Skip to main content
IQVIQVIA Holdings, Inc.Sell5.5·$207.04+1.89%
IQV · Why this verdict

Why IQVIA Holdings (IQV) is rated SELL

Updated

Model-generated analysis — not investment advice. Not a registered investment advisor. Past performance does not guarantee future results.

Show full disclosure ▾

About TrendMatrix. TrendMatrix is a publisher of general securities research and market commentary. We publish on a regular schedule. All content is the same for every subscriber in a tier — we do not provide personalized investment advice and we do not take into account any individual subscriber's financial situation, investment objectives, risk tolerance, tax situation, or holdings.

Not investment advice. TrendMatrix is not a registered investment adviser. Our content is for informational and educational purposes only. Consult your own licensed investment adviser, broker, or tax professional before making any investment decision.

Conflicts and positions. The TrendMatrix editorial team frequently holds personal long-term positions in securities discussed. We disclose positions held at the time of publication on each piece. We maintain a trading-window policy: we do not initiate or close positions in the same direction as a TrendMatrix publication within 24 hours before or 72 hours after publication.

No paid promotion. TrendMatrix does not accept payment from any issuer, broker, or third party in exchange for coverage of any security. Our sole compensation is subscription revenue.

No fiduciary duty. No fiduciary, advisory, or agency relationship is created between you and TrendMatrix by reading our content or subscribing to our service.

Performance. Past performance is not indicative of future results. Performance figures reflect the published model only and do not reflect any individual subscriber's actual results.

Methodology · Editorial policy & full disclaimer

VerdictSELL
Overall score5.5/10
ConfidenceMEDIUM
MacroNEUTRAL

Thesis pillars

The company has beaten consensus earnings estimates in each of the last four quarters with an average upside surprise of approximately 1.5%, pointing to disciplined guidance and reliable near-term delivery.

Stable
Earnings
Expectation
The beat streak extends to five or more consecutive quarters while the average surprise remains above 1% per period.

CounterThe average beat has been modest at roughly 1.5%, leaving little cushion if underlying demand softens; a single miss after an extended streak tends to provoke outsized multiple compression.

At a forward price-to-earnings multiple of 12.6x and a price-to-growth ratio of 0.72, the shares screen as attractively valued relative to their growth profile, offering a meaningful discount versus expectations.

Stable
Valuation breakdown
Expectation
The forward multiple re-rates toward the sector median over 12 months as the technical overhang clears.

CounterCheap multiples can persist or compress further when price momentum is negative and the stock sits below its long-term moving average; value without a near-term catalyst is a waiting game.

Free cash flow represents 156% of reported net income, indicating the business converts earnings into cash at a well-above-average rate and that reported profits are supported by real cash generation.

Stable
Quality breakdown
Expectation
FCF-to-net-income conversion remains above 100% over the next four reported quarters.

CounterThe company carries a debt-to-equity ratio of 2.6; a meaningful share of that free cash flow is directed toward debt service rather than shareholder returns or reinvestment, limiting what is truly available.

The stock is trading below its 200-day moving average with a confirmed death-cross pattern and falling on-balance volume, signaling that price momentum is firmly negative and that distribution by sellers is ongoing.

Stable
Warnings
Expectation
A sustained reclaim of the 200-day moving average for at least four consecutive weeks on rising volume would indicate the breakdown has reversed.

CounterTechnical deterioration does not impair the underlying business; if fundamentals remain intact the setup becomes increasingly attractive the deeper the drawdown extends.

TrendMatrix Research · core thesis

Engine thesis — one sentence

IQVIA offers an attractively priced franchise with a perfect four-quarter earnings beat streak and exceptional free cash flow conversion, but a confirmed technical breakdown and negative price momentum mean fundamental quality and chart reality are in direct conflict, warranting patience before adding exposure.

Falsifiable statement — pillar-level invalidators below. Engine-derived; not personalized advice.

Per-dimension breakdown

Value

6.2/10data confidence 100%
ComponentSub-score
P/E4.9
P/S8.9
EV/EBITDA2.2
Fwd P/E8.1
PEG8.1
Analyst target4.0
  • Forward P/E: 14.6x
  • PEG: 0.82

Quality

5.5/10data confidence 100%
ComponentSub-score
ROE7.5
ROA3.4
Gross margin2.6
Op margin5.4
Net margin4.2
Current ratio3.0
FCF quality10.0
Moat5.4
Piotroski F7.8
  • Excellent cash conversion: 156% FCF/NI
  • No competitive moat
  • Strong Piotroski F-Score: 7/9

Growth

4.8/10data confidence 67%
ComponentSub-score
Rev growth4.6
EPS growth5.0

Momentum

6.8/10data confidence 100%
ComponentSub-score
RSI4.3
MACD10.0
OBV10.0
MA position8.0
Volume1.6
  • Overbought (RSI 74)
  • Volume accumulation (rising OBV)
  • Above 200-MA but MA slope flat

Sentiment

7.5/10data confidence 100%
ComponentSub-score
LLM sentiment6.7
Analyst rating8.9
Price target6.4
  • LLM news sentiment: +0.35 (n=8)

Insider

5.0/10data confidence 50%
ComponentSub-score
materiality5.0
holder change5.1
  • No net insider activity — $0 (0.000% of mkt cap)

Peer rank

4.8/10data confidence 80%
ComponentSub-score
value rank7.9
quality rank7.0
growth rank4.4
  • Superior ROE vs peers

Technical

2.4/10data confidence 100%
ComponentSub-score
bollinger0.0
support resistance0.3
52w position6.8

Risk (lower is worse)

4.8/10data confidence 100%
ComponentSub-score
short interest8.3
days to cover7.7
volatility3.6
put call0.6
implied vol4.9
beta6.2
debt equity2.4
  • Elevated put/call: 1.91

Catalyst

5.9/10data confidence 100%
ComponentSub-score
erm3.5
earnings history10.0
earnings timing5.0
surprise avg3.2
news activity8.0
  • Perfect beat streak: 4Q

How the verdict was assembled

Engine trigger

Multiple concerning factors. Consider reducing position.

Engine technical detail
verdict_path: L4:PATH_F_SELL
Passed (7)
  • MOMENTUM:6.8>=5.5
  • INSIDER:OK
  • NEWS_BOOST:ANALYST:0.35
  • NEWS_BOOST:ANALYST_CLUSTER(8)
  • EARNINGS_PROXIMITY:18d clear
  • SEMI_CYCLE_PEAK:CLEAR
  • MATERIALS_CYCLE_PEAK:CLEAR
Failed (1)
  • ASYMMETRY:-0.1=NEGATIVE
Warning (2)
  • DEATH_CROSS:momentum=6.8>=5.0 recovering
  • 8K_CSUITE_CHANGE:5.02 (officer departure/appointment)
Reward-to-Risk
-0.10
Upside
-1.6%
Downside
15.0%
Sizing output
AVOID

SetupRecovery Death cross but MACD improving, RSI 74

EdgeCatalyst-Driven Earnings in 18d with 4/4 beat streak

SuitabilityModerate Balanced profile

Investment implication

The F-path SELL output reflects an overall score of 4.0 below the 5.6 soft trigger — multiple weakening dimensions accumulated rather than a single hard-floor breach. The strongest dimension ( Sentiment at 7.5) was not enough to lift the adjusted overall above the threshold. Co-occurring failed gates ( ASYMMETRY:-0.1=NEGATIVE) reinforce the read. Current asymmetry R:R is -0.10 — supplementary context, not the trigger for this path.

The strongest dimensions are Sentiment at 7.5, Momentum at 6.8, and Value at 6.2; the weakest are Technical at 2.4, Risk (lower is worse) at 4.8, and Peer rank at 4.8. The V9 engine flagged 1 failed gate with 2 warnings, producing an asymmetric reward-to-risk of -0.10 and an engine sizing output of AVOID.

What would invalidate the thesis

Falsifying conditions — when triggered, the corresponding pillar's thesis is invalidated.

  • P1Perfect Earnings Beat Streak

    Trip ifEPS surprise falls below 0% for 2 consecutive quarters.

  • P2Attractive Valuation Low Peg

    Trip ifForward P/E expands above 20x without a corresponding upward revision to earnings estimates.

  • P3Superior Free Cash Conversion

    Trip ifFCF-to-net-income conversion falls below 100% for 2 consecutive reported quarters.

  • P4Confirmed Technical Breakdown

    Trip ifStock closes above the 200-day moving average for 4 or more consecutive weeks on above-average volume.

Engine reasoning is mechanically derived from pipeline gate outputs. See decision view.

Home Stocks IQV Why this verdict