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Segments
12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Segments Segments    The 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 science clients. 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 our segments and are reported as general corporate and unallocated expenses. These costs primarily consist of stock-based compensation and expenses 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:
Year Ended December 31,
(in millions)202020192018
Revenues
Technology & Analytics Solutions$4,858 $4,486 $4,137 
Research & Development Solutions5,760 5,788 5,465 
Contract Sales & Medical Solutions741 814 810 
Total revenues11,359 11,088 10,412 
Costs of revenue
Technology & Analytics Solutions2,900 2,663 2,343 
Research & Development Solutions3,974 3,936 3,721 
Contract Sales & Medical Solutions626 701 682 
Total costs of revenue7,500 7,300 6,746 
Selling, general and administrative expenses
Technology & Analytics Solutions742 722 753 
Research & Development Solutions738 711 689 
Contract Sales & Medical Solutions58 61 67 
General corporate and unallocated251 240 207 
Total selling, general and administrative expenses1,789 1,734 1,716 
Segment profit
Technology & Analytics Solutions1,216 1,101 1,041 
Research & Development Solutions1,048 1,141 1,055 
Contract Sales & Medical Solutions57 52 61 
Total segment profit2,321 2,294 2,157 
General corporate and unallocated(251)(240)(207)
Depreciation and amortization(1,287)(1,202)(1,141)
Restructuring costs(52)(75)(68)
Total income from operations$731 $777 $741