IQVIA HOLDINGS INC. annual report, FY2022

IQVIA Holdings Inc. — FY2022 Form 10-K

Reporting period: Fiscal year ended December 31, 2022; this is an annual report, not a standalone Q4 report. IQVIA provides analytics, healthcare data and technology, clinical research, and contract sales and medical services, primarily to life sciences customers.

Financial performance

MetricFY2022FY2021Change
Revenue$14.410 billion$13.874 billion+3.9% reported; +7.8% constant currency
Income from operations$1.799 billion$1.393 billion+29.1%
Operating margin12.5%10.0%+2.5 percentage points
Net income attributable to IQVIA$1.091 billion$966 million+12.9%
Diluted EPS$5.72$4.95+15.6%
Net cash from operating activities$2.260 billion$2.942 billion−23.2%

Cost of revenues, excluding depreciation and amortization, was 65.1% of revenue versus 66.5% in 2021. SG&A was 14.4% of revenue versus 14.2%. Interest expense rose to $416 million from $375 million, primarily due to higher floating-rate borrowing costs and increased net debt. The effective tax rate increased to 19.1% from 14.5%.

Segments

SegmentRevenueRevenue changeSegment profitProfit change
Technology & Analytics Solutions$5.746 billion+3.8% reported; +8.7% constant currency$1.550 billion+6.3%
Research & Development Solutions$7.921 billion+4.8% reported; +7.7% constant currency$1.695 billion+14.8%
Contract Sales & Medical Solutions$743 million−5.2% reported; +2.7% constant currency$42 million−44.0%

Segment profit is a company-defined measure before certain corporate costs, depreciation and amortization, and restructuring costs; it is not consolidated operating income.

Balance sheet and liquidity

  • Cash and cash equivalents were $1.216 billion, down from $1.366 billion. Total debt principal was $12.797 billion, versus $12.185 billion; debt less cash was approximately $11.6 billion.
  • Of the $1.5 billion revolving credit facility, $425 million was drawn and approximately $1.07 billion was available at year-end. No additional revolving commitments were available under the receivables financing facility.
  • Current assets were $4.981 billion and current liabilities $5.578 billion. The company reported compliance in all material respects with debt covenants and said available liquidity and expected operating cash flows should cover requirements for at least 12 months.
  • Operating cash flow fell by $682 million, mainly reflecting lower cash from unearned income and accounts receivable/unbilled services. Investing cash use was $2.006 billion, including $1.315 billion for acquisitions and $674 million for property, equipment and software. Financing cash use was $329 million.
  • IQVIA repurchased 5.5 million shares for approximately $1.168 billion in 2022; $1.36 billion of authorization remained at year-end. No regular cash dividend was declared or paid.

Changes, outlook and risks

  • Management reported broad demand and $29.2 billion of remaining performance obligations at year-end; approximately 30% was expected to be recognized over the next 12 months. Research & Development Solutions backlog was $27.2 billion, with approximately $7.3 billion expected to convert to revenue in the next 12 months. Backlog and performance obligations are not guaranteed revenue and may be affected by delays, scope changes or cancellations.
  • Reported revenue growth was materially below constant-currency growth, reflecting foreign-exchange effects. Approximately 30% of 2022 revenue was denominated in currencies other than the U.S. dollar.
  • COVID-19-related work declined in 2022; management expected a further decline in 2023 if pandemic trends continued. Management also cited wage inflation, employee attrition, investigator-site staffing shortages and a slow recovery in patient visits, and said it was accelerating targeted productivity initiatives. The filing provides no numerical company earnings or revenue guidance.
  • Restructuring costs were $28 million, with remaining actions expected through 2023. The company completed several individually immaterial acquisitions; acquisition-related goodwill increased by approximately $1.026 billion. No goodwill impairment was recorded.
  • Key exposures include short-notice client contract termination, clinical trial delays or cancellations, contract cost-estimate risk, reliance on third-party data suppliers, privacy and cybersecurity regulation, competition, foreign exchange, inflation and variable-rate debt. The company had approximately $7.1 billion of variable-rate debt and used interest-rate swaps to hedge only part of its exposure.
  • Legal matters include ongoing appeals in South Korea and litigation with Veeva, whose counterclaims seek damages exceeding $200 million. IQVIA disputes the claims and says it intends to defend itself. The company also reported a settlement with MedImpact for an immaterial payment and stated that pending proceedings are not expected to have a material adverse effect; outcomes remain uncertain.

Most important facts for investors to verify

  • Whether constant-currency growth and remaining performance obligations convert into reported revenue and cash flow, particularly as COVID-related work declines.
  • Drivers of the $682 million operating-cash-flow decrease, including working-capital movements, and whether receivables and unbilled services collect on schedule.
  • Debt maturities, refinancing needs, floating-rate exposure, available revolver capacity and continued covenant compliance.
  • Progress and costs of 2023 productivity and restructuring actions, and whether labor and investigator-site constraints ease.
  • Developments in the Veeva and South Korean matters, as well as data-privacy, cybersecurity and third-party data-supply risks.

Financial statements were audited by PricewaterhouseCoopers LLP, which gave unqualified opinions on the consolidated financial statements and internal control over financial reporting.