IQVIA HOLDINGS INC., 10-Q filed on 5/5/2026
Quarterly Report
v3.26.1
Cover Page - shares
shares in Millions
3 Months Ended
Mar. 31, 2026
Apr. 30, 2026
Cover [Abstract]    
Document Type 10-Q  
Document Quarterly Report true  
Document Period End Date Mar. 31, 2026  
Document Transition Report false  
Entity File Number 001-35907  
Entity Registrant Name IQVIA HOLDINGS INC.  
Entity Incorporation, State DE  
Entity Tax Identification Number 27-1341991  
Entity Address, Street 2400 Ellis Rd.  
Entity Address, City Durham  
Entity Address, State NC  
Entity Address, Postal Zip Code 27703  
City Area Code 919  
Local Phone Number 998-2000  
Entity Current Reporting Status Yes  
Entity Interactive Data Current Yes  
Entity Filer Category Large Accelerated Filer  
Entity Small Business false  
Entity Emerging Growth Company false  
Entity Shell Company false  
Title of Each Class Common Stock, par value $0.01 per share  
Trading Symbol IQV  
Name of Each Exchange on which Registered NYSE  
Entity Common Stock, Shares Outstanding   166.9
Current Fiscal Year End Date --12-31  
Entity Central Index Key 0001478242  
Amendment Flag false  
Document Fiscal Year Focus 2026  
Document Fiscal Period Focus Q1  
v3.26.1
CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Millions, $ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Income Statement [Abstract]    
Revenues $ 4,151.0 $ 3,829.0
Cost of revenues, exclusive of depreciation and amortization 2,796.0 2,531.0
Selling, general and administrative expenses 502.0 508.0
Depreciation and amortization 288.0 265.0
Restructuring costs 51.0 29.0
Income from operations 514.0 496.0
Interest income (10.0) (11.0)
Interest expense 192.0 165.0
Loss on extinguishment of debt 0.0 4.0
Other expense, net 4.0 15.0
Income before income taxes and equity in earnings (losses) of unconsolidated affiliates 328.0 323.0
Income tax expense 59.0 61.0
Income before equity in earnings (losses) of unconsolidated affiliates 269.0 262.0
Equity in earnings (losses) of unconsolidated affiliates 6.0 (13.0)
Net income 275.0 249.0
Net income attributable to noncontrolling interests (1.0) 0.0
Net income attributable to IQVIA Holdings Inc. $ 274.0 $ 249.0
Earnings per share attributable to common stockholders:    
Basic (in dollars per share) $ 1.63 $ 1.42
Diluted (in dollars per share) $ 1.61 $ 1.40
Weighted average common shares outstanding:    
Basic (in shares) 168.4 175.7
Diluted (in shares) 169.8 177.4
v3.26.1
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Statement of Comprehensive Income [Abstract]    
Net income $ 275 $ 249
Comprehensive income adjustments:    
Unrealized (losses) on derivative instruments, net of income tax (benefit) of $—,$(5) 0 (17)
Defined benefit plan adjustments, net of income tax (benefit) of $(1), $— 1 (3)
Foreign currency translation, net of income tax expense (benefit) of $14,$(46) (33) 79
Reclassification adjustments:    
Reclassifications on derivative instruments included in net income, net of income tax benefit of $3,$— 7 1
Comprehensive income 250 309
Comprehensive income attributable to noncontrolling interests (1) 0
Comprehensive income attributable to IQVIA Holdings Inc. $ 249 $ 309
v3.26.1
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Parenthetical) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Statement of Comprehensive Income [Abstract]    
Unrealized (losses) gains on derivative instruments, income tax (benefit) expense $ 0 $ (5)
Defined benefit plan adjustments, income tax (benefit) expense (1) 0
Foreign currency translation, income tax expense (benefit) 14 (46)
Income taxes $ 3 $ 0
v3.26.1
CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Current assets:    
Cash and cash equivalents $ 1,947 $ 1,980
Trade accounts receivable and unbilled services, net 3,346 3,400
Prepaid expenses 167 162
Income taxes receivable 29 27
Investments in debt, equity and other securities 156 161
Other current assets and receivables 575 519
Total current assets 6,220 6,249
Property and equipment, net 516 533
Operating lease right-of-use assets 293 290
Investments in debt, equity and other securities 95 108
Investments in unconsolidated affiliates 357 324
Goodwill 16,544 16,616
Other identifiable intangibles, net 4,803 4,962
Deferred income taxes 358 357
Deposits and other assets, net 489 505
Total assets 29,675 29,944
Current liabilities:    
Accounts payable and accrued expenses 3,639 3,751
Unearned income 2,261 2,118
Income taxes payable 172 140
Current portion of long-term debt 1,844 1,840
Other current liabilities 413 489
Total current liabilities 8,329 8,338
Long-term debt, less current portion 13,989 13,884
Deferred income taxes 159 179
Operating lease liabilities 232 225
Other liabilities 617 688
Total liabilities 23,326 23,314
Commitments and contingencies (Note 8)
Stockholders’ equity:    
Common stock and additional paid-in capital, 400.0 shares authorized as of March 31, 2026 and December 31, 2025, $0.01 par value, 259.6 shares issued and 166.9 shares outstanding as of March 31, 2026; 259.1 shares issued and 169.6 shares outstanding as of December 31, 2025 11,404 11,378
Retained earnings 7,699 7,425
Treasury stock, at cost, 92.7 and 89.5 shares as of March 31, 2026 and December 31, 2025, respectively (11,914) (11,357)
Accumulated other comprehensive loss (968) (943)
Equity attributable to IQVIA Holdings Inc.’s stockholders 6,221 6,503
Noncontrolling interests 128 127
Total stockholders’ equity 6,349 6,630
Total liabilities and stockholders’ equity $ 29,675 $ 29,944
v3.26.1
CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares
shares in Millions
Mar. 31, 2026
Dec. 31, 2025
Statement of Financial Position [Abstract]    
Common stock, shares authorized (in shares) 400.0 400.0
Common stock, par value, ( in usd per share) $ 0.01 $ 0.01
Common stock, shares issued (in shares) 259.6 259.1
Common stock, shares outstanding (in shares) 166.9 169.6
Treasury stock, shares (in shares) 92.7 89.5
v3.26.1
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Operating activities:    
Net income $ 275 $ 249
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation and amortization 288 265
Amortization of debt issuance costs and discount 6 5
Stock-based compensation 65 72
(Earnings) losses from unconsolidated affiliates (6) 13
Loss on investments, net 18 1
Benefit from deferred income taxes (38) (41)
Changes in operating assets and liabilities:    
Change in accounts receivable, unbilled services and unearned income 193 128
Change in other operating assets and liabilities (183) (124)
Net cash provided by operating activities 618 568
Investing activities:    
Acquisition of property, equipment and software (127) (142)
Acquisition of businesses, net of cash acquired (37) (134)
Sales of marketable securities, net 1 2
Investments in unconsolidated affiliates, net of payments received (35) (13)
Investments in debt and equity securities 0 (19)
Other 2 1
Net cash used in investing activities (196) (305)
Financing activities:    
Proceeds from issuance of debt 650 1,985
Payment of debt issuance costs (4) (6)
Repayment of debt and principal payments on finance leases (683) (2,096)
Proceeds from revolving credit facility 550 275
Repayment of revolving credit facility (350) 0
Payments related to employee stock incentive plans (40) (35)
Repurchase of common stock (552) (375)
Contingent consideration and deferred purchase price payments (4) (6)
Net cash used in financing activities (433) (258)
Effect of foreign currency exchange rate changes on cash (22) 33
(Decrease) increase in cash and cash equivalents (33) 38
Cash and cash equivalents at beginning of period 1,980 1,702
Cash and cash equivalents at end of period $ 1,947 $ 1,740
v3.26.1
CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($)
shares in Millions, $ in Millions
Total
Common Stock
Treasury Stock, Common
Additional Paid-In Capital
Retained Earnings
Accumulated Other Comprehensive (Loss) Income
Noncontrolling Interests
Beginning balance (in shares) at Dec. 31, 2024   258.2          
Beginning balance (in shares) at Dec. 31, 2024     (82.1)        
Beginning balance at Dec. 31, 2024 $ 6,067 $ 3 $ (10,103) $ 11,140 $ 6,065 $ (1,038) $ 0
Increase (Decrease) in Stockholders' Equity              
Issuance of common stock (in shares)   0.3          
Issuance of common stock (35)     (35)      
Repurchase of common stock (in shares)     (2.3)        
Repurchase of common stock, net of tax (429)   $ (429)        
Stock-based compensation 65     65      
Acquisitions related noncontrolling interests 8           8
Net income 249       249   0
Unrealized losses on derivative instruments, net of tax (17)         (17)  
Defined benefit plan adjustments, net of income tax (benefit) of $(1), $— (3)         (3)  
Foreign currency translation, net of tax 79         79  
Reclassification adjustments, net of tax 1         1  
Ending balance (in shares) at Mar. 31, 2025   258.5          
Ending balance (in shares) at Mar. 31, 2025     (84.4)        
Ending balance at Mar. 31, 2025 $ 5,985 $ 3 $ (10,532) 11,170 6,314 (978) 8
Beginning balance (in shares) at Dec. 31, 2025 169.6 259.1          
Beginning balance (in shares) at Dec. 31, 2025 (89.5)   (89.5)        
Beginning balance at Dec. 31, 2025 $ 6,630 $ 3 $ (11,357) 11,375 7,425 (943) 127
Increase (Decrease) in Stockholders' Equity              
Issuance of common stock (in shares)   0.5          
Issuance of common stock (40)     (40)      
Repurchase of common stock (in shares)     (3.2)        
Repurchase of common stock, net of tax (557)   $ (557)        
Stock-based compensation 66     66      
Net income 275       274   1
Unrealized losses on derivative instruments, net of tax 0            
Defined benefit plan adjustments, net of income tax (benefit) of $(1), $— 1         1  
Foreign currency translation, net of tax (33)         (33)  
Reclassification adjustments, net of tax $ 7         7  
Ending balance (in shares) at Mar. 31, 2026 166.9 259.6          
Ending balance (in shares) at Mar. 31, 2026 (92.7)   (92.7)        
Ending balance at Mar. 31, 2026 $ 6,349 $ 3 $ (11,914) $ 11,401 $ 7,699 $ (968) $ 128
v3.26.1
Summary of Significant Accounting Policies
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies Summary of Significant Accounting Policies
The Company
IQVIA Holdings Inc. (together with its subsidiaries, the “Company” or “IQVIA”) is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. With approximately 93,000 employees, the Company conducts business in more than 100 countries.
Unaudited Interim Financial Information
The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair statement of the Company’s financial condition and results of operations have been included. Operating results for the periods presented are not necessarily indicative of the results that may be expected for the year ending December 31, 2026. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2025. The balance sheet as of December 31, 2025 has been derived from the audited consolidated financial statements of the Company, but does not include all the disclosures required by GAAP.
Recently Issued Accounting Standards
Accounting pronouncements issued but not adopted as of March 31, 2026
v3.26.1
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations
3 Months Ended
Mar. 31, 2026
Revenue from Contract with Customer [Abstract]  
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations
The following tables represent revenues by geographic region and reportable segment for the three months ended March 31, 2026 and 2025. Results for the three months ended March 31, 2025 reflect the recast of segment information based on the changes described in Note 14.
Three Months Ended March 31, 2026
(in millions)Commercial SolutionsResearch & Development SolutionsTotal
Revenues:
Americas$856 $1,128 $1,984 
Europe and Africa688 667 1,355 
Asia-Pacific210 602 812 
Total revenues$1,754 $2,397 $4,151 
Three Months Ended March 31, 2025
(in millions)Commercial SolutionsResearch & Development SolutionsTotal
Revenues:
Americas$790 $1,017 $1,807 
Europe and Africa593 631 1,224 
Asia-Pacific189 609 798 
Total revenues$1,572 $2,257 $3,829 
No individual customer represented 10% or more of consolidated revenues for the three months ended March 31, 2026 or 2025.
Transaction Price Allocated to the Remaining Performance Obligations
As of March 31, 2026, approximately $37.3 billion of revenues are expected to be recognized in the future from remaining performance obligations. The Company expects to recognize revenues on approximately 30% of these remaining performance obligations over the next twelve months, on approximately 85% over the next five years, with the balance recognized thereafter. Most of the Company's remaining performance obligations where revenues are expected to be recognized beyond the next twelve months are for service contracts for clinical research in the Company's Research & Development Solutions segment. The customer contract transaction price allocated to the remaining performance obligations differs from backlog in that it does not include wholly unperformed contracts under which the customer has a unilateral right to cancel the arrangement
v3.26.1
Trade Accounts Receivable, Unbilled Services and Unearned Income
3 Months Ended
Mar. 31, 2026
Receivables [Abstract]  
Trade Accounts Receivable, Unbilled Services and Unearned Income Trade Accounts Receivable, Unbilled Services and Unearned Income
Trade accounts receivables and unbilled services consist of the following:
(in millions)March 31, 2026December 31, 2025
Trade accounts receivable$1,632 $1,668 
Unbilled services1,763 1,783 
Trade accounts receivable and unbilled services3,395 3,451 
Allowance for doubtful accounts(49)(51)
Trade accounts receivable and unbilled services, net$3,346 $3,400 
Unbilled services and unearned income were as follows:
(in millions)March 31, 2026December 31, 2025
Change
Unbilled services$1,763 $1,783 $(20)
Unearned income(2,261)(2,118)(143)
Net balance$(498)$(335)$(163)
Unbilled services, which is comprised of approximately 73% and 71% of unbilled receivables and 27% and 29% of contract assets as of March 31, 2026 and December 31, 2025, decreased by $20 million as compared to December 31, 2025. Contract assets are unbilled services for which invoicing is based on the timing of certain milestones related to service contracts for clinical research whereas unbilled receivables are billable upon the passage of time. Unearned income increased by $143 million over the same period resulting in a decrease of $163 million in the net balance of unbilled services and unearned income between March 31, 2026 and December 31, 2025. The change in the net balance is driven by the difference in timing of revenue recognition in accordance with Accounting Standards Codification ("ASC") 606, Revenue from Contracts with Customers, primarily related to the Company’s Research & Development Solutions contracts (which is based on the percentage of costs incurred) versus the timing of invoicing, which is based on certain milestones.
The majority of the unearned income balance as of the beginning of the year is expected to be recognized in revenues during the year ended December 31, 2026.
Bad debt expense recognized on the Company’s trade accounts receivable was immaterial for the three months ended March 31, 2026 and 2025.
Accounts Receivable Factoring Arrangements
The Company has accounts receivable factoring agreements to sell certain eligible unsecured trade accounts receivable, either based on automatic arrangements or at its option, without recourse, to unrelated third-party financial institutions for cash. During the three months ended March 31, 2026, through its accounts receivable factoring arrangements that the Company utilizes most frequently, the Company factored approximately $182 million of customer invoices on a non-recourse basis and received approximately $180 million in cash proceeds from the sales. During the three months ended March 31, 2025, through these same accounts receivable factoring arrangements, the Company factored approximately $167 million of customer invoices on a non-recourse basis and received approximately $166 million in cash proceeds from the sales. The fees associated with these transactions were immaterial. The Company has other accounts receivable arrangements for which the activity associated with them is immaterial.
v3.26.1
Goodwill
3 Months Ended
Mar. 31, 2026
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill Goodwill
The following is a summary of goodwill by reportable segment for the three months ended March 31, 2026:
(in millions)Commercial SolutionsResearch & Development SolutionsConsolidated
Balance as of January 1, 2026$12,987 $3,629 $16,616 
Business combinations26 30 
Impact of foreign currency fluctuations and other(91)(11)(102)
Balance as of March 31, 2026$12,922 $3,622 $16,544 
In the first quarter of 2026, the Company reorganized its reportable segments as further detailed in Note 14. As a result, the former Contract Sales & Medical Solutions segment, which had a goodwill balance of $167 million at the time of the reorganization, was incorporated into the Technology & Analytics Solutions segment, which was renamed Commercial Solutions. Additionally, Real-World Late Phase and certain other Real-World offerings were moved from the Technology & Analytics Solutions segment to the Research & Development Solutions segment. Goodwill balances as of January 1, 2026 have been recast using the relative fair value approach to conform to this new presentation. In addition, the Company performed a goodwill impairment test, and the results of the analysis indicated that the fair values for all of its reporting units were in excess of their carrying values, indicating no impairment.
v3.26.1
Derivatives
3 Months Ended
Mar. 31, 2026
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Derivatives Derivatives
The fair values of the Company’s derivative instruments and the line items on the accompanying condensed consolidated balance sheets to which they were recorded are summarized in the following table:
(in millions)Balance Sheet ClassificationMarch 31, 2026December 31, 2025
AssetsLiabilitiesNotionalAssetsLiabilitiesNotional
Derivatives designated as hedging instruments:
Interest rate swapsOther current liabilities$— $32 $1,466 $— $45 $1,470 
Cross-currency swaps Other current liabilities— 258 2,716 — 322 2,720 
Foreign exchange forward contractsOther current liabilities— 130 — — 127 
Total derivatives$— $293 $— $367 
The pre-tax effect of the Company’s cash flow hedging instruments on other comprehensive income is summarized in the following table:
Three Months Ended March 31,
(in millions)20262025
Interest rate swaps$13 $(26)
Foreign exchange forward contracts(3)
Total$10 $(21)
The Company expects approximately $3 million of pre-tax unrealized gains related to its foreign exchange contracts and interest rate derivatives included in accumulated other comprehensive (loss) income (“AOCI”) as of March 31, 2026 to be reclassified into earnings within the next twelve months. For the three months ended March 31, 2026 and 2025, the total amount, net of income taxes, of the cash flow hedge effect on the accompanying condensed consolidated statements of income was $(7) million and $(1) million, respectively.
As of March 31, 2026 and 2025, the Company's cross-currency swaps were designated as a hedge of its net investment in certain foreign subsidiaries. For the three months ended March 31, 2026 and 2025, the Company recorded a $64 million gain and $(133) million loss, respectively, within AOCI as a result of these cross-currency swaps. The Company recognized approximately $10 million and $12 million related to the excluded component as a reduction of interest expense for the three months ended March 31, 2026 and 2025, respectively.
As of March 31, 2026, the portion of the Company's foreign currency denominated debt balance (net of original issue discount) designated as a hedge of its net investment in certain foreign subsidiaries totaled €2,575 million ($2,962 million). The amount of foreign exchange gains (losses) related to the net investment hedge included in the cumulative translation adjustment component of AOCI for the three months ended March 31, 2026 and 2025 was $60 million and $(144) million, respectively.
v3.26.1
Fair Value Measurements
3 Months Ended
Mar. 31, 2026
Fair Value Disclosures [Abstract]  
Fair Value Measurements Fair Value Measurements
The Company records certain assets and liabilities at fair value. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy that prioritizes the inputs used to measure fair value is described below. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows:
Level 1 — Quoted prices in active markets for identical assets or liabilities.
Level 2 — Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data.
Level 3 — Unobservable inputs that are supported by little or no market activity. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs.
The carrying values of cash, cash equivalents, accounts receivable and accounts payable approximated their fair values as of March 31, 2026 and December 31, 2025 due to their short-term nature. As of March 31, 2026 and December 31, 2025, the fair value of total debt was $15,908 million and $15,935 million, respectively, as determined under Level 2 measurements for these financial instruments.
Recurring Fair Value Measurements
The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of March 31, 2026:
(in millions)Level 1Level 2Level 3Total
Assets:
Marketable securities$190 $— $— $190 
Derivatives— — — — 
Total$190 $— $— $190 
Liabilities:
Derivatives$— $293 $— $293 
Contingent consideration— — 110 110 
Total$— $293 $110 $403 
The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of December 31, 2025:
(in millions)Level 1Level 2Level 3Total
Assets:
Marketable securities$203 $— $— $203 
Derivatives— — — — 
Total$203 $— $— $203 
Liabilities:
Derivatives$— $367 $— $367 
Contingent consideration— — 105 105 
Total$— $367 $105 $472 
Below is a summary of the valuation techniques used in determining fair value:
Marketable securities — The Company values trading and available-for-sale securities using the quoted market value of the securities held.
Derivatives — Derivatives consist of foreign exchange contracts, interest rate swaps, and cross-currency swaps. The fair value of foreign exchange contracts is based on observable market inputs of spot and forward rates or using other observable inputs. The fair value of the interest rate swaps is the estimated amount that the Company would receive or pay to terminate such agreements, taking into account market interest rates and the remaining time to maturities or using market inputs with mid-market pricing as a practical expedient for bid-ask spread. The fair value of the cross-currency swaps is the estimated amount that the Company would receive or pay to terminate such agreements, taking into account the effective interest rates, foreign exchange rates and the remaining time to maturities.
Contingent consideration — The Company values contingent consideration related to business combinations using a weighted probability calculation of potential payment scenarios discounted at rates reflective of the risks associated with the expected future cash flows. Assumptions used to estimate the fair value of contingent consideration include various financial metrics (revenues performance targets and operating forecasts) and the probability of achieving the specific targets. Based on the assessments of the probability of achieving specific targets, as of March 31, 2026 the Company has accrued approximately 70% of the maximum contingent consideration payments that could potentially become payable.
The following table summarizes the changes in Level 3 financial assets and liabilities measured on a recurring basis for the three months ended March 31, 2026:
(in millions)Contingent Consideration
Balance as of December 31, 2025$105 
Business combinations
Revaluations included in earnings and foreign currency translation adjustments(1)
Balance as of March 31, 2026$110 
The current portion of contingent consideration is included within accrued expenses and the long-term portion is included within other liabilities on the accompanying condensed consolidated balance sheets. Revaluations of contingent consideration are recognized in other expense, net on the accompanying condensed consolidated statements of income. A change in significant unobservable inputs could result in a higher or lower fair value measurement of contingent consideration.
Non-recurring Fair Value Measurements
As of March 31, 2026, assets carried on the balance sheet and not remeasured to fair value on a recurring basis totaled $21,765 million and were identified as Level 3. These assets are comprised of debt investments and cost and equity method investments of $418 million, goodwill of $16,544 million and other identifiable intangibles, net of $4,803 million.
v3.26.1
Credit Arrangements
3 Months Ended
Mar. 31, 2026
Debt Disclosure [Abstract]  
Credit Arrangements Credit Arrangements
The following is a summary of the Company’s revolving credit facilities as of March 31, 2026:
Facility
Interest Rates
$2,000 million (revolving credit facility)
U.S. Dollar Term SOFR plus a margin of 1.25% as of March 31, 2026
$110 million (receivables financing facility)
U.S. Dollar Term SOFR plus a margin of 1.00% plus a 10 basis credit spread adjustment as of March 31, 2026
The following table summarizes the Company’s debt at the dates indicated:
(dollars in millions)March 31, 2026December 31, 2025
Revolving Credit Facility due 2030:
U.S. Dollar denominated borrowings—U.S. Dollar Term SOFR at average floating rates of 4.92%
$1,000 $800 
Senior Secured Credit Facilities:
Term A Loan due 2030—Euribor at floating rates of 3.14%
281 290 
Term A Loan due 2030—U.S. Dollar Term SOFR at floating rates of 4.92%
2,135 2,162 
Term B Loan due 2031—U.S. Dollar Term SOFR at floating rates of 5.45%
1,960 1,965 
5.700% Senior Secured Notes due 2028—U.S. Dollar denominated
750 750 
6.250% Senior Secured Notes due 2029—U.S. Dollar denominated
1,250 1,250 
5.0% Senior Notes due 2027—U.S. Dollar denominated
1,100 1,100 
5.0% Senior Notes due 2026—U.S. Dollar denominated
1,050 1,050 
6.500% Senior Notes due 2030—U.S. Dollar denominated
500 500 
6.250% Senior Notes due 2032—U.S. Dollar denominated
2,000 2,000 
2.25% Senior Notes due 2028—Euro denominated
828 845 
2.875% Senior Notes due 2028—Euro denominated
818 835 
1.750% Senior Notes due 2026—Euro denominated
— 646 
2.250% Senior Notes due 2029—Euro denominated
1,036 1,057 
Term Loan due 2027—U.S. Dollar Term SOFR at floating rates of 4.92%
650 — 
Receivables financing facility due 2027—U.S. Dollar Term SOFR at floating rates of 4.78%:
Revolving Loan Commitment110 110 
Term Loan440 440 
Principal amount of debt15,908 15,800 
Less: unamortized discount and debt issuance costs(75)(76)
Less: current portion(1,844)(1,840)
Long-term debt$13,989 $13,884 
Contractual maturities of long-term debt as of March 31, 2026 are as follows:
(in millions)
Remainder of 2026$1,158 
20272,444 
20282,540 
20292,429 
20303,471 
Thereafter3,866 
$15,908 
Senior Secured Credit Facilities
As of March 31, 2026, the Company’s Fifth Amended and Restated Credit Agreement provided financing through several senior secured credit facilities of up to $6,371 million, which consisted of $5,376 million principal amounts of debt outstanding (as detailed in the table above), and $995 million of available borrowing capacity on the $2,000 million revolving credit facility and standby letters of credit. The revolving credit facility is comprised of a $2,000 million senior secured revolving facility available in U.S. dollars.
Term Loan due 2027
On March 11, 2026, the Company entered into a 364-Day Term A Loan Agreement to borrow $650 million in U.S. Dollar denominated Term A loans due 2027 (the “Term Loan due 2027”). The Term Loan due 2027 bears interest based on the Secured Overnight Financing Rate term rates (“Term SOFR”), plus a margin ranging from 1.125% to 2.00%, with a Term SOFR floor of 0.00% per annum. The proceeds from the Term Loan due 2027 were used to repay approximately €550 million of the 1.750% senior notes due 2026 (the “1.750% Notes”) at maturity, including the payment of fees and expenses related to the offering, and for general corporate purposes.
Senior Notes
On March 16, 2026, the proceeds from the Term Loan due 2027 were used to repay all of the Company’s outstanding €550 million 1.750% Notes. The Company’s obligations with respect to the 1.750% Notes were discharged on the same day as the notes were repaid in full.
Restrictive Covenants
The Company’s debt agreements provide for certain covenants and events of default customary for similar instruments, including a covenant not to exceed a specified ratio of consolidated senior secured net indebtedness to Consolidated EBITDA, as defined in the senior secured credit facility agreement and a covenant to maintain a specified minimum interest coverage ratio. If an event of default occurs under any of the Company’s or the Company’s subsidiaries’ financing arrangements, the creditors under such financing arrangements will be entitled to take various actions, including the acceleration of amounts due under such arrangements, and in the case of the lenders under the revolving credit facility and term loans, other actions permitted to be taken by a secured creditor. The Company’s long-term debt arrangements contain other usual and customary restrictive covenants that, among other things, place limitations on the Company’s ability to declare dividends. As of March 31, 2026, the Company was in compliance in all material respects with the financial covenants under the Company’s financing arrangements
v3.26.1
Contingencies
3 Months Ended
Mar. 31, 2026
Commitments and Contingencies Disclosure [Abstract]  
Contingencies Contingencies
The Company and its subsidiaries are involved in legal and tax proceedings, claims and litigation arising in the ordinary course of business. Management periodically assesses the Company’s liabilities and contingencies in connection with these matters based upon the latest information available. For those matters where management currently believes it is probable that the Company will incur a loss and that the probable loss or range of loss can be reasonably estimated, the Company has recorded an accrual in the consolidated financial statements based on its best estimates of such loss. In other instances, because of the uncertainties related to either the probable outcome or the amount or range of loss, management is unable to make a reasonable estimate of a liability, if any.
However, even in many instances where the Company has recorded an estimated liability, the Company is unable to predict with certainty the final outcome of the matter or whether resolution of the matter will materially affect the Company’s results of operations, financial position or cash flows. As additional information becomes available, the Company adjusts its assessments and estimates of such liabilities accordingly.
The Company routinely enters into agreements with third parties, including its clients and suppliers, all in the normal course of business. In these agreements, the Company sometimes agrees to indemnify and hold harmless the other party for any damages such other party may suffer as a result of potential intellectual property infringement and other claims. The Company has not accrued a liability with respect to these matters generally, as the exposure is considered remote.
Based on its review of the latest information available, management does not expect the impact of pending legal and tax proceedings, claims and litigation, either individually or in the aggregate, to have a material adverse effect on the Company’s results of operations, cash flows or financial position. However, one or more unfavorable outcomes in any claim or litigation against the Company could have a material adverse effect for the period in which it is resolved.
v3.26.1
Stockholders' Equity
3 Months Ended
Mar. 31, 2026
Equity [Abstract]  
Stockholders' Equity Stockholders’ Equity
Preferred Stock
The Company is authorized to issue 1.0 million shares of preferred stock, $0.01 per share par value. No shares of preferred stock were issued or outstanding as of March 31, 2026 or December 31, 2025.
Equity Repurchase Program
As of March 31, 2026, the total stock repurchase authorization under the Company's equity repurchase program (the "Repurchase Program") was $13,725 million. The Repurchase Program does not obligate the Company to repurchase any particular amount of common stock, and it may be modified, extended, suspended or discontinued at any time. During the three months ended March 31, 2026, the Company repurchased 3.2 million shares of its common stock for $552 million under the Repurchase Program. As of March 31, 2026, the Company had remaining authorization to repurchase up to $1,217 million of its common stock under the Repurchase Program. In addition, from time to time, the Company has repurchased and may continue to repurchase common stock through private or other transactions outside of the Repurchase Program.
v3.26.1
Business Combinations
3 Months Ended
Mar. 31, 2026
Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]  
Business Combinations Business Combinations
The Company completed individually and in the aggregate immaterial acquisitions during the three months ended March 31, 2026. The Company’s assessment of fair value, including the valuation of certain identified intangibles, and the purchase price allocation related to these acquisitions is preliminary and subject to change upon completion. Further adjustments, largely related to acquired intangible assets and related deferred taxes, may be necessary as additional information related to the fair values of assets acquired and liabilities assumed is assessed during the measurement period (up to one year from the acquisition date). The Company recorded goodwill from these acquisitions, primarily attributable to assembled workforce, expected synergies and new customer relationships. The condensed consolidated financial statements include the results of the acquisitions subsequent to their respective closing dates. Pro forma information is not presented as pro forma results of operations would not be materially different to the actual results of operations of the Company.
The following table provides certain preliminary financial information for these acquisitions:
(in millions)March 31, 2026
Assets acquired:
Cash and cash equivalents$
Accounts receivable
Goodwill30 
Other identifiable intangibles25 
Liabilities assumed:
Other liabilities(5)
Deferred income taxes, long-term(7)
Net assets acquired (1)
$53 
(1) Net assets acquired includes contingent consideration and deferred purchase price of $10 million.
None of the goodwill from acquisitions during the three months ended March 31, 2026 is deductible for income tax purposes.
The following table provides a summary of the preliminary estimated fair value of certain intangible assets acquired:
(in millions)Amortization PeriodMarch 31, 2026
Other identifiable intangibles:
Customer relationships10years$18 
Software and related assets3years
Non-compete agreements3years
Total Other identifiable intangibles$25 
v3.26.1
Restructuring
3 Months Ended
Mar. 31, 2026
Restructuring and Related Activities [Abstract]  
Restructuring Restructuring
The Company has continued to take restructuring actions in 2026 to align its resources and reduce overcapacity to adapt to changing market conditions and integrate acquisitions. These actions include consolidating functional activities, eliminating redundant positions, and aligning resources with customer requirements. These restructuring actions are expected to continue throughout 2026 and into 2027.
The following amounts were recorded for the restructuring plans:
(in millions)Severance and Related Costs
Balance as of December 31, 2025$31 
Expense, net of reversals51 
Payments(38)
Foreign currency translation and other(1)
Balance as of March 31, 2026$43 
The reversals were due to changes in estimates primarily resulting from the redeployment of staff and higher than expected voluntary terminations. Restructuring costs are not allocated to the Company’s reportable segments as they are not part of the segment performance measures regularly reviewed by management. The Company expects that the majority of the restructuring accruals as of March 31, 2026 will be paid in 2026 and 2027.
v3.26.1
Income Taxes
3 Months Ended
Mar. 31, 2026
Income Tax Disclosure [Abstract]  
Income Taxes Income Taxes
The Company's effective income tax rate was 18.0% and 18.9% in the first quarter of 2026 and 2025, respectively. The effective income tax rate in the first quarter of 2026 and 2025 was favorably impacted due to changes in the geographical mix of earnings amongst the United States and foreign tax jurisdictions.
On December 12, 2022, the European Union member states agreed to implement the Organization for Economic Cooperation and Development’s (“OECD”) Pillar Two global corporate minimum tax rate of 15% on companies with revenues of at least €750 million, which went into effect in 2025.
v3.26.1
Accumulated Other Comprehensive (Loss) Income
3 Months Ended
Mar. 31, 2026
Equity [Abstract]  
Accumulated Other Comprehensive (Loss) Income Accumulated Other Comprehensive (Loss) Income
Below is a summary of the components of AOCI:
(in millions)Foreign Currency TranslationDerivative InstrumentsDefined Benefit PlansIncome TaxesTotal
Balance as of December 31, 2025$(1,126)$(43)$40 $186 $(943)
Other comprehensive income (loss) before reclassifications(19)— — (13)(32)
Reclassification adjustments— 10 — (3)
Balance as of March 31, 2026$(1,145)$(33)$40 $170 $(968)
Below is a summary of the adjustments for amounts reclassified from AOCI into the condensed consolidated statements of income and the affected financial statement line item:
(in millions)Affected Financial Statement Line ItemThree Months Ended March 31,
20262025
Derivative instruments:
Interest rate swapsInterest expense$(2)$
Foreign exchange forward contractsRevenues(8)(2)
Total before income taxes(10)(1)
Income taxes(3)— 
Total net of income taxes$(7)$(1)
v3.26.1
Segments
3 Months Ended
Mar. 31, 2026
Segment Reporting [Abstract]  
Segments Segments
The following table presents the Company’s operations by reportable segment. The Company was previously managed through three reportable segments, Technology & Analytics Solutions, Research & Development Solutions and Contract Sales & Medical Solutions. Effective January 1, 2026, the Company updated its segment reporting to align with industry evolution, its updated operating model, and how internal reporting is provided to the chief operating decision maker ("CODM"). As a result, the Contract Sales & Medical Solutions segment, which had become more closely related operationally to the Technology & Analytics Solutions segment commercial offerings, was incorporated into the Technology & Analytics Solutions segment, which is renamed Commercial Solutions. Additionally, Real-World Late Phase and certain other Real-World offerings that had become more closely related operationally to the clinical research business, were moved from the Technology & Analytics Solutions segment to the Research & Development Solutions segment. The Company is reflecting the recast of segment information for the three months ended March 31, 2025 on this basis in the table below.
The Company is now managed through two reportable segments, Commercial Solutions and Research & Development Solutions. Commercial Solutions provides mission critical information, advanced analytics, technology solutions, health care provider services (including contract sales), and patient engagement services to the Company’s life science clients. Research & Development Solutions, which primarily serves biopharmaceutical customers, provides outsourced clinical research, clinical trial and real-world research related services.
Certain costs are not allocated to the Company's segments and are reported as general corporate and unallocated expenses. These costs primarily consist of stock-based compensation, expenses related to integration activities and acquisitions, as well as certain general corporate and unallocated expenses. The Company also does not allocate restructuring costs, depreciation and amortization or impairment charges, if any, to its segments. Asset information by segment is not presented, as this measure is not used by the chief executive officer, who is the CODM, to assess the Company’s performance.
For both segments, the CODM uses segment revenue and segment profit in the annual budgeting and forecasting process. The CODM considers budget-to-actual variances on a monthly and quarterly basis for both segment revenue and profit when making decisions about allocating operating and capital resources to the segments. The CODM also uses segment revenue and profit to assess the performance for each segment by comparing the results of each segment with one another and in determining the compensation of certain employees.
The Company’s reportable segment information is presented below:
Three Months Ended March 31,
(in millions)20262025
Revenues
Commercial Solutions$1,754 $1,572 
Research & Development Solutions2,397 2,257 
Total revenues4,151 3,829 
Cost of revenues, exclusive of depreciation and amortization
Commercial Solutions1,121 980 
Research & Development Solutions1,675 1,551 
Total cost of revenues, exclusive of depreciation and amortization2,796 2,531 
Selling, general and administrative expenses
Commercial Solutions252 237 
Research & Development Solutions250 230 
Total selling, general and administrative expenses reportable segments502 467 
Segment profit
Commercial Solutions381 355 
Research & Development Solutions472 476 
Total segment profit853 831 
General corporate and unallocated expenses— (41)
Depreciation and amortization(288)(265)
Restructuring costs(51)(29)
Total income from operations514 496 
Interest income(10)(11)
Interest expense192 165 
Loss on extinguishment of debt— 
Other expense, net15 
Income before income taxes and equity in earnings (losses) of unconsolidated affiliates$328 $323 
v3.26.1
Earnings Per Share
3 Months Ended
Mar. 31, 2026
Earnings Per Share [Abstract]  
Earnings Per Share Earnings Per Share
The following table presents the computation of basic and diluted earnings per share:
Three Months Ended March 31,
(in millions, except per share data)20262025
Numerator:
Net income attributable to IQVIA Holdings Inc.$274 $249 
Denominator:
Basic weighted average common shares outstanding168.4 175.7 
Effect of dilutive stock options and share awards1.4 1.7 
Diluted weighted average common shares outstanding169.8 177.4 
Earnings per share attributable to common stockholders:
Basic$1.63 $1.42 
Diluted$1.61 $1.40 
Stock-based awards will have a dilutive effect under the treasury method when the respective period's average market value of the Company's common stock exceeds the exercise proceeds. Performance awards are included in diluted earnings per share based on if the performance targets have been met at the end of the reporting period.
For the three months ended March 31, 2026 and 2025, the weighted average number of outstanding stock-based awards not included in the computation of diluted earnings per share because they are subject to performance conditions that have not been met at the end of the reporting period or the effect of including such stock-based awards in the computation would be anti-dilutive was 2.2 million and 2.2 million, respectively.
v3.26.1
Insider Trading Arrangements
3 Months Ended
Mar. 31, 2026
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
v3.26.1
Summary of Significant Accounting Policies (Policies)
3 Months Ended
Mar. 31, 2026
Accounting Policies [Abstract]  
Unaudited Interim Financial Information
Unaudited Interim Financial Information
The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair statement of the Company’s financial condition and results of operations have been included. Operating results for the periods presented are not necessarily indicative of the results that may be expected for the year ending December 31, 2026. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2025. The balance sheet as of December 31, 2025 has been derived from the audited consolidated financial statements of the Company, but does not include all the disclosures required by GAAP.
Recently Issued Accounting Standards
Recently Issued Accounting Standards
v3.26.1
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations (Tables)
3 Months Ended
Mar. 31, 2026
Revenue from Contract with Customer [Abstract]  
Summary of Revenues by Geographic Region and Reportable Segment
The following tables represent revenues by geographic region and reportable segment for the three months ended March 31, 2026 and 2025. Results for the three months ended March 31, 2025 reflect the recast of segment information based on the changes described in Note 14.
Three Months Ended March 31, 2026
(in millions)Commercial SolutionsResearch & Development SolutionsTotal
Revenues:
Americas$856 $1,128 $1,984 
Europe and Africa688 667 1,355 
Asia-Pacific210 602 812 
Total revenues$1,754 $2,397 $4,151 
Three Months Ended March 31, 2025
(in millions)Commercial SolutionsResearch & Development SolutionsTotal
Revenues:
Americas$790 $1,017 $1,807 
Europe and Africa593 631 1,224 
Asia-Pacific189 609 798 
Total revenues$1,572 $2,257 $3,829 
v3.26.1
Trade Accounts Receivable, Unbilled Services and Unearned Income (Tables)
3 Months Ended
Mar. 31, 2026
Receivables [Abstract]  
Schedule of Trade Accounts Receivable and Unbilled Services
Trade accounts receivables and unbilled services consist of the following:
(in millions)March 31, 2026December 31, 2025
Trade accounts receivable$1,632 $1,668 
Unbilled services1,763 1,783 
Trade accounts receivable and unbilled services3,395 3,451 
Allowance for doubtful accounts(49)(51)
Trade accounts receivable and unbilled services, net$3,346 $3,400 
Schedule of Net Contract Assets (Liabilities)
Unbilled services and unearned income were as follows:
(in millions)March 31, 2026December 31, 2025
Change
Unbilled services$1,763 $1,783 $(20)
Unearned income(2,261)(2,118)(143)
Net balance$(498)$(335)$(163)
v3.26.1
Goodwill (Tables)
3 Months Ended
Mar. 31, 2026
Goodwill and Intangible Assets Disclosure [Abstract]  
Summary of Goodwill by Reportable Segment
The following is a summary of goodwill by reportable segment for the three months ended March 31, 2026:
(in millions)Commercial SolutionsResearch & Development SolutionsConsolidated
Balance as of January 1, 2026$12,987 $3,629 $16,616 
Business combinations26 30 
Impact of foreign currency fluctuations and other(91)(11)(102)
Balance as of March 31, 2026$12,922 $3,622 $16,544 
v3.26.1
Derivatives (Tables)
3 Months Ended
Mar. 31, 2026
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Summary of Fair Values of Derivative Instruments Designated as Hedges
The fair values of the Company’s derivative instruments and the line items on the accompanying condensed consolidated balance sheets to which they were recorded are summarized in the following table:
(in millions)Balance Sheet ClassificationMarch 31, 2026December 31, 2025
AssetsLiabilitiesNotionalAssetsLiabilitiesNotional
Derivatives designated as hedging instruments:
Interest rate swapsOther current liabilities$— $32 $1,466 $— $45 $1,470 
Cross-currency swaps Other current liabilities— 258 2,716 — 322 2,720 
Foreign exchange forward contractsOther current liabilities— 130 — — 127 
Total derivatives$— $293 $— $367 
Schedule of Effect of Cash Flow Hedging Instruments on Other Comprehensive (Loss) Income
The pre-tax effect of the Company’s cash flow hedging instruments on other comprehensive income is summarized in the following table:
Three Months Ended March 31,
(in millions)20262025
Interest rate swaps$13 $(26)
Foreign exchange forward contracts(3)
Total$10 $(21)
v3.26.1
Fair Value Measurements (Tables)
3 Months Ended
Mar. 31, 2026
Fair Value Disclosures [Abstract]  
Summary of Fair Value of Financial Assets and Liabilities Measured on Recurring Basis
The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of March 31, 2026:
(in millions)Level 1Level 2Level 3Total
Assets:
Marketable securities$190 $— $— $190 
Derivatives— — — — 
Total$190 $— $— $190 
Liabilities:
Derivatives$— $293 $— $293 
Contingent consideration— — 110 110 
Total$— $293 $110 $403 
The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of December 31, 2025:
(in millions)Level 1Level 2Level 3Total
Assets:
Marketable securities$203 $— $— $203 
Derivatives— — — — 
Total$203 $— $— $203 
Liabilities:
Derivatives$— $367 $— $367 
Contingent consideration— — 105 105 
Total$— $367 $105 $472 
Schedule of Changes in Level 3 Financial Assets and Liabilities Measured on Recurring Basis
The following table summarizes the changes in Level 3 financial assets and liabilities measured on a recurring basis for the three months ended March 31, 2026:
(in millions)Contingent Consideration
Balance as of December 31, 2025$105 
Business combinations
Revaluations included in earnings and foreign currency translation adjustments(1)
Balance as of March 31, 2026$110 
v3.26.1
Credit Arrangements (Tables)
3 Months Ended
Mar. 31, 2026
Debt Disclosure [Abstract]  
Summary of Credit Facilities
The following is a summary of the Company’s revolving credit facilities as of March 31, 2026:
Facility
Interest Rates
$2,000 million (revolving credit facility)
U.S. Dollar Term SOFR plus a margin of 1.25% as of March 31, 2026
$110 million (receivables financing facility)
U.S. Dollar Term SOFR plus a margin of 1.00% plus a 10 basis credit spread adjustment as of March 31, 2026
Summary of Debt
The following table summarizes the Company’s debt at the dates indicated:
(dollars in millions)March 31, 2026December 31, 2025
Revolving Credit Facility due 2030:
U.S. Dollar denominated borrowings—U.S. Dollar Term SOFR at average floating rates of 4.92%
$1,000 $800 
Senior Secured Credit Facilities:
Term A Loan due 2030—Euribor at floating rates of 3.14%
281 290 
Term A Loan due 2030—U.S. Dollar Term SOFR at floating rates of 4.92%
2,135 2,162 
Term B Loan due 2031—U.S. Dollar Term SOFR at floating rates of 5.45%
1,960 1,965 
5.700% Senior Secured Notes due 2028—U.S. Dollar denominated
750 750 
6.250% Senior Secured Notes due 2029—U.S. Dollar denominated
1,250 1,250 
5.0% Senior Notes due 2027—U.S. Dollar denominated
1,100 1,100 
5.0% Senior Notes due 2026—U.S. Dollar denominated
1,050 1,050 
6.500% Senior Notes due 2030—U.S. Dollar denominated
500 500 
6.250% Senior Notes due 2032—U.S. Dollar denominated
2,000 2,000 
2.25% Senior Notes due 2028—Euro denominated
828 845 
2.875% Senior Notes due 2028—Euro denominated
818 835 
1.750% Senior Notes due 2026—Euro denominated
— 646 
2.250% Senior Notes due 2029—Euro denominated
1,036 1,057 
Term Loan due 2027—U.S. Dollar Term SOFR at floating rates of 4.92%
650 — 
Receivables financing facility due 2027—U.S. Dollar Term SOFR at floating rates of 4.78%:
Revolving Loan Commitment110 110 
Term Loan440 440 
Principal amount of debt15,908 15,800 
Less: unamortized discount and debt issuance costs(75)(76)
Less: current portion(1,844)(1,840)
Long-term debt$13,989 $13,884 
Schedule of Contractual Maturities of Long-term Debt
Contractual maturities of long-term debt as of March 31, 2026 are as follows:
(in millions)
Remainder of 2026$1,158 
20272,444 
20282,540 
20292,429 
20303,471 
Thereafter3,866 
$15,908 
v3.26.1
Business Combinations (Tables)
3 Months Ended
Mar. 31, 2026
Business Combination, Asset Acquisition, Transaction between Entities under Common Control, and Joint Venture Formation [Abstract]  
Business Combination, Recognized Asset Acquired and Liability Assumed
The following table provides certain preliminary financial information for these acquisitions:
(in millions)March 31, 2026
Assets acquired:
Cash and cash equivalents$
Accounts receivable
Goodwill30 
Other identifiable intangibles25 
Liabilities assumed:
Other liabilities(5)
Deferred income taxes, long-term(7)
Net assets acquired (1)
$53 
(1) Net assets acquired includes contingent consideration and deferred purchase price of $10 million.
Business Combination, Intangible Asset, Acquired, Finite-Lived and Indefinite-Lived
The following table provides a summary of the preliminary estimated fair value of certain intangible assets acquired:
(in millions)Amortization PeriodMarch 31, 2026
Other identifiable intangibles:
Customer relationships10years$18 
Software and related assets3years
Non-compete agreements3years
Total Other identifiable intangibles$25 
v3.26.1
Restructuring (Tables)
3 Months Ended
Mar. 31, 2026
Restructuring and Related Activities [Abstract]  
Summary of Amounts Recorded for Restructuring Plans
The following amounts were recorded for the restructuring plans:
(in millions)Severance and Related Costs
Balance as of December 31, 2025$31 
Expense, net of reversals51 
Payments(38)
Foreign currency translation and other(1)
Balance as of March 31, 2026$43 
v3.26.1
Accumulated Other Comprehensive (Loss) Income (Tables)
3 Months Ended
Mar. 31, 2026
Equity [Abstract]  
Summary of Components of AOCI
Below is a summary of the components of AOCI:
(in millions)Foreign Currency TranslationDerivative InstrumentsDefined Benefit PlansIncome TaxesTotal
Balance as of December 31, 2025$(1,126)$(43)$40 $186 $(943)
Other comprehensive income (loss) before reclassifications(19)— — (13)(32)
Reclassification adjustments— 10 — (3)
Balance as of March 31, 2026$(1,145)$(33)$40 $170 $(968)
Summary of Adjustments for (Gains) Losses Reclassified from AOCI into Condensed Consolidated Statements of Income and Affected Financial Statement Line Item
Below is a summary of the adjustments for amounts reclassified from AOCI into the condensed consolidated statements of income and the affected financial statement line item:
(in millions)Affected Financial Statement Line ItemThree Months Ended March 31,
20262025
Derivative instruments:
Interest rate swapsInterest expense$(2)$
Foreign exchange forward contractsRevenues(8)(2)
Total before income taxes(10)(1)
Income taxes(3)— 
Total net of income taxes$(7)$(1)
v3.26.1
Segments (Tables)
3 Months Ended
Mar. 31, 2026
Segment Reporting [Abstract]  
Reconciliation of Revenues and Income from Segments to Consolidated
The Company’s reportable segment information is presented below:
Three Months Ended March 31,
(in millions)20262025
Revenues
Commercial Solutions$1,754 $1,572 
Research & Development Solutions2,397 2,257 
Total revenues4,151 3,829 
Cost of revenues, exclusive of depreciation and amortization
Commercial Solutions1,121 980 
Research & Development Solutions1,675 1,551 
Total cost of revenues, exclusive of depreciation and amortization2,796 2,531 
Selling, general and administrative expenses
Commercial Solutions252 237 
Research & Development Solutions250 230 
Total selling, general and administrative expenses reportable segments502 467 
Segment profit
Commercial Solutions381 355 
Research & Development Solutions472 476 
Total segment profit853 831 
General corporate and unallocated expenses— (41)
Depreciation and amortization(288)(265)
Restructuring costs(51)(29)
Total income from operations514 496 
Interest income(10)(11)
Interest expense192 165 
Loss on extinguishment of debt— 
Other expense, net15 
Income before income taxes and equity in earnings (losses) of unconsolidated affiliates$328 $323 
v3.26.1
Earnings Per Share (Tables)
3 Months Ended
Mar. 31, 2026
Earnings Per Share [Abstract]  
Schedule of Earnings Per Share, Basic and Diluted
The following table presents the computation of basic and diluted earnings per share:
Three Months Ended March 31,
(in millions, except per share data)20262025
Numerator:
Net income attributable to IQVIA Holdings Inc.$274 $249 
Denominator:
Basic weighted average common shares outstanding168.4 175.7 
Effect of dilutive stock options and share awards1.4 1.7 
Diluted weighted average common shares outstanding169.8 177.4 
Earnings per share attributable to common stockholders:
Basic$1.63 $1.42 
Diluted$1.61 $1.40 
v3.26.1
Summary of Significant Accounting Policies - Additional Information (Detail)
Mar. 31, 2026
Employee
Country
Summary Of Significant Accounting Policies [Line Items]  
Number of employees | Employee 93,000
Minimum  
Summary Of Significant Accounting Policies [Line Items]  
Number of countries (more than) | Country 100
v3.26.1
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Summary of Revenues by Geographic Region and Reportable Segment (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Disaggregation of Revenue    
Total revenues $ 4,151 $ 3,829
Americas    
Disaggregation of Revenue    
Total revenues 1,984 1,807
Europe and Africa    
Disaggregation of Revenue    
Total revenues 1,355 1,224
Asia-Pacific    
Disaggregation of Revenue    
Total revenues 812 798
Commercial Solutions    
Disaggregation of Revenue    
Total revenues 1,754 1,572
Commercial Solutions | Americas    
Disaggregation of Revenue    
Total revenues 856 790
Commercial Solutions | Europe and Africa    
Disaggregation of Revenue    
Total revenues 688 593
Commercial Solutions | Asia-Pacific    
Disaggregation of Revenue    
Total revenues 210 189
Research & Development Solutions    
Disaggregation of Revenue    
Total revenues 2,397 2,257
Research & Development Solutions | Americas    
Disaggregation of Revenue    
Total revenues 1,128 1,017
Research & Development Solutions | Europe and Africa    
Disaggregation of Revenue    
Total revenues 667 631
Research & Development Solutions | Asia-Pacific    
Disaggregation of Revenue    
Total revenues $ 602 $ 609
v3.26.1
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Additional Information (Detail) - Customer
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Revenue from Contract with Customer [Abstract]    
Number of customer accounting for ten percent or more of revenue 0 0
v3.26.1
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Future Obligation Terms (Detail)
$ in Billions
Mar. 31, 2026
USD ($)
Revenue from Contract with Customer [Abstract]  
Revenue expected to be recognized in future from remaining performance obligations $ 37.3
Percentage of remaining performance obligations on which revenue is expected to be recognized in next twelve months (in percent) 30.00%
Unearned income recognition period 12 months
Percentage of remaining performance obligations on which revenue is expected to be recognized in next five years (in percent) 85.00%
v3.26.1
Trade Accounts Receivable, Unbilled Services and Unearned Income - Trade Accounts Receivable and Unbilled Services (Detail) - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Receivables, Net, Current [Abstract]    
Trade accounts receivable $ 1,632 $ 1,668
Unbilled services 1,763 1,783
Trade accounts receivable and unbilled services 3,395 3,451
Allowance for doubtful accounts (49) (51)
Trade accounts receivable and unbilled services, net $ 3,346 $ 3,400
v3.26.1
Trade Accounts Receivable, Unbilled Services and Unearned Income - Schedule of Net Contract Assets (Liabilities) (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Unbilled Contracts Receivables    
Unbilled services, beginning balance $ 1,783  
Change (20)  
Unbilled services, ending balance 1,763  
Unearned Income    
Unearned income, beginning balance (2,118)  
Change (143)  
Unearned income, ending balance (2,261)  
Net change in balance (163)  
Net balance, beginning balance $ (498) $ (335)
v3.26.1
Trade Accounts Receivable, Unbilled Services and Unearned Income - Additional Information (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Receivables [Abstract]      
Unbilled receivables (percentage) 73.00%   71.00%
Contract assets (percentage) 27.00%   29.00%
Increase in unbilled services $ (20)    
Decrease in unearned income 143    
Net change in balance (163)    
Trade accounts receivable 182 $ 167  
Cash proceeds from trade accounts $ 180 $ 166  
v3.26.1
Goodwill - Summary of Goodwill by Reportable Segment (Detail)
$ in Millions
3 Months Ended
Mar. 31, 2026
USD ($)
Goodwill  
Beginning balance $ 16,616
Business combinations 30
Impact of foreign currency fluctuations and other (102)
Ending balance 16,544
Commercial Solutions  
Goodwill  
Beginning balance 12,987
Business combinations 26
Impact of foreign currency fluctuations and other (91)
Ending balance 12,922
Research & Development Solutions  
Goodwill  
Beginning balance 3,629
Business combinations 4
Impact of foreign currency fluctuations and other (11)
Ending balance $ 3,622
v3.26.1
Goodwill - Additional Information (Detail) - USD ($)
$ in Millions
Mar. 31, 2026
Jan. 01, 2026
Dec. 31, 2025
Goodwill [Line Items]      
Goodwill $ 16,544   $ 16,616
Technology And Analytics Solutions      
Goodwill [Line Items]      
Goodwill   $ 167  
v3.26.1
Derivatives - Summary of Fair Values of Derivative Instruments Designated as Hedges (Detail) - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Derivatives, Fair Value    
Assets $ 0 $ 0
Liabilities 293 367
Derivatives designated as hedging instruments: | Other current liabilities | Foreign exchange forward contracts    
Derivatives, Fair Value    
Assets 0 0
Liabilities 3 0
Notional 130 127
Derivatives designated as hedging instruments: | Other current liabilities | Interest rate swaps    
Derivatives, Fair Value    
Assets 0 0
Liabilities 32 45
Notional 1,466 1,470
Derivatives designated as hedging instruments: | Other current liabilities | Cross-currency swaps    
Derivatives, Fair Value    
Assets 0 0
Liabilities 258 322
Notional $ 2,716 $ 2,720
v3.26.1
Derivatives - Effect of Cash Flow Hedging Instruments on Other Comprehensive (Loss) Income (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Derivative Instruments and Hedging Activities Disclosures    
Effect of cash flow hedging instruments on other comprehensive (loss) income $ 10 $ (21)
Interest rate swaps    
Derivative Instruments and Hedging Activities Disclosures    
Effect of cash flow hedging instruments on other comprehensive (loss) income 13 (26)
Foreign exchange forward contracts    
Derivative Instruments and Hedging Activities Disclosures    
Effect of cash flow hedging instruments on other comprehensive (loss) income $ (3) $ 5
v3.26.1
Derivatives - Additional Information (Detail)
€ in Millions, $ in Millions
3 Months Ended
Mar. 31, 2026
USD ($)
Mar. 31, 2025
USD ($)
Mar. 31, 2026
EUR (€)
Derivative Instruments and Hedging Activities Disclosures      
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months $ 3    
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax (7) $ (1)  
Cross-currency swaps | Derivatives designated as hedging instruments:      
Derivative Instruments and Hedging Activities Disclosures      
Net investment hedge, gain (loss), before Tax 64 (133)  
Foreign currency transaction loss, before tax, interest rate reduction 10 12  
Net Investment Hedging | Derivatives designated as hedging instruments:      
Derivative Instruments and Hedging Activities Disclosures      
Net investment hedge, gain (loss), before Tax 60 $ (144)  
Long-term debt $ 2,962   € 2,575
v3.26.1
Fair Value Measurements - Additional Information (Detail) - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis    
Percentage accrued of maximum consideration payments to become payable 70.00%  
Other identifiable intangibles, net $ 4,803 $ 4,962
Level 1 and Level 2    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis    
Fair value of total debt 15,908 $ 15,935
Level 3 | Fair Value, Nonrecurring    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis    
Assets, Fair Value Disclosure 21,765  
Cost and equity method investments 418  
Goodwill 16,544  
Other identifiable intangibles, net $ 4,803  
v3.26.1
Fair Value Measurements - Fair Value of Financial Assets and Liabilities Measured on Recurring Basis (Detail) - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Assets:    
Marketable securities $ 156 $ 161
Derivatives 0 0
Recurring Fair Value Measurements    
Assets:    
Marketable securities 190 203
Derivatives 0 0
Total 190 203
Liabilities:    
Derivatives 293 367
Contingent consideration 110 105
Total 403 472
Recurring Fair Value Measurements | Level 1    
Assets:    
Marketable securities 190 203
Derivatives 0 0
Total 190 203
Liabilities:    
Derivatives 0 0
Contingent consideration 0 0
Total 0 0
Recurring Fair Value Measurements | Level 2    
Assets:    
Marketable securities 0 0
Derivatives 0 0
Total 0 0
Liabilities:    
Derivatives 293 367
Contingent consideration 0 0
Total 293 367
Recurring Fair Value Measurements | Level 3    
Assets:    
Marketable securities 0 0
Derivatives 0 0
Total 0 0
Liabilities:    
Derivatives 0 0
Contingent consideration 110 105
Total $ 110 $ 105
v3.26.1
Fair Value Measurements - Changes in Level 3 Financial Assets and Liabilities Measured on Recurring Basis (Detail) - Contingent consideration
$ in Millions
3 Months Ended
Mar. 31, 2026
USD ($)
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation  
Beginning balance $ 105
Business combinations 6
Revaluations included in earnings and foreign currency translation adjustments (1)
Ending balance $ 110
v3.26.1
Credit Arrangements - Summary of Credit Facilities (Detail)
3 Months Ended
Mar. 31, 2026
USD ($)
Revolving Credit Facility | USD Revolving Credit Facility  
Line of Credit Facility  
Facility $ 2,000,000,000
Interest rate description U.S. Dollar Term SOFR plus a margin of 1.25% as of March 31, 2026
Rate 1.25%
Facility | Receivables Financing Facility  
Line of Credit Facility  
Facility $ 110,000,000
Interest rate description U.S. Dollar Term SOFR plus a margin of 1.00% plus a 10 basis credit spread adjustment as of March 31, 2026
Rate 1.00%
Interest rate spread on base rate 0.10%
v3.26.1
Credit Arrangements - Summary of Debt (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 16, 2026
Dec. 31, 2025
Mar. 10, 2025
Senior Secured Credit Facilities:        
Principal amount of debt $ 15,908   $ 15,800  
Less: unamortized discount and debt issuance costs (75)   (76)  
Less: current portion (1,844)   (1,840)  
Long-term debt 13,989   13,884  
U.S Dollars | Senior Secured Term A Loan, 6.69%        
Senior Secured Credit Facilities:        
Principal amount of debt $ 2,135   2,162  
U.S Dollars | Senior Secured Term A Loan, 6.69% | SOFR        
Senior Secured Credit Facilities:        
Average floating rate 4.92%      
U.S Dollars | Senior Notes Due 2030, 6.500% | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 500   500  
Rate 6.50%      
U.S Dollars | Senior Notes Due 2032, 6.25% | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 2,000   2,000  
Rate 6.25%      
U.S Dollars | Term Loan | SOFR        
Senior Secured Credit Facilities:        
Principal amount of debt $ 440   440  
U.S Dollars | Due in 2024 | Receivable Financing Facilities | SOFR        
Senior Secured Credit Facilities:        
Average floating rate 4.78%      
U.S Dollars | Due in 2026 | 5.0% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 1,050   1,050  
Rate 5.00%      
U.S Dollars | Due in 2027 | 5.0% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 1,100   1,100  
Rate 5.00%      
U.S Dollars | Due in 2028 | Senior Secured Notes Due 2028, 5.700% | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 750   750  
Rate 5.70%      
U.S Dollars | Due in 2029 | Senior Secured Notes Due 2029, 5.625% | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 1,250   1,250  
Rate 6.25%      
U.S Dollars | Due in 2031 | Senior Secured Term B Loan, 7.31% | SOFR        
Senior Secured Credit Facilities:        
Principal amount of debt $ 1,960   1,965  
Average floating rate 5.45%      
U.S Dollars | Due in 2031 | Senior Secured Term B Loan, 6.02%        
Senior Secured Credit Facilities:        
Principal amount of debt       $ 650
EUR Dollars | Due in 2025 | 2.875% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 650   0  
Rate 4.92%      
EUR Dollars | Due in 2026 | Senior Secured Term A Loan, 5.15% | Euribor Rate        
Senior Secured Credit Facilities:        
Principal amount of debt $ 281   290  
Average floating rate 3.14%      
EUR Dollars | Due in 2026 | 1.75% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 0 $ 550 646  
Rate 1.75% 1.75%    
EUR Dollars | Due in 2028 | 2.875% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 818   835  
Rate 2.875%      
EUR Dollars | Due in 2028 | 2.25% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 828   845  
Rate 2.25%      
EUR Dollars | Due in 2029 | 2.25% Senior Notes | Senior Notes        
Senior Secured Credit Facilities:        
Principal amount of debt $ 1,036   1,057  
Rate 2.25%      
Revolving Credit Facility | U.S Dollars        
Senior Secured Credit Facilities:        
Principal amount of debt $ 1,000   800  
Revolving Credit Facility | U.S Dollars | SOFR        
Senior Secured Credit Facilities:        
Average floating rate 4.92%      
Revolving Credit Facility | U.S Dollars | Revolving Loan Commitment | SOFR        
Senior Secured Credit Facilities:        
Principal amount of debt $ 110   $ 110  
v3.26.1
Credit Arrangements - Contractual Maturities of Long-term Debt (Detail) - USD ($)
$ in Millions
Mar. 31, 2026
Dec. 31, 2025
Debt Disclosure [Abstract]    
Remainder of 2022 $ 1,158  
2027 2,444  
2028 2,540  
2029 2,429  
2030 3,471  
Thereafter 3,866  
Principal amount of debt $ 15,908 $ 15,800
v3.26.1
Credit Arrangements - Senior Secured Credit Facilities (Detail) - USD ($)
$ in Millions
Mar. 11, 2026
Mar. 10, 2025
Mar. 31, 2026
Mar. 16, 2026
Dec. 31, 2025
Line of Credit Facility          
Principal amount of debt     $ 15,908   $ 15,800
Revolving Credit Facility | U.S Dollars          
Line of Credit Facility          
Principal amount of debt     1,000   800
Senior Secured Term A Loan, 6.69% | U.S Dollars          
Line of Credit Facility          
Principal amount of debt     2,135   2,162
Senior Secured Credit Facilities, Fifth Amended and Restated Credit Agreement          
Line of Credit Facility          
Aggregate maximum principal amount     6,371    
Principal amount     5,376    
Senior Secured Credit Facilities, Revolving Credit Facility And Standby Letters Of Credit          
Line of Credit Facility          
Aggregate maximum principal amount     2,000    
Available borrowing capacity     995    
Senior Notes Due 2030, 6.500% | U.S Dollars | Senior Notes          
Line of Credit Facility          
Principal amount of debt     $ 500   500
Rate     6.50%    
Senior Secured Term B Loan, 6.02% | Due in 2031 | U.S Dollars          
Line of Credit Facility          
Principal amount of debt   $ 650      
Debt instrument term   364 days      
Floor rate (as a percent)   0.00%      
Senior Secured Term B Loan, 6.02% | Minimum | Due in 2031 | U.S Dollars          
Line of Credit Facility          
Interest rate spread on base rate 1.125%        
Senior Secured Term B Loan, 6.02% | Maximum | Due in 2031 | U.S Dollars          
Line of Credit Facility          
Interest rate spread on base rate 2.00%        
1.75% Senior Notes | Due in 2026 | EUR Dollars | Senior Notes          
Line of Credit Facility          
Principal amount of debt     $ 0 $ 550 $ 646
Rate     1.75% 1.75%  
v3.26.1
Stockholders' Equity (Detail) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Jul. 31, 2023
Class of Stock        
Preferred stock, authorized (shares) 1,000,000.0      
Preferred stock, par value (usd per share) $ 0.01      
Preferred stock, shares issued (shares) 0   0  
Preferred stock, shares outstanding (shares) 0   0  
Repurchase of stock, value $ 557 $ 429    
Equity Repurchase Under Repurchase Program        
Class of Stock        
Equity repurchase program authorized amount       $ 13,725
Repurchase of stock (in shares) 3,200,000      
Repurchase of stock, value $ 552      
Equity available for repurchase under the repurchase program $ 1,217      
v3.26.1
Business Combinations - Schedule of Recognized Identified Assets Acquired and Liabilities Assumed (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Dec. 31, 2025
Assets acquired:    
Goodwill $ 16,544 $ 16,616
Several Individually Immaterial Acquisitions    
Assets acquired:    
Cash and cash equivalents 6  
Accounts receivable 4  
Goodwill 30  
Other identifiable intangibles 25  
Liabilities assumed:    
Other liabilities (5)  
Deferred income taxes, long-term (7)  
Net assets acquired 53  
Contingent consideration and deferred payments $ 10  
v3.26.1
Business Combinations - Indefinite-Lived Intangible Assets Acquired as Part of Business Combination (Details) - Several Individually Immaterial Acquisitions
$ in Millions
3 Months Ended
Mar. 31, 2026
USD ($)
Business Combination [Line Items]  
Total Other identifiable intangibles $ 25
Customer relationships  
Business Combination [Line Items]  
Total Other identifiable intangibles 18
Software and related assets  
Business Combination [Line Items]  
Total Other identifiable intangibles 6
Non-compete agreements  
Business Combination [Line Items]  
Total Other identifiable intangibles $ 1
Maximum | Customer relationships  
Business Combination [Line Items]  
Amortization Period 10 years
Maximum | Software and related assets  
Business Combination [Line Items]  
Amortization Period 3 years
Maximum | Non-compete agreements  
Business Combination [Line Items]  
Amortization Period 3 years
v3.26.1
Restructuring - Summary of Amounts Recorded for Restructuring Plans (Detail) - Severance and Related Costs
$ in Millions
3 Months Ended
Mar. 31, 2026
USD ($)
Restructuring Reserve  
Restructuring reserves, beginning balance $ 31
Expense, net of reversals 51
Payments (38)
Foreign currency translation and other (1)
Restructuring reserves, ending balance $ 43
v3.26.1
Income Taxes - Narratives (Detail)
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Income Tax Disclosure [Abstract]    
Effective income tax rate (percent) 18.00% 18.90%
v3.26.1
Accumulated Other Comprehensive (Loss) Income - Summary of Components of AOCI (Detail)
$ in Millions
3 Months Ended
Mar. 31, 2026
USD ($)
Statement of Other Comprehensive Income  
Beginning balance $ 6,503
Ending balance 6,221
Income Taxes  
Beginning balance 186
Other comprehensive income (loss) before reclassifications (13)
Reclassification adjustments (3)
Ending balance 170
Other comprehensive income (loss) before reclassifications (32)
Reclassification adjustments 7
Foreign Currency Translation  
Statement of Other Comprehensive Income  
Beginning balance (1,126)
Other comprehensive income (loss) before reclassifications (19)
Reclassification adjustments 0
Ending balance (1,145)
Derivative Instruments  
Statement of Other Comprehensive Income  
Beginning balance (43)
Other comprehensive income (loss) before reclassifications 0
Reclassification adjustments 10
Ending balance (33)
Defined Benefit Plans  
Statement of Other Comprehensive Income  
Beginning balance 40
Other comprehensive income (loss) before reclassifications 0
Reclassification adjustments 0
Ending balance 40
Total  
Statement of Other Comprehensive Income  
Beginning balance (943)
Ending balance $ (968)
v3.26.1
Accumulated Other Comprehensive (Loss) Income - Summary of Adjustments for (Gains) Losses Reclassified from AOCI into Condensed Consolidated Statements of Income and Affected Financial Statement Line Item (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Reclassification Adjustment out of Accumulated Other Comprehensive Income    
Total before income taxes $ (10) $ (1)
Income taxes (3) 0
Total net of income taxes (7) (1)
Interest rate swaps | Interest expense    
Reclassification Adjustment out of Accumulated Other Comprehensive Income    
Total before income taxes (2) 1
Foreign exchange forward contracts | Revenues    
Reclassification Adjustment out of Accumulated Other Comprehensive Income    
Total before income taxes $ (8) $ (2)
v3.26.1
Segments - Additional Information (Detail)
3 Months Ended
Mar. 31, 2026
Segment
Segment Reporting [Abstract]  
Number of reportable segments 2
v3.26.1
Segments - Operations by Reportable Segments (Detail) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Segment Reporting Information    
Revenues $ 4,151 $ 3,829
Cost of revenues, exclusive of depreciation and amortization 2,796 2,531
Selling, general and administrative expenses 502 508
Depreciation and amortization (288) (265)
Restructuring costs (51) (29)
Income from operations 514 496
Investment Income, Interest (10) (11)
Interest expense 192 165
Loss on extinguishment of debt 0 4
Other Nonoperating Income (Expense) 4 15
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest 328 323
Commercial Solutions    
Segment Reporting Information    
Revenues 1,754 1,572
Research & Development Solutions    
Segment Reporting Information    
Revenues 2,397 2,257
Operating Segments    
Segment Reporting Information    
Selling, general and administrative expenses 502 467
Segment profit 853 831
Operating Segments | Commercial Solutions    
Segment Reporting Information    
Revenues 1,754 1,572
Cost of revenues, exclusive of depreciation and amortization 1,121 980
Selling, general and administrative expenses 252 237
Segment profit 381 355
Operating Segments | Research & Development Solutions    
Segment Reporting Information    
Revenues 2,397 2,257
Cost of revenues, exclusive of depreciation and amortization 1,675 1,551
Selling, general and administrative expenses 250 230
Segment profit 472 476
Corporate Non-segment    
Segment Reporting Information    
Segment profit $ 0 $ (41)
v3.26.1
Earnings Per Share - Reconciles the Basic to Diluted Weighted Average Shares Outstanding (Detail) - USD ($)
$ / shares in Units, shares in Millions, $ in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Earnings Per Share [Abstract]    
Net income attributable to IQVIA Holdings Inc. $ 274.0 $ 249.0
Denominator:    
Basic weighted average common shares outstanding (in shares) 168.4 175.7
Effect of dilutive stock options and share awards (in shares) 1.4 1.7
Diluted weighted average common shares outstanding (in shares) 169.8 177.4
Earnings per share attributable to common stockholders:    
Basic (in dollars per share) $ 1.63 $ 1.42
Diluted (in dollars per share) $ 1.61 $ 1.40
v3.26.1
Earnings Per Share - Narrative (Details) - shares
shares in Millions
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Earnings Per Share [Abstract]    
Antidilutive securities excluded from computation of earnings per share, amount (in shares) 2.2 2.2