Iqvia Holdings, Inc. · NYSE:IQV
Iqvia — Q3 2026 Earnings Presentation
14 slides from Iqvia's earnings presentation, Oct 27, 2026
Slide 1: Q3 2026 Earnings Call
Q3 2026 Earnings Call October 27, 2026 © 2026. All rights reserved. IQVIA® is a registered trademark of IQVIA Inc. in the United States, the European Union, and various other countries.
Slide 2: Legal: Safe Harbor Statement
Legal This presentation should be viewed in conjunction with IQVIA’s Q3 2026 earnings call Safe Harbor Statement for Forward-Looking Statements This presentation contains “forward-looking statements” within the meaning of the federal securities laws, including Section 27A of the Securities Act of 19
Slide 3: Legal: Non-GAAP Information
Legal Non-GAAP Information This presentation includes information based on financial measures that are not recognized under generally accepted accounting principles in the United States (“GAAP”), such as Adjusted EBITDA, Adjusted Net Income, Adjusted Diluted Earnings per Share, Gross Leverage Ratio,
Slide 4: 3rd Quarter Results
3rd Quarter Results $M, except per share data Revenue Adjusted EBITDA(1) Adjusted Diluted EPS(1) 8.0% AFx 8.7% AFx 11.3% AFx 8.6% CFx $4,428 $1,032 $3.34 $4,100 $949 $3.00 Q3 2026 Q3 2025 Q3 2026 Q3 2025 Q3 2026 Q3 2025 Dollars are at actual foreign exchange rates. AFx is actual currency. CFx is con
Slide 5: 3rd Quarter and Year-to-Date Revenue
3rd Quarter and Year-to-Date Revenue $M Q3 YTD VPY% VPY% VPY% VPY% 2026 2025* 2026 2025* AFx CFx AFx CFx Commercial Solutions $1,789 $1,673 6.9% 7.9% $5,336 $4,896 9.0% 8.3% Research & Development $2,639 $2,427 8.7% 9.1% $7,611 $7,050 8.0% 7.4% Solutions Revenue $4,428 $4,100 8.0% 8.6% $12,947 $11,9
Slide 6: 3rd Quarter and Year-to-Date Profit
3rd Quarter and Year-to-Date Profit $M, except per share data Q3 YTD 2026 2025 2026 2025 Adjusted EBITDA (1) $1,032 $949 $2,958 $2,742 Net Income $350 $331 $880 $846 Diluted Earnings per Share $2.10 $1.93 $5.24 $4.86 Adjusted Net Income (1) $557 $515 $1,576 $1,480 Adjusted Diluted Earnings per $3.34
Slide 7: R&DS Last-Twelve-Month Net New Bookings, Net New Bookings & Next-Twelve-Month Revenue
R&DS Last-Twelve-Month Net New Bookings, Net New Bookings & Next-Twelve-Month Revenue $B, Prior period amounts have been recast to conform to the new segment reporting structure Last-Twelve-Month Net Bookings Net New Bookings Next-Twelve-Month Revenue(1) +14% +15% +10% $11.7 $3.2 $9.4 $10.3 $2.8 $8.
Slide 8: 3rd Quarter Balance Sheet and Cash Flow Items and Metrics
3rd Quarter Balance Sheet and Cash Flow Items and Metrics $M Cash & Cash Equivalents $2,249 Gross Debt $16,067 Net Debt $13,818 Gross Leverage Ratio (1) 4.01x Net Leverage Ratio (1) 3.45x Net Cash Provided by Operating Activities $825 Capital Expenditures $158 Free Cash Flow (2) $667 Dollars are at
Slide 9: Full-Year 2026 Guidance
Full-Year 2026 Guidance $M, except per share data Revenue $17,350 – $17,500 Adj. EBITDA $4,025 – $4,055 Adj. Diluted EPS $12.90 – $13.00 Updated financial guidance assumes October 26, 2026 foreign exchange rates remain in effect for the guidance period. 9
Slide 10: <x 0&3 C
<x 0&3 C
Slide 11: Net Income to Adjusted EBITDA Reconciliation
Net Income to Adjusted EBITDA Reconciliation Three Months Ended Nine Months Ended September 30, September 30, (in millions) 2026 2025 2026 2025 Net Income Attributable to IQVIA Holdings Inc. $ 350 $ 331 $ 880 $ 846 Provision for income taxes 76 76 195 193 Depreciation and amortization 321 286 901 82
Slide 12: Net Income to Adj. Net Income and Per Share Data Reconciliation
Net Income to Adj. Net Income and Per Share Data Reconciliation Three Months Ended September 30, Nine Months Ended September 30, (in millions, except per share data) 2026 2025 2026 2025 Net Income Attributable to IQVIA Holdings Inc. $ 350 $ 331 $ 880 $ 846 Provision for income taxes 76 76 195 193 Pu
Slide 13: Operating Cash Flow to Free Cash Flow Reconciliation
Operating Cash Flow to Free Cash Flow Reconciliation Three Months Ended Nine Months Ended September 30, September 30, (in millions) 2026 2025 2026 2025 Net Cash provided by Operating Activities $ 825 $ 908 $ 2,001 $ 1,919 Acquisition of property, equipment and software (158) (136) (483) (429) Free C
Slide 14: Leverage Ratios
Leverage Ratios (in millions) Gross Debt, net of Unamortized Discount and Debt Issuance Costs, as of September 30, 2026 $ 16,067 Net Debt as of September 30, 2026 $ 13,818 Adjusted EBITDA for the twelve months ended September 30, 2026 $ 4,004 Gross Leverage Ratio (Gross Debt/LTM Adjusted EBITDA) 4.0