IQVIA Holdings Inc. · IQV · FY2026 Q1 · Calendar Q2 2026

IQVIA Beats Q1 2026 on Record Revenue, Raises EPS Guidance as AI Agent Deployments Scale

IQVIA's Q1 FY2026 results reinforce an AI-driven growth narrative, with record revenue of $4.15B, a $34.2B backlog, and AI agent deployments scaling to 192 across 64 use cases. The raised full-year EPS guidance to $12.65-$12.95 and confident management tone indicate continued operational momentum. Key questions center on whether FX tailwinds can persist and how pass-through mix affects profitability optics.

Reported Before market openNYSEHealthcare $41.35B market cap
100quality score

Earnings scorecard

Reported versus consensus
Reported EPS $2.90 Consensus $2.82
EPS surprise +2.8% Reported versus consensus
Reported revenue $4.15B Consensus $4.10B
Revenue surprise +1.2% Reported versus consensus

Market reaction

prior-close to event-session close
Stock move +9.6% Event window
SPY move +0.8% Same window
Abnormal move +8.8% Stock minus SPY
Volume 2.6× Versus trailing sessions
Subsequent drift +3.2% Up to 20 sessions
IQVSPY benchmark

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Transcript intelligence

What changed

Q1 FY2026 revenue of $4.151B beat consensus of $4.100B by 1.2%, while adjusted EPS of $2.90 exceeded estimates of $2.82 by 2.8%. Both metrics came in above the high end of company guidance. Backlog grew to a record $34.2B from $32.7B in Q4 2025, with $8.9B expected to convert to revenue within 12 months. AI agent deployments expanded from 150 across 30 use cases to 192 across 64, with 19 of the top 20 pharma companies now using them. EBP funding reached $25B in Q1, nearly double the prior year. The stock rose 9.6% on the event session (8.8% above benchmark) on 2.6x normal volume, followed by a 3.2% subsequent drift. As of July 30, IQV trades at $247.78, above the analyst consensus target of $234.50.

Guidance delta

Full-year 2026 adjusted diluted EPS guidance was raised to $12.65-$12.95. Revenue guidance was reaffirmed at the 5-6% growth range introduced in Q4 2025. Guidance sentiment remained 'raised' from the prior quarter. Capex outlook remains stable.

Key takeaways

  • Q1 revenue of $4.151B and adjusted EPS of $2.90 both exceeded the high end of guidance and consensus estimates
  • Organic growth accelerated: Commercial Solutions at 5%, R&D Solutions at 3%
  • Record backlog of $34.2B, up from $32.7B in Q4 2025, with $8.9B expected to convert within 12 months
  • AI agent deployments expanded to 192 across 64 use cases, up from 150 across 30 in the prior quarter
  • New strategic partnerships announced with Pfizer (23 European countries), Boehringer Ingelheim (59 countries), and Duke Clinical Research Institute
  • EBP funding reached $25B in Q1, nearly double the prior year, indicating strong biotech financing demand

Management priorities

  • Scale AI agent deployment across additional use cases and expand the iqvia.ai marketplace
  • Deepen partnerships with Pfizer, Boehringer Ingelheim, and Duke Clinical Research Institute
  • Expand AI-ready data foundation services and the iqvia.ai platform
  • Advance clinical research in obesity and cardiometabolic trials through the Duke collaboration
  • Continue product innovation in Patient Solutions, Analytics, and Consulting

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Earnings History

Estimate Beat Miss Match
IQV EPS earnings history estimate and actual scatter chart 10 reported fiscal quarters and 2 future estimate-only quarters. Q4 '23 estimate $2.82 Q4 '23 actual $2.84, beat 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 $3.26 Q3 '26 actual $3.34, beat 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

$278.64Current
$175.38Low
$267.5Average
$345High

Latest persisted target per named analyst; persisted current price from FN2's market snapshot as of Oct 28, 2026. Not an FN2 forecast.

Firm-level rating actions

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

FirmRatingPrior ratingActionDate
Stifel Buy BuyMaintainOct 14, 2026
Mizuho Outperform OutperformMaintainOct 7, 2026
Barclays Overweight OverweightMaintainOct 7, 2026
RBC Capital Outperform OutperformMaintainSep 29, 2026
Truist Securities Buy BuyMaintainSep 28, 2026
Show 39 more rating actions

Named analyst price targets

Upside is calculated against the persisted current price $278.64. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Robert W. BairdAnalyst unavailable$328$271.53 +17.7%Oct 27, 2026
Stifel NicolausAnalyst unavailable$303$260.71 +8.7%Oct 14, 2026
Mizuho SecuritiesAnalyst unavailable$300$260.16 +7.7%Oct 7, 2026
BarclaysLuke Sergott$300$260.16 +7.7%Oct 7, 2026
UBSAnalyst unavailable$345$269.19 +23.8%Sep 30, 2026
See 64 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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ICLR ICON Public Limited Company FY2026 Q3 · Calendar Q4 2026 — +12.5% ICON: bookings and margins improve as revenue dips
CNC Centene Corp. FY2026 Q3 · Calendar Q4 2026 +506.1% +1.0% Centene raises EPS outlook as Medicaid remains stable
HCA HCA Healthcare, Inc. FY2026 Q3 · Calendar Q4 2026 +8.6% -3.3% HCA Q3: Volume growth offsets payer-mix and Medicaid pressure

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 · 2026-07-30T07:45:53.220929+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-07-30T07:45:53.218158+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 2026-07-30. For educational purposes only; not investment advice.