Filing Flows › IQVIA Holdings (IQV) › Q1 2026
IQVIA Holdings (IQV) Q1 2026 earnings results (first quarter 2026)
10-Q filed May 5, 2026
IQVIA Holdings (IQV) reported revenue of $4.2B for the first quarter 2026 (Q1 2026), +8% from a year earlier and -5% from the quarter before. Operating margin was 12.4%, net earnings $275M (6.6% of revenue).
IQVIA Holdings, Q1 2026: revenue $4.2B (+8% year over year), operating margin 12.4%, net earnings $275M, operating cash flow $618M. The chart follows the revenue to costs, profit and cash.
| Q1 2026 | Amount | Q/Q | Y/Y |
|---|---|---|---|
| Revenue | $4.2B | -5% | +8% |
| Operating profit | $514M | -18% | +4% |
| Net earnings | $275M | -46% | +10% |
| Operating cash flow | $618M | -16% | +9% |
| Free cash flow | $491M | — | +15% |
What changed
Revenue was $4.2B in Q1 2026, up 8% year over year and down 5% from the previous quarter. Research & Development Solutions was the largest line at 58% of revenue. Commercial Solutions added $0.18B year over year (up 12%), 57% of the total change.
Operating profit was $0.51B, a 12.4% margin (down 0.6 points year over year). Of the extra revenue versus Q1 2025, 6% reached operating profit, below the 13% margin then. Total costs grew 9% against revenue growth of 8%. The fastest-growing cost line was Other operating costs (+15%). Net earnings were $0.27B, up 10% year over year. The effective tax rate was 17.7%.
Operating cash flow was $0.62B (up 9% year over year), 225% of net earnings. Non-cash charges added back $0.29B of depreciation and amortization and $0.07B of share-based compensation. After acquisition of property, equipment and software ($0.13B), free cash flow as the company reports it was $0.49B.
Questions
What was IQVIA Holdings' revenue in the first quarter 2026?
IQVIA Holdings (IQV) reported revenue of $4.2B for the first quarter 2026 (Q1 2026), +8% from a year earlier and -5% from the quarter before.
Was IQVIA Holdings profitable in the first quarter 2026?
Operating profit was $514M (12.4% of revenue) and net earnings $275M.
Source: IQVIA Holdings 10-Q on SEC EDGAR.