IQVIA (IQV) 10-Q 23 Apr 21 2021 Q1 Quarterly report Financial data

Cover Page

Cover Page - shares	3 Months Ended
	Mar. 31, 2021	Apr. 16, 2021
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2021
Document Transition Report	false
Entity File Number	001-35907
Entity Registrant Name	IQVIA HOLDINGS INC.
Entity Incorporation, State	DE
Entity Tax Identification Number	27-1341991
Entity Address, Street	4820 Emperor Blvd.
Entity Address, City	Durham
Entity Address, State	NC
Entity Address, Postal Zip Code	27703
City Area Code	919
Local Phone Number	998-2000
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Title of Each Class	Common Stock, par value $0.01 per share
Trading Symbol	IQV
Name of Each Exchange on which Registered	NYSE
Entity Common Stock, Shares Outstanding		191,661,174
Current Fiscal Year End Date	--12-31
Entity Central Index Key	0001478242
Amendment Flag	false
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	Q1

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Millions, $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Income Statement [Abstract]
Revenues	$ 3,409	$ 2,754
Costs of revenue, exclusive of depreciation and amortization	2,293	1,824
Selling, general and administrative expenses	442	407
Depreciation and amortization	323	316
Restructuring costs	9	14
Income from operations	342	193
Interest income	(1)	(2)
Interest expense	99	106
Loss on extinguishment of debt	24	0
Other income, net	(37)	(13)
Income before income taxes and equity in earnings of unconsolidated affiliates	257	102
Income tax expense	44	17
Income before equity in earnings of unconsolidated affiliates	213	85
Equity in earnings of unconsolidated affiliates	4	6
Net income	217	91
Net income attributable to non-controlling interests	(5)	(9)
Net income attributable to IQVIA Holdings Inc.	$ 212	$ 82
Earnings per share attributable to common stockholders:
Basic (in dollars per share)	$ 1.11	$ 0.43
Diluted (in dollars per share)	$ 1.09	$ 0.42
Weighted average common shares outstanding:
Basic (in shares)	191.5	191.6
Diluted (in shares)	194.9	195.7

CONDENSED CONSOLIDATED STATEM_2

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Statement of Comprehensive Income [Abstract]
Net income	$ 217	$ 91
Comprehensive income (loss) adjustments:
Unrealized gains (losses) on derivative instruments, net of income tax expense (benefit) of $1, $(7)	6	(39)
Foreign currency translation, net of income tax expense of $62, $23	(178)	(155)
Reclassification adjustments:
Losses on derivative instruments included in net income, net of income tax benefit of $1, $—	1	16
Comprehensive income (loss)	46	(87)
Comprehensive income attributable to non-controlling interests	(5)	(5)
Comprehensive income (loss) attributable to IQVIA Holdings Inc.	$ 41	$ (92)

CONDENSED CONSOLIDATED STATEM_3

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Parenthetical) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Statement of Comprehensive Income [Abstract]
Unrealized (losses) gains on derivative instruments, income tax (benefit) expense	$ 1	$ (7)
Foreign currency translation, income tax expense (benefit)	62	23
Income tax benefit	$ 1	$ 0

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS - USD ($) $ in Millions	Mar. 31, 2021	Dec. 31, 2020
Current assets:
Cash and cash equivalents	$ 2,305	$ 1,814
Trade accounts receivable and unbilled services, net	2,361	2,410
Prepaid expenses	159	159
Income taxes receivable	64	56
Investments in debt, equity and other securities	97	88
Other current assets and receivables	593	563
Total current assets	5,579	5,090
Property and equipment, net	472	482
Operating lease right-of-use assets	437	471
Investments in debt, equity and other securities	74	78
Investments in unconsolidated affiliates	88	84
Goodwill	12,415	12,654
Other identifiable intangibles, net	4,915	5,205
Deferred income taxes	107	114
Deposits and other assets	380	386
Total assets	24,467	24,564
Current liabilities:
Accounts payable and accrued expenses	2,819	2,813
Unearned income	1,554	1,252
Income taxes payable	135	102
Current portion of long-term debt	144	149
Other current liabilities	216	242
Total current liabilities	4,868	4,558
Long-term debt	12,092	12,384
Deferred income taxes	337	338
Operating lease liabilities	347	371
Other liabilities	586	633
Total liabilities	18,230	18,284
Commitments and contingencies
Stockholders’ equity:
Common stock and additional paid-in capital, 400.0 shares authorized as of March 31, 2021 and December 31, 2020, $0.01 par value, 255.4 shares issued and 191.6 shares outstanding as of March 31, 2021; 254.7 shares issued and 191.2 shares outstanding as of December 31, 2020	11,068	11,095
Retained earnings	1,489	1,277
Treasury stock, at cost, 63.8 and 63.5 shares as of March 31, 2021 and December 31, 2020, respectively	(6,228)	(6,166)
Accumulated other comprehensive loss	(376)	(205)
Equity attributable to IQVIA Holdings Inc.’s stockholders	5,953	6,001
Non-controlling interests	284	279
Total stockholders’ equity	6,237	6,280
Total liabilities and stockholders’ equity	$ 24,467	$ 24,564

CONDENSED CONSOLIDATED BALANC_2

CONDENSED CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares	Mar. 31, 2021	Dec. 31, 2020
Statement of Financial Position [Abstract]
Common stock, shares authorized (in shares)	400,000,000	400,000,000
Common stock, par value, ( in usd per share)	$ 0.01	$ 0.01
Common stock, shares issued (in shares)	255,400,000	254,700,000
Common stock, shares outstanding (in shares)	191,600,000	191,200,000
Treasury stock, shares (in shares)	63,800,000	63,500,000

CONDENSED CONSOLIDATED STATEM_4

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Operating activities:
Net income	$ 217	$ 91
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	323	316
Amortization of debt issuance costs and discount	5	3
Stock-based compensation	32	0
(Earnings) from unconsolidated affiliates	(4)	(6)
Gain on investments, net	3	8
Benefit from deferred income taxes	(39)	(40)
Changes in operating assets and liabilities:
Change in accounts receivable, unbilled services and unearned income	342	(84)
Change in other operating assets and liabilities	(12)	(125)
Net cash provided by operating activities	867	163
Investing activities:
Acquisition of property, equipment and software	(149)	(141)
Acquisition of businesses, net of cash acquired	(19)	(14)
Purchases of marketable securities, net	(7)	(7)
Investments in unconsolidated affiliates, net of payments received	(1)	17
Investments in equity securities	(1)	(6)
Other	1	1
Net cash used in investing activities	(176)	(150)
Financing activities:
Proceeds from issuance of debt	1,751	800
Payment of debt issuance costs	(32)	(11)
Repayment of debt and principal payments on capital lease obligations	(1,758)	(25)
Proceeds from revolving credit facility	0	990
Repayment of revolving credit facility	0	(1,250)
(Payments) related to employee stock option plans	(56)	(41)
Repurchase of common stock	(62)	(345)
Distributions to non-controlling interests, net	0	(5)
Contingent consideration and deferred purchase price payments	(11)	(6)
Net cash (used in) provided by financing activities	(168)	107
Effect of foreign currency exchange rate changes on cash	(32)	(30)
Increase in cash and cash equivalents	491	90
Cash and cash equivalents at beginning of period	1,814	837
Cash and cash equivalents at end of period	$ 2,305	$ 927

CONDENSED CONSOLIDATED STATEM_5

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) shares in Millions, $ in Millions	Total	Common Stock	Treasury Stock	Additional Paid-In Capital	Retained Earnings	Accumulated Other Comprehensive (Loss) Income	Non- controlling Interests
Beginning balance (in shares) at Dec. 31, 2019		253	(60.7)
Beginning balance at Dec. 31, 2019	$ 6,263	$ 3	$ (5,733)	$ 11,046	$ 998	$ (311)	$ 260
Increase (Decrease) in Stockholders' Equity
Issuance of common stock (in shares)		0.8
Issuance of common stock	(44)			(44)
Repurchase of common stock (in shares)			(2.1)
Repurchase of common stock	(332)		$ (332)
Stock-based compensation	7			7
Distributions to non-controlling interests, net	(5)						(5)
Net income	91				82		9
Unrealized gains on derivative instruments, net of tax	(39)					(39)
Foreign currency translation, net of tax	(155)					(151)	(4)
Reclassification adjustments, net of tax	16					16
Ending balance (in shares) at Mar. 31, 2020		253.8	(62.8)
Ending balance at Mar. 31, 2020	$ 5,802	$ 3	$ (6,065)	11,009	1,080	(485)	260
Beginning balance (in shares) at Dec. 31, 2020	191.2	254.7	(63.5)
Beginning balance at Dec. 31, 2020	$ 6,280	$ 3	$ (6,166)	11,092	1,277	(205)	279
Increase (Decrease) in Stockholders' Equity
Issuance of common stock (in shares)		0.7
Issuance of common stock	(57)			(57)
Repurchase of common stock (in shares)			(0.3)
Repurchase of common stock	(62)		$ (62)
Stock-based compensation	30			30
Distributions to non-controlling interests, net	0
Net income	217				212		5
Unrealized gains on derivative instruments, net of tax	6					6
Foreign currency translation, net of tax	(178)					(178)	0
Reclassification adjustments, net of tax	$ 1					1
Ending balance (in shares) at Mar. 31, 2021	191.6	255.4	(63.8)
Ending balance at Mar. 31, 2021	$ 6,237	$ 3	$ (6,228)	$ 11,065	$ 1,489	$ (376)	$ 284

Summary of Significant Accounti

Summary of Significant Accounting Policies	3 Months Ended
	Mar. 31, 2021
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies The Company IQVIA Holdings Inc. (together with its subsidiaries, the “Company” or “IQVIA”) is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. With approximately 72,000 employees, IQVIA conducts business in more than 100 countries. Unaudited Interim Financial Information The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair statement of the Company’s financial condition and results of operations have been included. Operating results for the periods presented are not necessarily indicative of the results that may be expected for the year ending December 31, 2021. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020. The balance sheet as of December 31, 2020 has been derived from the audited consolidated financial statements of the Company but does not include all the disclosures required by GAAP. Recently Issued Accounting Standards Accounting pronouncements adopted In March 2020, the Financial Accounting Standards Board ("FASB") issued new accounting guidance that provides optional expedients and exceptions for applying GAAP to contract modifications and hedging relationships, subject to meeting certain criteria, that reference LIBOR or another rate that is expected to be discontinued. The new accounting guidance became effective for the Company as of March 12, 2020 through December 31, 2022. The Company adopted this new accounting guidance on January 1, 2021. The adoption of this new accounting guidance did not have a material effect on the Company’s consolidated financial statements. In January 2020, the FASB issued new accounting guidance that states any equity security transitioning from the alternative method of accounting to the equity method, or vice versa, due to an observable transaction, will be remeasured immediately before the transition. In addition, the new accounting guidance clarifies the accounting for certain non-derivative forward contracts or purchased call options to acquire equity securities stating such instruments will be measured using the fair value principles before settlement or exercise. The Company adopted this new accounting guidance on January 1, 2021. The adoption of this new accounting guidance did not have a material effect on the Company’s consolidated financial statements. In December 2019, the FASB issued new accounting guidance to clarify and simplify the accounting for income taxes. Changes under the new guidance includes eliminating certain exceptions related to the approach for intraperiod tax allocation, the methodology for calculating income taxes in an interim period and the recognition of deferred tax liabilities for outside basis differences. The Company adopted this new accounting guidance on January 1, 2021. The adoption of this new accounting guidance did not have a material effect on the Company’s consolidated financial statements.

Revenues by Geography, Concentr

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations	3 Months Ended
	Mar. 31, 2021
Revenue from Contract with Customer [Abstract]
Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations	Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations The following tables represent revenues by geographic region and reportable segment for the three months ended March 31, 2021 and 2020: Three Months Ended March 31, 2021 (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Total Revenues: Americas $ 600 $ 1,034 $ 78 $ 1,712 Europe and Africa 590 443 49 1,082 Asia-Pacific 158 391 66 615 Total revenues $ 1,348 $ 1,868 $ 193 $ 3,409 Three Months Ended March 31, 2020 (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Total Revenues: Americas $ 581 $ 670 $ 91 $ 1,342 Europe and Africa 396 428 50 874 Asia-Pacific 140 343 55 538 Total revenues $ 1,117 $ 1,441 $ 196 $ 2,754 No customer accounted for 10% or more of consolidated revenues for the three months ended March 31, 2021 or 2020. Transaction Price Allocated to the Remaining Performance Obligations As of March 31, 2021, approximately $26.1 billion of revenue is expected to be recognized in the future from remaining performance obligations. The Company expects to recognize revenue on approximately 35% of these remaining performance obligations over the next 12 months, with the balance recognized thereafter. The customer contract transaction price allocated to the remaining performance obligations differs from backlog in that it does not include wholly unperformed contracts under which the customer has a unilateral right to cancel the arrangement.

Trade Accounts Receivable, Unbi

Trade Accounts Receivable, Unbilled Services and Unearned Income	3 Months Ended
	Mar. 31, 2021
Receivables [Abstract]
Trade Accounts Receivable, Unbilled Services and Unearned Income	Trade Accounts Receivable, Unbilled Services and Unearned Income Trade accounts receivables and unbilled services consist of the following: (in millions) March 31, 2021 December 31, 2020 Trade accounts receivable: Billed $ 1,159 $ 1,181 Unbilled services 1,233 1,263 Trade accounts receivable and unbilled services 2,392 2,444 Allowance for doubtful accounts (31) (34) Trade accounts receivable and unbilled services, net $ 2,361 $ 2,410 Unbilled services and unearned income were as follows: (in millions) March 31, 2021 December 31, 2020 Change Unbilled services $ 1,233 $ 1,263 $ (30) Unearned income (1,554) (1,252) (302) Net balance $ (321) $ 11 $ (332) Unbilled services, which is comprised of approximately 60% of unbilled receivables and 40% of contract assets as of March 31, 2021, decreased by $30 million as compared to December 31, 2020. Contract assets are unbilled services for which invoicing is based on the timing of certain milestones related to service contracts for clinical research whereas unbilled receivables are billable upon the passage of time. Unearned income increased by $302 million over the same period resulting in a decrease of $332 million in the net balance of unbilled services and unearned income between December 31, 2020 and March 31, 2021. The change in the net balance is driven by the difference in timing of revenue recognition in accordance with Accounting Standards Codification ("ASC") 606, Revenue from Contracts with Customers, related to the Company’s Research & Development Solutions contracts (which is based on the percentage of costs incurred) versus the timing of invoicing, which is based on certain milestones.

Goodwill

Goodwill	3 Months Ended
	Mar. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill	Goodwill The following is a summary of goodwill by reportable segment for the three months ended March 31, 2021: (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Consolidated Balance as of December 31, 2020 $ 10,864 $ 1,646 $ 144 $ 12,654 Business combinations 15 — — 15 Impact of foreign currency fluctuations and other (264) (4) 14 (254) Balance as of March 31, 2021 $ 10,615 $ 1,642 $ 158 $ 12,415

Derivatives

Derivatives	3 Months Ended
	Mar. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivatives	Derivatives The fair values of the Company’s derivative instruments and the line items on the accompanying condensed consolidated balance sheets to which they were recorded are summarized in the following table: (in millions) Balance Sheet Classification March 31, 2021 December 31, 2020 Assets Liabilities Notional Assets Liabilities Notional Derivatives designated as hedging instruments: Foreign exchange forward contracts Other current assets and liabilities $ 3 $ — $ 64 $ 5 $ — $ 70 Interest rate swaps Other assets and liabilities — 44 1,800 — 55 1,800 Derivatives not designated as hedging instruments: Interest rate swaps Other liabilities — — — — 1 356 Total derivatives $ 3 $ 44 $ 5 $ 56 The effect of the Company’s cash flow hedging instruments on other comprehensive income is summarized in the following table: Three Months Ended March 31, (in millions) 2021 2020 Foreign exchange forward contracts $ (2) $ (6) Interest rate derivatives 11 (23) Total $ 9 $ (29) The amount of foreign exchange losses related to the net investment hedge included in the cumulative translation adjustment component of accumulated other comprehensive loss (“AOCI”) for the three months ended March 31, 2021 was $285 million.

Fair Value Measurements

Fair Value Measurements	3 Months Ended
	Mar. 31, 2021
Fair Value Disclosures [Abstract]
Fair Value Measurements	Fair Value Measurements The Company records certain assets and liabilities at fair value. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants at the measurement date. A three-level fair value hierarchy that prioritizes the inputs used to measure fair value is described below. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair value are as follows: • Level 1 — Quoted prices in active markets for identical assets or liabilities. • Level 2 — Observable inputs other than quoted prices included in Level 1, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data. • Level 3 — Unobservable inputs that are supported by little or no market activity. This includes certain pricing models, discounted cash flow methodologies and similar techniques that use significant unobservable inputs. The carrying values of cash, cash equivalents, accounts receivable and accounts payable approximated their fair values as of March 31, 2021 and December 31, 2020 due to their short-term nature. As of March 31, 2021 and December 31, 2020, the fair value of total debt approximated $12,392 million and $12,746 million, respectively, as determined under Level 1 and Level 2 measurements for these financial instruments. Recurring Fair Value Measurements The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of March 31, 2021: (in millions) Level 1 Level 2 Level 3 Total Assets: Marketable securities $ 126 $ — $ — $ 126 Derivatives — 3 — 3 Total $ 126 $ 3 $ — $ 129 Liabilities: Derivatives $ — $ 44 $ — $ 44 Contingent consideration — — 109 109 Total $ — $ 44 $ 109 $ 153 Below is a summary of the valuation techniques used in determining fair value: Marketable securities — The Company values trading and available-for-sale securities using the quoted market value of the securities held. Derivatives — Derivatives consist of foreign exchange contracts and interest rate swaps. The fair value of foreign exchange contracts is based on observable market inputs of spot and forward rates or using other observable inputs. The fair value of the interest rate swaps is the estimated amount that the Company would receive or pay to terminate such agreements, taking into account market interest rates and the remaining time to maturities or using market inputs with mid-market pricing as a practical expedient for bid-ask spread. Contingent consideration — The Company values contingent consideration related to business combinations using a weighted probability calculation of potential payment scenarios discounted at rates reflective of the risks associated with the expected future cash flows. Assumptions used to estimate the fair value of contingent consideration include various financial metrics (revenue performance targets and operating forecasts) and the probability of achieving the specific targets. Based on the assessments of the probability of achieving specific targets, the Company has accrued approximately 84% of the maximum contingent consideration payments that could potentially become payable. The following table summarizes the changes in Level 3 financial assets and liabilities measured on a recurring basis for the three months ended March 31: Contingent Consideration (in millions) 2021 2020 Balance as of January 1 $ 119 $ 113 Business combinations 5 8 Contingent consideration paid (9) (10) Revaluations included in earnings and foreign currency translation adjustments (6) (13) Balance as of March 31 $ 109 $ 98 The current portion of contingent consideration is included within accrued expenses and the long-term portion is included within other liabilities on the accompanying condensed consolidated balance sheets. Revaluations of the contingent consideration are recognized in other expense (income), net on the accompanying condensed consolidated statements of income. A change in significant unobservable inputs above could result in a higher or lower fair value measurement of contingent consideration.

Credit Arrangements

Credit Arrangements	3 Months Ended
	Mar. 31, 2021
Debt Disclosure [Abstract]
Credit Arrangements	Credit Arrangements The following is a summary of the Company’s revolving credit facilities as of March 31, 2021: Facility Interest Rates $1,500 million (revolving credit facility) LIBOR in the relevant currency borrowed plus a margin of 1.50% as of March 31, 2021 $25 million (receivables financing facility) LIBOR Market Index Rate (0.11% as of March 31, 2021) plus 0.90% £10 million (approximately $14 million) (general banking facility) Bank’s base rate of 0.10% as of March 31, 2021 plus 1% The following table summarizes the Company’s debt at the dates indicated: (in millions) March 31, 2021 December 31, 2020 Senior Secured Credit Facilities: Term A Loan due 2023—U.S. Dollar LIBOR at average floating rates of 1.70% $ 718 $ 728 Term A Loan due 2023—U.S. Dollar LIBOR at average floating rates of 2.75% 755 766 Term A Loan due 2023—Euro LIBOR at average floating rates of 1.50% 377 400 Term B Loan due 2024—U.S. Dollar LIBOR at average floating rates of 1.86% 535 535 Term B Loan due 2024—Euro LIBOR at average floating rates of 2.00% 1,347 1,413 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.86% 724 726 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.95% 924 926 Term B Loan due 2025—Euro LIBOR at average floating rates of 2.00% 665 697 5.0% Senior Notes due 2027—U.S. Dollar denominated 1,100 1,100 5.0% Senior Notes due 2026—U.S. Dollar denominated 1,050 1,050 2.875% Senior Notes due 2025—Euro denominated 493 515 3.25% Senior Notes due 2025—Euro denominated — 1,748 2.25% Senior Notes due 2028—Euro denominated 844 883 2.875% Senior Notes due 2028—Euro denominated 834 872 1.750% Senior Notes due 2026—Euro denominated 645 — 2.250% Senior Notes due 2029—Euro denominated 1,056 — Receivables financing facility due 2022—U.S. Dollar LIBOR at average floating rates of 1.01% 240 240 Principal amount of debt 12,307 12,600 Less: unamortized discount and debt issuance costs (71) (67) Less: current portion (144) (149) Long-term debt $ 12,092 $ 12,384 Contractual maturities of long-term debt are as follows as of March 31, 2021: (in millions) Remainder of 2021 $ 107 2022 388 2023 1,700 2024 1,868 2025 3,560 Thereafter 4,684 $ 12,307 As of March 31, 2021, there were bank guarantees totaling approximately £0.8 million (approximately $1.1 million) issued against the availability of the general banking facility. Senior Secured Credit Facilities As of March 31, 2021, the Company’s Fourth Amended and Restated Credit Agreement, as amended (the “Credit Agreement”) provided financing through several senior secured credit facilities (collectively, the “senior secured credit facilities”) of up to approximately $7.5 billion, which consisted of $6.0 billion principal amounts of debt outstanding (as detailed in the table above), and $1.5 billion of available borrowing capacity on the revolving credit facility and standby letters of credit. Senior Notes On March 3, 2021, IQVIA Inc. (the “Issuer”), a wholly owned subsidiary of the Company, completed the issuance and sale of €1,450,000,000 in gross proceeds of the Issuer's (i) €550,000,000 aggregate principal amount of its 1.750% Senior Notes due 2026 (the “2026 Notes”) and (ii) €900,000,000 aggregate principal amount of its 2.250% Senior Notes due 2029 (the “2029 Notes” and, together with the 2026 Notes, the “Notes”). The Notes were issued pursuant to an Indenture, dated March 3, 2021, among the Issuer, U.S. Bank National Association, as trustee of the Notes, and certain subsidiaries of the Issuer as guarantors. The 2026 Notes are unsecured obligations of the Issuer, will mature on March 15, 2026 and bear interest at the rate of 1.750% per year, with interest payable semi-annually on March 15 and September 15 of each year, beginning on September 15, 2021. The 2029 Notes are unsecured obligations of the Issuer, will mature on March 15, 2029 and bear interest at the rate of 2.250% per year, with interest payable semi-annually on March 15 and September 15 of each year, beginning on September 15, 2021. The Issuer may redeem (i) the 2026 Notes prior to their final stated maturity, subject to a customary make-whole premium, at any time prior to March 15, 2023 (subject to a customary “equity claw” redemption right) and thereafter subject to a redemption premium declining from 0.875% to 0.000% and (ii) the 2029 Notes prior to their final stated maturity, subject to a customary make-whole premium, at any time prior to March 15, 2024 (subject to a customary “equity claw” redemption right) and thereafter subject to a redemption premium declining from 1.125% to 0.000%. The Issuer may choose to redeem the 2026 Notes and the 2029 Notes, either together or separately, on a non-ratable basis. The proceeds from the Notes offering were used to redeem all of the Issuer’s outstanding 3.250% senior notes due 2025 (the “3.250% Notes”), including the payment of premiums in respect thereof and to pay fees and expenses related to the Notes offering. On February 16, 2021, the Issuer issued a conditional notice of redemption with respect to the 3.250% Notes, for a total redemption price equal to the sum of the principal amount of the 3.250% Notes, accrued and unpaid interest on the 3.250% Notes to the redemption date and the applicable redemption premium. The Issuer’s obligations with respect to the 3.250% Notes were discharged on the same day as the Issuer completed the issuance of the Notes. Restrictive Covenants

Stockholders' Equity

Stockholders' Equity	3 Months Ended
	Mar. 31, 2021
Equity [Abstract]
Stockholders' Equity	Stockholders’ Equity Preferred Stock The Company is authorized to issue 1.0 million shares of preferred stock, $0.01 per share par value. No shares of preferred stock were issued or outstanding as of March 31, 2021 or December 31, 2020. Equity Repurchase Program During the three months ended March 31, 2021, the Company repurchased 265,809 shares of its common stock for $50.5 million under the Repurchase Program. As of March 31, 2021, the Company has remaining authorization to repurchase up to approximately $0.9 billion of its common stock under the Repurchase Program. In addition, from time to time, the Company has repurchased and may continue to repurchase common stock through private or other transactions outside of the Repurchase Program.

Restructuring

Restructuring	3 Months Ended
	Mar. 31, 2021
Restructuring and Related Activities [Abstract]
Restructuring	RestructuringThe Company has continued to take restructuring actions in 2021 to align its resources and reduce overcapacity to adapt to changing market conditions and integrate acquisitions. These actions include consolidating functional activities, eliminating redundant positions, and aligning resources with customer requirements. These restructuring actions are expected to continue into 2022. The following amounts were recorded for the restructuring plans: (in millions) Severance and Related Costs Facility Exit Costs Total Balance as of December 31, 2020 $ 51 $ 2 $ 53 Expense, net of reversals 9 — 9 Payments (14) — (14) Foreign currency translation and other (2) — (2) Balance as of March 31, 2021 $ 44 $ 2 $ 46 Restructuring costs are not allocated to the Company’s reportable segments as they are not part of the segment performance measures regularly reviewed by management. The Company expects that the majority of the restructuring accruals as of March 31, 2021 will be paid in 2021 and 2022.

Income Taxes

Income Taxes	3 Months Ended
	Mar. 31, 2021
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The effective income tax rate was 17.1% and 16.7% in the first quarter of 2021 and 2020, respectively. The effective income tax rate in the first quarter of 2021 and 2020 was favorably impacted by $17 million and $21 million, respectively, as a result of excess tax benefits recognized upon settlement of share-based compensation awards. Also, the effective income tax rate in the first quarter of 2020 was unfavorably impacted by a $10 million discrete tax expense related to change in the measurement of U.S. tax on undistributed foreign earnings.

Comprehensive Income (Loss)

Comprehensive Income (Loss)	3 Months Ended
	Mar. 31, 2021
Equity [Abstract]
Comprehensive Income (Loss)	Comprehensive Income (Loss) Below is a summary of the components of AOCI: (in millions) Foreign Currency Translation Derivative Instruments Defined Benefit Plans Income Taxes Total Balance as of December 31, 2020 $ (395) $ (48) $ (85) $ 323 $ (205) Other comprehensive income (loss) before reclassifications (116) 7 — (63) (172) Reclassification adjustments — 2 — (1) 1 Balance as of March 31, 2021 $ (511) $ (39) $ (85) $ 259 $ (376) Below is a summary of the adjustments for (gains) losses reclassified from AOCI into the condensed consolidated statements of income and the affected financial statement line item: (in millions) Affected Financial Statement Line Item Three Months Ended March 31, 2021 2020 Derivative instruments: Interest rate swaps and caps Interest expense $ 4 $ — Foreign exchange forward contracts Revenues (2) 2 Foreign exchange forward contracts Other income, net — 14 Total before income taxes 2 16 Income tax benefit 1 — Total net of income taxes $ 1 $ 16

Segments

Segments	3 Months Ended
	Mar. 31, 2021
Segment Reporting [Abstract]
Segments	SegmentsThe following table presents the Company’s operations by reportable segment. The Company is managed through three reportable segments, Technology & Analytics Solutions, Research & Development Solutions and Contract Sales & Medical Solutions. Technology & Analytics Solutions provides mission-critical information, technology solutions and real-world insights and services to the Company’s life sciences customers. Research & Development Solutions, which primarily serves biopharmaceutical customers, provides outsourced clinical research and clinical trial related services. Contract Sales & Medical Solutions provides health care provider (including contract sales) and patient engagement services to both biopharmaceutical customers and the broader healthcare market. Certain costs are not allocated to the Company’s segments and are reported as general corporate and unallocated expenses. These costs primarily consist of stock-based compensation and expenses related to integration activities and acquisitions. The Company also does not allocate depreciation and amortization or impairment charges to its segments. Asset information by segment is not presented, as this measure is not used by the chief operating decision maker to assess the Company’s performance. The Company’s reportable segment information is presented below: Three Months Ended March 31, (in millions) 2021 2020 Revenues Technology & Analytics Solutions $ 1,348 $ 1,117 Research & Development Solutions 1,868 1,441 Contract Sales & Medical Solutions 193 196 Total revenues 3,409 2,754 Costs of revenue, exclusive of depreciation and amortization Technology & Analytics Solutions 812 666 Research & Development Solutions 1,321 988 Contract Sales & Medical Solutions 160 170 Total costs of revenue 2,293 1,824 Selling, general and administrative expenses Technology & Analytics Solutions 187 183 Research & Development Solutions 185 185 Contract Sales & Medical Solutions 13 15 General corporate and unallocated 57 24 Total selling, general and administrative expenses 442 407 Segment profit Technology & Analytics Solutions 349 268 Research & Development Solutions 362 268 Contract Sales & Medical Solutions 20 11 Total segment profit 731 547 General corporate and unallocated (57) (24) Depreciation and amortization (323) (316) Restructuring costs (9) (14) Total income from operations $ 342 $ 193

Earnings Per Share

Earnings Per Share	3 Months Ended
	Mar. 31, 2021
Earnings Per Share [Abstract]
Earnings Per Share	Earnings Per Share The following table presents the weighted average number of outstanding stock-based awards not included in the computation of diluted earnings per share because they are subject to performance conditions or the effect of including such stock-based awards in the computation would be anti-dilutive: Three Months Ended March 31, (in millions) 2021 2020 Shares subject to performance conditions 0.7 1.4 Shares subject to anti-dilutive stock-based awards 0.3 1.0 Total shares excluded from diluted earnings per share 1.0 2.4

Subsequent Events

Subsequent Events	3 Months Ended
	Mar. 31, 2021
Subsequent Events [Abstract]
Subsequent Events	Subsequent Events On April 1, 2021 the Company acquired the 40% non-controlling interest in Q 2 Solutions from Quest Diagnostics Incorporated for $760 million, financed with cash on hand. The transaction will result in the Company having 100% ownership in Q 2 Solutions. The Company previously held a controlling interest in, and consolidated the financial results of the joint venture. The transaction will be recorded in the second quarter of 2021.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	3 Months Ended
	Mar. 31, 2021
Accounting Policies [Abstract]
Unaudited Interim Financial Information	Unaudited Interim Financial Information The accompanying unaudited condensed consolidated financial statements of the Company have been prepared in accordance with generally accepted accounting principles in the United States of America (“GAAP”) for interim financial information. Accordingly, they do not include all of the information and notes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring adjustments) considered necessary for a fair statement of the Company’s financial condition and results of operations have been included. Operating results for the periods presented are not necessarily indicative of the results that may be expected for the year ending December 31, 2021. As such, the information included in this Quarterly Report on Form 10-Q should be read in conjunction with the Company’s audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2020. The balance sheet as of December 31, 2020 has been derived from the audited consolidated financial statements of the Company but does not include all the disclosures required by GAAP.
Recently Issued Accounting Standards	Recently Issued Accounting Standards Accounting pronouncements adopted In March 2020, the Financial Accounting Standards Board ("FASB") issued new accounting guidance that provides optional expedients and exceptions for applying GAAP to contract modifications and hedging relationships, subject to meeting certain criteria, that reference LIBOR or another rate that is expected to be discontinued. The new accounting guidance became effective for the Company as of March 12, 2020 through December 31, 2022. The Company adopted this new accounting guidance on January 1, 2021. The adoption of this new accounting guidance did not have a material effect on the Company’s consolidated financial statements. In January 2020, the FASB issued new accounting guidance that states any equity security transitioning from the alternative method of accounting to the equity method, or vice versa, due to an observable transaction, will be remeasured immediately before the transition. In addition, the new accounting guidance clarifies the accounting for certain non-derivative forward contracts or purchased call options to acquire equity securities stating such instruments will be measured using the fair value principles before settlement or exercise. The Company adopted this new accounting guidance on January 1, 2021. The adoption of this new accounting guidance did not have a material effect on the Company’s consolidated financial statements. In December 2019, the FASB issued new accounting guidance to clarify and simplify the accounting for income taxes. Changes under the new guidance includes eliminating certain exceptions related to the approach for intraperiod tax allocation, the methodology for calculating income taxes in an interim period and the recognition of deferred tax liabilities for outside basis differences. The Company adopted this new accounting guidance on January 1, 2021. The adoption of this new accounting guidance did not have a material effect on the Company’s consolidated financial statements.

Revenues by Geography, Concen_2

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations (Tables)	3 Months Ended
	Mar. 31, 2021
Revenue from Contract with Customer [Abstract]
Summary of Revenues by Geographic Region and Reportable Segment	The following tables represent revenues by geographic region and reportable segment for the three months ended March 31, 2021 and 2020: Three Months Ended March 31, 2021 (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Total Revenues: Americas $ 600 $ 1,034 $ 78 $ 1,712 Europe and Africa 590 443 49 1,082 Asia-Pacific 158 391 66 615 Total revenues $ 1,348 $ 1,868 $ 193 $ 3,409 Three Months Ended March 31, 2020 (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Total Revenues: Americas $ 581 $ 670 $ 91 $ 1,342 Europe and Africa 396 428 50 874 Asia-Pacific 140 343 55 538 Total revenues $ 1,117 $ 1,441 $ 196 $ 2,754

Trade Accounts Receivable, Un_2

Trade Accounts Receivable, Unbilled Services and Unearned Income (Tables)	3 Months Ended
	Mar. 31, 2021
Receivables [Abstract]
Schedule of Trade Accounts Receivable and Unbilled Services	Trade accounts receivables and unbilled services consist of the following: (in millions) March 31, 2021 December 31, 2020 Trade accounts receivable: Billed $ 1,159 $ 1,181 Unbilled services 1,233 1,263 Trade accounts receivable and unbilled services 2,392 2,444 Allowance for doubtful accounts (31) (34) Trade accounts receivable and unbilled services, net $ 2,361 $ 2,410
Schedule of Net Contract Assets (Liabilities)	Unbilled services and unearned income were as follows: (in millions) March 31, 2021 December 31, 2020 Change Unbilled services $ 1,233 $ 1,263 $ (30) Unearned income (1,554) (1,252) (302) Net balance $ (321) $ 11 $ (332)

Goodwill (Tables)

Goodwill (Tables)	3 Months Ended
	Mar. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]
Summary of Goodwill by Reportable Segment	The following is a summary of goodwill by reportable segment for the three months ended March 31, 2021: (in millions) Technology & Analytics Solutions Research & Development Solutions Contract Sales & Medical Solutions Consolidated Balance as of December 31, 2020 $ 10,864 $ 1,646 $ 144 $ 12,654 Business combinations 15 — — 15 Impact of foreign currency fluctuations and other (264) (4) 14 (254) Balance as of March 31, 2021 $ 10,615 $ 1,642 $ 158 $ 12,415

Derivatives (Tables)

Derivatives (Tables)	3 Months Ended
	Mar. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Summary of Fair Values of Derivative Instruments Designated as Hedges	The fair values of the Company’s derivative instruments and the line items on the accompanying condensed consolidated balance sheets to which they were recorded are summarized in the following table: (in millions) Balance Sheet Classification March 31, 2021 December 31, 2020 Assets Liabilities Notional Assets Liabilities Notional Derivatives designated as hedging instruments: Foreign exchange forward contracts Other current assets and liabilities $ 3 $ — $ 64 $ 5 $ — $ 70 Interest rate swaps Other assets and liabilities — 44 1,800 — 55 1,800 Derivatives not designated as hedging instruments: Interest rate swaps Other liabilities — — — — 1 356 Total derivatives $ 3 $ 44 $ 5 $ 56
Schedule of Effect of Cash Flow Hedging Instruments on Other Comprehensive (Loss) Income	The effect of the Company’s cash flow hedging instruments on other comprehensive income is summarized in the following table: Three Months Ended March 31, (in millions) 2021 2020 Foreign exchange forward contracts $ (2) $ (6) Interest rate derivatives 11 (23) Total $ 9 $ (29)

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	3 Months Ended
	Mar. 31, 2021
Fair Value Disclosures [Abstract]
Summary of Fair Value of Financial Assets and Liabilities Measured on Recurring Basis	The following table summarizes the fair value of the Company’s financial assets and liabilities that are measured and reported at fair value on a recurring basis as of March 31, 2021: (in millions) Level 1 Level 2 Level 3 Total Assets: Marketable securities $ 126 $ — $ — $ 126 Derivatives — 3 — 3 Total $ 126 $ 3 $ — $ 129 Liabilities: Derivatives $ — $ 44 $ — $ 44 Contingent consideration — — 109 109 Total $ — $ 44 $ 109 $ 153
Schedule of Changes in Level 3 Financial Assets and Liabilities Measured on Recurring Basis	The following table summarizes the changes in Level 3 financial assets and liabilities measured on a recurring basis for the three months ended March 31: Contingent Consideration (in millions) 2021 2020 Balance as of January 1 $ 119 $ 113 Business combinations 5 8 Contingent consideration paid (9) (10) Revaluations included in earnings and foreign currency translation adjustments (6) (13) Balance as of March 31 $ 109 $ 98

Credit Arrangements (Tables)

Credit Arrangements (Tables)	3 Months Ended
	Mar. 31, 2021
Debt Disclosure [Abstract]
Summary of Credit Facilities	The following is a summary of the Company’s revolving credit facilities as of March 31, 2021: Facility Interest Rates $1,500 million (revolving credit facility) LIBOR in the relevant currency borrowed plus a margin of 1.50% as of March 31, 2021 $25 million (receivables financing facility) LIBOR Market Index Rate (0.11% as of March 31, 2021) plus 0.90% £10 million (approximately $14 million) (general banking facility) Bank’s base rate of 0.10% as of March 31, 2021 plus 1%
Summary of Debt	The following table summarizes the Company’s debt at the dates indicated: (in millions) March 31, 2021 December 31, 2020 Senior Secured Credit Facilities: Term A Loan due 2023—U.S. Dollar LIBOR at average floating rates of 1.70% $ 718 $ 728 Term A Loan due 2023—U.S. Dollar LIBOR at average floating rates of 2.75% 755 766 Term A Loan due 2023—Euro LIBOR at average floating rates of 1.50% 377 400 Term B Loan due 2024—U.S. Dollar LIBOR at average floating rates of 1.86% 535 535 Term B Loan due 2024—Euro LIBOR at average floating rates of 2.00% 1,347 1,413 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.86% 724 726 Term B Loan due 2025—U.S. Dollar LIBOR at average floating rates of 1.95% 924 926 Term B Loan due 2025—Euro LIBOR at average floating rates of 2.00% 665 697 5.0% Senior Notes due 2027—U.S. Dollar denominated 1,100 1,100 5.0% Senior Notes due 2026—U.S. Dollar denominated 1,050 1,050 2.875% Senior Notes due 2025—Euro denominated 493 515 3.25% Senior Notes due 2025—Euro denominated — 1,748 2.25% Senior Notes due 2028—Euro denominated 844 883 2.875% Senior Notes due 2028—Euro denominated 834 872 1.750% Senior Notes due 2026—Euro denominated 645 — 2.250% Senior Notes due 2029—Euro denominated 1,056 — Receivables financing facility due 2022—U.S. Dollar LIBOR at average floating rates of 1.01% 240 240 Principal amount of debt 12,307 12,600 Less: unamortized discount and debt issuance costs (71) (67) Less: current portion (144) (149) Long-term debt $ 12,092 $ 12,384
Schedule of Contractual Maturities of Long-term Debt	Contractual maturities of long-term debt are as follows as of March 31, 2021: (in millions) Remainder of 2021 $ 107 2022 388 2023 1,700 2024 1,868 2025 3,560 Thereafter 4,684 $ 12,307

Restructuring (Tables)

Restructuring (Tables)	3 Months Ended
	Mar. 31, 2021
Restructuring and Related Activities [Abstract]
Summary of Amounts Recorded for Restructuring Plans	The following amounts were recorded for the restructuring plans: (in millions) Severance and Related Costs Facility Exit Costs Total Balance as of December 31, 2020 $ 51 $ 2 $ 53 Expense, net of reversals 9 — 9 Payments (14) — (14) Foreign currency translation and other (2) — (2) Balance as of March 31, 2021 $ 44 $ 2 $ 46

Comprehensive Income (Loss) (Ta

Comprehensive Income (Loss) (Tables)	3 Months Ended
	Mar. 31, 2021
Equity [Abstract]
Summary of Components of AOCI	Below is a summary of the components of AOCI: (in millions) Foreign Currency Translation Derivative Instruments Defined Benefit Plans Income Taxes Total Balance as of December 31, 2020 $ (395) $ (48) $ (85) $ 323 $ (205) Other comprehensive income (loss) before reclassifications (116) 7 — (63) (172) Reclassification adjustments — 2 — (1) 1 Balance as of March 31, 2021 $ (511) $ (39) $ (85) $ 259 $ (376)
Summary of Adjustments for (Gains) Losses Reclassified from AOCI into Condensed Consolidated Statements of Income and Affected Financial Statement Line Item	Below is a summary of the adjustments for (gains) losses reclassified from AOCI into the condensed consolidated statements of income and the affected financial statement line item: (in millions) Affected Financial Statement Line Item Three Months Ended March 31, 2021 2020 Derivative instruments: Interest rate swaps and caps Interest expense $ 4 $ — Foreign exchange forward contracts Revenues (2) 2 Foreign exchange forward contracts Other income, net — 14 Total before income taxes 2 16 Income tax benefit 1 — Total net of income taxes $ 1 $ 16

Segments (Tables)

Segments (Tables)	3 Months Ended
	Mar. 31, 2021
Segment Reporting [Abstract]
Reconciliation of Revenues and Income from Segments to Consolidated	Asset information by segment is not presented, as this measure is not used by the chief operating decision maker to assess the Company’s performance. The Company’s reportable segment information is presented below: Three Months Ended March 31, (in millions) 2021 2020 Revenues Technology & Analytics Solutions $ 1,348 $ 1,117 Research & Development Solutions 1,868 1,441 Contract Sales & Medical Solutions 193 196 Total revenues 3,409 2,754 Costs of revenue, exclusive of depreciation and amortization Technology & Analytics Solutions 812 666 Research & Development Solutions 1,321 988 Contract Sales & Medical Solutions 160 170 Total costs of revenue 2,293 1,824 Selling, general and administrative expenses Technology & Analytics Solutions 187 183 Research & Development Solutions 185 185 Contract Sales & Medical Solutions 13 15 General corporate and unallocated 57 24 Total selling, general and administrative expenses 442 407 Segment profit Technology & Analytics Solutions 349 268 Research & Development Solutions 362 268 Contract Sales & Medical Solutions 20 11 Total segment profit 731 547 General corporate and unallocated (57) (24) Depreciation and amortization (323) (316) Restructuring costs (9) (14) Total income from operations $ 342 $ 193

Earnings Per Share (Tables)

Earnings Per Share (Tables)	3 Months Ended
	Mar. 31, 2021
Earnings Per Share [Abstract]
Summary of Weighted-Average Outstanding Stock-Based Awards Excluded from Computation of Diluted Earnings Per Share	The following table presents the weighted average number of outstanding stock-based awards not included in the computation of diluted earnings per share because they are subject to performance conditions or the effect of including such stock-based awards in the computation would be anti-dilutive: Three Months Ended March 31, (in millions) 2021 2020 Shares subject to performance conditions 0.7 1.4 Shares subject to anti-dilutive stock-based awards 0.3 1.0 Total shares excluded from diluted earnings per share 1.0 2.4

Summary of Significant Accoun_3

Summary of Significant Accounting Policies - Additional Information (Detail) Employee in Thousands	Mar. 31, 2021EmployeeCountry
Summary Of Significant Accounting Policies [Line Items]
Number of employees | Employee	72
Minimum
Summary Of Significant Accounting Policies [Line Items]
Number of countries (more than) | Country	100

Revenues by Geography, Concen_3

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Summary of Revenues by Geographic Region and Reportable Segment (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Disaggregation of Revenue
Total revenues	$ 3,409	$ 2,754
Americas
Disaggregation of Revenue
Total revenues	1,712	1,342
Europe and Africa
Disaggregation of Revenue
Total revenues	1,082	874
Asia-Pacific
Disaggregation of Revenue
Total revenues	615	538
Technology & Analytics Solutions
Disaggregation of Revenue
Total revenues	1,348	1,117
Technology & Analytics Solutions | Americas
Disaggregation of Revenue
Total revenues	600	581
Technology & Analytics Solutions | Europe and Africa
Disaggregation of Revenue
Total revenues	590	396
Technology & Analytics Solutions | Asia-Pacific
Disaggregation of Revenue
Total revenues	158	140
Research & Development Solutions
Disaggregation of Revenue
Total revenues	1,868	1,441
Research & Development Solutions | Americas
Disaggregation of Revenue
Total revenues	1,034	670
Research & Development Solutions | Europe and Africa
Disaggregation of Revenue
Total revenues	443	428
Research & Development Solutions | Asia-Pacific
Disaggregation of Revenue
Total revenues	391	343
Contract Sales & Medical Solutions
Disaggregation of Revenue
Total revenues	193	196
Contract Sales & Medical Solutions | Americas
Disaggregation of Revenue
Total revenues	78	91
Contract Sales & Medical Solutions | Europe and Africa
Disaggregation of Revenue
Total revenues	49	50
Contract Sales & Medical Solutions | Asia-Pacific
Disaggregation of Revenue
Total revenues	$ 66	$ 55

Revenues by Geography, Concen_4

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Additional Information (Detail) - Customer	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Revenue from Contract with Customer [Abstract]
Number of customer accounting for ten percent or more of revenue	0	0

Revenues by Geography, Concen_5

Revenues by Geography, Concentration of Credit Risk and Remaining Performance Obligations - Future Obligation Terms (Detail) $ in Billions	Mar. 31, 2021USD ($)
Disaggregation of Revenue
Revenue expected to be recognized in future from remaining performance obligations	$ 26.1
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2020-04-01
Disaggregation of Revenue
Percentage of remaining performance obligations on which revenue is expected to be recognized (in percent)	35.00%
Unearned income recognition period	12 months

Trade Accounts Receivable, Un_3

Trade Accounts Receivable, Unbilled Services and Unearned Income - Trade Accounts Receivable and Unbilled Services (Detail) - USD ($) $ in Millions	Mar. 31, 2021	Dec. 31, 2020
Trade accounts receivable:
Billed	$ 1,159	$ 1,181
Unbilled services	1,233	1,263
Trade accounts receivable and unbilled services	2,392	2,444
Allowance for doubtful accounts	(31)	(34)
Trade accounts receivable and unbilled services, net	$ 2,361	$ 2,410

Trade Accounts Receivable, Un_4

Trade Accounts Receivable, Unbilled Services and Unearned Income - Schedule of Net Contract Assets (Liabilities) (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2021USD ($)
Unbilled Contracts Receivables
Unbilled services, beginning balance	$ 1,263
Change	(30)
Unbilled services, ending balance	1,233
Unearned Income
Unearned income, beginning balance	(1,252)
Change	(302)
Unearned income, ending balance	(1,554)
Net balance, beginning balance	11
Change	(332)
Net, balance ending balance	$ (321)

Trade Accounts Receivable, Un_5

Trade Accounts Receivable, Unbilled Services and Unearned Income - Additional Information (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2021USD ($)
Receivables [Abstract]
Unbilled receivables (percentage)	60.00%
Contract assets (percentage)	40.00%
Increase in unbilled services	$ (30)
Increase in unearned income	302
Net change in balance	$ (332)

Goodwill - Summary of Goodwill

Goodwill - Summary of Goodwill by Reportable Segment (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2021USD ($)
Goodwill
Beginning balance	$ 12,654
Business combinations	15
Impact of foreign currency fluctuations and other	(254)
Ending balance	12,415
Technology & Analytics Solutions
Goodwill
Beginning balance	10,864
Business combinations	15
Impact of foreign currency fluctuations and other	(264)
Ending balance	10,615
Research & Development Solutions
Goodwill
Beginning balance	1,646
Business combinations	0
Impact of foreign currency fluctuations and other	(4)
Ending balance	1,642
Contract Sales & Medical Solutions
Goodwill
Beginning balance	144
Business combinations	0
Impact of foreign currency fluctuations and other	14
Ending balance	$ 158

Derivatives - Summary of Fair V

Derivatives - Summary of Fair Values of Derivative Instruments Designated as Hedges (Detail) - USD ($)	Mar. 31, 2021	Dec. 31, 2020
Derivatives, Fair Value
Assets	$ 3,000,000	$ 5,000,000
Liabilities	44,000,000	56,000,000
Derivatives designated as hedging instruments: | Other current assets and liabilities | Foreign exchange forward contracts
Derivatives, Fair Value
Assets	3,000,000	5,000,000
Liabilities	0	0
Notional	64,000,000	70,000,000
Derivatives designated as hedging instruments: | Other assets and liabilities | Interest rate swaps
Derivatives, Fair Value
Assets	0	0
Liabilities	44,000,000	55,000,000
Notional	1,800,000,000	1,800,000,000
Derivatives not designated as hedging instruments: | Other liabilities | Interest rate swaps
Derivatives, Fair Value
Assets	0	0
Liabilities	0	1,000,000
Notional	$ 0	$ 356,000,000

Derivatives - Effect of Cash Fl

Derivatives - Effect of Cash Flow Hedging Instruments on Other Comprehensive (Loss) Income (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Derivative Instruments and Hedging Activities Disclosures
Effect of cash flow hedging instruments on other comprehensive (loss) income	$ 9	$ (29)
Foreign exchange forward contracts
Derivative Instruments and Hedging Activities Disclosures
Effect of cash flow hedging instruments on other comprehensive (loss) income	(2)	(6)
Interest rate derivatives
Derivative Instruments and Hedging Activities Disclosures
Effect of cash flow hedging instruments on other comprehensive (loss) income	$ 11	$ (23)

Derivatives - Additional Inform

Derivatives - Additional Information (Detail) $ in Millions	Mar. 31, 2021USD ($)
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Foreign exchange loss related to net investment hedge	$ 285

Fair Value Measurements - Addit

Fair Value Measurements - Additional Information (Detail) - USD ($) $ in Millions	Mar. 31, 2021	Dec. 31, 2020
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Percentage accrued of maximum consideration payments to become payable	84.00%
Level 1 and Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis
Fair value of total debt	$ 12,392	$ 12,746

Fair Value Measurements - Fair

Fair Value Measurements - Fair Value of Financial Assets and Liabilities Measured on Recurring Basis (Detail) - USD ($) $ in Millions	Mar. 31, 2021	Dec. 31, 2020
Assets:
Marketable securities	$ 97	$ 88
Derivatives	3	$ 5
Recurring Fair Value Measurements
Assets:
Marketable securities	126
Derivatives	3
Total	129
Liabilities:
Derivatives	44
Contingent consideration	109
Total	153
Recurring Fair Value Measurements | Level 1
Assets:
Marketable securities	126
Derivatives	0
Total	126
Liabilities:
Derivatives	0
Contingent consideration	0
Total	0
Recurring Fair Value Measurements | Level 2
Assets:
Marketable securities	0
Derivatives	3
Total	3
Liabilities:
Derivatives	44
Contingent consideration	0
Total	44
Recurring Fair Value Measurements | Level 3
Assets:
Marketable securities	0
Derivatives	0
Total	0
Liabilities:
Derivatives	0
Contingent consideration	109
Total	$ 109

Fair Value Measurements - Chang

Fair Value Measurements - Changes in Level 3 Financial Assets and Liabilities Measured on Recurring Basis (Detail) - Contingent consideration - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation
Beginning balance	$ 119	$ 113
Business combinations	5	8
Contingent consideration paid	(9)	(10)
Revaluations included in earnings and foreign currency translation adjustments	(6)	(13)
Ending balance	$ 109	$ 98

Credit Arrangements - Summary o

Credit Arrangements - Summary of Credit Facilities (Detail)	3 Months Ended
	Mar. 31, 2021USD ($)	Mar. 31, 2021GBP (£)
Revolving Credit Facility | USD Revolving Credit Facility
Line of Credit Facility
Interest Rates	LIBOR in the relevant currency borrowed plus a margin of 1.50% as of March 31, 2021
Facility	$ 1,500,000,000
Revolving Credit Facility | USD Revolving Credit Facility | LIBOR
Line of Credit Facility
Rate (percent)	1.50%	1.50%
Facility | Receivables Financing Facility
Line of Credit Facility
Interest Rates	LIBOR Market Index Rate (0.11% as of March 31, 2021) plus 0.90%
Rate (percent)	0.11%	0.11%
Facility	$ 25,000,000
Facility | Receivables Financing Facility | LIBOR
Line of Credit Facility
Interest rate spread on base rate (percent)	0.90%
Facility | General Banking Facility
Line of Credit Facility
Interest Rates	Bank’s base rate of 0.10% as of March 31, 2021 plus 1%
Rate (percent)	0.10%	0.10%
Facility	$ 14,000,000	£ 10,000,000
Facility | General Banking Facility | Base Rate
Line of Credit Facility
Interest rate spread on base rate (percent)	1.00%

Credit Arrangements - Summary_2

Credit Arrangements - Summary of Debt (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2021USD ($)	Mar. 31, 2021EUR (€)	Mar. 03, 2021EUR (€)	Dec. 31, 2020USD ($)
Senior Secured Credit Facilities:
Principal amount of debt	$ 12,307			$ 12,600
Less: unamortized discount and debt issuance costs	(71)			(67)
Less: current portion	(144)			(149)
Long-term debt	12,092			12,384
U.S Dollars | Due in 2022 | Receivables financing facility due 2022—U.S. Dollar LIBOR at average floating rates of 1.01% | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 240			240
Rate (percent)	1.01%	1.01%
U.S Dollars | Due in 2023 | Senior Secured Term A Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 718			728
Average floating rate	1.70%
U.S Dollars | Due in 2023 | Term A Loan due 2023—U.S. Dollar LIBOR at average floating rates of 2.75% | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 755			766
Average floating rate	2.75%
U.S Dollars | Due in 2024 | Senior Secured Term B Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 535			535
Average floating rate	1.86%
U.S Dollars | Due in 2025 | Senior Secured Term B Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 724			726
Average floating rate	1.86%
U.S Dollars | Due in 2025 | Senior Secured Additional Term B Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 924			926
Average floating rate	1.95%
U.S Dollars | Due in 2026 | 5.0% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,050			1,050
Rate (percent)	5.00%	5.00%
U.S Dollars | Due in 2027 | 5.0% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,100			1,100
Rate (percent)	5.00%	5.00%
EUR Dollars | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt | €			€ 1,450,000,000
EUR Dollars | Due in 2023 | Senior Secured Term A Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 377			400
Average floating rate	1.50%
EUR Dollars | Due in 2024 | Senior Secured Term B Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,347			1,413
Average floating rate	2.00%
EUR Dollars | Due in 2025 | Senior Secured Additional Term B Loan | LIBOR
Senior Secured Credit Facilities:
Principal amount of debt	$ 665			697
Average floating rate	2.00%
EUR Dollars | Due in 2025 | 2.875 Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 493			515
Rate (percent)	2.875%	2.875%
EUR Dollars | Due in 2025 | 3.25% Senior Notes due 2025—Euro denominated | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 0			1,748
Rate (percent)	3.25%	3.25%
EUR Dollars | Due in 2026 | 1.750% Senior Notes due 2026—Euro denominated | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 645	€ 550,000,000		0
Rate (percent)	1.75%	1.75%
EUR Dollars | Due in 2028 | 2.875 Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 834			872
Rate (percent)	2.875%	2.875%
EUR Dollars | Due in 2028 | 2.25% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 844			883
Rate (percent)	2.25%	2.25%
EUR Dollars | Due in 2029 | 2.25% Senior Notes | Senior Notes
Senior Secured Credit Facilities:
Principal amount of debt	$ 1,056		€ 900,000,000	$ 0
Rate (percent)	2.25%	2.25%

Credit Arrangements - Contractu

Credit Arrangements - Contractual Maturities of Long-term Debt (Detail) - USD ($) $ in Millions	Mar. 31, 2021	Dec. 31, 2020
Debt Disclosure [Abstract]
Remainder of 2020	$ 107
2022	388
2023	1,700
2024	1,868
2025	3,560
Thereafter	4,684
Principal amount of debt	$ 12,307	$ 12,600

Credit Arrangements - Additiona

Credit Arrangements - Additional Information (Detail) £ in Millions, $ in Millions	Mar. 03, 2021EUR (€)	Mar. 31, 2021USD ($)	Mar. 31, 2021GBP (£)	Mar. 31, 2021EUR (€)	Dec. 31, 2020USD ($)
Line of Credit Facility
Outstanding borrowings		$ 12,307			$ 12,600
Senior Notes | EUR Dollars
Line of Credit Facility
Outstanding borrowings | €	€ 1,450,000,000
Standby Letters of Credit
Line of Credit Facility
Available borrowing capacity		1,500
General Banking Facility
Line of Credit Facility
Bank guarantees		1.1	£ 0.8
Senior Secured Credit Facilities
Line of Credit Facility
Aggregate maximum principal amount		7,500
Outstanding borrowings		6,000
Available borrowing capacity		1,500
1.750% Senior Notes due 2026—Euro denominated | Senior Notes | Due in 2026
Line of Credit Facility
Redemption premium percentage	0.875%
Redemption premium percentage, early redemption rate	0.00%
1.750% Senior Notes due 2026—Euro denominated | Senior Notes | Due in 2026 | EUR Dollars
Line of Credit Facility
Outstanding borrowings		$ 645		€ 550,000,000	0
Debt instrument interest rate stated percentage		1.75%		1.75%
2.25% Senior Notes | Senior Notes | Due in 2029
Line of Credit Facility
Redemption premium percentage	1.125%
Redemption premium percentage, early redemption rate	0.00%
2.25% Senior Notes | Senior Notes | Due in 2029 | EUR Dollars
Line of Credit Facility
Outstanding borrowings	€ 900,000,000	$ 1,056			$ 0
Debt instrument interest rate stated percentage		2.25%		2.25%

Stockholders' Equity - Narrativ

Stockholders' Equity - Narratives (Detail) - USD ($) $ / shares in Units, $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020	Dec. 31, 2020
Class of Stock
Preferred stock, authorized (shares)	1,000,000
Preferred stock, par value (usd per share)	$ 0.01
Preferred stock, shares issued (shares)	0		0
Preferred stock, shares outstanding (shares)	0		0
Repurchase of stock, value	$ 62	$ 332
Equity Repurchase Under Repurchase Program
Class of Stock
Equity available for repurchase under the repurchase program	$ 900
Secondary Public Offering | Equity Repurchase Under Repurchase Program
Class of Stock
Repurchase of stock (in shares)	265,809
Repurchase of stock, value	$ 50.5

Restructuring - Summary of Amou

Restructuring - Summary of Amounts Recorded for Restructuring Plans (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2021USD ($)
Restructuring Reserve
Restructuring reserves, beginning balance	$ 53
Expense, net of reversals	9
Payments	(14)
Foreign currency translation and other	(2)
Restructuring reserves, ending balance	46
Severance and Related Costs
Restructuring Reserve
Restructuring reserves, beginning balance	51
Expense, net of reversals	9
Payments	(14)
Foreign currency translation and other	(2)
Restructuring reserves, ending balance	44
Facility Exit Costs
Restructuring Reserve
Restructuring reserves, beginning balance	2
Expense, net of reversals	0
Payments	0
Foreign currency translation and other	0
Restructuring reserves, ending balance	$ 2

Income Taxes - Narratives (Deta

Income Taxes - Narratives (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Income Tax Disclosure [Abstract]
Effective income tax rate (percent)	17.10%	16.70%
Tax impact of share-based compensation awards	$ 17	$ 21
Federal consolidated income tax returns		$ 10

Comprehensive Income (Loss) - S

Comprehensive Income (Loss) - Summary of Components of AOCI (Detail) $ in Millions	3 Months Ended
	Mar. 31, 2021USD ($)
Statement of Other Comprehensive Income
Beginning balance	$ 6,001
Other comprehensive income (loss) before reclassifications	(172)
Reclassification adjustments	1
Ending balance	5,953
Income Taxes
Beginning balance	323
Other comprehensive income (loss) before reclassifications	(63)
Reclassification adjustments, tax	(1)
Ending balance	259
Foreign Currency Translation
Statement of Other Comprehensive Income
Beginning balance	(395)
Other comprehensive income (loss) before reclassifications	(116)
Reclassification adjustments	0
Ending balance	(511)
Derivative Instruments
Statement of Other Comprehensive Income
Beginning balance	(48)
Other comprehensive income (loss) before reclassifications	7
Reclassification adjustments	2
Ending balance	(39)
Defined Benefit Plans
Statement of Other Comprehensive Income
Beginning balance	(85)
Other comprehensive income (loss) before reclassifications	0
Reclassification adjustments	0
Ending balance	(85)
Total
Statement of Other Comprehensive Income
Beginning balance	(205)
Ending balance	$ (376)

Comprehensive Income (Loss) -_2

Comprehensive Income (Loss) - Summary of Adjustments for (Gains) Losses Reclassified from AOCI into Condensed Consolidated Statements of Income and Affected Financial Statement Line Item (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	$ 2	$ 16
Income tax benefit	1	0
Total net of income taxes	1	16
Interest rate swaps | Interest expense
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	4	0
Foreign exchange forward contracts | Revenues
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	(2)	2
Foreign exchange forward contracts | Other income, net
Reclassification Adjustment out of Accumulated Other Comprehensive Income
Total before income taxes	$ 0	$ 14

Segments - Additional Informati

Segments - Additional Information (Detail)	3 Months Ended
	Mar. 31, 2021Segment
Segment Reporting [Abstract]
Number of reportable segments	3

Segments - Operations by Report

Segments - Operations by Reportable Segments (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Segment Reporting Information
Revenues	$ 3,409	$ 2,754
Costs of revenue, exclusive of depreciation and amortization	2,293	1,824
Selling, general and administrative expenses	442	407
Segment profit	731	547
Depreciation and amortization	(323)	(316)
Restructuring costs	(9)	(14)
Income from operations	342	193
Technology & Analytics Solutions
Segment Reporting Information
Revenues	1,348	1,117
Costs of revenue, exclusive of depreciation and amortization	812	666
Segment profit	349	268
Research & Development Solutions
Segment Reporting Information
Revenues	1,868	1,441
Costs of revenue, exclusive of depreciation and amortization	1,321	988
Segment profit	362	268
Contract Sales & Medical Solutions
Segment Reporting Information
Revenues	193	196
Costs of revenue, exclusive of depreciation and amortization	160	170
Segment profit	20	11
Operating Segments | Technology & Analytics Solutions
Segment Reporting Information
Selling, general and administrative expenses	187	183
Operating Segments | Research & Development Solutions
Segment Reporting Information
Selling, general and administrative expenses	185	185
Operating Segments | Contract Sales & Medical Solutions
Segment Reporting Information
Selling, general and administrative expenses	13	15
General corporate and unallocated
Segment Reporting Information
Selling, general and administrative expenses	57	24
Segment profit	$ (57)	$ (24)

Earnings Per Share - Summary of

Earnings Per Share - Summary of Weighted-Average Outstanding Stock-Based Awards Excluded from Computation of Diluted Earnings Per Share (Detail) - shares shares in Millions	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020
Antidilutive Securities Excluded from Computation of Earnings Per Share
Total shares excluded from diluted earnings per share	1	2.4
Shares subject to performance conditions
Antidilutive Securities Excluded from Computation of Earnings Per Share
Total shares excluded from diluted earnings per share	0.7	1.4
Shares subject to anti-dilutive stock-based awards
Antidilutive Securities Excluded from Computation of Earnings Per Share
Total shares excluded from diluted earnings per share	0.3	1

Subsequent Events (Details)

Subsequent Events (Details) - Subsequent Event - Q2 Solutions - Forecast $ in Millions	3 Months Ended
	Jun. 30, 2021USD ($)
Subsequent Event [Line Items]
Percentage acquired	40.00%
Consideration transferred	$ 760
Ownership percentage as result of transaction	100.00%