PRESS RELEASE

FOR IMMEDIATE RELEASE                                                   Contact:
January 29, 2004                                                  Todd A. Gipple
                                                        Executive Vice President
                                                         Chief Financial Officer
                                                                   (309)743-7745



                               QCR Holdings, Inc.

    Announces Earnings Results For the Fourth Quarter Ended December 31, 2003

QCR Holdings,  Inc.  (Nasdaq  SmallCap/QCRH)  today  announced  earnings for the
fourth  quarter ended  December 31, 2003 of $1.1 million,  or basic earnings per
share of $0.39 and diluted earnings per share of $0.38. For the same quarter one
year ago, the Company reported  earnings of $2.0 million,  or basic earnings per
share of $0.74 and diluted  earnings per share of $0.72.  In October  2002,  the
Company  realized  a  significant  non-recurring  gain  from  the  sale  of  its
Independent Sales Organization (ISO) merchant credit card processing  portfolio.
This sale resulted in a gain of $1.3 million,  or $0.47 in diluted  earnings per
share.

Earnings for the twelve  months ended  December 31, 2003 were $5.5  million,  or
basic earnings per share of $1.96 and diluted  earnings per share of $1.91.  For
the same twelve  months in 2002,  the Company had earnings of $4.8  million,  or
basic  earnings per share of $1.75 and diluted  earnings per share of $1.71.  As
noted above,  calendar year 2002 earnings were impacted by the October 2002 sale
of the  Company's  ISO  portfolio.  Earnings  for  calendar  year 2003 were also
positively impacted by the Company's  continued  processing of these ISO volumes
through  September,  2003.  This ISO processing  resulted in additional 2003 net
income of $900 thousand, or $0.32 per share.

Excluding  both the one-time  gain from the sale of the ISO portfolio in October
2002, as well as the non-recurring revenue from the continued processing through
September  2003,  net income for the twelve months ended December 31, 2002 would
have been $3.5 million,  or diluted  earnings per share of $1.24, and net income
for the twelve months ended  December 31, 2003 would have been $4.6 million,  or
diluted  earnings  per share of $1.61.  Although  excluding  the impact of these
events is a  non-GAAP  measure,  management  believes  that it is  important  to
provide such information due to the  non-recurring  nature of this income and to
more accurately compare the results of the periods presented.

"As  anticipated,  earnings for the fourth  quarter were impacted by significant
reductions in gains on the sale of residential real estate loans, as refinancing
volumes have dropped  dramatically.  Also impacting  fourth quarter earnings was
$494 thousand in stock appreciation rights (SAR) expense, which was generated by
a $5.50 per share  increase  in the  Company's  stock  price  during  the fourth
quarter,"  noted Doug  Hultquist,  President  and Chief  Executive  Officer.  He
continued,  "  Results  for the  twelve-month  period  demonstrated  substantial
improvement,  as net  income  increased  by  $640  thousand,  or 13%,  over  the
twelve-month  period  ended  December  31,  2002.  Significant  increases in net
interest  income and gains on the sale of  residential  real estate loans fueled
these  improved  earnings.  As we look to 2004,  it appears we will be presented
with  several  earnings  challenges  resulting  from  the  decline  in  gains on
residential  real estate loans and the reduced  processing  volumes at Quad City
Bancard,  as  experienced  during this last quarter of 2003.  In  addition,  the
coming months will bring some large  investments in technology and facilities at
our subsidiary banks."

Michael Bauer, Chairman of the Company and President and Chief Executive Officer
at Quad City Bank & Trust added,  "The Company  continues  to  experience  solid
growth,  with total assets  increasing at a rate of 17% during 2003. In the fall
of 2003, we announced plans for a fifth Quad City Bank & Trust banking facility,
to be located in west Davenport.  This facility will likely be completed in late
2004 and will aid in our efforts to continue  expanding  our market share in the
Quad  Cities.  In  addition,  Quad City Bank & Trust has  acquired  the northern
segment of its Brady Street  facility in Davenport,  which had  previously  been
owned by the developer of the property.  Renovations to develop this  additional
space for use by some of the Company's operational and administrative  functions
are nearly completed."

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"We are quite  pleased with $1.91 in diluted  earnings per share in 2003,  which
represents  a 12%  improvement  over the $1.71  reported  for 2002,"  noted Todd
Gipple,  Executive  Vice  President  and  Chief  Financial  Officer.  He  added,
"Excluding  the October 2002  one-time  gain and the  non-recurring  income from
continued ISO processing  through September 2003, we achieved an adjusted income
per diluted share of $1.61 in 2003, representing a 30% improvement over adjusted
diluted earnings per share of $1.24 for 2002.  Strong asset growth resulted in a
significant  increase in net  interest  income of $3.4  million  for 2003,  when
compared to the prior year.  This growth offset a compressed net interest margin
percentage created by the prolonged low rate environment. Increased gains on the
sale of residential  real estate loans were another  significant  contributor to
the  improved  earnings,  as  these  gains  increased  by $1.0  million  for the
twelve-month period." He continued,  "We are also very pleased with Cedar Rapids
Bank & Trust's outstanding progress as the bank was profitable in 2003, only its
second full year of operation."

"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 continued to experience  rapid growth,  as we reached total assets
of $150.1 million,  net loans of $113.3 million,  and deposits of $101.7 million
as of December 31, 2003.  We have also achieved  profitability,  as the bank had
after-tax net income of $192  thousand for the year ended  December 31, 2003, as
compared to after-tax losses of $753 thousand for 2002," 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."

The Company's total assets  increased 17% to $710.0 million at December 31, 2003
from $604.6  million at December  31, 2002.  During the same  period,  net loans
increased  by $70.9  million or 16% to $513.8  million  from  $442.9  million at
December 31, 2002. Non-performing assets remained stable at $5.0 million at both
December 31, 2002 and December 31, 2003. Total deposits  increased 18% to $511.7
million  at  December  31,  2003 from  $434.7  million  at  December  31,  2002.
Stockholders'  equity rose to $41.8  million at December 31, 2003 as compared to
$36.6 million at December 31, 2002.

"Nonaccrual loans at December 31, 2003 were $4.2 million, of which $3.2 million,
or 76%, resulted from four large commercial  lending  relationships at Quad City
Bank & Trust,"  explained Chief Financial  Officer Gipple.  He added,  "Accruing
loans past due 90 days or more were $756 thousand at December 31, 2003, of which
$562 thousand,  or 74%, were the result of another five lending relationships at
Quad City Bank & Trust." He further added, "The bank is working closely with all
of these customers.  Of the five customers 90 days or more past due at year-end,
three of them, representing $400 thousand in loan balances,  became current with
their  payments  during  the  first  month of 2004.  Like many  other  financial
institutions,  some  of our  customers  experienced  difficulty  in the  lagging
economy  during  2003,  which led  management  to  increase  the  allowance  for
estimated  loan losses from  December 31, 2002 to December  31, 2003.  Given the
continued  soft economy,  management is closely  monitoring  the Company's  loan
portfolio and the level of our  allowance  for loan losses.  We are focusing our
efforts in an attempt to improve the overall quality of our loan portfolio."

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.

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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.


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                                                                  As of
                                      ------------------------------------------------------------
                                       December 31,   September 30,   December 31,    December 31,
                                           2003           2003            2002            2001
                                      ------------------------------------------------------------
                                                                          
(dollars in thousands,
  except share data)

SELECTED BALANCE SHEET DATA

Total assets ......................   $  710,040      $  683,500      $  604,600      $  462,685
Securities ........................      128,843         104,205          81,654          66,121
Total loans .......................      522,471         496,387         449,736         342,999
Allowance for estimated loan losses        8,643           8,795           6,879           4,939
Total deposits ....................      511,652         497,586         434,748         343,888
Total stockholders' equity ........       41,823          40,699          36,586          30,299
Common shares outstanding .........    2,803,844       2,789,385       2,762,915       2,742,436
Book value per common share .......        14.92           14.59           13.24      $    11.05
Full time equivalent employees ....          213             207             195             179
Tier 1 leverage capital ratio .....         7.35%           7.44%           7.79%           9.06%


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                                                                    As of
                                        -----------------------------------------------------------
                                         December 31,   September 30,   December 31,   December 31,
                                             2003           2003            2002           2001
                                        -----------------------------------------------------------
                                                                           
(dollars in thousands)

ANALYSIS OF LOAN DATA

Nonaccrual loans ......................   $  4,204       $  5,613        $  4,608       $  1,846
Accruing loans past due 90 days or more        756          1,250             431          1,765
Other real estate owned ...............         --            209              --             47
Total nonperforming assets ............      4,960          7,072           5,039          3,658

Net charge-offs (calendar year-to-date)   $  1,641       $    711        $  1,470       $    442

Loan mix:
  Commercial ..........................   $435,633       $401,791        $350,331       $255,493
  Real estate .........................     35,693         45,892          54,713         47,335
  Installment and other consumer ......     51,145         48,704          44,692         40,171
Total loans ...........................    522,471        496,387         449,736        342,999

ANALYSIS OF DEPOSIT DATA
Deposit mix:
  Noninterest-bearing .................   $130,963       $117,313        $ 89,676       $ 60,603
  Interest-bearing ....................    380,689        380,273         345,072        283,285
Total deposits ........................    511,652        497,586         434,748        343,888


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                                                          For the Quarter Ended              For the Twelve Months Ended
                                               -------------------------------------------   ---------------------------
                                               December 31,   September 30,   December 31,   December 31,   December 31,
                                                   2003           2003            2002           2003          2002
                                               -------------------------------------------------------------------------
                                                                                             
(dollars in thousands, except per share data)

SELECTED INCOME STATEMENT DATA
Interest income ............................   $  8,503        $  8,622         $  8,244       $ 33,378       $ 30,794
Interest expense ...........................      2,775           2,889            3,295         11,950         12,720
Net interest income ........................      5,728           5,733            4,949         21,428         18,074
Provision for loan losses ..................        778             939            1,547          3,405          3,410
Noninterest income .........................      2,170           3,260            6,371         11,168         12,714
Noninterest expense ........................      5,495           5,356            6,642         21,035         20,190
Income tax expense .........................        526             890            1,094          2,695          2,367
Net income .................................      1,099           1,808            2,037          5,461          4,821

Earnings per common share (basic) ..........   $   0.39        $   0.65         $   0.74       $   1.96       $   1.75
Earnings per common share (diluted) ........   $   0.38        $   0.63         $   0.72       $   1.91       $   1.71

AVERAGE BALANCES
Assets .....................................   $707,066        $683,787         $589,546       $660,052       $531,480
Deposits ...................................    516,979         493,042          414,043        473,257        380,070
Loans ......................................    499,174         501,385          437,833        480,314        387,936
Stockholders' equity .......................     41,217          39,988           35,830         39,213         32,939

KEY RATIOS
Return on average assets (annualized) ......       0.62%          1.06%            1.38%          0.83%          0.91%
Return on average common equity (annualized)      10.67%         18.09%           22.74%         13.93%         14.64%
Net interest margin (TEY) ..................       3.57%          3.66%            3.61%          3.55%          3.72%
Efficiency ratio ...........................      69.58%         59.56%           58.62%         64.53%         65.53%


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                                                               For the Quarter Ended               For the Twelve Months Ended
                                                     -------------------------------------------   ---------------------------
                                                     December 31,   September 30,   December 31,   December 31,   December 31,
                                                         2003           2003            2002           2003           2002
                                                     -------------------------------------------------------------------------
                                                                                                   
(dollars in thousands, except share data)

ANALYSIS OF NONINTEREST INCOME

Merchant credit card fees, net of processing costs   $      416     $      784      $      604     $    2,195     $    2,367
Trust department fees ............................          551            550             531          2,243          2,209
Deposit service fees .............................          425            386             313          1,505          1,128
Gain on sales of loans, net ......................          336          1,162           1,152          3,668          2,624
Securities gains (losses), net ...................           --              1              62             --             69
Gain on sale of merchant credit card portfolio ...           --             --           3,460             --          3,460
Other ............................................          442            377             249          1,557            857
   Total noninterest income ......................        2,170          3,260           6,371         11,168         12,714

ANALYSIS OF NONINTEREST EXPENSE

Salaries and employee benefits ...................   $    3,330     $    3,294      $    3,209     $   12,711     $   11,379
Compensation and other expenses related to
     sale of merchant credit card portfolio ......   $       --             --           1,414             --          1,414
Professional and data processing fees ............          496            506             477          1,962          1,499
Advertising and marketing ........................          254            179             201            786            658
Occupancy and equipment expense ..................          676            656             621          2,641          2,517
Stationery and supplies ..........................          125            111             112            460            469
Postage and telephone ............................          157            157             147            632            548
Other ............................................          457            453             461          1,843          1,706
   Total noninterest expenses ....................        5,495          5,356           6,642         21,035         20,190

WEIGHTED AVERAGE SHARES

Common shares outstanding (a) ....................    2,797,014      2,786,889       2,755,917      2,782,042      2,748,859
Incremental shares from assumed conversion:
    Options and Employee Stock Purchase Plan .....       83,922         80,963          68,370         73,013         65,714
Adjusted weighted average shares (b) .............    2,880,936      2,867,852       2,824,287      2,855,055      2,814,573
<FN>
(a)  Denominator for Basic Earnings Per Share
(b)  Denominator for Diluted Earnings Per Share
</FN>

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