%, Medpace Holdings (MEDP) 0.00%. Iqvia Holdings (IQV) and Medpace Holdings (MEDP) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Thermo Fisher Scientific (TMO) has been the steadiest (Iqvia Holdings (IQV) 40.7%, Thermo Fisher Scientific (TMO) 30.0%, Medpace Holdings (MEDP) 45.8%). Volatility measures how widely the price swings, not the risk of the business.

Which is the better stock, IQV, TMO and MEDP?

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Thermo Fisher Scientific (TMO) 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.