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    IQVIA HOLDINGS (IQV)

    Q3 2024 Earnings Summary

    Reported on Jan 31, 2025 (Before Market Open)
    Pre-Earnings Price$216.04Last close (Oct 30, 2024)
    Post-Earnings Price$200.30Open (Oct 31, 2024)
    Price Change
    $-15.74(-7.29%)
    MetricPeriodGuidanceActualPerformance
    Revenue
    Q3 2024
    Between $3,830 million and $3,880 million
    $3,896 million
    Beat
    TopicPrevious MentionsCurrent PeriodTrend

    Large pharma reprioritization and cancellations

    Discussed consistently, citing program cancellations for 1.5 years; half are normal drug futility, half are IRA-driven

    Extensive ongoing reprioritizations due to IRA, with elevated cancellations expected through the end of 2024

    Consistent topic with high cancellations continuing; expected to normalize in 2025

    Pricing pressure from large pharma and competition

    Recurring concern in Q2, Q1, Q4 calls: large pharma cost constraints and more challenging negotiations have been ongoing

    CEO notes tough pricing across segments, especially FSP; larger CROs facing competition from smaller, price-undercutting rivals

    Intensifying over time, with no immediate relief in sight

    TAS segment performance fluctuations

    Previously cautious (Q4 2023, Q1 & Q2 2024), showing slower growth; expected to improve in second half

    Strong rebound 8%+ growth at constant currency; AI enhancements spurring momentum

    Shifted from cautious outlook to robust rebound, fueling optimism for the remainder of 2024

    R&D Solutions pipeline strength and trial delays

    Strong pipeline mentioned each quarter, offset by large cancellations or slowed burn rates (Q2, Q1, Q4)

    Healthy backlog and record pipeline, but 2 mega trials delayed into 2025, overshadowing near-term results

    Positive long-term sentiment; near-term impacted by notable trial delays

    AI-enabled capabilities for client wins

    Cited in prior calls (Q2, Q1, Q4) for driving major awards and displacing incumbents

    Highlighted new generative AI tool and multiyear contracts leveraging real-time data and analytics

    Increasing emphasis on AI as key differentiator, continuing to drive large client wins

    Significant CNS trial cancellation

    Q1 2024 saw a $0.25B CNS cancellation impacting revenue and guidance absorption

    Not explicitly labeled CNS in Q3; only a $350M futility-driven cancellation was noted

    Not a focus this period; overshadowed by other cancellations and trial delays

    Acquisition challenges from high valuations

    Q2 2024 commentary also noted high valuations as an obstacle; moderate M&A contribution

    Management cited difficulty closing larger deals due to high prices; example of paying 5x revenue for recent target

    Ongoing barrier to M&A; no clear sign of valuations easing

    COVID-related revenue step-down

    Continuous decline discussed in Q2, Q1, Q4, with step-down largely front-loaded in 2024

    COVID revenue fell to $20M vs. $100M prior year; 6.5% growth ex-COVID

    Further diminishing, projected minimal future impact

    IRA-driven cancellations

    Referenced in Q2 2024 with program reprioritizations; Q1 2024 mentioned possible timeline accelerations

    Key driver of pharma portfolio shifts, fueling elevated cancellation levels

    Still pivotal, expected to peak by end of 2024

    Significant share repurchase plans

    Q4 2023 repurchases near $1B total for the year; limited mention in Q2 and Q1

    $2.2B authorization remains; CEO calls shares a “screaming buy” and plans massive buybacks

    Accelerating repurchases as a driver of valuation, reflecting management confidence

    1. 2025 Growth Outlook
      Q: Can you still achieve high single-digit growth in 2025?
      A: While we don't usually provide guidance at this point, after growing about mid-single digits in 2024, we expect similar growth in 2025. We're projecting around 6% growth this year at constant currency and anticipate the same at least for 2025. For RDS, we're projecting 5% plus growth this year and assume similar for next year.

    2. Impact of Cancellations on Revenue
      Q: How do cancellations and delays affect 2025 revenue?
      A: Cancellations due to client reprioritizations and drug futility impact revenue timing. Work pushed from 2024 into 2025 isn't incremental, as 2025 work moves into 2026. We're dealing with elevated cancellations now but expect this process to end by year-end.

    3. Capital Deployment and Share Repurchase
      Q: Will you have $3 billion of dry powder for 2025?
      A: We've spent $649 million on acquisitions and $200 million on share repurchase so far this year, less than our $2–$3 billion annual goal. With larger acquisitions not materializing, we have significant dry powder. We intend to massively buy shares in the fourth quarter and have authorized $2.2 billion for share repurchases.

    4. Pricing Pressure Across the Board
      Q: Is pricing pressure spilling over from FSP into FSO?
      A: Pricing is tough across both FSP and FSO. FSP accounts for about 15% of revenue, moving toward 20%, and has lower margins, which depresses overall margins due to mix. Clients have put us through rebid processes, but we've been reselected and expanded our partnerships.

    5. R&DS Growth Expectations for 2025
      Q: Is 5% R&DS growth feasible in current conditions?
      A: Based on what we know today, we expect mid-single-digit growth for R&DS in 2025. We believe the elevated cancellations due to reprioritizations will end by year-end. We've factored known cancellations into our expectations, including a $350 million and a $250 million program canceled this year.

    6. Managing Cost Structure Amid Cancellations
      Q: Can you maintain margins despite cancellations?
      A: We're facing significant cost headwinds due to resources allocated for two mega trials now delayed until 2025. We'll bear extra costs over the next 2–3 quarters, affecting margins. However, we're working on cost management and have other levers to pull.

    7. Acquisitions and TAS Growth
      Q: What's the financial profile of recent M&A and TAS growth?
      A: The majority of acquisition contributions are intact. In the quarter, TAS saw mid-single-digit organic growth, over the prior quarter. Acquisitions contributed over 1.5 points to our 6.5% constant currency growth, excluding COVID. We focus on small deals with potential growth, and acquisitions are an important part of our growth strategy.

    8. Strategic Partnerships and Interest Expense
      Q: Where are we with strategic partnerships, and what's the interest expense?
      A: We've done very well, expanding the number of preferred partnerships. We're largely through clients reopening vendor relationships due to cost management focus. For interest expense, it's around $625 million this year, similar to prior guidance.

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