NYSE$IQV

IQVIA Holdings Inc. · Q4 2024 earnings

Q4 2024 earnings · · Before market open · Investor relations

Briefing

IQVIA delivered excellent results, with R&DS revenue on target, TAS revenue above target, margin expansion, high single-digit growth in Adjusted EPS, and outstanding free cash flow.

IQVIA reported a revenue of $3,958 million for the fourth quarter of 2024, representing a 2.3% increase on a reported basis and 3.0% at constant currency. GAAP Net Income was $437 million, with GAAP Diluted Earnings per Share at $2.42. Adjusted EBITDA was $996 million. The company reaffirms its 2025 outlook.

  • Revenue for the fourth quarter was $3,958 million, up 2.3 percent on a reported basis.
  • GAAP Net Income for the fourth quarter was $437 million, and GAAP Diluted Earnings per Share was $2.42.
  • Adjusted EBITDA for the fourth quarter was $996 million, an increase of 3.1 percent year-over-year.
  • R&D Solutions quarterly bookings of over $2.5 billion, representing a book-to-bill ratio of 1.20x.

Headline financials

Total Revenue

$3.96B

Previous: $3.87B+2.3%
EPS (adj)

$3.12

Previous: $2.84+9.9%
Adjusted EBITDA

$996M

No prior period
Capital Expenditures

-$164M

Previous: -$179M+8.4%
Net Income

$437M

Previous: $469M-6.8%
Operating Income

$626M

Previous: $501M+25.0%
Gross Profit

$1.38B

Previous: $1.12B+23.6%

Revenue & EPS history

IQVIA · Revenue · Quarterly

$3.96B

Q4 2024+2.3%vs Q4 2023
Beat estimate in 12 of 15 quarters(80%)
ActualEstimate

Revenue by segment

IQVIA · $3.74B total across 3 segments · Q3 2023

  • Research & Development Solutions
    $2.12B+7.2%
  • Technology & Analytics Solutions
    $1.43B+2.2%
  • Contract Sales & Medical Solutions
    $183M+0.0%

Forward guidance

The company reaffirms its 2025 outlook of revenue growth at constant currency ex-COVID of 4 to 7 percent, Adjusted EBITDA margin expansion of up to 20 basis points and Adjusted Diluted Earnings per Share growth of 5 to 9 percent. These expectations result in full-year revenue guidance of $15,725 million to $16,125 million, Adjusted EBITDA of $3,765 million to $3,885 million, and Adjusted Diluted Earnings per Share of $11.70 to $12.10.

Tailwinds

  • Revenue growth at constant currency ex-COVID of 4 to 7 percent.
  • Adjusted EBITDA margin expansion of up to 20 basis points.
  • Adjusted Diluted Earnings per Share growth of 5 to 9 percent.
  • Full-year revenue guidance of $15,725 million to $16,125 million.
  • Adjusted EBITDA of $3,765 million to $3,885 million.

Headwinds

  • Revenue guidance assumes just over $100 million of COVID-related revenue step-down, entirely in R&DS.
  • Approximately 150 basis points of headwind from foreign exchange.
  • 100-150 basis points of contribution from acquisitions.
  • All financial guidance assumes foreign currency exchange rates as of February 5, 2025 remain in effect for the forecast period.
  • Unspecified items contained in the GAAP measures without unreasonable efforts.

Historical earnings impact

How earnings announcements have historically affected this stock's price.

Avg. return before/after earnings

Based on 20 quarterly earnings reports · overlaid with Q4 2024

Historical avgQ4 2024

+1.4%

Avg return

Earnings day

+1.6%

Avg return

5 days after

+1.9%

Avg return

30 days after

65%

37 / 57 earnings

Positive

+12.5%

Q2 2018

Best reaction

-10.7%

Q4 2025

Worst reaction

Earnings price reactions
QuarterReport dateReaction (Day 0)+5 days+30 days
Q1 2026+7.7%+10.9%+13.9%
Q4 2025-10.7%-9.9%-13.8%
Q3 2025+0.3%-0.4%+6.6%
Q2 2025-0.4%+1.1%-1.6%
Q1 2025-4.0%-2.2%-3.2%
Q4 2024+2.2%-2.2%-6.7%
Q3 2024-3.2%-1.5%-7.0%
Q2 2024+6.3%+6.7%+10.0%
Q1 2024-4.1%-1.6%-5.9%
Q4 2023+12.2%+10.8%+17.4%
Q3 2023+5.3%+9.7%+20.0%
Q2 2023-2.1%-3.1%-0.5%
Q1 2023-0.9%-2.3%+5.0%
Q4 2022+0.8%-1.4%-14.4%
Q3 2022+1.4%+6.1%+11.3%
Q2 2022+0.5%-0.4%+8.3%
Q1 2022+6.1%+5.0%+6.7%
Q4 2021-3.2%-4.8%-6.9%
Q3 2021+2.1%+1.8%+6.6%
Q2 2021-0.8%+0.2%+4.5%
Q1 2021+6.1%+7.0%+9.1%
Q4 2020+4.9%+4.8%+1.6%
Q3 2020+3.2%+2.1%+3.4%
Q2 2020+2.9%+3.4%+0.4%
Q1 2020+8.5%+3.5%+10.9%
Q4 2019+2.5%+1.6%-26.6%
Q3 2019-3.8%-2.4%-2.7%
Q2 2019+2.1%+1.6%-2.3%
Q1 2019-2.0%-0.1%-2.2%
Q4 2018+7.6%+7.3%+7.4%
Q3 2018-3.5%-5.3%-8.4%
Q2 2018+12.5%+8.2%+11.7%
Q1 2018-0.7%+0.2%+2.6%
Q4 2017+1.5%+1.7%+5.6%
Q3 2017+6.1%+6.5%+2.7%
Q2 2017-1.3%-1.0%+4.4%
Q1 2017-3.7%-2.0%+3.0%
Q4 2016-2.7%-4.1%+0.5%
Q3 2016+0.8%+4.1%+3.3%
Q2 2016+3.3%+4.2%+0.3%
Q1 2016-5.9%
Q4 2015+3.6%
Q3 2015-6.2%
Q2 2015+2.6%
Q1 2015-4.9%
Q4 2014+4.3%
Q3 2014+0.9%
Q2 2014-3.1%
Q1 2014+0.4%
Q4 2011+7.5%
Q4 2013+7.5%
Q3 2012+0.1%
Q3 2013+0.1%
Q2 2012+0.8%
Q2 2013+0.8%
Q1 2012+5.0%
Q4 2012+5.0%
Q1 2013

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