IQVIA (NYSE:IQV) is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. IQVIA’s portfolio of solutions are powered by IQVIA Connected Intelligence™ to deliver actionable insights and services built on high-quality health data, Healthcare-grade AI™, advanced analytics, the latest technologies and extensive domain expertise. With approximately 88,000 employees in over 100 countries, including experts in healthcare, life sciences, data science, technology and operational excellence, IQVIA is dedicated to accelerating the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.
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IQVIA is a global leader in protecting individual patient privacy. The company uses a wide variety of privacy-enhancing technologies and safeguards to protect individual privacy while generating and analyzing information on a scale that helps healthcare stakeholders identify disease patterns and correlate with the precise treatment path and therapy needed for better outcomes. IQVIA’s insights and execution capabilities help biotech, medical device and pharmaceutical companies, medical researchers, government agencies, payers and other healthcare stakeholders tap into a deeper understanding of diseases, human behaviors and scientific advances, in an effort to advance their path toward cures. To learn more, visit www.iqvia.com.
This press release contains “forward-looking statements” within the meaning of the federal securities laws, including Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, including, without limitation, our full-year 2024 guidance. In this context, forward-looking statements often address expected future business and financial performance and financial condition, and often contain words such as “expect,” “assume,” “anticipate,” “intend,” “plan,” “forecast,” “believe,” “seek,” “see,” “will,” “would,” “target,” similar expressions, and variations or negatives of these words that are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. Actual results may differ materially from our expectations due to a number of factors, including, but not limited to, the following: business disruptions caused by natural disasters, pandemics such as the COVID-19 (coronavirus) outbreak, including any variants, and the public health policy responses to the outbreak, and international conflicts or other disruptions outside of our control such as the current situation in Ukraine and Russia; most of our contracts may be terminated on short notice, and we may lose or experience delays with large client contracts or be unable to enter into new contracts; the market for our services may not grow as we expect; we may be unable to successfully develop and market new services or enter new markets; imposition of restrictions on our use of data by data suppliers or their refusal to license data to us; any failure by us to comply with contractual, regulatory or ethical requirements under our contracts, including current or future changes to data protection and privacy laws; breaches or misuse of our or our outsourcing partners’ security or communications systems; failure to meet our productivity or business transformation objectives; failure to successfully invest in growth opportunities; our ability to protect our intellectual property rights and our susceptibility to claims by others that we are infringing on their intellectual property rights; the expiration or inability to acquire third party licenses for technology or intellectual property; any failure by us to accurately and timely price and formulate cost estimates for contracts, or to document change orders; hardware and software failures, delays in the operation of our computer and communications systems or the failure to implement system enhancements; the rate at which our backlog converts to revenue; our ability to acquire, develop and implement technology necessary for our business; consolidation in the industries in which our clients operate; risks related to client or therapeutic concentration; government regulators or our customers may limit the number or scope of indications for medicines and treatments or withdraw products from the market, and government regulators may impose new regulatory requirements or may adopt new regulations affecting the biopharmaceutical industry; the risks associated with operating on a global basis, including currency or exchange rate fluctuations and legal compliance, including anti-corruption laws; risks related to changes in accounting standards; general economic conditions in the markets in which we operate, including financial market conditions, inflation, and risks related to sales to government entities; the impact of changes in tax laws and regulations; and our ability to successfully integrate, and achieve expected benefits from, our acquired businesses. For a further discussion of the risks relating to our business, see the “Risk Factors” in our annual report on Form 10-K for the fiscal year ended December 31, 2023, filed with the Securities and Exchange Commission (the "SEC"), as such factors may be amended or updated from time to time in our subsequent periodic and other filings with the SEC, which are accessible on the SEC’s website at www.sec.gov. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in this release and in our filings with the SEC. We assume no obligation to update any such forward-looking statement after the date of this release, whether as a result of new information, future developments or otherwise.
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Note on Non-GAAP Financial Measures
This release includes information based on financial measures that are not recognized under generally accepted accounting principles in the United States ("GAAP"), such as Adjusted EBITDA, Adjusted Net Income, Adjusted Diluted Earnings per Share, Gross Leverage Ratio, Net Leverage Ratio and Free Cash Flow. Non-GAAP financial measures are presented only as a supplement to the company’s financial statements based on GAAP. Non-GAAP financial information is provided to enhance understanding of the company’s financial performance, but none of these non-GAAP financial measures are recognized terms under GAAP, and non-GAAP measures should not be considered in isolation from, or as a substitute analysis for, the company’s results of operations as determined in accordance with GAAP. The company uses non-GAAP measures in its operational and financial decision making, and believes that it is useful to exclude certain items in order to focus on what it regards to be a more meaningful indicator of the underlying operating performance of the business. For example, the company excludes all the amortization of intangible assets associated with acquired customer relationships and backlog, databases, non-compete agreements, trademarks and trade names from non-GAAP expense and income measures as such amounts can be significantly impacted by the timing and size of acquisitions. Although we exclude amortization of acquired intangible assets from our non-GAAP expenses, we believe that it is important for investors to understand that revenue generated from such intangibles is included within revenue in determining net income. As a result, internal management reports feature non-GAAP measures which are also used to prepare strategic plans and annual budgets and review management compensation. The company also believes that investors may find non-GAAP financial measures useful for the same reasons, although investors are cautioned that non-GAAP financial measures are not a substitute for GAAP disclosures.
The non-GAAP financial measures are not presented in accordance with GAAP. Please refer to the schedules attached to this release for reconciliations of non-GAAP financial measures contained herein to the most directly comparable GAAP measures. Our full-year 2024 guidance measures (other than revenue) are provided on a non-GAAP basis without a reconciliation to the most directly comparable GAAP measure because the company is unable to predict with a reasonable degree of certainty certain items contained in the GAAP measures without unreasonable efforts. For the same reasons, the company is unable to address the probable significance of the unavailable information. Such items include, but are not limited to, acquisition related expenses, restructuring and related expenses, stock-based compensation and other items not reflective of the company's ongoing operations.
Non-GAAP measures are frequently used by securities analysts, investors and other interested parties in their evaluation of companies comparable to the company, many of which present non-GAAP measures when reporting their results. Non-GAAP measures have limitations as an analytical tool. They are not presentations made in accordance with GAAP, are not measures of financial condition or liquidity and should not be considered as an alternative to profit or loss for the period determined in accordance with GAAP or operating cash flows determined in accordance with GAAP. Non-GAAP measures are not necessarily comparable to similarly titled measures used by other companies. As a result, you should not consider such performance measures in isolation from, or as a substitute analysis for, the company’s results of operations as determined in accordance with GAAP.
IQVIAFIN
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Table 1
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(preliminary and unaudited)
Three Months Ended September 30,
Nine Months Ended September 30,
(in millions, except per share data)
2024
2023
2024
2023
Revenues
$
3,896
$
3,736
$
11,447
$
11,116
Cost of revenues, exclusive of depreciation and amortization
2,518
2,426
7,450
7,267
Selling, general and administrative expenses
522
502
1,539
1,497
Depreciation and amortization
278
297
811
809
Restructuring costs
28
30
71
67
Income from operations
550
481
1,576
1,476
Interest income
(13)
(14)
(36)
(24)
Interest expense
170
181
499
491
Other expense (income), net
44
(35)
(12)
(77)
Income before income taxes and equity in earnings of unconsolidated affiliates
349
349
1,125
1,086
Income tax expense
65
51
189
203
Income before equity in earnings of unconsolidated affiliates
284
298
936
883
Equity in earnings of unconsolidated affiliates
1
5
—
6
Net income
$
285
$
303
$
936
$
889
Earnings per share attributable to common stockholders:
Basic
$
1.57
$
1.66
$
5.14
$
4.82
Diluted
$
1.55
$
1.63
$
5.08
$
4.76
Weighted average common shares outstanding:
Basic
182.1
182.9
182.1
184.4
Diluted
184.2
185.5
184.3
186.9
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Table 2
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(preliminary and unaudited)
(in millions, except per share data)
September 30, 2024
December 31, 2023
ASSETS
Current assets:
Cash and cash equivalents
$
1,572
$
1,376
Trade accounts receivable and unbilled services, net
3,196
3,381
Prepaid expenses
195
141
Income taxes receivable
54
32
Investments in debt, equity and other securities
140
120
Other current assets and receivables
475
546
Total current assets
5,632
5,596
Property and equipment, net
513
523
Operating lease right-of-use assets
259
296
Investments in debt, equity and other securities
117
105
Investments in unconsolidated affiliates
203
134
Goodwill
15,091
14,567
Other identifiable intangibles, net
4,734
4,839
Deferred income taxes
164
166
Deposits and other assets, net
467
455
Total assets
$
27,180
$
26,681
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable and accrued expenses
$
3,434
$
3,564
Unearned income
1,824
1,799
Income taxes payable
161
116
Current portion of long-term debt
1,219
718
Other current liabilities
354
294
Total current liabilities
6,992
6,491
Long-term debt, less current portion
12,293
12,955
Deferred income taxes
128
202
Operating lease liabilities
188
223
Other liabilities
612
698
Total liabilities
20,213
20,569
Commitments and contingencies
Stockholders’ equity:
Common stock and additional paid-in capital, 400.0 shares authorized as of September 30, 2024 and December 31, 2023, $0.01 par value, 258.1 shares issued and 181.6 shares outstanding as of September 30, 2024; 257.2 shares issued and 181.5 shares outstanding as of December 31, 2023
11,106
11,028
Retained earnings
5,628
4,692
Treasury stock, at cost, 76.5 and 75.7 shares as of September 30, 2024 and December 31, 2023, respectively
(8,941)
(8,741)
Accumulated other comprehensive loss
(826)
(867)
Total stockholders’ equity
6,967
6,112
Total liabilities and stockholders’ equity
$
27,180
$
26,681
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Table 3
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(preliminary and unaudited)
Nine Months Ended September 30,
(in millions)
2024
2023
Operating activities:
Net income
$
936
$
889
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization
811
809
Amortization of debt issuance costs and discount
16
13
Stock-based compensation
158
172
Earnings from unconsolidated affiliates
—
(6)
Gain on investments, net
(29)
(5)
Benefit from deferred income taxes
(114)
(117)
Changes in operating assets and liabilities:
Change in accounts receivable, unbilled services and unearned income
259
(241)
Change in other operating assets and liabilities
(206)
(112)
Net cash provided by operating activities
1,831
1,402
Investing activities:
Acquisition of property, equipment and software
(438)
(470)
Acquisition of businesses, net of cash acquired
(649)
(869)
Purchases of marketable securities, net
—
(4)
Investments in unconsolidated affiliates, net of payments received
(68)
(16)
Investments in debt and equity securities
(2)
(36)
Proceeds from sale of property, equipment and software
25
—
Other
(2)
4
Net cash used in investing activities
(1,134)
(1,391)
Financing activities:
Proceeds from issuance of debt
—
1,250
Payment of debt issuance costs
—
(19)
Repayment of debt and principal payments on finance leases
(130)
(118)
Proceeds from revolving credit facility
685
2,009
Repayment of revolving credit facility
(785)
(2,184)
Payments related to employee stock incentive plans
(61)
(58)
Repurchase of common stock
(200)
(763)
Contingent consideration and deferred purchase price payments
(12)
(79)
Net cash (used in) provided by financing activities
(503)
38
Effect of foreign currency exchange rate changes on cash
2
(41)
Increase in cash and cash equivalents
196
8
Cash and cash equivalents at beginning of period
1,376
1,216
Cash and cash equivalents at end of period
$
1,572
$
1,224
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Table 4
IQVIA HOLDINGS INC. AND SUBSIDIARIES
NET INCOME TO ADJUSTED EBITDA RECONCILIATION
(preliminary and unaudited)
Three Months Ended September 30,
Nine Months Ended September 30,
(in millions)
2024
2023
2024
2023
Net Income
$
285
$
303
$
936
$
889
Provision for income taxes
65
51
189
203
Depreciation and amortization
278
297
811
809
Interest expense, net
157
167
463
467
Income in unconsolidated affiliates
(1)
(5)
—
(6)
Stock-based compensation
54
47
158
172
Other expense (income), net (1)
56
(40)
11
(92)
Restructuring and related expenses (2)
38
42
99
102
Acquisition related expenses
7
26
21
59
Adjusted EBITDA
$
939
$
888
$
2,688
$
2,603
(1) Reflects certain non-operating income items, revaluations of contingent consideration and certain non-recurring expenses.
(2) Reflects restructuring costs as well as accelerated expenses related to lease exits.
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Table 5
IQVIA HOLDINGS INC. AND SUBSIDIARIES
NET INCOME TO ADJUSTED NET INCOME RECONCILIATION
(preliminary and unaudited)
Three Months Ended September 30,
Nine Months Ended September 30,
(in millions, except per share data)
2024
2023
2024
2023
Net Income
$
285
$
303
$
936
$
889
Provision for income taxes
65
51
189
203
Purchase accounting amortization (1)
139
156
401
411
Income in unconsolidated affiliates
(1)
(5)
—
(6)
Stock-based compensation
54
47
158
172
Other expense (income), net (2)
56
(40)
11
(92)
Restructuring and related expenses (3)
38
42
99
102
Acquisition related expenses
7
26
21
59
Adjusted Pre Tax Income
$
643
$
580
$
1,815
$
1,738
Adjusted tax expense
(120)
(118)
(337)
(360)
Adjusted Net Income
$
523
$
462
$
1,478
$
1,378
Adjusted earnings per share attributable to common stockholders:
Basic
$
2.87
$
2.53
$
8.12
$
7.47
Diluted
$
2.84
$
2.49
$
8.02
$
7.37
Weighted average common shares outstanding:
Basic
182.1
182.9
182.1
184.4
Diluted
184.2
185.5
184.3
186.9
(1) Reflects all the amortization of acquired intangible assets.
(2) Reflects certain non-operating income items, revaluations of contingent consideration and certain non-recurring expenses.
(3) Reflects restructuring costs as well as accelerated expenses related to lease exits.
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Table 6
IQVIA HOLDINGS INC. AND SUBSIDIARIES
NET CASH PROVIDED BY OPERATING ACTIVITIES TO FREE CASH FLOW RECONCILIATION
(preliminary and unaudited)
(in millions)
Three Months Ended September 30, 2024
Nine Months Ended September 30, 2024
Net Cash provided by Operating Activities
$
721
$
1,831
Acquisition of property, equipment and software
(150)
(438)
Free Cash Flow
$
571
$
1,393
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Table 7
IQVIA HOLDINGS INC. AND SUBSIDIARIES
CALCULATION OF GROSS AND NET LEVERAGE RATIOS
AS OF SEPTEMBER 30, 2024
(preliminary and unaudited)
(in millions)
Gross Debt, net of Unamortized Discount and Debt Issuance Costs, as of September 30, 2024
$
13,512
Net Debt as of September 30, 2024
$
11,940
Adjusted EBITDA for the twelve months ended September 30, 2024
$
3,654
Gross Leverage Ratio (Gross Debt/LTM Adjusted EBITDA)