Revenue Growth - For Q3 2024, total revenues increased by 160million,or4.33,896 million compared to Q3 2023, driven by a 118 million increase in Technology & Analytics Solutions[95]. - For the first nine months of 2024, total revenues rose by 331 million, or 3.0%, to 11,447million,withconstantcurrencygrowthofapproximately393 million, or 3.5%[96]. - For the three months ended September 30, 2024, total revenues increased to 3,896million,up4.33,736 million in the same period of 2023[110]. - Technology & Analytics Solutions reported revenues of 1,554millionforQ32024,anincreaseof123 million, or 8.6%, compared to Q3 2023[114]. - Research & Development Solutions' revenues for the third quarter of 2024 were 2,162million,reflectinganincreaseof40 million, or 1.9%, over the same period in 2023[125]. - Revenues for Contract Sales & Medical Solutions were 541millionforthefirstninemonthsof2024,consistentwiththesameperiodin2023,withconstantcurrencyrevenuegrowthofapproximately16 million, or 3.0%[136]. Cost and Expenses - Cost of revenues for Q3 2024 increased by 92million,or3.82,518 million, with a constant currency increase of approximately 156million,or6.4183 million increase in cost of revenues for the first nine months of 2024, with a constant currency increase of approximately 480million,or6.620 million, or 4.0%, to 522million,maintainingaconsistentpercentageofrevenuesat13.410 million, or 4.6%, in Q3 2024 compared to Q3 2023[120]. - The cost of revenues for Technology & Analytics Solutions increased by 63million,or7.332 million, or 2.3%, in Q3 2024 compared to Q3 2023[128]. - Cost of revenues, exclusive of depreciation and amortization, increased by 1million,or0.215 million, or 3.3%[138]. - Selling, general and administrative expenses increased by 2million,or4.74,979 million, down from 6,299millionforthetwelvemonthsendedDecember31,2023,representingadecreaseof20.94,190 million to 3,120million,areductionof25.686 million for the twelve months ended December 31, 2023, to 237millionfortheninemonthsendedSeptember30,2024,anincreaseof175.6429 million during the first nine months of 2024, totaling 1,831millioncomparedto1,402 million in the same period in 2023[149]. - Net cash used in investing activities decreased by 257millionduringthefirstninemonthsof2024,totaling(1,134) million compared to (1,391)millioninthesameperiodin2023[150].−Netcashusedinfinancingactivitiesincreasedby541 million during the first nine months of 2024, totaling (503)millioncomparedto38 million in the same period in 2023[152]. - As of September 30, 2024, the company had a cash balance of 1,572million,anincreasefrom1,376 million as of December 31, 2023[142]. - Total stock repurchase authorization under the equity repurchase program was 11,725millionasofSeptember30,2024,withremainingauthorizationtorepurchaseupto2,163 million[144][145]. - Total indebtedness as of September 30, 2024, was 13,578million,excluding1,995 million of additional available borrowings under the revolving credit facility[146]. - The company completed the issuance of 1,250millioningrossproceedsofseniorsecurednotesdue2029and750 million in gross proceeds of senior secured notes due 2028 in 2023[153][154]. Operational Insights - The company has approximately 88,000 employees across over 100 countries, focusing on accelerating the development and commercialization of innovative medical treatments[88]. - The company operates through three segments: Technology & Analytics Solutions, Research & Development Solutions, and Contract Sales & Medical Solutions, each contributing to revenue growth[90]. - The contracted backlog for Research & Development Solutions increased from 29.7billionasofDecember31,2023,to31.1 billion as of September 30, 2024[124]. Balance Sheet Changes - Total current assets decreased from 805millionasofDecember31,2023,to756 million as of September 30, 2024, a decline of 6.1%[160]. - Total current liabilities increased from 3,471millionto4,047 million, an increase of 16.6%[160]. - Total noncurrent liabilities decreased from 12,334millionto11,611 million, a reduction of 5.9%[160]. - Amounts due from subsidiaries that are non-Guarantors decreased from 4,762millionto4,390 million, a decline of 7.8%[160]. - Amounts due to subsidiaries that are non-Guarantors increased from 5,556millionto6,131 million, an increase of 10.3%[160]. Regulatory and Accounting Updates - The company does not expect any material impacts from the OECD's Pillar 2 global corporate minimum tax rate of 15% for 2024[109]. - There have been no material changes to critical accounting policies as previously disclosed in the 2023 Form 10-K[165]. - There have been no material changes to market risk disclosures compared to the 2023 Form 10-K[166].