IQV Earnings Predictions — 2026-07-28

Ticker Report or Guide KPI Prediction Answer Confidence
IQV Report Revenue (Q2'26) BEAT pred ~$4.34B vs. cons $4.30B MEDIUM
IQV Report Adjusted Diluted EPS (Q2'26) BEAT pred ~$3.08 vs. cons $3.03 MEDIUM
IQV Report R&DS book-to-bill (service-fee/TTM) MISS pred ~1.08x vs. cons ~1.15x MEDIUM
IQV Guide FY26 Revenue guide BETTER guide ~$17.35B vs. cons $17.30B (FY2026, narrow raise) LOW
IQV Guide FY26 Adjusted EBITDA guide UNCHANGED guide ~$4.00B vs. cons $4.00B (FY2026, reaffirm — the disappointment) MEDIUM
IQV Guide FY26 Adjusted EPS guide BETTER guide ~$12.90 vs. cons $12.80 (FY2026, buyback-driven EPS raise) MEDIUM
IQV Guide Q3'26 Adj EPS guide UNKNOWN guide ~$3.20 vs. cons $3.22 (Q3 2026) LOW
IQV Return Day-1 residual (stock − beta × S&P 500) -2.5% MEDIUM
IQV Return 5-day cumulative residual -4.5% (FADE) Stock is up ~35% since early May and ~28% off June lows into the print, sitting near the top of the $225 analyst target range — priced for a beat-and-raise. Even with a likely revenue/EPS beat, the quality is low: EPS upside is buyback/FX-driven while EBITDA guide is only reaffirmed (not raised) and R&DS book-to-bill likely fails to normalize back to the hoped ~1.15x. Large-pharma decision speed stays 'deliberate,' so out-quarter service-fee revenue conversion gets trimmed and the operational revisions are muted-to-negative even after the headline beat. The out-period math (soft bookings mix + no EBITDA raise) pulls forward estimates down, so the overbought move fades over the week. MEDIUM