IQVIA Holdings Inc. · IQV · FY2026 Q3 · Calendar Q4 2026

IQVIA raises 2026 outlook as AI adoption lifts bookings

The quarter supports a constructive operating thesis: resilient demand, stronger bookings, and expanding AI adoption are supporting growth and guidance. The main tests are whether AI-led wins convert into durable revenue and margins, and whether biotech funding and backlog quality remain supportive.

Reported Before market openNYSEHealthcare $44.98B market cap
80quality score

Earnings scorecard

Reported versus consensus
Reported EPS — Consensus $3.26
EPS surprise — Reported versus consensus
Reported revenue — Consensus $4.37B
Revenue surprise — Reported versus consensus

Market reaction

prior-close to event-session close
Stock move -0.7% Event window
SPY move +0.6% Same window
Abnormal move -1.3% Stock minus SPY
Volume 1.6× Versus trailing sessions
Subsequent drift 0.0% Up to 20 sessions
IQVSPY benchmark

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Transcript intelligence

What changed

Compared with the prior quarter, IQVIA reported another strong period, raised full-year guidance, expanded its AI deployment to 415 agents, and disclosed a $2.1 billion inactive-trial backlog adjustment. Management also highlighted $3.2 billion of R&D net new bookings and continued acquisition activity.

Guidance delta

Management raised full-year 2026 revenue, adjusted EBITDA, and EPS guidance. The analysis does not provide the revised figures.

Key takeaways

  • Management said revenue, adjusted EBITDA, and EPS exceeded the high end of guidance in Q3.
  • R&D net new bookings reached $3.2 billion, while 12-month net new bookings were $11.7 billion.
  • AI-enabled solutions, higher win rates, and drug-launch activity supported growth across clinical and commercial operations.
  • Management said the backlog was adjusted by removing $2.1 billion of inactive trials, improving visibility but introducing a comparability consideration.

Management priorities

  • Deploy AI agents and expand agentic solutions, including IQVIA Explorer.
  • Build early-phase biotech and discovery capabilities through acquisitions and new services.
  • Maintain focus on data privacy, regulatory compliance, and traceability for AI deployments.

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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

$271.55Current
$175.38Low
$265.47Average
$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 $271.55. FMP does not supply a rating on these named-analyst rows.

FirmAnalyst52W targetPrice when postedUpsideDate
Stifel NicolausAnalyst unavailable$303$260.71 +11.6%Oct 14, 2026
Mizuho SecuritiesAnalyst unavailable$300$260.16 +10.5%Oct 7, 2026
BarclaysLuke Sergott$300$260.16 +10.5%Oct 7, 2026
UBSAnalyst unavailable$345$269.19 +27.0%Sep 30, 2026
Truist FinancialAnalyst unavailable$329$270.37 +21.2%Sep 28, 2026
See 63 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

Latest reports in the same sector
CompanyQuarterEPS surpriseMarket moveHeadline
CNC Centene Corp. FY2026 Q3 · Calendar Q4 2026 — +1.7% Centene raises 2026 EPS outlook as margins hold up
HCA HCA Healthcare, Inc. FY2026 Q3 · Calendar Q4 2026 — -5.3% HCA volume growth holds, but payer mix and Medicaid weigh on outlook
RGEN Repligen Corporation FY2026 Q3 · Calendar Q4 2026 — -2.2% Repligen posts record Q3 revenue and raises 2026 guidance
NVS Novartis AG FY2026 Q3 · Calendar Q4 2026 — +1.2% Novartis raises profit outlook as priority brands drive Q3 growth

Latest beats and misses

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Sources

  1. Earnings call transcript and parsed analysis · 2026-10-27T16:07:00.758604+00:00
  2. FN2 earnings calendar · 2026-10-27T01:23:15.065758+00:00
  3. Polygon adjusted daily market bars · 2026-10-28T00:20:42.419364+00:00
  4. Financial Modeling Prep analyst price-target consensus and quote snapshot · 2026-10-28T00:20:42.417605+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 2026-10-28. For educational purposes only; not investment advice.