Income StatementBalance SheetCash FlowSegments
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IQVIA Cash Flow Statement

Operating, investing, and financing cash movements

IQVIA generated $2.7B in operating cash flow over the trailing twelve months. After $588.0M in capital expenditures, free cash flow was $2.1B. Free cash flow decreased 0.0% year-over-year. Based on the Q1 2026 filing.

Net Cash From Operating (TTM)$2.7BNet Cash From Investing (TTM)-$2.2BNet Cash From Financing (TTM)-$1.1BCapital Expenditures (TTM)$588.0MDepreciation And Amortization Cf (TTM)$1.2BNet Change In Cash (TTM)$207.0M
Latest FilingQ1 2026
Report Date2026-05-05
Market Cap$28.8B
P/E Ratio20.82
ROE22.71%

Investing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Acquisitions, net of cash acquired$86.0M$134.0M$181.0M$483.0M$916.0M$37.0M
Capital expenditures$164.0M$142.0M$151.0M$136.0M$174.0M$127.0M
Payments To Acquire Equity Method Investments And Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital$64.0M$13.0M$14.0M$1.0M$16.0M$35.0M
Investments in unconsolidated affiliates$2.0M-$2.0M$0.0$0.0$22.0M-$1.0M
Net cash from investing activities-$310.0M-$305.0M-$346.0M-$550.0M-$1.1B-$196.0M
Other investing activities-$4.0M-$1.0M$0.0$4.0M—-$2.0M
Net Payments for or Proceeds from Investments$2.0M-$2.0M$0.0$0.0$22.0M-$1.0M

Operating

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Amortization of debt issuance costs$5.0M$5.0M$6.0M$6.0M$6.0M$6.0M
Change in accounts payable$28.8M-$24.0M-$24.0M-$24.0M-$24.0M—
Change in accrued liabilities-$38.8M-$74.8M-$74.8M-$74.8M-$74.8M—
Change in other assets-$1.8M-$54.5M-$54.5M-$54.5M-$54.5M—
Other working capital changes—$124.0M$245.0M-$106.0M—$183.0M
Change in receivables-$45.5M-$15.0M-$15.0M-$15.0M-$15.0M—
Deferred income taxes-$15.0M-$41.0M-$45.0M-$46.0M-$48.0M-$38.0M
Depreciation and amortization$303.0M$265.0M$276.0M$286.0M$317.0M$288.0M
Distributions from equity method investments$5.0M-$13.0M-$1.0M$0.0$36.0M$6.0M
Gain (loss) on sale of assets-$29.0M-$1.0M$17.0M$4.0M$24.0M-$18.0M
Net cash from operating activities$885.0M$568.0M$443.0M$908.0M$735.0M$618.0M
Net income$437.0M$249.0M$266.0M$332.0M$514.0M$275.0M
Increase Decrease In Accounts Receivable Unbilled Services And Unearned Income—-$128.0M-$141.0M-$173.0M—-$193.0M
Accrued expenses and other liabilities-$38.8M-$74.8M-$74.8M-$74.8M-$74.8M—
Unearned income$2.3M$60.5M$60.5M$60.5M$60.5M—
Increase (Decrease) in Prepaid Expense and Other Assets-$1.8M-$54.5M-$54.5M-$54.5M-$54.5M—
Stock-based compensation$48.0M$72.0M$60.0M$55.0M$60.0M$65.0M

Financing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Proceeds from issuance of debt$0.0$2.0B$2.0B$0.0$2.5B$650.0M
Repayments of debt$830.0M$2.1B$44.0M$536.0M$724.0M$683.0M
Payments For Proceeds From Stock Options Exercised$16.0M$16.8M$16.8M$16.8M$16.8M—
Payments For Stock Options Exercised—$35.0M$0.0$31.0M—$40.0M
Repayments of Debt$43.0M$1.3B$1.3B$1.3B$1.3B—
Net cash from financing activities-$375.0M-$258.0M$145.0M-$572.0M—-$433.0M
Other financing activities$4.0M$6.0M$14.0M$6.0M$7.0M$4.0M
Payment of debt issuance costs$1.0M$6.0M$29.0M-$1.0M$8.0M$4.0M
Repurchases of common stock$1.2B$375.0M$657.0M$0.0$212.0M$552.0M

Free Cash Flow

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Free cash flow$721.0M$426.0M$292.0M$772.0M$561.0M$491.0M

Other

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Effect of exchange rate changes on cash-$70.0M$33.0M$57.0M-$11.0M$0.0-$22.0M
Net increase (decrease) in cash$130.0M$38.0M$299.0M-$225.0M$166.0M-$33.0M