IQVIA Reports Strong Q3 2026 Results and Raises Full-Year Guidance

IQVIA Holdings Inc. (NYSE: IQV) Q3 2026 Earnings & Operating Update

IQVIA Holdings Inc. reported its third-quarter 2026 financial results via Form 8-K under Item 2.02, delivering year-over-year revenue and margin growth alongside an upward revision to full-year 2026 guidance.

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Key Financial Highlights

• Revenue: Total revenue was $4,428 million, up 8.0% YoY on a reported basis and 8.6% at constant currency.
  • Commercial Solutions: $1,789 million (+6.9% reported, +7.9% constant currency).
  • Research & Development Solutions (R&DS): $2,639 million (+8.7% reported, +9.1% constant currency).
• Profitability:
  • GAAP Net Income: $350 million ($2.10 per diluted share), compared to $331 million ($1.80 per share) in Q3 2025.
  • Adjusted EBITDA: $1,032 million, an increase of 8.7% YoY.
  • Adjusted Net Income: $557 million; Adjusted Diluted EPS was $3.34, up 11.3% YoY.
• Cash Flow & Capital Structure:
  • Operating Cash Flow stood at $825 million, with Free Cash Flow reaching $667 million (120% of Adjusted Net Income).
  • Cash and cash equivalents were $2,249 million against total debt of $16,067 million (Net Debt of $13,818 million), yielding a Net Leverage Ratio of 3.45x trailing twelve-month Adjusted EBITDA.

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Backlog and Bookings Dynamics

• R&DS Net New Bookings: Totaled $3.2 billion, up 15% YoY, representing a book-to-bill ratio of 1.2x.
• Contracted Backlog: Backlog stood at $32.6 billion after reflecting an inactive trial cleanup adjustment of ~$2.1 billion. Approximately $9.4 billion is scheduled to convert to revenue over the next 12 months (+10% YoY).

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Updated Full-Year 2026 Outlook

Management raised full-year guidance ranges across key operational metrics:

• Revenue: $17,350 million to $17,500 million (incorporates ~250 bps from M&A and ~20 bps FX tailwind).
• Adjusted EBITDA: $4,025 million to $4,055 million.
• Adjusted Diluted EPS: $12.90 to $13.00.

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Corporate Events

IQVIA announced it will host an Investor Day on Tuesday, December 1, 2026, from 9:00 a.m. to 12:30 p.m. ET.