Iqvia Holdings, Inc. · NYSE:IQV
Iqvia — Q2 2026 Earnings Presentation
15 slides from Iqvia's earnings presentation, Jul 28, 2026
Slide 1: Q2 2026 Earnings Call
Q2 2026 Earnings Call July 28, 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 for Forward-Looking Statements
Legal This presentation should be viewed in conjunction with IQVIA’s Q2 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: 2nd Quarter Results
2nd Quarter Results $M, except per share data Revenue Adjusted EBITDA(1) Adjusted Diluted EPS(1) 8.7% AFx 9.2% AFx 12.1% AFx 8.5% CFx $4,368 $4,017 $994 $910 $3.15 $2.81 Q2 2026 Q2 2025 Q2 2026 Q2 2025 Q2 2026 Q2 2025 Dollars are at actual foreign exchange rates. AFx is actual currency. CFx is const
Slide 5: 2nd Quarter and Year-to-Date Revenue
2nd Quarter and Year-to-Date Revenue $M Q2 YTD VPY% VPY% VPY% VPY% 2026 2025* 2026 2025* AFx CFx AFx CFx Commercial Solutions $1,793 $1,651 8.6% 8.4% $3,547 $3,223 10.1% 8.5% Research & Development $2,575 $2,366 8.8% 8.6% $4,972 $4,623 7.5% 6.4% Solutions Revenue $4,368 $4,017 8.7% 8.5% $8,519 $7,84
Slide 6: 2nd Quarter and Year-to-Date Profit
2nd Quarter and Year-to-Date Profit $M, except per share data Q2 YTD 2026 2025 2026 2025 Adjusted EBITDA (1) $994 $910 $1,926 $1,793 Net Income $256 $266 $530 $515 Diluted Earnings per Share $1.53 $1.54 $3.14 $2.94 Adjusted Net Income (1) $527 $486 $1,019 $965 Adjusted Diluted Earnings per $3.15 $2.
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) +12.9% +19.3% +7.5% $3.15 $11.25 $9.23 $2.64
Slide 8: 2nd Quarter Balance Sheet and Cash Flow Items and Metrics
2nd Quarter Balance Sheet and Cash Flow Items and Metrics $M Cash & Cash Equivalents $1,909 Gross Debt $15,999 Net Debt $14,090 Gross Leverage Ratio (1) 4.08x Net Leverage Ratio (1) 3.59x Net Cash Provided by Operating Activities $558 Capital Expenditures $198 Free Cash Flow (2) $360 Dollars are at
Slide 9: Full-Year 2026 Guidance
Full-Year 2026 Guidance $M, except per share data Updated Guidance Previous Guidance Revenue $17,275 – $17,475 $17,150 – $17,350 Adj. EBITDA $4,000 – $4,050 $3,975 – $4,025 Adj. Diluted EPS $12.80 – $13.00 $12.65 – $12.95 Updated financial guidance assumes July 27, 2026 foreign exchange rates remain
Slide 10: Q3 2026 Guidance
Q3 2026 Guidance $M, except per share data Revenue $4,315 – $4,390 Adj. EBITDA $1,000 – $1,020 Adj. Diluted EPS $3.19 – $3.29 All financial guidance assumes July 27, 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 June 30, Six Months Ended June 30, (in millions) 2026 2025 2026 2025 Net Income Attributable to IQVIA Holdings Inc. $ 256 $ 266 $ 530 $ 515 Provision for income taxes 60 56 119 117 Depreciation and amortization 292 276 580 541 Interest
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 June 30, Six Months Ended June 30, (in millions, except per share data) 2026 2025 2026 2025 Net Income Attributable to IQVIA Holdings Inc. $ 256 $ 266 $ 530 $ 515 Provision for income taxes 60 56 119 117 Purchase acco
Slide 14: Operating Cash Flow to Free Cash Flow Reconciliation
Operating Cash Flow to Free Cash Flow Reconciliation Three Months Ended June 30, Six Months Ended June 30, (in millions) 2026 2025 2026 2025 Net Cash provided by Operating Activities $ 558 $ 443 $ 1,176 $ 1,011 Acquisition of property, equipment and software (198) (151) (325) (293) Free Cash Flow $
Slide 15: Leverage Ratios
Leverage Ratios (in millions) Gross Debt, net of Unamortized Discount and Debt Issuance Costs, as of June 30, 2026 $ 15,999 Net Debt as of June 30, 2026 $ 14,090 Adjusted EBITDA for the twelve months ended June 30, 2026 $ 3,921 Gross Leverage Ratio (Gross Debt/LTM Adjusted EBITDA) 4.08x Net Leverage