IQVIA Total Cost of Revenue decreased by 4.5% to $2.80B in Q1 2026 compared to the prior quarter. Year-over-year, this metric grew by 10.5%, from $2.53B to $2.80B. Over 4 years (FY 2021 to FY 2025), Total Cost of Revenue shows an upward trend with a 4.2% CAGR. This increase may warrant attention — for this metric, lower values are generally preferred.
An increase relative to revenue suggests rising production costs or margin compression, while a decrease suggests improved operational efficiency.
Total cost of revenue includes the direct costs attributable to the production of goods or the delivery of services sold...
Varies by industry; for medical device manufacturers, this includes significant manufacturing and supply chain costs.
total_cost_of_revenue| Q2 '21 | Q3 '21 | Q4 '21 | Q1 '22 | Q2 '22 | Q3 '22 | Q4 '22 | Q1 '23 | Q2 '23 | Q3 '23 | Q4 '23 | Q1 '24 | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Value | $2.32B | $2.25B | $2.36B | $2.32B | $2.33B | $2.32B | $2.41B | $2.40B | $2.44B | $2.43B | $2.48B | $2.44B | $2.49B | $2.52B | $2.58B | $2.53B | $2.69B | $2.73B | $2.93B | $2.80B |
| QoQ Change | — | -3.0% | +4.9% | -1.7% | +0.3% | -0.4% | +3.7% | -0.4% | +1.9% | -0.7% | +2.1% | -1.4% | +1.8% | +1.2% | +2.5% | -1.9% | +6.4% | +1.2% | +7.4% | -4.5% |
| YoY Change | — | — | — | — | +0.3% | +3.0% | +1.8% | +3.2% | +4.8% | +4.5% | +2.9% | +1.9% | +1.8% | +3.8% | +4.1% | +3.6% | +8.3% | +8.3% | +13.5% | +10.5% |
| Segment | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 |
|---|---|---|---|---|---|---|---|---|
| Research & Development Solutions | $1.43B | $1.44B | $1.43B | $1.43B | $1.52B | $1.53B | $1.64B | $1.68B |
| Commercial Solutions | — | — | — | — | — | — | — | $1.12B |
| Contract Sales & Medical Solutions | $148.00M | $154.00M | $149.00M | $156.00M | $162.00M | $181.00M | $181.00M | — |
| Technology & Analytics Solutions | $909.00M | $922.00M | $1.00B | $949.00M | $1.01B | $1.01B | $1.10B | — |
| Total | $2.49B | $2.52B | $2.58B | $2.53B | $2.69B | $2.73B | $2.93B | $2.80B |
Contract Sales & Medical Solutions, Technology & Analytics Solutions were previously reported and have since been discontinued or reclassified. Only currently active segments are shown in the chart.