IQVIA (IQV) 10-Q 28 Apr 22 2022 Q1 Quarterly report Financial data

Cover Page

Cover Page - shares	3 Months Ended
	Mar. 31, 2022	Apr. 15, 2022
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2022
Document Transition Report	false
Entity File Number	001-35907
Entity Registrant Name	IQVIA HOLDINGS INC.
Entity Incorporation, State	DE
Entity Tax Identification Number	27-1341991
Entity Address, Street	4820 Emperor Blvd.
Entity Address, City	Durham
Entity Address, State	NC
Entity Address, Postal Zip Code	27703
City Area Code	919
Local Phone Number	998-2000
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Title of Each Class	Common Stock, par value $0.01 per share
Trading Symbol	IQV
Name of Each Exchange on which Registered	NYSE
Entity Common Stock, Shares Outstanding		189,279,035
Current Fiscal Year End Date	--12-31
Entity Central Index Key	0001478242
Amendment Flag	false
Document Fiscal Year Focus	2022
Document Fiscal Period Focus	Q1

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Millions, $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Income Statement [Abstract]
Revenues	$ 3,568	$ 3,409
Costs of revenue, exclusive of depreciation and amortization	2,323	2,293
Selling, general and administrative expenses	488	442
Depreciation and amortization	255	323
Restructuring costs	7	9
Income from operations	495	342
Interest income	(1)	(1)
Interest expense	86	99
Loss on extinguishment of debt	0	24
Other expense (income), net	10	(37)
Income before income taxes and equity in (losses) earnings of unconsolidated affiliates	400	257
Income tax expense	71	44
Income before equity in (losses) earnings of unconsolidated affiliates	329	213
Equity in (losses) earnings of unconsolidated affiliates	(4)	4
Net income	325	217
Net income attributable to non-controlling interests	0	(5)
Net income attributable to IQVIA Holdings Inc.	$ 325	$ 212
Earnings per share attributable to common stockholders:
Basic (in dollars per share)	$ 1.71	$ 1.11
Diluted (in dollars per share)	$ 1.68	$ 1.09
Weighted average common shares outstanding:
Basic (in shares)	190	191.5
Diluted (in shares)	193.4	194.9

CONDENSED CONSOLIDATED STATEM_2

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Statement of Comprehensive Income [Abstract]
Net income	$ 325	$ 217
Comprehensive income adjustments:
Unrealized gains on derivative instruments, net of income tax expense of $9, $1	30	6
Defined benefit plan adjustments, net of tax	(2)	0
Foreign currency translation, net of income tax expense of $27, $62	(40)	(178)
Reclassification adjustments:
Reclassifications on derivative instruments included in net income, net of income tax benefit of $—, $1	(1)	1
Comprehensive income	312	46
Comprehensive income attributable to non-controlling interests	0	(5)
Comprehensive income attributable to IQVIA Holdings Inc.	$ 312	$ 41

CONDENSED CONSOLIDATED STATEM_3

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Parenthetical) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Statement of Comprehensive Income [Abstract]
Unrealized (losses) gains on derivative instruments, income tax (benefit) expense	$ 9	$ 1
Defined benefit plan adjustments, income tax (benefit) expense	0	0
Foreign currency translation, income tax expense (benefit)	27	62
(Gain) losses on derivative instruments included in net income, income tax expense	$ 0	$ 1

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Millions	Mar. 31, 2022	Dec. 31, 2021
Current assets:
Cash and cash equivalents	$ 1,387	$ 1,366
Trade accounts receivable and unbilled services, net	2,619	2,551
Prepaid expenses	162	156
Income taxes receivable	43	58
Investments in debt, equity and other securities	106	111
Other current assets and receivables	455	521
Total current assets	4,772	4,763
Property and equipment, net	531	497
Operating lease right-of-use assets	407	406
Investments in debt, equity and other securities	72	76
Investments in unconsolidated affiliates	90	88
Goodwill	13,532	13,301
Other identifiable intangibles, net	4,917	4,943
Deferred income taxes	120	124
Deposits and other assets	528	491
Total assets	24,969	24,689
Current liabilities:
Accounts payable and accrued expenses	2,816	2,981
Unearned income	1,927	1,825
Income taxes payable	135	137
Current portion of long-term debt	90	91
Other current liabilities	189	207
Total current liabilities	5,157	5,241
Long-term debt, less current portion	12,547	12,034
Deferred income taxes	455	410
Operating lease liabilities	310	313
Other liabilities	581	649
Total liabilities	19,050	18,647
Commitments and contingencies (Note 8)
Stockholders’ equity:
Common stock and additional paid-in capital, 400.0 shares authorized as of March 31, 2022 and December 31, 2021, $0.01 par value, 256.2 shares issued and 189.3 shares outstanding as of March 31, 2022; 255.8 shares issued and 190.6 shares outstanding as of December 31, 2021	10,745	10,777
Retained earnings	2,568	2,243
Treasury stock, at cost, 66.9 and 65.2 shares as of March 31, 2022 and December 31, 2021, respectively	(6,975)	(6,572)
Accumulated other comprehensive loss	(419)	(406)
Total stockholders’ equity	5,919	6,042
Total liabilities and stockholders’ equity	$ 24,969	$ 24,689

CONDENSED CONSOLIDATED BALANC_2

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares shares in Millions	Mar. 31, 2022	Dec. 31, 2021
Statement of Financial Position [Abstract]
Common stock, shares authorized (in shares)	400	400
Common stock, par value, ( in usd per share)	$ 0.01	$ 0.01
Common stock, shares issued (in shares)	256.2	255.8
Common stock, shares outstanding (in shares)	189.3	190.6
Treasury stock, shares (in shares)	66.9	65.2

CONDENSED CONSOLIDATED STATEM_4

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Operating activities:
Net income	$ 325	$ 217
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	255	323
Amortization of debt issuance costs and discount	4	5
Stock-based compensation	30	32
Losses (earnings) from unconsolidated affiliates	4	(4)
Loss on investments, net	11	3
Benefit from deferred income taxes	(10)	(39)
Changes in operating assets and liabilities:
Change in accounts receivable, unbilled services and unearned income	54	342
Change in other operating assets and liabilities	(165)	(12)
Net cash provided by operating activities	508	867
Investing activities:
Acquisition of property, equipment and software	(177)	(149)
Acquisition of businesses, net of cash acquired	(430)	(19)
Purchases of marketable securities, net	(3)	(7)
Investments in unconsolidated affiliates, net of payments received	(6)	(1)
Investments in equity securities	0	(1)
Other	3	1
Net cash used in investing activities	(613)	(176)
Financing activities:
Proceeds from issuance of debt	0	1,751
Payment of debt issuance costs	0	(32)
Repayment of debt and principal payments on finance leases	(24)	(1,758)
Proceeds from revolving credit facility	950	0
Repayment of revolving credit facility	(300)	0
Payments related to employee stock option plans	(67)	(56)
Repurchase of common stock	(403)	(62)
Contingent consideration and deferred purchase price payments	(12)	(11)
Net cash provided by (used in) financing activities	144	(168)
Effect of foreign currency exchange rate changes on cash	(18)	(32)
Increase in cash and cash equivalents	21	491
Cash and cash equivalents at beginning of period	1,366	1,814
Cash and cash equivalents at end of period	$ 1,387	$ 2,305

CONDENSED CONSOLIDATED STATEM_5

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) shares in Millions, $ in Millions	Total	Common Stock	Treasury Stock	Additional Paid-In Capital	Retained Earnings	Accumulated Other Comprehensive (Loss) Income	Non- controlling Interests
Beginning balance (in shares) at Dec. 31, 2020		254.7	63.5
Beginning balance at Dec. 31, 2020	$ 6,280	$ 3	$ (6,166)	$ 11,092	$ 1,277	$ (205)	$ 279
Increase (Decrease) in Stockholders' Equity
Issuance of common stock (in shares)		0.7
Issuance of common stock	(57)			(57)
Repurchase of common stock (in shares)			(0.3)
Repurchase of common stock	(62)		$ (62)
Stock-based compensation	30			30
Net income	217				212		5
Unrealized gains on derivative instruments, net of tax	6					6
Defined benefit plan adjustments, net of tax	0
Foreign currency translation, net of tax	(178)					(178)
Reclassification adjustments, net of tax	1					1
Ending balance (in shares) at Mar. 31, 2021		255.4	63.8
Ending balance at Mar. 31, 2021	$ 6,237	$ 3	$ (6,228)	11,065	1,489	(376)	284
Beginning balance (in shares) at Dec. 31, 2021	190.6	255.8	65.2
Beginning balance at Dec. 31, 2021	$ 6,042	$ 3	$ (6,572)	10,774	2,243	(406)	0
Increase (Decrease) in Stockholders' Equity
Issuance of common stock (in shares)		0.4
Issuance of common stock	(67)			(67)
Repurchase of common stock (in shares)			(1.7)
Repurchase of common stock	(403)		$ (403)
Stock-based compensation	35			35
Net income	325				325
Unrealized gains on derivative instruments, net of tax	30					30
Defined benefit plan adjustments, net of tax	(2)					(2)
Foreign currency translation, net of tax	(40)					(40)
Reclassification adjustments, net of tax	$ (1)					(1)
Ending balance (in shares) at Mar. 31, 2022	189.3	256.2	66.9
Ending balance at Mar. 31, 2022	$ 5,919	$ 3	$ (6,975)	$ 10,742	$ 2,568	$ (419)	$ 0

Summary of Significant Accounti

Summary of Significant Accounting Policies	3 Months Ended
	Mar. 31, 2022
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies The Company IQVIA Holdings Inc. (together with its subsidiaries, the “Company” or “IQVIA”) is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. With approximately 82,000 employees, IQVIA conducts business in more than 100 countries. Unaudited Interim Financial Information The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair statement of the Company’s financial condition and results of operations have been included. Operating results for the periods presented are not necessarily indicative of the results that may be expected for the year ending December 31, 2022. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2021. The balance sheet as of December 31, 2021 has been derived from the audited consolidated financial statements of the Company, but does not include all the disclosures required by GAAP. Recently Issued Accounting Standards Accounting pronouncements adopted

Revenues by Geography, Concentr

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations	3 Months Ended
	Mar. 31, 2022
Revenue from Contract with Customer [Abstract]
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations	Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations The following tables represent revenues by geographic region and reportable segment for the three months ended March 31, 2022 and 2021: Three Months Ended March 31, 2022 (in millions) Technology & Research & Contract Sales & Total Revenues: Americas $ 681 $ 946 $ 91 $ 1,718 Europe and Africa 596 507 46 1,149 Asia-Pacific 162 481 58 701 Total revenues $ 1,439 $ 1,934 $ 195 $ 3,568 Three Months Ended March 31, 2021 (in millions) Technology & Research & Contract Sales & Total Revenues: Americas $ 600 $ 1,034 $ 78 $ 1,712 Europe and Africa 590 443 49 1,082 Asia-Pacific 158 391 66 615 Total revenues $ 1,348 $ 1,868 $ 193 $ 3,409 No individual customer represented 10% or more of consolidated revenues for the three months ended March 31, 2022 or 2021. Transaction Price Allocated to the Remaining Performance Obligations

Trade Accounts Receivable, Unbi

Trade Accounts Receivable, Unbilled Services and Unearned Income	3 Months Ended
	Mar. 31, 2022
Receivables [Abstract]
Trade Accounts Receivable, Unbilled Services and Unearned Income	Trade Accounts Receivable, Unbilled Services and Unearned Income Trade accounts receivables and unbilled services consist of the following: (in millions) March 31, 2022 December 31, 2021 Billed $ 1,227 $ 1,275 Unbilled services 1,422 1,309 Trade accounts receivable and unbilled services 2,649 2,584 Allowance for doubtful accounts (30) (33) Trade accounts receivable and unbilled services, net $ 2,619 $ 2,551 Unbilled services and unearned income were as follows: (in millions) March 31, 2022 December 31, 2021 Change Unbilled services $ 1,422 $ 1,309 $ 113 Unearned income (1,927) (1,825) (102) Net balance $ (505) $ (516) $ 11 Unbilled services, which is comprised of approximately 62% of unbilled receivables and 38% of contract assets as of March 31, 2022 and December 31, 2021, increased by $113 million as compared to December 31, 2021. Contract assets are unbilled services for which invoicing is based on the timing of certain milestones related to service contracts for clinical research whereas unbilled receivables are billable upon the passage of time. Unearned income increased by $102 million over the same period resulting in an increase of $11 million in the net balance of unbilled services and unearned income between December 31, 2021 and March 31, 2022. The change in the net balance is driven by the difference in timing of revenue recognition in accordance with ASC 606, Revenue from Contracts with Customers, related to the Company’s Research & Development Solutions contracts (which is based on the percentage of costs incurred) versus the timing of invoicing, which is based on certain milestones.

Goodwill

Goodwill	3 Months Ended
	Mar. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill	Goodwill The following is a summary of goodwill by reportable segment for the three months ended March 31, 2022: (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Consolidated Balance as of December 31, 2021 $ 11,337 $ 1,802 $ 162 $ 13,301 Business combinations 86 253 — 339 Impact of foreign currency fluctuations and other (102) (4) (2) (108) Balance as of March 31, 2022 $ 11,321 $ 2,051 $ 160 $ 13,532

Derivatives

Derivatives	3 Months Ended
	Mar. 31, 2022
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivatives	Derivatives The fair values of the Company’s derivative instruments and the line items on the accompanying condensed consolidated balance sheets to which they were recorded are summarized in the following table: (in millions) Balance Sheet Classification March 31, 2022 December 31, 2021 Assets Liabilities Notional Assets Liabilities Notional Derivatives designated as hedging instruments: Foreign exchange forward contracts Other current assets and liabilities $ — $ 5 $ 124 $ — $ 3 $ 110 Interest rate swaps Other assets and liabilities 25 5 1,800 4 24 1,800 Total derivatives $ 25 $ 10 $ 4 $ 27 The pre-tax effect of the Company’s cash flow hedging instruments on other comprehensive income is summarized in the following table: Three Months Ended March 31, (in millions) 2022 2021 Foreign exchange forward contracts $ (2) $ (2) Interest rate swaps 40 11 Total $ 38 $ 9 The amount of foreign exchange gains related to the net investment hedge included in the cumulative translation adjustment component of accumulated other comprehensive (loss) income (“AOCI”) for the three months ended March 31, 2022 and 2021 was $119 million and $285 million, respectively.

Fair Value Measurements

Fair Value Measurements	3 Months Ended
	Mar. 31, 2022
Fair Value Disclosures [Abstract]
Fair Value Measurements	Fair Value Measurements The Company records certain assets and liabilities at fair value. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy that prioritizes the inputs used to measure fair value is described below. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows: • Level 1 — Quoted prices in active markets for identical assets or liabilities. • Level 2 — Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data. • Level 3 — Unobservable inputs that are supported by little or no market activity. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. The carrying values of cash, cash equivalents, accounts receivable and accounts payable approximated their fair values as of March 31, 2022 and December 31, 2021 due to their short-term nature. As of March 31, 2022 and December 31, 2021, the fair value of total debt approximated $12,508 million and $12,255 million, respectively, as determined under Level 1 and Level 2 measurements for these financial instruments. Recurring Fair Value Measurements The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of March 31, 2022: (in millions) Level 1 Level 2 Level 3 Total Assets: Marketable securities $ 136 $ — $ — $ 136 Derivatives — 25 — 25 Total $ 136 $ 25 $ — $ 161 Liabilities: Derivatives $ — $ 10 $ — $ 10 Contingent consideration — — 87 87 Total $ — $ 10 $ 87 $ 97 Below is a summary of the valuation techniques used in determining fair value: Marketable securities — The Company values trading and available-for-sale securities using the quoted market value of the securities held. Derivatives — Derivatives consist of foreign exchange contracts and interest rate swaps. The fair value of foreign exchange contracts is based on observable market inputs of spot and forward rates or using other observable inputs. The fair value of the interest rate swaps is the estimated amount that the Company would receive or pay to terminate such agreements, taking into account market interest rates and the remaining time to maturities or using market inputs with mid-market pricing as a practical expedient for bid-ask spread. Contingent consideration — The Company values contingent consideration related to business combinations using a weighted probability calculation of potential payment scenarios discounted at rates reflective of the risks associated with the expected future cash flows. Assumptions used to estimate the fair value of contingent consideration include various financial metrics (revenue performance targets and operating forecasts) and the probability of achieving the specific targets. Based on the assessments of the probability of achieving specific targets, as of March 31, 2022 the Company has accrued approximately 74% of the maximum contingent consideration payments that could potentially become payable. The following table summarizes the changes in Level 3 financial assets and liabilities measured on a recurring basis for the three months ended March 31: Contingent Consideration (in millions) 2022 2021 Balance as of January 1 $ 76 $ 119 Business combinations 23 5 Contingent consideration paid (11) (9) Revaluations included in earnings and foreign currency translation adjustments (1) (6) Balance as of March 31 $ 87 $ 109 The current portion of contingent consideration is included within accrued expenses and the long-term portion is included within other liabilities on the accompanying condensed consolidated balance sheets. Revaluations of the contingent consideration are recognized in other expense (income), net on the accompanying condensed consolidated statements of income. A change in significant unobservable inputs above could result in a higher or lower fair value measurement of contingent consideration. Non-recurring Fair Value Measurements

Credit Arrangements

Credit Arrangements	3 Months Ended
	Mar. 31, 2022
Debt Disclosure [Abstract]
Credit Arrangements	Credit Arrangements The following is a summary of the Company’s revolving credit facilities as of March 31, 2022: Facility Interest Rates $1,500 million (revolving credit facility) LIBOR in the relevant currency borrowed plus a margin of 1.25% as of March 31, 2022 $110 million (receivables financing facility) LIBOR Market Index Rate (0.45% as of March 31, 2022) plus 0.90% The following table summarizes the Company’s debt at the dates indicated: (dollars in millions) March 31, 2022 December 31, 2021 Revolving Credit Facility due 2026: U.S. Dollar denominated borrowings—U.S. Dollar LIBOR at average floating rates of 1.47% $ 750 $ 100 Senior Secured Credit Facilities: Term A Loan due 2026—U.S. Dollar LIBOR at average floating rates of 1.47% 1,397 1,415 Term A Loan due 2026—Euribor at average floating rates of 1.25% 339 351 Term B Loan due 2024—U.S. Dollar LIBOR at average floating rates of 1.85% 510 510 Term B Loan due 2024—Euribor at average floating rates of 2.00% 1,217 1,242 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.85% 670 670 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.97% 861 860 Term B Loan due 2025—Euribor at average floating rates of 2.00% 581 592 5.0% Senior Notes due 2027—U.S. Dollar denominated 1,100 1,100 5.0% Senior Notes due 2026—U.S. Dollar denominated 1,050 1,050 2.875% Senior Notes due 2025—Euro denominated 467 476 2.25% Senior Notes due 2028—Euro denominated 800 817 2.875% Senior Notes due 2028—Euro denominated 790 807 1.750% Senior Notes due 2026—Euro denominated 611 624 2.250% Senior Notes due 2029—Euro denominated 1,000 1,021 Receivables financing facility due 2024—U.S. Dollar LIBOR at average floating rates of 1.00%: Revolving Loan Commitment 110 110 Term Loan 440 440 Principal amount of debt 12,693 12,185 Less: unamortized discount and debt issuance costs (56) (60) Less: current portion (90) (91) Long-term debt $ 12,547 $ 12,034 Contractual maturities of long-term debt are as follows as of March 31, 2022: (in millions) Remainder of 2022 $ 68 2023 90 2024 2,366 2025 2,668 2026 3,809 Thereafter 3,692 $ 12,693 Senior Secured Credit Facilities As of March 31, 2022, the Company’s Fifth Amended and Restated Credit Agreement provided financing through several senior secured credit facilities of up to approximately $7,075 million, which consisted of $6,325 million principal amounts of debt outstanding (as detailed in the table above), and $750 million of available borrowing capacity on the $1,500 million revolving credit facility and standby letters of credit. The revolving credit facility is comprised of a $675 million senior secured revolving facility available in U.S. dollars, a $600 million senior secured revolving facility available in U.S. dollars, Euros, Swiss Francs and other foreign currencies, and a $225 million senior secured revolving facility available in U.S. dollars and Yen .

Contingencies

Contingencies	3 Months Ended
	Mar. 31, 2022
Commitments and Contingencies Disclosure [Abstract]
Contingencies	Contingencies The Company and its subsidiaries are involved in legal and tax proceedings, claims and litigation arising in the ordinary course of business. Management periodically assesses the Company’s liabilities and contingencies in connection with these matters based upon the latest information available. For those matters where management currently believes it is probable that the Company will incur a loss and that the probable loss or range of loss can be reasonably estimated, the Company has recorded reserves in the consolidated financial statements based on its best estimates of such loss. In other instances, because of the uncertainties related to either the probable outcome or the amount or range of loss, management is unable to make a reasonable estimate of a liability, if any. However, even in many instances where the Company has recorded an estimated liability, the Company is unable to predict with certainty the final outcome of the matter or whether resolution of the matter will materially affect the Company’s results of operations, financial position or cash flows. As additional information becomes available, the Company adjusts its assessments and estimates of such liabilities accordingly. The Company routinely enters into agreements with third parties, including our clients and suppliers, all in the normal course of business. In these agreements, the Company sometimes agrees to indemnify and hold harmless the other party for any damages such other party may suffer as a result of potential intellectual property infringement and other claims. The Company has not accrued a liability with respect to these matters generally, as the exposure is considered remote. Based on its review of the latest information available, management does not expect the impact of pending legal and tax proceedings, claims and litigation, either individually or in the aggregate, to have a material adverse effect on the Company’s results of operations, cash flows or financial position. However, one or more unfavorable outcomes in any claim or litigation against the Company could have a material adverse effect for the period in which it is resolved. The following is a summary of certain legal matters involving the Company. On February 13, 2014, a group of approximately 1,200 medical doctors and 900 private individuals filed a civil lawsuit with the Seoul Central District Court against IMS Korea and two other defendants, KPA and the Korean Pharmaceutical Information Center (“KPIC”). The civil lawsuit alleges KPA and KPIC collected their personal information in violation of applicable privacy laws without the necessary consent through a software system installed on pharmacy computer systems in Korea, and that personal information was transferred to IMS Korea and sold to pharmaceutical companies. On September 11, 2017, the District Court issued a final decision that the encryption in use by the defendants since June 2014 was adequate to meet the requirements of the Korean Personal Information Privacy Act (“PIPA”) and the sharing of non-identified information for market research purposes was allowed under PIPA. The District Court also found an earlier version of encryption was insufficient to meet PIPA requirements, but no personal data had been leaked or re-identified. The District Court did not award any damages to plaintiffs. Approximately 280 medical doctors and 200 private individuals appealed the District Court decision. On May 3, 2019, the Appellate Court issued a final decision in which it concluded all of the non-identified information transferred by KPIC to IMS Korea for market research purposes violated PIPA, but did not award any damages to plaintiffs (affirming the District Court’s decision on this latter point). On May 24, 2019, approximately 247 plaintiffs appealed the Appellate Court’s decision to the Supreme Court. The Company believes the appeal is without merit and is vigorously defending its position. On July 23, 2015, indictments were issued by the Seoul Central District Prosecutors’ Office in South Korea against 24 individuals and companies alleging improper handling of sensitive health information in violation of, among others, South Korea’s Personal Information Protection Act. IMS Korea and two of its employees were among the individuals and organizations indicted. Although there is no assertion that IMS Korea used patient identified health information in any of its offerings, prosecutors allege that certain of IMS Korea’s data suppliers should have obtained patient consent when they converted sensitive patient information into non-identified data and that IMS Korea had not taken adequate precautions to reduce the risk of re-identification. On February 14, 2020, the Seoul Central District Court acquitted IMS Korea and its two employees of the charges of improper handling of sensitive health information, and the Prosecutor's Office appealed. On December 23, 2021, the appellate court affirmed the judgment of the Seoul Central District Court. The Prosecutor's Office has appealed to the Supreme Court. The Company intends to vigorously defend its position on appeal. On January 10, 2017, Quintiles IMS Health Incorporated and IMS Software Services Ltd. (collectively “IQVIA Parties”), filed a lawsuit in the U.S. District Court for the District of New Jersey against Veeva Systems, Inc. (“Veeva”) alleging Veeva unlawfully used IQVIA Parties intellectual property to improve Veeva data offerings, to promote and market Veeva data offerings and to improve Veeva technology offerings. IQVIA Parties seek injunctive relief, appointment of a monitor, the award of compensatory and punitive damages and reimbursement of all litigation expenses, including reasonable attorneys’ fees and costs. On March 13, 2017, Veeva filed counterclaims alleging anticompetitive business practices in violation of the Sherman Act and state laws. Veeva claims damages in excess of $200 million, and is seeking punitive damages and litigation costs, including attorneys’ fees. We believe the counterclaims are without merit, reject all counterclaims raised by Veeva and intend to vigorously defend IQVIA Parties’ position and pursue our claims against Veeva. Since the initial filings, the parties have filed additional litigations against each other, primarily concerning the use of IQVIA data with various other Veeva products. The parties are engaged in the discovery process in connection with these lawsuits. On May 7, 2021, the Court issued an order and opinion (the “Order”) in which it found significant evidence that Veeva had (1) misappropriated IQVIA data and unlawfully used it to improve Veeva data offerings, (2) engaged in a cover-up by deleting significant evidence of its theft of IQVIA’s trade secrets, and (3) improperly withheld certain evidence in furtherance of a crime and/or fraud against IQVIA. The Court imposed five sanctions against Veeva, including ordering three separate adverse inference instructions be issued to the jury and that IQVIA be permitted to present evidence to the jury of Veeva’s destruction efforts. Veeva is currently appealing the Order.

Stockholders' Equity

Stockholders' Equity	3 Months Ended
	Mar. 31, 2022
Equity [Abstract]
Stockholders' Equity	Stockholders’ Equity Preferred Stock The Company is authorized to issue 1.0 million shares of preferred stock, $0.01 per share par value. No shares of preferred stock were issued or outstanding as of March 31, 2022 or December 31, 2021. Equity Repurchase Program On February 10, 2022, the Board increased the stock repurchase authorization under the Company's equity repurchase program (the "Repurchase Program") with respect to the repurchase of the Company’s common stock by an additional $2.0 billion, which increased the total amount that has been authorized under the Repurchase Program to $9.725 billion since the plan’s inception in October 2013. The Repurchase Program does not obligate the Company to repurchase any particular amount of common stock, and it may be modified, extended, suspended or discontinued at any time. During the three months ended March 31, 2022, the Company repurchased 1.7 million shares of its common stock for $403 million under the Repurchase Program. As of March 31, 2022, the Company has remaining authorization to repurchase up to approximately $2.1 billion of its common stock under the Repurchase Program. In addition, from time to time, the Company has repurchased and may continue to repurchase common stock through private or other transactions outside of the Repurchase Program.

Business Combinations

Business Combinations	3 Months Ended
	Mar. 31, 2022
Business Combination and Asset Acquisition [Abstract]
Business Combinations	Business Combinations The Company completed several individually immaterial acquisitions during the three months ended March 31, 2022. The Company’s assessment of fair value, including the valuation of certain identified intangibles, and the purchase price allocation related to these acquisitions is preliminary and subject to change upon completion. Further adjustments may be necessary as additional information related to the fair values of assets acquired and liabilities assumed is assessed during the measurement period (up to one year from the acquisition date). The Company recorded goodwill from these acquisitions, primarily attributable to assembled workforce and expected synergies. The condensed consolidated financial statements include the results of the acquisitions subsequent to their respective closing dates. Pro forma information is not presented as pro forma results of operations would not be materially different to the actual results of operations of the Company. The following table provides certain preliminary financial information for these acquisitions: (in millions) March 31, 2022 Assets acquired: Cash and cash equivalents $ 6 Other assets 68 Goodwill 339 Other identifiable intangibles 137 Liabilities assumed: Other liabilities (46) Deferred income taxes, long-term (42) Net assets acquired (1) $ 462 (1) Total cash paid for acquisitions, net of cash acquired, in the accompanying condensed consolidated statement of cash flows, includes contingent consideration and deferred purchase price of $26 million for the three months ended March 31, 2022. The portion of goodwill deductible for income tax purposes was preliminarily assessed as $56 million. The following table provides a summary of the preliminary estimated fair value of certain intangible assets acquired: (in millions) Amortization Period March 31, 2022 Other identifiable intangibles: Customer relationships 11 - 17 years $ 115 Backlog 1 - 4 years 14 Software and related assets 4 - 5 years 6 Trade names 2 years 2 Total Other identifiable intangibles $ 137

Restructuring

Restructuring	3 Months Ended
	Mar. 31, 2022
Restructuring and Related Activities [Abstract]
Restructuring	RestructuringThe Company has continued to take restructuring actions in 2022 to align its resources and reduce overcapacity to adapt to changing market conditions and integrate acquisitions. These actions include consolidating functional activities, eliminating redundant positions, and aligning resources with customer requirements. These restructuring actions are expected to continue into 2023. The following amounts were recorded for the restructuring plans: (in millions) Severance and Balance as of December 31, 2021 $ 30 Expense, net of reversals 7 Payments (8) Balance as of March 31, 2022 $ 29 The reversals were due to changes in estimates primarily from the redeployment of staff and higher than expected voluntary terminations. Restructuring costs are not allocated to the Company’s reportable segments as they are not part of the segment performance measures regularly reviewed by management. The Company expects that the majority of the restructuring accruals as of March 31, 2022 will be paid in 2022 and 2023.

Income Taxes

Income Taxes	3 Months Ended
	Mar. 31, 2022
Income Tax Disclosure [Abstract]
Income Taxes	Income TaxesThe effective income tax rate was 17.8% and 17.1% in the first quarter of 2022 and 2021, respectively. The effective income tax rate in the first quarter of 2022 and 2021 was favorably impacted by $13 million and $17 million, respectively, as a result of excess tax benefits recognized upon settlement of share-based compensation awards.

Accumulated Other Comprehensive

Accumulated Other Comprehensive (Loss) Income	3 Months Ended
	Mar. 31, 2022
Equity [Abstract]
Accumulated Other Comprehensive (Loss) Income	Accumulated Other Comprehensive (Loss) Income Below is a summary of the components of AOCI: (in millions) Foreign Derivative Defined Income Total Balance as of December 31, 2021 $ (570) $ (21) $ 5 $ 180 $ (406) Other comprehensive (loss) income before reclassifications (13) 39 (2) (36) (12) Reclassification adjustments — (1) — — (1) Balance as of March 31, 2022 $ (583) $ 17 $ 3 $ 144 $ (419) Below is a summary of the adjustments for amounts reclassified from AOCI into the condensed consolidated statements of income and the affected financial statement line item: (in millions) Affected Financial Statement Three Months Ended March 31, 2022 2021 Derivative instruments: Interest rate swaps Interest expense $ — $ (4) Foreign exchange forward contracts Revenues 1 2 Total before income taxes 1 (2) Income tax benefit — (1) Total net of income taxes $ 1 $ (1)

Segments

Segments	3 Months Ended
	Mar. 31, 2022
Segment Reporting [Abstract]
Segments	SegmentsThe following table presents the Company’s operations by reportable segment. The Company is managed through three reportable segments, Technology & Analytics Solutions, Research & Development Solutions and Contract Sales & Medical Solutions. Technology & Analytics Solutions provides mission critical information, technology solutions and real world insights and services to the Company's life science clients. Research & Development Solutions, which primarily serves biopharmaceutical customers, provides outsourced clinical research and clinical trial related services. Contract Sales & Medical Solutions provides health care provider (including contract sales) and patient engagement services to both biopharmaceutical clients and the broader healthcare market. Certain costs are not allocated to our segments and are reported as general corporate and unallocated expenses. These costs primarily consist of stock-based compensation and expenses related to integration activities and acquisitions. The Company also does not allocate depreciation and amortization or impairment charges to its segments. Asset information by segment is not presented, as this measure is not used by the chief operating decision maker to assess the Company’s performance. The Company’s reportable segment information is presented below: Three Months Ended March 31, (in millions) 2022 2021 Revenues Technology & Analytics Solutions $ 1,439 $ 1,348 Research & Development Solutions 1,934 1,868 Contract Sales & Medical Solutions 195 193 Total revenues 3,568 3,409 Costs of revenue, exclusive of depreciation and amortization Technology & Analytics Solutions 834 812 Research & Development Solutions 1,322 1,321 Contract Sales & Medical Solutions 167 160 Total costs of revenue, exclusive of depreciation and amortization 2,323 2,293 Selling, general and administrative expenses Technology & Analytics Solutions 219 187 Research & Development Solutions 211 185 Contract Sales & Medical Solutions 16 13 General corporate and unallocated 42 57 Total selling, general and administrative expenses 488 442 Segment profit Technology & Analytics Solutions 386 349 Research & Development Solutions 401 362 Contract Sales & Medical Solutions 12 20 Total segment profit 799 731 General corporate and unallocated (42) (57) Depreciation and amortization (255) (323) Restructuring costs (7) (9) Total income from operations $ 495 $ 342

Earnings Per Share

Earnings Per Share	3 Months Ended
	Mar. 31, 2022
Earnings Per Share [Abstract]
Earnings Per Share	Earnings Per Share The following table reconciles the basic to diluted weighted average shares outstanding: Three Months Ended March 31, (in millions, except per share data) 2022 2021 Numerator: Net income attributable to IQVIA Holdings Inc. $ 325 $ 212 Denominator: Basic weighted average common shares outstanding 190.0 191.5 Effect of dilutive stock options and share awards 3.4 3.4 Diluted weighted average common shares outstanding 193.4 194.9 Earnings per share attributable to common stockholders: Basic $ 1.71 $ 1.11 Diluted $ 1.68 $ 1.09 Stock-based awards will have a dilutive effect under the treasury method when the respective period's average market value of the Company's common stock exceeds the exercise proceeds. Performance awards are included in diluted earnings per share based on if the performance targets have been met at the end of the reporting period. For the three months ended March 31, 2022 and 2021, the weighted average number of outstanding stock-based awards not included in the computation of diluted earnings per share because they are subject to performance conditions or the effect of including such stock-based awards in the computation would be anti-dilutive was 0.3 and 1.0, million, respectively.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	3 Months Ended
	Mar. 31, 2022
Accounting Policies [Abstract]
Unaudited Interim Financial Information	Unaudited Interim Financial Information The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair statement of the Company’s financial condition and results of operations have been included. Operating results for the periods presented are not necessarily indicative of the results that may be expected for the year ending December 31, 2022. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2021. The balance sheet as of December 31, 2021 has been derived from the audited consolidated financial statements of the Company, but does not include all the disclosures required by GAAP.
Recently Issued Accounting Standards	Recently Issued Accounting Standards Accounting pronouncements adopted

Revenues by Geography, Concen_2

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations (Tables)	3 Months Ended
	Mar. 31, 2022
Revenue from Contract with Customer [Abstract]
Summary of Revenues by Geographic Region and Reportable Segment	The following tables represent revenues by geographic region and reportable segment for the three months ended March 31, 2022 and 2021: Three Months Ended March 31, 2022 (in millions) Technology & Research & Contract Sales & Total Revenues: Americas $ 681 $ 946 $ 91 $ 1,718 Europe and Africa 596 507 46 1,149 Asia-Pacific 162 481 58 701 Total revenues $ 1,439 $ 1,934 $ 195 $ 3,568 Three Months Ended March 31, 2021 (in millions) Technology & Research & Contract Sales & Total Revenues: Americas $ 600 $ 1,034 $ 78 $ 1,712 Europe and Africa 590 443 49 1,082 Asia-Pacific 158 391 66 615 Total revenues $ 1,348 $ 1,868 $ 193 $ 3,409

Trade Accounts Receivable, Un_2

Trade Accounts Receivable, Unbilled Services and Unearned Income (Tables)	3 Months Ended
	Mar. 31, 2022
Receivables [Abstract]
Schedule of Trade Accounts Receivable and Unbilled Services	Trade accounts receivables and unbilled services consist of the following: (in millions) March 31, 2022 December 31, 2021 Billed $ 1,227 $ 1,275 Unbilled services 1,422 1,309 Trade accounts receivable and unbilled services 2,649 2,584 Allowance for doubtful accounts (30) (33) Trade accounts receivable and unbilled services, net $ 2,619 $ 2,551
Schedule of Net Contract Assets (Liabilities)	Unbilled services and unearned income were as follows: (in millions) March 31, 2022 December 31, 2021 Change Unbilled services $ 1,422 $ 1,309 $ 113 Unearned income (1,927) (1,825) (102) Net balance $ (505) $ (516) $ 11

Goodwill (Tables)

Goodwill (Tables)	3 Months Ended
	Mar. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]
Summary of Goodwill by Reportable Segment	The following is a summary of goodwill by reportable segment for the three months ended March 31, 2022: (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Consolidated Balance as of December 31, 2021 $ 11,337 $ 1,802 $ 162 $ 13,301 Business combinations 86 253 — 339 Impact of foreign currency fluctuations and other (102) (4) (2) (108) Balance as of March 31, 2022 $ 11,321 $ 2,051 $ 160 $ 13,532

Derivatives (Tables)

Derivatives (Tables)	3 Months Ended
	Mar. 31, 2022
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Summary of Fair Values of Derivative Instruments Designated as Hedges	The fair values of the Company’s derivative instruments and the line items on the accompanying condensed consolidated balance sheets to which they were recorded are summarized in the following table: (in millions) Balance Sheet Classification March 31, 2022 December 31, 2021 Assets Liabilities Notional Assets Liabilities Notional Derivatives designated as hedging instruments: Foreign exchange forward contracts Other current assets and liabilities $ — $ 5 $ 124 $ — $ 3 $ 110 Interest rate swaps Other assets and liabilities 25 5 1,800 4 24 1,800 Total derivatives $ 25 $ 10 $ 4 $ 27
Schedule of Effect of Cash Flow Hedging Instruments on Other Comprehensive (Loss) Income	The pre-tax effect of the Company’s cash flow hedging instruments on other comprehensive income is summarized in the following table: Three Months Ended March 31, (in millions) 2022 2021 Foreign exchange forward contracts $ (2) $ (2) Interest rate swaps 40 11 Total $ 38 $ 9

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	3 Months Ended
	Mar. 31, 2022
Fair Value Disclosures [Abstract]
Summary of Fair Value of Financial Assets and Liabilities Measured on Recurring Basis	The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of March 31, 2022: (in millions) Level 1 Level 2 Level 3 Total Assets: Marketable securities $ 136 $ — $ — $ 136 Derivatives — 25 — 25 Total $ 136 $ 25 $ — $ 161 Liabilities: Derivatives $ — $ 10 $ — $ 10 Contingent consideration — — 87 87 Total $ — $ 10 $ 87 $ 97
Schedule of Changes in Level 3 Financial Assets and Liabilities Measured on Recurring Basis	The following table summarizes the changes in Level 3 financial assets and liabilities measured on a recurring basis for the three months ended March 31: Contingent Consideration (in millions) 2022 2021 Balance as of January 1 $ 76 $ 119 Business combinations 23 5 Contingent consideration paid (11) (9) Revaluations included in earnings and foreign currency translation adjustments (1) (6) Balance as of March 31 $ 87 $ 109

Credit Arrangements (Tables)

Credit Arrangements (Tables)	3 Months Ended
	Mar. 31, 2022
Debt Disclosure [Abstract]
Summary of Credit Facilities	The following is a summary of the Company’s revolving credit facilities as of March 31, 2022: Facility Interest Rates $1,500 million (revolving credit facility) LIBOR in the relevant currency borrowed plus a margin of 1.25% as of March 31, 2022 $110 million (receivables financing facility) LIBOR Market Index Rate (0.45% as of March 31, 2022) plus 0.90%
Summary of Debt	The following table summarizes the Company’s debt at the dates indicated: (dollars in millions) March 31, 2022 December 31, 2021 Revolving Credit Facility due 2026: U.S. Dollar denominated borrowings—U.S. Dollar LIBOR at average floating rates of 1.47% $ 750 $ 100 Senior Secured Credit Facilities: Term A Loan due 2026—U.S. Dollar LIBOR at average floating rates of 1.47% 1,397 1,415 Term A Loan due 2026—Euribor at average floating rates of 1.25% 339 351 Term B Loan due 2024—U.S. Dollar LIBOR at average floating rates of 1.85% 510 510 Term B Loan due 2024—Euribor at average floating rates of 2.00% 1,217 1,242 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.85% 670 670 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.97% 861 860 Term B Loan due 2025—Euribor at average floating rates of 2.00% 581 592 5.0% Senior Notes due 2027—U.S. Dollar denominated 1,100 1,100 5.0% Senior Notes due 2026—U.S. Dollar denominated 1,050 1,050 2.875% Senior Notes due 2025—Euro denominated 467 476 2.25% Senior Notes due 2028—Euro denominated 800 817 2.875% Senior Notes due 2028—Euro denominated 790 807 1.750% Senior Notes due 2026—Euro denominated 611 624 2.250% Senior Notes due 2029—Euro denominated 1,000 1,021 Receivables financing facility due 2024—U.S. Dollar LIBOR at average floating rates of 1.00%: Revolving Loan Commitment 110 110 Term Loan 440 440 Principal amount of debt 12,693 12,185 Less: unamortized discount and debt issuance costs (56) (60) Less: current portion (90) (91) Long-term debt $ 12,547 $ 12,034
Schedule of Contractual Maturities of Long-term Debt	Contractual maturities of long-term debt are as follows as of March 31, 2022: (in millions) Remainder of 2022 $ 68 2023 90 2024 2,366 2025 2,668 2026 3,809 Thereafter 3,692 $ 12,693

Business Combinations (Tables)

Business Combinations (Tables)	3 Months Ended
	Mar. 31, 2022
Business Combination and Asset Acquisition [Abstract]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed	The following table provides certain preliminary financial information for these acquisitions: (in millions) March 31, 2022 Assets acquired: Cash and cash equivalents $ 6 Other assets 68 Goodwill 339 Other identifiable intangibles 137 Liabilities assumed: Other liabilities (46) Deferred income taxes, long-term (42) Net assets acquired (1) $ 462 (1) Total cash paid for acquisitions, net of cash acquired, in the accompanying condensed consolidated statement of cash flows, includes contingent consideration and deferred purchase price of $26 million for the three months ended March 31, 2022.
Finite-Lived and Indefinite-Lived Intangible Assets Acquired as Part of Business Combination	The following table provides a summary of the preliminary estimated fair value of certain intangible assets acquired: (in millions) Amortization Period March 31, 2022 Other identifiable intangibles: Customer relationships 11 - 17 years $ 115 Backlog 1 - 4 years 14 Software and related assets 4 - 5 years 6 Trade names 2 years 2 Total Other identifiable intangibles $ 137

Restructuring (Tables)

Restructuring (Tables)	3 Months Ended
	Mar. 31, 2022
Restructuring and Related Activities [Abstract]
Summary of Amounts Recorded for Restructuring Plans	The following amounts were recorded for the restructuring plans: (in millions) Severance and Balance as of December 31, 2021 $ 30 Expense, net of reversals 7 Payments (8) Balance as of March 31, 2022 $ 29

Accumulated Other Comprehensi_2

Accumulated Other Comprehensive (Loss) Income (Tables)	3 Months Ended
	Mar. 31, 2022
Equity [Abstract]
Summary of Components of AOCI	Below is a summary of the components of AOCI: (in millions) Foreign Derivative Defined Income Total Balance as of December 31, 2021 $ (570) $ (21) $ 5 $ 180 $ (406) Other comprehensive (loss) income before reclassifications (13) 39 (2) (36) (12) Reclassification adjustments — (1) — — (1) Balance as of March 31, 2022 $ (583) $ 17 $ 3 $ 144 $ (419)
Summary of Adjustments for (Gains) Losses Reclassified from AOCI into Condensed Consolidated Statements of Income and Affected Financial Statement Line Item	Below is a summary of the adjustments for amounts reclassified from AOCI into the condensed consolidated statements of income and the affected financial statement line item: (in millions) Affected Financial Statement Three Months Ended March 31, 2022 2021 Derivative instruments: Interest rate swaps Interest expense $ — $ (4) Foreign exchange forward contracts Revenues 1 2 Total before income taxes 1 (2) Income tax benefit — (1) Total net of income taxes $ 1 $ (1)

Segments (Tables)

Segments (Tables)	3 Months Ended
	Mar. 31, 2022
Segment Reporting [Abstract]
Reconciliation of Revenues and Income from Segments to Consolidated	Asset information by segment is not presented, as this measure is not used by the chief operating decision maker to assess the Company’s performance. The Company’s reportable segment information is presented below: Three Months Ended March 31, (in millions) 2022 2021 Revenues Technology & Analytics Solutions $ 1,439 $ 1,348 Research & Development Solutions 1,934 1,868 Contract Sales & Medical Solutions 195 193 Total revenues 3,568 3,409 Costs of revenue, exclusive of depreciation and amortization Technology & Analytics Solutions 834 812 Research & Development Solutions 1,322 1,321 Contract Sales & Medical Solutions 167 160 Total costs of revenue, exclusive of depreciation and amortization 2,323 2,293 Selling, general and administrative expenses Technology & Analytics Solutions 219 187 Research & Development Solutions 211 185 Contract Sales & Medical Solutions 16 13 General corporate and unallocated 42 57 Total selling, general and administrative expenses 488 442 Segment profit Technology & Analytics Solutions 386 349 Research & Development Solutions 401 362 Contract Sales & Medical Solutions 12 20 Total segment profit 799 731 General corporate and unallocated (42) (57) Depreciation and amortization (255) (323) Restructuring costs (7) (9) Total income from operations $ 495 $ 342

Earnings Per Share (Tables)

Earnings Per Share (Tables)	3 Months Ended
	Mar. 31, 2022
Earnings Per Share [Abstract]
Schedule of Earnings Per Share, Basic and Diluted	The following table reconciles the basic to diluted weighted average shares outstanding: Three Months Ended March 31, (in millions, except per share data) 2022 2021 Numerator: Net income attributable to IQVIA Holdings Inc. $ 325 $ 212 Denominator: Basic weighted average common shares outstanding 190.0 191.5 Effect of dilutive stock options and share awards 3.4 3.4 Diluted weighted average common shares outstanding 193.4 194.9 Earnings per share attributable to common stockholders: Basic $ 1.71 $ 1.11 Diluted $ 1.68 $ 1.09

Summary of Significant Accoun_3

Summary of Significant Accounting Policies - Additional Information (Detail) Employee in Thousands	Mar. 31, 2022EmployeeCountry
Summary Of Significant Accounting Policies [Line Items]
Number of employees | Employee	82
Minimum
Summary Of Significant Accounting Policies [Line Items]
Number of countries (more than) | Country	100

Revenues by Geography, Concen_3

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Summary of Revenues by Geographic Region and Reportable Segment (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Disaggregation of Revenue
Total revenues	$ 3,568	$ 3,409
Americas
Disaggregation of Revenue
Total revenues	1,718	1,712
Europe and Africa
Disaggregation of Revenue
Total revenues	1,149	1,082
Asia-Pacific
Disaggregation of Revenue
Total revenues	701	615
Technology & Analytics Solutions
Disaggregation of Revenue
Total revenues	1,439	1,348
Technology & Analytics Solutions | Americas
Disaggregation of Revenue
Total revenues	681	600
Technology & Analytics Solutions | Europe and Africa
Disaggregation of Revenue
Total revenues	596	590
Technology & Analytics Solutions | Asia-Pacific
Disaggregation of Revenue
Total revenues	162	158
Research & Development Solutions
Disaggregation of Revenue
Total revenues	1,934	1,868
Research & Development Solutions | Americas
Disaggregation of Revenue
Total revenues	946	1,034
Research & Development Solutions | Europe and Africa
Disaggregation of Revenue
Total revenues	507	443
Research & Development Solutions | Asia-Pacific
Disaggregation of Revenue
Total revenues	481	391
Contract Sales & Medical Solutions
Disaggregation of Revenue
Total revenues	195	193
Contract Sales & Medical Solutions | Americas
Disaggregation of Revenue
Total revenues	91	78
Contract Sales & Medical Solutions | Europe and Africa
Disaggregation of Revenue
Total revenues	46	49
Contract Sales & Medical Solutions | Asia-Pacific
Disaggregation of Revenue
Total revenues	$ 58	$ 66

Revenues by Geography, Concen_4

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Additional Information (Detail) - Customer	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Revenue from Contract with Customer [Abstract]
Number of customer accounting for ten percent or more of revenue	0	0

Revenues by Geography, Concen_5

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Future Obligation Terms (Detail) $ in Billions	Mar. 31, 2022USD ($)
Disaggregation of Revenue
Revenue expected to be recognized in future from remaining performance obligations	$ 28.1
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2020-04-01
Disaggregation of Revenue
Percentage of remaining performance obligations on which revenue is expected to be recognized (in percent)	35.00%
Unearned income recognition period	12 months

Trade Accounts Receivable, Un_3

Trade Accounts Receivable, Unbilled Services and Unearned Income - Trade Accounts Receivable and Unbilled Services (Detail) - USD ($) $ in Millions	Mar. 31, 2022	Dec. 31, 2021
Receivables, Net, Current [Abstract]
Billed	$ 1,227	$ 1,275
Unbilled services	1,422	1,309
Trade accounts receivable and unbilled services	2,649	2,584
Allowance for doubtful accounts	(30)	(33)
Trade accounts receivable and unbilled services, net	$ 2,619	$ 2,551

Trade Accounts Receivable, Un_4

Trade Accounts Receivable, Unbilled Services and Unearned Income - Schedule of Net Contract Assets (Liabilities) (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2022USD ($)
Unbilled Contracts Receivables
Unbilled services, beginning balance	$ 1,309
Change	113
Unbilled services, ending balance	1,422
Unearned Income
Unearned income, beginning balance	(1,825)
Change	(102)
Unearned income, ending balance	(1,927)
Net balance, beginning balance	(516)
Net change in balance	11
Net, balance ending balance	$ (505)

Trade Accounts Receivable, Un_5

Trade Accounts Receivable, Unbilled Services and Unearned Income - Additional Information (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2022USD ($)
Receivables [Abstract]
Unbilled receivables (percentage)	62.00%
Contract assets (percentage)	38.00%
Increase in unbilled services	$ 113
Increase in unearned income	102
Net change in balance	$ 11

Goodwill - Summary of Goodwill

Goodwill - Summary of Goodwill by Reportable Segment (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2022USD ($)
Goodwill
Beginning balance	$ 13,301
Business combinations	339
Impact of foreign currency fluctuations and other	(108)
Ending balance	13,532
Technology & Analytics Solutions
Goodwill
Beginning balance	11,337
Business combinations	86
Impact of foreign currency fluctuations and other	(102)
Ending balance	11,321
Research & Development Solutions
Goodwill
Beginning balance	1,802
Business combinations	253
Impact of foreign currency fluctuations and other	(4)
Ending balance	2,051
Contract Sales & Medical Solutions
Goodwill
Beginning balance	162
Business combinations	0
Impact of foreign currency fluctuations and other	(2)
Ending balance	$ 160

Derivatives - Summary of Fair V

Derivatives - Summary of Fair Values of Derivative Instruments Designated as Hedges (Detail) - USD ($)	Mar. 31, 2022	Dec. 31, 2021
Derivatives, Fair Value
Assets	$ 25,000,000	$ 4,000,000
Liabilities	10,000,000	27,000,000
Derivatives designated as hedging instruments: | Other current assets and liabilities | Foreign exchange forward contracts
Derivatives, Fair Value
Assets	0	0
Liabilities	5,000,000	3,000,000
Notional	124,000,000	110,000,000
Derivatives designated as hedging instruments: | Other assets and liabilities | Interest rate swaps
Derivatives, Fair Value
Assets	25,000,000	4,000,000
Liabilities	5,000,000	24,000,000
Notional	$ 1,800,000,000	$ 1,800,000,000

Derivatives - Effect of Cash Fl

Derivatives - Effect of Cash Flow Hedging Instruments on Other Comprehensive (Loss) Income (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Derivative Instruments and Hedging Activities Disclosures
Effect of cash flow hedging instruments on other comprehensive (loss) income	$ 38	$ 9
Foreign exchange forward contracts
Derivative Instruments and Hedging Activities Disclosures
Effect of cash flow hedging instruments on other comprehensive (loss) income	(2)	(2)
Interest rate swaps
Derivative Instruments and Hedging Activities Disclosures
Effect of cash flow hedging instruments on other comprehensive (loss) income	$ 40	$ 11

Derivatives - Additional Inform

Derivatives - Additional Information (Detail) - USD ($) $ in Millions	Mar. 31, 2022	Mar. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Foreign exchange loss related to net investment hedge	$ 119	$ 285

Fair Value Measurements - Addit

Fair Value Measurements - Additional Information (Detail) - USD ($) $ in Millions	Mar. 31, 2022	Dec. 31, 2021
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Percentage accrued of maximum consideration payments to become payable	74.00%
Other identifiable intangibles, net	$ 4,917	$ 4,943
Level 1 and Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Fair value of total debt	12,508	$ 12,255
Level 3 | Fair Value, Nonrecurring
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Assets, Fair Value Disclosure	18,581
Cost and equity method investments	132
Goodwill	13,532
Other identifiable intangibles, net	$ 4,917

Fair Value Measurements - Fair

Fair Value Measurements - Fair Value of Financial Assets and Liabilities Measured on Recurring Basis (Detail) - USD ($) $ in Millions	Mar. 31, 2022	Dec. 31, 2021
Assets:
Marketable securities	$ 106	$ 111
Derivatives	25	$ 4
Recurring Fair Value Measurements
Assets:
Marketable securities	136
Derivatives	25
Total	161
Liabilities:
Derivatives	10
Contingent consideration	87
Total	97
Recurring Fair Value Measurements | Level 1
Assets:
Marketable securities	136
Derivatives	0
Total	136
Liabilities:
Derivatives	0
Contingent consideration	0
Total	0
Recurring Fair Value Measurements | Level 2
Assets:
Marketable securities	0
Derivatives	25
Total	25
Liabilities:
Derivatives	10
Contingent consideration	0
Total	10
Recurring Fair Value Measurements | Level 3
Assets:
Marketable securities	0
Derivatives	0
Total	0
Liabilities:
Derivatives	0
Contingent consideration	87
Total	$ 87

Fair Value Measurements - Chang

Fair Value Measurements - Changes in Level 3 Financial Assets and Liabilities Measured on Recurring Basis (Detail) - Contingent consideration - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation
Beginning balance	$ 76	$ 119
Business combinations	23	5
Contingent consideration paid	(11)	(9)
Revaluations included in earnings and foreign currency translation adjustments	(1)	(6)
Ending balance	$ 87	$ 109

Credit Arrangements - Summary o

Credit Arrangements - Summary of Credit Facilities (Detail)	3 Months Ended
	Mar. 31, 2022USD ($)
Revolving Credit Facility | USD Revolving Credit Facility
Line of Credit Facility
Interest Rate Description	LIBOR in the relevant currency borrowed plus a margin of 1.25% as of March 31, 2022
Facility	$ 1,500,000,000
Revolving Credit Facility | USD Revolving Credit Facility | LIBOR
Line of Credit Facility
Rate	1.25%
Facility | Receivables Financing Facility
Line of Credit Facility
Interest Rate Description	LIBOR Market Index Rate (0.45% as of March 31, 2022) plus 0.90%
Facility	$ 110,000,000
Rate	0.45%
Facility | Receivables Financing Facility | LIBOR
Line of Credit Facility
Interest rate spread on base rate	0.90%

Credit Arrangements - Summary_2

Credit Arrangements - Summary of Debt (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Dec. 31, 2021
Senior Secured Credit Facilities:
Principal amount of debt	$ 12,693	$ 12,185
Less: unamortized discount and debt issuance costs	(56)	(60)
Less: current portion	(90)	(91)
Long-term debt	12,547	12,034
U.S Dollars | Term Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	440	440
U.S Dollars | Due in 2024 | Senior Secured Term B Loan, 1.85% | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 510	510
Average floating rate	1.85%
U.S Dollars | Due in 2024 | Receivable Financing Facilities | LIBOR
Senior Secured Credit Facilities:
Average floating rate	1.00%
U.S Dollars | Due in 2025 | Senior Secured Term B Loan, 1.85% | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 670	670
Average floating rate	1.85%
U.S Dollars | Due in 2025 | Senior Secured Term B Loan 1.97% | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 861	860
Average floating rate	1.97%
U.S Dollars | Due in 2026 | Senior Secured Term A Loan, 1.47% | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,397	1,415
Average floating rate	1.47%
U.S Dollars | Due in 2026 | 5.0% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,050	1,050
Rate	5.00%
U.S Dollars | Due in 2027 | 5.0% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,100	1,100
Rate	5.00%
EUR Dollars | Due in 2024 | Senior Secured Term B Loan, 2.00% | Euribor Rate
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,217	1,242
Average floating rate	2.00%
EUR Dollars | Due in 2025 | Senior Secured Term B Loan, 2.00% | Euribor Rate
Senior Secured Credit Facilities:
Principal amount of debt	$ 581	592
Average floating rate	2.00%
EUR Dollars | Due in 2025 | 2.875% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 467	476
Rate	2.875%
EUR Dollars | Due in 2026 | Senior Secured Term A Loan, 1.25% | Euribor Rate
Senior Secured Credit Facilities:
Principal amount of debt	$ 339	351
Average floating rate	1.25%
EUR Dollars | Due in 2026 | 1.75% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 611	624
Rate	1.75%
EUR Dollars | Due in 2028 | 2.875% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 790	807
Rate	2.875%
EUR Dollars | Due in 2028 | 2.25% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 800	817
Rate	2.25%
EUR Dollars | Due in 2029 | 2.25% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,000	1,021
Rate	2.25%
Revolving Credit Facility | U.S Dollars | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 750	100
Average floating rate	1.47%
Revolving Credit Facility | U.S Dollars | Revolving Loan Commitment | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 110	$ 110

Credit Arrangements - Contractu

Credit Arrangements - Contractual Maturities of Long-term Debt (Detail) - USD ($) $ in Millions	Mar. 31, 2022	Dec. 31, 2021
Debt Disclosure [Abstract]
Remainder of 2022	$ 68
2023	90
2024	2,366
2025	2,668
2026	3,809
Thereafter	3,692
Principal amount of debt	$ 12,693	$ 12,185

Credit Arrangements - Senior Se

Credit Arrangements - Senior Secured Credit Facilities (Detail) $ in Millions	Mar. 31, 2022USD ($)
Senior Secured Credit Facilities, Fifth Amended and Restated Credit Agreement
Line of Credit Facility
Aggregate maximum principal amount	$ 7,075
Principal amount	6,325
Senior Secured Credit Facilities, Revolving Credit Facility And Standby Letters Of Credit
Line of Credit Facility
Aggregate maximum principal amount	1,500
Available borrowing capacity	750
Senior Secured Credit Facilities, Revolving Credit Facility And Standby Letters Of Credit | U.S Dollars
Line of Credit Facility
Principal amount	675
Senior Secured Credit Facilities, Revolving Credit Facility And Standby Letters Of Credit | U.S. dollars, Euros, Swiss Francs And Other Foreign Currencies
Line of Credit Facility
Principal amount	600
Senior Secured Credit Facilities, Revolving Credit Facility And Standby Letters Of Credit | US Dollars And Yen
Line of Credit Facility
Principal amount	$ 225

Contingencies - Additional Info

Contingencies - Additional Information (Detail) $ in Millions	Jul. 14, 2020private_individual	May 24, 2019medical_doctor	Sep. 11, 2017medical_doctor	Sep. 11, 2017private_individual	May 13, 2017USD ($)	Jul. 23, 2015private_individual	Feb. 13, 2014medical_doctor	Feb. 13, 2014private_individual	Feb. 13, 2014Defendant
KPIC
Loss Contingencies
Number of plaintiffs		247	280	200			1,200	900
Number of defendants | Defendant									2
Seoul Central District Prosecutors
Loss Contingencies
Number of defendants						24
Seoul Central District Prosecutors | Employee
Loss Contingencies
Number of defendants	2					2
Veeva | Minimum
Loss Contingencies
Amount of damages claimed | $					$ 200

Stockholders' Equity (Detail)

Stockholders' Equity (Detail) - USD ($)	Feb. 10, 2022	Mar. 31, 2022	Mar. 31, 2021	Dec. 31, 2021
Class of Stock
Preferred stock, authorized (shares)		1,000,000
Preferred stock, par value (usd per share)		$ 0.01
Preferred stock, shares issued (shares)		0		0
Preferred stock, shares outstanding (shares)		0		0
Repurchase of stock, value		$ 403,000,000	$ 62,000,000
Equity Repurchase Under Repurchase Program
Class of Stock
Equity repurchase program additional authorized amount	$ 2,000,000,000
Equity repurchase program authorized amount	$ 9,725,000,000
Repurchase of stock (in shares)		1,700,000
Repurchase of stock, value		$ 403,000,000
Equity available for repurchase under the repurchase program		$ 2,100,000,000

Business Combinations - Schedul

Business Combinations - Schedule of Recognized Identified Assets Acquired and Liabilities Assumed (Details) - USD ($) $ in Millions	Mar. 31, 2022	Dec. 31, 2021
Assets acquired:
Goodwill	$ 13,532	$ 13,301
Several Individually Immaterial Acquisitions
Assets acquired:
Cash and cash equivalents	6
Other assets	68
Goodwill	339
Other identifiable intangibles	137
Liabilities assumed:
Other liabilities	(46)
Deferred income taxes, long-term	(42)
Net assets acquired	462
Contingent consideration and deferred payments	$ 26

Business Combinations - Narrati

Business Combinations - Narrative (Details) $ in Millions	Mar. 31, 2022USD ($)
Several Individually Immaterial Acquisitions
Business Acquisition [Line Items]
Portion of goodwill deductible for income tax purposes	$ 56

Business Combinations - Indefin

Business Combinations - Indefinite-Lived Intangible Assets Acquired as Part of Business Combination (Details) - Several Individually Immaterial Acquisitions $ in Millions	3 Months Ended
	Mar. 31, 2022USD ($)
Business Acquisition [Line Items]
Total Other identifiable intangibles	$ 137
Customer relationships
Business Acquisition [Line Items]
Total Other identifiable intangibles	115
Backlog
Business Acquisition [Line Items]
Total Other identifiable intangibles	14
Software and related assets
Business Acquisition [Line Items]
Total Other identifiable intangibles	$ 6
Trade names
Business Acquisition [Line Items]
Amortization Period	2 years
Total Other identifiable intangibles	$ 2
Minimum | Customer relationships
Business Acquisition [Line Items]
Amortization Period	11 years
Minimum | Backlog
Business Acquisition [Line Items]
Amortization Period	1 year
Minimum | Software and related assets
Business Acquisition [Line Items]
Amortization Period	4 years
Maximum | Customer relationships
Business Acquisition [Line Items]
Amortization Period	17 years
Maximum | Backlog
Business Acquisition [Line Items]
Amortization Period	4 years
Maximum | Software and related assets
Business Acquisition [Line Items]
Amortization Period	5 years

Restructuring - Summary of Amou

Restructuring - Summary of Amounts Recorded for Restructuring Plans (Detail) - Severance and Related Costs $ in Millions	3 Months Ended
	Mar. 31, 2022USD ($)
Restructuring Reserve
Restructuring reserves, beginning balance	$ 30
Expense, net of reversals	7
Payments	(8)
Restructuring reserves, ending balance	$ 29

Income Taxes - Narratives (Deta

Income Taxes - Narratives (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Income Tax Disclosure [Abstract]
Effective income tax rate (percent)	17.80%	17.10%
Tax impact of share-based compensation awards	$ 13	$ 17

Accumulated Other Comprehensi_3

Accumulated Other Comprehensive (Loss) Income - Summary of Components of AOCI (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2022USD ($)
Statement of Other Comprehensive Income
Beginning balance	$ 6,042
Ending balance	5,919
Income Taxes
Beginning balance	180
Other comprehensive (loss) income before reclassifications	(36)
Reclassification adjustments	0
Ending balance	144
Other comprehensive (loss) income before reclassifications	(12)
Reclassification adjustments	(1)
Foreign Currency Translation
Statement of Other Comprehensive Income
Beginning balance	(570)
Other comprehensive (loss) income before reclassifications	(13)
Reclassification adjustments	0
Ending balance	(583)
Derivative Instruments
Statement of Other Comprehensive Income
Beginning balance	(21)
Other comprehensive (loss) income before reclassifications	39
Reclassification adjustments	(1)
Ending balance	17
Defined Benefit Plans
Statement of Other Comprehensive Income
Beginning balance	5
Other comprehensive (loss) income before reclassifications	(2)
Reclassification adjustments	0
Ending balance	3
Total
Statement of Other Comprehensive Income
Beginning balance	(406)
Ending balance	$ (419)

Accumulated Other Comprehensi_4

Accumulated Other Comprehensive (Loss) Income - Summary of Adjustments for (Gains) Losses Reclassified from AOCI into Condensed Consolidated Statements of Income and Affected Financial Statement Line Item (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	$ 1	$ (2)
Income tax benefit	0	(1)
Total net of income taxes	1	(1)
Interest rate swaps | Interest expense
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	0	(4)
Foreign exchange forward contracts | Revenues
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	$ 1	$ 2

Segments - Additional Informati

Segments - Additional Information (Detail)	3 Months Ended
	Mar. 31, 2022Segment
Segment Reporting [Abstract]
Number of reportable segments	3

Segments - Operations by Report

Segments - Operations by Reportable Segments (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Segment Reporting Information
Revenues	$ 3,568	$ 3,409
Costs of revenue, exclusive of depreciation and amortization	2,323	2,293
Selling, general and administrative expenses	488	442
Segment profit	799	731
Depreciation and amortization	(255)	(323)
Restructuring costs	(7)	(9)
Income from operations	495	342
Technology & Analytics Solutions
Segment Reporting Information
Revenues	1,439	1,348
Costs of revenue, exclusive of depreciation and amortization	834	812
Segment profit	386	349
Research & Development Solutions
Segment Reporting Information
Revenues	1,934	1,868
Costs of revenue, exclusive of depreciation and amortization	1,322	1,321
Segment profit	401	362
Contract Sales & Medical Solutions
Segment Reporting Information
Revenues	195	193
Costs of revenue, exclusive of depreciation and amortization	167	160
Segment profit	12	20
Operating Segments | Technology & Analytics Solutions
Segment Reporting Information
Selling, general and administrative expenses	219	187
Operating Segments | Research & Development Solutions
Segment Reporting Information
Selling, general and administrative expenses	211	185
Operating Segments | Contract Sales & Medical Solutions
Segment Reporting Information
Selling, general and administrative expenses	16	13
General corporate and unallocated
Segment Reporting Information
Selling, general and administrative expenses	42	57
Segment profit	$ (42)	$ (57)

Earnings Per Share - Reconciles

Earnings Per Share - Reconciles the Basic to Diluted Weighted Average Shares Outstanding (Detail) - USD ($) $ / shares in Units, shares in Millions, $ in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Earnings Per Share [Abstract]
Net income attributable to IQVIA Holdings Inc.	$ 325	$ 212
Denominator:
Basic weighted average common shares outstanding (in shares)	190	191.5
Effect of dilutive stock options and share awards (in shares)	3.4	3.4
Diluted weighted average common shares outstanding (in shares)	193.4	194.9
Earnings per share attributable to common stockholders:
Basic (in dollars per share)	$ 1.71	$ 1.11
Diluted (in dollars per share)	$ 1.68	$ 1.09

Earnings Per Share - Narrative

Earnings Per Share - Narrative (Details) - shares shares in Millions	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Earnings Per Share [Abstract]
Antidilutive securities excluded from computation of earnings per share, amount (in shares)	0.3	1