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Side-by-side financial comparison of IQVIA (IQV) and REINSURANCE GROUP OF AMERICA INC (RGA). Click either name above to swap in a different company.

REINSURANCE GROUP OF AMERICA INC is the larger business by last-quarter revenue ($6.6B vs $4.4B, roughly 1.5× IQVIA). IQVIA runs the higher net margin — 11.8% vs 7.0%, a 4.8% gap on every dollar of revenue. On growth, REINSURANCE GROUP OF AMERICA INC posted the faster year-over-year revenue change (26.6% vs 10.3%). Over the past eight quarters, IQVIA's revenue compounded faster (8.1% CAGR vs 2.3%).

IQVIA Holdings, Inc., headquartered in Durham, North Carolina, is an American company focused on health information technology and clinical research.

Reinsurance Group of America, Incorporated is a holding company for a global life and health reinsurance entity based in Greater St. Louis within the western suburb of Chesterfield, Missouri, United States. With approximately $3.9 trillion of life reinsurance in force and assets of $118.7 billion as of December 31, 2024, RGA has grown to become the only international company to focus primarily on life and health-related reinsurance.

IQV vs RGA — Head-to-Head

Bigger by revenue
RGA
RGA
1.5× larger
RGA
$6.6B
$4.4B
IQV
Growing faster (revenue YoY)
RGA
RGA
+16.3% gap
RGA
26.6%
10.3%
IQV
Higher net margin
IQV
IQV
4.8% more per $
IQV
11.8%
7.0%
RGA
Faster 2-yr revenue CAGR
IQV
IQV
Annualised
IQV
8.1%
2.3%
RGA

Income Statement — Q4 FY2025 vs Q4 FY2025

Metric
IQV
IQV
RGA
RGA
Revenue
$4.4B
$6.6B
Net Profit
$514.0M
$463.0M
Gross Margin
Operating Margin
14.4%
7.7%
Net Margin
11.8%
7.0%
Revenue YoY
10.3%
26.6%
Net Profit YoY
17.6%
212.8%
EPS (diluted)
$2.97
$6.91

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
IQV
IQV
RGA
RGA
Q4 25
$4.4B
$6.6B
Q3 25
$4.1B
$6.2B
Q2 25
$4.0B
$5.6B
Q1 25
$3.8B
$5.3B
Q4 24
$4.0B
$5.2B
Q3 24
$3.9B
$5.7B
Q2 24
$3.8B
$4.9B
Q1 24
$3.7B
$6.3B
Net Profit
IQV
IQV
RGA
RGA
Q4 25
$514.0M
$463.0M
Q3 25
$331.0M
$253.0M
Q2 25
$266.0M
$180.0M
Q1 25
$249.0M
$286.0M
Q4 24
$437.0M
$148.0M
Q3 24
$285.0M
$156.0M
Q2 24
$363.0M
$203.0M
Q1 24
$288.0M
$210.0M
Gross Margin
IQV
IQV
RGA
RGA
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
23.5%
Q2 24
22.6%
Q1 24
22.1%
Operating Margin
IQV
IQV
RGA
RGA
Q4 25
14.4%
7.7%
Q3 25
13.5%
5.2%
Q2 25
12.6%
6.1%
Q1 25
13.0%
7.0%
Q4 24
15.8%
4.3%
Q3 24
14.1%
3.8%
Q2 24
13.6%
5.5%
Q1 24
13.5%
4.3%
Net Margin
IQV
IQV
RGA
RGA
Q4 25
11.8%
7.0%
Q3 25
8.1%
4.1%
Q2 25
6.6%
3.2%
Q1 25
6.5%
5.4%
Q4 24
11.0%
2.8%
Q3 24
7.3%
2.8%
Q2 24
9.5%
4.2%
Q1 24
7.7%
3.3%
EPS (diluted)
IQV
IQV
RGA
RGA
Q4 25
$2.97
$6.91
Q3 25
$1.93
$3.81
Q2 25
$1.54
$2.70
Q1 25
$1.40
$4.27
Q4 24
$2.41
$2.21
Q3 24
$1.55
$2.33
Q2 24
$1.97
$3.03
Q1 24
$1.56
$3.16

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
IQV
IQV
RGA
RGA
Cash + ST InvestmentsLiquidity on hand
$2.1B
$4.2B
Total DebtLower is stronger
$5.7B
Stockholders' EquityBook value
$6.5B
$13.5B
Total Assets
$29.9B
$156.6B
Debt / EquityLower = less leverage
0.42×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
IQV
IQV
RGA
RGA
Q4 25
$2.1B
$4.2B
Q3 25
$2.0B
$4.6B
Q2 25
$2.2B
$5.4B
Q1 25
$1.9B
$5.2B
Q4 24
$1.8B
$3.3B
Q3 24
$1.7B
$5.2B
Q2 24
$1.7B
$4.6B
Q1 24
$1.6B
$5.9B
Total Debt
IQV
IQV
RGA
RGA
Q4 25
$5.7B
Q3 25
$5.7B
Q2 25
$5.7B
Q1 25
$5.7B
Q4 24
$5.0B
Q3 24
$5.1B
Q2 24
$5.1B
Q1 24
$4.4B
Stockholders' Equity
IQV
IQV
RGA
RGA
Q4 25
$6.5B
$13.5B
Q3 25
$6.2B
$13.0B
Q2 25
$5.8B
$12.1B
Q1 25
$6.0B
$11.4B
Q4 24
$6.1B
$10.8B
Q3 24
$7.0B
$11.1B
Q2 24
$6.7B
$9.7B
Q1 24
$6.3B
$9.5B
Total Assets
IQV
IQV
RGA
RGA
Q4 25
$29.9B
$156.6B
Q3 25
$28.7B
$152.0B
Q2 25
$28.6B
$133.5B
Q1 25
$27.3B
$128.2B
Q4 24
$26.9B
$118.7B
Q3 24
$27.2B
$120.3B
Q2 24
$26.4B
$109.9B
Q1 24
$26.6B
$106.0B
Debt / Equity
IQV
IQV
RGA
RGA
Q4 25
0.42×
Q3 25
0.44×
Q2 25
0.48×
Q1 25
0.50×
Q4 24
0.47×
Q3 24
0.46×
Q2 24
0.52×
Q1 24
0.47×

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
IQV
IQV
RGA
RGA
Operating Cash FlowLast quarter
$735.0M
$7.3B
Free Cash FlowOCF − Capex
$561.0M
FCF MarginFCF / Revenue
12.9%
Capex IntensityCapex / Revenue
4.0%
Cash ConversionOCF / Net Profit
1.43×
15.83×
TTM Free Cash FlowTrailing 4 quarters
$2.1B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
IQV
IQV
RGA
RGA
Q4 25
$735.0M
$7.3B
Q3 25
$908.0M
$-990.0M
Q2 25
$443.0M
$-820.0M
Q1 25
$568.0M
$-1.4B
Q4 24
$885.0M
$17.1B
Q3 24
$721.0M
$-1.1B
Q2 24
$588.0M
$-967.0M
Q1 24
$522.0M
$-5.7B
Free Cash Flow
IQV
IQV
RGA
RGA
Q4 25
$561.0M
Q3 25
$772.0M
Q2 25
$292.0M
Q1 25
$426.0M
Q4 24
$721.0M
Q3 24
$571.0M
Q2 24
$445.0M
Q1 24
$377.0M
FCF Margin
IQV
IQV
RGA
RGA
Q4 25
12.9%
Q3 25
18.8%
Q2 25
7.3%
Q1 25
11.1%
Q4 24
18.2%
Q3 24
14.7%
Q2 24
11.7%
Q1 24
10.1%
Capex Intensity
IQV
IQV
RGA
RGA
Q4 25
4.0%
Q3 25
3.3%
Q2 25
3.8%
Q1 25
3.7%
Q4 24
4.1%
Q3 24
3.9%
Q2 24
3.7%
Q1 24
3.9%
Cash Conversion
IQV
IQV
RGA
RGA
Q4 25
1.43×
15.83×
Q3 25
2.74×
-3.91×
Q2 25
1.67×
-4.56×
Q1 25
2.28×
-5.00×
Q4 24
2.03×
115.81×
Q3 24
2.53×
-6.84×
Q2 24
1.62×
-4.76×
Q1 24
1.81×
-27.31×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

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