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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).

Revenue$4.2B
Year over year+8%
Quarter over quarter-5%
Operating margin12.4%
Net earnings$275M

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 2026AmountQ/QY/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.

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Source: IQVIA Holdings 10-Q on SEC EDGAR.