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IQVIA Guides 2026 Profit Below Street as Higher Interest Costs Bite

Higher borrowing costs tied to refinancing are weighing on earnings despite resilient revenue.

Overview

  • The company forecast 2026 adjusted EPS of $12.55 to $12.85, below the $12.95 Wall Street consensus, according to LSEG.
  • Management attributed the profit outlook to roughly $80 million in additional interest expense from 2025 financing and expected 2026 refinancing.
  • Full-year revenue is projected at $17.15 billion to $17.35 billion, topping analysts’ $17.07 billion expectation.
  • For the fourth quarter, IQVIA reported adjusted EPS of $3.42 on $4.36 billion in revenue, beating estimates, and it adopted a Jan. 1 reorganization that created a Commercial Solutions segment and moved some real-world research into R&D.
  • Shares fell more than 8% as CEO Ari Bousbib rejected suggestions that AI could displace the business, with analysts examining potential effects on services.