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IQVIA Holdings (IQV) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NYSE•Healthcare•Diagnostics & Research
B
GoodMetricSide Score: 60/100
ProfitabilityProfit20/30
GrowthGrowth15/25
Balance SheetBalance9/25
Cash QualityCash16/20
Price & Volume
Market Cap $34.87B

IQVIA Holdings Inc. provides clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries in the Americas, Europe, Africa, and the Asia-Pacific. It operates through three segments: Technology & Analytics Solutions, Research & Development Solutions, and Contract Sales & Medical Solutions. The Technology & Analytics Solutions segment offers a range of cloud-based applications and associated implementation services; real world solutions that enable life sciences and provider customers to generate and disseminate evidence, which informs health care decision making and improves patients' outcomes; and strategic and implementation consulting services, such as advanced analytics and commercial processes outsourcing services. This segment also provides country level performance metrics related to sales of pharmaceutical products, prescribing trends, medical treatment, and promotional activity across various channels, including retail, hospital, and mail order; and measurement of sales or prescribing activity at the regional, zip code, and individual prescriber level. The Research & Development Solutions segment offers project management and clinical monitoring; clinical trial support; strategic planning and design services; and patient and site centric solutions, as well as central laboratory, genomic, bioanalytical, ADME, discovery, vaccine and biomarker laboratory services. The Contract Sales & Medical Solutions segment provides health care provider and patient engagement services, and scientific strategy and medical services. It serves pharmaceutical, biotechnology, device and diagnostic, and consumer health companies. The company has a strategic collaboration with Kexing Biopharm Co., Ltd. for biosimilar development. The company was formerly known as Quintiles IMS Holdings, Inc. and changed its name to IQVIA Holdings Inc. in November 2017. IQVIA Holdings Inc. is based in Durham, North Carolina.

Moat Signals

Competitive analysis based on 53 quarters of fundamental data

Pricing Power

Moderate Moat

Operating margins are positive at ~13.7% on average, but show some variability — pricing power may be sensitive to market conditions.

Competitive Advantage

Strong Moat

Consistently high ROE averaging 21.5% suggests a durable competitive advantage and efficient capital allocation.

Cash Generation

Moderate Moat

8 of the last 8 quarters generated positive FCF. The company generally funds itself but has occasional cash consumption quarters.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~9.7% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 53 quarters

Low Risk

Margin Pressure

Watch

Operating margins declined 6.5% — watch for continued compression, which may signal competitive or cost pressure.

Earnings Quality

Healthy

FCF covers net income by 1.6x on average — earnings are well-supported by cash generation.

Leverage Risk

Watch

D/E ratio of 2.2 is elevated. Monitor for further debt accumulation.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Shares decreased 7.6% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$16.63B
7.3%
Q. Revenue
$4.15B
TTM EBITDA
$3.37B
1.8%
TTM Op. Income
$2.20B
0.4%
Q. Op. Income
$514.00M
TTM Net Income
$1.39B
3.8%
Q. Net Income
$274.00M
EPS
$1.63
Shares Out.
$168.40M
4.2%
$16.63B in TTM revenue grew 7.3% YoY, reaching $4.15B last quarter. TTM EBITDA of $3.37B and TTM operating income of $2.20B shows growth is flowing through. Net income of $1.39B TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

EBITDA Margin
19.3%
Op. Margin
12.4%
4.4%
Net Margin
6.6%
1.5%
Op. margin of 12.4% is down 0.6% YoY — costs are rising relative to revenue. Net margin at 6.6%.

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
25.2x
P/S Ratio
2.1x
P/B Ratio
5.6x
At 25.2x P/E, the stock trades in line with market averages — fairly valued. P/S of 2.1x and P/B of 5.6x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$29.68B
Cash
$1.95B
Long-Term Debt
$13.99B
Book Value
$6.22B
D/E Ratio
2.2
Debt/EBITDA
17.4
With $29.68B in assets and $13.99B in long-term debt, the D/E of 2.2and book value of $6.22B — indicates elevated leverage — the company has significant financial risk and may struggle in a downturn.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$618.00M
Free Cash Flow
$491.00M
15.3%
FCF Margin
3.0%
FCF / Net Income
1.8
FCF of $491.00M on $618.00M in operating cash flow. The FCF / Net Income ratio of 0.4x indicates partial cash conversion — earnings quality needs attention.

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