IQVIA Cash Flow Statement

Operating, investing, and financing cash movements

Based on the Q1 2026 filing.

Latest FilingQ1 2026

Report Date2026-05-05

Market Cap$30.2B

ROE22.71%

Metric	Q4 '24	Q1 '25	Q2 '25	Q3 '25	Q4 '25	Q1 '26
Acquisitions, net of cash acquired	$86M	$134M	$181M	$483M	$916M	$37M
Capital expenditures	$164M	$142M	$151M	$136M	$174M	$127M
Payment for (Proceeds from) Other Investing Activity	-$4M	-$1M	—	$4M	—	-$2M
Payments To Acquire Equity Method Investments And Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital	$64M	$13M	$14M	$1M	$16M	$35M
Investments in unconsolidated affiliates	$2M	-$2M	—	—	$22M	-$1M
Net cash from investing activities	-$310M	-$305M	-$346M	-$550M	-$1.1B	-$196M
Other investing activities	-$4M	-$1M	—	$4M	—	-$2M

Metric	Q4 '24	Q1 '25	Q2 '25	Q3 '25	Q4 '25	Q1 '26
Amortization of debt issuance costs	$5M	$5M	$6M	$6M	$6M	$6M
Change in accounts payable	$28.8M	-$24M	-$24M	-$24M	-$24M	—
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	—	$124M	$245M	—	—	$183M
Change in receivables	-$45.5M	-$15M	-$15M	-$15M	-$15M	—
Deferred income taxes	-$15M	-$41M	-$45M	-$46M	-$48M	-$38M
Depreciation and amortization	$303M	$265M	$276M	$286M	$317M	$288M
Distributions from equity method investments	$5M	-$13M	-$1M	$0	$36M	$6M
Gain (loss) on sale of assets	—	-$1M	$17M	$4M	$24M	-$18M
Net cash from operating activities	$885M	$568M	$443M	$908M	$735M	$618M
Net income	$437M	$249M	$266M	$332M	$514M	$275M
Non-cash interest expense	$5M	$5M	$6M	$6M	$6M	$6M
Gain (Loss) on Sale of Investments	—	-$1M	$17M	$4M	$24M	-$18M
Income Loss From Equity Method Investments Net Of Dividends Or Distributions	$5M	-$13M	-$1M	$0	$36M	$6M
Increase Decrease In Accounts Receivable Unbilled Services And Unearned Income	—	-$128M	-$141M	-$173M	—	-$193M
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	$48M	$72M	$60M	$55M	$60M	$65M

Metric	Q4 '24	Q1 '25	Q2 '25	Q3 '25	Q4 '25	Q1 '26
Proceeds from issuance of debt	$0	$2B	$2B	$0	$2.5B	$650M
Repayments of debt	$830M	$2.1B	$44M	$536M	$724M	$683M
Payments For Proceeds From Stock Options Exercised	$16M	$16.8M	$16.8M	$16.8M	$16.8M	—
Payments For Stock Options Exercised	—	$35M	—	$31M	—	$40M
Payments Of Debt Issuance Costs	$1M	$6M	$29M	$0	$8M	$4M
Proceeds from issuances of debt	$0	$2B	$2B	$0	$2.5B	$650M
Repayments of Debt	$43M	$1.3B	$1.3B	$1.3B	$1.3B	—
Repayments of Debt and Lease Obligation	—	$2.1B	$44M	$536M	—	$683M
Net cash from financing activities	-$375M	-$258M	—	-$572M	—	-$433M
Other financing activities	$4M	$6M	$14M	$6M	$7M	$4M
Payment of debt issuance costs	$1M	$6M	$29M	$0	$8M	$4M
Repurchases of common stock	$1.2B	$375M	$657M	$0	$212M	$552M

Metric	Q4 '24	Q1 '25	Q2 '25	Q3 '25	Q4 '25	Q1 '26
Free cash flow	$721M	$426M	$292M	$772M	$561M	$491M

Metric	Q4 '24	Q1 '25	Q2 '25	Q3 '25	Q4 '25	Q1 '26
Effect of exchange rate changes on cash	-$70M	$33M	$57M	—	—	-$22M
Net increase (decrease) in cash	$130M	$38M	$299M	—	$166M	-$33M