TMO vs IQV vs A Stock Comparison

Thermo Fisher Scientific, Iqvia Holdings and Agilent Technologies Prices as of Oct 27, 2026 Peers: Industry group
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IQV Iqvia Holdings Inc.
$271.68 +0.7% 1M +25.0% 1Y
Market cap
$45.63B
P/E
32.7x
Revenue (TTM)
$17.31B
Div. yield
–
Contract Research Healthcare
5 wins
A Agilent Technologies, Inc.
$177.48 +2.7% 1M +21.1% 1Y
Market cap
$51.14B
P/E
35.5x
Revenue (TTM)
$7.37B
Div. yield
0.01%
Life Sciences Tools Healthcare
4 wins

Head to Head

11 decided of 12

Iqvia Holdings leads on 5 of the 12 questions below (Iqvia Holdings 5, Agilent Technologies 4, Thermo Fisher Scientific 2). Which ones matter depends on what you are buying for; a cheap multiple and slow growth often come together.

QuestionTMOIQVALeader
Larger companyMarket capitalisation $261.90B $45.63B $51.14B TMO
Cheaper on earningsLower P/E, profitable companies only 37.0x 32.7x 35.5x IQV
Cheaper on forward earningsLower price / next fiscal year consensus EPS 26.8x 22.4x 27.1x IQV
Faster revenue growthRevenue growth, trailing twelve months +8.3% +8.8% +8.6% IQV
More profitableNet margin, trailing twelve months — 8.1% 19.5% A
Better return on capitalReturn on invested capital — 8.2% 13.1% A
Less leveragedLower net debt / EBITDA — 3.9x 1.1x A
Higher dividend yieldTrailing dividend yield 0.00% 0.00% 0.01% –
Better 1-year returnPrice return, last 12 months +23.0% +25.0% +21.1% IQV
Better 5-year returnAnnualised price return, 5 years +2.3%/yr +1.1%/yr +2.6%/yr A
Less volatileAnnualised volatility, 1 year 29.8% 40.3% 32.4% TMO
Higher overall scoreMean of the five percentile scores vs peers 51/100 71/100 62/100 IQV

Percentile Scorecard

TMOIQVA

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

AxisTMOIQVA
Valuation 50 #113 of 227 80 #3 of 11 58 #97 of 227
Growth 41 #130 of 219 80 #3 of 11 38 #137 of 219
Profitability 70 #63 of 206 90 #2 of 11 91 #20 of 206
Financial Health – 33 #9 of 13 55 #107 of 238
Shareholder Returns 44 #76 of 134 – 71 #40 of 134
Overall 51 71 62
  • TMO ranked among 247 companies in Medical Devices and Diagnostics
  • IQV ranked among 13 companies in Pharma Services
  • A ranked among 247 companies in Medical Devices and Diagnostics

Price Performance

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

Returns

PeriodTMOIQVASPY
1 month +2.9%+0.7%+2.7% -0.2%
3 months +20.3%+11.7%+26.3% +3.9%
6 months +47.4%+70.9%+54.5% +8.2%
Year to date +19.7%+20.5%+30.4% +12.9%
1 year +23.0%+25.0%+21.1% +12.3%
3 years +60.7%+51.0%+72.7% +87.4%
3 years, per year +17.1%+14.7%+20.0% +23.3%
5 years +11.8%+5.6%+13.9% +67.9%
5 years, per year +2.3%+1.1%+2.6% +10.9%
10 years +364.6%+276.8%+309.1% +261.1%
10 years, per year +16.6%+14.2%+15.1% +13.7%

Risk

MeasureTMOIQVASPY
Volatility, 1Y 29.8%40.3%32.4% 12.7%
Downside volatility, 1Y 28.3%39.2%27.5% 12.7%
Beta vs S&P 500, 1Y 0.620.740.88 1.00
Return / volatility, 1Y 0.770.620.65 0.97
Max drawdown, 5Y -41.5%-51.5%-39.6% -25.4%
From 52-week high -0.5%-2.8%-0.1% -1.2%
52-week high $696.55$279.38$177.72 $779.14
52-week low $438.34$156.66$110.24 $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.

MultipleTMOIQVA
P/E now vs peer median 36.4xmedian 29.6x 32.1xmedian 32.1x 34.8xmedian 29.6x
P/S now vs peer median 5.4xmedian 2.9x 2.6xmedian 2.6x 6.8xmedian 2.9x
EV/EBITDA now vs peer median —median 17.4x 16.9xmedian 38.1x 27.3xmedian 17.4x
P/FCF now vs peer median 34.0xmedian 22.3x 21.5xmedian 21.5x 39.5xmedian 22.3x
P/B now vs peer median 4.7xmedian 2.3x 6.6xmedian 3.1x 6.8xmedian 2.3x
PEG now vs peer median 4.80median 1.04 2.78median 2.03 3.54median 1.04

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 monthsTMOIQVA
Revenue $47.35B $17.31B $7.37B
Gross profit – $5.72B $3.97B
Operating income $8.47B $2.22B $1.64B
Net income $7.09B $1.40B $1.44B
Free cash flow – $2.08B $1.27B
R&D $1.40B – $485.00M
EPS (diluted) $19.06 $8.35 $5.09
Cash & equivalents $5.46B $2.25B $1.76B
Total debt – $16.07B $3.95B
Shares (diluted) 371.00M 167.00M 283.00M
Enterprise value $261.90B $36.88B $44.03B

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
MetricTMOIQVA
P/E 36.4x 32.1x 34.8x
P/FCF 34.0x 21.5x 39.5x
P/Operating cash flow 27.5x 16.4x 31.1x
P/S 5.4x 2.6x 6.8x
P/B 4.7x 6.6x 6.8x
P/Tangible book 7.0x 21.8x 7.8x
EV/EBITDA – 16.9x 27.3x
EV/EBIT – 26.3x 31.9x
EV/Revenue 5.4x 3.4x 7.1x
EV/FCF – 28.1x 41.2x
EV/Operating cash flow 27.5x 21.4x 32.5x
PEG (3Y EPS CAGR) 4.80 2.78 3.54

Growth

14 metrics
MetricTMOIQVA
Revenue growth (1Y) 8.3% 8.8% 8.6%
Revenue CAGR (3Y) 2.9% 5.2% 1.8%
Gross profit growth (1Y) – 6.6% 11.2%
Gross profit CAGR (3Y) – 3.4% 3.7%
Operating income growth (1Y) 12.8% 1.7% 13.5%
Operating income CAGR (3Y) 7.2% 6.2% 5.1%
Net income growth (1Y) 7.9% 9.0% 18.0%
Net income CAGR (3Y) 6.2% 7.8% 8.3%
EPS growth (1Y) 9.7% 11.7% 18.9%
EPS CAGR (3Y) 7.6% 11.5% 9.8%
Operating cash flow growth (1Y) 21.9% -2.4% 7.6%
Operating cash flow CAGR (3Y) 4.5% 11.7% -1.9%
Free cash flow growth (1Y) – -6.0% 16.5%
Free cash flow CAGR (3Y) – 16.3% -3.7%

Profitability

14 metrics
MetricTMOIQVA
Gross margin – 33.1% 53.8%
EBITDA margin – 20.0% 25.9%
Operating margin – 12.8% 22.2%
Pretax margin – 9.0% 22.5%
Net margin – 8.1% 19.5%
FCF margin – 12.0% 17.2%
Operating cash flow margin 19.7% 15.8% 21.8%
Return on equity 13.2% 21.4% 19.9%
Return on assets 6.2% 4.6% 10.7%
Return on invested capital – 8.2% 13.1%
Return on capital employed – 9.9% 14.6%
Asset turnover 0.4x 0.6x 0.5x
Cash conversion (OCF / net income) 1.3x 2.0x 1.1x
Stock comp / revenue – 1.8% 1.8%

Financial Health

11 metrics
MetricTMOIQVA
Debt / assets – 52.7% 28.3%
Debt / equity – 2.4x 0.5x
Net debt / EBITDA – 3.9x 1.1x
Debt / FCF – 7.7x 3.1x
Liabilities / assets – 77.7% 47.3%
Equity / assets 47.9% 22.3% 52.7%
Interest coverage – 2.8x 15.5x
Current ratio 1.8x 0.8x 2.1x
Quick ratio – 1.0x 1.4x
Cash ratio – 0.3x 0.8x
Altman Z-score – 2.27 5.86

Shareholder Returns

7 metrics
MetricTMOIQVA
Dividend yield 0.3% – 0.6%
Net buyback yield – 2.6% 0.6%
Shareholder yield 0.3% 2.6% 1.2%
Payout ratio (earnings) – – 19.9%
Payout ratio (FCF) – – 22.6%
Dividend growth (1Y) – – 2.1%
Dividend CAGR (3Y) – – 3.1%

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.

ConsensusTMOIQVA
Forward P/E 26.8xFY2026 22.4xFY2026 27.1xFY2026
EPS, next fiscal year $25.91FY2026 $12.14FY2026 $6.54FY2026
EPS growth, next FY +13.3%FY2026 +1.8%FY2026 +17.0%FY2026
EPS growth, the year after +2.0% +13.3% +0.3%
Revenue, next fiscal year $50.12BFY2026 $18.58BFY2026 $7.87BFY2026
Revenue growth, next FY +12.5%FY2026 +13.9%FY2026 +15.3%FY2026
Revenue growth, the year after -2.8% -3.5% -5.6%

Institutional Ownership

13F filings, quarter ended Jun 30, 2026
HoldersTMOIQVA
Held by institutions 90.2% 94.1% 92.6%
Institutions holding 2,622 1,083 1,123
Change in shares held, QoQ +0.8% +0.3% +3.2%
Institutions buying 1,142 530 600
Institutions selling 1,144 424 350
Buyers to sellers 1.00 1.25 1.71

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.

TMOIQVA
TMO 1.00 0.67 0.73
IQV 0.67 1.00 0.57
A 0.73 0.57 1.00

Add a Peer

Largest companies in the same industry

Related Comparisons

Frequently Asked Questions

Which is bigger, TMO, IQV and A?

Thermo Fisher Scientific (TMO) is the largest by market capitalisation: Thermo Fisher Scientific (TMO) $261.90B, Iqvia Holdings (IQV) $45.63B, Agilent Technologies (A) $51.14B.

Which stock is cheaper, TMO, IQV and A?

Iqvia Holdings (IQV) trades on the lowest price-to-earnings ratio (Thermo Fisher Scientific (TMO) 37.0x, Iqvia Holdings (IQV) 32.7x, Agilent Technologies (A) 35.5x). On next year's consensus earnings, Iqvia Holdings (IQV) is cheapest (Thermo Fisher Scientific (TMO) 26.8x, Iqvia Holdings (IQV) 22.4x, Agilent Technologies (A) 27.1x). A lower multiple can reflect slower expected growth, so read it next to the growth figures.

Which company is growing faster?

Iqvia Holdings (IQV) grew revenue fastest over the trailing twelve months: Thermo Fisher Scientific (TMO) +8.3%, Iqvia Holdings (IQV) +8.8%, Agilent Technologies (A) +8.6%.

Which company is more profitable?

Agilent Technologies (A) has the highest net margin (Iqvia Holdings (IQV) 8.1%, Agilent Technologies (A) 19.5%). On return on invested capital, Agilent Technologies (A) leads (Iqvia Holdings (IQV) 8.2%, Agilent Technologies (A) 13.1%).

Which stock has performed better?

Over the past year Iqvia Holdings (IQV) returned the most: Thermo Fisher Scientific (TMO) +23.0%, Iqvia Holdings (IQV) +25.0%, Agilent Technologies (A) +21.1%. Over five years, Agilent Technologies (A) compounded fastest (Thermo Fisher Scientific (TMO) +2.3%/yr, Iqvia Holdings (IQV) +1.1%/yr, Agilent Technologies (A) +2.6%/yr). Returns are price only, before dividends.

Which pays a higher dividend?

Only one of these companies pays a dividend: Thermo Fisher Scientific (TMO) 0.00%, Iqvia Holdings (IQV) 0.00%, Agilent Technologies (A) 0.01%. Thermo Fisher Scientific (TMO) and Iqvia Holdings (IQV) pays no regular dividend.

Which stock is riskier?

By one-year price volatility, Thermo Fisher Scientific (TMO) has been the steadiest (Thermo Fisher Scientific (TMO) 29.8%, Iqvia Holdings (IQV) 40.3%, Agilent Technologies (A) 32.4%). Volatility measures how widely the price swings, not the risk of the business.

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

There is no single answer; it depends on what you are buying for. On the 12 head-to-head measures on this page, Iqvia Holdings (IQV) leads on 5. 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.