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  • Writer's pictureAbacus Research

IQV Update: Strong secular drivers and near term upside to numbers

We have written on IQV a couple of times before: in 2017 we wrote a full report, and an update in 2018, both times our conclusion was that it is a core holding. If you would like a deeper understanding of what IQV does, we would suggest you look at the 2017 report.

  • We continue to see IQV ($208) as a core holding, with ~5% upside to numbers, strong secular drivers and potential for some multiple expansion and low downside.

  • Estimate 20% upside to shares.



Our previous conclusions: widening moat, defensive business, potential for acceleration in the business, remains true in our opinion.


We believe the setting for growth for next few years is stronger than before.

  • Biopharma R&D budget growth is likely to remain robust and see increased outsourcing.

  • CRO consolidation due to increased tech intensity gives increased pricing power / scale benefits.

  • IQV continues to increase market share and is best placed among peers.

  • Pent-up demand is returning.

We expect the COVID related benefit to remain strong for a few years and drive earnings above guidance that expects a drop in Covid revenues to zero during Q2 2021.

  • Not enough is known about the consequences and nature of COVID, hence we expect Real World Evidence gathering will continue on an ongoing basis.

  • Increasing threats of variants means ongoing refinements needed in vaccines for a few years.

  • There are new vaccines/treatments that are being developed for variants of the virus;

The stock is good value, given that we expect the recent acceleration in underlying growth to sustain.

  • We expect IQV will easily beat its guidance for 2021 and estimate consensus estimates to rise by ~5% as COVID work comes in for H2 and 2022.

  • The acceleration in the underlying CRO business, evidenced by backlog will show up in revenues in 2022.

  • Backlog is still growing strongly with book/bill ~1.4x, giving us confidence on sustainability of increased underlying growth rates.

Valuation is not excessive

  • IQV is trading at ~15-16x 2022 EV/EBITDA in our upside scenario, close to its average over the last few years, yet the EPS and EBITDA growth outlook is better than before.

  • We believe that the re-rating of the broader market as well as better growth rates and prospects demands a better multiple for IQV.

  • Using a DCF we see a 20% upside at 8% cost of capital.


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