Last 48 quarters of trend data · Healthcare · Medical - Diagnostics & Research
Quarterly valuation ratios — annualised for comparability. YoY Δ shows same-quarter-prior-year change.
IQVIA Holdings Inc.'s quarterly P/E stands at 26.5x, down 15.9% year-over-year — suggesting improving earnings relative to price. EV/EBITDA has compressed 37.3% YoY to 9.1x, reflecting multiple compression or accelerating EBITDA.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P/E Ratio → | 21.40 | 26.48 | 18.85 | 24.60 | 25.58 | 31.48 | 20.30 | 38.22 | 26.83 | 40.53 | 22.77 | 30.18 | 35.34 |
| — | -15.9% | -7.2% | -35.6% | -4.7% | -22.3% | -10.9% | +26.7% | -24.1% | +24.7% | -46.6% | -0.7% | -12.7% | |
| P/S Ratio | 1.75 | 1.74 | 2.22 | 1.99 | 1.70 | 2.04 | 2.24 | 2.80 | 2.55 | 3.12 | 2.76 | 2.44 | 2.81 |
| — | -14.6% | -1.1% | -29.0% | -33.5% | -34.5% | -18.6% | +14.7% | -9.2% | +21.4% | +6.7% | +1.4% | -3.6% | |
| P/B Ratio | 4.39 | 4.56 | 5.84 | 5.19 | 4.72 | 5.23 | 5.86 | 6.27 | 5.80 | 7.35 | 6.98 | 6.29 | 7.30 |
| — | -12.7% | -0.2% | -17.2% | -18.7% | -28.9% | -16.1% | -0.3% | -20.5% | +16.2% | +4.1% | -2.0% | -5.8% | |
| P/FCF | 13.88 | 11.71 | 17.27 | 6.79 | 23.37 | 18.35 | 12.32 | 19.11 | 21.89 | 30.91 | 18.77 | 20.88 | 43.35 |
| — | -36.2% | +40.2% | -64.5% | +6.7% | -40.6% | -34.4% | -8.5% | -49.5% | -16.6% | -24.4% | +69.9% | -29.7% | |
| EV / EBITDA | 12.44 | 9.07 | 12.62 | 13.70 | 13.09 | 14.47 | 12.91 | 16.84 | 15.57 | 19.12 | 16.88 | 15.78 | 17.43 |
| — | -37.3% | -2.3% | -18.6% | -15.9% | -24.3% | -23.5% | +6.7% | -10.7% | +12.0% | -1.5% | -0.5% | -3.1% | |
| EV / EBIT | 18.66 | 14.15 | 18.13 | 19.26 | 20.28 | 22.56 | 16.78 | 26.87 | 20.71 | 29.10 | 24.89 | 23.17 | 25.09 |
| — | -37.3% | +8.1% | -28.3% | -2.1% | -22.5% | -32.6% | +16.0% | -17.5% | +18.4% | -20.4% | -5.1% | -21.5% |
Quarterly margins and returns. Watch for margin compression across consecutive quarters.
IQVIA Holdings Inc.'s operating margin was 12.4% in Q1 2026, down 4.4 pp QoQ and down 0.6 pp YoY. The trailing four-quarter average of 13.8% exceeds the current quarter, suggesting the latest result may reflect seasonal weakness or a one-off headwind. Gross margin contracted 3.7% YoY, suggesting cost inflation or competitive pricing pressure.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gross Margin | 26.3% | 32.6% | 6.7% | 33.5% | 32.9% | 33.9% | 34.8% | 35.4% | 27.7% | 34.6% | 35.9% | 35.1% | 34.5% |
| — | -3.7% | -80.8% | -5.3% | +18.8% | -2.0% | -3.1% | +0.9% | -19.6% | +0.8% | +0.9% | +0.6% | +28.7% | |
| Operating Margin | 14.0% | 12.4% | 16.8% | 13.5% | 12.6% | 13.0% | 15.8% | 14.1% | 14.4% | 13.5% | 13.0% | 12.9% | 14.1% |
| — | -4.4% | +6.1% | -4.5% | -12.3% | -4.3% | +22.1% | +9.6% | +2.2% | +5.0% | +27.8% | -2.8% | +6.7% | |
| Net Margin | 8.3% | 6.6% | 11.8% | 8.1% | 6.6% | 6.5% | 11.0% | 7.3% | 9.5% | 7.7% | 12.1% | 8.1% | 8.0% |
| — | +1.5% | +6.7% | +10.4% | -30.4% | -15.6% | -8.9% | -9.8% | +19.5% | -2.6% | +99.7% | +2.1% | +10.5% |
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROE | 21.4% | 4.2% | 8.0% | 5.5% | 4.5% | 4.1% | 6.7% | 4.2% | 5.6% | 4.6% | 7.9% | 5.2% | 5.1% |
| — | +2.2% | +18.7% | +31.6% | -18.7% | -10.6% | -14.8% | -20.6% | +9.3% | -6.4% | +92.6% | -0.8% | +12.0% | |
| ROA | 4.8% | 0.9% | 1.8% | 1.2% | 1.0% | 0.9% | 1.6% | 1.1% | 1.4% | 1.1% | 1.8% | 1.2% | 1.1% |
| — | +0.1% | +8.4% | +8.5% | -30.6% | -15.1% | -9.3% | -8.7% | +19.5% | -4.4% | +94.4% | +0.1% | +10.7% | |
| ROIC | 8.7% | 2.8% | 2.7% | 2.1% | 2.0% | 2.0% | 2.5% | 2.2% | 2.2% | 2.0% | 2.0% | 2.0% | 2.2% |
| — | +41.5% | +8.6% | -3.0% | -9.9% | -2.0% | +23.1% | +11.6% | +1.8% | +2.1% | +22.3% | -6.7% | +6.4% |
Quarterly solvency trend — watch for debt spikes or covenant pressure.
IQVIA Holdings Inc.'s Debt/EBITDA ratio is 2.6x, down from 15.4x last quarter — at a moderate level that warrants monitoring. The current ratio has weakened 9.3% YoY to 0.75x, tightening the short-term liquidity position.
| Metric | TTM | Q1 '26 | Q4 '25 | Q3 '25 | Q2 '25 | Q1 '25 | Q4 '24 | Q3 '24 | Q2 '24 | Q1 '24 | Q4 '23 | Q3 '23 | Q2 '23 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Debt / Equity | 2.44 | 0.33 | 2.44 | 2.42 | 2.71 | 2.42 | 2.33 | 1.97 | 2.00 | 2.17 | 2.27 | 2.39 | 2.44 |
| — | -86.5% | +4.6% | +22.8% | +35.5% | +11.9% | +2.6% | -17.6% | -17.9% | -4.3% | +0.7% | +0.8% | +0.0% | |
| Debt / EBITDA | 4.71 | 2.59 | 15.42 | 18.10 | 20.08 | 19.06 | 15.24 | 16.55 | 16.46 | 17.84 | 17.01 | 17.80 | 17.90 |
| — | -86.4% | +1.2% | +9.4% | +22.0% | +6.8% | -10.4% | -7.0% | -8.1% | -3.8% | -3.8% | +1.3% | +1.2% | |
| Current Ratio | 0.75 | 0.75 | 0.75 | 0.70 | 0.84 | 0.82 | 0.84 | 0.81 | 0.85 | 0.88 | 0.86 | 0.79 | 0.81 |
| — | -9.3% | -10.6% | -12.8% | -1.3% | -6.1% | -2.8% | +1.9% | +4.3% | +9.5% | -3.5% | -12.6% | -15.4% | |
| Quick Ratio | 0.75 | 0.75 | 0.75 | 0.70 | 0.84 | 0.82 | 0.84 | 0.81 | 0.85 | 0.88 | 0.86 | 0.79 | 0.81 |
| — | -9.3% | -10.6% | -12.8% | -1.3% | -6.1% | -2.8% | +1.9% | +4.3% | +9.5% | -3.5% | -12.6% | -15.4% | |
| Interest Coverage | 3.18 | 2.68 | 3.78 | 3.16 | 2.77 | 2.96 | 4.18 | 3.05 | 3.77 | 3.05 | 3.06 | 2.93 | 3.22 |
| — | — | — | — | — | — | — | — | — | — | — | — | — |
Includes 30+ ratios · 48 years · Updated daily
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Quick answers to the most common questions about buying IQV stock.
IQVIA Holdings Inc.'s current P/E is 21.4x. The average P/E over the last 4 quarters is 23.9x. Quarterly P/E ratios can vary due to seasonal revenue patterns and one-time charges.
IQVIA Holdings Inc.'s current operating margin is 14.0%. Margins have been compressing over recent quarters. Quarterly margins are particularly useful for identifying trend inflections that annual data smooths over.
Quarterly financial ratios reveal short-term trend shifts — margin compression, debt spikes, or valuation re-ratings — that annual figures smooth over. They're essential for active investors tracking IQVIA Holdings Inc.'s business trajectory between earnings reports.