IQVIA Q4 revenue up 10.3% to $4.36B; adj EPS $3.42, issues FY2026 guidance

IQVIA HOLDINGS INC.

2025-FY EPS reported $7.84 revenue$16,310,000,000

Q4 revenue $4,364M (+10.3% YoY); GAAP EPS $2.99, adj. EPS $3.42 (+9.6% YoY).
R&D Solutions Q4 bookings $2.7B (book-to-bill 1.18x); backlog $32.7B (+5.3% YoY).
Full-year 2026 guidance: revenue $17.15-17.35B, adj. EBITDA $3.975-4.025B, adj. EPS $12.55-12.85.
Segment reorg effective Jan 1, 2026: CSMS folded into TAS (renamed Commercial Solutions); some real-world offerings moved to R&DS.
Q4 share repurchases $212M; full-year $1,244M; $1.769B authorization remaining.

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