IQVIA Holdings Inc.

IQV
Financial Analysis · Updated May 13, 2026 · Coverage 2026-Q2
Latest Q Revenue
$4.2B
Q1 2026 · +8.4% YoY
TTM ROIC
27%
FY2025 · Adjusted NOPAT / Invested Capital ex-goodwill/intangibles · WACC ~9.5% · Moat spread +17.5pp

Financial Snapshot


ticker: IQV step: 04 generated: 2026-05-12 source: quick-research

IQVIA Holdings (IQV) — Financial Snapshot

Income Statement Summary

Metric FY2022 FY2023 FY2024 YoY
Revenue $14.41B $14.98B $15.41B +2.8%
Gross Margin ~34.9% ~34.9% ~34.9% flat
Operating Margin ~10.5% ~11.0% ~10.5% -0.5pp
Net Income (GAAP) ~$1.1B ~$1.1B ~$1.3B +18%
Adjusted Diluted EPS ~$8.80 $10.20 ~$11.20 +9.8%

Note: GAAP EPS includes amortization of acquired intangibles (~$1.5B annually) from the 2016 IMS/Quintiles merger, making Adjusted EPS the primary management metric. FY2024 adjusted EPS growth was "high single-digit" on 2.8% revenue growth, with margin expansion. Gross margin is remarkably stable at ~34.9% due to the long-term nature of service contracts.

Cash Flow & Balance Sheet (FY2024)

Metric Value
Operating Cash Flow ~$2.2B
Free Cash Flow ~$1.7B
Cash & Equivalents ~$1.7B
Total Debt ~$13.0B

Note: IQVIA carries significant debt (~5x net leverage at peak) from the 2016 merger. The company is deleveraging: repurchased $1.35B in shares in FY2024 while lowering net leverage ratio year-over-year. FCF conversion is strong (>100% of net income).

Key Ratios (approximate)

  • P/E: ~14x (FY2024 GAAP) | EV/EBITDA: ~12x | FCF Yield: ~8%
  • Revenue Growth (FY2024): +2.8% | Adjusted EBITDA Margin: ~20–21%
  • Dividend Yield: none (company prioritizes buybacks and debt paydown)

Growth Profile

IQVIA's revenue growth has been moderate (3–6% organically) reflecting the pace of pharma/biotech clinical outsourcing and healthcare data spending. R&DS backlog of $31.1B (FY2024) and $32.7B (later 2025) provides 2-year revenue visibility and is growing 5.5% YoY — a leading indicator of accelerating revenue growth. TAS (data/analytics) has grown 8–10% annually, faster than clinical services. FY2025 revenue reached $16.31B (+5.9%), with FY2026 guidance of $17.15B–$17.35B, implying 5–7% growth driven by backlog burn and recovering biotech funding.

Forward Estimates

  • FY2025 (actual): Revenue $16.31B; adjusted EPS ~$11.80–12.00
  • FY2026E Revenue: $17.15B–$17.35B (company guidance); adjusted EPS ~$13–14 (consensus)
  • Long-term: Adj. EBITDA margin expansion toward 23–25% as TAS (higher-margin) grows faster than R&DS

Deeper Financial Analysis

The fundamental tier adds 9 additional research dimensions for $IQV.

Revenue Breakdown
Segment revenue, geographic mix, product-line contribution margins, and cohort dynamics.
Financial Trends
Quarter-over-quarter momentum, leading indicators, and inflection point analysis.
Balance Sheet
Debt structure, liquidity runway, dilution risk, and working capital dynamics.
Capital Allocation
Buyback cadence, M&A appetite, dividend policy, and reinvestment priorities.
Returns on Capital (ROIC)
Multi-year ROIC vs. WACC, marginal returns on reinvestment, sales-to-invested-capital efficiency, and moat spread.
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