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    ICON Reports Third Quarter 2023 Results

    10/25/23 4:15:00 PM ET
    $ICLR
    Biotechnology: Commercial Physical & Biological Resarch
    Health Care
    Get the next $ICLR alert in real time by email

    Highlights

    • Net business wins in the quarter of $2,581 million; a net book to bill of 1.26 or 1.22 on a trailing twelve month basis and an increase of 10% on quarter three 2022.
    • Closing backlog of $22.2 billion, an increase of 2.6% on quarter two 2023 and an increase of 10.0% on quarter three 2022.
    • Quarter three revenue of $2,055.1 million representing an increase of 5.8% on prior year revenue. YTD revenue of $6,053.9 million representing a year on year increase of 4.8%.
    • Quarter three adjusted EBITDA of $432.5 million or 21.0% of revenue, an increase of 13.9% on quarter three 2022. YTD adjusted EBITDA of $1,245.9 million or 20.6% of revenue, representing a year on year increase of 16.0%.
    • GAAP net income attributable to the Group for the quarter of $163.7 million or $1.97 per diluted share. YTD GAAP net income of $395.9 million or $4.79 per diluted share.
    • Quarter three adjusted net income attributable to the Group was $273.9 million or $3.30 per diluted share, an increase of 10.0% on quarter three 2022 adjusted earnings per share. Year to date adjusted net income attributable to the Group of $770.7 million or $9.31 per diluted share, an increase of 8.0% on the prior year adjusted earnings per share.
    • Days sales outstanding decreased from 52 days at June 30, 2023 to 49 days at September 30, 2023.
    • $300.0 million repayment made on Term Loan B debt. Net debt balance of $3.7 billion with net debt to adjusted EBITDA ratio of 2.3x.
    • In October 2023, ICON acquired Philips Pharma Solutions, a leading provider of medical imaging and cardiac safety monitoring services.
    • In October 2023, S&P Global Ratings upgraded ICON to an investment grade credit rating.
    • Re-affirming full-year 2023 financial guidance of revenue of $8,070 - $8,210 million, representing a year over year increase of 4.3 to 6.1%, and adjusted earnings per share* in the range of $12.63 - $12.91, representing a year over year increase of 7.5 to 9.9%. Adjusted earnings per share to exclude amortization, stock compensation, restructuring, foreign exchange and transaction-related / integrated-related adjustments.

    ICON plc (NASDAQ:ICLR), a world-leading healthcare intelligence and clinical research organization, today reported its financial results for the third quarter ended September 30, 2023.

    CEO, Dr. Steve Cutler commented, "ICON delivered impressive results in the third quarter, with revenue growth of 6% year over year, as well as double digit adjusted EBITDA and adjusted earnings per share growth of 14% and 10%, respectively, over quarter three 2022. Our net book to bill improved to 1.26x in the quarter, reflective of the healthy demand for our market-leading offering across the customer segments we serve. We remain well positioned as a critical partner with new and existing customers to play a long-term role in accelerating their development portfolios."

    Third Quarter 2023 Results

    Gross business wins in the third quarter were $3,055 million and cancellations were $474 million. This resulted in net business wins of $2,581 million and a book to bill of 1.26.

    Revenue for the third quarter was $2,055.1 million. This represents an increase of 5.8% on prior year revenue or 4.8% on a constant currency organic basis.

    GAAP net income attributable to the Group was $163.7 million resulting in $1.97 diluted earnings per share in quarter three 2023 compared to $1.94 diluted earnings per share in quarter three 2022. Adjusted net income attributable to the Group for the quarter was $273.9 million resulting in an adjusted diluted earnings per share of $3.30 compared to $3.00 per share for the third quarter 2022.

    Adjusted EBITDA for the third quarter was $432.5 million or 21.0% of revenue, a year-on-year increase of 13.9%.

    The effective tax rate on adjusted net income in quarter three was 15.2%.

    Cash generated from operating activities for the quarter was $341.5 million. During the quarter $29.1 million was spent on capital expenditure. At September 30, 2023, the Group had cash and cash equivalents of $313.1 million, compared to cash and cash equivalents of $270.2 million at June 30, 2023 and $609.2 million at September 30, 2022. $75 million of the revolving credit facility was drawn down in the quarter and $50 million was repaid. Additionally, $300.0 million of Term Loan B payments were made during the quarter resulting in a net indebtedness of $3.7 billion at September 30, 2023.

    Year to date 2023 Results

    Gross business wins year to date were $8,773 million and cancellations were $1,358 million. This resulted in net business wins of $7,415 million and a book to bill of 1.22.

    Year to date revenue was $6,053.9 million. This represents a year on year increase of 4.8% on a reported and on a constant currency basis.

    GAAP net income attributable to the Group year to date was $395.9 million resulting in $4.79 diluted earnings per share. Adjusted net income attributable to the Group was $770.7 million resulting in an adjusted diluted earnings per share of $9.31 compared to $8.62 per share for the equivalent prior year period.

    Adjusted EBITDA year to date was $1,245.9 million or 20.6% of revenue, a year on year increase of 16.0%.

    Other Information

    In addition to the financial measures prepared in accordance with generally accepted accounting principles (GAAP), this press release contains certain non-GAAP financial measures, including adjusted EBITDA, adjusted net income attributable to the Group and adjusted diluted earnings per share attributable to the Group. Adjusted EBITDA, adjusted net income and adjusted diluted earnings per share exclude amortization, stock compensation, foreign exchange gains and losses, restructuring and transaction-related / integration-related adjustments. While non-GAAP financial measures are not superior to or a substitute for the comparable GAAP measures, ICON believes certain non-GAAP information is useful to investors for historical comparison purposes.

    ICON will hold a conference call on October 26, 2023 at 08:00 EDT [13:00 Ireland & UK]. This call and linked slide presentation can be accessed live from our website at http://investor.iconplc.com. A recording will also be available on the website for 90 days following the call. In addition, a calendar of company events, including upcoming conference presentations, is available on our website, under "Investors". This calendar will be updated regularly.

    This press release contains forward-looking statements, including statements about our financial guidance. These statements are based on management's current expectations and information currently available, including current economic and industry conditions. These statements are not guarantees of future performance or actual results, and actual results, developments and business decisions may differ from those stated in this press release. The forward-looking statements are subject to future events, risks, uncertainties and other factors that could cause actual results to differ materially from those projected in the statements, including, but not limited to, the ability to enter into new contracts, maintain client relationships, manage the opening of new offices and offering of new services, the integration of new business mergers and acquisitions, the impact of COVID-19 on our business, as well as other economic and global market conditions and other risks and uncertainties detailed from time to time in SEC reports filed by ICON, all of which are difficult to predict and some of which are beyond our control. For these reasons, you should not place undue reliance on these forward-looking statements when making investment decisions. The word "expected" and variations of such words and similar expressions are intended to identify forward-looking statements. Forward-looking statements are only as of the date they are made and we do not undertake any obligation to update publicly any forward-looking statement, either as a result of new information, future events or otherwise. More information about the risks and uncertainties relating to these forward-looking statements may be found in SEC reports filed by ICON, including its Form 20-F, F-1, F-4, S-8, F-3 and certain other reports, which are available on the SEC's website at http://www.sec.gov.

    * Our full-year 2023 guidance adjusted earnings per share measures are provided on a non-GAAP basis because the Company is unable to predict with a reasonable degree of certainty certain items contained in the GAAP measures without unreasonable efforts. For the same reasons, the Company is unable to address the probable significance of the unavailable information.

    ICON plc is a world-leading healthcare intelligence and clinical research organization. From molecule to medicine, we advance clinical research providing outsourced services to pharmaceutical, biotechnology, medical device and government and public health organizations. We develop new innovations, drive emerging therapies forward and improve patient lives. With headquarters in Dublin, Ireland, ICON employed approximately 41,150 employees in 106 locations in 53 countries as at September 30, 2023. For further information about ICON, visit: www.iconplc.com.

    Source: ICON plc

    ICON/ICLR-F

    ICON plc

    CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022

    (UNAUDITED)

     

    Three Months Ended

     

    Nine Months Ended

     

    September 30,

    2023

     

    September 30,

    2022

     

    September 30,

    2023

     

    September 30,

    2022

     

    (in thousands except share and per share data)

     

     

     

     

     

     

     

     

    Revenue

    $ 2,055,099

     

    $ 1,942,427

     

    $ 6,053,928

     

    $ 5,779,384

     

     

     

     

     

     

     

     

    Costs and expenses:

     

     

     

     

     

     

     

    Direct costs (excluding depreciation and amortization)

    1,449,136

     

    1,375,837

     

    4,274,222

     

    4,146,366

    Selling, general and administrative expense

    185,187

     

    166,787

     

    572,999

     

    552,000

    Depreciation and amortization

    146,032

     

    141,861

     

    436,217

     

    427,285

    Transaction and integration-related expenses

    10,433

     

    8,001

     

    34,516

     

    28,970

    Restructuring

    —

     

    6,197

     

    45,390

     

    32,890

     

     

     

     

     

     

     

     

    Total costs and expenses

    1,790,788

     

    1,698,683

     

    5,363,344

     

    5,187,511

     

     

     

     

     

     

     

     

    Income from operations

    264,311

     

    243,744

     

    690,584

     

    591,873

    Interest income

    1,273

     

    1,434

     

    3,294

     

    1,727

    Interest expense

    (83,908)

     

    (63,010)

     

    (255,665)

     

    (154,546)

     

     

     

     

     

     

     

     

    Income before provision for income taxes

    181,676

     

    182,168

     

    438,213

     

    439,054

    Provision for income taxes

    (18,011)

     

    (21,012)

     

    (41,913)

     

    (48,552)

     

     

     

     

     

     

     

     

    Income before share of earnings from equity method investments

    163,665

     

    161,156

     

    396,300

     

    390,502

    Share of losses in equity method investments

    —

     

    (1,002)

     

    (383)

     

    (2,643)

     

     

     

     

     

     

     

     

    Net income attributable to the Group

    $ 163,665

     

    $ 160,154

     

    $ 395,917

     

    $ 387,859

     

     

     

     

     

     

     

     

    Net income per Ordinary Share attributable to the Group:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Basic

    $ 1.99

     

    $ 1.96

     

    $ 4.83

     

    $ 4.76

    Diluted

    $ 1.97

     

    $ 1.94

     

    $ 4.79

     

    $ 4.70

     

     

     

     

     

     

     

     

    Weighted average number of Ordinary Shares outstanding:

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Basic

    82,215,627

     

    81,582,375

     

    82,001,500

     

    81,481,686

    Diluted

    82,972,888

     

    82,493,211

     

    82,737,073

     

    82,473,521

    ICON plc

    CONDENSED CONSOLIDATED BALANCE SHEETS

    AS AT SEPTEMBER 30, 2023 AND DECEMBER 31, 2022

     

    (Unaudited)

     

    (Audited)

     

    September 30,

    2023

     

    December 31,

    2022

    ASSETS

    (in thousands)

    Current Assets:

     

     

     

    Cash and cash equivalents

    $ 313,065

     

    $ 288,768

    Available for sale investments

    1,954

     

    1,713

    Accounts receivable, net of allowance for credit losses

    1,850,362

     

    1,731,388

    Unbilled revenue

    941,884

     

    957,655

    Other receivables

    121,687

     

    63,658

    Prepayments and other current assets

    150,193

     

    137,094

    Income taxes receivable

    42,039

     

    48,790

    Total current assets

    3,421,184

     

    3,229,066

     

     

     

     

    Non-current Assets:

     

     

     

    Property, plant and equipment, net

    342,262

     

    350,320

    Goodwill

    8,982,896

     

    8,971,670

    Intangible assets

    3,934,673

     

    4,278,659

    Operating right-of-use assets

    132,319

     

    153,832

    Other receivables

    52,797

     

    70,790

    Income taxes receivable

    40,481

     

    21,380

    Deferred tax asset

    83,095

     

    76,930

    Investments in equity- long term

    41,790

     

    32,631

    Total Assets

    $ 17,031,497

     

    $ 17,185,278

    LIABILITIES AND SHAREHOLDERS' EQUITY

     

     

     

    Current Liabilities:

     

     

     

    Accounts payable

    $ 87,317

     

    $ 81,194

    Unearned revenue

    1,663,183

     

    1,507,449

    Other liabilities

    948,829

     

    1,005,025

    Income taxes payable

    41,518

     

    41,783

    Current bank credit lines and loan facilities

    130,150

     

    55,150

    Total current liabilities

    2,870,997

     

    2,690,601

    Non-current Liabilities:

     

     

     

    Non-current bank credit lines and loan facilities

    3,911,522

     

    4,599,037

    Lease liabilities

    121,424

     

    131,644

    Non-current other liabilities

    41,661

     

    38,260

    Non-current income taxes payable

    242,972

     

    239,188

    Deferred tax liability

    883,887

     

    988,585

    Total Liabilities

    8,072,463

     

    8,687,315

     

     

     

     

    Shareholders' Equity:

     

     

     

    Ordinary shares, par value 6 euro cents per share; 100,000,000 shares authorized,

     

     

     

    82,326,976 shares issued and outstanding at September 30, 2023 and

    6,688

     

    6,649

    81,723,555 shares issued and outstanding at December 31, 2022

     

    Additional paid‑in capital

    6,924,073

     

    6,840,306

    Other undenominated capital

    1,162

     

    1,162

    Accumulated other comprehensive income

    (190,190)

     

    (171,538)

    Retained earnings

    2,217,301

     

    1,821,384

    Total Shareholders' Equity

    8,959,034

     

    8,497,963

    Total Liabilities and Equity

    $ 17,031,497

     

    $ 17,185,278

     

     

     

     

     

     

     

     

    ICON plc

    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

    FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022

    (UNAUDITED)

     

    Nine Months Ended

     

     

    September 30,

    2023

     

    September 30,

    2022

     

     

    (in thousands)

     

    Cash flows from operating activities:

     

     

     

     

    Net income

    $ 395,917

     

    $ 387,859

     

    Adjustments to reconcile net income to net cash provided by operating activities:

     

     

     

     

    Depreciation and amortization expense

    436,217

     

    427,285

     

    Impairment of long lived assets

    8,845

     

    27,727

     

    Reduction in carrying value of operating right-of-use assets

    33,979

     

    35,238

     

    Loss on equity method investments

    383

     

    2,643

     

    Acquisition related gain

    (6,160)

     

    —

     

    Charge on cash flow hedge

    3,335

     

    —

     

    Amortization of financing costs and debt discount

    12,485

     

    13,544

     

    Stock compensation expense

    47,303

     

    55,703

     

    Deferred taxes

    (114,487)

     

    (126,620)

     

    Foreign exchange movements

    (7,670)

     

    (52,334)

     

    Other non-cash items

    21,966

     

    18,595

     

    Changes in assets and liabilities:

     

     

     

     

    Accounts receivable

    (139,096)

     

    (140,760)

     

    Unbilled revenue

    14,370

     

    (221,104)

     

    Unearned revenue

    158,269

     

    28,352

     

    Other net assets

    (144,760)

     

    166,613

     

    Net cash provided by operating activities

    720,896

     

    622,741

     

    Cash flows from investing activities:

     

     

     

     

    Purchase of property, plant and equipment

    (87,980)

     

    (85,145)

     

    Purchase of subsidiary undertakings

    (5,100)

     

    —

     

    Purchase of investments in equity - long term

    (10,829)

     

    (1,840)

     

    Sale of available for sale investments

    1,611

     

    —

     

    Purchase of available for sale investments

    (1,852)

     

    —

     

    Net cash used in investing activities

    (104,150)

     

    (86,985)

     

    Cash flows from financing activities:

     

     

     

     

    Drawdown of bank credit lines and loan facilities

    305,000

     

    25,000

     

    Repayment of bank credit lines and loan facilities

    (930,000)

     

    (625,000)

     

    Proceeds from exercise of equity compensation

    36,517

     

    28,967

     

    Share issue costs

    (14)

     

    (3)

     

    Repurchase of ordinary shares

    —

     

    (99,983)

     

    Share repurchase costs

    —

     

    (17)

     

    Net cash used in financing activities

    (588,497)

     

    (671,036)

     

    Effect of exchange rate movements on cash

    (3,952)

     

    (7,775)

     

    Net increase/(decrease) in cash and cash equivalents

    24,297

     

    (143,055)

     

    Cash and cash equivalents at beginning of period

    288,768

     

    752,213

     

    Cash and cash equivalents at end of period

    $ 313,065

     

    $ 609,158

     

    ICON plc

    RECONCILIATION OF NON-GAAP MEASURES

    FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2023 AND SEPTEMBER 30, 2022

    (UNAUDITED)

     

    Three Months Ended

     

    Nine Months Ended

     

    September 30, 2023

     

    September 30, 2022

     

    September 30, 2023

     

    September 30, 2022

     

    (in thousands except share and per share data)

     

     

     

     

     

     

     

     

    Adjusted EBITDA

     

     

     

     

     

     

     

    Net income attributable to the Group

    $ 163,665

     

    $ 160,154

     

    $ 395,917

     

    $ 387,859

    Share of equity method investments

    —

     

    1,002

     

    383

     

    2,643

    Provision for income taxes

    18,011

     

    21,012

     

    41,913

     

    48,552

    Net interest expense

    82,635

     

    61,576

     

    252,371

     

    152,819

    Depreciation and amortization

    146,032

     

    141,861

     

    436,217

     

    427,285

    Stock-based compensation expense (a)

    16,465

     

    16,730

     

    47,822

     

    54,843

    Foreign currency losses (gains), net (b)

    (4,706)

     

    (36,933)

     

    (2,465)

     

    (61,395)

    Oncacare (gain) (g)

    —

     

    —

     

    (6,160)

     

    —

    Restructuring (c)

    —

     

    6,197

     

    45,390

     

    32,890

    Transaction-related / integration-related costs (d)

    10,433

     

    8,001

     

    34,516

     

    28,970

    Adjusted EBITDA

    $ 432,535

     

    $ 379,600

     

    $ 1,245,904

     

    $ 1,074,466

     

     

     

     

     

     

     

     

    Adjusted net income attributable to the Group and adjusted diluted net income per Ordinary Share attributable to the Group

     

     

     

     

     

     

     

    Net income attributable to the Group

    $ 163,665

     

    $ 160,154

     

    $ 395,917

     

    $ 387,859

    Provision for income taxes

    18,011

     

    21,012

     

    41,913

     

    48,552

    Amortization

    114,573

     

    114,991

     

    343,868

     

    348,118

    Stock-based compensation expense (a)

    16,465

     

    16,730

     

    47,822

     

    54,843

    Foreign currency losses (gains), net (b)

    (4,706)

     

    (36,933)

     

    (2,465)

     

    (61,395)

    Restructuring (c)

    —

     

    6,197

     

    45,390

     

    32,890

    Oncacare (gain) (g)

    —

     

    —

     

    (6,160)

     

    —

    Transaction-related / integration-related costs (d)

    10,433

     

    8,001

     

    34,516

     

    28,970

    Transaction-related financing costs (e)

    4,587

     

    4,356

     

    12,486

     

    13,609

    Adjusted tax expense (f)

    (49,100)

     

    (47,284)

     

    (142,617)

     

    (142,492)

    Adjusted net income attributable to the Group

    $ 273,928

     

    $ 247,224

     

    $ 770,670

     

    $ 710,954

     

     

     

     

     

     

     

     

    Diluted weighted average number of Ordinary Shares outstanding

    82,972,888

     

    82,493,211

     

    82,737,073

     

    82,473,521

     

     

     

     

     

     

     

     

    Adjusted diluted net income per Ordinary Share attributable to the Group

    $ 3.30

     

    $ 3.00

     

    $ 9.31

     

    $ 8.62

     

     

     

     

     

     

     

     

    (a) Stock-based compensation expense represents the amount of recurring non-cash expense related to the Company's equity compensation programs (inclusive of employer related taxes).

    (b) Foreign currency losses (gains), net relates to gains or losses that arise in connection with the revaluation of non-US dollar denominated assets and liabilities. We exclude these gains and losses from adjusted EBITDA and adjusted net income because fluctuations from period- to- period do not necessarily correspond to changes in our operating results.

    (c) Restructuring charges incurred relate to charges incurred in connection with the termination of leases at locations that are no longer being used and amounts incurred in connection with the elimination of redundant positions within the organization.

    (d) Transaction-related / integration-related costs include expenses/credits associated with our acquisitions and any other costs incurred directly related to the integration of these acquisitions.

    (e) Transaction-related financing costs includes costs incurred in connection with changes to our long-term debt and amortization of financing fees. We exclude these costs from adjusted EBITDA and adjusted net income because they result from financing decisions rather than from decisions made related to our ongoing operations.

    (f) Represents the tax effect of adjusted pre-tax income at our estimated effective tax rate.

    (g) On April 20, 2023, the Company completed the purchase of the majority investor's 51% majority voting share capital of Oncacare Limited ("Oncacare"). This gave rise to an acquisition-related gain of $6.2 million. This gain was excluded from adjusted EBITDA and adjusted net income.

    ICON plc

    http://www.iconplc.com

    View source version on businesswire.com: https://www.businesswire.com/news/home/20231025382191/en/

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    Recent Analyst Ratings for
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    1/8/2026$222.00Buy → Hold
    Truist
    12/15/2025$195.00Buy → Neutral
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    11/13/2025$175.00Market Perform
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    SEC Form 6-K filed by ICON plc

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    ICON 2025 global biotech survey solidifies China dominance and highlights opportunities for Western biotechs to stay competitive

    ICON plc (NASDAQ:ICLR), a world-leading clinical research organisation, today released findings from two biotech sector surveys. The first survey focused on global biotech trends and is an update of our 2023 survey, while the second survey focused exclusively on trends in the rapidly growing Chinese biotech market. In total, both surveys captured insights from more than 260 biotech professionals and venture capital executives across the US, Europe, Asia-Pacific (APAC) and the Middle East. ICON's global biotech sector survey of 163 biotech respondents highlights the resilience of the industry, driven by investment in APAC markets and shifts in R&D priorities since its last survey in 2023. I

    12/9/25 7:15:00 AM ET
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    ICON Survey Reveals Increasing Clinical Trial Startup Delays, Underscoring Need for Human-Centred Site Activation Solutions

    ICON plc (NASDAQ:ICLR), a world-leading clinical research organisation, today announced results of its latest industry survey, examining the challenges clinical trial sites face during study startup. The findings underscore the need for a site-centric, collaborative approach to overcome bottlenecks and enhance trial activation timelines. The survey, conducted in June 2025 among just over 100 principal investigators and senior clinical trial site personnel, gathered perspectives from a wide range of clinical trial sites and is not limited to studies managed by ICON. It reveals widespread sentiment that sites are increasingly burdened by operational bottlenecks, contract and budget delays, a

    12/2/25 7:15:00 AM ET
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    ICON plc downgraded by Truist with a new price target

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    1/8/26 8:39:35 AM ET
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    ICON plc downgraded by BofA Securities with a new price target

    BofA Securities downgraded ICON plc from Buy to Neutral and set a new price target of $195.00

    12/15/25 9:55:49 AM ET
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    BMO Capital Markets initiated coverage on ICON plc with a new price target

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    9/4/25 8:00:00 AM ET
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    ICON Announces Results of Annual General Meeting

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    SEC Form SC 13G/A filed by ICON plc (Amendment)

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    2/9/24 11:49:03 AM ET
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    SEC Form SC 13G/A filed by ICON plc (Amendment)

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