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    SEC Form 10-Q filed by IQVIA Holdings Inc.

    7/22/24 4:26:49 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care
    Get the next $IQV alert in real time by email
    iqv-20240630
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    UNITED STATES
    SECURITIES AND EXCHANGE COMMISSION
    Washington, D.C. 20549
    ______________________________________________________
    FORM 10-Q
    _________________________________________________________
    (Mark One)
    ☒QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the quarterly period ended June 30, 2024
    or
    ☐TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
    For the transition period from            to             .
    Commission File Number: 001-35907
    _________________________________________________________
    IQVIA HOLDINGS INC.
    gzggrtpp0rrl000001.jpg
    (Exact name of registrant as specified in its charter)
    _________________________________________________________
    Delaware27-1341991
    (State or other jurisdiction of
    incorporation or organization)
    (I.R.S. Employer
    Identification Number)
    2400 Ellis Rd., Durham, North Carolina 27703
    (Address of principal executive office and Zip Code)
    (919) 998-2000
    (Registrant’s telephone number, including area code)
    _________________________________________________________
    Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes x    No ¨
    Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes x    No ¨
    Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
    Large accelerated filer
    x
    Accelerated filer
    ☐
    Non-accelerated filer
    ☐
    Smaller reporting company
    ☐
    Emerging growth company
    ☐
    If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.    ¨
    Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes ☐    No x
    Securities registered pursuant to Section 12(b) of the Act:
    Title of Each Class
    Trading Symbol
    Name of Each Exchange on which Registered
    Common Stock, par value $0.01 per share
    IQV
    New York Stock Exchange
    Indicate the number of shares outstanding of each of the issuer’s classes of Common Stock, as of the latest practicable date.
    Class
    Number of Shares Outstanding
    Common Stock $0.01 par value
    182.3 million shares outstanding as of July 16, 2024


    Table of contents
    IQVIA HOLDINGS INC.
    FORM 10-Q
    TABLE OF CONTENTS
    Page
    PART I—FINANCIAL INFORMATION
    3
    Item 1.
    Financial Statements (unaudited)
    3
    Condensed Consolidated Statements of Income for the three and six months ended June 30, 2024 and 2023
    3
    Condensed Consolidated Statements of Comprehensive Income for the three and six months ended June 30, 2024 and 2023
    4
    Condensed Consolidated Balance Sheets as of June 30, 2024 and December 31, 2023
    5
    Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2024 and 2023
    6
    Condensed Consolidated Statements of Stockholders’ Equity for the three and six months ended June 30, 2024 and 2023
    7
    Notes to Condensed Consolidated Financial Statements
    8
    Item 2.
    Management’s Discussion and Analysis of Financial Condition and Results of Operations
    22
    Item 3.
    Quantitative and Qualitative Disclosures About Market Risk
    33
    Item 4.
    Controls and Procedures
    34
    PART II—OTHER INFORMATION
    35
    Item 1.
    Legal Proceedings
    35
    Item 1A.
    Risk Factors
    35
    Item 2.
    Unregistered Sales of Equity Securities and Use of Proceeds
    35
    Item 5.
    Other Information
    36
    Item 6.
    Exhibits
    37
    SIGNATURES
    38

    2

    Table of contents
    PART I—FINANCIAL INFORMATION
    Item 1. Financial Statements
    IQVIA HOLDINGS INC. AND SUBSIDIARIES
    CONDENSED CONSOLIDATED STATEMENTS OF INCOME
    (unaudited)
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions, except per share data)2024202320242023
    Revenues$3,814 $3,728 $7,551 $7,380 
    Cost of revenues, exclusive of depreciation and amortization2,488 2,443 4,932 4,841 
    Selling, general and administrative expenses509 482 1,017 995 
    Depreciation and amortization269 259 533 512 
    Restructuring costs28 20 43 37 
    Income from operations520 524 1,026 995 
    Interest income(12)(4)(23)(10)
    Interest expense163 169 329 310 
    Other income, net(67)(16)(56)(42)
    Income before income taxes and equity in earnings (losses) of unconsolidated affiliates436 375 776 737 
    Income tax expense 75 81 124 152 
    Income before equity in earnings (losses) of unconsolidated affiliates361 294 652 585 
    Equity in earnings (losses) of unconsolidated affiliates2 3 (1)1 
    Net income$363 $297 $651 $586 
    Earnings per share attributable to common stockholders:
    Basic$1.99 $1.61 $3.58 $3.17 
    Diluted$1.97 $1.59 $3.53 $3.12 
    Weighted average common shares outstanding:
    Basic182.2 184.4 182.0 185.1 
    Diluted184.3 186.7 184.3 187.6 
    The accompanying notes are an integral part of these condensed consolidated financial statements.
    3

    Table of contents
    IQVIA HOLDINGS INC. AND SUBSIDIARIES
    CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
    (unaudited)
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Net income$363 $297 $651 $586 
    Comprehensive income adjustments:
    Unrealized gains on derivative instruments, net of income tax expense of $4,$8,$16,$11
    15 22 49 32 
    Defined benefit plan adjustments, net of income tax expense of $—, $—,$—,$—
    — — — 1 
    Foreign currency translation, net of income tax expense (benefit) of $13,$(3),$50,$(32)
    (42)(44)(111)(34)
    Reclassification adjustments:
    Reclassifications on derivative instruments included in net income, net of income tax (expense) of $(4),$(3),$(7),$(11)
    (11)(7)(20)(32)
    Comprehensive income$325 $268 $569 $553 
    The accompanying notes are an integral part of these condensed consolidated financial statements.
    4

    Table of contents
    IQVIA HOLDINGS INC. AND SUBSIDIARIES
    CONDENSED CONSOLIDATED BALANCE SHEETS
    (unaudited)
    (in millions, except per share data)June 30, 2024December 31, 2023
    ASSETS
    Current assets:
    Cash and cash equivalents$1,545 $1,376 
    Trade accounts receivable and unbilled services, net3,255 3,381 
    Prepaid expenses191 141 
    Income taxes receivable41 32 
    Investments in debt, equity and other securities133 120 
    Other current assets and receivables457 546 
    Total current assets5,622 5,596 
    Property and equipment, net503 523 
    Operating lease right-of-use assets265 296 
    Investments in debt, equity and other securities106 105 
    Investments in unconsolidated affiliates181 134 
    Goodwill14,477 14,567 
    Other identifiable intangibles, net4,608 4,839 
    Deferred income taxes158 166 
    Deposits and other assets, net478 455 
    Total assets$26,398 $26,681 
    LIABILITIES AND STOCKHOLDERS’ EQUITY
    Current liabilities:
    Accounts payable and accrued expenses$3,313 $3,564 
    Unearned income1,811 1,799 
    Income taxes payable185 116 
    Current portion of long-term debt1,167 718 
    Other current liabilities144 294 
    Total current liabilities6,620 6,491 
    Long-term debt, less current portion12,091 12,955 
    Deferred income taxes149 202 
    Operating lease liabilities192 223 
    Other liabilities632 698 
    Total liabilities19,684 20,569 
    Commitments and contingencies (Note 8)
    Stockholders’ equity:
    Common stock and additional paid-in capital, 400.0 shares authorized as of June 30, 2024 and December 31, 2023, $0.01 par value, 258.0 shares issued and 182.3 shares outstanding as of June 30, 2024; 257.2 shares issued and 181.5 shares outstanding as of December 31, 2023
    11,061 11,028 
    Retained earnings5,343 4,692 
    Treasury stock, at cost, 75.7 and 75.7 shares as of June 30, 2024 and December 31, 2023, respectively
    (8,741)(8,741)
    Accumulated other comprehensive loss(949)(867)
    Total stockholders’ equity6,714 6,112 
    Total liabilities and stockholders’ equity$26,398 $26,681 
    The accompanying notes are an integral part of these condensed consolidated financial statements.
    5

    Table of contents
    IQVIA HOLDINGS INC. AND SUBSIDIARIES
    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
    (unaudited)
    Six Months Ended June 30,
    (in millions)20242023
    Operating activities:
    Net income$651 $586 
    Adjustments to reconcile net income to cash provided by operating activities:
    Depreciation and amortization533 512 
    Amortization of debt issuance costs and discount11 8 
    Stock-based compensation104 125 
    Losses (earnings) from unconsolidated affiliates1 (1)
    Gain on investments, net(12)(10)
    Benefit from deferred income taxes(80)(70)
    Changes in operating assets and liabilities:
    Change in accounts receivable, unbilled services and unearned income187 (134)
    Change in other operating assets and liabilities(285)(197)
    Net cash provided by operating activities1,110 819 
    Investing activities:
    Acquisition of property, equipment and software(288)(324)
    Acquisition of businesses, net of cash acquired(221)(444)
    Purchases of marketable securities, net— (4)
    Investments in unconsolidated affiliates, net of payments received(49)(13)
    Investments in debt and equity securities(2)(36)
    Proceeds from sale of property, equipment and software25 — 
    Other— 3 
    Net cash used in investing activities(535)(818)
    Financing activities:
    Proceeds from issuance of debt— 1,250 
    Payment of debt issuance costs— (18)
    Repayment of debt and principal payments on finance leases(86)(77)
    Proceeds from revolving credit facility375 1,559 
    Repayment of revolving credit facility(585)(1,784)
    Payments related to employee stock incentive plans(60)(58)
    Repurchase of common stock— (619)
    Contingent consideration and deferred purchase price payments(10)(71)
    Net cash (used in) provided by financing activities(366)182 
    Effect of foreign currency exchange rate changes on cash(40)(17)
    Increase in cash and cash equivalents169 166 
    Cash and cash equivalents at beginning of period1,376 1,216 
    Cash and cash equivalents at end of period$1,545 $1,382 
    The accompanying notes are an integral part of these condensed consolidated financial statements.
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    IQVIA HOLDINGS INC. AND SUBSIDIARIES
    CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
    (unaudited)
    (in millions)Common Stock SharesTreasury Stock SharesCommon StockAdditional Paid-In CapitalRetained EarningsTreasury StockAccumulated Other Comprehensive (Loss) IncomeTotal
    Balance, December 31, 2023257.2 (75.7)$3 $11,025 $4,692 $(8,741)$(867)$6,112 
    Issuance of common stock0.7 — — (61)— — — (61)
    Stock-based compensation— — — 49 — — — 49 
    Net income— — — — 288 — — 288 
    Unrealized gains on derivative instruments, net of tax— — — — — — 34 34 
    Foreign currency translation, net of tax— — — — — — (69)(69)
    Reclassification adjustments, net of tax— — — — — — (9)(9)
    Balance, March 31, 2024257.9 (75.7)$3 $11,013 $4,980 $(8,741)$(911)$6,344 
    Issuance of common stock0.1 — — 1 — — — 1 
    Stock-based compensation— — — 44 — — — 44 
    Net income— — — — 363 — — 363 
    Unrealized gains on derivative instruments, net of tax— — — — — — 15 15 
    Foreign currency translation, net of tax— — — — — — (42)(42)
    Reclassification adjustments, net of tax— — — — — — (11)(11)
    Balance, June 30, 2024258.0 (75.7)$3 $11,058 $5,343 $(8,741)$(949)$6,714 

    (in millions)Common Stock SharesTreasury Stock SharesCommon StockAdditional Paid-In CapitalRetained EarningsTreasury StockAccumulated Other Comprehensive (Loss) IncomeTotal
    Balance, December 31, 2022256.4 (70.7)$3 $10,895 $3,334 $(7,740)$(727)$5,765 
    Issuance of common stock0.5 — — (58)— — — (58)
    Repurchase of common stock— (0.7)— — — (129)— (129)
    Stock-based compensation— — — 69 — — — 69 
    Net income— — — — 289 — — 289 
    Unrealized gains on derivative instruments, net of tax— — — — — — 10 10 
    Defined benefit plan adjustments, net of tax— — — — — — 1 1 
    Foreign currency translation, net of tax— — — — — — 10 10 
    Reclassification adjustments, net of tax— — — — — — (25)(25)
    Balance, March 31, 2023256.9 (71.4)$3 $10,906 $3,623 $(7,869)$(731)$5,932 
    Issuance of common stock0.1 — — — — — — — 
    Repurchase of common stock, net of tax— (2.5)— — — (495)— (495)
    Stock-based compensation— — — 43 — — — 43 
    Net income— — — — 297 — — 297 
    Unrealized gains on derivative instruments, net of tax— — — — — — 22 22 
    Foreign currency translation, net of tax— — — — — — (44)(44)
    Reclassification adjustments, net of tax— — — — — — (7)(7)
    Balance, June 30, 2023257.0 (73.9)$3 $10,949 $3,920 $(8,364)$(760)$5,748 
    The accompanying notes are an integral part of these condensed consolidated financial statements.
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    IQVIA HOLDINGS INC. AND SUBSIDIARIES
    Notes to Condensed Consolidated Financial Statements
    (unaudited)
    1. Summary of Significant Accounting Policies
    The Company
    IQVIA Holdings Inc. (together with its subsidiaries, the “Company” or “IQVIA”) is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. With approximately 88,000 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, 2024. 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, 2023. The balance sheet as of December 31, 2023 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 June 30, 2024
    In November 2023, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, to improve reportable segment disclosure requirements. The new guidance requires disclosure of significant segment expenses that are regularly provided to the chief operating decision maker and included in the reported measure of segment profit or loss. It does not change the definition of a segment or the guidance for determining reportable segments. The new guidance is effective for the Company in the annual period beginning January 1, 2024 and in 2025 for interim periods. Adoption of this ASU will result in additional disclosure, but it will not impact the Company’s consolidated financial position, results of operations or cash flows.
    In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, to enhance the transparency and decision usefulness of income tax disclosures. The amendments in this ASU require additional disclosures about income taxes, primarily focused on the disclosure of income taxes paid and the rate reconciliation table. The new guidance will be effective for the Company in the annual period beginning January 1, 2025. The Company is assessing the impacts of this ASU on its disclosures within the consolidated financial statements.
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    2. 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 and six months ended June 30, 2024 and 2023:
    Three Months Ended June 30, 2024
    (in millions)Technology & Analytics SolutionsResearch & Development SolutionsContract Sales & Medical SolutionsTotal
    Revenues:
    Americas$783 $1,014 $66 $1,863 
    Europe and Africa569 557 52 1,178 
    Asia-Pacific143 576 54 773 
    Total revenues$1,495 $2,147 $172 $3,814 
    Three Months Ended June 30, 2023
    (in millions)Technology & Analytics SolutionsResearch & Development SolutionsContract Sales & Medical SolutionsTotal
    Revenues:
    Americas$772 $979 $70 $1,821 
    Europe and Africa531 536 49 1,116 
    Asia-Pacific153 581 57 791 
    Total revenues$1,456 $2,096 $176 $3,728 
    Six Months Ended June 30, 2024
    (in millions)Technology & Analytics SolutionsResearch & Development SolutionsContract Sales & Medical SolutionsTotal
    Revenues:
    Americas$1,526 $2,000 $139 $3,665 
    Europe and Africa1,131 1,092 112 2,335 
    Asia-Pacific291 1,150 110 1,551 
    Total revenues$2,948 $4,242 $361 $7,551 
    Six Months Ended June 30, 2023
    (in millions)Technology & Analytics SolutionsResearch & Development SolutionsContract Sales & Medical SolutionsTotal
    Revenues:
    Americas$1,507 $1,965 $150 $3,622 
    Europe and Africa1,087 1,027 96 2,210 
    Asia-Pacific306 1,130 112 1,548 
    Total revenues$2,900 $4,122 $358 $7,380 
    No individual customer represented 10% or more of consolidated revenues for the three and six months ended June 30, 2024 or 2023.
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    Transaction Price Allocated to the Remaining Performance Obligations
    As of June 30, 2024, approximately $32.8 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 80% 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.
    3. Trade Accounts Receivable, Unbilled Services and Unearned Income
    Trade accounts receivables and unbilled services consist of the following:
    (in millions)June 30, 2024December 31, 2023
    Trade accounts receivable$1,357 $1,473 
    Unbilled services1,938 1,942 
    Trade accounts receivable and unbilled services3,295 3,415 
    Allowance for doubtful accounts(40)(34)
    Trade accounts receivable and unbilled services, net$3,255 $3,381 
    Unbilled services and unearned income were as follows:
    (in millions)June 30, 2024December 31, 2023
    Change
    Unbilled services$1,938 $1,942 $(4)
    Unearned income(1,811)(1,799)(12)
    Net balance$127 $143 $(16)
    Unbilled services, which is comprised of approximately 69% and 68% of unbilled receivables and 31% and 32% of contract assets as of June 30, 2024 and December 31, 2023, respectively, decreased by $4 million as compared to December 31, 2023. 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 $12 million over the same period resulting in a decrease of $16 million in the net balance of unbilled services and unearned income between June 30, 2024 and December 31, 2023. 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, 2024.
    Bad debt expense recognized on the Company’s trade accounts receivable was immaterial for the three and six months ended June 30, 2024 and 2023.
    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 six months ended June 30, 2024, through its accounts receivable factoring arrangements that the Company utilizes most frequently, the Company factored approximately $380 million of customer invoices on a non-recourse basis and received approximately $370 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.
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    4. Goodwill
    The following is a summary of goodwill by reportable segment for the six months ended June 30, 2024:
    (in millions)Technology & Analytics SolutionsResearch & Development SolutionsContract Sales & Medical SolutionsConsolidated
    Balance as of December 31, 2023$11,976 $2,439 $152 $14,567 
    Business combinations147 — — 147 
    Impact of foreign currency fluctuations and other(223)(8)(6)(237)
    Balance as of June 30, 2024$11,900 $2,431 $146 $14,477 
    5. 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 ClassificationJune 30, 2024December 31, 2023
    AssetsLiabilitiesNotionalAssetsLiabilitiesNotional
    Derivatives designated as hedging instruments:
    Interest rate swapsOther current assets, other assets and other current liabilities$9 $9 $2,493 $13 $51 $3,300 
    Cross-currency swaps Other current liabilities — 1 2,743 — 108 2,750 
    Foreign exchange forward contractsOther current assets and other current liabilities2 — 118 2 — 121 
    Total derivatives$11 $10 $15 $159 
    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 June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Interest rate swaps$2 $18 $38 $(5)
    Foreign exchange forward contracts2 2 — 5 
    Total$4 $20 $38 $— 
    The Company expects approximately $33 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 June 30, 2024 to be reclassified into earnings within the next twelve months. For the three and six months ended June 30, 2024 and 2023, the total amount, net of income taxes, of the cash flow hedge effect on the accompanying condensed consolidated financial statements of income was $11 million and $7 million, and $20 million and $32 million, respectively.
    As of June 30, 2024, the Company's cross-currency swaps were designated as a hedge of its net investment in certain foreign subsidiaries. For the six months ended June 30, 2024, the Company recorded a gain of $107 million within AOCI as a result of these cross-currency swaps. The Company recognized approximately $9 million and $18 million related to the excluded component as a reduction of interest expense for the three and six months ended June 30, 2024, respectively.
    As of June 30, 2024, 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 €2,688 million ($2,881 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 six months ended June 30, 2024 and 2023 was $88 million and $(92) million, respectively.
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    6. 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 June 30, 2024 and December 31, 2023 due to their short-term nature. As of June 30, 2024 and December 31, 2023, the fair value of total debt was $13,111 million and $13,597 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 June 30, 2024:
    (in millions)Level 1Level 2Level 3Total
    Assets:
    Marketable securities$156 $— $— $156 
    Derivatives— 11 — 11 
    Total$156 $11 $— $167 
    Liabilities:
    Derivatives$— $10 $— $10 
    Contingent consideration— — 65 65 
    Total$— $10 $65 $75 
    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, 2023:
    (in millions)Level 1Level 2Level 3Total
    Assets:
    Marketable securities$146 $— $— $146 
    Derivatives— 15 — 15 
    Total$146 $15 $— $161 
    Liabilities:
    Derivatives$— $159 $— $159 
    Contingent consideration— — 106 106 
    Total$— $159 $106 $265 
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    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 June 30, 2024, the Company has accrued approximately 22% 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 six months ended June 30, 2024:
    (in millions)Contingent Consideration
    Balance as of December 31, 2023$106 
    Business combinations28 
    Contingent consideration paid(9)
    Revaluations included in earnings and foreign currency translation adjustments(60)
    Balance as of June 30, 2024$65 
    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 income, 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 June 30, 2024, assets carried on the balance sheet and not remeasured to fair value on a recurring basis totaled $19,349 million and were identified as Level 3. These assets are comprised of debt investments and cost and equity method investments of $264 million, goodwill of $14,477 million and other identifiable intangibles, net of $4,608 million.
    7. Credit Arrangements
    The following is a summary of the Company’s revolving credit facilities as of June 30, 2024:
    Facility
    Interest Rates
    $2,000 million (revolving credit facility)
    U.S. Dollar Term SOFR plus a margin of 1.25% plus a 10 basis credit spread adjustment as of June 30, 2024
    $110 million (receivables financing facility)
    U.S. Dollar Term SOFR plus a margin of 0.90% plus a 11 basis credit spread adjustment as of June 30, 2024
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    The following table summarizes the Company’s debt at the dates indicated:
    (dollars in millions)June 30, 2024December 31, 2023
    Revolving Credit Facility due 2026:
    U.S. Dollar denominated borrowings—U.S. Dollar Term SOFR at average floating rates of —%
    $— $100 
    Senior Secured Credit Facilities:
    Term A Loan due 2026—U.S. Dollar Term SOFR at average floating rates of 6.69%
    1,234 1,270 
    Term A Loan due 2026—Euribor at average floating rates of 4.97%
    289 306 
    Term A Loan due 2027—U.S. Dollar Term SOFR at average floating rates of 6.69%
    1,125 1,156 
    Term B Loan due 2025—Euribor at average floating rates of 5.72%
    559 576 
    Term B Loan due 2031—U.S. Dollar Term SOFR at average floating rates of 7.34%
    1,493 1,500 
    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 
    2.875% Senior Notes due 2025—Euro denominated
    450 464 
    2.25% Senior Notes due 2028—Euro denominated
    772 795 
    2.875% Senior Notes due 2028—Euro denominated
    762 785 
    1.750% Senior Notes due 2026—Euro denominated
    589 607 
    2.250% Senior Notes due 2029—Euro denominated
    965 993 
    Receivables financing facility due 2024—U.S. Dollar Term SOFR at average floating rates of 6.34%:
    Revolving Loan Commitment— 110 
    Term Loan440 440 
    Principal amount of debt13,328 13,752 
    Less: unamortized discount and debt issuance costs(70)(79)
    Less: current portion(1,167)(718)
    Long-term debt$12,091 $12,955 
    Contractual maturities of long-term debt as of June 30, 2024 are as follows:
    (in millions)
    Remainder of 2024$524 
    20251,176 
    20263,105 
    20272,084 
    20282,299 
    Thereafter4,140 
    $13,328 
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    Senior Secured Credit Facilities
    As of June 30, 2024, the Company’s Fifth Amended and Restated Credit Agreement provided financing through several senior secured credit facilities of up to $6,695 million, which consisted of $4,700 million principal amounts of debt outstanding (as detailed in the table above), and $1,995 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 $1,175 million senior secured revolving facility available in U.S. dollars, a $600 million senior secured revolving facility available in U.S. dollars, Euros, Swiss Francs and other foreign currencies, and a $225 million senior secured revolving facility available in U.S. dollars and Yen.
    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 June 30, 2024, the Company was in compliance in all material respects with the financial covenants under the Company’s financing arrangements.
    8. 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. The following is a summary of certain legal matters involving the Company.
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    On February 13, 2014, a group of approximately 1,200 medical doctors and 900 private individuals filed a civil lawsuit with the Seoul Central District Court against IMS Korea and two other defendants, the Korean Pharmaceutical Association (“KPA”) and the Korean Pharmaceutical Information Center (“KPIC”). The civil lawsuit alleges KPA and KPIC collected their personal information in violation of applicable privacy laws without the necessary consent through a software system installed on pharmacy computer systems in Korea, and that personal information was transferred to IMS Korea and sold to pharmaceutical companies. On September 11, 2017, the District Court issued a final decision that the encryption in use by the defendants since June 2014 was adequate to meet the requirements of the Korean Personal Information Protection Act (“PIPA”) and the sharing of non-identified information for market research purposes was allowed under PIPA. The District Court also found an earlier version of encryption was insufficient to meet PIPA requirements, but no personal data had been leaked or re-identified. The District Court did not award any damages to plaintiffs. Approximately 280 medical doctors and 200 private individuals appealed the District Court decision. On May 3, 2019, the Appellate Court issued a final decision in which it concluded all of the non-identified information transferred by KPIC to IMS Korea for market research purposes violated PIPA, but did not award any damages to plaintiffs (affirming the District Court’s decision on this latter point). On May 24, 2019, approximately 247 plaintiffs appealed the Appellate Court’s decision to the Supreme Court. On July 11, 2024, the Supreme Court dismissed plaintiffs’ appeal. The Supreme Court's decision in favor of IMS Korea is final and conclusive.
    On July 23, 2015, indictments were issued by the Seoul Central District Prosecutors’ Office in South Korea against 24 individuals and companies alleging improper handling of sensitive health information in violation of, among others, South Korea’s PIPA. IMS Korea and two of its employees were among the individuals and organizations indicted. Although there is no assertion that IMS Korea used patient identified health information in any of its offerings, prosecutors allege that certain of IMS Korea’s data suppliers should have obtained patient consent when they converted sensitive patient information into non-identified data and that IMS Korea had not taken adequate precautions to reduce the risk of re-identification. On February 14, 2020, the Seoul Central District Court acquitted IMS Korea and its two employees of the charges of improper handling of sensitive health information, and the Prosecutor's Office appealed. On December 23, 2021, the appellate court affirmed the judgment of the Seoul Central District Court. The Prosecutor's Office appealed to the Supreme Court. On July 11, 2024, the Supreme Court dismissed the appeal by the Prosecutor’s Office. The Supreme Court's decision in favor of IMS Korea is final and conclusive.
    On January 10, 2017, Quintiles IMS Health Incorporated and IMS Software Services Ltd. (collectively “IQVIA Parties”), filed a lawsuit in the U.S. District Court for the District of New Jersey against Veeva Systems, Inc. (“Veeva”) alleging Veeva unlawfully used IQVIA Parties intellectual property to improve Veeva data offerings, to promote and market Veeva data offerings and to improve Veeva technology offerings. IQVIA Parties seek injunctive relief, appointment of a monitor, the award of compensatory and punitive damages and reimbursement of all litigation expenses, including reasonable attorneys’ fees and costs. On March 13, 2017, Veeva filed counterclaims alleging anticompetitive business practices in violation of the Sherman Act and state laws. Veeva claims damages in excess of $200 million, and is seeking punitive damages and litigation costs, including attorneys’ fees. The Company believes the counterclaims are without merit, rejects all counterclaims raised by Veeva and intends to vigorously defend IQVIA Parties’ position and pursue its claims against Veeva. Since the initial filings, the parties have filed additional litigations against each other, primarily concerning the use of IQVIA data with various other Veeva products. Trial has been scheduled for early 2025.
    On May 7, 2021, the Court issued an order and opinion (the “Order”) in which it found significant evidence that Veeva had (1) misappropriated IQVIA data and unlawfully used it to improve Veeva data offerings, (2) engaged in a cover-up by deleting significant evidence of its theft of IQVIA’s trade secrets, and (3) improperly withheld certain evidence under privilege in furtherance of a crime and/or fraud against IQVIA. The Court imposed five sanctions against Veeva, including ordering three separate adverse inference instructions be issued to the jury and that IQVIA be permitted to present evidence to the jury of Veeva’s destruction efforts. Veeva appealed the Order. On March 30, 2024, the Court denied Veeva’s appeal with regard to its rejected privilege claims, while reserving ruling on the appropriate sanctions to be imposed for a later time.
    9. 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 June 30, 2024 or December 31, 2023.
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    Equity Repurchase Program
    As of June 30, 2024, the total stock repurchase authorization under the Company's equity repurchase program (the "Repurchase Program") was $11,725 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 six months ended June 30, 2024, the Company did not repurchase any shares of its common stock under the Repurchase Program. As of June 30, 2024, the Company had remaining authorization to repurchase up to $2,363 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.
    10. Business Combinations
    The Company completed several individually immaterial acquisitions during the six months ended June 30, 2024. 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)June 30, 2024
    Assets acquired:
    Cash and cash equivalents$15 
    Accounts receivable 63 
    Other assets47 
    Goodwill147 
    Other identifiable intangibles106 
    Liabilities assumed:
    Other liabilities(98)
    Deferred income taxes, long-term(14)
    Net assets acquired (1)
    $266 
    (1) Net assets acquired includes contingent consideration and deferred purchase price of $30 million.
    The portion of goodwill deductible for income tax purposes was preliminarily assessed as $88 million.
    The following table provides a summary of the preliminary estimated fair value of certain intangible assets acquired:
    (in millions)Amortization PeriodJune 30, 2024
    Other identifiable intangibles:
    Customer relationships10-13years$82 
    Software and related assets5years14 
    Non-compete agreements3-5years6 
    Backlog1year4 
    Total Other identifiable intangibles$106 
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    11. Restructuring
    The Company has continued to take restructuring actions in 2024 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 2024 and into 2025.
    The following amounts were recorded for the restructuring plans:
    (in millions)Severance and Related Costs
    Balance as of December 31, 2023$36 
    Expense, net of reversals43 
    Payments(36)
    Foreign currency translation and other(1)
    Balance as of June 30, 2024$42 
    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 June 30, 2024 will be paid in 2024 and 2025.
    12. Income Taxes
    The Company's effective income tax rate was 17.2% and 21.6% in the second quarter of 2024 and 2023, and 16.0% and 20.6% in the first six months of 2024 and 2023, respectively. The effective income tax rate in the second quarter and in the first six months of 2024 was favorably impacted compared to the second quarter and first six months of 2023 due to changes in the geographical mix of earnings amongst the United States and foreign tax jurisdictions. The effective income tax rate in the second quarter and in the first six months of 2024 and 2023 was also favorably impacted as a result of excess tax benefits recognized upon settlement of share-based compensation awards. For the second quarter of 2024 and 2023 this impact was $3 million and $2 million, respectively, and for the first six months of 2024 and 2023 this impact was $12 million and $10 million, respectively.
    Numerous foreign jurisdictions have agreed to implement the Organization for Economic Co-operation and Development’s (“OECD”) Pillar 2 global corporate minimum tax rate of 15% on companies with revenues of at least €750 million, which went into effect in 2024. The Company has evaluated the effect of this for the second quarter of 2024 and does not expect any material impacts for 2024. The Company will continue to monitor as additional jurisdictions enact Pillar 2 legislation.
    13. Accumulated Other Comprehensive (Loss) Income
    Below is a summary of the components of AOCI:
    (in millions)Foreign Currency TranslationDerivative InstrumentsDefined Benefit PlansIncome TaxesTotal
    Balance as of December 31, 2023$(969)$(34)$3 $133 $(867)
    Other comprehensive (loss) income before reclassifications(61)65 — (66)(62)
    Reclassification adjustments— (27)— 7 (20)
    Balance as of June 30, 2024$(1,030)$4 $3 $74 $(949)
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    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 June 30,Six Months Ended June 30,
    2024202320242023
    Derivative instruments:
    Interest rate swapsInterest expense$15 $2 $30 $18 
    Foreign exchange forward contractsRevenues— 8 (3)25 
    Total before income taxes15 10 27 43 
    Income taxes4 3 7 11 
    Total net of income taxes$11 $7 $20 $32 
    14. Segments
    The following table presents the Company’s operations by reportable segment. The Company is managed through three reportable segments, Technology & Analytics Solutions, Research & Development Solutions and Contract Sales & Medical Solutions. Technology & Analytics Solutions provides mission critical information, technology solutions and real world insights and services to the Company's life science clients. Research & Development Solutions, which primarily serves biopharmaceutical customers, provides outsourced clinical research and clinical trial related services. Contract Sales & Medical Solutions provides health care provider (including contract sales) and patient engagement services to both biopharmaceutical clients and the broader healthcare market.
    Certain costs are not allocated to our segments and are reported as general corporate and unallocated expenses. These costs primarily consist of stock-based compensation and expenses related to integration activities and acquisitions. 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 operating decision maker to assess the Company’s performance. The Company’s reportable segment information is presented below:
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    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Revenues
    Technology & Analytics Solutions$1,495 $1,456 $2,948 $2,900 
    Research & Development Solutions2,147 2,096 4,242 4,122 
    Contract Sales & Medical Solutions172 176 361 358 
    Total revenues3,814 3,728 7,551 7,380 
    Cost of revenues, exclusive of depreciation and amortization
    Technology & Analytics Solutions909 876 1,798 1,734 
    Research & Development Solutions1,431 1,417 2,826 2,803 
    Contract Sales & Medical Solutions148 150 308 304 
    Total cost of revenues, exclusive of depreciation and amortization2,488 2,443 4,932 4,841 
    Selling, general and administrative expenses
    Technology & Analytics Solutions225 210 454 435 
    Research & Development Solutions223 211 444 423 
    Contract Sales & Medical Solutions15 14 31 29 
    General corporate and unallocated46 47 88 108 
    Total selling, general and administrative expenses509 482 1,017 995 
    Segment profit
    Technology & Analytics Solutions361 370 696 731 
    Research & Development Solutions493 468 972 896 
    Contract Sales & Medical Solutions9 12 22 25 
    Total segment profit863 850 1,690 1,652 
    General corporate and unallocated(46)(47)(88)(108)
    Depreciation and amortization(269)(259)(533)(512)
    Restructuring costs(28)(20)(43)(37)
    Total income from operations$520 $524 $1,026 $995 
    15. Earnings Per Share
    The following table presents the computation of basic and diluted earnings per share:
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions, except per share data)2024202320242023
    Numerator:
    Net income$363 $297 $651 $586 
    Denominator:
    Basic weighted average common shares outstanding182.2 184.4 182.0 185.1 
    Effect of dilutive stock options and share awards2.1 2.3 2.3 2.5 
    Diluted weighted average common shares outstanding184.3 186.7 184.3 187.6 
    Earnings per share attributable to common stockholders:
    Basic$1.99 $1.61 $3.58 $3.17 
    Diluted$1.97 $1.59 $3.53 $3.12 
    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.
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    For the three and six months ended June 30, 2024 and 2023, 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 1.1 million and 1.2 million, and 1.0 million and 1.1 million, respectively.
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    Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
    Cautionary Statement for Forward-Looking Information
    You should read the following discussion and analysis of our financial condition and results of operations together with our condensed consolidated financial statements and the related notes included elsewhere in this Quarterly Report on Form 10-Q and with our audited consolidated financial statements and the notes thereto included in our Annual Report on Form 10-K for the fiscal year ended December 31, 2023 (our “2023 Form 10-K”).
    In addition to historical condensed consolidated financial information, the following discussion contains or incorporates by reference forward-looking statements within the meaning of the federal securities laws, including Section 27A of the Securities Act of 1933, as amended (“Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), that are not historical facts but reflect, among other things, our current expectations, our forecasts and our anticipated results of operations, all of which are subject to known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements, market trends, or industry results to differ materially from those expressed or implied by such forward-looking statements. Therefore, any statements contained herein that are not statements of historical fact may be forward-looking statements and should be evaluated as such. Without limiting the foregoing, the words “assumes,” “anticipates,” “believes,” “estimates,” “expects,” “intends,” “may,” "forecasts," “plans,” “projects,” “should,” “seeks,” “sees,” “targets,” “will,” “would” and similar words and expressions, and variations and negatives of these words are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. We assume no obligation to update any such forward-looking information to reflect actual results or changes in our outlook or the factors affecting such forward-looking information.
    We caution you that any such forward-looking statements are further qualified by important factors that could cause our actual operating results to differ materially from those in the forward-looking statements, including without limitation, business disruptions caused by natural disasters, pandemics such as the COVID-19 (coronavirus) outbreak, including any variants, and the public health policy responses to the outbreak, and international conflicts or other disruptions outside of our control such as the current situation in Ukraine and Russia; most of our contracts may be terminated on short notice, and we may lose or experience delays with large client contracts or be unable to enter into new contracts; the market for our services may not grow as we expect; we may be unable to successfully develop and market new services or enter new markets; imposition of restrictions on our use of data by data suppliers or their refusal to license data to us; any failure by us to comply with contractual, regulatory or ethical requirements under our contracts, including current or future changes to data protection and privacy laws; breaches or misuse of our or our outsourcing partners’ security or communications systems; failure to meet our productivity or business transformation objectives; failure to successfully invest in growth opportunities; our ability to protect our intellectual property rights and our susceptibility to claims by others that we are infringing on their intellectual property rights; the expiration or inability to acquire third party licenses for technology or intellectual property; any failure by us to accurately and timely price and formulate cost estimates for contracts, or to document change orders; hardware and software failures, delays in the operation of our computer and communications systems or the failure to implement system enhancements; the rate at which our backlog converts to revenues; our ability to acquire, develop and implement technology necessary for our business; consolidation in the industries in which our clients operate; risks related to client or therapeutic concentration; government regulators or our customers may limit the number or scope of indications for medicines and treatments or withdraw products from the market, and government regulators may impose new regulatory requirements or may adopt new regulations affecting the biopharmaceutical industry; the risks associated with operating on a global basis, including currency or exchange rate fluctuations and legal compliance, including anti-corruption laws; risks related to changes in accounting standards; general economic conditions in the markets in which we operate, including financial market conditions, inflation and risks related to sales to government entities; the impact of changes in tax laws and regulations; and our ability to successfully integrate, and achieve expected benefits from, our acquired businesses. For a further discussion of the risks relating to our business, see Part I—Item 1A—“Risk Factors” in our 2023 Form 10-K, as updated in our subsequently filed Quarterly Reports on Form 10-Q.
    Overview
    IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. IQVIA creates intelligent connections across all aspects of healthcare through its analytics, transformative technology, big data resources, extensive domain expertise and network of partners. IQVIA Connected Intelligence delivers actionable insights and powerful solutions with speed and agility — enabling customers to accelerate the clinical development and commercialization of innovative medical treatments that improve healthcare outcomes for patients. With approximately 88,000 employees, we conduct operations in more than 100 countries.
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    We are a global leader in protecting individual patient privacy. We use a wide variety of privacy-enhancing technologies and safeguards to protect individual privacy while generating and analyzing information on a scale that helps healthcare stakeholders identify disease patterns and correlate with the precise treatment path and therapy needed for better outcomes. Our insights and execution capabilities help biotech, medical device and pharmaceutical companies, medical researchers, government agencies, payers and other healthcare stakeholders tap into a deeper understanding of diseases, human behaviors and scientific advances, in an effort to advance their path toward cures.
    We are managed through three reportable segments: Technology & Analytics Solutions, Research & Development Solutions and Contract Sales & Medical Solutions. Technology & Analytics Solutions provides mission critical information, technology solutions and real world insights and services to our life science clients. Research & Development Solutions, which primarily serves biopharmaceutical customers, provides outsourced clinical research and clinical trial related services. Contract Sales & Medical Solutions provides health care provider (including contract sales) and patient engagement services to both biopharmaceutical clients and the broader healthcare market.
    Sources of Revenue
    Total revenues are comprised of revenues from the provision of our services. We do not have any material product revenues.
    Costs and Expenses
    Our costs and expenses are comprised primarily of our cost of revenues including reimbursed expenses and selling, general and administrative expenses. Cost of revenues includes compensation and benefits for billable employees and personnel involved in production, trial monitoring, data management and delivery, and the costs of acquiring and processing data for our information offerings; costs of staff directly involved with delivering technology-related services offerings and engagements, related accommodations and the costs of data purchased specifically for technology services engagements; and other expenses directly related to service contracts such as courier fees, laboratory supplies, professional services and travel expenses. Reimbursed expenses, which are included in cost of revenues, are comprised principally of payments to investigators who oversee clinical trials and travel expenses for our clinical monitors and sales representatives. Selling, general and administrative expenses include costs related to sales, marketing and administrative functions (including human resources, legal, finance, quality assurance, compliance and general management) for compensation and benefits, travel, professional services, training and expenses for information technology and facilities. We also incur costs and expenses associated with depreciation and amortization.
    Foreign Currency Translation
    In the first six months of 2024, approximately 30% of our revenues were denominated in currencies other than the United States dollar, which represents approximately 60 currencies. Because a large portion of our revenues and expenses are denominated in foreign currencies and our financial statements are reported in United States dollars, changes in foreign currency exchange rates can significantly affect our results of operations. The revenues and expenses of our foreign operations are generally denominated in local currencies and translated into United States dollars for financial reporting purposes. Accordingly, exchange rate fluctuations will affect the translation of foreign results into United States dollars for purposes of reporting our condensed consolidated results. As a result, we believe that reporting results of operations that exclude the effects of foreign currency rate fluctuations on certain financial results can facilitate analysis of period to period comparisons. This constant currency information assumes the same foreign currency exchange rates that were in effect for the comparable prior-year period were used in translation of the current period results. As such, the differences noted below between reported results of operations and constant currency information is wholly attributable to the effects of foreign currency rate fluctuations.
    Consolidated Results of Operations
    For information regarding our results of operations for Technology & Analytics Solutions, Research & Development Solutions and Contract Sales & Medical Solutions, refer to “Segment Results of Operations” later in this section.
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    Revenues
    Three Months Ended June 30,
    Change
    (in millions)
    20242023
    $
    %
    Revenues$3,814 $3,728 $86 2.3 %
    For the second quarter of 2024, our revenues increased $86 million, or 2.3%, as compared to the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $130 million, or 3.5%, reflecting a $56 million increase in Technology & Analytics Solutions, a $69 million increase in Research & Development Solutions, and a $5 million increase in Contract Sales & Medical Solutions.
    Six Months Ended June 30,
    Change
    (in millions)
    20242023
    $
    %
    Revenues$7,551 $7,380 $171 2.3 %
    For the first six months of 2024, our revenues increased $171 million, or 2.3%, as compared to the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $235 million, or 3.2%, reflecting a $70 million increase in Technology & Analytics Solutions, a $147 million increase in Research & Development Solutions, and a $18 million increase in Contract Sales & Medical Solutions.
    Cost of Revenues, exclusive of Depreciation and Amortization
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Cost of revenues, exclusive of depreciation and amortization$2,488 $2,443 $4,932 $4,841 
    % of revenues65.2 %65.5 %65.3 %65.6 %
    The $45 million increase in cost of revenues, exclusive of depreciation and amortization, for the three months ended June 30, 2024 as compared to the same period in 2023 included a constant currency increase of approximately $156 million, or 6.4%, reflecting a $41 million increase in Technology & Analytics Solutions, a $110 million increase in Research & Development Solutions, and a $5 million increase in Contract Sales & Medical Solutions.
    The $91 million increase in cost of revenues, exclusive of depreciation and amortization, for the six months ended June 30, 2024 as compared to the same period in 2023 included a constant currency increase of approximately $324 million, or 6.7%, reflecting a $84 million increase in Technology & Analytics Solutions, a $223 million increase in Research & Development Solutions, and a $17 million increase in Contract Sales & Medical Solutions.
    Selling, General and Administrative Expenses
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)
    2024202320242023
    Selling, general and administrative expenses$509 $482 $1,017 $995 
    % of revenues
    13.3 %12.9 %13.5 %13.5 %
    The $27 million increase in selling, general and administrative expenses for the three months ended June 30, 2024 as compared to the same period in 2023 included a constant currency increase of approximately $45 million, or 9.3%, reflecting a $23 million increase in Technology & Analytics Solutions, a $16 million increase in Research & Development Solutions, a $1 million increase in Contract Sales & Medical Solutions, and a $5 million increase in general corporate and unallocated expenses.
    The $22 million increase in selling, general and administrative expenses for the six months ended June 30, 2024 as compared to the same period in 2023 included a constant currency increase of approximately $45 million, or 4.5%, reflecting a $29 million increase in Technology & Analytics Solutions, a $28 million increase in Research & Development Solutions, and a $2 million increase in Contract Sales & Medical Solutions, offset by a $14 million decrease in general corporate and unallocated expenses.
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    Depreciation and Amortization
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Depreciation and amortization$269 $259 $533 $512 
    % of revenues
    7.1 %6.9 %7.1 %6.9 %
    The $10 million and $21 million increase in depreciation and amortization for the three and six months ended June 30, 2024 compared to the same periods in 2023 was primarily the result of an increase in amortization of capitalized software and of intangible assets from acquisitions occurring in 2023 and 2024.
    Restructuring Costs
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Restructuring costs$28 $20 $43 $37 
    The restructuring costs incurred during 2024 and 2023 were due to ongoing efforts to streamline our global operations and reduce overcapacity to adapt to changing market conditions and integrate acquisitions. These restructuring actions are expected to occur throughout 2024 and into 2025 and are expected to consist of consolidating functional activities, eliminating redundant positions and aligning resources with customer requirements.
    Interest Income and Interest Expense
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Interest income$(12)$(4)$(23)$(10)
    Interest expense$163 $169 $329 $310 
    Interest income includes interest received primarily from bank balances and investments. The increase for the three and six months ended June 30, 2024 as compared to the same period in 2023 is primarily a result of higher deposit rates.
    Interest expense during the three months ended June 30, 2024 decreased compared to the same period in 2023 primarily due to lower debt balances. For the six months ended June 30, 2024, interest expense increased as a result of higher base rate interest costs across the floating rate debt portfolio.
    Other Income, Net
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Other income, net$(67)$(16)$(56)$(42)
    Other income, net for the three months ended June 30, 2024 increased compared to the same period in 2023 primarily due to revaluations of contingent consideration arrangements and to a lesser extent from foreign currency gain on transactions.
    Other income, net for the six months ended June 30, 2024 increased compared to the same period in 2023 primarily due to revaluations of contingent consideration arrangements.
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    Income Tax Expense
    Three Months Ended June 30,Six Months Ended June 30,
    (in millions)2024202320242023
    Income tax expense $75 $81 $124 $152 
    Our effective income tax rate was 17.2% and 21.6% in the second quarter of 2024 and 2023, and 16.0% and 20.6% in the first six months of 2024 and 2023, respectively. Our effective income tax rate in the second quarter and in the first six months of 2024 was favorably impacted compared to the second quarter and first six months of 2023 due to changes in the geographical mix of earnings amongst the United States and foreign tax jurisdictions. Our effective income tax rate in the second quarter and in the first six months of 2024 and 2023 was also favorably impacted as a result of excess tax benefits recognized upon settlement of share-based compensation awards. For the second quarter of 2024 and 2023 this impact was $3 million and $2 million, respectively, and for the first six months of 2024 and 2023 this impact was $12 million and $10 million, respectively.
    Numerous foreign jurisdictions have agreed to implement the OECD's Pillar 2 global corporate minimum tax rate of 15% on companies with revenues of at least €750 million, which went into effect in 2024. We have evaluated the effect of this for the second quarter of 2024 and do not expect any material impacts for 2024. We will continue to monitor as additional jurisdictions enact Pillar 2 legislation.
    Segment Results of Operations
    Revenues and profit by segment are as follows:
    Three Months Ended June 30, 2024 and 2023
    Segment RevenuesSegment Profit
    (in millions)2024202320242023
    Technology & Analytics Solutions$1,495 $1,456 $361 $370 
    Research & Development Solutions2,147 2,096 493 468 
    Contract Sales & Medical Solutions172 176 9 12 
    Total3,814 3,728 863 850 
    General corporate and unallocated(46)(47)
    Depreciation and amortization(269)(259)
    Restructuring costs(28)(20)
    Consolidated$3,814 $3,728 $520 $524 
    Six Months Ended June 30, 2024 and 2023
    Segment RevenuesSegment Profit
    (in millions)2024202320242023
    Technology & Analytics Solutions$2,948 $2,900 $696 $731 
    Research & Development Solutions4,242 4,122 972 896 
    Contract Sales & Medical Solutions361 358 22 25 
    Total7,551 7,380 1,690 1,652 
    General corporate and unallocated(88)(108)
    Depreciation and amortization(533)(512)
    Restructuring costs(43)(37)
    Consolidated$7,551 $7,380 $1,026 $995 
    Certain costs are not allocated to our segments and are reported as general corporate and unallocated expenses. These costs primarily consist of stock-based compensation and expenses related to integration activities and acquisitions. We also do not allocate restructuring costs, depreciation and amortization, or impairment charges, if any, to our segments.
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    Technology & Analytics Solutions
    Three Months Ended June 30,Change
    (in millions)20242023$%
    Revenues$1,495 $1,456 $39 2.7 %
    Cost of revenues, exclusive of depreciation and amortization909 876 33 3.8 
    Selling, general and administrative expenses225 210 15 7.1 
    Segment profit$361 $370 $(9)(2.4)%
    Six Months Ended June 30,Change
    (in millions)20242023$%
    Revenues$2,948 $2,900 $48 1.7 %
    Cost of revenues, exclusive of depreciation and amortization1,798 1,734 64 3.7 
    Selling, general and administrative expenses454 435 19 4.4 
    Segment profit$696 $731 $(35)(4.8)%
    Revenues
    Technology & Analytics Solutions’ revenues were $1,495 million for the second quarter of 2024, an increase of $39 million, or 2.7%, over the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $56 million, or 3.8%, reflecting revenue growth primarily in the Europe and Africa region and to a lesser extent in the Americas region.
    Technology & Analytics Solutions’ revenues were $2,948 million for the first six months of 2024, an increase of $48 million, or 1.7%, over the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $70 million, or 2.4%, reflecting revenue growth primarily in the Europe and Africa region and to a lesser extent in the Americas region.
    The constant currency revenue growth for the three and six months ended June 30, 2024 was primarily driven by an increase in information and technology services and to a lesser extent by real world services. The constant currency revenue growth for the six months ended June 30, 2024 was impacted by a decrease in COVID-19 related work.
    Cost of Revenues, exclusive of Depreciation and Amortization
    Technology & Analytics Solutions’ cost of revenues, exclusive of depreciation and amortization, increased $33 million, or 3.8%, in the second quarter of 2024 over the same period in 2023. This increase included a constant currency increase of approximately $41 million, or 4.7%.
    Technology & Analytics Solutions’ cost of revenues, exclusive of depreciation and amortization, increased $64 million, or 3.7%, in the first six months of 2024 over the same period in 2023. This increase included a constant currency increase of approximately $84 million, or 4.8%.
    The constant currency increase for the three and six months ended June 30, 2024 was mainly related to an increase in costs of acquiring and processing data to support revenue growth.
    Selling, General and Administrative Expenses
    Technology & Analytics Solutions’ selling, general and administrative expenses increased $15 million, or 7.1%, in the second quarter of 2024 as compared to the same period in 2023, which included a constant currency increase of approximately $23 million, or 11.0%.
    Technology & Analytics Solutions’ selling, general and administrative expenses increased $19 million, or 4.4%, in the first six months of 2024 as compared to the same period in 2023, which included a constant currency increase of approximately $29 million, or 6.7%.
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    The constant currency increase for the three and six months ended June 30, 2024 was primarily related to an increase in compensation and related expenses.
    Research & Development Solutions
    Three Months Ended June 30,Change
    (in millions)
    20242023
    $
    %
    Revenues$2,147 $2,096 $51 2.4 %
    Cost of revenues, exclusive of depreciation and amortization1,431 1,417 14 1.0 
    Selling, general and administrative expenses223 211 12 5.7 
    Segment profit$493 $468 $25 5.3 %
    Six Months Ended June 30,Change
    (in millions)
    20242023
    $
    %
    Revenues$4,242 $4,122 $120 2.9 %
    Cost of revenues, exclusive of depreciation and amortization2,826 2,803 23 0.8 
    Selling, general and administrative expenses444 423 21 5.0 
    Segment profit$972 $896 $76 8.5 %
    Backlog
    Research & Development Solutions’ contracted backlog increased from $29.7 billion as of December 31, 2023 to $30.6 billion as of June 30, 2024, and we expect approximately $7.8 billion of this backlog to convert to revenues in the next twelve months.
    Revenues
    Research & Development Solutions’ revenues were $2,147 million for the second quarter of 2024, an increase of $51 million, or 2.4%, over the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $69 million, or 3.3%, reflecting revenue growth primarily in the Americas region and to a lesser extent in the Europe and Africa region.
    Research & Development Solutions’ revenues were $4,242 million in the first six months of 2024, an increase of $120 million, or 2.9%, over the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $147 million, or 3.6%, reflecting revenue growth across all regions.
    The constant currency revenue growth for the three and six months ended June 30, 2024 was primarily the result of volume-related increases in clinical services and to a lesser extent from volume-related increases in lab testing. The constant currency revenue growth was impacted by a decrease in COVID-19 related work.
    Cost of Revenues, exclusive of Depreciation and Amortization
    Research & Development Solutions’ cost of revenues, exclusive of depreciation and amortization, increased $14 million, or 1.0%, in the second quarter of 2024 over the same period in 2023. This increase included a constant currency increase of approximately $110 million, or 7.8%.
    Research & Development Solutions’ cost of revenues, exclusive of depreciation and amortization, increased $23 million, or 0.8%, in the first six months of 2024 over the same period in 2023. This increase included a constant currency increase of approximately $223 million, or 8.0%.
    The constant currency increase for the three and six months ended June 30, 2024 was primarily related to an increase in compensation and related expenses as a result of volume-related increases in clinical services and lab testing.
    28

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    Selling, General and Administrative Expenses
    Research & Development Solutions’ selling, general and administrative expenses increased $12 million, or 5.7%, in the second quarter of 2024 as compared to the same period in 2023, which included a constant currency increase of approximately $16 million, or 7.6%.
    Research & Development Solutions’ selling, general and administrative expenses increased $21 million, or 5.0%, in the first six months of 2024 as compared to the same period in 2023, which included a constant currency increase of approximately $28 million, or 6.6%.
    The constant currency increase for the three and six months ended June 30, 2024 was primarily related to an increase in compensation and related expenses.
    Contract Sales & Medical Solutions
    Three Months Ended June 30,
    Change
    (in millions)
    20242023
    $
    %
    Revenues$172 $176 $(4)(2.3)%
    Cost of revenues, exclusive of depreciation and amortization148 150 (2)(1.3)
    Selling, general and administrative expenses15 14 1 7.1 
    Segment profit$9 $12 $(3)(25.0)%
    Six Months Ended June 30,
    Change
    (in millions)
    20242023
    $
    %
    Revenues$361 $358 $3 0.8 %
    Cost of revenues, exclusive of depreciation and amortization308 304 4 1.3 
    Selling, general and administrative expenses31 29 2 6.9 
    Segment profit$22 $25 $(3)(12.0)%
    Revenues
    Contract Sales & Medical Solutions’ revenues were $172 million for the second quarter of 2024, a decrease of $4 million, or 2.3%, over the same period in 2023. This decrease was comprised of constant currency revenue growth of approximately $5 million, or 2.8%, reflecting similar revenue growth in the Europe and Africa and Asia-Pacific regions.
    Contract Sales & Medical Solutions’ revenues were $361 million in the first six months of 2024, an increase of $3 million, or 0.8%, over the same period in 2023. This increase was comprised of constant currency revenue growth of approximately $18 million, or 5.0%, reflecting revenue growth in the Europe and Africa region and to a lesser extent the Asia-Pacific region.
    The constant currency revenue growth for the three and six months ended June 30, 2024 was primarily due to volume-related increases in services performed.
    Cost of Revenues, exclusive of Depreciation and Amortization
    Contract Sales & Medical Solutions’ cost of revenues, exclusive of depreciation and amortization, decreased $2 million, or 1.3%, in the second quarter of 2024 as compared to the same period in 2023. This decrease included a constant currency increase of approximately $5 million, or 3.3%.
    Contract Sales & Medical Solutions’ cost of revenues, exclusive of depreciation and amortization, increased $4 million, or 1.3%, in the first six months of 2024 as compared to the same period in 2023. This increase included a constant currency increase of approximately $17 million, or 5.6%.
    29

    Table of contents
    The constant currency increase for the three and six months ended June 30, 2024 was primarily related to an increase in costs associated with supporting revenue growth.
    Selling, General and Administrative Expenses
    Contract Sales & Medical Solutions’ selling, general and administrative expenses increased $1 million, or 7.1%, in the second quarter of 2024 as compared to the same period in 2023, which included a constant currency increase of approximately $1 million, or 7.1%.
    Contract Sales & Medical Solutions’ selling, general and administrative expenses increased $2 million, or 6.9%, in the first six months of 2024 as compared to the same period in 2023, which included a constant currency increase of approximately $2 million, or 6.9%.
    Liquidity and Capital Resources
    Overview
    We assess our liquidity in terms of our ability to generate cash to fund our operating, investing and financing activities. Our principal source of liquidity is operating cash flows. In addition to operating cash flows, other significant factors that affect our overall management of liquidity include: capital expenditures, acquisitions, investments, debt service requirements, equity repurchases, adequacy of our revolving credit and receivables financing facilities, and access to the capital markets.
    We manage our worldwide cash requirements by monitoring the funds available among our subsidiaries and determining the extent to which those funds can be accessed on a cost-effective basis. The repatriation of cash balances from certain of our subsidiaries could have adverse tax consequences; however, those balances are generally available without legal restrictions to fund ordinary business operations. We have and expect to transfer cash from those subsidiaries to the United States and to other international subsidiaries when it is cost effective to do so.
    We had a cash balance of $1,545 million as of June 30, 2024 ($663 million of which was in the United States), an increase from $1,376 million as of December 31, 2023.
    Based on our current operating plan, we believe that our available cash and cash equivalents, future cash flows from operations and our ability to access funds under our revolving credit and receivables financing facilities will enable us to fund our operating requirements, capital expenditures, contractual obligations, and meet debt obligations for at least the next 12 months. We regularly evaluate our debt arrangements, as well as market conditions, and from time to time we may explore opportunities to modify our existing debt arrangements or pursue additional financing arrangements that could result in the issuance of new debt securities by us or our affiliates. We may use our existing cash, cash generated from operations or dispositions of assets or businesses and/or proceeds from any new financing arrangements or issuances of debt or equity securities to repay or reduce some of our outstanding obligations, to repurchase shares from our stockholders or for other purposes. As part of our ongoing business strategy, we also continually evaluate new acquisition, expansion and investment possibilities or other strategic growth opportunities, as well as potential dispositions of assets or businesses, as appropriate, including dispositions that may cause us to recognize a loss on certain assets. Should we elect to pursue any such transaction, we may seek to obtain debt or equity financing to facilitate those activities. Our ability to enter into any such potential transactions and our use of cash or proceeds is limited to varying degrees by the terms and restrictions contained in our existing debt arrangements. We cannot provide assurances that we will be able to complete any such financing arrangements or other transactions on favorable terms or at all.
    Equity Repurchase Program
    As of June 30, 2024, the total stock repurchase authorization under our equity repurchase program (the “Repurchase Program”) was $11,725 million. The Repurchase Program does not obligate us to repurchase any particular amount of common stock, and it may be modified, extended, suspended or discontinued at any time. During the six months ended June 30, 2024, we did not repurchase any shares of our common stock under the Repurchase Program. As of June 30, 2024, we had remaining authorization to repurchase up to $2,363 million of our common stock under the Repurchase Program. In addition, from time to time, we have repurchased and may continue to repurchase common stock through private or other transactions outside of the Repurchase Program.
    30

    Table of contents
    Debt
    As of June 30, 2024, we had $13,328 million of total indebtedness, excluding $1,995 million of additional available borrowings under our revolving credit facility. Our long-term debt arrangements contain customary restrictive covenants and, as of June 30, 2024, we believe we were in compliance with our restrictive covenants in all material respects.
    Senior Secured Credit Facilities
    As of June 30, 2024, our Fifth Amended and Restated Credit Agreement provided financing through the senior secured credit facilities of up to $6,695 million, which consisted of $4,700 million principal amounts of debt outstanding, and $1,995 million of available borrowing capacity on the revolving credit facility and standby letters of credit. See Note 7 to our condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q for additional details regarding our credit arrangements.
    Receivables Financing Facility
    As of June 30, 2024, $110 million of additional amounts of revolving loan commitments were available under the receivables financing facility.
    Six months ended June 30, 2024 and 2023
    Cash Flow from Operating Activities
    Six Months Ended June 30,
    (in millions)20242023
    Net cash provided by operating activities$1,110 $819 
    Cash provided by operating activities increased $291 million during the first six months of 2024 as compared to the same period in 2023. The increase was due to an increase in cash from accounts receivable and unbilled services ($325 million) and from cash-related net income ($58 million), offset by a decrease in other operating assets and liabilities ($88 million) and unearned income ($4 million).
    Cash Flow from Investing Activities
    Six Months Ended June 30,
    (in millions)20242023
    Net cash used in investing activities$(535)$(818)
    Cash used in investing activities decreased $283 million during the first six months of 2024 as compared to the same period in 2023, primarily driven by less cash used for acquisitions of businesses ($223 million), acquisitions of property, equipment and software ($36 million), investments in debt and equity securities ($34 million), purchases of marketable securities, net ($4 million) and cash received from sale of property, equipment and software ($25 million), offset by more cash used in investments in unconsolidated affiliates, net ($36 million) and less cash from other ($3 million).
    Cash Flow from Financing Activities
    Six Months Ended June 30,
    (in millions)20242023
    Net cash (used in) provided by financing activities$(366)$182 
    Cash used in financing activities increased $548 million during the first six months of 2024 as compared to the same period in 2023, primarily due to less cash from debt issuance, net ($1,232 million), more cash payments on debt and principal payments on finance leases ($9 million) and cash payments related to employee stock incentive plans ($2 million), offset by less cash used for repurchase of common stock ($619 million), payments for contingent consideration and deferred purchase price accruals ($61 million) and for revolving credit facilities, net of repayments ($15 million).
    31

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    Information about our Guarantors and the Issuer of our Guaranteed Securities
    IQVIA Inc. (the “Issuer”), a wholly owned subsidiary of IQVIA Holdings Inc., completed the issuance and sale of $1,250 million in gross proceeds of the Issuer’s 6.250% senior secured notes due 2029 (the “2029 Senior Secured Notes”) on November 28, 2023, and completed the issuance and sale of $750 million in gross proceeds of the Issuer’s 5.700% senior secured notes due 2028 (the “2028 Senior Secured Notes”) on May 23, 2023.
    In February 2024, the Issuer completed an exchange offer in which it issued $1,250 million aggregate principal amount of 6.250% Senior Secured Notes due 2029 registered under the Securities Act (the “2029 Registered Notes”) and $750 million aggregate principal amount of 5.700% Senior Secured Notes due 2028 registered under the Securities Act (the “2028 Registered Notes” and, together with the 2029 Registered Notes, the 2029 Senior Secured Notes, and the 2028 Senior Secured Notes, the “Notes”) in exchange for the same principal amount and substantially identical terms of the 2029 Senior Secured Notes and 2028 Senior Secured Notes, respectively.
    The accompanying summarized financial information has been prepared and presented pursuant to Rule 3-10 of Regulation S-X, “Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered,” and Rule 13-01 of Regulation S-X, “Financial Disclosures about Guarantors and Issuers of Guaranteed Securities and Affiliates Whose Securities Collateralized a Registrant’s Securities.” Each of our current direct and indirect material U.S. wholly owned restricted subsidiaries (excluding IQVIA Solutions Japan LLC and IQVIA Services Japan LLC) (the "Guarantor subsidiaries" and, together with IQVIA Holdings Inc., the “Guarantors”), have jointly and severally, irrevocably and unconditionally, on a senior secured basis, guaranteed the obligations under the Notes.
    The following presents the summarized financial information on a combined basis for IQVIA Holdings Inc. (parent company), IQVIA Inc. (issuer of the guaranteed obligations) and the Guarantor subsidiaries, which are collectively referred to as the “obligated group.”
    Each Guarantor subsidiary is consolidated by IQVIA Holdings Inc. as of June 30, 2024 and December 31, 2023. Refer to Exhibit 22.1 to this Quarterly Report on Form 10-Q for the detailed list of entities included within the obligated group as of June 30, 2024.
    The guarantee of a Guarantor subsidiary with respect to the Notes will be automatically and unconditionally released and discharged and shall terminate and be of no further force and effect, and no further action by such Guarantor subsidiary, the Issuer, or U.S. Bank Trust Company, National Association, as trustee, be required upon the occurrence of any of the following:
    a.any sale, exchange, issuance, disposition or transfer (by merger, amalgamation, consolidation or otherwise) of (i) the capital stock of such Guarantor, after which the applicable Guarantor is no longer a Restricted Subsidiary, or (ii) all or substantially all of the assets of such Guarantor, in each case if such sale, exchange, issuance, disposition or transfer is made in compliance with the applicable provisions of this Indenture;
    b.the release or discharge of the guarantee by such Guarantor of indebtedness under the senior secured term loan facilities and the senior secured revolving credit facilities under that certain Fifth Amended and Restated Credit Agreement, or the release or discharge of such other guarantee that resulted in the creation of such Guarantee, except, in each case, a discharge or release by or as a result of payment of such Indebtedness or under such guarantee (it being understood that a release subject to a contingent reinstatement is still a release, and that if any such guarantee is so reinstated, such Guarantee shall also be reinstated to the extent that such Guarantor would then be required to provide a Guarantee pursuant to Section 4.11 of the Indenture);
    c.the designation of any Restricted Subsidiary that is a Guarantor as an Unrestricted Subsidiary in compliance with the applicable provisions of the Indenture;
    d.the exercise by the Issuer of its Legal Defeasance option or Covenant Defeasance option in accordance with Article VIII of the Indenture or the discharge of the Issuer’s obligations under the Indenture in accordance with the terms of this Indenture;
    e.the merger, amalgamation or consolidation of any Guarantor with and into the Issuer or a Guarantor that is the surviving Person in such merger, amalgamation or consolidation, or upon the liquidation of a Guarantor following the transfer of all or substantially all of its assets, in each case in a transaction that complies with the applicable provisions of this Indenture; or
    f.as described in Article IX of the Indenture.
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    Table of contents
    Summarized Combined Financial Information of the Issuer and Guarantors:
    Each entity in the summarized combined financial information follows the same accounting policies as previously disclosed in Note 1 of the consolidated financial statements of our 2023 Form 10-K. Information for the non-Guarantor subsidiaries has been excluded from the combined summarized financial information of the obligated group. The accompanying summarized combined financial information does not reflect investments of the obligated group in non-Guarantor subsidiaries. The financial information of the obligated group is presented on a combined basis; intercompany balances and transactions within the obligated group have been eliminated. The obligated group’s amounts due from and amounts due to non-Guarantor subsidiaries and related parties have been presented in separate line items.
    The following table contains summarized combined financial information from the Statements of Unaudited Condensed Consolidated Financial Position of the obligated group as of:
    (in millions)June 30, 2024December 31, 2023
    Total current assets (excluding amounts due from subsidiaries that are non-Guarantors)$821 $805 
    Total noncurrent assets$10,780 $9,622 
    Amounts due from subsidiaries that are non-Guarantors$4,441 $4,762 
    Total current liabilities$3,802 $3,471 
    Total noncurrent liabilities$11,634 $12,334 
    Amounts due to subsidiaries that are non-Guarantors$5,646 $5,556 
    The following table contains summarized combined financial information from the Statements of Unaudited Condensed Consolidated Operations of the obligated group:
    Six months endedTwelve months ended
    (in millions)June 30, 2024December 31, 2023
    Net revenues$3,350 $6,299 
    Costs and expenses applicable to net revenues$2,097 $4,190 
    Income from operations$609 $912 
    Net income $262 $86 
    Off-Balance Sheet Arrangements
    We do not have any material off-balance sheet arrangements.
    Contractual Obligations and Commitments
    We have various contractual obligations, which are recorded as liabilities in our consolidated financial statements.
    There have been no material changes, outside of the ordinary course of business, to our contractual obligations as previously disclosed in our 2023 Form 10-K.
    Application of Critical Accounting Policies
    There have been no material changes to our critical accounting policies as previously disclosed in our 2023 Form 10-K.
    Item 3. Quantitative and Qualitative Disclosures About Market Risk
    There have been no material changes to our quantitative and qualitative disclosures about market risk as compared to the quantitative and qualitative disclosures about market risk described in our 2023 Form 10-K.
    33

    Table of contents
    Item 4. Controls and Procedures
    Evaluation of Disclosure Controls and Procedures
    Our management, with the participation of our Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), has evaluated the effectiveness of our disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e)) under the Securities Exchange Act of 1934, as amended (“Exchange Act”) as of the end of the period covered by this Quarterly Report on Form 10-Q. Based on such evaluation, our CEO and CFO have concluded that as of such date, our disclosure controls and procedures were effective.
    Changes in Internal Control over Financial Reporting
    There were no changes in our internal control over financial reporting identified in management’s evaluation pursuant to Rules 13a-15(d) or 15d-15(d) of the Exchange Act during the period covered by this Quarterly Report on Form 10-Q that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
    34

    Table of contents
    PART II—OTHER INFORMATION
    Item 1. Legal Proceedings
    We are party to legal proceedings incidental to our business. While the outcome of these matters could differ from management’s expectations, we do not believe that the resolution of these matters is reasonably likely to have a material adverse effect to our financial statements.
    Information pertaining to legal proceedings can be found in Note 8 to the condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q and is incorporated by reference herein.
    Item 1A. Risk Factors
    For a discussion of the risks relating to our business, see Part I—Item 1A—“Risk Factors” of our 2023 Form 10-K. There have been no material changes from the risk factors previously disclosed in our 2023 Form 10-K.
    Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
    Recent Sales of Unregistered Securities
    Not applicable.
    Use of Proceeds from Registered Securities
    Not applicable.
    Purchases of Equity Securities by the Issuer
    On October 30, 2013, our Board of Directors (the "Board") approved an equity repurchase program (the “Repurchase Program”) authorizing the repurchase of up to $125 million of our common stock. The Board increased the stock repurchase authorization under the Repurchase Program with respect to the repurchase of our common stock by $600 million, $1.5 billion, $2.0 billion, $1.5 billion, $2.0 billion, $2.0 billion, and $2.0 billion in 2015, 2016, 2017, 2018, 2019, 2022, and 2023, respectively, which increased the total amount that has been authorized under the Repurchase Program to $11,725 million. The Repurchase Program does not obligate us to repurchase any particular amount of common stock, and it may be modified, extended, suspended or discontinued at any time. The timing and amount of repurchases are determined by our management based on a variety of factors such as the market price of our common stock, our corporate requirements, and overall market conditions. Purchases of our common stock may be made in open market transactions effected through a broker-dealer at prevailing market prices, in block trades, or in privately negotiated transactions. The Repurchase Program for common stock does not have an expiration date. In addition, from time to time, we have repurchased and may continue to repurchase common stock through private or other transactions outside of the Repurchase Program.
    From inception of the Repurchase Program through June 30, 2024, we have repurchased a total of $9,362 million of our securities under the Repurchase Program.
    During the six months ended June 30, 2024, we did not repurchase any shares of our common stock under the Repurchase Program. See Note 9 to our condensed consolidated financial statements included elsewhere in this Quarterly Report on Form 10-Q for additional details regarding the Repurchase Program.
    As of June 30, 2024, we had remaining authorization to repurchase up to $2,363 million of our common stock under the Repurchase Program.
    Since the merger between Quintiles and IMS Health, we have repurchased 78.1 million shares of our common stock at an average market price per share of $115.02 for an aggregate purchase price of $8,988 million both under and outside of the Repurchase Program. This includes shares withheld from employees to satisfy certain tax obligations due in connection with grants of stock under the IQVIA Holdings, Inc. 2017 Incentive and Stock Award Plan (the “Plan”). The Plan provides for the withholding of shares to satisfy tax obligations. It does not specify a maximum number of shares that can be withheld for this purpose. The shares of common stock withheld to satisfy tax withholding obligations may be deemed to be “issuer purchases” of shares that are required to be disclosed pursuant to this Item.
    35

    Table of contents
    The following table summarizes the monthly equity repurchase program activity for the three months ended June 30, 2024 and the approximate dollar value of shares that may yet be purchased pursuant to the Repurchase Program.
    (in millions, except per share data)Total Number of Shares PurchasedAverage Price Paid Per ShareTotal Number of Shares Purchased as Part of Publicly Announced Plans or ProgramsApproximate Dollar Value of Shares That May Yet Be Purchased Under the Plans or Programs
    April 1, 2024 — April 30, 2024— $— — $2,363 
    May 1, 2024 — May 31, 2024— $— — $2,363 
    June 1, 2024 — June 30, 2024— $— — $2,363 
    — — 
    Item 5. Other Information
    In the second quarter of 2024, no director or officer (as defined in Exchange Act Rule 16a-1(f)) of IQVIA Holdings Inc. adopted or terminated a Rule 10b5-1 trading arrangement or non-Rule 10b5-1 trading arrangement for the purchase or sale of securities of IQVIA Holdings Inc., within the meaning of Item 408 of Regulation S-K.
    36

    Table of contents
    Item 6. Exhibits
    The exhibits below are filed or furnished as a part of this report and are incorporated herein by reference.
    Incorporated by Reference
    Exhibit
    Number
    Exhibit DescriptionFiled
    Herewith
    FormFile No.ExhibitFiling Date
    4.1
    Supplemental Indenture, dated as of June 27, 2024, among the subsidiary guarantors named on the signature pages thereto and U.S. Bank Trust Company, National Association, as trustee of the 5.700% Senior Secured Notes due 2028.
    X
    4.2
    Supplemental Indenture, dated as of June 27, 2024, among the subsidiary guarantors named on the signature pages thereto and U.S. Bank Trust Company, National Association, as trustee of the 6.250% Senior Secured Notes due 2029.
    X
    22.1
    List of Subsidiary Guarantors and Affiliates who Collateralize the Company’s Securities
    X
    31.1
    Certification of Chief Executive Officer, pursuant to Rule 13a-14(a)/15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
    X
    31.2
    Certification of Executive Vice President and Chief Financial Officer, pursuant to Rule 13a-14(a)/15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
    X
    32.1
    Certification of Chief Executive Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
    X
    32.2
    Certification of Executive Vice President and Chief Financial Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
    X
    101Interactive Data Files Pursuant to Rule 405 of Regulation S-T: (i) Condensed Consolidated Statements of Income (unaudited), (ii) Condensed Consolidated Statements of Comprehensive Income (unaudited), (iii) Condensed Consolidated Balance Sheets (unaudited), (iv) Condensed Consolidated Statements of Cash Flows (unaudited), (v) Condensed Consolidated Statements of Stockholders’ Equity (unaudited) and (vi) Notes to Condensed Consolidated Financial Statements (unaudited). The instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.X
    104Cover Page Interactive Data File. The instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.X

    37

    Table of contents
    SIGNATURES
    Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Quarterly Report on Form 10-Q to be signed on its behalf by the undersigned, thereunto duly authorized on July 22, 2024.
    IQVIA HOLDINGS INC.
    /s/ Ronald E. Bruehlman
    Ronald E. Bruehlman
    Executive Vice President and Chief Financial Officer
    (On behalf of the Registrant and as Principal Financial Officer)

    38
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    IQVIA (NYSE:IQV), a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries, and the Duke Clinical Research Institute (DCRI), one of the world's largest academic clinical research organizations with extensive experience designing and operationally executing large, complex multi-center clinical trials, are pleased to announce their new collaboration to enhance the conduct of clinical research in obesity and related cardiometabolic trials. With the combined strength of two best-in-class organizations, this collaboration accelerates even the most sophisticated clinical programs and ensures coordinat

    2/10/26 8:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    IQVIA Reports Fourth-Quarter and Full-Year 2025 Results; Issues Full-Year 2026 Guidance

    Revenue of $4,364 million for the fourth quarter, $16,310 million for the full year GAAP Net Income of $514 million for the fourth quarter, $1,360 million for the full year Adjusted EBITDA of $1,046 million for the fourth quarter, $3,788 million for the full year GAAP Diluted Earnings per Share of $2.99 for the fourth quarter, $7.84 for the full year Adjusted Diluted Earnings per Share of $3.42 for the fourth quarter, $11.92 for the full year R&D Solutions quarterly bookings of over $2.7 billion, representing a book-to-bill ratio of 1.18x R&D Solutions contracted backlog of $32.7 billion, up 5.3% year-over-year R&D Solutions Revenue of $2,333 million for the fourth qua

    2/5/26 7:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    IQVIA and Boehringer Ingelheim announce strategic long-term global commercial data foundation transformation collaboration

    IQVIA (NYSE:IQV), a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries, today announced a strategic long-term collaboration with Boehringer Ingelheim. Boehringer Ingelheim has selected IQVIA's Data-as-a-Service (DaaS+) technology offering as the accelerator to power its global commercial data harmonization and transformation journey. This collaboration will enable Boehringer Ingelheim to scale its commercial data products and analytics ambitions across therapeutic areas and regional teams, leveraging an industry-leading global data model. "We are excited about the possibilities of working

    1/29/26 8:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    $IQV
    Insider Purchases

    Insider purchases reveal critical bullish sentiment about the company from key stakeholders. See them live in this feed.

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    Director Danhakl John G bought $255,740 worth of shares (1,275 units at $200.58) (SEC Form 4)

    4 - IQVIA HOLDINGS INC. (0001478242) (Issuer)

    2/7/25 7:03:59 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    $IQV
    Leadership Updates

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    IQVIA Appoints Richard Staub III President of Research & Development Solutions

    IQVIA™ (NYSE:IQV), a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry, today announced it has appointed Richard Staub III, currently senior advisor to the Chairman and CEO, as president of its Research & Development Solutions (R&DS) business unit. Richard is a vastly experienced executive with 34 years in the life science sector and has held numerous senior executive roles across multiple contract research organizations. Richard previously served as the president of the R&DS business unit at IQVIA from 2016 to 2022. Under his exceptional leadership the R&DS business unit accelerated its growth, recorded consec

    9/25/23 8:01:00 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    IQVIA Appoints Dr. Christina Mack Chief Scientific Officer of Real World Solutions

    IQVIA (NYSE:IQV), a leading global provider of advanced analytics, technology solutions and contract services to the life sciences industry, today announced the appointment of Dr. Christina Mack to serve as chief scientific officer for the company's Real World Solutions (RWS) business, effective July 7, 2022. Christina is succeeding Dr. Nancy Dreyer, who is retiring after nearly two decades with IQVIA. In this new role, Dr. Mack will be responsible for guiding the design and execution of innovative real-world studies, using advanced enriched evidence to enable faster decision-making and help advance clinical practices. Christina's career at IQVIA has included several leadership roles, all

    6/7/22 8:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    IQVIA Appoints Costa Panagos President of Research & Development Solutions (R&DS)

    IQVIA Holdings Inc. ("IQVIA") (NYSE:IQV), a leading global provider of advanced analytics, technology solutions, and contract services to the life sciences industry, today announced the appointment of Costa Panagos, to serve as president of its Research & Development Solutions (R&DS) business unit. He is succeeding Richard Staub III, who is retiring after a successful career spanning more than three decades. Mr. Staub will remain with the company as a senior advisor to the CEO and continue supporting business development and client management activities. Mr. Panagos has more than 25 years of industry experience serving life sciences customers and managing contract research (CRO) organizati

    3/14/22 9:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    $IQV
    Financials

    Live finance-specific insights

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    IQVIA Reports Fourth-Quarter and Full-Year 2025 Results; Issues Full-Year 2026 Guidance

    Revenue of $4,364 million for the fourth quarter, $16,310 million for the full year GAAP Net Income of $514 million for the fourth quarter, $1,360 million for the full year Adjusted EBITDA of $1,046 million for the fourth quarter, $3,788 million for the full year GAAP Diluted Earnings per Share of $2.99 for the fourth quarter, $7.84 for the full year Adjusted Diluted Earnings per Share of $3.42 for the fourth quarter, $11.92 for the full year R&D Solutions quarterly bookings of over $2.7 billion, representing a book-to-bill ratio of 1.18x R&D Solutions contracted backlog of $32.7 billion, up 5.3% year-over-year R&D Solutions Revenue of $2,333 million for the fourth qua

    2/5/26 7:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    IQVIA to Announce Fourth-Quarter and Full-Year 2025 Results on February 5, 2026

    IQVIA Holdings Inc. ("IQVIA") (NYSE:IQV), a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries, will announce its fourth-quarter and full-year 2025 financial results before the market opens on Thursday, February 5, 2026. The IQVIA management team will also host a conference call and webcast at 9:00 a.m. Eastern Time that same day. The earnings release and accompanying financial information will be posted on the IQVIA Investor Relations website at: http://ir.iqvia.com. To listen to the event and view the presentation slides via webcast, join via the IQVIA Investor Relations website at: http:/

    1/20/26 4:45:00 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    IQVIA Reports Third-Quarter 2025 Results

    Revenue of $4,100 million, up 5.2 percent year-over-year GAAP Net Income of $331 million, Adjusted EBITDA of $949 million GAAP Diluted Earnings per Share of $1.93, Adjusted Diluted Earnings per Share of $3.00 R&D Solutions quarterly bookings of $2.6 billion, representing a book-to-bill ratio of 1.15x R&D Solutions contracted backlog of $32.4 billion, up 4.1 percent year-over-year Operating Cash Flow of $908 million; Free Cash Flow of $772 million, up 35 percent year-over-year, representing 150 percent of Adjusted Net Income IQVIA Holdings Inc. ("IQVIA") (NYSE:IQV), a leading global provider of clinical research services, commercial insights and healthcare intelligence to

    10/28/25 7:00:00 AM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    $IQV
    Large Ownership Changes

    This live feed shows all institutional transactions in real time.

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    SEC Form SC 13G filed by IQVIA Holdings Inc.

    SC 13G - IQVIA HOLDINGS INC. (0001478242) (Subject)

    8/15/24 7:57:23 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    SEC Form SC 13G filed by IQVIA Holdings Inc.

    SC 13G - IQVIA HOLDINGS INC. (0001478242) (Subject)

    2/14/24 4:11:54 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care

    SEC Form SC 13G/A filed by IQVIA Holdings Inc. (Amendment)

    SC 13G/A - IQVIA HOLDINGS INC. (0001478242) (Subject)

    1/25/24 4:59:33 PM ET
    $IQV
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care