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IQVIA Holdings Inc (IQV)
NYSE:IQV

IQVIA Holdings (IQV) AI Stock Analysis

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IQIQVIA Holdings
(NYSE:IQV)
70Outperform
IQVIA demonstrates robust financial performance and strategic advancements, yet faces challenges from increased cancellations and a bearish technical outlook. The stock's valuation is moderate, but its growth potential is supported by strong operational results and strategic partnerships, leading to a cautiously optimistic overall stock score.
Positive Factors
Earnings
IQV's 4Q results and reiteration of 2025 guidance were strong enough to clear what was a low bar heading into earnings.
Technology and Analytics
IQV's initiatives to incorporate AI to enhance all aspects of its operations and products have shown positive results, winning contracts with customers.
Negative Factors
Cancellations
Still-elevated cancellation rates are further evidence that the expected recovery in clinical trial demand is not going to be linear.

IQVIA Holdings (IQV) vs. S&P 500 (SPY)

IQVIA Holdings Business Overview & Revenue Model

Company DescriptionNorth Carolina-based IQVIA Holdings, Inc. provides advanced analytics, technology solutions, and contract research services to the life sciences industry. The company operates through three segments: Technology & Analytics Solutions, Research & Development Solutions, and Contract Sales & Medical Solutions.
How the Company Makes MoneyIQVIA makes money primarily through a diversified revenue model that includes the provision of technology solutions, data analytics, and contract research services. Key revenue streams include clinical development services, which involve managing and conducting clinical trials for pharmaceutical and biotech companies. Another significant source of revenue is their technology and analytics solutions, which provide clients with data-driven insights and software to optimize their operations. Additionally, IQVIA earns revenue from real-world insights services, which use healthcare data to inform business and clinical decisions. The company's strategic partnerships with life sciences companies and healthcare providers further bolster its revenue by expanding its service offerings and market reach.

IQVIA Holdings Financial Statement Overview

Summary
IQVIA Holdings shows strong financial health with consistent revenue and profit growth, effective debt management, and robust cash flow generation, positioning the company well for future growth despite the need for continued attention to debt levels.
Income Statement
85
Very Positive
IQVIA Holdings has demonstrated strong revenue growth with a consistent upward trend from $11.09 billion in 2019 to $15.41 billion in 2024. The gross profit margin remains robust at approximately 34.9% in 2024. The net profit margin has improved to 8.9%, reflecting enhanced operational efficiency. EBIT and EBITDA margins are healthy, indicating effective cost management and operational leverage.
Balance Sheet
78
Positive
The debt-to-equity ratio shows a significant reduction in total debt from 2023 to 2024, improving the company’s leverage position. The equity ratio stands at 22.6%, providing a reasonable cushion against liabilities. Return on equity is strong, reflecting the company’s capability to generate returns on shareholders’ investments.
Cash Flow
82
Very Positive
IQVIA Holdings has demonstrated excellent free cash flow generation, with a free cash flow of $2.72 billion in 2024, a significant increase from previous years. The operating cash flow to net income ratio indicates a strong ability to convert net income into cash. Despite capital expenditures, free cash flow remains robust, supporting further investment and debt reduction.
Breakdown
Dec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
15.40B14.98B14.41B13.87B11.36B
Gross Profit
5.38B5.24B5.03B4.64B3.86B
EBIT
2.20B1.98B1.80B1.39B731.00M
EBITDA
3.45B3.30B2.89B2.75B2.06B
Net Income Common Stockholders
1.37B1.36B1.09B966.00M279.00M
Balance SheetCash, Cash Equivalents and Short-Term Investments
1.70B1.50B1.31B1.48B1.90B
Total Assets
26.90B26.68B25.34B24.69B24.56B
Total Debt
1.32B14.23B13.01B12.44B12.90B
Net Debt
-384.00M12.86B11.79B11.07B11.09B
Total Liabilities
20.83B20.57B19.57B18.65B18.28B
Stockholders Equity
6.07B6.11B5.76B6.04B6.00B
Cash FlowFree Cash Flow
2.72B1.50B1.59B2.30B1.34B
Operating Cash Flow
2.72B2.15B2.26B2.94B1.96B
Investing Cash Flow
-1.44B-1.60B-2.01B-2.10B-796.00M
Financing Cash Flow
-878.00M-382.00M-329.00M-1.24B-217.00M

IQVIA Holdings Technical Analysis

Technical Analysis Sentiment
Negative
Last Price185.85
Price Trends
50DMA
198.18
Negative
100DMA
204.52
Negative
200DMA
217.59
Negative
Market Momentum
MACD
-4.20
Positive
RSI
37.89
Neutral
STOCH
22.41
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For IQV, the sentiment is Negative. The current price of 185.85 is below the 20-day moving average (MA) of 194.98, below the 50-day MA of 198.18, and below the 200-day MA of 217.59, indicating a bearish trend. The MACD of -4.20 indicates Positive momentum. The RSI at 37.89 is Neutral, neither overbought nor oversold. The STOCH value of 22.41 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for IQV.

IQVIA Holdings Risk Analysis

IQVIA Holdings disclosed 51 risk factors in its most recent earnings report. IQVIA Holdings reported the most risks in the “Finance & Corporate” category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

IQVIA Holdings Peers Comparison

Overall Rating
UnderperformOutperform
Sector (49)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
DGDGX
81
Outperform
$19.42B22.8412.85%1.70%6.70%2.56%
MCMCK
77
Outperform
$80.67B29.5051.23%0.41%14.29%-1.20%
LHLH
73
Outperform
$21.49B29.059.26%1.13%0.83%89.55%
IQIQV
70
Outperform
$32.37B24.4922.63%2.95%2.46%
CACAH
60
Neutral
$30.51B23.58-43.80%1.56%2.85%110.82%
BABAX
54
Neutral
$17.80B136.07-4.48%2.64%-14.00%-184.82%
49
Neutral
$7.05B0.34-55.09%2.46%25.27%-3.43%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
IQV
IQVIA Holdings
185.85
-67.12
-26.53%
BAX
Baxter International
34.79
-7.08
-16.91%
CAH
Cardinal Health
127.42
18.83
17.34%
LH
Labcorp Holdings
254.29
39.23
18.24%
MCK
McKesson
639.62
116.98
22.38%
DGX
Quest Diagnostics
175.01
50.71
40.80%

IQVIA Holdings Earnings Call Summary

Earnings Call Date: Feb 6, 2025 | % Change Since: -9.54% | Next Earnings Date: Apr 30, 2025
Earnings Call Sentiment Neutral
IQVIA delivered strong results in 2024, with notable achievements in revenue and strategic partnerships, alongside advancements in AI and global health initiatives. However, the significant cancellations and challenging macroeconomic conditions posed considerable hurdles. The outlook remains cautiously optimistic with expected volatility in some segments.
Highlights
Solid Full Year Results
IQVIA achieved 5.5% revenue growth at constant currency excluding COVID revenue step down, adjusted diluted EPS growth over 9%, and free cash flow of $2.1 billion, representing a 41% increase.
Strong Operational Performance in Q4
Q4 revenue came in above the high end of guidance with about 4.5% growth excluding foreign exchange and COVID-related work. Adjusted diluted EPS grew nearly 10%, and the quarter achieved a record free cash flow.
Successful Strategic Renewals
IQVIA renewed all large pharma strategic partnerships, expanded existing partnerships, and secured new contracts, positioning the business for future growth.
Advancements in Global Health
IQVIA collaborated with organizations like the World Health Organization to control virus outbreaks, demonstrating its role as a key public health partner.
AI and Digital Innovations
Introduced 60 innovations in 2024, including 39 AI-enabled applications, and expanded digital business into Europe, doubling integrated websites and partners.
Biotech Funding and Pipeline Growth
Biotech funding exceeded $100 billion, a 44% increase from 2023, and the qualified pipeline showed positive growth across all segments.
Lowlights
Significant Cancellations in 2024
2024 experienced nearly 50% higher cancellations than the average of the previous three years, with Q4 cancellations close to double the usual quarterly average.
Challenging Macroeconomic Environment
Faced significant challenges from the Inflation Reduction Act, geopolitical unrest, high interest rates, inflation, and foreign currency headwinds.
Volatility in R&DS Demand
Continued volatility expected in R&DS demand with elevated cancellations, attributed to large pharma's portfolio reprioritizations.
Company Guidance
During the IQVIA fourth quarter 2024 earnings call, the company reported solid financial performance despite challenging market conditions. The company achieved a 5.5% revenue growth at constant currency excluding COVID-related revenues, adjusted diluted earnings per share increased by over 9%, and free cash flow reached $2.1 billion, representing a 41% growth from the previous year. In the fourth quarter alone, the revenue grew by 2.3% on a reported basis and 3% at constant currency, with adjusted diluted earnings per share increasing by 9.9% to $3.12. The R&D Solutions segment experienced net new bookings of over $2.5 billion, and the backlog at year-end stood at $31.1 billion, a 5.5% increase at constant currency compared to the previous year. Additionally, IQVIA reaffirmed its 2025 guidance, anticipating revenue growth of 4% to 7% at constant currency excluding COVID-related impacts, adjusted EBITDA margin expansion of up to 20 basis points, and adjusted diluted earnings per share growth of 5% to 9%.
Glossary
OutperformA stock rated as "Outperform" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock is likely to deliver higher returns compared to the average returns of other stocks in the same sector or market index. Investors might consider this stock a good buying opportunity.
NeutralA stock rated as "Neutral" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly attractive nor unattractive for investment. Investors may consider holding onto the stock, as it is not expected to either significantly outperform or underperform the market.
UnderperformA stock rated as "Underperform" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests that the stock may deliver lower returns compared to the average returns of other stocks in the same sector or market index. Investors might consider selling the stock or avoiding it as an investment.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.