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IQVIA Reports Fourth-Quarter and Full-Year 2019 Results Issues First-Quarter and Full-Year 2020 Guidance

DANBURY, Conn. & RESEARCH TRIANGLE PARK, N.C.–(BUSINESS WIRE)–IQVIA Holdings Inc. (“IQVIA”) (NYSE:IQV), a leading global provider of advanced analytics, technology solutions, and contract research services to the life sciences industry, today reported financial results for the quarter and year ended December 31, 2019.

Fourth-Quarter 2019 Operating Results

Revenue for the fourth quarter of $2,895 million increased 8.5 percent at constant currency and 7.7 percent on a reported basis, compared to the fourth quarter of 2018. Technology & Analytics Solutions (TAS) revenue of $1,214 million grew 9.0 percent at constant currency and 7.7 percent reported. Research & Development Solutions (R&DS) revenue of $1,471 million grew 8.1 percent at constant currency, despite a negative impact from pass-throughs of approximately 400 basis points, and 7.5 percent reported. Contract Sales & Medical Solutions (CSMS) revenue of $210 million grew 8.3 percent at constant currency and 8.8 percent on a reported basis.

Fourth-quarter 2019 Adjusted EBITDA was $642 million. GAAP net income was $16 million, and GAAP diluted earnings per share was $0.09. Adjusted Net Income was $343 million and Adjusted Diluted Earnings per Share was $1.74, up 16.0 percent compared to the fourth quarter of 2018.

“We closed 2019 with a strong quarter, and again delivered results at, or above, our financial targets,” said Ari Bousbib, chairman and CEO of IQVIA. “Technology & Analytics Solutions added more significant wins in the quarter, including a landmark deal for OCE deployment in the U.S. R&DS continued its strong momentum, with outstanding new business wins and double-digit organic services growth in the quarter. We are also pleased with the ongoing turnaround of CSMS. As we exit the final year of our three-year merger integration, our continued investments in innovation position us well to support our top line growth in 2020 and beyond.”

Full-Year 2019 Operating Results

Revenue of $11,088 million for the full year of 2019 increased 8.0 percent at constant currency and 6.5 percent reported, compared to the full year of 2018. TAS revenue of $4,486 million grew 10.7 percent at constant currency and 8.4 percent reported. R&DS revenue of $5,788 million grew 6.9 percent at constant currency and 5.9 percent reported. CSMS revenue of $814 million grew 1.6 percent at constant currency and 0.5 percent reported.

R&DS contracted backlog, including reimbursed expenses, grew 11.1 percent year-over-year to $19.0 billion at December 31, 2019. The company expects approximately $5.2 billion of this backlog to convert to revenue in the next twelve months. The fourth-quarter contracted net book-to-bill ratio was 1.46x both including and excluding reimbursed expenses. For the full year of 2019, the contracted net book-to-bill ratio was 1.34x excluding reimbursed expenses and 1.33x including reimbursed expenses.

Adjusted EBITDA for the full year of 2019 was $2,400 million. GAAP net income was $191 million and GAAP diluted earnings per share was $0.96. Adjusted Net Income was $1,276 million and Adjusted Diluted Earnings per Share was $6.39, up 15.1 percent compared to the full year of 2018.

Financial Position

As of December 31, 2019, cash and cash equivalents were $837 million and debt was $11,645 million, resulting in net debt of $10,808 million. At the end of the fourth quarter of 2019, IQVIA’s Net Leverage Ratio was 4.5x trailing twelve month Adjusted EBITDA.

Share Repurchase

During the fourth quarter of 2019, the company repurchased $255 million of its common stock, resulting in full-year 2019 share repurchases of $945 million. IQVIA had approximately $1.3 billion of share repurchase authorization remaining as of December 31, 2019.

Full-Year and First-Quarter 2020 Guidance

IQVIA expects full-year 2020 revenue between $11,775 million and $12,000 million, Adjusted EBITDA between $2,565 million and $2,620 million and Adjusted Diluted Earnings per Share between $7.15 and $7.35. The company has evaluated to the best of its ability the potential impact of the coronavirus outbreak, and this guidance includes an estimated revenue impact of $25 million, most of which is expected to drop to profit and all of which is assumed to occur in the first quarter. IQVIA expects first-quarter 2020 revenue between $2,790 million and $2,840 million, Adjusted EBITDA between $595 million and $610 million and Adjusted Diluted Earnings per Share between $1.59 and $1.65.

Full-year and first-quarter financial guidance assumes foreign currency exchange rates as of February 7, 2020, remain in effect for the remainder of the year. The strengthening of the U.S. Dollar since January 1, 2020 represented a headwind of approximately $80 million to full-year 2020 revenue and approximately $20 million to first-quarter 2020 revenue, which are included in the above guidance.

Webcast & Conference Call Details

IQVIA will host a conference call at 9:00 a.m. Eastern Time today to discuss its fourth-quarter and full-year 2019 financial results and provide full-year and first-quarter 2020 guidance. To participate, please dial 1-800-672-1506 in the United States and Canada or +1-303-223-4366 outside the United States approximately 15 minutes before the scheduled start of the call. The conference call and a presentation will be accessible live via webcast on the Investors section of the IQVIA website at http://ir.iqvia.com. An archived replay of the webcast will be available online at http://ir.iqvia.com after 1:00 p.m. Eastern Time today.

About IQVIA

IQVIA (NYSE:IQV) is a leading global provider of advanced analytics, technology solutions and contract research services to the life sciences industry. Formed through the merger of IMS Health and Quintiles, IQVIA applies human data science — leveraging the analytic rigor and clarity of data science to the ever-expanding scope of human science — to enable companies to reimagine and develop new approaches to clinical development and commercialization, speed innovation and accelerate improvements in healthcare outcomes. Powered by the IQVIA CORE™, IQVIA delivers unique and actionable insights at the intersection of large-scale analytics, transformative technology and extensive domain expertise, as well as execution capabilities. With approximately 67,000 employees, IQVIA conducts operations in more than 100 countries.

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.

Cautionary Statements Regarding Forward-Looking Statements

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 2020 and first-quarter 2020 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,” “anticipate,” “intend,” “plan,” “believe,” “seek,” “see,” “will,” “would,” “target,” similar expressions, and variations or negatives of these words. Actual results may differ materially from our expectations due to a number of factors, including, but not limited to, the following: 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; 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 changes to data protection and privacy laws; breaches or misuse of our or our outsourcing partners’ security or communications systems; hardware and software failures, delays in the operation of our computer and communications systems or the failure to implement system enhancements; 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; 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; 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 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 the combined company’s business, see the “Risk Factors” in our annual report on Form 10-K for the fiscal year ended December 31, 2018, filed with 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.

Note on Non-GAAP Financial Measures

Non-GAAP results, such as Adjusted EBITDA, Adjusted Net Income, and Adjusted Diluted EPS 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. Definitions and reconciliations of non-GAAP measures to the most directly comparable GAAP measures are provided within the schedules attached to this release. 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 and trademarks, trade names and other 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 attributable to IQVIA Holdings Inc. 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.

Our full-year and first-quarter 2020 guidance measures (other than revenue) are provided on a non-GAAP basis because the company is unable to reasonably predict certain items contained in the GAAP measures. Such items include, but are not limited to, acquisition and integration related expenses, restructuring and related charges, 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.

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Table 1

IQVIA HOLDINGS INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME

(in millions, except per share data)

(preliminary and unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended 

 

Twelve Months Ended 

 

 

December 31,

 

December 31,

   

 

 

2019

 

 

 

2018

 

 

 

2019

 

 

 

2018

 

Revenues

 $

                          2,895

 

 $

                          2,688

 

 $

                        11,088

 

 $

                        10,412

 

Costs of revenue, exclusive of depreciation and amortization

 

1,901

 

 

1,742

 

 

7,300

 

 

6,746

 

Selling, general and administrative expenses

 

484

 

 

443

 

 

1,734

 

 

1,716

 

Depreciation and amortization

 

314

 

 

294

 

 

1,202

 

 

1,141

 

Restructuring costs

 

  30

 

 

  2

 

 

  75

 

 

  68

 

     Income from operations

 

  166

 

 

  207

 

 

  777

 

 

  741

 

Interest income

 

(2

)

 

(3

)

 

(9

)

 

(8

)

Interest expense

 

109

 

 

106

 

 

447

 

 

414

 

Loss on extinguishment of debt

 

 

 

  24

 

 

2

 

Other (income) expense, net

 

  (37

)

 

 

  (37

)

 

  5

 

     Income before income taxes and equity in    
       earnings of unconsolidated affiliates

 

  96

 

 

  104

 

 

  352

 

 

  328

 

Income tax expense

 

  68

 

 

30

 

 

  116

 

 

59

 

     Income before equity in earnings of    
       unconsolidated affiliates

 

  28

 

 

  74

 

 

  236

 

 

  269

 

Equity in (losses) earnings of unconsolidated affiliates

 

(8

)

 

  2

 

 

  (9

)

 

  15

 

     Net income

 

  20

 

 

  76

 

 

  227

 

 

  284

 

Net income attributable to non-controlling interests

 

(4

)

 

(7

)

 

(36

)

 

(25

)

     Net income attributable to IQVIA Holdings Inc.

 $

                               16

 

 $

                               69

 

 $

                             191

 

 $

                             259

 

Earnings per share attributable to common stockholders:    
     Basic

 $

                            0.09

 

 $

                            0.35

 

 $

                            0.98

 

 $

                            1.27

 

     Diluted

 $

                            0.09

 

 $

                            0.34

 

 $

                            0.96

 

 $

                            1.24

 

Weighted average common shares outstanding:    
     Basic

 

192.6

 

 

199.5

 

 

195.1

 

 

203.7

 

     Diluted

 

197.1

 

 

204.1

 

 

199.6

 

 

208.2

 

 

   
   
   

Table 2

IQVIA HOLDINGS INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(in millions, except per share data)

(preliminary and unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31,

 

December 31, 

 

 

 

 

 

 

2019

 

 

 

2018

 

ASSETS  
Current assets:  
  Cash and cash equivalents

$

 837

 

$

891

 

  Trade accounts receivable and unbilled services, net

 

2,582

 

 

2,394

 

  Prepaid expenses

 

138

 

 

151

 

  Income taxes receivable

 

56

 

 

69

 

  Investments in debt, equity and other securities

 

62

 

 

  47

 

  Other current assets and receivables

 

451

 

 

322

 

     Total current assets

 

  4,126

 

 

  3,874

 

  Property and equipment, net

 

458

 

 

434

 

  Operating lease right-of-use assets

 

496

 

 
  Investments in debt, equity and other securities

 

65

 

 

41

 

  Investments in unconsolidated affiliates

 

87

 

 

101

 

  Goodwill

 

12,159

 

 

11,800

 

  Other identifiable intangibles, net

 

5,514

 

 

5,951

 

  Deferred income taxes

 

119

 

 

109

 

  Deposits and other assets

 

227

 

 

239

 

     Total assets

 $

23,251

 

 $

22,549

 

   
LIABILITIES AND STOCKHOLDERS’ EQUITY    
Current liabilities:    
  Accounts payable and accrued expenses

$

2,512

 

$

2,295

 

  Unearned income

 

1,014

 

 

1,007

 

  Income taxes payable

 

108

 

 

100

 

  Current portion of long-term debt

 

100

 

 

100

 

  Other current liabilities

 

211

 

 

32

 

     Total current liabilities

 

  3,945

 

 

  3,534

 

  Long-term debt, less current portion

 

11,545

 

 

10,907

 

  Deferred income taxes

 

646

 

 

736

 

  Operating lease liabilities

 

396

 

 
  Other liabilities

 

456

 

 

418

 

     Total liabilities

 

  16,988

 

 

  15,595

 

Commitments and contingencies   
Stockholders’ equity:  
Common stock and additional paid-in capital, 400.0 shares authorized at
   December 31, 2019 and 2018, $0.01 par value, 253.0 shares issued and 192.3 shares
   outstanding at December 31, 2019; 251.5 shares issued and 197.5 shares outstanding
   at December 31, 2018, respectively
 
   
   

 

11,049

 

 

10,901

 

  Retained earnings

 

998

 

 

807

 

  Treasury stock, at cost, 60.7 and 54.0 shares at December 31, 2019 and   
    December 31, 2018, respectively 

 

(5,733

)

 

  (4,770

)

  Accumulated other comprehensive loss

 

(311

)

 

(224

)

     Equity attributable to IQVIA Holdings Inc.’s stockholders

 

  6,003

 

 

  6,714

 

  Non-controlling interests

 

260

 

 

240

 

     Total stockholders’ equity

 

  6,263

 

 

  6,954

 

     Total liabilities and stockholders’ equity

 $

23,251

 

 $

22,549

 

 

   
   
   

Table 3

IQVIA HOLDINGS INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in millions)

(preliminary and unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Twelve Months Ended 

 

 

 

 

December 31,

 

 

 

 

 

2019

 

 

 

2018

 

Operating activities:  
Net income

 $

227

 

 $

284

 

Adjustments to reconcile net income to cash provided by operating activities:  
Depreciation and amortization

 

  1,202

 

 

1,141

 

Amortization of debt issuance costs and discount

 

  13

 

 

11

 

Stock-based compensation

 

  146

 

 

113

 

Loss on disposals of property and equipment, net

 

  1

 

 

 

Loss/(Earnings) from unconsolidated affiliates 

 

  9

 

 

(15

)

(Gain)/Loss on investments, net

 

  (43

)

 

  3

 

Benefit from deferred income taxes 

 

  (157

)

 

(177

)

Changes in operating assets and liabilities:  
Accounts receivable, unbilled services and unearned income

 

  (124

)

 

(290

)

Other operating assets and liabilities

 

  143

 

 

184

 

Net cash provided by operating activities

 

  1,417

 

 

  1,254

 

Investing activities:    
Acquisition of property, equipment and software 

 

  (582

)

 

(459

)

Net cash paid for acquisition of businesses

 

  (588

)

 

  (309

)

Purchase of marketable securities, net

 

  (3

)

 

  (4

)

Investments in unconsolidated affiliates, net of payments received

 

 

(17

)

Investments in equity securities

 

  (22

)

 

  (23

)

Other

 

  5

 

 

  2

 

Net cash used in investing activities

 

  (1,190

)

 

  (810

)

Financing activities:    
Proceeds from issuance of debt

 

1,900

 

 

 1,631

 

Payment of debt issuance costs

 

(47

)

 

(22

)

Repayment of debt

 

(899

)

 

(732

)

Proceeds from revolving credit facility

 

2,522

 

 

2,445

 

Repayment of revolving credit facility

 

(2,776

)

 

(2,329

)

Proceeds related to employee stock option plans 

 

11

 

 

15

 

Repurchase of common stock 

 

(949

)

 

(1,405

)

Distributions to non-controlling interest, net

 

(18

)

 

(31

)

Contingent consideration and deferred purchase price payments

 

(20

)

 

(24

)

Net cash used in financing activities

 

(276

)

 

(452

)

Effect of foreign currency exchange rate changes on cash

 

(5

)

 

(60

)

Decrease in cash and cash equivalents

 

(54

)

 

(68

)

Cash and cash equivalents at beginning of period

 

891

 

 

959

 

Cash and cash equivalents at end of period

 $

837

 

 $

891

 

 

     
     
     

Table 4

IQVIA HOLDINGS INC. AND SUBSIDIARIES

NET INCOME TO ADJUSTED EBITDA RECONCILIATION

(in millions)

(preliminary and unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

 

Twelve Months Ended 

 

 

December 31,

 

 

December 31,

   

 

 

2019

 

 

 

2018

 

 

 

2019

 

 

 

2018

 

Net Income Attributable to IQVIA Holdings Inc.

 $

                              16

 

 $

                              69

 

 $

                            191

 

 $

                            259

 

Provision for income taxes

 

  68

 

 

  30

 

 

  116

 

 

  59

 

Depreciation and amortization

 

  314

 

 

  294

 

 

  1,202

 

 

  1,141

 

Interest expense, net

 

  107

 

 

  103

 

 

  438

 

 

  406

 

Loss (income) in unconsolidated affiliates

 

  8

 

 

  (2

)

 

  9

 

 

  (15

)

Income from non-controlling interests

 

  4

 

 

  7

 

 

  36

 

 

  25

 

Deferred revenue purchasing accounting adjustments

 

  2

 

 

  1

 

 

  10

 

 

  7

 

Stock-based compensation

 

  59

 

 

  35

 

 

  146

 

 

  113

 

Other (income) expense, net

 

  (29

)

 

 

  (6

)

 

  27

 

Loss on extinguishment of debt    

 

  24

 

 

  2

 

Restructuring and related charges

 

  32

 

 

  2

 

 

  77

 

 

  68

 

Acquisition related charges

 

  19

 

 

  12

 

 

  56

 

 

  50

 

Integration related costs

 

  42

 

 

  32

 

 

  101

 

 

  82

 

Adjusted EBITDA

 $

                            642

 

 $

                            583

 

 $

                         2,400

 

 $

                         2,224

 

 

 
 
 

Table 5

IQVIA HOLDINGS INC. AND SUBSIDIARIES

NET INCOME TO ADJUSTED NET INCOME RECONCILIATION

(in millions, except per share data)

(preliminary and unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Twelve Months Ended 

 

 

December 31,

 

December 31,

   

 

 

2019

 

 

 

2018

 

 

 

2019

 

 

 

2018

 

Net Income Attributable to IQVIA Holdings Inc.

 $

                              16

 

 $

                              69

 

 $

                            191

 

 $

                            259

 

Provision for income taxes

 

  68

 

 

  30

 

 

  116

 

 

  59

 

Purchase accounting amortization (1)

 

  238

 

 

  212

 

 

  914

 

 

  863

 

Loss (income) in unconsolidated affiliates

 

  8

 

 

  (2

)

 

  9

 

 

  (15

)

Income from non-controlling interests

 

  4

 

 

  7

 

 

  36

 

 

  25

 

Deferred revenue purchasing accounting adjustments

 

  2

 

 

  1

 

 

  10

 

 

  7

 

Stock-based compensation

 

  59

 

 

  35

 

 

  146

 

 

  113

 

Other (income) expense, net

 

  (29

)

 

 

  (6

)

 

  27

 

Loss on extinguishment of debt    

 

  24

 

 

  2

 

Royalty hedge gain  

 

  2

 

 

  6

 

 
Restructuring and related charges

 

  32

 

 

  2

 

 

  77

 

 

  68

 

Acquisition related charges

 

  19

 

 

  12

 

 

  56

 

 

  50

 

Integration related costs

 

  42

 

 

  32

 

 

  101

 

 

  82

 

Adjusted Pre Tax Income

 $

                            459

 

 $

                            400

 

 $

                         1,680

 

 $

                         1,540

 

Adjusted tax expense

 

  (109

)

 

  (84

)

 

  (359

)

 

  (350

)

Income from non-controlling interests

 

  (4

)

 

  (7

)

 

  (36

)

 

  (25

)

Minority interest effect in non-GAAP adjustments (2)

 

  (3

)

 

  (2

)

 

  (9

)

 

  (9

)

Adjusted Net Income

 $

                            343

 

 $

                            307

 

 $

                         1,276

 

 $

                         1,156

 

       
Adjusted earnings per share attributable to common stockholders:      
   Basic

 $

                            1.78

 

 $

                            1.54

 

 $

                            6.54

 

 $

                            5.68

 

   Diluted

 $

                            1.74

 

 $

                            1.50

 

 $

                            6.39

 

 $

                            5.55

 

Weighted-average common shares outstanding:      
   Basic

 

192.6

 

 

199.5

 

 

195.1

 

 

203.7

 

   Diluted

 

197.1

 

 

204.1

 

 

199.6

 

 

208.2

 

       
       
(1) Reflects all the amortization of acquired intangible assets.
(2) Reflects the portion of Q2 Solutions’ after-tax non-GAAP adjustments attributable to the minority interest partner.

Contacts

Andrew Markwick, IQVIA Investor Relations (andrew.markwick@iqvia.com)

+1.973.257.7144

Tor Constantino, IQVIA Media Relations (tor.constantino@iqvia.com)

+1.484.567.6732

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