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IQVIA Cash Flow Statement

Operating, investing, and financing cash movements

Based on the Q1 2026 filing.

Net Cash From Operating (TTM)$2.7BNet Cash From Investing (TTM)-$2.2BNet Cash From Financing (TTM)-$1.0BCapital Expenditures (TTM)$588.0MDepreciation And Amortization Cf (TTM)$1.2BNet Change In Cash (TTM)$494.0M
Latest FilingQ1 2026
Report Date2026-05-05
Market Cap$30.2B
ROE22.71%

Financing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Payment for contingent consideration liability (financing)$4M$6M$14M$6M$7M$4M
Proceeds from lines of credit$1B$275M$600M$500M$2B$550M
Proceeds from lines of credit$1B$275M$600M$500M$2B$550M
Payment for Contingent Consideration (Financing)$4M$6M$14M$6M$7M$4M
Proceeds from Lines of Credit$1B$275M$600M$500M$2B$550M
Repayments of Lines of Credit$175M$0$1.7B$500M$1.2B$350M
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
Payment of Deferred Purchase Consideration$4M$6M$14M$6M$7M$4M
Proceeds from Borrowings on Revolving Credit Facility$1B$275M$600M$500M$2B$550M
Repayments of Lines of Credit$175M$0$1.7B$500M$1.2B$350M
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
Borrowings Under Acquisition Credit Facilities$1B$275M$600M$500M$2B$550M
Repayments of Acquisition Credit Facilities$175M$0$1.7B$500M$1.2B$350M
Proceeds from Secured Lines of Credit$1B$275M$600M$500M$2B$550M
Repurchases of common stock$1.2B$375M$657M$0$212M$552M
Repayments of lines of credit$175M$0$1.7B$500M$1.2B$350M

Investing

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '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
Net Payments for or Proceeds from Investments$2M-$2M——$22M-$1M

Operating

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '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

Free Cash Flow

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Free cash flow$721M$426M$292M$772M$561M$491M

Other

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Effect of exchange rate changes on cash-$70M$33M$57M——-$22M
Contingent consideration (receivable) payable - financing activities$4M$6M$14M$6M$7M$4M
Net increase (decrease) in cash$130M$38M$299M—$166M-$33M