7Baggers

IQVIA Holdings Inc
(NYSE:IQV) 

IQV stock logo

IQVIA Holdings Inc. provides advanced analytics, technology solutions, and clinical research services to the life sciences industry in the Americas, Europe, Africa, and the Asia-Pacific. It operates through three segments: Technology & Analytics Solutions, Research & Development Solutions, and Contr...

Founded: 1982
Full Time Employees: 68,000
Sector: Healthcare
Industry: Diagnostics & Research
Healthcare
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Quarterly
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    Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 
                                                        
      revenues
    		4,364,000,000 4,100,000,000 4,017,000,000 3,829,000,000 3,958,000,000 3,896,000,000 3,814,000,000 3,737,000,000 3,868,000,000 3,736,000,000 3,728,000,000 3,652,000,000 3,739,000,000 3,562,000,000 3,541,000,000 3,568,000,000 3,636,000,000 3,391,000,000 3,438,000,000 3,409,000,000 3,298,000,000 2,786,000,000 2,521,000,000 2,754,000,000 2,895,000,000 2,769,000,000 2,740,000,000 2,684,000,000 2,688,000,000 2,594,000,000 2,567,000,000 2,563,000,000 2,161,000,000 2,019,000,000 1,969,000,000 1,911,000,000                 
      cost of revenues, exclusive of depreciation and amortization
    		2,928,000,000 2,727,000,000 2,694,000,000 2,531,000,000 2,580,000,000 2,518,000,000 2,488,000,000 2,444,000,000 2,478,000,000 2,426,000,000 2,443,000,000 2,398,000,000 2,407,000,000 2,321,000,000 2,331,000,000                                      
      selling, general and administrative expenses
    		468,000,000 514,000,000 509,000,000 508,000,000 453,000,000 522,000,000 509,000,000 508,000,000 556,000,000 502,000,000 482,000,000 513,000,000 583,000,000 517,000,000 483,000,000 488,000,000 542,000,000 498,000,000 482,000,000 442,000,000 491,000,000 460,000,000 431,000,000 407,000,000 484,000,000 395,000,000 436,000,000 419,000,000 443,000,000 429,000,000 424,000,000 420,000,000 464,000,000 391,000,000 370,000,000 380,000,000 310,213,000 233,645,000               
      depreciation and amortization
    		317,000,000 286,000,000 276,000,000 265,000,000 303,000,000 278,000,000 269,000,000 264,000,000 316,000,000 297,000,000 259,000,000 253,000,000 357,000,000 248,000,000 270,000,000 255,000,000 262,000,000 336,000,000 343,000,000 323,000,000 344,000,000 319,000,000 308,000,000 316,000,000 314,000,000 299,000,000 294,000,000 295,000,000 294,000,000 283,000,000 282,000,000 282,000,000 278,000,000 256,000,000 245,000,000 232,000,000                 
      restructuring costs
    		24,000,000 20,000,000 32,000,000 29,000,000 -4,000,000 28,000,000 28,000,000 15,000,000 17,000,000 30,000,000 20,000,000 17,000,000 13,000,000 4,000,000 4,000,000 7,000,000 5,000,000 2,000,000 4,000,000 9,000,000 2,000,000 20,000,000 16,000,000 14,000,000 30,000,000 19,000,000 14,000,000 12,000,000 2,000,000 23,000,000 17,000,000 26,000,000 25,000,000 10,000,000 9,000,000 19,000,000 43,209,000 -467,000 25,114,000 3,144,000 7,210,000 11,984,000 6,234,000 5,324,000 5,239,000 1,793,000 948,000 1,008,000 2,174,000 7,201,000 2,837,000 1,859,000 
      income from operations
    		627,000,000 553,000,000 506,000,000 496,000,000 626,000,000 550,000,000 520,000,000 506,000,000 501,000,000 481,000,000 524,000,000 471,000,000 379,000,000 472,000,000 453,000,000 495,000,000 463,000,000 302,000,000 286,000,000 342,000,000 289,000,000 187,000,000 62,000,000 193,000,000 166,000,000 204,000,000 197,000,000 210,000,000 207,000,000 181,000,000 170,000,000 183,000,000 203,000,000 197,000,000 151,000,000 168,000,000 144,691,000 167,770,000 150,743,000 178,796,000 177,983,000 167,023,000 158,389,000 143,217,000 158,932,000 149,142,000 141,000,000 141,316,000 127,012,000 125,259,000 94,897,000 115,165,000 
      yoy
    		0.16% 0.55% -2.69% -1.98% 24.95% 14.35% -0.76% 7.43% 32.19% 1.91% 15.67% -4.85% -18.14% 56.29% 58.39% 44.74% 60.21% 61.50% 361.29% 77.20% 74.10% -8.33% -68.53% -8.10% -19.81% 12.71% 15.88% 14.75% 1.97% -8.12% 12.58% 8.93% 40.30% 17.42% 0.17% -6.04% -18.71% 0.45% -4.83% 24.84% 11.99% 11.99% 12.33% 1.35% 25.13% 19.07% 48.58% 22.71%     
      qoq
    		13.38% 9.29% 2.02% -20.77% 13.82% 5.77% 2.77% 1.00% 4.16% -8.21% 11.25% 24.27% -19.70% 4.19% -8.48% 6.91% 53.31% 5.59% -16.37% 18.34% 54.55% 201.61% -67.88% 16.27% -18.63% 3.55% -6.19% 1.45% 14.36% 6.47% -7.10% -9.85% 3.05% 30.46% -10.12% 16.11% -13.76% 11.30% -15.69% 0.46% 6.56% 5.45% 10.59% -9.89% 6.56% 5.77% -0.22% 11.26% 1.40% 31.99% -17.60%  
      operating margin %
    		Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% 7.88% 7.99% 6.36% 7.24% 6.19% 11.21% 9.71% 12.00% 11.70% 11.72% 10.97% 10.63% 11.26% 10.65% 10.51% 10.81% 9.21% 10.47% 7.32% 9.37% 
      interest income
    		-11,000,000 -13,000,000 -10,000,000 -11,000,000 -11,000,000 -13,000,000 -12,000,000 -11,000,000 -12,000,000 -14,000,000 -4,000,000 -6,000,000 -6,000,000 -4,000,000 -2,000,000 -1,000,000 -2,000,000 -2,000,000 -1,000,000 -1,000,000 -2,000,000 -1,000,000 -1,000,000 -2,000,000 -2,000,000 -3,000,000 -2,000,000 -2,000,000 -3,000,000 -2,000,000 -1,000,000 -2,000,000 -2,000,000 -2,000,000 -1,000,000 -2,000,000 -1,830,000 -706,000 -834,000 -630,000 -847,000 -1,141,000 -1,459,000 -870,000 -559,000 -602,000 -994,000 -1,255,000 -1,581,000 -1,119,000 -785,000 -452,000 
      interest expense
    		193,000,000 189,000,000 182,000,000 165,000,000 171,000,000 170,000,000 163,000,000 166,000,000 181,000,000 181,000,000 169,000,000 141,000,000 128,000,000 108,000,000 94,000,000 86,000,000 90,000,000 92,000,000 94,000,000 99,000,000 102,000,000 100,000,000 108,000,000 106,000,000 109,000,000 114,000,000 114,000,000 110,000,000 106,000,000 105,000,000 107,000,000 96,000,000 97,000,000 93,000,000 81,000,000 75,000,000 71,053,000 24,505,000 22,483,000 25,959,000 25,536,000 25,429,000 25,487,000 25,340,000 26,037,000 25,050,000 24,799,000 24,703,000 26,826,000 28,756,000 31,884,000 36,042,000 
      loss on extinguishment of debt
    		2,000,000   4,000,000             1,000,000 1,000,000  24,000,000 1,000,000  12,000,000   24,000,000     2,000,000  -2,000,000 18,000,000  3,000,000       7,780,000      3,288,000  16,543,000  
      other expense
    		-1,250,000 -31,000,000 11,000,000 15,000,000 -78,000,000 44,000,000  11,000,000 -47,000,000 -35,000,000 -16,000,000 -26,000,000 -18,000,000 8,000,000 33,000,000 10,000,000       -32,000,000    7,000,000 -7,000,000  27,000,000  4,000,000 21,000,000 3,000,000 3,000,000 3,000,000 842,500 1,667,000 -2,803,000 4,506,000 -5,502,000 -934,000 11,659,000 -2,861,000 586,000 -7,776,000 3,056,000      
      income before income taxes and equity in earnings of unconsolidated affiliates
    		537,000,000 408,000,000 323,000,000  544,000,000 349,000,000 436,000,000  373,000,000 349,000,000 375,000,000  275,000,000 360,000,000 328,000,000 400,000,000 376,000,000 273,000,000 222,000,000 257,000,000 194,000,000 102,000,000 -25,000,000 102,000,000 96,000,000 69,000,000 78,000,000  104,000,000 51,000,000 88,000,000 85,000,000 89,000,000 85,000,000 68,000,000 89,000,000 55,838,000 142,304,000 131,897,000 148,961,000 158,796,000 143,669,000 114,922,000 121,608,000 132,868,000 132,470,000 114,139,000 122,712,000     
      income tax expense
    		59,000,000 76,000,000 56,000,000 61,000,000 112,000,000 65,000,000 75,000,000 49,000,000 -102,000,000 51,000,000 81,000,000 71,000,000 48,000,000 70,000,000 71,000,000 71,000,000 59,000,000 12,000,000 48,000,000 44,000,000 63,000,000 -3,000,000 -5,000,000 17,000,000 68,000,000 -1,000,000 8,000,000 41,000,000 30,000,000 -14,000,000 24,000,000 19,000,000 -992,000,000  -7,000,000 12,000,000 227,088,000 38,525,000 36,810,000 42,577,000 51,009,000 40,192,000 31,700,000 36,088,000 39,007,000 41,260,000 32,400,000 37,389,000 27,558,000 27,459,000 8,830,000 32,118,000 
      income before equity in earnings of unconsolidated affiliates
    		478,000,000 332,000,000 267,000,000  432,000,000 284,000,000 361,000,000  475,000,000 298,000,000 294,000,000  227,000,000 290,000,000 257,000,000 329,000,000 317,000,000 261,000,000 174,000,000 213,000,000 131,000,000 105,000,000 -20,000,000 85,000,000 28,000,000 70,000,000 70,000,000 68,000,000 74,000,000 65,000,000 64,000,000 66,000,000 1,081,000,000 85,000,000 75,000,000 77,000,000 -171,250,000 103,779,000 95,087,000 106,384,000 107,787,000 103,477,000 83,222,000 85,520,000 93,861,000 91,210,000 81,739,000 85,323,000     
      equity in earnings of unconsolidated affiliates
    		36,000,000  -1,000,000   1,000,000 2,000,000  1,500,000 5,000,000 3,000,000   -7,000,000 -1,000,000 -4,000,000 1,000,000  1,000,000 4,000,000 -1,000,000 3,000,000 -1,000,000 6,000,000 -8,000,000 -1,000,000 1,000,000 -1,000,000 2,000,000 2,000,000 4,000,000 7,000,000 3,000,000 4,000,000 4,000,000 -1,000,000 -3,048,000 195,000 -3,789,000 2,642,000 300,000 5,362,000 1,725,000 911,000 -5,417,000 1,523,000 3,371,000 4,891,000     
      net income
    		514,000,000 332,000,000 266,000,000 249,000,000 437,000,000 285,000,000 363,000,000 288,000,000 469,000,000 303,000,000 297,000,000 289,000,000 227,000,000 283,000,000 256,000,000 325,000,000 318,000,000 261,000,000 175,000,000 217,000,000 130,000,000 108,000,000 -21,000,000 91,000,000 20,000,000 69,000,000 71,000,000 67,000,000 76,000,000 67,000,000 68,000,000 73,000,000 1,084,000,000 89,000,000 79,000,000 76,000,000 -174,298,000 103,974,000 91,298,000 109,026,000 108,087,000 108,839,000 84,947,000 86,431,000 88,444,000 92,733,000 85,110,000 90,214,000 72,934,000 66,584,000 38,353,000 48,156,000 
      yoy
    		17.62% 16.49% -26.72% -13.54% -6.82% -5.94% 22.22% -0.35% 106.61% 7.07% 16.02% -11.08% -28.62% 8.43% 46.29% 49.77% 144.62% 141.67% -933.33% 138.46% 550.00% 56.52% -129.58% 35.82% -73.68% 2.99% 4.41% -8.22% -92.99% -24.72% -13.92% -3.95% -721.92% -14.40% -13.47% -30.29% -261.26% -4.47% 7.48% 26.14% 22.21% 17.37% -0.19% -4.19% 21.27% 39.27% 121.91% 87.34%     
      qoq
    		54.82% 24.81% 6.83% -43.02% 53.33% -21.49% 26.04% -38.59% 54.79% 2.02% 2.77% 27.31% -19.79% 10.55% -21.23% 2.20% 21.84% 49.14% -19.35% 66.92% 20.37% -614.29% -123.08% 355.00% -71.01% -2.82% 5.97% -11.84% 13.43% -1.47% -6.85% -93.27% 1117.98% 12.66% 3.95% -143.60% -267.64% 13.88% -16.26% 0.87% -0.69% 28.13% -1.72% -2.28% -4.63% 8.96% -5.66% 23.69% 9.54% 73.61% -20.36%  
      net income margin %
    		Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% -Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% Infinity% 42.06% 3.61% 3.33% 3.27% -7.45% 6.94% 5.88% 7.32% 7.10% 7.64% 5.88% 6.41% 6.27% 6.62% 6.35% 6.90% 5.29% 5.57% 2.96% 3.92% 
      net income attributable to noncontrolling interests
    		 -1,000,000                                      -2,358,000    -33,000     125,500 185,000 164,000 153,000 
      net income attributable to iqvia holdings inc.
    		514,000,000 331,000,000           227,000,000 283,000,000 256,000,000 325,000,000 318,000,000 261,000,000 175,000,000 212,000,000 119,000,000 101,000,000 -23,000,000 82,000,000 16,000,000 57,000,000 60,000,000 58,000,000 69,000,000 60,000,000 61,000,000 69,000,000                     
      earnings per share attributable to common stockholders:
    		                                                    
      basic
    		3.01 1.94 1.55 1.42 2.43 1.57 1.99 1.58 2.57 1.66 1.61 1.56 1.23 1.52 1.36 1.71 1.67 1.36 0.91 1.11 0.62 0.53  0.43 0.09 0.29 0.31 0.29 0.34 0.3 0.3 0.33 4.95 0.39 0.35 0.32 -1.68 0.83 0.73 0.89 0.87 0.91 0.69 0.69 0.7 0.73 0.66 0.69 0.58 0.52 0.31 0.42 
      diluted
    		2.98 1.93 1.54 1.4 2.41 1.55 1.97 1.56 2.53 1.63 1.59 1.53 1.2 1.49 1.34 1.68 1.63 1.34 0.9 1.09 0.61 0.52  0.42 0.09 0.29 0.3 0.29 0.33 0.29 0.29 0.32 4.84 0.38 0.34 0.31 -1.65 0.82 0.71 0.88 0.84 0.89 0.67 0.68 0.69 0.71 0.64 0.68 0.55 0.5 0.3 0.41 
      weighted-average common shares outstanding:
    		                                                    
      basic
    		171.9 170.2 171.8 175.7 181.3 182.1 182.2 181.9 183.8 182.9 184.4 185.8 187.6 186.5 188.3 190 191.4 191.5 191.6 191.5 191.3 191.3 190.9 191.6 195.1 194.5 196.2 197 203.7 202.3 205.7 207.5 217.8 214.3 217.6 230.1 149.1 118,919 119,464 119,448 123,038 122,848 123,834 124,504 127,994 127,462 128,979 129,898 124,147 128,923 122,709 115,769 
      diluted
    		173.5 171.7 173.2 177.4 183.4 184.2 184.3 184.3 186.3 185.5 186.7 188.6 190.6 189.4 191.1 193.4 195 195.3 194.9 194.9 195 194.9 190.9 195.7 199.6 199 200.6 201.7 208.2 206.8 209.9 212 222.6 219 222.3 234.9 152 121,156 121,519 121,438 125,630 125,339 126,536 127,454 131,083 130,626 132,042 133,040 127,862 133,267 126,578 118,740 
      income before income taxes and equity in losses of unconsolidated affiliates
    		   323,000,000    340,000,000    362,000,000                                         
      income before equity in losses of unconsolidated affiliates
    		   262,000,000    291,000,000    291,000,000                                         
      equity in losses of unconsolidated affiliates
    		   -13,000,000    -3,000,000    -2,000,000                                         
      other income
    		      -67,000,000          -2,000,000 -62,000,000 -29,000,000 -37,000,000 -14,750,000 -14,000,000  -13,000,000       -26,000,000                 -4,844,000 344,500 3,224,000 536,000 -2,382,000 
      net income attributable to non-controlling interests
    		                   -5,000,000 -11,000,000 -7,000,000 -2,000,000 -9,000,000 -4,000,000 -12,000,000 -11,000,000 -9,000,000 -7,000,000 -7,000,000 -7,000,000 -4,000,000 -8,000,000 -5,000,000 -4,000,000 -2,000,000                 
      costs of revenue, exclusive of depreciation and amortization
    		               2,323,000,000 2,364,000,000 2,253,000,000 2,323,000,000 2,293,000,000 2,172,000,000 1,800,000,000 1,704,000,000 1,824,000,000 1,901,000,000 1,852,000,000 1,799,000,000 1,748,000,000 1,742,000,000 1,678,000,000 1,674,000,000 1,652,000,000 1,191,000,000 1,165,000,000 1,154,000,000 1,112,000,000                 
      loss (earnings) per share attributable to common stockholders:
    		                                                    
      basic
    		                      -0.12                              
      diluted
    		                      -0.12                              
      income before income taxes and equity in (losses) earnings of unconsolidated affiliates
    		                           109,000,000                     55,768,500 94,398,000  81,957,000 
      impairment charges
    		                                  40,000,000  63,000 27,937,000               
      reimbursed expenses
    		                                416,000,000 446,000,000 406,000,000 411,000,000 385,578,000 360,750,000 385,609,000 382,063,000 393,131,000 331,289,000 369,161,000 317,619,000 347,043,000 339,021,000 305,554,000 302,558,000 375,245,000 263,112,000 351,442,000 301,406,000 
      total revenues
    		                                2,577,000,000 2,465,000,000 2,375,000,000 2,322,000,000 2,338,069,000 1,497,173,000 1,552,673,000 1,490,085,000 1,521,730,000 1,424,769,000 1,443,527,000 1,347,593,000 1,411,088,000 1,400,034,000 1,341,030,000 1,307,846,000 1,379,185,000 1,195,839,000 1,295,680,000 1,228,841,000 
      yoy
    		                                10.22% 64.64% 52.96% 55.83% 53.65% 5.08% 7.56% 10.57% 7.84% 1.77% 7.64% 3.04% 2.31% 17.08% 3.50% 6.43%     
      qoq
    		                                4.54% 3.79% 2.28% -0.69% 56.17% -3.57% 4.20% -2.08% 6.81% -1.30% 7.12% -4.50% 0.79% 4.40% 2.54% -5.17% 15.33% -7.71% 5.44%  
      costs of revenue, reimbursed expenses
    		                                416,000,000 446,000,000 406,000,000 411,000,000 385,578,000 360,750,000 385,609,000 382,063,000 393,131,000 331,289,000 369,161,000 317,619,000 347,043,000 339,021,000 305,554,000 302,558,000 375,245,000 263,112,000 351,442,000  
      merger related costs
    		                                    74,311,000 3,747,000               
      net income attributable to quintiles ims holdings, inc.
    		                                58,250,000 84,000,000 75,000,000 74,000,000 -177,594,000 99,167,000               
      service revenues
    		                                    852,877,250 1,136,423,000 1,167,064,000 1,108,022,000 1,128,599,000 1,093,480,000 1,074,366,000 1,029,974,000 1,064,045,000 1,061,013,000 1,035,476,000 1,005,288,000 1,003,940,000 932,727,000 944,238,000 927,435,000 
      costs of revenue, service costs
    		                                    536,249,000 703,791,000 740,639,000 700,566,000 696,856,000 683,058,000 683,845,000 661,827,000 674,819,000 691,051,000 674,514,000 643,722,000 641,957,000 600,694,000 617,666,000  
      net loss attributable to non-controlling interests
    		                                    -3,296,000 -4,807,000 -4,539,000              
      selling, general and administrative
    		                                      250,568,000 225,516,000 244,066,000 231,415,000 225,898,000 219,606,000 225,055,000 219,027,000 219,014,000 219,242,000 232,797,000 199,573,000 228,838,000 199,302,000 
      net income attributable to quintiles transnational holdings inc.
    		                                      86,759,000 106,668,000 104,570,000 111,286,000 84,951,000 86,398,000 88,426,000 92,654,000 85,120,000 90,183,000 72,996,000 66,769,000 38,517,000 48,309,000 
      earnings per share attributable to common shareholders:
    		                                                    
      basic
    		3.01 1.94 1.55 1.42 2.43 1.57 1.99 1.58 2.57 1.66 1.61 1.56 1.23 1.52 1.36 1.71 1.67 1.36 0.91 1.11 0.62 0.53  0.43 0.09 0.29 0.31 0.29 0.34 0.3 0.3 0.33 4.95 0.39 0.35 0.32 -1.68 0.83 0.73 0.89 0.87 0.91 0.69 0.69 0.7 0.73 0.66 0.69 0.58 0.52 0.31 0.42 
      diluted
    		2.98 1.93 1.54 1.4 2.41 1.55 1.97 1.56 2.53 1.63 1.59 1.53 1.2 1.49 1.34 1.68 1.63 1.34 0.9 1.09 0.61 0.52  0.42 0.09 0.29 0.3 0.29 0.33 0.29 0.29 0.32 4.84 0.38 0.34 0.31 -1.65 0.82 0.71 0.88 0.84 0.89 0.67 0.68 0.69 0.71 0.64 0.68 0.55 0.5 0.3 0.41 
      net loss attributable to noncontrolling interests
    		                                        -3,517,000 2,447,000 4,000  -18,000 -79,000 10,000 -31,000     
      costs, expenses and other:
    		                                                    
      income before equity in (losses) earnings of unconsolidated affiliates
    		                                                38,666,750 66,939,000  49,839,000 
      equity in (losses) earnings of unconsolidated affiliates
    		                                                -393,500 -355,000  -1,683,000 
      income before income taxes and equity in earnings (losses) of unconsolidated affiliates
    		                                                  46,719,000  
      income before equity in earnings (losses) of unconsolidated affiliates
    		                                                  37,889,000  
      equity in earnings (losses) of unconsolidated affiliates
    		                                                  464,000  
      costs of revenues
    		                                                   912,515,000 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 
                                                          
        assets
      		                                                    
        current assets:
      		                                                    
        cash and cash equivalents
      		1,980,000,000 1,814,000,000 2,039,000,000 1,740,000,000 1,702,000,000 1,572,000,000 1,545,000,000 1,444,000,000 1,376,000,000 1,224,000,000 1,382,000,000 1,494,000,000 1,216,000,000 1,274,000,000 1,428,000,000 1,387,000,000 1,366,000,000 1,470,000,000 1,807,000,000 2,305,000,000 1,814,000,000 1,464,000,000 1,109,000,000 927,000,000 837,000,000 863,000,000 938,000,000 936,000,000 891,000,000 827,000,000 879,000,000 960,000,000 959,000,000 1,103,000,000 902,000,000 862,000,000 1,198,000,000 1,209,677,000 955,684,000 1,053,212,000 977,151,000 1,081,804,000 803,615,000 779,068,000 867,358,000 645,034,000 636,468,000 741,381,000 778,143,000 609,710,000 585,722,000 454,293,000 
        trade accounts receivable and unbilled services
      		3,400,000,000 3,269,000,000 3,344,000,000 3,268,000,000 3,204,000,000 3,196,000,000 3,255,000,000 3,426,000,000 3,381,000,000 3,227,000,000 3,139,000,000 3,063,000,000 2,917,000,000 2,640,000,000 2,679,000,000 2,619,000,000 2,551,000,000 2,330,000,000 2,276,000,000 2,361,000,000 2,410,000,000 2,414,000,000 2,371,000,000 2,634,000,000 2,582,000,000 2,514,000,000 2,401,000,000 2,461,000,000 2,394,000,000 2,298,000,000 2,172,000,000 2,250,000,000 1,993,000,000 1,859,000,000 1,845,000,000 1,779,000,000 1,707,000,000 1,207,503,000 1,257,427,000 1,175,597,000 1,165,749,000 1,128,899,000 1,089,439,000 1,006,425,000 975,255,000 1,032,553,000 964,346,000 948,453,000 924,205,000 895,345,000 867,211,000 779,342,000 
        prepaid expenses
      		162,000,000 177,000,000 200,000,000 166,000,000 154,000,000 195,000,000 191,000,000 173,000,000 141,000,000 177,000,000 179,000,000 165,000,000 151,000,000 176,000,000 188,000,000 162,000,000 156,000,000 164,000,000 178,000,000 159,000,000  165,000,000 146,000,000 173,000,000 138,000,000 150,000,000 180,000,000 153,000,000 151,000,000 154,000,000 158,000,000 148,000,000 146,000,000 146,000,000 153,000,000 134,000,000 123,000,000 57,318,000 66,443,000 55,845,000 50,624,000 51,470,000 57,454,000 59,834,000 44,628,000 51,534,000 56,837,000 52,893,000 42,801,000 42,116,000 48,599,000 41,306,000 
        income taxes receivable
      		27,000,000 45,000,000 62,000,000 43,000,000 36,000,000 54,000,000 41,000,000 35,000,000 32,000,000 49,000,000 45,000,000 42,000,000 43,000,000 47,000,000 44,000,000 43,000,000 58,000,000 56,000,000 69,000,000 64,000,000  78,000,000 53,000,000 49,000,000 56,000,000 65,000,000 64,000,000 65,000,000 69,000,000 66,000,000 52,000,000 45,000,000 47,000,000 56,000,000 41,000,000 28,000,000 34,000,000 26,568,000 21,059,000 22,302,000 34,089,000 56,184,000 64,550,000 44,156,000 45,357,000 17,394,000 16,885,000 16,444,000 16,171,000 16,373,000 26,504,000 20,675,000 
        investments in debt, equity and other securities
      		161,000,000 158,000,000 149,000,000 136,000,000 141,000,000 140,000,000 133,000,000 131,000,000 120,000,000 108,000,000 110,000,000 104,000,000 93,000,000 87,000,000 90,000,000 106,000,000 111,000,000 104,000,000 104,000,000 97,000,000 166,000,000 79,000,000 73,000,000 63,000,000 62,000,000 57,000,000 56,000,000 55,000,000 47,000,000 52,000,000 49,000,000 47,000,000 46,000,000 44,000,000 43,000,000 43,000,000 40,000,000 39,878,000 37,787,000 36,711,000 32,911,000 33,149,000 34,258,000 34,226,000 34,503,000 33,723,000 33,741,000 37,628,000 40,349,000 38,086,000 35,943,000 35,942,000 
        other current assets and receivables
      		519,000,000 516,000,000 551,000,000 558,000,000 592,000,000 475,000,000 457,000,000 442,000,000 546,000,000 423,000,000 474,000,000 460,000,000 561,000,000 528,000,000 482,000,000 455,000,000 521,000,000 410,000,000 634,000,000 593,000,000  445,000,000 456,000,000 431,000,000 451,000,000 346,000,000 339,000,000 329,000,000 322,000,000 299,000,000 277,000,000 274,000,000 259,000,000 284,000,000 275,000,000 271,000,000 235,000,000 99,641,000 94,709,000 89,923,000 80,916,000 87,365,000 85,676,000 88,666,000 92,088,000 94,394,000 94,033,000 92,420,000 89,541,000 80,773,000 78,087,000 72,809,000 
        total current assets
      		6,249,000,000 5,979,000,000 6,345,000,000 5,911,000,000 5,829,000,000 5,632,000,000 5,622,000,000 5,651,000,000 5,596,000,000 5,208,000,000 5,329,000,000 5,328,000,000 4,981,000,000 4,752,000,000 4,911,000,000 4,772,000,000 4,763,000,000 4,534,000,000 5,068,000,000 5,579,000,000  4,645,000,000 4,208,000,000 4,277,000,000 4,126,000,000 3,995,000,000 3,978,000,000 3,999,000,000 3,874,000,000 3,696,000,000 3,587,000,000 3,724,000,000 3,450,000,000 3,492,000,000 3,259,000,000 3,117,000,000 3,337,000,000 2,643,132,000 2,436,598,000 2,437,156,000 2,411,985,000 2,520,179,000 2,219,842,000 2,098,823,000 2,146,083,000 1,938,603,000 1,864,707,000 1,947,820,000 1,945,688,000 1,717,186,000 1,673,860,000 1,439,497,000 
        property and equipment
      		533,000,000 525,000,000 536,000,000 533,000,000 535,000,000 513,000,000 503,000,000 513,000,000 523,000,000 498,000,000 510,000,000 520,000,000 532,000,000 507,000,000 529,000,000 531,000,000 497,000,000 485,000,000 470,000,000 472,000,000 482,000,000 452,000,000 444,000,000 445,000,000 458,000,000 451,000,000 458,000,000 437,000,000 434,000,000 417,000,000 415,000,000 432,000,000 440,000,000 428,000,000 430,000,000 410,000,000 406,000,000 184,189,000 189,630,000 189,011,000 188,393,000 194,744,000 176,773,000 179,490,000 190,297,000 190,863,000 196,382,000 195,852,000 199,578,000 197,393,000 196,749,000 190,166,000 
        operating lease right-of-use assets
      		290,000,000 299,000,000 280,000,000 235,000,000 238,000,000 259,000,000 265,000,000 278,000,000 296,000,000 292,000,000 319,000,000 325,000,000 331,000,000 333,000,000 370,000,000 407,000,000 406,000,000 404,000,000 430,000,000 437,000,000  490,000,000 502,000,000 489,000,000 496,000,000 490,000,000 498,000,000 517,000,000                         
        investments in unconsolidated affiliates
      		324,000,000 275,000,000 272,000,000 253,000,000 266,000,000 203,000,000 181,000,000 154,000,000 134,000,000 115,000,000 107,000,000 99,000,000 94,000,000 87,000,000 92,000,000 90,000,000 88,000,000 84,000,000 84,000,000 88,000,000  85,000,000 73,000,000 71,000,000 87,000,000 96,000,000 104,000,000 98,000,000 101,000,000 106,000,000 85,000,000 73,000,000 70,000,000 67,000,000 62,000,000 65,000,000 69,000,000 60,386,000 57,340,000 52,779,000             
        goodwill
      		16,616,000,000 15,948,000,000 15,611,000,000 15,027,000,000 14,710,000,000 15,091,000,000 14,477,000,000 14,516,000,000 14,567,000,000 14,288,000,000 14,178,000,000 14,015,000,000 13,921,000,000 13,177,000,000 13,104,000,000 13,532,000,000 13,301,000,000 13,124,000,000 12,551,000,000 12,415,000,000  12,363,000,000 12,133,000,000 11,989,000,000 12,159,000,000 11,919,000,000 11,937,000,000 11,857,000,000 11,800,000,000 11,794,000,000 11,844,000,000 12,041,000,000 11,850,000,000 11,598,000,000 11,258,000,000 10,915,000,000 10,727,000,000 691,441,000 716,640,000 719,651,000 719,740,000 724,014,000 463,610,000 462,991,000 464,434,000 468,620,000 410,333,000 409,519,000 409,626,000 412,459,000 295,260,000 297,569,000 
        other identifiable intangibles
      		4,962,000,000 4,707,000,000 4,596,000,000 4,503,000,000 4,499,000,000 4,734,000,000 4,608,000,000 4,725,000,000 4,839,000,000 4,907,000,000 4,942,000,000 4,757,000,000 4,820,000,000 4,718,000,000 4,733,000,000 4,917,000,000 4,943,000,000 4,812,000,000 4,770,000,000 4,915,000,000  5,222,000,000 5,262,000,000 5,328,000,000 5,514,000,000 5,546,000,000 5,701,000,000 5,811,000,000 5,951,000,000 6,103,000,000 6,297,000,000 6,580,000,000 6,591,000,000 6,567,000,000 6,493,000,000 6,398,000,000 6,390,000,000 346,816,000 352,755,000 362,260,000 368,106,000 374,419,000 263,217,000 270,535,000 280,243,000 288,266,000 282,499,000 289,094,000 298,054,000 310,191,000 271,733,000 274,003,000 
        deferred income taxes
      		357,000,000 390,000,000 345,000,000 245,000,000 194,000,000 164,000,000 158,000,000 152,000,000 166,000,000 111,000,000 115,000,000 125,000,000 118,000,000 97,000,000 120,000,000 120,000,000 124,000,000 105,000,000 105,000,000 107,000,000  125,000,000 123,000,000 120,000,000 119,000,000 108,000,000 102,000,000 103,000,000 109,000,000 96,000,000 108,000,000 113,000,000 98,000,000 93,000,000 94,000,000 92,000,000     100,978,000 111,847,000 115,962,000 117,933,000 118,515,000 94,175,000 92,842,000 92,856,000 92,115,000 69,552,000 65,416,000 67,192,000 
        deposits and other assets
      		505,000,000 474,000,000 513,000,000 485,000,000 520,000,000 467,000,000 478,000,000 476,000,000 455,000,000 459,000,000 435,000,000 468,000,000 472,000,000 488,000,000 487,000,000 528,000,000 491,000,000 411,000,000 385,000,000 380,000,000  377,000,000 358,000,000 287,000,000 227,000,000 240,000,000 242,000,000 248,000,000 239,000,000 258,000,000 265,000,000 244,000,000 235,000,000 192,000,000 178,000,000 179,000,000 177,000,000 99,020,000 97,125,000 94,467,000 110,115,000 108,677,000 111,945,000 120,016,000 122,792,000 120,625,000 123,606,000 119,477,000 117,711,000 110,927,000 111,302,000 135,489,000 
        total assets
      		29,944,000,000 28,727,000,000 28,632,000,000 27,322,000,000 26,899,000,000 27,180,000,000 26,398,000,000 26,574,000,000 26,681,000,000 25,977,000,000 26,036,000,000 25,739,000,000 25,337,000,000 24,223,000,000 24,413,000,000 24,969,000,000 24,689,000,000 24,033,000,000 23,937,000,000 24,467,000,000 24,564,000,000 23,837,000,000 23,183,000,000 23,078,000,000 23,251,000,000 22,892,000,000 23,068,000,000 23,109,000,000 22,549,000,000 22,498,000,000 22,626,000,000 23,235,000,000 22,742,000,000 22,445,000,000 21,782,000,000 21,183,000,000 21,208,000,000 4,128,802,000 3,962,798,000 3,982,939,000 3,926,316,000 4,033,736,000 3,341,784,000 3,236,651,000 3,305,832,000 3,106,715,000 2,978,637,000 3,061,892,000 3,066,797,000 2,842,021,000 2,648,167,000 2,426,705,000 
        liabilities and stockholders’ equity
      		                                                    
        current liabilities:
      		                                                    
        accounts payable and accrued expenses
      		3,751,000,000 3,550,000,000 3,399,000,000 3,559,000,000 3,684,000,000 3,434,000,000 3,313,000,000 3,455,000,000 3,564,000,000 3,133,000,000 3,007,000,000 3,143,000,000 3,316,000,000 2,971,000,000 2,847,000,000 2,816,000,000 2,981,000,000 2,663,000,000 2,756,000,000 2,819,000,000  2,461,000,000 2,295,000,000 2,384,000,000 2,512,000,000 2,190,000,000 2,139,000,000 2,122,000,000  2,162,000,000 1,997,000,000 2,045,000,000  1,894,000,000 1,678,000,000 1,627,000,000  904,095,000 865,151,000 852,315,000  871,206,000 758,407,000 722,871,000  830,388,000 751,649,000 768,868,000  758,641,000 708,583,000 671,448,000 
        unearned income
      		2,118,000,000 2,160,000,000 2,123,000,000 1,940,000,000 1,779,000,000 1,824,000,000 1,811,000,000 1,914,000,000 1,799,000,000 1,838,000,000 1,844,000,000 1,827,000,000 1,797,000,000 1,842,000,000 1,810,000,000 1,927,000,000 1,825,000,000 1,826,000,000 1,597,000,000 1,554,000,000  1,188,000,000 1,061,000,000 1,036,000,000 1,014,000,000 954,000,000 934,000,000 971,000,000 1,007,000,000 984,000,000 940,000,000 934,000,000 733,000,000 782,000,000 801,000,000 791,000,000 774,000,000 624,079,000 608,742,000 618,928,000 584,646,000 558,826,000 502,477,000 527,684,000 543,305,000 526,000,000 516,076,000 511,441,000 538,585,000 510,997,000 459,569,000 454,108,000 
        income taxes payable
      		140,000,000 119,000,000 124,000,000 139,000,000 156,000,000 161,000,000 185,000,000 155,000,000 116,000,000 172,000,000 208,000,000 187,000,000 161,000,000 124,000,000 118,000,000 135,000,000 137,000,000 53,000,000 101,000,000 135,000,000  101,000,000 102,000,000 94,000,000 108,000,000 123,000,000 111,000,000 102,000,000 100,000,000 117,000,000 121,000,000 106,000,000 72,000,000 60,000,000 73,000,000 75,000,000 76,000,000 15,953,000 30,353,000 29,541,000 35,173,000 25,974,000 32,662,000 36,866,000 55,694,000 19,219,000 32,812,000 46,697,000 35,778,000 25,854,000 27,604,000 17,057,000 
        current portion of long-term debt
      		1,840,000,000 2,164,000,000 1,313,000,000 1,222,000,000 1,145,000,000 1,219,000,000 1,167,000,000 717,000,000 718,000,000 1,309,000,000 1,344,000,000 1,343,000,000 152,000,000 151,000,000 152,000,000 90,000,000 91,000,000 91,000,000 147,000,000 144,000,000  144,000,000 142,000,000 139,000,000 100,000,000 98,000,000 100,000,000 100,000,000 100,000,000 101,000,000 101,000,000 104,000,000 103,000,000 103,000,000 94,000,000                  
        other current liabilities
      		489,000,000 515,000,000 613,000,000 319,000,000 193,000,000 354,000,000 144,000,000 207,000,000 294,000,000 137,000,000 140,000,000 157,000,000 152,000,000 165,000,000 177,000,000 189,000,000 207,000,000 214,000,000 218,000,000 216,000,000  245,000,000 243,000,000 254,000,000 211,000,000 211,000,000 211,000,000 207,000,000 32,000,000 16,000,000 7,000,000 10,000,000 10,000,000 14,000,000 14,000,000 12,000,000 20,000,000 27,321,000 47,539,000 28,837,000 19,603,000 19,464,000 11,752,000 27,336,000 29,688,000 30,492,000 31,808,000 33,898,000 35,646,000 34,800,000 42,830,000 44,634,000 
        total current liabilities
      		8,338,000,000 8,508,000,000 7,572,000,000 7,179,000,000 6,957,000,000 6,992,000,000 6,620,000,000 6,448,000,000 6,491,000,000 6,589,000,000 6,543,000,000 6,657,000,000 5,578,000,000 5,253,000,000 5,104,000,000 5,157,000,000 5,241,000,000 4,847,000,000 4,819,000,000 4,868,000,000  4,139,000,000 3,843,000,000 3,907,000,000 3,945,000,000 3,576,000,000 3,495,000,000 3,502,000,000 3,534,000,000 3,380,000,000 3,166,000,000 3,199,000,000 2,904,000,000 2,853,000,000 2,660,000,000 2,596,000,000 2,705,000,000 1,619,948,000 1,600,288,000 1,578,138,000 1,594,176,000 1,523,975,000 1,353,808,000 1,320,697,000 1,471,900,000 1,426,780,000 1,353,060,000 1,376,476,000 1,482,247,000 1,334,383,000 1,238,727,000 1,221,988,000 
        long-term debt, less current portion
      		13,884,000,000 12,793,000,000 14,177,000,000 13,108,000,000 12,838,000,000 12,293,000,000 12,091,000,000 12,819,000,000 12,955,000,000 12,322,000,000 12,433,000,000 11,833,000,000 12,595,000,000 12,243,000,000 12,615,000,000 12,547,000,000 12,034,000,000 12,081,000,000 12,140,000,000      11,545,000,000    10,907,000,000    10,122,000,000                    
        operating lease liabilities
      		225,000,000 233,000,000 210,000,000 177,000,000 173,000,000 188,000,000 192,000,000 204,000,000 223,000,000 217,000,000 242,000,000 255,000,000 264,000,000 259,000,000 285,000,000 310,000,000 313,000,000 323,000,000 345,000,000 347,000,000  387,000,000 402,000,000 366,000,000 396,000,000 393,000,000 398,000,000 401,000,000                         
        other liabilities
      		688,000,000 698,000,000 671,000,000 676,000,000 668,000,000 612,000,000 632,000,000 595,000,000 698,000,000 679,000,000 703,000,000 641,000,000 671,000,000 561,000,000 563,000,000 581,000,000 649,000,000 656,000,000 607,000,000 586,000,000  580,000,000 582,000,000 491,000,000 456,000,000 431,000,000 424,000,000 412,000,000 418,000,000 406,000,000 406,000,000 413,000,000 440,000,000 420,000,000 421,000,000 393,000,000 402,000,000 190,565,000 180,690,000 187,338,000 182,826,000 170,097,000 190,757,000 181,085,000 183,656,000 167,994,000 186,379,000 178,129,000 178,908,000 160,975,000 153,824,000 156,249,000 
        total liabilities
      		23,314,000,000 22,439,000,000 22,846,000,000 21,337,000,000 20,832,000,000 20,213,000,000 19,684,000,000 20,230,000,000 20,569,000,000 20,172,000,000 20,288,000,000 19,807,000,000 19,572,000,000 18,876,000,000 19,061,000,000 19,050,000,000 18,647,000,000 18,204,000,000 18,177,000,000 18,230,000,000  17,730,000,000 17,331,000,000 17,276,000,000 16,988,000,000 16,498,000,000 16,287,000,000 16,244,000,000 15,595,000,000 15,038,000,000 15,012,000,000 14,782,000,000 14,384,000,000 14,938,000,000 14,008,000,000 13,383,000,000 12,348,000,000 4,210,729,000 4,191,499,000 4,188,880,000 4,261,997,000 4,213,662,000 4,043,462,000 3,848,958,000 4,009,844,000 3,642,947,000 3,600,247,000 3,621,417,000 3,734,282,000 3,553,993,000 3,446,055,000 3,749,000,000 
        commitments and contingencies
      		                                                    
        stockholders’ equity:
      		                                                    
        common stock and additional paid-in capital, 400.0 shares authorized as of december 31, 2025 and 2024, 0.01 par value...
      		11,378,000,000                                                    
        retained earnings
      		7,425,000,000 6,911,000,000 6,580,000,000 6,314,000,000 6,065,000,000 5,628,000,000 5,343,000,000 4,980,000,000 4,692,000,000 4,223,000,000 3,920,000,000 3,623,000,000 3,334,000,000 3,107,000,000 2,824,000,000 2,568,000,000 2,243,000,000 1,925,000,000 1,664,000,000 1,489,000,000  1,158,000,000 1,057,000,000 1,080,000,000 998,000,000 982,000,000 925,000,000 865,000,000 807,000,000 726,000,000 665,000,000 605,000,000 655,000,000                    
        treasury stock
      		-11,357,000,000 -11,144,000,000 -11,145,000,000 -10,532,000,000 -10,103,000,000 -8,941,000,000 -8,741,000,000 -8,741,000,000 -8,741,000,000 -8,509,000,000 -8,364,000,000 -7,869,000,000 -7,740,000,000 -7,715,000,000 -7,565,000,000 -6,975,000,000 -6,572,000,000 -6,398,000,000 -6,273,000,000 -6,228,000,000  -6,065,000,000 -6,065,000,000 -6,065,000,000 -5,733,000,000 -5,464,000,000 -5,151,000,000 -4,915,000,000 -4,770,000,000 -4,167,000,000 -4,033,000,000 -3,460,000,000 -3,374,000,000 -3,252,000,000 -2,694,000,000 -2,316,000,000 -1,000,000,000                
        accumulated other comprehensive loss
      		-943,000,000 -928,000,000 -882,000,000 -978,000,000 -1,038,000,000 -826,000,000 -949,000,000 -911,000,000 -867,000,000 -903,000,000 -760,000,000 -731,000,000 -727,000,000 -898,000,000 -697,000,000 -419,000,000 -406,000,000 -445,000,000 -327,000,000 -376,000,000  -317,000,000 -444,000,000 -485,000,000 -311,000,000 -377,000,000 -215,000,000 -262,000,000      -79,000,000 -233,000,000 -444,000,000 -570,000,000 -140,976,000 -139,094,000 -105,758,000 -111,366,000 -95,461,000 -68,842,000 -88,953,000 -59,091,000 -27,045,000  -393,000     
        equity attributable to iqvia holdings inc.’s stockholders
      		6,503,000,000 6,160,000,000 5,778,000,000 5,977,000,000             6,042,000,000 5,829,000,000 5,760,000,000 5,953,000,000  5,846,000,000 5,591,000,000 5,542,000,000 6,003,000,000 6,131,000,000 6,523,000,000 6,615,000,000 6,714,000,000 7,215,000,000 7,364,000,000 8,196,000,000 8,109,000,000                    
        noncontrolling interests
      		127,000,000 128,000,000 8,000,000 8,000,000                                    228,869,000 228,536,000 226,095,000 78,000 80,000 49,000        
        total stockholders’ equity
      		6,630,000,000 6,288,000,000 5,786,000,000 5,985,000,000 6,067,000,000 6,967,000,000 6,714,000,000 6,344,000,000 6,112,000,000 5,805,000,000 5,748,000,000 5,932,000,000 5,765,000,000 5,347,000,000 5,352,000,000 5,919,000,000 6,042,000,000 5,829,000,000 5,760,000,000 6,237,000,000 6,280,000,000 6,107,000,000 5,852,000,000 5,802,000,000 6,263,000,000 6,394,000,000 6,781,000,000 6,865,000,000 6,954,000,000 7,460,000,000 7,614,000,000 8,453,000,000 8,358,000,000 7,507,000,000 7,774,000,000 7,800,000,000 8,860,000,000                
        total liabilities and stockholders’ equity
      		29,944,000,000 28,727,000,000 28,632,000,000 27,322,000,000 26,899,000,000 27,180,000,000 26,398,000,000 26,574,000,000 26,681,000,000 25,977,000,000 26,036,000,000 25,739,000,000 25,337,000,000 24,223,000,000 24,413,000,000 24,969,000,000 24,689,000,000 24,033,000,000 23,937,000,000 24,467,000,000  23,837,000,000 23,183,000,000 23,078,000,000 23,251,000,000 22,892,000,000 23,068,000,000 23,109,000,000 22,549,000,000 22,498,000,000 22,626,000,000 23,235,000,000 22,742,000,000 22,445,000,000 21,782,000,000 21,183,000,000 21,208,000,000                
        common stock and additional paid-in capital, 400.0 shares authorized as of september 30, 2025 and december 31, 2024, 0.01 par value...
      		 11,321,000,000                                                   
        common stock and additional paid-in capital, 400.0 shares authorized as of june 30, 2025 and december 31, 2024, 0.01 par value...
      		  11,225,000,000                                                  
        common stock and additional paid-in capital, 400.0 shares authorized as of march 31, 2025 and december 31, 2024, 0.01 par value...
      		   11,173,000,000                                                 
        common stock and additional paid-in capital, 400.0 shares authorized as of december 31, 2024 and 2023, 0.01 par value...
      		    11,143,000,000                                                
        common stock and additional paid-in capital, 400.0 shares authorized as of september 30, 2024 and december 31, 2023, 0.01 par value...
      		     11,106,000,000                                               
        common stock and additional paid-in capital, 400.0 shares authorized as of june 30, 2024 and december 31, 2023, 0.01 par value...
      		      11,061,000,000                                              
        common stock and additional paid-in capital, 400.0 shares authorized as of march 31, 2024 and december 31, 2023, 0.01 par value...
      		       11,016,000,000                                             
        common stock and additional paid-in capital, 400.0 shares authorized as of december 31, 2023 and 2022, 0.01 par value...
      		        11,028,000,000                                            
        common stock and additional paid-in capital, 400.0 shares authorized as of september 30, 2023 and december 31, 2022, 0.01 par value...
      		         10,994,000,000                                           
        common stock and additional paid-in capital, 400.0 shares authorized as of june 30, 2023 and december 31, 2022, 0.01 par value...
      		          10,952,000,000                                          
        common stock and additional paid-in capital, 400.0 shares authorized as of march 31, 2023 and december 31, 2022, 0.01 par value...
      		           10,909,000,000                                         
        common stock and additional paid-in capital, 400.0 shares authorized as of december 31, 2022 and 2021, 0.01 par value...
      		            10,898,000,000                                        
        common stock and additional paid-in capital, 400.0 shares authorized as of september 30, 2022 and december 31, 2021, 0.01 par value...
      		             10,853,000,000                                       
        common stock and additional paid-in capital, 400.0 shares authorized as of june 30, 2022 and december 31, 2021, 0.01 par value...
      		              10,790,000,000                                      
        common stock and additional paid-in capital, 400.0 shares authorized as of march 31, 2022 and december 31, 2021, 0.01 par value...
      		               10,745,000,000                                     
        common stock and additional paid-in capital, 400.0 shares authorized as of december 31, 2021 and 2020, 0.01 par value...
      		                10,777,000,000                                    
        non-controlling interests
      		                   284,000,000  261,000,000 261,000,000 260,000,000 260,000,000 263,000,000 258,000,000 250,000,000 240,000,000 245,000,000 250,000,000 257,000,000 249,000,000 243,000,000 235,000,000 229,000,000 227,000,000 231,505,000 229,585,000              
        common stock and additional paid-in capital, 400.0 shares authorized as of september 30, 2021 and december 31, 2020, 0.01 par value...
      		                 10,747,000,000                                   
        common stock and additional paid-in capital, 400.0 shares authorized as of june 30, 2021 and december 31, 2020, 0.01 par value...
      		                  10,696,000,000                                  
        long-term debt
      		                   12,092,000,000  12,195,000,000 11,965,000,000 11,894,000,000  11,444,000,000 11,299,000,000 11,187,000,000  10,518,000,000 10,627,000,000 10,342,000,000  9,651,000,000 8,858,000,000                  
        common stock and additional paid-in capital, 400.0 shares authorized as of march 31, 2021 and december 31, 2020, 0.01 par value...
      		                   11,068,000,000                                 
        balance sheet data:
      		                                                    
        total long-term liabilities
      		                    13,726,000,000                                
        total debt
      		                    12,600,000,000                                
        common stock and additional paid-in capital, 400.0 shares authorized at september 30, 2020 and december 31, 2019, 0.01 par value...
      		                     11,070,000,000                               
        common stock and additional paid-in capital, 400.0 shares authorized at june 30, 2020 and december 31, 2019, 0.01 par value...
      		                      11,043,000,000                              
        common stock and additional paid-in capital, 400.0 shares authorized at march 31, 2020 and december 31, 2019, 0.01 par value...
      		                       11,012,000,000                             
        common stock and additional paid-in capital, 400.0 shares authorized at december 31, 2019 and 2018, 0.01 par value...
      		                        11,049,000,000                            
        common stock and additional paid-in capital, 400.0 shares authorized at september 30, 2019 and december 31, 2018, 0.01 par value...
      		                         10,990,000,000                           
        common stock and additional paid-in capital, 400.0 shares authorized at june 30, 2019 and december 31, 2018, 0.01 par value...
      		                          10,964,000,000                          
        common stock and additional paid-in capital, 400.0 shares authorized at march 31, 2019 and december 31, 2018, 0.01 par value...
      		                           10,927,000,000                         
        accounts payable
      		                            437,000,000    322,000,000    250,000,000    145,484,000    108,743,000    100,616,000    
        accrued expenses
      		                            1,858,000,000    1,664,000,000    1,493,000,000    760,757,000    733,644,000    761,189,000    
        common stock and additional paid-in capital, 400.0 shares authorized at december 31, 2018 and 2017, 0.01 par value...
      		                            10,901,000,000                        
        accumulated other comprehensive income
      		                            -224,000,000 -220,000,000 -104,000,000 254,000,000 46,000,000              2,244,000  -376,000 -3,892,000 -18,186,000 -8,387,000 
        common stock and additional paid-in capital, 400.0 shares authorized at september 30, 2018 and december 31, 2017, 0.01 par value...
      		                             10,876,000,000                       
        common stock and additional paid-in capital, 400.0 shares authorized at june 30, 2018 and december 31, 2017, 0.01 par value...
      		                              10,836,000,000                      
        common stock and additional paid-in capital, 400.0 shares authorized at march 31, 2018 and december 31, 2017, 0.01 par value...
      		                               10,797,000,000                     
        common stock and additional paid-in capital, 400.0 shares authorized at december 31, 2017 and 2016, 0.01 par value...
      		                                10,782,000,000                    
        common stock and additional paid-in capital, 400.0 shares authorized at september 30, 2017 and december 31, 2016, 0.01 par value...
      		                                 10,761,000,000                   
        accumulated deficit
      		                                 -166,000,000 -255,000,000 -325,000,000 -399,000,000 -221,218,000 -320,385,000 -354,967,000 -461,635,000 -550,148,000 -661,434,000 -702,400,000 -788,798,000 -877,224,000 -969,878,000 -1,054,998,000 -1,145,181,000 -1,218,177,000 -1,284,946,000 -1,323,463,000 
        equity attributable to quintiles ims holdings, inc.’s stockholders
      		                                 7,264,000,000 7,539,000,000 7,571,000,000                 
        common stock and additional paid-in capital, 400.0 shares authorized at june 30, 2017 and december 31, 2016, 0.01 par value...
      		                                  10,721,000,000                  
        current portion of long-term debt and obligations held under capital leases
      		                                   91,000,000 92,000,000 48,500,000 48,503,000 48,517,000 48,513,000 48,505,000 48,510,000 5,940,000 826,000 20,681,000 20,715,000 15,572,000 10,433,000 4,091,000 141,000 34,741,000 
        long-term debt and obligations held under capital leases, less current portion
      		                                   8,254,000,000 7,108,000,000 2,387,114,000 2,397,834,000 2,408,555,000 2,419,293,000 2,430,034,000 2,440,972,000 2,288,229,000 2,292,491,000 2,022,595,000 2,026,909,000 2,031,247,000 2,035,586,000 2,042,029,000 2,045,142,000 2,354,763,000 
        common stock and additional paid-in capital, 400.0 shares authorized at march 31, 2017 and december 31, 2016, 0.01 par value...
      		                                   10,656,000,000                 
        stockholders’ equity
      		                                                    
        common stock and additional paid-in capital, 400.0 and 300.0 shares authorized at december 31, 2016 and 2015, respectively, 0.01 par value...
      		                                    10,602,000,000                
        equity (deficit) attributable to quintiles ims holdings, inc.’s stockholders
      		                                    8,633,000,000                
        restricted cash
      		                                     2,547,000 3,489,000 3,566,000 2,478,000 2,610,000 3,146,000 2,741,000 2,882,000 3,519,000 3,296,000 3,373,000 2,712,000 3,317,000 2,321,000 3,880,000 
        liabilities and stockholders’ deficit
      		                                                    
        stockholders’ deficit:
      		                                                    
        common stock and additional paid-in capital, 300,000 shares authorized, 0.01 par value...
      		                                     48,762,000 1,193,000 25,915,000 8,784,000 239,588,000 28,520,000 178,966,000 143,828,000 368,010,000 346,085,000 495,917,000     
        deficit attributable to quintiles ims holdings, inc.’s stockholders
      		                                     -313,432,000               
        total stockholders’ deficit
      		                                     -81,927,000               
        total liabilities and stockholders’ deficit
      		                                     4,128,802,000               
        liabilities and shareholders’ deficit
      		                                                    
        shareholders’ deficit:
      		                                                    
        deficit attributable to quintiles transnational holdings inc.’s shareholders
      		                                      -458,286,000 -434,810,000 -564,217,000 -406,021,000 -701,756,000 -612,387,000 -704,061,000 -536,259,000 -621,549,000 -559,474,000 -667,413,000 -711,967,000 -798,058,000 -1,322,623,000 
        total shareholders’ deficit
      		                                      -228,701,000 -205,941,000 -335,681,000 -179,926,000 -701,678,000 -612,307,000 -704,012,000 -536,232,000 -621,610,000 -559,525,000 -667,485,000 -711,972,000 -797,888,000 -1,322,295,000 
        total liabilities and shareholders’ deficit
      		                                      3,962,798,000 3,982,939,000 3,926,316,000 4,033,736,000 3,341,784,000 3,236,651,000 3,305,832,000 3,106,715,000 2,978,637,000 3,061,892,000 3,066,797,000 2,842,021,000 2,648,167,000 2,426,705,000 
        investments in and advances to unconsolidated affiliates
      		                                        52,382,000 44,038,000 37,445,000 34,935,000 31,508,000 34,737,000 33,682,000 29,072,000 22,927,000 23,345,000 22,179,000 21,640,000 
        deficit attributable to noncontrolling interests
      		                                             27,000 -61,000 -51,000     
        common stock and additional paid-in capital, 300,000 and 150,000 shares authorized at december 31, 2013 and 2012, respectively, 0.01 par value...
      		                                                478,144,000    
        equity attributable to noncontrolling interests
      		                                                -72,000  170,000 328,000 
        common stock and additional paid-in capital, 300,000 and 150,000 shares authorized at september 30, 2013 and december 31, 2012, respectively, 0.01 par value...
      		                                                 510,102,000   
        common stock and additional paid-in capital, 300,000 and 150,000 shares authorized at june 30, 2013 and december 31, 2012, respectively, 0.01 par value...
      		                                                  505,074,000  
        common stock and additional paid-in capital, 150,000 authorized, 0.01 par value...
      		                                                   9,227,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 
                                                            
          operating activities:
        		                                                    
          net income
        		514,000,000 332,000,000 266,000,000 249,000,000 437,000,000 285,000,000 363,000,000 288,000,000 469,000,000 303,000,000 297,000,000 289,000,000 227,000,000 283,000,000 256,000,000 325,000,000 318,000,000 261,000,000 175,000,000 217,000,000 130,000,000 108,000,000 -21,000,000 91,000,000 20,000,000 69,000,000 71,000,000 67,000,000 76,000,000 67,000,000 68,000,000 73,000,000 1,084,000,000 89,000,000 79,000,000 76,000,000 -174,298,000 103,974,000 91,298,000 109,026,000 108,087,000 108,839,000 84,947,000 86,431,000 88,444,000 92,733,000 85,110,000 90,214,000 72,934,000 66,584,000 38,353,000 48,156,000 
          adjustments to reconcile net income to cash from operating activities:
        		                                                    
          depreciation and amortization
        		317,000,000 286,000,000 276,000,000 265,000,000 303,000,000 278,000,000 269,000,000 264,000,000 316,000,000 297,000,000 259,000,000 253,000,000 357,000,000 248,000,000 270,000,000 255,000,000 262,000,000 336,000,000 343,000,000 323,000,000 344,000,000 319,000,000 308,000,000 316,000,000 314,000,000 299,000,000 294,000,000 295,000,000 294,000,000 283,000,000 282,000,000 282,000,000 278,000,000 256,000,000 245,000,000 232,000,000 190,632,000 34,603,000 32,041,000 31,724,000 34,518,000 32,884,000 30,011,000 30,329,000 31,900,000 30,180,000 29,845,000 29,088,000 30,554,000 27,324,000 24,986,000 24,640,000 
          amortization of debt issuance costs and discount
        		6,000,000 6,000,000 6,000,000 5,000,000 5,000,000 5,000,000 6,000,000 5,000,000 5,000,000 5,000,000 4,000,000 4,000,000 4,000,000 4,000,000 3,000,000 4,000,000 3,000,000 4,000,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 3,000,000 3,000,000 4,000,000 3,000,000 3,000,000 3,000,000 3,000,000 2,000,000 3,000,000 3,000,000 2,000,000 2,000,000 2,000,000 24,942,000 1,686,000 1,686,000 1,686,000 1,685,000 1,685,000 4,123,000 1,677,000 1,901,000 1,596,000 1,596,000 1,595,000 4,881,000 1,686,000 12,383,000 2,875,000 
          stock-based compensation
        		60,000,000 55,000,000 60,000,000 72,000,000 48,000,000 54,000,000 48,000,000 56,000,000 45,000,000 47,000,000 50,000,000 75,000,000 58,000,000 61,000,000 45,000,000 30,000,000 42,000,000 48,000,000 48,000,000 32,000,000 26,000,000 33,000,000   59,000,000 27,000,000 34,000,000 26,000,000 35,000,000 31,000,000 26,000,000 21,000,000 24,000,000 29,000,000 27,000,000 26,000,000 45,643,000                
          earnings from unconsolidated affiliates
        		                 0                        -5,362,000 -1,692,000 -911,000         
          gain on investments
        		-24,000,000 -4,000,000    -17,000,000 0 -12,000,000         -7,000,000 0 -12,000,000 3,000,000  -3,000,000     -2,000,000 -3,000,000 6,000,000 0                308,000 154,000 -5,268,000     
          benefit from deferred income taxes
        		-48,000,000 -46,000,000 -45,000,000 -41,000,000 -15,000,000 -34,000,000 -14,000,000 -66,000,000 -152,000,000 -47,000,000 -43,000,000 -27,000,000 -63,000,000 -24,000,000 -18,000,000 -10,000,000 -55,000,000 -40,000,000 -4,000,000 -39,000,000 -16,000,000 -58,000,000 -62,000,000 -40,000,000 -3,000,000 -88,000,000 -54,000,000 -12,000,000  -69,000,000 -88,000,000 -26,000,000  64,000,000         509,000 -884,000  -10,356,000      11,164,000 
          changes in operating assets and liabilities:
        		                                                    
          accounts receivable and unbilled services
        		                                                    
          prepaid expenses and other assets
        		                                                    
          accounts payable and accrued expenses
        		                                                    
          unearned income
        		                                                    
          income taxes payable and other liabilities
        		                                                    
          net cash from operating activities
        		735,000,000 908,000,000 443,000,000 568,000,000 885,000,000 721,000,000 588,000,000 522,000,000 747,000,000 583,000,000 402,000,000 417,000,000 560,000,000 863,000,000 329,000,000 508,000,000 692,000,000 844,000,000 539,000,000 867,000,000 750,000,000 574,000,000 472,000,000 163,000,000 583,000,000 330,000,000 391,000,000 113,000,000 417,000,000 344,000,000 311,000,000 182,000,000 233,000,000 436,000,000 245,000,000 56,000,000 447,053,000 260,215,000 40,618,000 112,114,000 206,315,000 282,946,000 50,762,000 -64,332,000 255,957,000 137,100,000 67,134,000 -28,437,000 215,460,000 176,526,000 26,842,000 -21,458,000 
          capital expenditures
        		0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 
          free cash flows
        		735,000,000 908,000,000 443,000,000 568,000,000 885,000,000 721,000,000 588,000,000 522,000,000 747,000,000 583,000,000 402,000,000 417,000,000 560,000,000 863,000,000 329,000,000 508,000,000 692,000,000 844,000,000 539,000,000 867,000,000 750,000,000 574,000,000 472,000,000 163,000,000 583,000,000 330,000,000 391,000,000 113,000,000 417,000,000 344,000,000 311,000,000 182,000,000 233,000,000 436,000,000 245,000,000 56,000,000 447,053,000 260,215,000 40,618,000 112,114,000 206,315,000 282,946,000 50,762,000 -64,332,000 255,957,000 137,100,000 67,134,000 -28,437,000 215,460,000 176,526,000 26,842,000 -21,458,000 
          investing activities:
        		                                                    
          acquisition of property, equipment and software
        		-174,000,000 -136,000,000 -151,000,000 -142,000,000 -164,000,000 -150,000,000 -143,000,000 -145,000,000 -179,000,000 -146,000,000 -160,000,000 -164,000,000 -171,000,000 -165,000,000 -161,000,000 -177,000,000 -184,000,000 -162,000,000 -145,000,000 -149,000,000 -176,000,000 -157,000,000 -142,000,000 -141,000,000 -137,000,000 -149,000,000 -155,000,000 -141,000,000 -138,000,000 -123,000,000 -110,000,000 -88,000,000 -102,000,000 -89,000,000 -100,000,000 -78,000,000 -85,924,000 -20,703,000 -31,174,000 -26,199,000 -21,699,000 -24,768,000 -15,492,000 -16,432,000 -24,868,000 -21,950,000 -18,126,000 -17,706,000 -14,407,000 -13,663,000 -32,817,000 -31,459,000 
          acquisition of businesses, net of cash acquired
        		-916,000,000 -483,000,000 -181,000,000 -134,000,000 -86,000,000 -428,000,000 -79,000,000 -142,000,000 -7,000,000 -425,000,000 -426,000,000 -18,000,000 -303,000,000 -548,000,000 -34,000,000 -430,000,000 -464,000,000 -929,000,000 -46,000,000 -19,000,000  -26,000,000 -78,000,000 -14,000,000  -260,000,000 -26,000,000 -175,000,000  -28,000,000 -207,000,000 -20,000,000  -257,000,000 -118,000,000 -150,000,000     724,000    0    0    
          sales (purchases) of marketable securities
        		   2,000,000                                                 
          investments in unconsolidated affiliates, net of payments received
        		-16,000,000 -1,000,000 -14,000,000 -13,000,000 -64,000,000 -19,000,000 -25,000,000 -24,000,000 -23,000,000 -3,000,000 -6,000,000 -7,000,000 -6,000,000 -4,000,000 -4,000,000 -6,000,000 -2,000,000 0 -2,000,000 -1,000,000 2,000,000 -7,000,000 -2,000,000 17,000,000  6,000,000 -5,000,000 2,000,000 7,000,000 -19,000,000 -9,000,000 4,000,000 10,000,000 -1,000,000 7,000,000 -1,000,000 -3,765,000 -2,818,000 -8,553,000 -1,864,000             
          investments in debt and equity securities
        		0 -1,000,000 0 -19,000,000 0 0 0 -2,000,000  0 0 -36,000,000                                         
          proceeds from sale of property, equipment and software
        		0    0 0                                               
          other
        		2,000,000 -4,000,000 0 1,000,000 4,000,000    1,000,000 1,000,000 -4,000,000 7,000,000 4,000,000 1,000,000 0 3,000,000 4,000,000   1,000,000    1,000,000 0 3,000,000 1,000,000 1,000,000 8,000,000   -15,000,000 3,000,000   -10,000,000 1,079,000 1,631,000 -304,000 594,000 -1,560,000 1,241,000 204,000 666,000 -1,595,000 903,000   531,000 -984,000   
          net cash from investing activities
        		-1,104,000,000 -550,000,000 -346,000,000 -305,000,000 -310,000,000 -599,000,000 -221,000,000 -314,000,000 -212,000,000 -573,000,000 -596,000,000 -222,000,000 -477,000,000 -717,000,000 -199,000,000 -613,000,000 -647,000,000 -1,095,000,000 -185,000,000 -176,000,000 -236,000,000 -191,000,000 -219,000,000 -150,000,000 -280,000,000 -400,000,000 -195,000,000 -315,000,000 -178,000,000 -182,000,000 -330,000,000 -120,000,000 -416,000,000 -334,000,000 -200,000,000 -240,000,000 1,812,850,000 -22,294,000 -16,084,000 -43,472,000 -27,554,000 6,065,000 -27,158,000 -18,308,000 -27,187,000 -112,919,000 -19,029,000 -13,979,000 -12,184,000 -160,592,000 -31,205,000 -36,194,000 
          financing activities:
        		                                                    
          proceeds from issuance of debt
        		2,480,000,000 0 2,000,000,000 1,985,000,000     2,750,000,000 0   0 0   0 200,000,000 0 1,751,000,000 0 1,000,000 790,000,000 800,000,000 0 800,000,000   0 0   0 1,244,000,000 0 3,998,000,000     0 0           
          payment of debt issuance costs
        		-8,000,000 1,000,000 -29,000,000 -6,000,000     -31,000,000 -1,000,000   0 0   0 -8,000,000 0 -32,000,000 0 0 -22,000,000 -11,000,000 0 -36,000,000   1,000,000 -3,000,000   3,000,000 -30,000,000 -5,000,000 -18,000,000     0 -171,000 -21,838,000 -19,000         
          repayment of debt and principal payments on finance leases
        		-2,517,000,000 -536,000,000 -44,000,000 -2,096,000,000 -42,000,000 -44,000,000 -43,000,000 -43,000,000 -2,755,000,000 -41,000,000 -38,000,000 -39,000,000 -548,000,000 -39,000,000 -23,000,000 -24,000,000                                     
          proceeds from revolving credit facility
        		2,000,000,000 500,000,000 600,000,000 275,000,000 1,000,000,000 310,000,000 100,000,000 275,000,000 375,000,000 450,000,000 1,084,000,000 475,000,000 850,000,000 350,000,000 200,000,000 950,000,000 400,000,000    0 0 260,000,000 990,000,000 812,000,000 610,000,000 310,000,000 790,000,000 645,000,000 340,000,000 1,055,000,000 405,000,000 699,000,000 369,000,000 363,000,000 490,000,000                 
          repayment of revolving credit facility
        		-1,200,000,000 -500,000,000   -175,000,000 -200,000,000 -310,000,000 -275,000,000 -525,000,000 -400,000,000 -1,684,000,000 -100,000,000 -425,000,000 -350,000,000 -950,000,000 -300,000,000 -300,000,000    -25,000,000 0 -360,000,000 -1,250,000,000 -846,000,000 -210,000,000 -1,335,000,000 -385,000,000 -160,000,000 -390,000,000 -1,479,000,000 -300,000,000 -270,000,000 -607,000,000 -25,000,000 -865,000,000                 
          payments related to employee stock incentive plans
        		-1,000,000 -31,000,000 0 -35,000,000 -3,000,000 -1,000,000 0 -60,000,000                                             
          repurchase of common stock
        		-212,000,000 0 -657,000,000 -375,000,000 -1,150,000,000    -229,000,000 -144,000,000 -490,000,000 -129,000,000 -65,000,000 -210,000,000 -490,000,000 -403,000,000 -204,000,000 -95,000,000 -45,000,000 -62,000,000 -101,000,000 0 -1,000,000 -345,000,000 -270,000,000 -298,000,000 -236,000,000 -145,000,000 -604,000,000 -133,000,000 -573,000,000 -95,000,000 -368,000,000 -558,000,000 -378,000,000 -1,316,000,000 -999,363,000 0   -265,010,000 0   -250,000,000 0       
          contingent consideration and deferred purchase price payments
        		-7,000,000 -6,000,000 -14,000,000 -6,000,000 -4,000,000 -2,000,000 -7,000,000 -3,000,000 -2,000,000 -8,000,000 -9,000,000 -62,000,000 -4,000,000 -1,000,000 -9,000,000 -12,000,000 -3,000,000 -1,000,000 -27,000,000 -11,000,000 -2,000,000 -4,000,000 -10,000,000 -6,000,000 1,000,000 -1,000,000 -4,000,000 -16,000,000 0 0 -10,000,000 -14,000,000  -1,000,000                   
          net cash from financing activities
        		535,000,000 -572,000,000 145,000,000 -258,000,000 -375,000,000 -137,000,000 -260,000,000 -106,000,000 -420,000,000 -144,000,000 95,000,000 87,000,000 -193,000,000 -251,000,000 -29,000,000 144,000,000 -138,000,000 -66,000,000 -863,000,000 -168,000,000 -198,000,000 -53,000,000 -73,000,000 107,000,000 -343,000,000 39,000,000 -200,000,000 228,000,000 -158,000,000 -201,000,000 -52,000,000 -41,000,000 45,000,000 93,000,000 -34,000,000 -176,000,000 -2,205,857,000 24,397,000 -97,550,000 -4,990,000 -270,974,000 5,263,000 -9,877,000 26,342,000 14,033,000 9,709,000 -157,093,000 3,007,000 -33,305,000 -1,516,000 139,737,000 -33,959,000 
          effect of foreign currency exchange rate changes on cash
        		0 -11,000,000 57,000,000 33,000,000 -70,000,000 42,000,000 -6,000,000 -34,000,000 37,000,000 -24,000,000 -13,000,000 -4,000,000 52,000,000 -49,000,000 -60,000,000 -18,000,000 -11,000,000 -20,000,000 11,000,000 -32,000,000 34,000,000 25,000,000 2,000,000 -30,000,000 14,000,000 -44,000,000 6,000,000 19,000,000 -17,000,000 -13,000,000 -10,000,000 -20,000,000 -6,000,000 6,000,000 29,000,000 24,000,000 -65,572,000 -8,325,000 -24,512,000 12,409,000 -12,440,000 -16,085,000 10,820,000 -31,992,000 -20,479,000 -25,324,000 4,075,000 2,647,000 -1,538,000 9,570,000 -3,945,000 -21,824,000 
          increase in cash and cash equivalents
        		166,000,000 -225,000,000 299,000,000 38,000,000 130,000,000 27,000,000 101,000,000 68,000,000 152,000,000 -158,000,000 -112,000,000 278,000,000   41,000,000 21,000,000 -104,000,000 -337,000,000 -498,000,000 491,000,000 350,000,000 355,000,000 182,000,000 90,000,000   2,000,000 45,000,000    1,000,000 -144,000,000   -336,000,000 -11,526,000   76,061,000 -104,653,000    222,324,000 8,566,000   168,433,000 23,988,000   
          cash and cash equivalents at beginning of period
        		0 0 0 1,702,000,000 0 0 0 1,376,000,000 0 0 0 1,216,000,000 0 0 0 1,366,000,000 0 0 0 1,814,000,000 0 0 0 837,000,000 0 0 0 891,000,000 0 0 0 959,000,000 0 0 0 1,198,000,000 -151,000 0 0 977,151,000 0 0 0 867,358,000 0 0 0 778,143,000 0 0 0 567,728,000 
          cash and cash equivalents at end of period
        		166,000,000 -225,000,000 299,000,000 1,740,000,000 130,000,000 27,000,000 101,000,000 1,444,000,000 152,000,000 -158,000,000 -112,000,000 1,494,000,000 -58,000,000 -154,000,000 41,000,000 1,387,000,000 -104,000,000 -337,000,000 -498,000,000 2,305,000,000 350,000,000 355,000,000 182,000,000 927,000,000 -26,000,000 -75,000,000 2,000,000 936,000,000 64,000,000 -52,000,000 -81,000,000 960,000,000 -144,000,000 201,000,000 40,000,000 862,000,000 -11,677,000 253,993,000 -97,528,000 1,053,212,000 -104,653,000 278,189,000 24,547,000 779,068,000 222,324,000 8,566,000 -104,913,000 741,381,000 168,433,000 23,988,000 131,429,000 454,293,000 
          losses from unconsolidated affiliates
        		 0 1,000,000 13,000,000   -2,000,000 3,000,000  -5,000,000 -3,000,000 2,000,000 0 7,000,000 1,000,000 4,000,000            1,000,000                         
          change in accounts receivable, unbilled services and unearned income
        		 173,000,000 141,000,000 128,000,000  72,000,000 122,000,000 65,000,000  -107,000,000 -27,000,000 -107,000,000  55,000,000 -197,000,000 54,000,000  182,000,000 139,000,000 342,000,000  120,000,000 292,000,000 -84,000,000  -115,000,000 24,000,000 -76,000,000  -105,000,000 64,000,000 -178,000,000  -30,000,000 -12,000,000 -43,000,000  64,887,000 -103,805,000 22,575,000  7,215,000 -114,034,000 -63,460,000  -57,153,000 -10,550,000 -51,018,000  52,705,000 -87,584,000 -39,654,000 
          change in other operating assets and liabilities
        		 106,000,000 -245,000,000 -124,000,000  79,000,000 -204,000,000 -81,000,000  85,000,000 -129,000,000 -68,000,000  223,000,000 -49,000,000 -165,000,000  53,000,000 -154,000,000 -12,000,000  53,000,000 -65,000,000 -125,000,000  128,000,000 22,000,000 -188,000,000  136,000,000 -35,000,000 13,000,000  29,000,000 7,000,000 -187,000,000  22,394,000 15,542,000 -68,776,000  107,057,000 54,988,000 -118,016,000  78,460,000 -41,617,000 -87,770,000  25,754,000 56,123,000 -74,303,000 
          sales of marketable securities
        		 0                                                   
          loss on investments
        		   1,000,000     -15,000,000 5,000,000 -6,000,000 -4,000,000 -8,000,000 6,000,000 18,000,000 11,000,000        8,000,000                 -62,000 1,069,000 0 5,000         
          gain on disposals of property and equipment
        		                                              -77,000 -181,000   -262,000 -296,000 
          purchases of marketable securities
        		       -1,000,000 -2,000,000 0 0 -4,000,000 -1,000,000 -1,000,000 0 -3,000,000 -1,000,000 -1,000,000 -1,000,000 -7,000,000 -1,000,000 -1,000,000 0 -7,000,000  0                           
          (investments in) proceeds from sale of debt and equity securities
        		                                                    
          payments related to employee stock option plans
        		        -3,000,000 0 0 -58,000,000 -1,000,000 -1,000,000 -2,000,000 -67,000,000                                     
          acquisition of quest's non-controlling interest
        		                0 -2,000,000                                   
          proceeds from sale of (investments in) equity securities
        		                0 -4,000,000                                   
          distributions to non-controlling interest
        		                      0 -5,000,000 -12,000,000 -4,000,000   -12,000,000 -10,000,000    2,000,000 -2,000,000 -3,000,000                 
          proceeds from sale of equity securities
        		                                            0 0 0 5,861,000     
          decrease in cash and cash equivalents
        		                        -26,000,000     -52,000,000             24,547,000 -88,290,000    -36,762,000    -113,435,000 
          investments in equity securities
        		                   -1,000,000  0 4,000,000 -6,000,000  0    -3,000,000                       
          loss on disposals of property and equipment
        		                                                    
          (earnings) loss from unconsolidated affiliates
        		                    1,000,000   -6,000,000      -2,000,000 -5,000,000 -6,000,000             5,417,000 -1,524,000 -3,348,000 -4,891,000     
          repayment of debt
        		                                                    
          proceeds related to employee stock option plans
        		                    -1,000,000 -2,000,000 0 -41,000,000 -4,000,000 3,000,000 3,000,000 9,000,000                         
          (payments) related to employee stock option plans
        		                 4,000,000 1,000,000 -56,000,000                                 
          repayment of debt and principal payments on capital lease obligations
        		                  -36,000,000 -1,758,000,000  -37,000,000 -730,000,000 -25,000,000  -825,000,000 -25,000,000 -25,000,000  -25,000,000 -656,000,000 -26,000,000  -343,000,000 -24,000,000 -2,491,000,000  -12,785,000 -12,308,000 -12,523,000  -13,160,000 -2,033,841,000 -1,210,000  -6,263,000 -132,000 -334,000  -982,000 -350,521,000 -34,304,000 
          (earnings) from unconsolidated affiliates
        		                   -4,000,000                                 
          distributions to non-controlling interests
        		                                                    
          net cash paid for acquisition of businesses
        		                                                    
          (investments in) proceeds from sale of equity securities
        		                                                    
          amortization of accumulated other comprehensive loss on terminated interest rate swaps
        		                                0 0 0 3,000,000 -100,000 0 0 3,100,000 3,100,000 3,130,000           
          impairment of goodwill and identifiable intangible assets
        		                                 0                   
          loss (earnings) from unconsolidated affiliates
        		                        8,000,000            2,583,000 -195,000 4,043,000 1,569,000         -450,000 128,000 -357,000 1,683,000 
          disposition of business, net of cash disposed
        		                                0                    
          (purchases) sales of marketable securities
        		                                                    
          principal payments on capital lease obligations
        		                                                    
          purchase of marketable securities
        		                           -2,000,000                         
          (earnings) income from unconsolidated affiliates
        		                                                    
          (benefit from) benefit from deferred income taxes
        		                                                 -3,842,000   
          excess income tax benefits from stock-based award activities
        		                                    -26,820,000                
          net cash (paid for) assumed from acquisition of businesses
        		                                                    
          proceeds from corporate owned life insurance policies
        		                                    62,000 0 0 20,938,000             
          proceeds related to employee stock purchase and option plans
        		                              9,000,000 -11,000,000                     
          purchase of trading securities
        		                               -1,000,000    -1,000,000 -560,000 -404,000 -2,095,000 -36,941,000             
          impairment of goodwill, identifiable intangible and long-lived assets
        		                                                    
          provision for deferred income taxes
        		                                   -64,000,000    4,718,000 -4,901,000       -1,587,000     
          sales (purchases) of trading securities
        		                                                    
          termination of interest rate swaps
        		                                        0 0           
          payment of contingent consideration
        		                                                    
          stock issued under employee stock purchase and option plans
        		                                5,000,000 17,000,000 40,000,000 29,000,000 54,070,000 28,098,000 9,497,000 5,335,000 5,974,000 13,015,000 26,814,000 18,494,000 12,027,000        
          loss from unconsolidated affiliates
        		                                 -3,000,000 -4,000,000 11,000,000                 
          proceeds from sale of cost method investments
        		                                     0               
          (gain) loss on investments
        		                                                    
          net cash assumed from (paid for) acquisition of businesses
        		                                                    
          repurchase of stock options
        		                                                    
          share-based compensation
        		                                      10,075,000 8,690,000 9,056,000 8,381,000 10,747,000 9,574,000 7,613,000 6,787,000 8,380,000 7,221,000 5,866,000 5,869,000 6,618,000 4,473,000 
          excess income tax benefits from share-based award activities
        		                                      -2,898,000 -2,198,000 -3,927,000 -5,579,000 -20,488,000 -9,077,000 -7,501,000        
          impairment of long-lived assets
        		                                                    
          proceeds from disposition of property and equipment
        		                                              119,000 418,000 688,000 301,000 373,000 659,000 
          investments in and advances to unconsolidated affiliates, net of payments received
        		                                        -7,510,000 -1,409,000 -889,000 -2,542,000 -2,335,000 199,000 -1,112,000 -1,224,000 -1,409,000 -1,276,000 -291,000 -4,377,000 
          contingent consideration paid
        		                                                    
          issuance of common stock
        		                                                   149,000 
          payment of common stock issuance costs
        		                                                    
          issuance of common stock, net of costs
        		                                                 -381,000   
          payroll taxes remitted on repurchase of stock options
        		                                             0 0 -8,415,000     
          change in operating assets and liabilities:
        		                                                    
          purchase of equity securities
        		                                                    
          proceeds from (payments made for) sale of investment in unconsolidated affiliates
        		                                                    
          dividends paid to common shareholders
        		                                                    
          excess income tax benefits on stock option exercises
        		                                              -2,773,000 -5,840,000  264,000 -213,000 -196,000 
          acquisition of business, net of cash acquired
        		                                              0 -667,000     
          exercise of stock options
        		                                              5,397,000 5,916,000 12,175,000 111,000   
          change in restricted cash
        		                                               -661,000    -1,077,000 
          excess income tax benefits on stock option exercises and repurchases
        		                                                    
          cash paid to terminate interest rate swaps
        		                                                    
          purchase of other investments
        		                                                    
          investment by noncontrolling interest
        		                                                    
          (gain) loss on disposals of property and equipment
        		                                                    
          purchases of equity securities and other investments
        		                                                    
          proceeds from issuance of debt, net of costs
        		                                                    
          proceeds from dividends and sale of equity securities and other investments
        		                                                   60,000