Sales up 5.9%, free cash flow down to $2.1B
The latest figures
All key numbers (38) From EDGAR
| EPS (ttm) | 8.22 | Sales (ttm) | 17.3B | Net income (ttm) | 1.4B | Sales growth | +5.9% | EPS growth | +4.7% | Sales Q/Q | +8.0% |
| Free cash flow | 2.1B | Gross margin | - | Oper. margin | 12.8% | Net margin | 8.1% | FCF margin | 12.0% | ROE | 20.9% |
| ROA | 4.6% | R&D / sales | - | Dividend | - | Debt/Eq | 2.41 | Curr. ratio | 0.83 | Cash | 2.2B |
| Op. cash flow (ttm) | 2.7B | EBITDA | 3.3B | EBITDA margin | 20.4% | Net debt | 13.8B | Quick ratio | 0.83 | Interest cover | 2.99 |
| ROIC | 8.1% | Tax rate | 15.8% | Stock pay / sales | 1.5% | Shares out. | 164.8M | Shares Y/Y | -5.4% | Book / share | 40.41 |
| Cash / share | 13.65 | Sales / share | 105.04 | Asset turnover | 0.57 | Days sales out. | 76 | Sales 3Y CAGR | +4.2% | Sales 5Y CAGR | +7.5% |
| EPS 3Y CAGR | +11.1% | EPS 5Y CAGR | +40.5% |
Hover or tap a number to see the XBRL line item and filing it comes from; click it to open that filing at SEC. What each number means. Looks wrong? Tell us.
IQV against Health care peers
Ten years, side by side → · All 60 →Each side 0 to 100, ranked against every company we cover: relative position on reported figures, not a buy score. How
Every dot is one of the 60 companies, the better end on the right. Hover a dot for the company.
| Company | Revenue (ttm) | Sales growth | Gross margin | Net margin | ROE | FCF margin | Debt / equity |
|---|---|---|---|---|---|---|---|
| IQV IQVIA | $17.3B | +5.9% | - | 8.1% | 20.9% | 12.0% | 2.41 |
| UHS Universal Health Services | $18.4B | +9.7% | - | 8.0% | 19.2% | 6.1% | 0.75 |
| REGN Regeneron Pharmaceuticals | $16.9B | +1.0% | - | 28.5% | 14.4% | 22.6% | 0.06 |
| VTRS Viatris | $14.7B | -3.0% | 35.3% | -4.1% | -4.4% | 14.3% | 0.97 |
| LH Labcorp | $14.6B | +7.2% | 29.0% | 6.9% | 11.3% | 8.8% | 0.66 |
| DVA DaVita | $14.2B | +6.5% | - | 6.5% | - | 9.1% | - |
Profitability
2 of 3- !Net margin below the peer median8.1% vs 9.6%
- ✓Return on equity above 15%20.9%
- ✓A profit in every one of 10 years
Balance sheet
0 of 4- !Interest covered less than 5 timesOperating income is 3.0× interest expense
- !Debt larger than equityDebt / equity 2.41 on the latest balance sheet (peer median 0.66)
- !Current ratio below 1Current ratio 0.83
- !Net debt over 3 years of free cash flow$13.7B net debt, 6.6 years
Cash and shareholders
3 of 3- ✓Free cash flow positive in every one of 10 years$2.1B last year
- ✓Share count down over 5 years−11.0%
- ✓Cash from operations above net income$2.7B vs $1.4B
Each tick is a fact with a fixed rule (on /methodology), not a score or advice. A check without the numbers it needs is left out.
$16.1B of principal due, schedule of Sep 30, 2026
From the balance sheet in the latest 10-K or 10-Q (XBRL). When each part falls due, year by year, and the debt note's own lines are on the Debt tab.
Revenue and net income, FY2016 to FY2025
Revenue 16.3B Net income 1.4BFrom XBRL in each 10-K. Hover a bar for the line item and filing. Full financials →
Where the $16.3B of revenue came from
by segment, year to Dec 31, 2025- Research & Development Solutions $8.9B · 55%
- Technology & Analytics Solutions $6.6B · 41%
- Contract Sales & Medical Solutions $788.0M · 5%
From the segment tables in the 10-K XBRL. Revenue by segment, product and region →
Income statement, balance sheet and cash flow
IQV's income statement, balance sheet and cash flow as reported to the SEC in XBRL, one column per fiscal year. Hover a number to see the line item and filing it comes from. Where a company changed how it tags a line, the first tag it reported for that period is used. A number looks wrong? Tell us.
Revenue by business segment
year to Dec 31, 2025| Revenue | Share | vs year before | |
|---|---|---|---|
| Research & Development Solutions | 8.9B | 54.5% | +4.3% |
| Technology & Analytics Solutions | 6.6B | 40.6% | +7.6% |
| Contract Sales & Medical Solutions | 788.0M | 4.8% | +9.7% |
10-K 0001628280-26-008322, segment and revenue notes (XBRL).
Revenue by region
year to Dec 31, 2025| Revenue | Share | vs year before | |
|---|---|---|---|
| Americas | 7.7B | 47.5% | +5.3% |
| Europe and Africa | 5.2B | 31.8% | +5.4% |
| Asia-Pacific | 3.4B | 20.7% | +8.0% |
10-K 0001628280-26-008322, segment and revenue notes (XBRL).
Income statement
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Revenue | 6.9B | 9.7B | 10.4B | 11.1B | 11.4B | 13.9B | 14.4B | 15.0B | 15.4B | 16.3B |
| Cost of revenue | 3.2B | 4.6B | - | - | - | - | - | - | - | - |
| SG&A | 1.0B | 1.6B | 1.7B | 1.7B | 1.8B | 2.0B | 2.1B | 2.1B | 2.0B | 2.0B |
| Operating income | 576.0M | 665.0M | 741.0M | 777.0M | 731.0M | 1.4B | 1.8B | 2.0B | 2.2B | 2.2B |
| Interest expense | 144.0M | 346.0M | 414.0M | 447.0M | 416.0M | 375.0M | 416.0M | 672.0M | 670.0M | 729.0M |
| Pretax income | 416.0M | 294.0M | 328.0M | 352.0M | 373.0M | 1.1B | 1.4B | 1.5B | 1.7B | 1.6B |
| Income tax | 325.0M | -992.0M | 59.0M | 116.0M | 72.0M | 163.0M | 260.0M | 101.0M | 301.0M | 252.0M |
| Net income | 72.0M | 1.3B | 259.0M | 191.0M | 279.0M | 966.0M | 1.1B | 1.4B | 1.4B | 1.4B |
| EPS (diluted) | 0.47 | 5.74 | 1.24 | 0.96 | 1.43 | 4.95 | 5.72 | 7.29 | 7.49 | 7.84 |
| Diluted shares | 152.0M | 222.6M | 208.2M | 199.6M | 195.0M | 195.0M | 190.6M | 186.3M | 183.4M | 173.5M |
| Depreciation & amortization | 289.0M | 1.0B | 1.1B | 1.2B | 1.3B | 1.3B | 1.1B | 1.1B | 1.1B | 1.1B |
| EBITDA | 865.0M | 1.7B | 1.9B | 2.0B | 2.0B | 2.7B | 2.9B | 3.1B | 3.3B | 3.3B |
| Operating margin | 8.4% | 6.8% | 7.1% | 7.0% | 6.4% | 10.0% | 12.5% | 13.2% | 14.3% | 13.4% |
| Net margin | 1.0% | 13.1% | 2.5% | 1.7% | 2.5% | 7.0% | 7.6% | 9.1% | 8.9% | 8.3% |
| Revenue growth | - | +41.6% | +6.9% | +6.5% | +2.4% | +22.1% | +3.9% | +4.0% | +2.8% | +5.9% |
| EPS growth | - | +1121% | -78.4% | -22.6% | +49.0% | +246% | +15.6% | +27.4% | +2.7% | +4.7% |
Balance sheet
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Cash | 1.2B | 959.0M | 891.0M | 837.0M | 1.8B | 1.4B | 1.2B | 1.4B | 1.7B | 2.0B |
| Short-term investments | 40.0M | 46.0M | 47.0M | 62.0M | 88.0M | 111.0M | 93.0M | 120.0M | 141.0M | 161.0M |
| Receivables | 1.7B | 2.1B | 2.4B | 2.6B | 2.4B | 2.6B | 2.9B | 3.4B | 3.2B | 3.4B |
| Current assets | 3.3B | 3.6B | 3.9B | 4.1B | 5.1B | 4.8B | 5.0B | 5.6B | 5.8B | 6.2B |
| Property & equipment | 406.0M | 440.0M | 434.0M | 458.0M | 482.0M | 497.0M | 532.0M | 523.0M | 535.0M | 533.0M |
| Goodwill | 10.7B | 11.8B | 11.8B | 12.2B | 12.7B | 13.3B | 13.9B | 14.6B | 14.7B | 16.6B |
| Total assets | 21.2B | 22.9B | 22.5B | 23.3B | 24.6B | 24.7B | 25.3B | 26.7B | 26.9B | 29.9B |
| Accounts payable | 250.0M | 322.0M | 437.0M | - | - | - | - | - | - | - |
| Current liabilities | 2.7B | 3.2B | 3.5B | 3.9B | 4.6B | 5.2B | 5.6B | 6.5B | 7.0B | 8.3B |
| Total debt | 7.2B | 10.3B | 11.0B | 11.6B | 12.5B | 12.1B | 12.7B | 13.7B | 14.0B | 15.7B |
| Total liabilities | 12.3B | 14.6B | 15.6B | 17.0B | 18.3B | 18.6B | 19.6B | 20.6B | 20.8B | 23.3B |
| Shareholders' equity | 8.6B | 8.0B | 6.7B | 6.0B | 6.0B | 6.0B | 5.8B | 6.1B | 6.1B | 6.5B |
| Retained earnings | -399.0M | 538.0M | 807.0M | 998.0M | 1.3B | 2.2B | 3.3B | 4.7B | 6.1B | 7.4B |
Cash flow
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Operating cash flow | 860.0M | 970.0M | 1.3B | 1.4B | 2.0B | 2.9B | 2.3B | 2.1B | 2.7B | 2.7B |
| Capital spending | 164.0M | 369.0M | 459.0M | 582.0M | 616.0M | 640.0M | 674.0M | 649.0M | 602.0M | 603.0M |
| Free cash flow | 696.0M | 601.0M | 795.0M | 835.0M | 1.3B | 2.3B | 1.6B | 1.5B | 2.1B | 2.1B |
| Stock-based pay (added back) | 106.0M | 106.0M | 113.0M | 146.0M | 95.0M | 170.0M | 194.0M | 217.0M | 206.0M | 247.0M |
| Buybacks | 1.1B | 2.6B | 1.4B | 949.0M | 447.0M | 406.0M | 1.2B | 992.0M | 1.4B | 1.2B |
| Acquisitions | -1.9B | 854.0M | 309.0M | 588.0M | 177.0M | 1.5B | 1.3B | 876.0M | 735.0M | 1.7B |
| Debt raised | 466.0M | 5.2B | 1.6B | 1.9B | 1.6B | 2.0B | 1.2B | 4.0B | 0 | 6.5B |
| Debt repaid | 1.9B | 2.9B | 732.0M | 899.0M | 864.0M | 2.1B | 634.0M | 2.9B | 172.0M | 5.2B |
| Investing cash flow | 1.7B | -1.2B | -810.0M | -1.2B | -796.0M | -2.1B | -2.0B | -1.6B | -1.4B | -2.3B |
| Financing cash flow | -2.3B | -72.0M | -452.0M | -276.0M | -217.0M | -1.2B | -329.0M | -382.0M | -878.0M | -150.0M |
Stock-based pay and leases
From EDGAR| FY2016 | FY2017 | FY2018 | FY2019 | FY2020 | FY2021 | FY2022 | FY2023 | FY2024 | FY2025 | |
|---|---|---|---|---|---|---|---|---|---|---|
| Stock-based pay (expense) | 106.0M | 106.0M | 113.0M | 146.0M | 95.0M | 170.0M | 194.0M | 217.0M | 206.0M | 247.0M |
| Stock-based pay / revenue | 1.5% | 1.1% | 1.1% | 1.3% | 0.8% | 1.2% | 1.3% | 1.4% | 1.3% | 1.5% |
| Operating lease cash paid | - | - | - | 195.0M | 211.0M | 175.0M | 173.0M | 175.0M | 160.0M | 157.0M |
| Finance lease principal paid | - | - | - | - | 0 | 0 | 4.0M | 3.0M | 5.0M | 5.0M |
| Right-of-use assets | - | - | - | 496.0M | 471.0M | 406.0M | 331.0M | 296.0M | 238.0M | 290.0M |
| Operating lease liabilities | - | - | - | 549.0M | 527.0M | 453.0M | 375.0M | 330.0M | 272.0M | 318.0M |
| Finance lease liabilities | - | - | - | - | 122.0M | 186.0M | 229.0M | 228.0M | 224.0M | 218.0M |
From SEC's XBRL company facts (data.sec.gov). EBITDA = operating income + depreciation and amortization; free cash flow = operating cash flow - capital spending; total debt = long-term debt (with its current part) + short-term borrowings. Stock-based pay and leases are shown as the company reports them; Tickdelta does not take them out of earnings or add leases to debt. Click a number to open the filing in SEC's Inline XBRL viewer, where you can click the same number to see how it is tagged. Values a company later revised show as revised; the Revised numbers tab lists the changes.