Slide 1: Q1 2026 Earnings Call
Q1 2026 Earnings Call May 5, 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 Q1 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: 1st Quarter Results
1st Quarter Results $M, except per share data Revenue Adjusted EBITDA(1) Adjusted Diluted EPS(1) 8.4% AFx 6.0% CFx 5.5% AFx 7.4% AFx $4,151 $3,829 $932 $883 $2.90 $2.70 Q1 2026 Q1 2025 Q1 2026 Q1 2025 Q1 2026 Q1 2025 Dollars are at actual foreign exchange rates. AFx is actual currency. CFx is consta
Slide 5: 1st Quarter Revenue
1st Quarter Revenue $M 2026 2025* VPY% AFx VPY% CFx Commercial Solutions $1,754 $1,572 11.6% 8.5% Research & Development Solutions $2,397 $2,257 6.2% 4.2% Revenue $4,151 $3,829 8.4% 6.0% Dollars are at actual foreign exchange rates. AFx is actual currency, CFx is constant currency. (*) Prior period
Slide 6: 1st Quarter Profit
1st Quarter Profit $M, except per share data 2026 2025 Adjusted EBITDA (1) $932 $883 Net Income $274 $249 Diluted Earnings per Share $1.61 $1.40 Adjusted Net Income (1) $492 $479 Adjusted Diluted Earnings per $2.90 $2.70 Share (1) Dollars are at actual foreign exchange rates. (1) See reconciliations
Slide 7: R&D Solutions Net New Bookings and Backlog
R&D Solutions Net New Bookings and Backlog $B, Prior period amounts have been recast to conform to the new segment reporting structure Net New Bookings Backlog $2.5 $34.2 $32.9 $2.2 Q1 2025 Q1 2026 Q1 2025 Q1 2026 Dollars are at actual foreign exchange rates. 7
Slide 8: 1st Quarter Balance Sheet and Cash Flow Items and Metrics
1st Quarter Balance Sheet and Cash Flow Items and Metrics $M Cash & Cash Equivalents $1,947 Gross Debt $15,833 Net Debt $13,886 Gross Leverage Ratio (1) 4.13x Net Leverage Ratio (1) 3.62x Net Cash Provided by Operating Activities $618 Capital Expenditures $127 Free Cash Flow (2) $491 Dollars are at
Slide 9: Full-Year 2026 Guidance
Full-Year 2026 Guidance $M, except per share data Revenue $17,150 – $17,350 Adj. EBITDA $3,975 – $4,025 Adj. Diluted EPS $12.65 – $12.95 All financial guidance assumes May 4, 2026 foreign exchange rates remain in effect for the guidance period. 9
Slide 10: Q2 2026 Guidance
Q2 2026 Guidance $M, except per share data Revenue $4,280 – $4,340 Adj. EBITDA $955 – $975 Adj. Diluted EPS $2.98 – $3.08 All financial guidance assumes May 4, 2026 foreign exchange rates remain in effect for the guidance period. 10
Slide 11: <x 0&3 C
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Slide 12: Net Income to Adjusted EBITDA Reconciliation
Net Income to Adjusted EBITDA Reconciliation Three Months Ended March 31, (in millions) 2026 2025 Net Income Attributable to IQVIA Holdings Inc. $ 274 $ 249 Provision for income taxes 59 61 Depreciation and amortization 288 265 Interest expense, net 182 154 (Income) loss in unconsolidated affiliates
Slide 13: 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 March 31, (in millions, except per share data) 2026 2025 Net Income Attributable to IQVIA Holdings Inc. $ 274 $ 249 Provision for income taxes 59 61 Purchase accounting amortization (1) 137 125 (Income) loss in uncons
Slide 14: Operating Cash Flow to Free Cash Flow Reconciliation
Operating Cash Flow to Free Cash Flow Reconciliation Three Months Ended March 31, (in millions) 2026 2025 Net Cash provided by Operating Activities $ 618 $ 568 Acquisition of property, equipment and software (127) (142) Free Cash Flow $ 491 $ 426 14
Slide 15: Leverage Ratios
Leverage Ratios (in millions) Gross Debt, net of Unamortized Discount and Debt Issuance Costs, as of March 31, 2026 $ 15,833 Net Debt as of March 31, 2026 $ 13,886 Adjusted EBITDA for the twelve months ended March 31, 2026 $ 3,837 Gross Leverage Ratio (Gross Debt/LTM Adjusted EBITDA) 4.13x Net Lever