Compare StocksAXP vs IQV

American Express Company (AXP) vs IQVIA Holdings Inc. (IQV): Which Is the Better Buy in 2026?

As of 2026-09-17, AXP is undervalued at $312, with a DCF intrinsic value of $476 and a margin of safety of 35%. IQV is overvalued at $269, with an intrinsic value of $223 and a margin of safety of -20%. Of the two, AXP has the wider margin of safety.

AXP
American Express Company
$311.71
VS
IQV
IQVIA Holdings Inc.
$269.13

Rewards

AXP
  • Gross margin of 62.3% indicates strong pricing power — typical of businesses with significant intellectual property or brand strength.
  • American Express Company scores 100/100 on the Economic Moat Score (Wide Moat), with revenue predictability as the strongest competitive dimension.
  • Return on equity has consistently exceeded 20% over 4 years, indicating efficient use of shareholder capital.
IQV
  • IQVIA Holdings Inc. scores 72/100 on the Economic Moat Score (Wide Moat), with revenue predictability as the strongest competitive dimension.
  • PEG ratio of 0.98 suggests the stock is undervalued relative to its growth rate — paying less than 1x for each unit of earnings growth.

Risks

AXP
  • Altman Z-Score of 0.93 places the company in the distress zone — financial patterns resemble those of companies that experienced bankruptcy.
  • Insiders have sold $3.0M worth of stock in the past 3 months — significant insider liquidation.
  • Free cash flow has declined at a 5.9% CAGR over the past 4 years — a concerning trend.
IQV
  • High leverage (2.25x net debt/equity) combined with thin interest coverage (-1.0x) poses financial risk.
  • Net debt/EBITDA of 4.7x indicates heavy leverage — it would take over 4 years of EBITDA to pay off net debt.
  • 6 insider sales totaling $29.9M with no purchases in the past 3 months — insiders are reducing their exposure.

Key Valuation Metrics

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AXP
IQV
Valuation
N/A
Free Cash Flow
$2.15B
N/A
FCF Yield
4.85%
18.93
Trailing P/E
33.47
15.50
Forward P/E
18.61
Quality & Moat
12.19%
ROIC
7.75%
34.38%
ROE
22.82%
62.34%
Gross Margin
32.97%
1.27
PEG Ratio
0.98
Balance Sheet Safety
0.39
Net Debt / Equity
2.25
N/A
Interest Coverage
N/A
N/A
Net Debt / EBITDA
4.65
1.22%
Dividend Yield
0.00%
AXP: 7Ties: 1IQV: 1
AXPIQV

Historical Fundamentals

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AXP

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

IQV

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

Price ÷ Earnings Per Share — how many years of current earnings you're paying for at today's price. Lower P/E may indicate undervaluation. The dashed forward point is the forward P/E — today's price ÷ analyst consensus EPS.

$1 Retained Earnings Test

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AXP
$6.18
created per $1 retained over 3 years
Exceptional Value Creator
Σ Retained
$23.29B
Δ Market Cap
+$144.01B
Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer
IQV
$0.04
created per $1 retained over 3 years
Value Destroyer
Σ Retained
$4.09B
Δ Market Cap
+$181.5M
Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

Buffett's "$1 Test": For every $1 of earnings retained, has management created at least $1 of market value?
> $1 created per $1 retained = Value Creator · < $1 created = Value Destroyer

Discounted Cash Flow (DCF) Analysis

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AXP
34.6% Margin of Safety
Price is 34.6% below estimated fair value
Current Price: $311.71
Fair Value: $476.32
Strongly undervalued
Undervalued
Fairly valued
Overvalued
Strongly overvalued
IQV
20.4% Overvalued
Price is 20.4% above estimated fair value
Current Price: $269.13
Fair Value: $223.47
Strongly undervalued
Undervalued
Fairly valued
Overvalued
Strongly overvalued

Reverse DCF — Market-Implied Growth

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AXP

Requires positive FCF to compute implied growth rate.

IQV

What growth rate is the market pricing in at $269?

+13.6%
Market-Implied Owner Earnings Growth
Standard FCF implies +11.9%

The market implies +13.6% Owner Earnings growth, above historical trends.

Standard FCF implies a demanding +11.9%, reflecting heavy growth investment.

Economic Moat Score

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AXP
100/100
Wide Moat
70+ Wide · 40-69 Narrow · <40 None

Wide moat driven primarily by revenue predictability. Margin Stability is the area most vulnerable to competitive pressure.

Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 4 years of fundamental data.
IQV
72/100
Wide Moat
70+ Wide · 40-69 Narrow · <40 None

Wide moat driven primarily by revenue predictability. ROIC Consistency is the area most vulnerable to competitive pressure.

Composite score measuring competitive advantage durability across four dimensions: returns above cost of capital, pricing power stability, revenue predictability, and capital efficiency. Based on 4 years of fundamental data.

Forensic Accounting

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AXP
-2.51
Unlikely Manipulator
Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

M-Score Trend

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.
IQV
-2.47
Unlikely Manipulator
Above -1.78 = likely manipulator · -2.22 to -1.78 = grey zone

M-Score Trend

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

Beneish's 8-variable model estimates the probability of earnings manipulation. An M-Score above -1.78 signals elevated risk — companies in this range have historically been 3-5× more likely to be manipulating earnings. Scores between -2.22 and -1.78 fall in a grey zone warranting further investigation.

Ownership Breakdown

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AXP
Insiders 22.6%Institutions 64.6%Retail & Other 12.8%
No. of Institutional Holders3,783
High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.
IQV
Insiders 1.1%Institutions 103.4%
No. of Institutional Holders1,560
High insider ownership aligns management incentives with shareholders — a key signal in Buffett-style analysis. Institutional concentration can indicate smart-money conviction but also crowding risk.

High insider ownership aligns management incentives with shareholders. Institutional concentration can indicate smart-money conviction but also crowding risk.

Insider Buying Activity

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AXP
0
Buys (3M)
0
Buys (12M)
JOABAR RAYMOND D
Officer
$4,054
@ $176.26 · 2025-04-09
ANGELAKIS MICHAEL J
Director
$998,593
@ $269.89 · 2025-03-07
Open market purchases · includes direct & indirect ownership · excludes option exercises
IQV
0
Buys (3M)
0
Buys (12M)
DANHAKL JOHN G
Director
$255,740
@ $200.58 · 2024-12-03
Open market purchases · includes direct & indirect ownership · excludes option exercises

Open market purchases · includes direct & indirect ownership · excludes option exercises.

Insider Selling Activity

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AXP
1
Sells (3M)
13
Sells (12M)
Total value (12M): $62.95M
HERENA MONIQUE
Officer
$2.97M
@ $337.41 · 2026-08-18
MCNEAL GLENDA G
Officer
$2.39M
@ $339.36 · 2026-06-15
LIEBERMAN QUINN JESSICA
Officer
$909,661
@ $300.02 · 2026-03-06
JOABAR RAYMOND D
Officer
$4.77M
@ $340.67 · 2026-02-19
GROSFIELD HOWARD M
Officer
$2.82M
@ $346.73 · 2026-02-12
RADHAKRISHNAN RAVIKUMAR S
Chief Technology Officer
$5.35M
@ $356.58 · 2026-02-09
SEEGER LAUREEN E
Officer
$4.60M
@ $360.99 · 2026-02-09
PICKETT DENISE
Officer
$8.35M
@ $356.91 · 2026-02-05
MARRS ANNA
Officer
$9.60M
@ $350.01 · 2026-02-05
JOABAR RAYMOND D
Officer
$538,902
@ $384.93 · 2025-12-12
RUTLEDGE ELIZABETH
Officer
$18.01M
@ $360.21 · 2025-10-31
TABISH DOUGLAS J
Officer
$894,359
@ $355.61 · 2025-10-23
PICKETT DENISE
Officer
$1.75M
@ $350.73 · 2025-10-22
SQUERI STEPHEN J
Chief Executive Officer
$37.03M
@ $329.86 · 2025-09-04
HERENA MONIQUE
Officer
$2.83M
@ $325.88 · 2025-09-03
BUCKMINSTER DOUGLAS E
Officer
$7.67M
@ $326.37 · 2025-09-02
SEEGER LAUREEN E
Officer
$23.37M
@ $296.90 · 2025-08-06
MARRS ANNA
Officer
$1.71M
@ $310.77 · 2025-07-29
MCNEAL GLENDA G
Officer
$15.47M
@ $309.50 · 2025-07-29
MARQUEZ RAFAEL
Officer
$3.56M
@ $296.93 · 2025-05-20
GROSFIELD HOWARD M
Officer
$2.60M
@ $275.50 · 2025-05-06
MCNEAL GLENDA G
Officer
$799,009
@ $264.66 · 2025-04-29
MARRS ANNA
President
$6.32M
@ $287.88 · 2025-03-04
LIEBERMAN QUINN JESSICA
Officer
$897,590
@ $296.43 · 2025-02-26
MCNEAL GLENDA G
Officer
$2.29M
@ $309.96 · 2025-02-11
SQUERI STEPHEN J
Chief Executive Officer
$16.24M
@ $319.45 · 2025-02-06
PICKETT DENISE
Officer
$7.25M
@ $318.69 · 2025-02-05
RADHAKRISHNAN RAVIKUMAR S
Chief Technology Officer
$3.03M
@ $319.17 · 2025-02-05
JOABAR RAYMOND D
Officer
$3.53M
@ $317.01 · 2025-02-05
JOABAR RAYMOND D
Officer
$4.77M
@ $313.94 · 2025-01-28
LE CAILLEC CHRISTOPHE
Chief Financial Officer
$1.82M
@ $303.48 · 2024-11-27
HERENA MONIQUE
Officer
$374,010
@ $287.70 · 2024-11-07
SQUERI STEPHEN J
Chief Executive Officer
$48.90M
@ $286.57 · 2024-11-07
BUCKMINSTER DOUGLAS E
Officer
$3.55M
@ $270.98 · 2024-10-29
WILLIAMS ANRE D.
Officer
$21.05M
@ $270.26 · 2024-10-22
Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives
IQV
6
Sells (3M)
9
Sells (12M)
Total value (12M): $51.36M
BERKSHIRE JAMES GRANT
Officer
$697,228
@ $261.33 · 2026-09-02
STAUB WALTER. RICHARD III
Officer
$1.28M
@ $232.68 · 2026-08-03
PATEL BHAVIK
Officer
$436,426
@ $235.27 · 2026-07-31
BOUSBIB ARI B
Chief Executive Officer
$26.09M
@ $245.51 · 2026-07-29
SHERBET ERIC M
General Counsel
$1.25M
@ $249.16 · 2026-07-29
CHEROFSKY KERIANN
Officer
$136,827
@ $245.21 · 2026-07-29
BOUSBIB ARI B
Chief Executive Officer
$8.13M
@ $222.43 · 2025-12-18
BOUSBIB ARI B
Chief Executive Officer
$12.46M
@ $220.33 · 2025-10-29
SHERBET ERIC M
General Counsel
$878,800
@ $219.70 · 2025-10-29
SHERBET ERIC M
General Counsel
$1.10M
@ $190.05 · 2025-07-23
CHEROFSKY KERIANN
Officer
$105,150
@ $191.53 · 2025-07-23
Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives

Direct ownership only · excludes indirect, option exercises, planned (10b5-1) sales & derivatives.

🎭 Mr. Market's Mood

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AXP
FearGreed
😐Neutral(41/100)

"Market is pricing this stock without strong emotion in either direction"

Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.
IQV
FearGreed
😏Greed(67/100)

"Market is optimistic — be cautious and ensure you have a margin of safety"

Composite sentiment score based on 6 market signals. Inspired by Buffett's "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

Composite sentiment score based on market signals. Inspired by Buffett’s "Mr. Market" allegory — fear = potential opportunity, greed = potential risk. Must be used alongside fundamental analysis, not in isolation.

⚖️ Buffett Signal

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AXP
Awaiting DCF Data

The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

DCF Margin of Safety: N/AMr. Market's Mood: Neutral (41)
IQV
Awaiting DCF Data

The Buffett Signal cross-references market sentiment with DCF valuation. Configure the DCF Analysis above to generate a signal.

DCF Margin of Safety: N/AMr. Market's Mood: Greed (67)
View AXP Full AnalysisView IQV Full Analysis

Frequently Asked Questions: AXP vs IQV

Is American Express Company or IQVIA Holdings Inc. more undervalued in 2026?

Based on our discounted cash flow model, AXP trades at a 34.6% margin of safety (intrinsic value $476 vs. price $312), compared to IQV's -20.4% margin of safety (intrinsic $223 vs. $269).

Which stock has a wider economic moat, American Express Company or IQVIA Holdings Inc.?

AXP scores 100/100 (Wide moat), while IQV scores 72/100 (Wide moat). The moat score measures competitive advantage durability across ROIC consistency, margin stability, revenue predictability, and reinvestment efficiency.

Is American Express Company in financial distress?

AXP's Altman Z-Score of 0.9 places it in the Distress zone, signaling elevated bankruptcy risk. IQV scores 2.0 (Grey zone). The Altman Z-Score is a five-factor model that predicts insolvency within two years; scores below 1.81 indicate significant distress.

Which stock has higher return on invested capital, American Express Company or IQVIA Holdings Inc.?

AXP earns 12.2% ROIC versus IQV's 7.7%. A higher ROIC means the company generates more profit per dollar of capital employed, a hallmark of durable competitive advantage in Buffett-style analysis.

AXP vs IQV: Which Is the Better Buy in 2026? | SafetyMargin.io