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Side-by-side financial comparison of IQVIA (IQV) and Truist Financial (TFC). Click either name above to swap in a different company.
IQVIA is the larger business by last-quarter revenue ($4.4B vs $3.7B, roughly 1.2× Truist Financial). Truist Financial runs the higher net margin — 36.6% vs 11.8%, a 24.8% gap on every dollar of revenue. On growth, IQVIA posted the faster year-over-year revenue change (10.3% vs 3.1%). Over the past eight quarters, IQVIA's revenue compounded faster (8.1% CAGR vs 4.8%).
IQVIA Holdings, Inc., headquartered in Durham, North Carolina, is an American company focused on health information technology and clinical research.
Truist Financial Corporation is an American bank holding company headquartered in Charlotte, North Carolina. The company was formed in December 2019 as the result of the merger of BB&T and SunTrust. Its bank operates 1,928 branches in 15 states and Washington, D.C., offering consumer, commercial, and investment banking, securities brokerage, asset management, mortgage, and insurance products and services. It is the tenth-largest bank in the United States, with $523 billion in assets.
IQV vs TFC — Head-to-Head
Income Statement — Q4 FY2025 vs Q4 FY2025
| Metric | | |
|---|---|---|
| Revenue | $4.4B | $3.7B |
| Net Profit | $514.0M | $1.4B |
| Gross Margin | — | — |
| Operating Margin | 14.4% | 42.3% |
| Net Margin | 11.8% | 36.6% |
| Revenue YoY | 10.3% | 3.1% |
| Net Profit YoY | 17.6% | 6.1% |
| EPS (diluted) | $2.97 | $1.01 |
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.
| Q4 25 | $4.4B | $3.7B | ||
| Q3 25 | $4.1B | $3.6B | ||
| Q2 25 | $4.0B | $3.6B | ||
| Q1 25 | $3.8B | $3.5B | ||
| Q4 24 | $4.0B | $3.6B | ||
| Q3 24 | $3.9B | $3.6B | ||
| Q2 24 | $3.8B | $3.5B | ||
| Q1 24 | $3.7B | $3.4B |
| Q4 25 | $514.0M | $1.4B | ||
| Q3 25 | $331.0M | $1.5B | ||
| Q2 25 | $266.0M | $1.2B | ||
| Q1 25 | $249.0M | $1.3B | ||
| Q4 24 | $437.0M | $1.3B | ||
| Q3 24 | $285.0M | $1.4B | ||
| Q2 24 | $363.0M | $922.0M | ||
| Q1 24 | $288.0M | $1.2B |
| Q4 25 | — | — | ||
| Q3 25 | — | — | ||
| Q2 25 | — | — | ||
| Q1 25 | — | — | ||
| Q4 24 | — | — | ||
| Q3 24 | 23.5% | — | ||
| Q2 24 | 22.6% | — | ||
| Q1 24 | 22.1% | — |
| Q4 25 | 14.4% | 42.3% | ||
| Q3 25 | 13.5% | 47.9% | ||
| Q2 25 | 12.6% | 42.2% | ||
| Q1 25 | 13.0% | 43.8% | ||
| Q4 24 | 15.8% | 43.3% | ||
| Q3 24 | 14.1% | 47.5% | ||
| Q2 24 | 13.6% | -148.3% | ||
| Q1 24 | 13.5% | 40.5% |
| Q4 25 | 11.8% | 36.6% | ||
| Q3 25 | 8.1% | 40.0% | ||
| Q2 25 | 6.6% | 34.6% | ||
| Q1 25 | 6.5% | 36.0% | ||
| Q4 24 | 11.0% | 35.5% | ||
| Q3 24 | 7.3% | 40.0% | ||
| Q2 24 | 9.5% | 26.1% | ||
| Q1 24 | 7.7% | 35.6% |
| Q4 25 | $2.97 | $1.01 | ||
| Q3 25 | $1.93 | $1.04 | ||
| Q2 25 | $1.54 | $0.90 | ||
| Q1 25 | $1.40 | $0.87 | ||
| Q4 24 | $2.41 | $0.94 | ||
| Q3 24 | $1.55 | $0.99 | ||
| Q2 24 | $1.97 | $0.62 | ||
| Q1 24 | $1.56 | $0.81 |
Balance Sheet & Financial Strength
Snapshot of each company's liquidity, leverage and book value from the latest quarter.
| Metric | | |
|---|---|---|
| Cash + ST InvestmentsLiquidity on hand | $2.1B | — |
| Total DebtLower is stronger | — | $42.0B |
| Stockholders' EquityBook value | $6.5B | $65.2B |
| Total Assets | $29.9B | $547.5B |
| Debt / EquityLower = less leverage | — | 0.64× |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $2.1B | — | ||
| Q3 25 | $2.0B | — | ||
| Q2 25 | $2.2B | — | ||
| Q1 25 | $1.9B | — | ||
| Q4 24 | $1.8B | — | ||
| Q3 24 | $1.7B | — | ||
| Q2 24 | $1.7B | — | ||
| Q1 24 | $1.6B | — |
| Q4 25 | — | $42.0B | ||
| Q3 25 | — | $41.7B | ||
| Q2 25 | — | $44.4B | ||
| Q1 25 | — | $32.0B | ||
| Q4 24 | — | $35.0B | ||
| Q3 24 | — | $36.8B | ||
| Q2 24 | — | $34.6B | ||
| Q1 24 | — | $39.1B |
| Q4 25 | $6.5B | $65.2B | ||
| Q3 25 | $6.2B | $65.6B | ||
| Q2 25 | $5.8B | $64.8B | ||
| Q1 25 | $6.0B | $64.6B | ||
| Q4 24 | $6.1B | $63.7B | ||
| Q3 24 | $7.0B | $65.7B | ||
| Q2 24 | $6.7B | $63.8B | ||
| Q1 24 | $6.3B | $59.1B |
| Q4 25 | $29.9B | $547.5B | ||
| Q3 25 | $28.7B | $543.9B | ||
| Q2 25 | $28.6B | $543.8B | ||
| Q1 25 | $27.3B | $535.9B | ||
| Q4 24 | $26.9B | $531.2B | ||
| Q3 24 | $27.2B | $523.4B | ||
| Q2 24 | $26.4B | $519.9B | ||
| Q1 24 | $26.6B | $535.0B |
| Q4 25 | — | 0.64× | ||
| Q3 25 | — | 0.64× | ||
| Q2 25 | — | 0.69× | ||
| Q1 25 | — | 0.50× | ||
| Q4 24 | — | 0.55× | ||
| Q3 24 | — | 0.56× | ||
| Q2 24 | — | 0.54× | ||
| Q1 24 | — | 0.66× |
Cash Flow & Capital Efficiency
How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.
| Metric | | |
|---|---|---|
| Operating Cash FlowLast quarter | $735.0M | $2.6B |
| Free Cash FlowOCF − Capex | $561.0M | — |
| FCF MarginFCF / Revenue | 12.9% | — |
| Capex IntensityCapex / Revenue | 4.0% | — |
| Cash ConversionOCF / Net Profit | 1.43× | 1.91× |
| TTM Free Cash FlowTrailing 4 quarters | $2.1B | — |
8-quarter trend — quarters aligned by calendar period.
| Q4 25 | $735.0M | $2.6B | ||
| Q3 25 | $908.0M | $1.5B | ||
| Q2 25 | $443.0M | $914.0M | ||
| Q1 25 | $568.0M | $746.0M | ||
| Q4 24 | $885.0M | $775.0M | ||
| Q3 24 | $721.0M | $1.5B | ||
| Q2 24 | $588.0M | $845.0M | ||
| Q1 24 | $522.0M | $-990.0M |
| 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 | — |
| 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% | — |
| 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% | — |
| Q4 25 | 1.43× | 1.91× | ||
| Q3 25 | 2.74× | 1.03× | ||
| Q2 25 | 1.67× | 0.74× | ||
| Q1 25 | 2.28× | 0.59× | ||
| Q4 24 | 2.03× | 0.61× | ||
| Q3 24 | 2.53× | 1.06× | ||
| Q2 24 | 1.62× | 0.92× | ||
| Q1 24 | 1.81× | -0.82× |
Financial Flow Comparison
Revenue → gross profit → operating profit → net profit for each company.
