Q4 2025 IQVIA Holdings Inc Earnings Call Transcript
Key Points
- IQVIA Holdings Inc (IQV) reported a strong fourth quarter with revenue growth of 10.3% year-over-year on a reported basis.
- The company achieved a full-year revenue growth of 6% and adjusted diluted earnings per share growth of 7%.
- IQVIA Holdings Inc (IQV) generated free cash flow of $2.1 billion, representing about 100% of adjusted net income.
- The company expanded its clinical and commercial offerings, including increasing Phase I trial capabilities and acquiring specialized oncology sites.
- IQVIA Holdings Inc (IQV) formed a strategic collaboration with Amazon Web Services to accelerate digital transformation in the industry.
- The macroeconomic environment led to slower customer decision-making and tempered biotech funding, impacting R&D bookings and revenue earlier in the year.
- Fourth quarter cancellations were slightly above the normal range due to specific idiosyncratic aspects of certain trials.
- The company faced significant challenges with heightened uncertainty around macroeconomic and government policy.
- Interest rates continued to exert pressure on the industry, affecting customer behavior and funding.
- IQVIA Holdings Inc (IQV) experienced a step-down in COVID-related work, impacting R&D Solutions revenue growth.
Ladies and gentlemen, thank you for standing by. At this time, I would like to welcome everyone to the IQVIA fourth quarter 2025 earnings conference call. (Operator Instructions) As a reminder, this call is being recorded.
Thank you. I would now like to turn the call over to Kerri Joseph, Senior Vice President, Investor Relations and Treasury. Mr. Joseph, please begin your conference.
Thank you, operator. Good morning, everyone. Thank you for joining our fourth quarter and full year 2025 earnings call. With me today are Ari Bousbib, Chairman and Chief Executive Officer, Ron Bruehlman, Executive Vice President and Chief Financial Officer; Eric Server, Executive Vice President and General Counsel; Mike Fedock, Senior Vice President, Financial Planning and Analysis; and (inaudible), Senior Investor Relations.
Today, we'll be referencing a presentation that will be visible during this call for those of you on the webcast. This presentation will also be
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