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IQVIA (IQV) posts Q1 2026 growth, strong cash flow and lifts EPS outlook

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
8-K

Rhea-AI Filing Summary

IQVIA Holdings Inc. reported strong first-quarter 2026 results, with revenue of $4,151 million, up 8.4% year-over-year, driven by both Commercial and R&D Solutions. Commercial Solutions revenue grew 11.6% to $1,754 million, while Research & Development Solutions reached $2,397 million, up 6.2%.

GAAP net income was $274 million with diluted EPS of $1.61. Adjusted EBITDA rose to $932 million, and Adjusted Diluted EPS increased to $2.90, up 7.4% year-over-year. Free Cash Flow was $491 million, up 15% and equal to 100% of Adjusted Net Income.

R&D Solutions contracted backlog was $34.2 billion, with about $8.9 billion expected to convert to revenue in the next twelve months and a book-to-bill of 1.04x. The company repurchased $552 million of stock and reaffirmed 2026 revenue and Adjusted EBITDA guidance while raising Adjusted Diluted EPS guidance to $12.65–$12.95.

Positive

  • Raised full-year EPS guidance: Adjusted Diluted Earnings per Share guidance increased to $12.65–$12.95, alongside reaffirmed revenue and Adjusted EBITDA outlook for 2026.

Negative

  • None.

Insights

IQVIA posts solid Q1 growth, strong cash flow and raises EPS outlook.

IQVIA delivered revenue of $4,151 million, up 8.4% year-over-year, with Commercial Solutions growing 11.6% and R&D Solutions up 6.2%. This balanced segment growth supports the new two-segment structure introduced in 2026.

Profitability remained healthy: Adjusted EBITDA reached $932 million (up 5.5% year-over-year) and Adjusted Diluted EPS climbed to $2.90, up 7.4%. Free Cash Flow of $491 million rose 15%, matching 100% of Adjusted Net Income, while Net Leverage Ratio stood at 3.62x based on $3,837 million of LTM Adjusted EBITDA.

R&D Solutions contracted backlog of $34.2 billion with about $8.9 billion expected to convert to revenue over the next twelve months, and a trailing-twelve-month book-to-bill of 1.11x, indicate continued demand. Management reaffirmed 2026 revenue and Adjusted EBITDA guidance and raised Adjusted Diluted EPS guidance to $12.65–$12.95, underscoring confidence in margin and earnings performance for full-year 2026.

Item 2.02 Results of Operations and Financial Condition Financial
Disclosure of earnings results, typically an earnings press release or preliminary financials.
Item 9.01 Financial Statements and Exhibits Exhibits
Financial statements, pro forma financial information, and exhibit attachments filed with this report.
Q1 2026 revenue $4,151 million Up 8.4% year-over-year for the quarter ended March 31, 2026
Commercial Solutions revenue $1,754 million Segment revenue, up 11.6% year-over-year in Q1 2026
R&D Solutions revenue $2,397 million Segment revenue, up 6.2% year-over-year in Q1 2026
Adjusted EBITDA $932 million Q1 2026, up 5.5% year-over-year
Adjusted Diluted EPS $2.90 Q1 2026, up 7.4% year-over-year
Free Cash Flow $491 million Q1 2026, up 15% year-over-year and 100% of Adjusted Net Income
R&D contracted backlog $34.2 billion As of March 31, 2026, with $8.9 billion expected to convert in 12 months
Net Leverage Ratio 3.62x Net debt divided by LTM Adjusted EBITDA as of March 31, 2026
Adjusted EBITDA financial
"Adjusted EBITDA was $932 million, up 5.5% year-over-year."
Adjusted EBITDA is a way companies measure how much money they make from their core operations, like running a business, by removing certain costs or income that aren’t part of regular business activities. It helps investors see how well a company is doing without distractions from unusual expenses or gains, making it easier to compare companies or track performance over time.
Free Cash Flow financial
"Free Cash Flow of $491 million, up 15% year-over-year, representing 100% of Adjusted Net Income."
Free cash flow is the amount of money a company has left over after paying all its expenses and investing in its business, like buying equipment or updating facilities. It shows how much cash is available to reward shareholders, pay down debt, or save for future growth. This helps investors understand if a company is financially healthy and able to grow.
contracted backlog financial
"As of March 31, 2026, R&DS contracted backlog was $34.2 billion."
Contracted backlog is the total dollar value of customer orders or projects that a company has formally committed to deliver but has not yet completed or recognized as revenue. For investors it is a forward-looking measure of expected future sales and cash flow—like a paid to-do list that shows the pipeline of work—but it can overstate certainty if contracts are cancellable, delayed, or subject to change.
book-to-bill ratio financial
"resulting in a book-to-bill ratio of 1.04x and a trailing-twelve-month book-to-bill ratio of 1.11x."
The book-to-bill ratio compares the value of new orders a company receives to the value of products it ships out or bills for over a certain period. If the ratio is above 1, it means the company is getting more orders than it is completing, which can indicate growth. If it's below 1, it suggests demand is slowing down.
Net Leverage Ratio financial
"IQVIA’s Net Leverage Ratio was 3.62x trailing twelve-month Adjusted EBITDA."
The net leverage ratio measures how much debt a company has compared to its available assets or earnings, after accounting for its cash and liquid assets. It helps investors understand how heavily a company relies on borrowed money to finance its operations and growth. A higher ratio indicates greater financial risk, while a lower ratio suggests a more cautious approach to borrowing.
Adjusted Diluted Earnings per Share financial
"Adjusted Diluted Earnings per Share was $2.90, up 7.4% year-over-year."
Adjusted diluted earnings per share is the company’s net profit per share after accounting for potential extra shares (from options or convertible securities) and removing one‑time or unusual items so the number reflects ongoing business results. Think of it like timing a runner’s steady pace after excluding a few unexpected stops; it gives investors a clearer view of sustainable profit available to each share. Investors use it to compare companies and judge underlying profitability and valuation without short‑term distortions.
Revenue $4,151 million +8.4% YoY
GAAP Net Income $274 million +10.0% YoY (from $249 million)
Adjusted EBITDA $932 million +5.5% YoY
Adjusted Diluted EPS $2.90 +7.4% YoY
Free Cash Flow $491 million +15% YoY
Guidance

For full-year 2026, revenue is guided to $17,150–$17,350 million and Adjusted EBITDA to $3,975–$4,025 million; Adjusted Diluted EPS guidance was raised to $12.65–$12.95.

0001478242FALSE00014782422026-05-052026-05-05

UNITED STATES
 SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
______________

FORM 8-K
______________
 
CURRENT REPORT

 Pursuant to Section 13 or 15(d) of the
 Securities Exchange Act of 1934
 
Date of Report (Date of earliest event reported): May 5, 2026
______________
IQVIA HOLDINGS INC.
(Exact name of registrant as specified in its charter)
______________
Delaware001-3590727-1341991
(State or other jurisdiction
of incorporation)
(Commission
File Number)
(IRS Employer
Identification No.)

2400 Ellis Rd.
Durham, North Carolina 27703
(Address of principal executive offices)
 
Registrant’s telephone number, including area code: (919) 998-2000
 
Not Applicable
 (Former name or former address, if changed since last report.)
 ______________
 
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
 
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
 
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class Trading Symbol Name of Each Exchange on which Registered
Common Stock, par value $0.01 per share “IQV” New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.




Item 2.02    Results of Operations and Financial Condition

On May 5, 2026, IQVIA Holdings Inc. (the “Company”) issued a press release announcing its financial results for the first quarter ended March 31, 2026. The full text of the press release was posted on the Company’s internet website and is furnished as Exhibit 99.1 hereto and incorporated herein by reference.

Pursuant to General Instruction B.2 of Current Report on Form 8-K, the information contained in, or incorporated into, Item 2.02, including the press release attached as Exhibit 99.1, is being furnished and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference into any registration statement or other filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference to such filing.

Item 9.01    Financial Statements and Exhibits

Exhibit No.
Description
99.1
Press release dated May 5, 2026
104
Cover Page Interactive Data File (embedded within the Inline XBRL document)



SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: May 5, 2026
 
IQVIA HOLDINGS INC.  
    
 By: /s/ Michael J. Fedock
   Michael J. Fedock
Executive Vice President and Chief Financial Officer



Exhibit 99.1





IQVIA Reports First-Quarter 2026 Results


Revenue of $4,151 million, up 8.4% year-over-year
GAAP Net Income of $274 million, Adjusted EBITDA of $932 million
GAAP Diluted Earnings per Share of $1.61, Adjusted Diluted Earnings per Share of $2.90
Commercial Solutions Revenue of $1,754 million, up 11.6% reported year-over-year
R&D Solutions Revenue of $2,397 million, up 6.2% reported year-over-year
R&D Solutions contracted backlog of $34.2 billion, R&D Solutions Net New Bookings of $2.5 billion
Operating Cash Flow of $618 million; Free Cash Flow of $491 million, up 15% year-over-year, representing 100% of Adjusted Net Income
Repurchased $552 million of IQVIA common stock
Reaffirming full-year 2026 guidance for revenue and Adjusted EBITDA; raising full-year 2026 guidance for Adjusted Diluted Earnings per Share to $12.65 - $12.95

RESEARCH TRIANGLE PARK, N.C. (BUSINESS WIRE) May 5, 2026 – IQVIA Holdings Inc. (“IQVIA”) (NYSE:IQV), a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries, today reported financial results for the quarter ended March 31, 2026.

Year-Over-Year Comparisons
As previously disclosed, effective January 1, 2026, the company implemented a new, simplified organizational model to strengthen collaboration, enhance efficiency, and support continued growth. As a result, beginning with the three months ended March 31, 2026, the Company is reporting the results within two segments: Commercial Solutions and Research & Development Solutions. In conjunction with this change, prior period segment amounts have been recast to conform to this reporting structure.

First-Quarter 2026 Operating Results
"IQVIA delivered an outstanding start to the year, with organic revenue growth accelerating more than anticipated, Adjusted Diluted EPS exceeding the high-end of our expectations and Free Cash Flow at 100% of Adjusted Net Income,” said Ari Bousbib, chairman and CEO of IQVIA. “Commercial Solutions achieved better-than-expected organic revenue growth with notable strength in patient solutions, analytics & consulting, and commercial engagement services, with our innovative AI-enabled offerings gaining traction with customers. R&D Solutions achieved better-than-expected organic revenue growth and delivered solid growth in net service fee bookings both year-over-year and sequentially, in a stabilizing market environment, with mid-to-high single digit growth in forward-looking demand indicators."

Revenue for the first quarter of $4,151 million increased 8.4% on a reported basis and 6.0% at constant currency, compared to the first quarter of 2025. Commercial Solutions revenue of $1,754 million increased 11.6% on a reported basis and 8.5% at constant currency. Research & Development Solutions (R&DS) revenue of $2,397 million increased 6.2% on a reported basis and 4.2% at constant currency. Excluding reimbursed expenses, R&DS revenue grew 6.6% on a reported basis.

As of March 31, 2026, R&DS contracted backlog was $34.2 billion. The company expects approximately $8.9 billion of this backlog to convert to revenue in the next twelve months, representing growth of 7.6% year-over-year. First quarter net new bookings were $2.5 billion, with cancellations and full-service/FSP bookings mix consistent with historical averages, and reimbursed expenses well below historical averages, resulting in a book-to-bill ratio of 1.04x and a trailing-twelve-month book-to-bill ratio of 1.11x.

First-quarter GAAP Net Income was $274 million and GAAP Diluted Earnings per Share was $1.61. Adjusted EBITDA was $932 million, up 5.5% year-over-year. Adjusted Net Income was $492 million and Adjusted Diluted Earnings per Share was $2.90, up 7.4% year-over-year.
1




Financial Position
As of March 31, 2026, cash and cash equivalents were $1,947 million and debt was $15,833 million, resulting in net debt of $13,886 million. IQVIA’s Net Leverage Ratio was 3.62x trailing twelve-month Adjusted EBITDA. For the first quarter, Operating Cash Flow was $618 million, up 9% year-over-year, and Free Cash Flow was $491 million, up 15% year-over-year.

Share Repurchase
During the first quarter of 2026, the company repurchased $552 million of its common stock. IQVIA had $1,217 million of share repurchase authorization remaining as of March 31, 2026.

Full-Year 2026 Guidance
The company is reaffirming its full-year 2026 guidance for revenue to be between $17,150 million and $17,350 million, and for Adjusted EBITDA to be between $3,975 million and $4,025 million. The company is raising its full-year 2026 guidance for Adjusted Diluted Earnings per Share to be between $12.65 and $12.95.

This revenue guidance continues to assume about 150 basis points of contributions from acquisitions and an approximately 100 basis points tailwind from foreign exchange.

All financial guidance assumes foreign currency exchange rates as of May 4, 2026, remain in effect for the forecast period.

Webcast & Conference Call Details
IQVIA will host a conference call at 9:00 a.m. Eastern Time today to discuss its first-quarter 2026 results and its second-quarter and full-year 2026 guidance. To listen to the event and view the presentation slides via webcast, join from the IQVIA Investor Relations website at http://ir.iqvia.com. To participate in the conference call, interested parties must register in advance by clicking on this link. Following registration, participants will receive a confirmation email containing details on how to join the conference call, including the dial-in and a unique passcode and registrant ID. At the time of the live event, registered participants connect to the call using the information provided in the confirmation email and will be placed directly into the call.

About IQVIA
IQVIA (NYSE:IQV) is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. IQVIA’s portfolio of solutions are powered by IQVIA Connected Intelligence™ to deliver actionable insights and services built on high-quality health data, Healthcare-grade AI®, advanced analytics, the latest technologies and extensive domain expertise. IQVIA is committed to using artificial intelligence responsibly, with AI-powered capabilities built on best-in-class approaches to privacy, regulatory compliance and patient safety, and delivering AI to the high standards of trust, scalability and precision demanded by the industry. With approximately 93,000 employees in over 100 countries, including experts in healthcare, life sciences, data science, technology and operational excellence, IQVIA is dedicated to accelerating the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.

IQVIA is a global leader in protecting individual patient privacy. The company uses a wide variety of privacy-enhancing technologies and safeguards to protect individual privacy while generating and analyzing information on a scale that helps healthcare stakeholders identify disease patterns and correlate with the precise treatment path and therapy needed for better outcomes. IQVIA’s insights and execution capabilities help biotech, medical device and pharmaceutical companies, medical researchers, government agencies, payers and other healthcare stakeholders tap into a deeper understanding of diseases, human behaviors and scientific advances, in an effort to advance their path toward cures. To learn more, visit www.iqvia.com.

2



Cautionary Statements Regarding Forward-Looking Statements
This press release contains “forward-looking statements” within the meaning of the federal securities laws, including Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, including, without limitation, our full-year 2026 guidance. In this context, forward-looking statements often address expected future business and financial performance and financial condition, and often contain words such as “expect,” “assume,” “anticipate,” “intend,” “plan,” “forecast,” “believe,” “seek,” “see,” “will,” “would,” “target,” similar expressions, and variations or negatives of these words that are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results may differ materially from our expectations due to a number of factors, including, but not limited to, the following: business disruptions caused by natural disasters, pandemics, and the public health policy response to any outbreak, and international conflicts or other disruptions outside of our control; most of our contracts may be terminated on short notice, and we may lose or experience delays with large client contracts or be unable to enter into new contracts; the market for our services may not grow as we expect; we may be unable to successfully develop and market new services or enter new markets; imposition of restrictions on our use of data by data suppliers or their refusal to license data to us; any failure by us to comply with contractual, regulatory or ethical requirements under our contracts, including current or future changes to data protection and privacy laws; breaches or misuse of our or our outsourcing partners’ security or communications systems; failure to meet our productivity or business transformation objectives; failure to successfully invest in growth opportunities; our ability to protect our intellectual property rights and our susceptibility to claims by others that we are infringing on their intellectual property rights; the expiration or inability to acquire third party licenses for technology or intellectual property; any failure by us to accurately and timely price and formulate cost estimates for contracts, or to document change orders; hardware and software failures, delays in the operation of our computer and communications systems or the failure to implement system enhancements; the rate at which our backlog converts to revenue; our ability to acquire, develop and implement technology necessary for our business; consolidation in the industries in which our clients operate; risks related to client or therapeutic concentration; government regulators or our customers may limit the number or scope of indications for medicines and treatments or withdraw products from the market, and government regulators may impose new regulatory requirements or may adopt new regulations affecting the biopharmaceutical industry; the risks associated with operating on a global basis, including currency or exchange rate fluctuations and legal compliance, including anti-corruption laws; risks related to the enactment of legislation or the imposition of regulations or other restrictions or actions by governments that create business uncertainty and have the potential to limit trade; changes in accounting standards; general economic conditions in the markets in which we operate, including financial market conditions, inflation, and risks related to sales to government entities; the impact of changes in tax laws and regulations; and our ability to successfully integrate, and achieve expected benefits from, our acquired businesses. In addition, we may not achieve the expected benefits of our reorganized business segment structure. For a further discussion of the risks relating to our business, see the “Risk Factors” in our annual report on Form 10-K for the fiscal year ended December 31, 2025, filed with the Securities and Exchange Commission (the "SEC"), as such factors may be amended or updated from time to time in our subsequent periodic and other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and in our filings with the SEC. We assume no obligation to update any such forward-looking statement after the date of this release, whether as a result of new information, future developments or otherwise.

3



Note on Non-GAAP Financial Measures
This release includes information based on financial measures that are not recognized under generally accepted accounting principles in the United States ("GAAP"), such as Adjusted EBITDA, Adjusted Net Income, Adjusted Diluted Earnings per Share, Gross Leverage Ratio, Net Leverage Ratio and Free Cash Flow. Non-GAAP financial measures are presented only as a supplement to the company’s financial statements based on GAAP. Non-GAAP financial information is provided to enhance understanding of the company’s financial performance, but none of these non-GAAP financial measures are recognized terms under GAAP, and non-GAAP measures should not be considered in isolation from, or as a substitute analysis for, the company’s results of operations as determined in accordance with GAAP. The company uses non-GAAP measures in its operational and financial decision making, and believes that it is useful to exclude certain items in order to focus on what it regards to be a more meaningful indicator of the underlying operating performance of the business. For example, the company excludes all the amortization of intangible assets associated with acquired customer relationships and backlog, databases, non-compete agreements, trademarks and trade names from non-GAAP expense and income measures as such amounts can be significantly impacted by the timing and size of acquisitions. Although we exclude amortization of acquired intangible assets from our non-GAAP expenses, we believe that it is important for investors to understand that revenue generated from such intangibles is included within revenue in determining net income. As a result, internal management reports feature non-GAAP measures which are also used to prepare strategic plans and annual budgets and review management compensation. The company also believes that investors may find non-GAAP financial measures useful for the same reasons, although investors are cautioned that non-GAAP financial measures are not a substitute for GAAP disclosures.

The non-GAAP financial measures are not presented in accordance with GAAP. Please refer to the schedules attached to this release for reconciliations of non-GAAP financial measures contained herein to the most directly comparable GAAP measures. Our full-year 2026 guidance measures (other than revenue) are provided on a non-GAAP basis without a reconciliation to the most directly comparable GAAP measure because the company is unable to predict with a reasonable degree of certainty certain items contained in the GAAP measures without unreasonable efforts. For the same reasons, the company is unable to address the probable significance of the unavailable information. Such items include, but are not limited to, acquisition related expenses, restructuring and related expenses, stock-based compensation and other items not reflective of the company's ongoing operations.

Non-GAAP measures are frequently used by securities analysts, investors and other interested parties in their evaluation of companies comparable to the company, many of which present non-GAAP measures when reporting their results. Non-GAAP measures have limitations as an analytical tool. They are not presentations made in accordance with GAAP, are not measures of financial condition or liquidity and should not be considered as an alternative to profit or loss for the period determined in accordance with GAAP or operating cash flows determined in accordance with GAAP. Non-GAAP measures are not necessarily comparable to similarly titled measures used by other companies. As a result, you should not consider such performance measures in isolation from, or as a substitute analysis for, the company’s results of operations as determined in accordance with GAAP.


IQVIAFIN

# # #

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Table 1
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(preliminary and unaudited)

Three Months Ended March 31,
(in millions, except per share data)20262025
Revenues$4,151 $3,829 
Cost of revenues, exclusive of depreciation and amortization2,796 2,531 
Selling, general and administrative expenses502 508 
Depreciation and amortization288 265 
Restructuring costs51 29 
Income from operations514 496 
Interest income(10)(11)
Interest expense192 165 
Loss on extinguishment of debt— 
Other expense, net15 
Income before income taxes and equity in earnings (losses) of unconsolidated affiliates328 323 
Income tax expense 59 61 
Income before equity in earnings (losses) of unconsolidated affiliates269 262 
Equity in earnings (losses) of unconsolidated affiliates(13)
Net income275 249 
Net income attributable to noncontrolling interests(1)— 
Net income attributable to IQVIA Holdings Inc.$274 $249 
Earnings per share attributable to common stockholders:
Basic$1.63 $1.42 
Diluted$1.61 $1.40 
Weighted average common shares outstanding:
Basic168.4 175.7 
Diluted169.8 177.4 
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Table 2
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(preliminary and unaudited)
(in millions, except per share data)March 31, 2026December 31, 2025
ASSETS
Current assets:
Cash and cash equivalents$1,947 $1,980 
Trade accounts receivable and unbilled services, net3,346 3,400 
Prepaid expenses167 162 
Income taxes receivable29 27 
Investments in debt, equity and other securities156 161 
Other current assets and receivables575 519 
Total current assets6,220 6,249 
Property and equipment, net516 533 
Operating lease right-of-use assets293 290 
Investments in debt, equity and other securities95 108 
Investments in unconsolidated affiliates357 324 
Goodwill16,544 16,616 
Other identifiable intangibles, net4,803 4,962 
Deferred income taxes358 357 
Deposits and other assets, net489 505 
Total assets$29,675 $29,944 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable and accrued expenses$3,639 $3,751 
Unearned income2,261 2,118 
Income taxes payable172 140 
Current portion of long-term debt1,844 1,840 
Other current liabilities413 489 
Total current liabilities8,329 8,338 
Long-term debt, less current portion13,989 13,884 
Deferred income taxes159 179 
Operating lease liabilities232 225 
Other liabilities617 688 
Total liabilities23,326 23,314 
Commitments and contingencies
Stockholders’ equity:
Common stock and additional paid-in capital, 400.0 shares authorized as of March 31, 2026 and December 31, 2025, $0.01 par value, 259.6 shares issued and 166.9 shares outstanding as of March 31, 2026; 259.1 shares issued and 169.6 shares outstanding as of December 31, 2025
11,404 11,378 
Retained earnings7,699 7,425 
Treasury stock, at cost, 92.7 and 89.5 shares as of March 31, 2026 and December 31, 2025, respectively
(11,914)(11,357)
Accumulated other comprehensive loss(968)(943)
Equity attributable to IQVIA Holdings Inc.’s stockholders6,221 6,503 
Noncontrolling interests128 127 
Total stockholders’ equity6,349 6,630 
Total liabilities and stockholders’ equity$29,675 $29,944 
6




Table 3
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(preliminary and unaudited)

Three Months Ended March 31,
(in millions)20262025
Operating activities:
Net income$275 $249 
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization288 265 
Amortization of debt issuance costs and discount
Stock-based compensation65 72 
(Earnings) losses from unconsolidated affiliates(6)13 
Loss on investments, net18 
Benefit from deferred income taxes(38)(41)
Changes in operating assets and liabilities:
Change in accounts receivable, unbilled services and unearned income193 128 
Change in other operating assets and liabilities(183)(124)
Net cash provided by operating activities618 568 
Investing activities:
Acquisition of property, equipment and software(127)(142)
Acquisition of businesses, net of cash acquired(37)(134)
Sales of marketable securities, net
Investments in unconsolidated affiliates, net of payments received(35)(13)
Investments in debt and equity securities— (19)
Other
Net cash used in investing activities(196)(305)
Financing activities:
Proceeds from issuance of debt650 1,985 
Payment of debt issuance costs(4)(6)
Repayment of debt and principal payments on finance leases(683)(2,096)
Proceeds from revolving credit facility550 275 
Repayment of revolving credit facility(350)— 
Payments related to employee stock incentive plans(40)(35)
Repurchase of common stock(552)(375)
Contingent consideration and deferred purchase price payments(4)(6)
Net cash used in financing activities(433)(258)
Effect of foreign currency exchange rate changes on cash(22)33 
(Decrease) increase in cash and cash equivalents(33)38 
Cash and cash equivalents at beginning of period1,980 1,702 
Cash and cash equivalents at end of period$1,947 $1,740 
7




Table 4
IQVIA HOLDINGS INC. AND SUBSIDIARIES
NET INCOME TO ADJUSTED EBITDA RECONCILIATION
(preliminary and unaudited)

Three Months Ended March 31,
(in millions)20262025
Net Income Attributable to IQVIA Holdings Inc.$274 $249 
Provision for income taxes59 61 
Depreciation and amortization288 265 
Interest expense, net182 154 
(Income) loss in unconsolidated affiliates(6)13 
Income from noncontrolling interests— 
Stock-based compensation65 72 
Other expense, net (1)
15 
Loss on extinguishment of debt— 
Restructuring and related expenses (2)
53 42 
Acquisition related expenses11 
Adjusted EBITDA$932 $883 


(1)    Reflects certain non-operating income items, revaluations of contingent consideration and certain non-recurring expenses.
(2)    Reflects restructuring costs as well as accelerated expenses related to lease exits.
8




Table 5
IQVIA HOLDINGS INC. AND SUBSIDIARIES
NET INCOME TO ADJUSTED NET INCOME RECONCILIATION
(preliminary and unaudited)

Three Months Ended March 31,
(in millions, except per share data)20262025
Net Income Attributable to IQVIA Holdings Inc.$274 $249 
Provision for income taxes59 61 
Purchase accounting amortization (1)
137 125 
(Income) loss in unconsolidated affiliates(6)13 
Income from noncontrolling interests— 
Stock-based compensation65 72 
Other expense, net (2)
15 
Loss on extinguishment of debt— 
Restructuring and related expenses (3)
53 42 
Acquisition related expenses11 
Adjusted Pre Tax Income$599 $589 
Adjusted tax expense(106)(110)
Income from noncontrolling interests(1)— 
Adjusted Net Income$492 $479 
Adjusted earnings per share attributable to common stockholders:
Basic$2.92 $2.73 
Diluted$2.90 $2.70 
Weighted average common shares outstanding:
Basic168.4 175.7 
Diluted169.8 177.4 


(1)    Reflects all the amortization of acquired intangible assets.
(2)    Reflects certain non-operating income items, revaluations of contingent consideration and certain non-recurring expenses.
(3)    Reflects restructuring costs as well as accelerated expenses related to lease exits.
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Table 6
IQVIA HOLDINGS INC. AND SUBSIDIARIES
NET CASH PROVIDED BY OPERATING ACTIVITIES TO FREE CASH FLOW RECONCILIATION
(preliminary and unaudited)

Three Months Ended March 31,
(in millions)20262025
Net Cash provided by Operating Activities$618 $568 
Acquisition of property, equipment and software(127)(142)
Free Cash Flow$491 $426 


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Table 7
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CALCULATION OF GROSS AND NET LEVERAGE RATIOS
AS OF MARCH 31, 2026
(preliminary and unaudited)


(in millions)
Gross Debt, net of Unamortized Discount and Debt Issuance Costs, as of March 31, 2026
$15,833 
Net Debt as of March 31, 2026
$13,886 
Adjusted EBITDA for the twelve months ended March 31, 2026
$3,837 
Gross Leverage Ratio (Gross Debt/LTM Adjusted EBITDA)4.13x
Net Leverage Ratio (Net Debt/LTM Adjusted EBITDA)3.62x




Contacts:

Kerri Joseph, IQVIA Investor Relations (kerri.joseph@iqvia.com)
+1.973.541.3558
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FAQ

How did IQVIA (IQV) perform financially in Q1 2026?

IQVIA reported revenue of $4,151 million, up 8.4% year-over-year, with GAAP net income of $274 million. Adjusted EBITDA was $932 million and Adjusted Diluted EPS reached $2.90, reflecting solid growth across its major business segments.

How did IQVIA’s Commercial and R&D segments perform in Q1 2026?

Commercial Solutions revenue was $1,754 million, up 11.6% year-over-year, while Research & Development Solutions revenue was $2,397 million, up 6.2%. Both segments showed growth, with Commercial particularly strong and R&D supported by a large contracted backlog.

What were IQVIA’s cash flow and leverage metrics for Q1 2026?

Operating Cash Flow was $618 million and Free Cash Flow was $491 million, up 15% year-over-year. Net debt stood at $13,886 million, giving a Net Leverage Ratio of 3.62x based on $3,837 million of trailing twelve-month Adjusted EBITDA.

What backlog and bookings did IQVIA report for R&D Solutions in Q1 2026?

R&D Solutions contracted backlog totaled $34.2 billion, with about $8.9 billion expected to convert to revenue in the next twelve months. Net new bookings were $2.5 billion, yielding a book-to-bill ratio of 1.04x and 1.11x on a trailing-twelve-month basis.

Did IQVIA change its full-year 2026 guidance with this 8-K filing?

IQVIA reaffirmed its 2026 revenue guidance of $17,150–$17,350 million and Adjusted EBITDA guidance of $3,975–$4,025 million. It raised full-year Adjusted Diluted EPS guidance to $12.65–$12.95, reflecting expectations for stronger earnings per share.

How much stock did IQVIA repurchase in Q1 2026 and what remains authorized?

During the first quarter of 2026, IQVIA repurchased $552 million of its common stock. As of March 31, 2026, the company still had $1,217 million of share repurchase authorization remaining under its existing program.

Filing Exhibits & Attachments

4 documents