Stock Analysis on Net
Stock Analysis on Net

IQVIA Holdings Inc. (NYSE:IQV)

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

Financial Reporting Quality: Aggregate Accruals

Microsoft Excel

Balance-Sheet-Based Accruals Ratio

IQVIA Holdings Inc., balance sheet computation of aggregate accruals

US$ in millions

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Operating Assets
Total assets 25,337 24,689 24,564 23,251 22,549
Less: Cash and cash equivalents 1,216 1,366 1,814 837 891
Less: Investments in debt, equity and other securities 93 111 88 62 47
Operating assets 24,028 23,212 22,662 22,352 21,611
Operating Liabilities
Total liabilities 19,572 18,647 18,284 16,988 15,595
Less: Current portion of long-term debt 152 91 149 100 100
Less: Current finance lease liabilities 5 9 — — —
Less: Long-term debt, less current portion 12,595 12,034 12,384 11,545 10,907
Less: Long-term finance lease liabilities 224 177 122 — —
Operating liabilities 6,596 6,336 5,629 5,343 4,588
 
Net operating assets1 17,432 16,876 17,033 17,009 17,023
Balance-sheet-based aggregate accruals2 556 (157) 24 (14) —
Financial Ratio
Balance-sheet-based accruals ratio3 3.24% -0.93% 0.14% -0.08% —
Benchmarks
Balance-Sheet-Based Accruals Ratio, Competitors4
AbbVie Inc. -14.27% — — — —
Amgen Inc. 4.07% — — — —
Bristol-Myers Squibb Co. -3.86% — — — —
Danaher Corp. -1.55% — — — —
Eli Lilly & Co. 11.56% — — — —
Gilead Sciences Inc. -2.92% — — — —
Johnson & Johnson 19.84% — — — —
Merck & Co. Inc. 0.46% — — — —
Pfizer Inc. 24.95% — — — —
Regeneron Pharmaceuticals Inc. 11.07% — — — —
Thermo Fisher Scientific Inc. -1.78% — — — —
Vertex Pharmaceuticals Inc. 14.07% — — — —
Balance-Sheet-Based Accruals Ratio, Sector
Pharmaceuticals, Biotechnology & Life Sciences 4.85% 200.00% — — —
Balance-Sheet-Based Accruals Ratio, Industry
Health Care 5.30% 200.00% — — —

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

1 2022 Calculation
Net operating assets = Operating assets – Operating liabilities
= 24,028 – 6,596 = 17,432

2 2022 Calculation
Balance-sheet-based aggregate accruals = Net operating assets2022 – Net operating assets2021
= 17,432 – 16,876 = 556

3 2022 Calculation
Balance-sheet-based accruals ratio = 100 × Balance-sheet-based aggregate accruals ÷ Avg. net operating assets
= 100 × 556 ÷ [(17,432 + 16,876) ÷ 2] = 3.24%

4 Click competitor name to see calculations.


Net operating assets demonstrated a high degree of stability between 2019 and 2022, maintaining a consistent range around US$ 17 billion. A marginal decrease to US$ 16,876 million occurred in 2021, followed by a recovery to US$ 17,432 million by the end of 2022.

Balance-sheet-based aggregate accruals
Aggregate accruals exhibited significant volatility over the analyzed period. The values transitioned from a nominal negative of US$ -14 million in 2019 to a positive US$ 24 million in 2020. This was followed by a contraction to US$ -157 million in 2021 and a sharp expansion to US$ 556 million in 2022.
Balance-sheet-based accruals ratio
The accruals ratio mirrored the movement of aggregate accruals due to the stability of the net operating asset base. The ratio remained negligible from 2019 through 2021, fluctuating between -0.93% and 0.14%. However, a notable increase is observed in 2022, with the ratio rising to 3.24%.

The shift in the accruals ratio in 2022 indicates a divergence between accrual-based earnings and cash flow relative to operating assets. While the ratio remained near zero for the first three years—suggesting that earnings were closely aligned with cash movements—the 2022 spike indicates a higher proportion of non-cash earnings. This pattern suggests an increase in the reliance on accruals to drive reported financial performance during the final year of the period.

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Cash-Flow-Statement-Based Accruals Ratio

IQVIA Holdings Inc., cash flow statement computation of aggregate accruals

US$ in millions

Microsoft Excel
Dec 31, 2022 Dec 31, 2021 Dec 31, 2020 Dec 31, 2019 Dec 31, 2018
Net income attributable to IQVIA Holdings Inc. 1,091 966 279 191 259
Less: Net cash provided by operating activities 2,260 2,942 1,959 1,417 1,254
Less: Net cash used in investing activities (2,006) (2,103) (796) (1,190) (810)
Cash-flow-statement-based aggregate accruals 837 127 (884) (36) (185)
Financial Ratio
Cash-flow-statement-based accruals ratio1 4.88% 0.75% -5.19% -0.21% —
Benchmarks
Cash-Flow-Statement-Based Accruals Ratio, Competitors2
AbbVie Inc. -16.25% — — — —
Amgen Inc. 8.81% — — — —
Bristol-Myers Squibb Co. -9.10% — — — —
Danaher Corp. 1.44% — — — —
Eli Lilly & Co. 10.27% — — — —
Gilead Sciences Inc. -4.95% — — — —
Johnson & Johnson 10.78% — — — —
Merck & Co. Inc. 0.61% — — — —
Pfizer Inc. 18.46% — — — —
Regeneron Pharmaceuticals Inc. 18.61% — — — —
Thermo Fisher Scientific Inc. -0.06% — — — —
Vertex Pharmaceuticals Inc. -14.45% — — — —
Cash-Flow-Statement-Based Accruals Ratio, Sector
Pharmaceuticals, Biotechnology & Life Sciences 2.52% 15.89% — — —
Cash-Flow-Statement-Based Accruals Ratio, Industry
Health Care 4.25% 14.62% — — —

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

1 2022 Calculation
Cash-flow-statement-based accruals ratio = 100 × Cash-flow-statement-based aggregate accruals ÷ Avg. net operating assets
= 100 × 837 ÷ [(17,432 + 16,876) ÷ 2] = 4.88%

2 Click competitor name to see calculations.


An analysis of financial reporting quality from 2019 to 2022 reveals significant volatility in aggregate accruals despite a relatively stable base of net operating assets. The shift in the cash-flow-statement-based accruals ratio indicates a transition from a period where cash flows exceeded reported earnings to a period where reported earnings exceeded cash flows.

Net Operating Assets Stability
Net operating assets remained consistent throughout the period, starting at US$ 17,009 million in 2019 and ending at US$ 17,432 million in 2022. This stability indicates that the fluctuations observed in the accruals ratio are driven by changes in the relationship between earnings and cash flow rather than significant expansions or contractions of the asset base.
Aggregate Accruals Volatility
Cash-flow-statement-based aggregate accruals exhibited a sharp decline in 2020, falling to -US$ 884 million. This was followed by a recovery to US$ 127 million in 2021 and a substantial increase to US$ 837 million in 2022. This trajectory demonstrates a reversal in the direction and magnitude of non-cash adjustments to earnings over the four-year span.
Accruals Ratio Trends
The accruals ratio mirrored the volatility of the aggregate accruals, moving from -0.21% in 2019 to a low of -5.19% in 2020, before rising to 0.75% in 2021 and 4.88% in 2022. The transition from a negative ratio in 2020 to a positive ratio in 2022 suggests that reported earnings were lower than cash flows in 2020, while by 2022, accruals contributed more significantly to earnings than to cash flow generation.

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