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IQVIA Q4 Earnings & Revenues Beat Estimates, Increase Y/Y

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Key Takeaways

  • IQVIA beat Q4 earnings and revenue estimates, delivering 9.6% EPS growth and 10.3% Y/Y revenue rise.
  • IQV posted segment gains: R&D and Technology & Analytics grew about 10%, while Contract Sales surged 18.6%.
  • IQVIA guided 2026 revenues at $17.15-$17.35B and reported $2B cash with $561M in Q4 free cash flow.

IQVIA Holdings Analytics Inc. (IQV - Free Report) has reported impressive fourth-quarter 2025 results, wherein earnings and revenues beat the Zacks Consensus Estimate.

Adjusted earnings were $3.42 per share, surpassing the Zacks Consensus Estimate by a slight margin and gaining 9.6% on a year-over-year basis. Total revenues of $4.4 billion beat the consensus estimate by 2.8% and rose 10.3% from the year-ago quarter.

IQV stock lost 1.4% in a year compared with the industry’s 10.9% dip. However, the Zacks S&P 500 Composite rose 17.8% during the same period.

IQVIA Holdings Inc. Price, Consensus and EPS Surprise

IQVIA Holdings Inc. Price, Consensus and EPS Surprise

IQVIA Holdings Inc. price-consensus-eps-surprise-chart | IQVIA Holdings Inc. Quote

IQVIA’s Strong Segmental Growth in Q4

The Research and Development segment’s revenues were $2.3 billion. It rose 9.9% from the year-ago quarter and 8.2% on a constant-currency basis and met the Zacks Consensus Estimate.

IQV generated $1.8 billion in revenues from the Technology and Analytics segment. The metric increased 9.8% year over year and 7.1% on a constant-currency basis, standing at par with the consensus estimate.

Contract Sales and Medical Solutions revenues increased 18.6% on a year-over-year basis to $210 million. It moved up 15.3% on a constant-currency basis. Revenues surpassed the consensus mark of $193.2 million.

IQV’s Robust Profitability & Solid Cash Flow

Adjusted EBITDA for the fourth quarter of 2025 was $1 billion, a 5% rise from the year-ago quarter.

The company exited the quarter with cash and cash equivalents of $2 billion compared with $1.8 billion in the preceding quarter. Long-term debt (less current portion) was $13.9 billion compared with $15 billion at the end of the third quarter of 2025.

Net cash generated from operating activities was $735 million and capital expenditure came in at $174 million. During the fourth quarter of 2025, IQV reported $561 million in free cash flow.

IQV’s 2026 Outlook

For 2026, IQVIA’s revenue outlook comes in at $17.15-$17.35 billion. The guided range is higher than the Zacks Consensus Estimate of $17.03 billion.

For EPS, management expects it to be within a range of $12.55-$12.85. The outlook is lower than the consensus estimate of $12.93. IQVIA’s adjusted EBITDA view is kept at $3.98-$4.03 billion.

IQV carries a Zacks Rank #2 (Buy) at present. You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here.

Earnings Snapshot

Equifax Inc. (EFX - Free Report) has reported impressive fourth-quarter 2025 results.

EFX posted $2.09 in EPS, beating the Zacks Consensus Estimate by 2.2%. This marked a 1.4% dip from the fourth quarter of 2025. The company recorded $1.6 billion in its top line, surpassing the consensus estimate by 1.3%. Revenues spiked 9.1% from the year-ago quarter’s actual.

Gartner, Inc. (IT - Free Report) has reported fourth-quarter 2025 results.

The company’s adjusted earnings per share of $3.94 beat the Zacks Consensus Estimate by 12.6% but decreased 27.7% from the year-ago quarter. Revenues of $1.8 billion beat the consensus estimate by a slight margin and improved 2.2% year over year.


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