IQVIA Holdings Inc. · IQV · FY2025 Q4 · Calendar Q1 2026

IQVIA raises 2026 guidance as AI and backlog support growth

The current analysis supports a constructive operating thesis: strong bookings and backlog, AI-enabled offerings, data services, acquisitions, and raised 2026 guidance point to continued demand. The case is moderated by unresolved questions about margins, AI disruption, funding-sensitive R&D demand, and the durability of backlog.

Reported Before market openNYSEHealthcare $44.31B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $3.42 Consensus $3.40
EPS surprise +0.6% Reported versus consensus
Reported revenue $4.36B Consensus $4.24B
Revenue surprise +2.9% Reported versus consensus

Market reaction

prior-close to event-session close
Stock move -10.7% Event window
SPY move -1.2% Same window
Abnormal move -9.4% Stock minus SPY
Volume 2.9× Versus trailing sessions
Subsequent drift -3.6% Up to 20 sessions
IQVSPY benchmark

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What changed

Compared with the prior-quarter analysis, management moved from maintained full-year guidance to raised 2026 guidance, while emphasizing a two-segment reporting structure, broader AI deployment, AWS collaboration, and acquisitions in payer analytics and early-stage trials.

Guidance delta

Management raised 2026 guidance, citing expected 5–6% revenue growth and higher EBITDA.

Key takeaways

  • Revenue and adjusted EPS exceeded the top of guidance, according to the current analysis.
  • Management highlighted AI-enabled analytics, data-as-a-service, real-world evidence, and strategic acquisitions as growth areas.
  • The company plans to simplify reporting into Commercial Solutions and R&D segments beginning in 2026.
  • The current analysis says the company expects 5–6% revenue growth and higher EBITDA in 2026.
  • Risks include biotech funding conditions, trial cancellations, health-data compliance, margin pressure, and AI commoditization.

Management priorities

  • Deploy more than 150 AI agents across 30 clinical and commercial use cases.
  • Expand the IQVIA Patient Experience platform and AI-driven patient engagement tools.
  • Use acquisitions to strengthen payer analytics and early-stage trial capabilities.
  • Deepen the AWS collaboration and use NVIDIA technology for generative AI capabilities.
  • Simplify reporting into Commercial Solutions and R&D segments.

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Earnings History

Estimate Beat Miss Match
IQV EPS earnings history estimate and actual scatter chart 9 reported fiscal quarters and 3 future estimate-only quarters. Q1 '24 estimate $2.49 Q1 '24 actual $2.54, beat Q2 '24 estimate $2.56 Q2 '24 actual $2.64, beat Q3 '24 estimate $2.82 Q3 '24 actual $2.84, beat Q2 '25 estimate $2.77 Q2 '25 actual $2.81, beat Q3 '25 estimate $2.98 Q3 '25 actual $3.00, beat Q4 '25 estimate $3.40 Q4 '25 actual $3.42, beat Q1 '26 estimate $2.82 Q1 '26 actual $2.90, beat Q2 '26 estimate $3.03 Q2 '26 actual $3.15, beat Q3 '26 estimate $3.25 Q4 '26 estimate $3.63 Q1 '27 estimate $3.20
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Analyst Consensus ?

ConsensusBuy44 ratings
Bullish3681.8%
Neutral715.9%
Bearish12.3%

Analyst 52W Price Targets

$268.85Current
$175.38Low
$256.16Average
$329High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 1, 2026. Not an FN2 forecast.

Firm-level rating actions

FMP grade actions identify the grading firm, not a named analyst.

FirmRatingPrior ratingActionDate
Truist Securities Buy BuyMaintainSep 28, 2026
Morgan Stanley Equal Weight Equal WeightMaintainSep 17, 2026
TD Cowen Buy BuyMaintainJul 29, 2026
Stifel Buy BuyMaintainJul 29, 2026
RBC Capital Outperform OutperformMaintainJul 29, 2026
Show 39 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $268.85. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Truist FinancialAnalyst unavailable$329$270.37 +22.4%Sep 28, 2026
Morgan StanleyAnalyst unavailable$270$268.82 +0.4%Sep 17, 2026
RBC CapitalAnalyst unavailable$247$246.03 -8.1%Jul 29, 2026
BMO CapitalSean Dodge$270$249.51 +0.4%Jul 29, 2026
Robert W. BairdEric Coldwell$287$243.31 +6.8%Jul 29, 2026
See 59 more

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Company context

Snapshot as of publication

IQVIA Holdings Inc. is a premier global provider of sophisticated analytical insights, advanced technology solutions, and comprehensive clinical research services, catering to the life sciences industry across the Americas, Europe, Africa, and Asia-Pacific. The company's operations are structured into three key divisions: Technology & Analytics Solutions, Research & Development Solutions, and Contract Sales & Medical Solutions. The Technology & Analytics Solutions segment provides a suite of cloud-native applications, complete with implementation services, and offers real-world data solutions designed to empower life sciences and healthcare providers in generating and disseminating evidence crucial for informed decision-making and improving patient outcomes. This division also delivers strategic and operational consulting, including advanced analytics support and outsourcing of commercial processes.…

Historical context

All IQV earnings

Healthcare peers this season

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MDT Medtronic plc FY2027 Q1 · Calendar Q3 2026 +4.3% +1.5% Medtronic raises FY27 outlook as growth broadens across platforms

Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-05-11T10:29:34.698584+00:00
  2. FN2 earnings calendar · 2026-07-26T00:37:12.209961+00:00
  3. Polygon adjusted daily market bars · 2026-09-30T23:06:09.762746+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-09-30T23:06:09.759743+00:00

Methodology

Reported and consensus figures come from FN2's earnings event records. Market reaction and volume are calculated from daily adjusted bars around the event; abnormal move subtracts the SPY move over the same window.

Analyst target low, average, and high values are derived at request time from each named analyst's latest persisted FMP target. The current-price marker comes from FN2's persisted market snapshot. They are sell-side estimates, not an FN2 valuation or recommendation.

Transcript intelligence is a structured synthesis of the current and prior earnings-call analyses. Missing values stay missing and are never estimated.

By FN2 Research · Updated · As of 2026-09-30. For educational purposes only; not investment advice.