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IQVIA Holdings Inc. (NYSE:IQV)

This company has been moved to the archive! The financial data has not been updated since November 1, 2023.

Analysis of Income Taxes

Microsoft Excel

Income Tax Expense (Benefit)

IQVIA Holdings Inc., income tax expense (benefit), continuing operations

US$ in millions

Microsoft Excel
12 months ended: Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Federal and state 24 16 — 11 17
Foreign 358 293 244 248 233
Current expense 382 309 244 259 250
Federal and state (94) (106) (161) (109) (170)
Foreign (28) (40) (11) (34) (21)
Deferred benefit (122) (146) (172) (143) (191)
Income tax expense 260 163 72 116 59

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


The total income tax expense exhibited a significant upward trajectory between 2018 and 2022, increasing from 59 million US$ to 260 million US$. This growth indicates a substantial increase in the net tax burden over the five-year period, characterized by a combination of rising current tax obligations and a diminishing offset from deferred tax benefits.

Current Tax Expense Trends
Current tax expenses demonstrated a general increase over the analyzed period. After remaining relatively stable between 2018 and 2020, ranging from 244 million US$ to 259 million US$, the expense grew sharply in 2021 to 309 million US$ and reached a peak of 382 million US$ in 2022. This represents a total increase of approximately 53% in current tax outflows from 2018 to 2022.
Deferred Tax Benefit Analysis
Deferred tax benefits provided a consistent offset to current expenses throughout the period, although the magnitude of these benefits generally declined. The benefit was highest in 2018 at 191 million US$ and reached its lowest point in 2022 at 122 million US$. The reduction in the deferred benefit contributed to the overall increase in the net income tax expense.
Net Income Tax Expense Volatility
The net income tax expense showed notable volatility, particularly in 2020, when it dropped to 72 million US$ following a peak of 116 million US$ in 2019. However, from 2020 onward, a strong acceleration is observed, with the expense more than tripling to 260 million US$ by the end of 2022. This trend reflects a narrowing gap between the current tax expense and the deferred tax benefit.

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Effective Income Tax Rate (EITR)

IQVIA Holdings Inc., effective income tax rate (EITR) reconciliation

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
United States statutory income tax rate 21.00% 21.00% 21.00% 21.00% 21.00%
Effective income tax rate 19.08% 14.45% 19.30% 32.95% 17.99%

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


The Effective Income Tax Rate (EITR) exhibited significant volatility between 2018 and 2022, contrasting with a constant United States statutory income tax rate of 21.00% throughout the period. While the statutory benchmark remained unchanged, the actual tax rate experienced substantial fluctuations, spending the majority of the period below the federal statutory rate.

Tax Rate Volatility and Peaks
A pronounced spike in the EITR occurred in 2019, where the rate rose to 32.95%. This represents the only instance in the analyzed period where the effective rate exceeded the statutory rate, indicating a temporary increase in the tax burden relative to standard US corporate tax obligations.
Downward Trends and Minimums
Following the 2019 peak, a downward trajectory was observed through 2021, with the EITR reaching a five-year low of 14.45%. This figure represents a significant variance of 6.55 percentage points below the statutory rate, suggesting the utilization of tax credits, deductions, or favorable jurisdictional tax differentials during that fiscal year.
Recent Stabilization Patterns
The EITR showed signs of stabilization in 2020 and 2022, with rates of 19.30% and 19.08%, respectively. This consistency suggests a return to a baseline effective rate that remains slightly below the 21.00% statutory threshold.

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Components of Deferred Tax Assets and Liabilities

IQVIA Holdings Inc., components of deferred tax assets and liabilities

US$ in millions

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Net operating loss and capital loss carryforwards 145 212 231 246 244
Tax credit carryforwards 295 375 369 332 300
Accrued expenses and unearned income 90 59 54 55 70
Employee benefits 202 212 228 168 181
Lease liability 73 92 139 119 —
Foreign exchange on debt instruments — — 143 — —
U.S. interest expense limitation 30 62 75 — —
Other 52 64 64 79 51
Deferred income tax assets 887 1,076 1,303 999 846
Valuation allowance for deferred income tax assets (257) (294) (306) (266) (226)
Deferred income tax assets, net of valuation allowance 630 782 997 733 620
Amortization and depreciation (727) (898) (1,038) (1,105) (1,209)
Lease right-of-use assets (61) (81) (133) (119) —
Foreign exchange on debt instruments (125) (36) — — —
Other (63) (53) (50) (36) (38)
Deferred income tax liabilities (976) (1,068) (1,221) (1,260) (1,247)
Net deferred income tax assets (liabilities) (346) (286) (224) (527) (627)

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


The net deferred income tax position remained a liability throughout the analyzed period, although the magnitude of this liability fluctuated. The net deferred tax liability narrowed significantly from 627 million USD in 2018 to a peak improvement of 224 million USD in 2020, before widening again to 346 million USD by the end of 2022.

Deferred Income Tax Assets
Gross deferred tax assets peaked in 2020 at 1,303 million USD before declining to 887 million USD in 2022. A primary driver of this decline was the reduction in net operating loss and capital loss carryforwards, which fell from 244 million USD in 2018 to 145 million USD in 2022. Tax credit carryforwards exhibited volatility, increasing from 300 million USD in 2018 to a peak of 375 million USD in 2021, followed by a decrease to 295 million USD in 2022. Temporary differences related to lease liabilities and U.S. interest expense limitations emerged in 2019 and 2020 respectively, both showing a downward trend toward 2022.
Valuation Allowance
A valuation allowance was consistently maintained against the deferred tax assets, ranging from 226 million USD in 2018 to a peak of 306 million USD in 2020. The allowance decreased to 257 million USD by 2022, reflecting adjustments in the assessment of the realizability of the tax assets. Consequently, net deferred tax assets peaked in 2020 at 997 million USD before retreating to 630 million USD by 2022.
Deferred Income Tax Liabilities
Total deferred tax liabilities showed a steady downward trend, decreasing from 1,247 million USD in 2018 to 976 million USD in 2022. This reduction was primarily driven by a consistent decline in liabilities related to amortization and depreciation, which fell from 1,209 million USD in 2018 to 727 million USD in 2022. Conversely, liabilities associated with foreign exchange on debt instruments increased notably, appearing in 2021 at 36 million USD and expanding to 125 million USD by 2022.

The overall trajectory indicates a systematic reduction in both gross deferred tax assets and liabilities. The most significant shift occurred between 2020 and 2022, where the contraction of tax assets outpaced the reduction in tax liabilities, leading to a relative increase in the net deferred tax liability position.

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Deferred Tax Assets and Liabilities, Classification

IQVIA Holdings Inc., deferred tax assets and liabilities, classification

US$ in millions

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Deferred income tax assets 118 124 114 119 109
Deferred income tax liabilities 464 410 338 646 736

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


The company maintains a persistent net deferred tax liability position throughout the five-year period from 2018 to 2022. While deferred tax assets remained relatively stable, deferred tax liabilities exhibited significant volatility, characterized by a sharp decline in the first three years followed by a moderate recovery in the subsequent two years.

Deferred Income Tax Assets
A pattern of stability is observed in deferred income tax assets, which fluctuated within a narrow range between 109 million US$ in 2018 and 124 million US$ in 2021. The minimal variance across the period indicates that the temporary differences leading to these assets remained consistent.
Deferred Income Tax Liabilities
A significant downward trend occurred between 2018 and 2020, as deferred income tax liabilities decreased from 736 million US$ to 338 million US$, representing a reduction of approximately 54%. This trend reversed after 2020, with liabilities increasing to 410 million US$ in 2021 and reaching 464 million US$ by the end of 2022.
Net Deferred Tax Position
The net deferred tax liability, calculated as the difference between liabilities and assets, reached its peak in 2018 at 627 million US$. This net position contracted significantly to 224 million US$ by 2020. In the final two years of the period, the net liability began to expand again, ending at 346 million US$ in 2022.

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Adjustments to Financial Statements: Removal of Deferred Taxes

IQVIA Holdings Inc., Financial Data: Reported vs. Adjusted

IQVIA Holdings Inc., adjustments to financial statements

US$ in millions

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Adjustment to Total Assets
Total assets (as reported) 25,337 24,689 24,564 23,251 22,549
Less: Noncurrent deferred tax assets, net 118 124 114 119 109
Total assets (adjusted) 25,219 24,565 24,450 23,132 22,440
Adjustment to Total Liabilities
Total liabilities (as reported) 19,572 18,647 18,284 16,988 15,595
Less: Noncurrent deferred tax liabilities, net 464 410 338 646 736
Total liabilities (adjusted) 19,108 18,237 17,946 16,342 14,859
Adjustment to Equity Attributable To IQVIA Holdings Inc.’s Stockholders
Equity attributable to IQVIA Holdings Inc.’s stockholders (as reported) 5,765 6,042 6,001 6,003 6,714
Less: Net deferred tax assets (liabilities) (346) (286) (224) (527) (627)
Equity attributable to IQVIA Holdings Inc.’s stockholders (adjusted) 6,111 6,328 6,225 6,530 7,341
Adjustment to Net Income Attributable To IQVIA Holdings Inc.
Net income attributable to IQVIA Holdings Inc. (as reported) 1,091 966 279 191 259
Add: Deferred income tax expense (benefit) (122) (146) (172) (143) (191)
Net income attributable to IQVIA Holdings Inc. (adjusted) 969 820 107 48 68

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


The financial trajectory from 2018 to 2022 is characterized by a steady expansion of the asset base and a corresponding increase in total liabilities, while stockholder equity experienced a general decline. The removal of deferred taxes creates a consistent divergence between reported and adjusted financial positions, revealing the extent to which tax accounting affects the presentation of the company's solvency and profitability.

Balance Sheet Adjustments
Total assets grew from 22,549 million US$ in 2018 to 25,337 million US$ in 2022. Adjusted total assets remained slightly lower than reported assets throughout the period, indicating a modest impact from the removal of deferred tax assets. Conversely, reported total liabilities rose significantly from 15,595 million US$ to 19,572 million US$. The adjusted total liabilities were consistently lower than reported figures, suggesting that a substantial portion of the company's liabilities consists of deferred tax obligations.
Equity Position and Valuation
Reported equity attributable to stockholders showed a downward trend, decreasing from 6,714 million US$ in 2018 to 5,765 million US$ in 2022. However, the adjusted equity figures remained consistently higher than the reported values across all five years. This indicates that the removal of deferred tax effects provides a more favorable view of the stockholders' equity, as the reduction in adjusted liabilities outweighs the reduction in adjusted assets.
Net Income Divergence
Net income attributable to stockholders grew substantially in the latter part of the period, rising from 259 million US$ in 2018 to 1,091 million US$ in 2022. A persistent gap is observed between reported and adjusted net income; adjusted figures are consistently lower than reported figures. This pattern suggests that deferred tax benefits or reversals contributed positively to the reported net income, and their removal results in a lower, more conservative estimation of earnings.

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Adjusted Financial Ratios: Removal of Deferred Taxes (Summary)

IQVIA Holdings Inc., Financial Ratios: Reported vs. Adjusted

IQVIA Holdings Inc., adjusted financial ratios

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Net Profit Margin
Reported net profit margin 7.57% 6.96% 2.46% 1.72% 2.49%
Adjusted net profit margin 6.72% 5.91% 0.94% 0.43% 0.65%
Total Asset Turnover
Reported total asset turnover 0.57 0.56 0.46 0.48 0.46
Adjusted total asset turnover 0.57 0.56 0.46 0.48 0.46
Financial Leverage
Reported financial leverage 4.39 4.09 4.09 3.87 3.36
Adjusted financial leverage 4.13 3.88 3.93 3.54 3.06
Return on Equity (ROE)
Reported ROE 18.92% 15.99% 4.65% 3.18% 3.86%
Adjusted ROE 15.86% 12.96% 1.72% 0.74% 0.93%
Return on Assets (ROA)
Reported ROA 4.31% 3.91% 1.14% 0.82% 1.15%
Adjusted ROA 3.84% 3.34% 0.44% 0.21% 0.30%

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).


A comprehensive analysis of the financial ratios from 2018 to 2022 reveals a significant divergence between reported and adjusted metrics, primarily driven by the removal of deferred taxes. A notable inflection point is observed between 2020 and 2021, where profitability ratios experienced a sharp increase across both reported and adjusted categories.

Profitability and Return Metrics
The reported net profit margin grew from 2.49% in 2018 to 7.57% in 2022. However, the adjusted net profit margin remained consistently lower, starting at 0.65% in 2018 and reaching 6.72% in 2022. This indicates that deferred tax benefits have historically inflated reported profitability. A similar pattern is evident in Return on Equity (ROE) and Return on Assets (ROA). Reported ROE rose dramatically from 3.86% to 18.92%, while adjusted ROE followed a similar trajectory but remained lower, ending at 15.86% in 2022. The disparity in ROA is also pronounced, with reported ROA ending at 4.31% compared to an adjusted ROA of 3.84%.
Financial Leverage
An upward trend in financial leverage is observed throughout the period. Reported financial leverage increased from 3.36 in 2018 to 4.39 in 2022. The adjusted financial leverage, which excludes the impact of deferred taxes, followed the same growth trend but remained lower, moving from 3.06 to 4.13. This suggests that deferred tax liabilities contribute to a higher reported leverage ratio.
Asset Efficiency
Total asset turnover shows a steady increase from 0.46 in 2018 to 0.57 in 2022. There is no variance between the reported and adjusted total asset turnover ratios, indicating that the adjustment for deferred taxes does not impact the measurement of asset efficiency.

Overall, the removal of deferred taxes results in a downward adjustment of profitability and leverage ratios, although the fundamental growth trends remain consistent. The most substantial impact of these adjustments is observed in the net profit margin and ROE, particularly in the period preceding 2021.

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Adjusted Net Profit Margin

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
As Reported
Selected Financial Data (US$ in millions)
Net income attributable to IQVIA Holdings Inc. 1,091 966 279 191 259
Revenues 14,410 13,874 11,359 11,088 10,412
Profitability Ratio
Net profit margin1 7.57% 6.96% 2.46% 1.72% 2.49%
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted net income attributable to IQVIA Holdings Inc. 969 820 107 48 68
Revenues 14,410 13,874 11,359 11,088 10,412
Profitability Ratio
Adjusted net profit margin2 6.72% 5.91% 0.94% 0.43% 0.65%

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

2022 Calculations

1 Net profit margin = 100 × Net income attributable to IQVIA Holdings Inc. ÷ Revenues
= 100 × 1,091 ÷ 14,410 = 7.57%

2 Adjusted net profit margin = 100 × Adjusted net income attributable to IQVIA Holdings Inc. ÷ Revenues
= 100 × 969 ÷ 14,410 = 6.72%


A significant acceleration in profitability is evident from 2021 onward, following a period of relative stability and low margins between 2018 and 2020.

Net Income Trajectory
Reported net income attributable to the company grew from 259 million US dollars in 2018 to 1,091 million US dollars in 2022. A sharp increase is observed between 2020 and 2021, where reported net income rose from 279 million to 966 million US dollars, marking a substantial shift in earnings capacity.
Adjusted Net Income Trends
Adjusted net income mirrored the reported trend but remained consistently lower. After a decline to 48 million US dollars in 2019, adjusted net income expanded rapidly to 820 million US dollars in 2021 and reached 969 million US dollars by 2022.
Reported Net Profit Margin Analysis
The reported net profit margin remained constrained between 1.72% and 2.49% from 2018 through 2020. A significant expansion occurred in 2021, with the margin climbing to 6.96%, and continuing its upward trend to reach 7.57% in 2022.
Adjusted Net Profit Margin Performance
The adjusted net profit margin exhibited minimal values during the first three years of the period, fluctuating between 0.43% and 0.94%. Parallel to the reported figures, a dramatic increase was recorded in 2021, jumping to 5.91%, and further improving to 6.72% in 2022.

The data reveals a narrowing gap between reported and adjusted profit margins over time. While adjusted metrics were substantially lower than reported figures between 2018 and 2020, the convergence in 2021 and 2022 indicates that the factors causing the divergence became less impactful relative to the overall growth in net income.

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Adjusted Total Asset Turnover

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
As Reported
Selected Financial Data (US$ in millions)
Revenues 14,410 13,874 11,359 11,088 10,412
Total assets 25,337 24,689 24,564 23,251 22,549
Activity Ratio
Total asset turnover1 0.57 0.56 0.46 0.48 0.46
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Revenues 14,410 13,874 11,359 11,088 10,412
Adjusted total assets 25,219 24,565 24,450 23,132 22,440
Activity Ratio
Adjusted total asset turnover2 0.57 0.56 0.46 0.48 0.46

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

2022 Calculations

1 Total asset turnover = Revenues ÷ Total assets
= 14,410 ÷ 25,337 = 0.57

2 Adjusted total asset turnover = Revenues ÷ Adjusted total assets
= 14,410 ÷ 25,219 = 0.57


An analysis of asset utilization from 2018 to 2022 reveals a consistent expansion of the asset base accompanied by a significant improvement in operational efficiency during the latter portion of the period.

Asset Base Expansion
Both reported and adjusted total assets exhibited a steady upward trajectory over the five-year period. Reported total assets increased from US$ 22,549 million in 2018 to US$ 25,337 million in 2022, while adjusted total assets grew from US$ 22,440 million to US$ 25,219 million during the same timeframe.
Asset Turnover Trends
The adjusted total asset turnover ratio remained relatively stable between 2018 and 2020, fluctuating within a narrow range of 0.46 to 0.48. A marked increase in efficiency is observed starting in 2021, with the ratio rising to 0.56, and continuing to 0.57 in 2022. This indicates a strengthened capacity to generate revenue relative to the total assets employed.
Impact of Adjustments
The difference between reported and adjusted total assets is minimal throughout the analyzed period. As a result, the reported total asset turnover and the adjusted total asset turnover are identical for every year from 2018 through 2022, suggesting that the specific adjustments made to the asset figures did not materially alter the efficiency metrics.

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Adjusted Financial Leverage

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
As Reported
Selected Financial Data (US$ in millions)
Total assets 25,337 24,689 24,564 23,251 22,549
Equity attributable to IQVIA Holdings Inc.’s stockholders 5,765 6,042 6,001 6,003 6,714
Solvency Ratio
Financial leverage1 4.39 4.09 4.09 3.87 3.36
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted total assets 25,219 24,565 24,450 23,132 22,440
Adjusted equity attributable to IQVIA Holdings Inc.’s stockholders 6,111 6,328 6,225 6,530 7,341
Solvency Ratio
Adjusted financial leverage2 4.13 3.88 3.93 3.54 3.06

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

2022 Calculations

1 Financial leverage = Total assets ÷ Equity attributable to IQVIA Holdings Inc.’s stockholders
= 25,337 ÷ 5,765 = 4.39

2 Adjusted financial leverage = Adjusted total assets ÷ Adjusted equity attributable to IQVIA Holdings Inc.’s stockholders
= 25,219 ÷ 6,111 = 4.13


An examination of the financial position between 2018 and 2022 reveals a consistent expansion of the asset base coupled with a gradual reduction in stockholders' equity, which has resulted in a systemic increase in financial leverage.

Asset Growth Trends
Reported total assets demonstrated a steady upward trajectory, increasing from US$ 22,549 million in 2018 to US$ 25,337 million in 2022. Adjusted total assets mirrored this growth pattern, rising from US$ 22,440 million to US$ 25,219 million over the same period, maintaining a close correlation with reported figures.
Equity Position Analysis
A general decline in equity attributable to stockholders is observed. Reported equity fell from US$ 6,714 million in 2018 to US$ 5,765 million in 2022. Similarly, adjusted equity decreased from US$ 7,341 million in 2018 to US$ 6,111 million in 2022. Notably, adjusted equity remained consistently higher than reported equity throughout the five-year duration, suggesting that adjustments provide a more favorable view of the capital base.
Financial Leverage Evaluation
Both reported and adjusted leverage ratios exhibited a sustained increase. Reported financial leverage rose from 3.36 in 2018 to 4.39 in 2022. Adjusted financial leverage followed a similar path, increasing from 3.06 in 2018 to 4.13 in 2022. The adjusted ratio remained lower than the reported ratio in every period, indicating that the adjustments effectively reduce the calculated leverage, although they do not offset the overall trend of increasing financial gearing.

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Adjusted Return on Equity (ROE)

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
As Reported
Selected Financial Data (US$ in millions)
Net income attributable to IQVIA Holdings Inc. 1,091 966 279 191 259
Equity attributable to IQVIA Holdings Inc.’s stockholders 5,765 6,042 6,001 6,003 6,714
Profitability Ratio
ROE1 18.92% 15.99% 4.65% 3.18% 3.86%
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted net income attributable to IQVIA Holdings Inc. 969 820 107 48 68
Adjusted equity attributable to IQVIA Holdings Inc.’s stockholders 6,111 6,328 6,225 6,530 7,341
Profitability Ratio
Adjusted ROE2 15.86% 12.96% 1.72% 0.74% 0.93%

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

2022 Calculations

1 ROE = 100 × Net income attributable to IQVIA Holdings Inc. ÷ Equity attributable to IQVIA Holdings Inc.’s stockholders
= 100 × 1,091 ÷ 5,765 = 18.92%

2 Adjusted ROE = 100 × Adjusted net income attributable to IQVIA Holdings Inc. ÷ Adjusted equity attributable to IQVIA Holdings Inc.’s stockholders
= 100 × 969 ÷ 6,111 = 15.86%


A significant shift in profitability and capital efficiency is evident between 2018 and 2022. The financial trajectory is characterized by a period of relative stagnation in returns followed by a sharp acceleration in the final two years of the period.

Net Income Trends
Both reported and adjusted net income exhibited modest volatility from 2018 to 2020, with reported figures fluctuating between 191 million and 279 million. A substantial inflection point occurred in 2021, where reported net income rose to 966 million, further increasing to 1,091 million by 2022. Adjusted net income followed a similar trajectory, rising from 107 million in 2020 to 969 million in 2022, indicating a strong improvement in underlying operational profitability.
Equity Base Dynamics
Stockholder equity showed a general downward trend over the analyzed period. Reported equity decreased from 6,714 million in 2018 to 5,765 million in 2022. Adjusted equity similarly declined from 7,341 million in 2018 to 6,111 million in 2022. The contraction of the equity base, combined with rising net income, acted as a dual catalyst for the expansion of return ratios.
Return on Equity (ROE) Analysis
Reported ROE remained below 5% from 2018 through 2020, before surging to 15.99% in 2021 and reaching 18.92% in 2022. Adjusted ROE mirrored this pattern, although it remained consistently lower than reported ROE, moving from a low of 0.74% in 2019 to 15.86% in 2022. The persistent gap between reported and adjusted ROE suggests the presence of significant adjustments, likely related to taxes or non-recurring items, that consistently reduce the adjusted earnings figure relative to the reported results.

The overall trend indicates a transition from a low-return environment to a high-return phase, driven primarily by an aggressive expansion in net income rather than structural changes in the equity base.

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Adjusted Return on Assets (ROA)

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
As Reported
Selected Financial Data (US$ in millions)
Net income attributable to IQVIA Holdings Inc. 1,091 966 279 191 259
Total assets 25,337 24,689 24,564 23,251 22,549
Profitability Ratio
ROA1 4.31% 3.91% 1.14% 0.82% 1.15%
Adjusted for Deferred Taxes
Selected Financial Data (US$ in millions)
Adjusted net income attributable to IQVIA Holdings Inc. 969 820 107 48 68
Adjusted total assets 25,219 24,565 24,450 23,132 22,440
Profitability Ratio
Adjusted ROA2 3.84% 3.34% 0.44% 0.21% 0.30%

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

2022 Calculations

1 ROA = 100 × Net income attributable to IQVIA Holdings Inc. ÷ Total assets
= 100 × 1,091 ÷ 25,337 = 4.31%

2 Adjusted ROA = 100 × Adjusted net income attributable to IQVIA Holdings Inc. ÷ Adjusted total assets
= 100 × 969 ÷ 25,219 = 3.84%


Financial performance between 2018 and 2022 is characterized by a period of relative stability followed by a significant increase in profitability and asset efficiency starting in 2021. While total assets grew at a steady, linear pace throughout the five-year period, net income experienced exponential growth in the latter two years, driving a substantial rise in both reported and adjusted return on assets (ROA).

Adjusted Net Income Trends
Adjusted net income remained low and volatile from 2018 to 2020, fluctuating between 48 million and 107 million US dollars. A sharp inflection point occurred in 2021, where adjusted net income rose to 820 million US dollars, further increasing to 969 million US dollars by 2022. This represents a significant expansion in core profitability independent of one-time adjustments.
Asset Base Expansion
Both reported and adjusted total assets demonstrated consistent upward momentum. Adjusted total assets increased from 22,440 million US dollars in 2018 to 25,219 million US dollars in 2022. The growth in the asset base was gradual, contrasting with the more aggressive growth seen in the income figures.
Adjusted Return on Assets (ROA) Analysis
The adjusted ROA exhibited a marked improvement over the analyzed period. After reaching a low of 0.21% in 2019, the ratio began to climb, reaching 0.44% in 2020 before surging to 3.34% in 2021 and 3.84% in 2022. The substantial increase in adjusted ROA suggests a significant enhancement in the company's ability to generate profits from its asset base after accounting for non-recurring items.
Comparison of Reported versus Adjusted Metrics
A persistent gap existed between reported and adjusted ROA, particularly between 2018 and 2020, where reported ROA was considerably higher than adjusted ROA. However, as profitability accelerated in 2021 and 2022, the variance between the two metrics narrowed. By 2022, the reported ROA of 4.31% and adjusted ROA of 3.84% converged more closely, indicating that adjusted results became more representative of the overall reported performance.

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