PRESS RELEASE

FOR IMMEDIATE RELEASE                                    Contact: Todd A. Gipple
May 1, 2003                                             Executive Vice President
                                                         Chief Financial Officer
                                                                   (309)743-7745


                               QCR Holdings, Inc.

      Announces Earnings Results For the First Quarter Ended March 31, 2003

QCR Holdings,  Inc.  (NASDAQ  SmallCap/ QCRH) today  announced  earnings for the
first quarter ended March 31, 2003 of $827 thousand, or basic earnings per share
of $0.30 and diluted  earnings per share of $0.29. For the same quarter one year
ago, the Company reported  earnings of $614 thousand,  or both basic and diluted
earnings per share of $0.22.

From the Company's  formation in 1993 through June 30, 2002, its fiscal year end
had been June  30th.  In 2002,  the  Company  changed  it's  fiscal  year end to
December  31st.  To effect this change,  the Company  filed a Form 10-K with the
Securities  and  Exchange  Commission  for the  transition  period  July 1, 2002
through December 31, 2002. The quarter ended March 31, 2003 therefore represents
the operating results for the Company's first quarter of 2003.

Doug Hultquist,  President and Chief Executive Officer noted, "Operating results
for the period improved,  as the Company  demonstrated a significant increase in
net  interest  income of $896  thousand  over the same period in 2002.  Gains on
sales of residential  real estate loans also  contributed  significantly  to our
earnings  results for the period,  as the Company  realized an increase in these
gains of $537 thousand over the previous year." He added,  "We are  disappointed
that much of these  improvements were offset by an increased  provision for loan
losses  this  quarter.  Quad City Bank & Trust made a provision  and  subsequent
charge-off  of  $758  thousand  this  quarter   related  to  one  large  lending
relationship."

Michael Bauer, Chairman of the Company and President and Chief Executive Officer
at Quad City Bank & Trust added, "The significant charge-off at Quad City Bank &
Trust is related to the same lending  relationship that required a charge-off of
$1.2 million for the quarter ended December 31, 2002. The additional  losses are
a result of  environmental  issues  associated with the collateral for the loan,
which were identified during the quarter ended March 31, 2003. The Bank believes
that  these  environmental   issues  have  negatively  impacted  the  value  and
salability of the business.  The Bank has  determined  that it is appropriate to
take a conservative approach and write-down the loan balance to reflect no value
in the real estate and equipment collateral. Quad City Bank & Trust will proceed
with efforts to liquidate  all other  collateral,  and is pursuing a sale of the
real estate and equipment,  as well as all available legal remedies  against the
borrower."

"While earnings were impacted by the large provision, diluted earnings per share
for the quarter ended March 31, 2003 of $0.29 still  represent a 32% improvement
over the $0.22 in diluted  earnings  per share  reported  for the same period in
2002," noted Todd Gipple,  Executive Vice President and Chief Financial Officer.
He added,  "During the past three months, Cedar Rapids Bank & Trust continued to
make  outstanding  progress  toward  profitability.  The  new  bank's  after-tax
operating  losses were only $54  thousand  for the three  months ended March 31,
2003,  as compared to after-tax  losses of $268 thousand for the same quarter in
2002."

"Cedar  Rapids Bank & Trust  continues to be a  significant  contributor  to the
Company's  growth in assets,  loans,  and deposits since opening in September of
2001.  We  have  experienced  rapid  growth  in our  first  eighteen  months  of
operations and surpassed the $100 million in total assets milestone in February,
while reaching total assets of $111.3 million,  net loans of $87.1 million,  and
deposits of $76.5 million as of March 31, 2003," noted Cedar Rapids Bank & Trust
President and Chief Executive  Officer,  Larry Helling.  He added, "The market's
positive   reaction  to  our   strategy  of   providing   personalized   banking
relationships  with the highest  levels of service has  continued  to provide us
with new commercial and retail banking relationships at a steady pace."

The Company's total assets increased 3% to $623.0 million at March 31, 2003 from
$604.6 million at December 31, 2002. During the same period, net loans increased
by $21.8  million or 5% to $464.7  million  from $442.9  million at December 31,
2002.  Non-performing  assets  increased  to $5.6 million at March 31, 2003 from
$5.0 million at December 31, 2002. Total deposits increased 3% to $447.6 million
at March 31, 2003 from $434.7 million at December 31, 2002. Stockholders' equity
rose to $37.5 million at March 31, 2003 as compared to $36.6 million at December
31, 2002.

"Nonaccrual loans at March 31, 2003 were $4.7 million, of which $3.5 million, or
73%,  resulted from three large  commercial  lending  relationships at Quad City
Bank & Trust,"  explained Chief Financial Officer Gipple. He added, "The bank is
working closely with these  customers.  Like many other financial  institutions,
some of our customers are experiencing  difficulty in the lagging economy, which
could  lead to further  increases  in  nonperforming  assets and the need for an
increased  allowance  for  loan  losses.   Given  the  continued  soft  economy,
management is closely  monitoring  the Company's loan portfolio and the need for
increased  provisions  for possible  loan losses." He further  added,  "Accruing
loans past due 90 days or more  increased  to $883  thousand at March 31,  2003,
however,  payments were  received on a number of these loans just  subsequent to
quarter end and the balance of loans in this  category  had been reduced to less
than $300 thousand by mid-April 2003."

In October of 2002,  the Company  announced  the sale of our  Independent  Sales
Organization portion of our merchant credit card operations to iPayment, Inc. As
part of the sales agreement, our subsidiary,  Quad City Bancard, Inc., continues
to  temporarily  process the ISO volumes for  iPayment  for a fixed  monthly fee
rather than a percentage  of the volume.  As a result,  the  Company's  merchant
credit  card  fees,  net of  processing  costs,  remained  significant  at  $338
thousand,  as compared to $414 thousand for the same period in 2002. The Company
currently  anticipates that the ISO processing will be moved to another provider
in the second  calendar  quarter of 2003. At that time, the Company  anticipates
that merchant credit card fees, net of processing  costs,  will be in a range of
$50  thousand  to $90  thousand  a month  from  the  Company's  local  merchant,
cardholder,  and agent bank  portfolios.  As a result,  Quad City  Bancard's net
income will likely be  approximately  break even for a period after the iPayment
processing is moved to another provider.

QCR Holdings,  Inc.,  headquartered in Moline, Illinois, is a multi-bank holding
company,  which serves the Quad City and Cedar Rapids communities via its wholly
owned  subsidiary  banks.  Quad City Bank and Trust  Company,  which is based in
Bettendorf,  Iowa and commenced  operations  in 1994,  and Cedar Rapids Bank and
Trust Company,  which is based in Cedar Rapids, Iowa and commenced operations in
2001, provide  full-service  commercial and consumer banking and trust and asset
management services.  The Company also engages in credit card processing through
its wholly owned subsidiary, Quad City Bancard, Inc., based in Moline, Illinois.

Special Note Concerning  Forward-Looking  Statements.  This document  (including
information  incorporated  by reference)  contains,  and future oral and written
statements  of the  Company  and its  management  may  contain,  forward-looking
statements within the meaning of the Private Securities Litigation Reform Act of
1995 with respect to the  financial  condition,  results of  operations,  plans,
objectives,  future  performance  and business of the  Company.  Forward-looking
statements, which may be based upon beliefs, expectations and assumptions of the
Company's management and on information  currently available to management,  are
generally  identifiable  by the  use  of  words  such  as  "believe,"  "expect,"
"anticipate,"  "predict,"  "suggest,"  "appear," "plan,"  "intend,"  "estimate,"
"may,"  "will,"  "would,"  "could,"  "should"  or  other  similar   expressions.
Additionally,   all  statements  in  this  document,  including  forward-looking
statements,  speak only as of the date they are made, and the Company undertakes
no  obligation  to update any  statement in light of new  information  or future
events.

A number of  factors,  many of which are  beyond the  ability of the  Company to
control or predict,  could cause actual results to differ  materially from those
in its  forward-looking  statements.  These factors include,  among others,  the
following: (i) the strength of the local and national economy; (ii) the economic
impact of September 11th;  (iii) changes in state and federal laws,  regulations
and  governmental  policies  concerning  the Company's  general  business;  (iv)
changes in interest  rates and  prepayment  rates of the Company's  assets;  (v)
increased  competition  in the  financial  services  sector and the inability to
attract new customers; (vi) changes in technology and the ability to develop and
maintain  secure  and  reliable  electronic  systems;  (vii)  the  loss  of  key
executives or employees;  (viii) changes in consumer  spending;  (ix) unexpected
results of acquisitions;  (x) unexpected  outcomes of existing or new litigation
involving the Company;  and (xi) changes in accounting  policies and  practices.
These risks and uncertainties should be considered in evaluating forward-looking
statements  and  undue  reliance  should  not  be  placed  on  such  statements.
Additional  information  concerning  the  Company  and its  business,  including
additional factors that could materially affect the Company's financial results,
is  included  in  the  Company's   filings  with  the  Securities  and  Exchange
Commission.



                                                           As of
                                         ---------------------------------------
                                          March 31,   December 31,     March 31,
                                            2003         2002            2002
                                         ---------------------------------------
(dollars in thousands, except
  share data)

SELECTED BALANCE SHEET DATA

Total assets .........................   $  623,017    $  604,600    $  495,505
Securities ...........................       87,868        81,654        72,947
Total loans ..........................      472,139       449,736       360,155
Allowance for estimated loan losses ..        7,441         6,879         5,405
Total deposits .......................      447,555       434,748       364,002
Total stockholders' equity ...........       37,531        36,586        30,724
Common shares outstanding ............    2,773,212     2,762,915     2,744,896
Book value per common share ..........        13.53         13.24         11.19
Full time equivalent employees .......          198           195           186
Tier 1 leverage capital ratio ........        7.74%         7.79%         8.42%




                                                               As of
                                                -----------------------------------
                                                March 31,  December 31,   March 31,
                                                  2003        2002         2002
                                                -----------------------------------
                                                               
(dollars in thousands)

ANALYSIS OF LOAN DATA
Nonaccrual loans ...........................    $  4,740    $  4,608    $  1,608
Accruing loans past due 90 days or more ....         883         431         754
Other real estate owned ....................          --          --          --
Total nonperforming assets .................       5,623       5,039       2,362
Net charge-offs (For the quarter ended) ....    $    769    $  1,150    $     32

Loan mix:
  Commercial ...............................    $375,724    $350,331    $282,008
  Real estate ..............................      50,726      54,713      38,114
  Installment and other consumer ...........      45,689      44,692      40,033
Total loans ................................     472,139     449,736     360,155


                                                          For the Quarter Ended
                                                                March 31,
                                                         -----------------------
                                                           2003          2002
                                                         -----------------------
(dollars in thousands, except per share data)

SELECTED INCOME STATEMENT DATA

Interest income ....................................     $  7,906      $  7,082
Interest expense ...................................        3,058         3,130
Net interest income ................................        4,848         3,952
Provision for loan losses ..........................        1,330           498
Noninterest income .................................        2,489         1,829
Noninterest expense ................................        4,784         4,395
Income tax expense .................................          396           274
Net income .........................................          827           614

Earnings per common share (basic) ..................     $   0.30      $   0.22
Earnings per common share (diluted) ................     $   0.29      $   0.22

AVERAGE BALANCES

Assets .............................................     $607,848      $480,634
Deposits ...........................................      432,435       351,498
Loans ..............................................      451,251       342,974
Stockholders' equity ...............................       37,100        30,757

KEY RATIOS

Return on average assets (annualized) ..............         0.54%         0.51%
Return on average common equity (annualized) .......         8.92%         7.99%
Net interest margin (TEY) ..........................         3.47%         3.66%
Efficiency ratio ...................................        65.20%        76.00%



                                                          For the Quarter Ended
                                                                 March 31,
                                                         -----------------------
                                                            2003         2002
                                                         -----------------------
(dollars in thousands, except share data)

ANALYSIS OF NONINTEREST INCOME

Merchant credit card fees, net of processing costs ...   $      338   $      414
Trust department fees ................................          561          594
Deposit service fees .................................          331          256
Gain on sales of loans, net ..........................          955          418
Other ................................................          304          147
   Total noninterest income ..........................        2,489        1,829

ANALYSIS OF NONINTEREST EXPENSE

Salaries and employee benefits .......................   $    2,885   $    2,538
Professional and data processing fees ................          429          327
Advertising and marketing ............................          149          148
Occupancy and equipment expense ......................          652          606
Stationery and supplies ..............................          110          125
Postage and telephone ................................          153          127
Other ................................................          406          524
   Total noninterest expenses ........................        4,784        4,395

WEIGHTED AVERAGE SHARES

Common shares outstanding (a) ........................    2,767,013    2,743,668
Incremental shares from assumed conversion:
    Options ..........................................       60,714       61,241
Adjusted weighted average shares (b) .................    2,827,727    2,804,909


(a)  Denominator for Basic Earnings Per Share
(b)  Denominator for Diluted Earnings Per Share