Billionaire David Tepper’s 10 Small and Midcap Stock Picks with Huge Upside Potential

8. IQVIA Holdings Inc. (NYSE:IQV)

Appaloosa Management LP’s Stake: $63 Million  

IQVIA Holdings Inc. (NYSE:IQV) is a relatively recent addition to the 13F portfolio of Appaloosa Management LP. The fund first disclosed a stake in the company in the second quarter of 2025. This position comprised 300,000 shares. In the third quarter of 2025, this position was reduced by 5% to around 285,000 shares. Filings for the fourth quarter of 2025 reveal that the hedge fund has made another minor reduction in the position, around 1.7% compared to filings for the previous quarter, and owns 280,000 shares in the company.

IQVIA Holdings Inc. (NYSE:IQV) has become a topic of interest on Wall Street following the recent unveiling of IQVIA.ai, a unified agentic AI platform powered by NVIDIA. Under this AI initiative, the company has already deployed 150 AI agents designed to automate clinical trial recruitment and commercial analytics. Hedge funds are betting that this partnership will significantly improve ROI for pharma clients, making IQVIA’s services sticky and harder to replace with traditional Contract Research Organizations. A major overhang for the stock in 2024 and 2025 was a spike in trial cancellations. However, fresh data from February 2026 has reversed this narrative. Management reported that cancellations have normalized back to the $2 billion historical average, down from peaks of nearly $3 billion. With a contracted R&D backlog of $32.7 billion, up 5.3% year-over-year, hedge funds view the company as having high revenue visibility through 2027.