IQV Earnings Predictions — 2026-07-28

Ticker Report or Guide KPI Prediction Answer Confidence
IQV Report Total Revenue (Q2 2026) BEAT pred ~$4.34B vs. cons $4.30B MEDIUM
IQV Report Adjusted Diluted EPS (Q2 2026) BEAT pred ~$3.10 vs. cons $3.01 MEDIUM
IQV Report R&DS Book-to-Bill Ratio BEAT pred ~1.10x vs. implied street expectation ~1.05x LOW
IQV Guide FY2026 Revenue Guidance BETTER guide ~$17.30B (narrow raise/reaffirm at top of $17.15-17.35B range) vs. cons $17.30B (FY2026) MEDIUM
IQV Guide FY2026 Adjusted Diluted EPS Guidance BETTER guide ~$12.90 (raised range, e.g. $12.80-$13.00) vs. cons $12.80 (FY2026) MEDIUM
IQV Guide Q3 2026 Revenue Guidance (implied next-Q) BETTER guide ~$4.40B vs. cons ~$4.38B (Q3 2026) LOW
IQV Return Day-1 residual (stock − beta × S&P 500) +2.5% MEDIUM
IQV Return 5-day cumulative residual +1.0% (FADE) IQV has a strong beat-and-raise history into this print (4 straight EPS beats, avg ~1.6% surprise; FY26 EPS guide already raised once in Q1), so a modest top/bottom-line beat and another small guidance nudge look likely, supporting a positive day-1 pop. But the stock already rallied ~36% off its April low and ~7% in the week before the print, meaning much of the 'oversold reversion' and raise optimism is pre-positioned — unlike last year's Q2 print (+14.7%) or this year's Q1 print (+9.6%), both of which came after sharp pre-earnings drawdowns. In both of those precedents the initial pop faded over the following 2-3 weeks as investors digested that the raise was largely incremental rather than a structural re-rating, and as book-to-bill/bookings-mix noise and lingering large-pharma/policy uncertainty reasserted. With less 're-rating' runway left this time, expect a similar partial giveback of the day-1 gain over the next week rather than continued follow-through. MEDIUM