Strativest CapitalSTRATIVEST RESEARCH
Independent research · Est. October 2026
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Stock X-Ray · Health Care · S&P 500 Full Coverage — Phase 1

IQVIA (IQV)

X-Ray dated Oct 28, 2026 · Share price as of Oct 28, 2026 intraday, when the valuation snapshot was captured · Financials from SEC filings (EDGAR) · Valuation multiples from a labelled secondary source
The verdict — valuation label: UNDERVALUED

Forward P/E is 20.22x against a peer median of 30.89x, a ratio of 0.65x — well below the 0.90 fair-band floor — with trailing P/E 34.01x and PEG 1.75. Latest-quarter revenue grew 8.0% year over year (PRIMARY, EDGAR), close to the group pace. Value-trap check: revenue is growing, not shrinking, and the group median growth is positive, so the discount stands. Delivered demand check: the Life sciences tools & services group's median growth was 8.1% year over year — demand rising, and this company is growing close to that pace.

20.2×
Forward P/E — price vs next year’s expected earnings (secondary source)
30.9×
Peer median forward P/E — closest comparable companies
34.0×
Trailing P/E — price vs the last twelve months of earnings
2.6×
Price / sales

What would change this label: Move to FAIRLY PRICED if the forward P/E rises above about 27.8x (0.90x the peer median) at unchanged estimates, or if revenue growth falls below 0% year over year for two quarters. Move further from fair value if the forward P/E falls below about 18x while revenue growth stays above 8% year over year.

In simple words

IQVIA runs clinical trials for drug companies and sells health-care data. Its shares cost much less than similar companies — about 20 times expected earnings against about 31 times for peers — while its sales grow at about the same pace. That makes the shares look undervalued.

Words we use, in plain English: P/E ratio — the share price divided by earnings per share; how many dollars you pay for one dollar of yearly profit. Forward P/E — the same, using next year’s expected earnings. Free cash flow — cash a company has left after running the business and buying equipment. TTM — the last twelve months. Drawdown — the worst fall from a peak to the low after it.
The share price vs the market — six years
IQVIA (IQV)S&P 500 (SPY)
721121521922322021202220232024202520262020-09-012026-10-27

Both lines start at 100 on 2020-09-01. Over the full window IQVIA returned +64.45% and the S&P 500 +118.28% (price returns; dividends not reinvested). Worst peak-to-trough fall for IQVIA: -51.5% (2021-12-30 to 2025-05-23). Source: Nasdaq official daily history.

What the label rests on

Forward P/E is 20.22x against a peer median of 30.89x, a ratio of 0.65x — well below the 0.90 fair-band floor — with trailing P/E 34.01x and PEG 1.75. Latest-quarter revenue grew 8.0% year over year (PRIMARY, EDGAR), close to the group pace. Value-trap check: revenue is growing, not shrinking, and the group median growth is positive, so the discount stands. Delivered demand check: the Life sciences tools & services group's median growth was 8.1% year over year — demand rising, and this company is growing close to that pace. The company’s forward P/E is 20.2× against a peer median of 30.9×. Its own history: UNVERIFIED — no sourced range available. Sector demand read: Delivered demand check: the Life sciences tools & services group's median latest-quarter revenue growth was 8.1% year over year (SEC filings) — demand rising. This company grew 8.0%, essentially at that pace. Latest-quarter sales growth was +8.0% versus a year earlier (SEC filings).

CompanyPrice (Oct 28, 2026)Forward P/ETrailing P/E
IQVIA (IQV)$280.7620.2×34.0×
WAT—30.9×216.8×
ILMN—51.0×54.1×
A—27.8×36.0×
MTD—34.9×38.6×
CRL—30.6×—
Peer median30.9×

Multiples: stockanalysis.com (SECONDARY, S&P Global data), fetched Oct 28, 2026. Peer set chosen by sector; the median is the middle value of the set. The label and its numbers were recorded in the programme’s label registry on Oct 28, 2026 and will be scored at 6 and 12 months.

Sales, profit and cash

Sales and profit each quarter
SalesNet income (profit)
$0B$2B$3B$5BSep 2020Sep 2021Sep 2022Sep 2023Sep 2024Sep 2025Sep 2026

This company does not report a gross-profit line in its SEC facts (normal for banks, payment networks and some health insurers), so profit is shown as net income instead — gross margin is marked UNVERIFIED-absent rather than estimated.

Cash left over each quarter (free cash flow)
PositiveNegative
$-1B$0B$1BSep 2020Sep 2021Sep 2022Sep 2023Sep 2024Sep 2025Sep 2026

Free cash flow = cash from operations minus spending on plant and equipment, both from the company’s SEC cash-flow statement. Gaps are quarters where that spending line is not separately tagged in the filings — shown as gaps, never estimated.

QuarterSalesGross marginNet incomeEPS (GAAP, diluted)Free cash flow
Q/E Sep 2026
2026-09-30
$4.4B—$350M2.10$667M
Q/E Jun 2026
2026-06-30
$4.4B—$256M1.53$360M
Q/E Mar 2026
2026-03-31
$4.2B—$274M1.61$491M
Q/E Dec 2025
2025-12-31
$4.4B—$514M—$561M
Q/E Sep 2025
2025-09-30
$4.1B—$331M1.93$772M
Q/E Jun 2025
2025-06-30
$4.0B—$266M1.54$292M
Q/E Mar 2025
2025-03-31
$3.8B—$249M1.40$426M
Q/E Dec 2024
2024-12-31
$4.0B—$437M—$721M
Q/E Sep 2024
2024-09-30
$3.9B23.5%$285M1.55$571M
Q/E Jun 2024
2024-06-30
$3.8B22.6%$363M1.97$445M
Q/E Mar 2024
2024-03-31
$3.7B22.1%$288M1.56$377M
Q/E Dec 2023
2023-12-31
$3.9B—$469M—$568M

The last twelve reported quarters. Full 25-quarter history sits in the data pack behind this page. A dash means the figure is not tagged as a standalone quarter in the company’s SEC facts (the usual case is the fourth quarter, which many companies only report inside the full-year filing) — it is missing, not zero.

Earnings: getting better or worse?

Each box is one quarter’s earnings per share (EPS). Green means EPS was higher than the same quarter a year earlier; red means lower; a dash means the figure is not tagged in the filings.

Dec 2022
—
Mar 2023
1.53
Jun 2023
1.59
Sep 2023
1.63
Dec 2023
—
Mar 2024
1.56
Jun 2024
1.97
Sep 2024
1.55
Dec 2024
—
Mar 2025
1.40
Jun 2025
1.54
Sep 2025
1.93
Dec 2025
—
Mar 2026
1.61
Jun 2026
1.53
Sep 2026
2.10

Basis: GAAP diluted EPS from SEC company facts, compared with the same quarter a year earlier.

Key facts

ItemValue
Company (legal name in filings)IQVIA HOLDINGS INC.
Chief executiveAri Bousbib (source: https://www.businesswire.com/news/home/20261027294018/en/IQVIA-Reports-Third-Quarter-2026-Results)
SectorHealth Care — Life Sciences Tools & Services — runs clinical trials for medicine makers and sells health-care data and analytics
Share price (Oct 28, 2026)$280.76
Market value (market cap)$44.8B — share price times shares outstanding of 164,800,000 (SEC filings; SEC EDGAR dei EntityCommonStockSharesOutstanding (latest))
Sales, last twelve months$17.3B
Net income, last twelve months$1.4B
Free cash flow, last twelve months$2.1B
Latest reported quarterQ/E Sep 2026 (of 25 quarters in the data pack)
Six-year price return vs S&P 500+64.45% vs +118.28%
Worst peak-to-trough fall-51.5% (2021-12-30 to 2025-05-23)

What we could not verify

  • Gross profit / gross margin: not tagged as a standalone line in this company's EDGAR company facts (common for banks, payment networks and some healthcare payers) — shown as UNVERIFIED-absent; the page charts revenue and net income instead.
  • TTM GAAP diluted EPS could not be summed from company facts because at least one of the last four quarters (typically Q4) has no standalone tagged EPS; trailing P/E is therefore taken from the labelled secondary source in valuation_label.md.
  • Own-history P/E range not yet compiled for this company in the Phase 1 batch run; the label rests on peer-median, growth and PEG evidence.
  • Guidance record (each quarter scored against the guidance the company gave the quarter before) is not yet compiled for this company — it is a Phase 2 layer. The earnings strip below therefore uses reported EPS versus a year earlier, which is fully sourced from filings.

The IT factor — the most exciting thing the market is overlooking — is not assessed on an X-Ray page. It belongs to the Deep Dive (Phase 2), where it gets the evidence standard it needs. Leadership-era scoring (the six years split by chief executive) is likewise a Phase 2 layer; this page names the current chief executive only, from a sourced profile.

Sources

  • SEC EDGAR submissions — Filing index; company legal name. https://data.sec.gov/submissions/CIK0001478242.json
  • SEC EDGAR company facts — Quarterly financial spine: revenue, gross profit, net income, GAAP diluted EPS, operating cash flow, PP&E capex, buybacks, dividends, diluted shares. https://data.sec.gov/api/xbrl/companyfacts/CIK0001478242.json
  • Nasdaq official daily history — Daily closes for the company; SPY (assetclass=etf) saved as raw/nasdaq_spy_raw.json over identical dates. https://api.nasdaq.com/api/quote/IQV/historical?assetclass=stocks
  • Valuation multiples and peer figures — stockanalysis.com (SECONDARY, S&P Global data), fetched Oct 28, 2026; see valuation_label.md in the data pack.

Conventions: earliest-filed value per period, as first reported; cash-flow years-to-date differenced quarter by quarter; EPS never differenced; free cash flow = operating cash flow minus plant-and-equipment spending. This page is a dated snapshot — updates are new versions, never silent edits.

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