Syneos Health Inc's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Syneos Health Inc (SYNH) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Syneos Health Inc vs Its Competitors
- TTM: Trailing 12-month revenue of 5,419M vs 47,562M combined for its competitors (10.2% combined share).
- Trending: Latest-quarter revenue run-rate is holding steady (+0.8% annualized vs trailing 12 months), vs decelerating (-12.0%) for its tracked peer group.
- Growth: Syneos Health Inc generated 0.4% revenue growth year over year in Q2 2023, vs 5.5% for its competitors combined.
- Profitability: Its 0.1% net margin compares with 7.1% for the peer group.
- Peer revenue share: Syneos Health Inc accounted for 11.6% of combined revenue among its tracked peer group, down from 12.1% a year earlier.
- Peer differentiation: Revenue per employee of $0.22M compares with $0.20M for the peer group (1.1x).
- Structure: Syneos Health Inc operates in the following segments: Clinical Solutions, Commercial Solutions.
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
SYNH Sales vs. its Competitors, Q2 2023
Syneos Health Inc reported revenue growth of 0.39 % year on year in Q2 2023, below its competitors' combined revenue growth of 5.53 %.
With a net margin of 0.06 %, Syneos Health Inc reported lower profitability than its competitors (7.06 %).
Syneos Health Inc generated 11.55 % of the combined sales of its peer group, down from 12.07 % a year earlier.
API endpoints for this dataset
Syneos Health Inc vs. its Competitors, Q2 2023
Revenue growth, year on year
Net income growth, year on year
Net margin
Revenue run-rate vs trailing 12 months
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in Syneos Health Inc reports; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Syneos Health Inc and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Syneos Health Inc | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
| High-Confidence Competitors (2) | $12,345M | +12.3% · Accelerating |
| Similar Growth & Profitability (7) | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Syneos Health Inc's competitor groups requires a Commercial License.
For context: the Medical Laboratories industry grew revenue 9.0% year over year, combined, vs 0.4% for Syneos Health Inc. Syneos Health Inc's share of combined industry revenue moved from 2.49% to 2.29%, a loss of 0.20 percentage points.
Syneos Health Inc's Competitor Quality Breadth
Group definitions: see Methodology: Performance Group Definitions.
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Syneos Health Inc | Yes | Yes | No | No |
| Competitors combined (7) | ||||
| High-Confidence Competitors (2) | ||||
| Similar Growth & Profitability (8) | 62.50 % (5 of 8) | 75.00 % (6 of 8) | 25.00 % (2 of 8) | 12.50 % (1 of 8) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
SYNH Stock Performance relative to its Competitors
SYNH Stock Performance relative to High-Confidence Competitors
SYNH Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Charles River Laboratories International inc | 282.9% | Outperformed |
| 2 | Labcorp Holdings Inc | 282.9% | Outperformed |
| 3 | Iqvia Holdings Inc | 282.9% | Outperformed |
| 4 | Icon Plc | 282.9% | Outperformed |
| 5 | Medpace Holdings Inc | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Syneos Health Inc's best-performing competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Publicly Traded Peers of Syneos Health Inc
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
 Syneos Health Inc |
4,484.71 | 5,418.97 |
 Iqvia Holdings Inc |
45,395.61 | 17,311.00 |
 Labcorp Holdings Inc |
29,912.11 | 14,594.50 |
 Medpace Holdings Inc |
18,530.04 | 2,838.39 |
 Charles River Laboratories International inc |
16,208.05 | 3,998.99 |
 Icon Plc |
16,167.38 | 8,251.34 |
| SUBTOTAL | 131,377.61 | 52,980.80 |
Sign in to see all competitors of Syneos Health Inc .
Sources: see Methodology: Peer & Competitor Identification, Sourcing.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Syneos Health Inc versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Syneos Health Inc's Competitors Named by the Company
Competitive relationships identified from Syneos Health Inc reports and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Icon Plc | Company report | 85% |
| Medpace Holdings Inc | Company report | 85% |
| Iqvia Holdings Inc | Company report | 85% |
| Science 37 Holdings Inc | Company report | 85% |
| Labcorp Holdings Inc | Company report | 85% |
| Charles River Laboratories International inc | Company report | 85% |
| Pra Health Sciences Inc | Company report | 85% |
| Inotiv Inc | Company report | 85% |
Company report basis, confidence, active dates and source counts for Syneos Health Inc's named competitors require a Commercial License.
Methodology: see Methodology: Peer & Competitor Identification, Sourcing.
Syneos Health Inc's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| Syneos Health Inc | Clinical Solutions 74.80 % |
| Iqvia Holdings Inc | Research and Development Solutions 59.60 % |
| Labcorp Holdings Inc | Diagnostics 77.40 % |
| Medpace Holdings Inc | Reportable 100.00 % |
| Charles River Laboratories International inc | Discovery and Safety Assessment 60.68 % |
| Inotiv Inc | Research Models and Services 59.98 % |
Source: operating segment revenue as reported in each company's reports (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
Syneos Health Inc's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Syneos Health Inc | 4,485 | 216,759 | 2,849 |
| Iqvia Holdings Inc | 45,396 | 182,221 | 14,684 |
| Labcorp Holdings Inc | 29,912 | 208,493 | 14,354 |
| Medpace Holdings Inc | 18,530 | 457,804 | 83,520 |
| Charles River Laboratories International inc | 16,208 | 202,994 | -11,995 |
| Icon Plc | 16,167 | 205,769 | 5,719 |
| PEERS TOTAL | 126,893 | 203,607 | 11,614 |
Syneos Health Inc's Geographic Revenue Exposure vs Peers
Revenue by country/region as reported in each company's most recent report. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.| Company | Largest Market |
|---|---|
| Syneos Health Inc | North America 59.90 % |
| Iqvia Holdings Inc | Americas 47.13 % |
| Charles River Laboratories International inc | United States 55.12 % |
| Icon Plc | Ireland 38.58 % |
| Inotiv Inc | United States 88.12 % |
Source: revenue geography as reported in each company's reports (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.
Syneos Health Inc's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Medical Laboratories industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (77 companies). See the full Medical Laboratories industry profitability benchmarks.| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 0.22 % | 33.04 % (avg) | -32.8 pp |
| Operating Margin | 0.02 % | industry median | +27.5 pp |
| EBITDA Margin | 0.09 % | -4.66 % (avg) | +4.8 pp |
| Capital Intensity (Capex / Revenue) | 1.68 % | 7.45 % (avg) | -5.8 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Syneos Health Inc's Valuation vs Competitive Position
Valuation multiples vs the Medical Laboratories industry average (77 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns. See the full Medical Laboratories industry valuation benchmarks.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | 58.6x | 39.0x | +19.6x |
| EV / EBITDA | 10.1x | 20.9x | -10.9x |
| P/B | 1.2x | 4.3x | -3.0x |
| Return on Equity | 0.02 % | industry aggregate | -0.31 % |
| Return on Invested Capital | 0.02 % | -7.64 % (avg) | 7.66 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Syneos Health Inc's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in company reports.| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |
|---|---|---|---|---|---|---|---|
| Revenue Growth | 15.11 % | 65.91 % | 64.30 % | 6.51 % | -5.56 % | 18.05 % | 3.46 % |
| Operating Margin | 9.65 % | -1.08 % | 3.65 % | 5.08 % | 6.64 % | 7.47 % | 7.48 % |
| Return on Invested Capital | 14.72 % | -0.55 % | 1.84 % | 2.70 % | 3.18 % | 3.96 % | 4.05 % |
| P/E | - | - | - | 45.9x | 34.0x | 42.8x | 15.4x |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Syneos Health Inc's Strategic Group Map
Syneos Health Inc is shown in red; its closest peers by combined growth, margin and ROIC are labeled. See Methodology: Strategic Group Map for how this chart is built.
Syneos Health Inc's trailing-12-month revenue growth of 0.1% and operating margin of 0.0% compares with an average of 3.1% growth and 1.6% margin across its 8 closest peers by combined growth, margin and ROIC -- Syneos Health Inc sits below that peer average on growth and below it on margin.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Syneos Health Inc's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Barriers to Entry | Lower than typical for the industry | Capital intensity (capex / revenue) of 1.68 % vs industry average 7.45 % (see Profitability & Cost Structure above) |
Note: see Methodology: Porter's Five Forces. Supplier power and buyer power are covered on Syneos Health Inc's dedicated Suppliers and Customers pages, not here.
Syneos Health Inc's Industry Attractiveness & Competitive Strength
See Methodology: GE/McKinsey Matrix for how the two axes are built.
Syneos Health Inc falls in the Low attractiveness / Low strength cell: Harvest / Divest.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Syneos Health Inc's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
- Operating margin 27.5 points above the industry median.
Weaknesses
No rule matched.
Opportunities
No rule matched.
Threats
- Tracked peer group's revenue run-rate is broadly decelerating (-12.0% annualized).
Methodology: see Methodology: SWOT Analysis.
Syneos Health Inc's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Syneos Health Inc | - | 1.15 | 0.77 |
| Iqvia Holdings Inc | 0.24 | 0.76 | 2.44 |
| Labcorp Holdings Inc | 0.18 | 1.57 | 0.68 |
| Medpace Holdings Inc | 0.42 | 0.79 | - |
| Charles River Laboratories International inc | 0.18 | 1.34 | 0.78 |
| Icon Plc | 0.20 | 1.10 | 0.43 |
Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Syneos Health Inc's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Syneos Health Inc | Q2 2023 | +0.4 % | -99.0 % |
| Iqvia Holdings Inc | Q3 2026 | +8.0 % | +5.4 % |
| Labcorp Holdings Inc | Q3 2026 | +6.9 % | +0.5 % |
| Medpace Holdings Inc | Q3 2026 | +8.5 % | +23.7 % |
| Charles River Laboratories International inc | Q2 2026 | -2.7 % | - |
| Icon Plc | Q4 2025 | -0.4 % | -69.0 % |
| PEERS TOTAL | +3.0 % | -38.3 % |
Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Syneos Health Inc's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Syneos Health Inc | Q2 2023 | +3.5 % | -26.5 % |
| Iqvia Holdings Inc | Q3 2026 | +7.4 % | +16.2 % |
| Labcorp Holdings Inc | Q3 2026 | +6.4 % | +56.1 % |
| Medpace Holdings Inc | Q3 2026 | +6.3 % | +88.2 % |
| Charles River Laboratories International inc | Q2 2026 | - | -11.9 % |
| Icon Plc | Q4 2025 | +4.4 % | +3.7 % |
Syneos Health Inc's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Syneos Health Inc | 0.87% | 1.09% | 2.06% |
| Iqvia Holdings Inc | 4.65% | 6.09% | 21.40% |
| Labcorp Holdings Inc | 5.36% | 6.07% | 11.55% |
| Medpace Holdings Inc | 24.47% | 41.14% | 99.76% |
| Charles River Laboratories International inc | - | - | - |
| Icon Plc | 1.41% | 1.68% | 2.49% |
ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Syneos Health Inc's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Syneos Health Inc | 62.33 | 0.83 |
| Iqvia Holdings Inc | 33.15 | 2.62 |
| Labcorp Holdings Inc | 30.10 | 2.05 |
| Medpace Holdings Inc | 36.38 | 6.53 |
| Charles River Laboratories International inc | - | 4.05 |
| Icon Plc | 70.50 | 1.96 |
| PEERS AVERAGE | 47.19 | 2.48 |
P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.