Cash Flow Statement

The cash flow statement provides information about a company cash receipts and cash payments during an accounting period, showing how these cash flows link the ending cash balance to the beginning balance shown on the company balance sheet.

The cash flow statement consists of three parts: cash flows provided by (used in) operating activities, cash flows provided by (used in) investing activities, and cash flows provided by (used in) financing activities.

IQVIA Holdings Inc., consolidated cash flow statement

US$ in millions

12 months ended:	Dec 31, 2022	Dec 31, 2021	Dec 31, 2020	Dec 31, 2019	Dec 31, 2018
Net income	1,091)	971)	308)	227)	284)
Depreciation and amortization	1,130)	1,264)	1,287)	1,202)	1,141)
Amortization of debt issuance costs and discount	15)	17)	18)	13)	11)
Stock-based compensation	194)	170)	95)	146)	113)
(Gain) loss on disposals of property and equipment, net	(10)	—)	—)	1)	—)
(Earnings) losses from unconsolidated affiliates	12)	(6)	(7)	9)	(15)
(Gain) loss on investments, net	27)	(16)	(25)	(43)	3)
Benefit from deferred income taxes	(115)	(138)	(176)	(157)	(177)
Accounts receivable and unbilled services	(421)	(138)	255)	(122)	(297)
Prepaid expenses and other assets	7)	(15)	(146)	(92)	(66)
Accounts payable and accrued expenses	427)	244)	253)	240)	368)
Unearned income	31)	591)	180)	(2)	7)
Income taxes payable and other liabilities	(128)	(2)	(83)	(5)	(118)
Changes in operating assets and liabilities	(84)	680)	459)	19)	(106)
Adjustments to reconcile net income to cash provided by operating activities	1,169)	1,971)	1,651)	1,190)	970)
Net cash provided by operating activities	2,260)	2,942)	1,959)	1,417)	1,254)
Acquisition of property, equipment and software	(674)	(640)	(616)	(582)	(459)
Acquisition of businesses, net of cash acquired	(1,315)	(1,458)	(177)	(588)	(309)
Purchases of marketable securities, net	(5)	(10)	(9)	(3)	(4)
Investments in unconsolidated affiliates, net of payments received	(20)	(5)	10)	—)	(17)
(Investments in) proceeds from sale of equity securities	—)	5)	(2)	(22)	(23)
Other	8)	5)	(2)	5)	2)
Net cash used in investing activities	(2,006)	(2,103)	(796)	(1,190)	(810)
Proceeds from issuance of debt	1,250)	1,951)	1,591)	1,900)	1,631)
Payment of debt issuance costs	(5)	(40)	(33)	(47)	(22)
Repayment of debt and principal payments on finance leases	(634)	(2,091)	(864)	(899)	(732)
Proceeds from revolving credit facility	2,350)	810)	1,250)	2,522)	2,445)
Repayment of revolving credit facility	(2,025)	(600)	(1,635)	(2,776)	(2,329)
(Payments) proceeds related to employee stock option plans	(71)	(59)	(44)	11)	15)
Repurchase of common stock	(1,168)	(406)	(447)	(949)	(1,405)
Distributions to non-controlling interest, net	—)	—)	(13)	(18)	(31)
Acquisition of Quest’s non-controlling interest	—)	(758)	—)	—)	—)
Contingent consideration and deferred purchase price payments	(26)	(42)	(22)	(20)	(24)
Net cash used in financing activities	(329)	(1,235)	(217)	(276)	(452)
Effect of foreign currency exchange rate changes on cash	(75)	(52)	31)	(5)	(60)
Increase (decrease) in cash and cash equivalents	(150)	(448)	977)	(54)	(68)
Cash and cash equivalents at beginning of period	1,366)	1,814)	837)	891)	959)
Cash and cash equivalents at end of period	1,216)	1,366)	1,814)	837)	891)

Based on: 10-K (reporting date: 2022-12-31), 10-K (reporting date: 2021-12-31), 10-K (reporting date: 2020-12-31), 10-K (reporting date: 2019-12-31), 10-K (reporting date: 2018-12-31).

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Cash flow statement item	Description	The company
Net cash provided by operating activities	Amount of cash inflow (outflow) from operating activities, excluding discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities.	IQVIA Holdings Inc. net cash provided by operating activities increased from 2020 to 2021 but then slightly decreased from 2021 to 2022 not reaching 2020 level.
Net cash used in investing activities	Amount of cash inflow (outflow) of investing activities, excluding discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets.	IQVIA Holdings Inc. net cash used in investing activities decreased from 2020 to 2021 but then slightly increased from 2021 to 2022.
Net cash used in financing activities	Amount of cash inflow (outflow) of financing activities, excluding discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit.	IQVIA Holdings Inc. net cash used in financing activities decreased from 2020 to 2021 but then increased from 2021 to 2022 not reaching 2020 level.

IQVIA Holdings Inc. (NYSE:IQV)

Cash Flow Statement