<SEC-DOCUMENT>0001157523-23-000622.txt : 20230426
<SEC-HEADER>0001157523-23-000622.hdr.sgml : 20230426
<ACCEPTANCE-DATETIME>20230426164559
ACCESSION NUMBER:		0001157523-23-000622
CONFORMED SUBMISSION TYPE:	6-K
PUBLIC DOCUMENT COUNT:		2
CONFORMED PERIOD OF REPORT:	20230426
FILED AS OF DATE:		20230426
DATE AS OF CHANGE:		20230426

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			ICON PLC
		CENTRAL INDEX KEY:			0001060955
		STANDARD INDUSTRIAL CLASSIFICATION:	SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731]
		IRS NUMBER:				981067160

	FILING VALUES:
		FORM TYPE:		6-K
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	333-08704
		FILM NUMBER:		23850445

	BUSINESS ADDRESS:	
		STREET 1:		SOUTH COUNTY BUSINESS PARK
		STREET 2:		LEOPARDSTOWN
		CITY:			DUBLIN 18
		STATE:			L2
		ZIP:			00000
		BUSINESS PHONE:		00 353 1 291 2000

	MAIL ADDRESS:	
		STREET 1:		SOUTH COUNTY BUSINESS PARK
		STREET 2:		LEOPARDSTOWN
		CITY:			DUBLIN 18
		STATE:			L2
		ZIP:			00000

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	ICON PLC  /ADR/
		DATE OF NAME CHANGE:	20010213
</SEC-HEADER>
<DOCUMENT>
<TYPE>6-K
<SEQUENCE>1
<FILENAME>a53388260.htm
<DESCRIPTION>ICON PLC 6-K
<TEXT>
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    <div style="text-align: center;">&#160;</div>
    <div style="text-align: center; font-family: 'Times New Roman',Times,serif; font-size: 16pt; font-weight: bold; background-color: rgb(255, 255, 255); color: rgb(0, 0, 0); font-style: normal; font-variant: normal; text-transform: none;">SECURITIES AND
      EXCHANGE COMMISSION</div>
    <div><br>
    </div>
    <div style="text-align: center;">Washington, D.C. 20549</div>
    <div><br>
    </div>
    <div style="text-align: center; font-weight: bold;">Report of Foreign Private Issuer</div>
    <div style="text-align: center; font-weight: bold;">Pursuant to Rule 13a-16 under</div>
    <div style="text-align: center;">t<font style="font-weight: bold;">he Securities Exchange Act of 1934</font></div>
    <div><br>
    </div>
    <div><br>
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    <div style="text-align: center;">For the month of April 2023</div>
    <div><br>
    </div>
    <div><br>
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    <div style="text-align: center; font-family: 'Times New Roman',Times,serif; font-size: 16pt; font-weight: bold; background-color: rgb(255, 255, 255); color: rgb(0, 0, 0); font-style: normal; font-variant: normal; text-transform: none;">ICON plc</div>
    <div style="text-align: center;">(Translation of registrant's name into English)</div>
    <div><br>
    </div>
    <div><br>
    </div>
    <div style="text-align: center; font-weight: bold;">333-08704</div>
    <div style="text-align: center;">&#160;(Commission file number)</div>
    <div><br>
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    <div><br>
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    <div style="text-align: center;">South County Business Park, Leopardstown, Dublin 18, Ireland</div>
    <div style="text-align: center;">(Address of principal executive offices)</div>
    <div><br>
    </div>
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    <div><br>
    </div>
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          <td colspan="3" style="width: 100%; vertical-align: top;">
            <div>Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.</div>
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          <td style="width: 40%; vertical-align: top;">
            <div>&#160;</div>
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            <div>Form 20-F __<font style="font-weight: bold;">X</font>___</div>
          </td>
          <td style="width: 43%; vertical-align: top;">
            <div>Form 40-F ______</div>
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            <div>&#160;</div>
          </td>
        </tr>
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          <td colspan="3" style="width: 100%; vertical-align: top;">
            <div>Indicate by check mark whether the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):</div>
          </td>
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          <td style="width: 40%; vertical-align: top;">
            <div>&#160;</div>
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            <div>Yes______</div>
          </td>
          <td style="width: 43%; vertical-align: top;">
            <div>No___<font style="font-weight: bold;">X</font>___</div>
          </td>
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            <div>&#160;</div>
          </td>
        </tr>
        <tr>
          <td colspan="3" style="width: 100%; vertical-align: top;">
            <div>Indicate by check mark whether the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):</div>
          </td>
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        <tr>
          <td style="width: 40%; vertical-align: top;">
            <div>&#160;</div>
          </td>
          <td style="width: 17%; vertical-align: top;">
            <div>Yes______</div>
          </td>
          <td style="width: 43%; vertical-align: top;">
            <div>No___<font style="font-weight: bold;">X</font>___</div>
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    &#160;
    <div style="text-align: center; font-weight: bold;"><u>EXHIBIT LIST</u></div>
    <div>&#160;</div>
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        <tr>
          <td style="width: 12.99%; vertical-align: top;">
            <div><u>Exhibit</u></div>
          </td>
          <td style="width: 1%; vertical-align: top;">
            <div>&#160;</div>
          </td>
          <td style="width: 43%; vertical-align: top;">
            <div><u>Description</u></div>
          </td>
          <td style="width: 43%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
        </tr>
        <tr>
          <td style="width: 12.99%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 1%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 43%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 43%; vertical-align: top;">
            <div>&#160;</div>
          </td>
        </tr>
        <tr>
          <td style="width: 12.99%; vertical-align: top;">
            <div><a href="a53388260ex99_1.htm">99.1</a></div>
          </td>
          <td style="width: 1%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td colspan="2" style="width: 86%; vertical-align: top;">
            <div><a href="a53388260ex99_1.htm">ICON plc Press Release issued April 26, 2023 - ICON Reports First Quarter 2023 Results</a></div>
          </td>
        </tr>

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    <div>&#160;</div>
    <div style="font-family: 'Times New Roman',Times,serif;">&#160;</div>
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    </div>
    <br>
    <div style="text-align: center; font-weight: bold;">SIGNATURES</div>
    <div><br>
    </div>
    <div>Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.</div>
    <div>&#160;</div>
    <div>&#160;</div>
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          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div style="font-weight: bold;">ICON plc</div>
          </td>
        </tr>
        <tr>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
        </tr>
        <tr>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
        </tr>
        <tr>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
        </tr>
        <tr>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle; border-bottom: #000000 2px solid;">
            <div>/s/ Brendan Brennan</div>
          </td>
        </tr>
        <tr>
          <td style="width: 33.33%; vertical-align: top;">
            <div>Date: April 26, 2023</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>&#160;</div>
          </td>
          <td style="width: 33.33%; vertical-align: middle;">
            <div>Brendan Brennan</div>
            <div>Chief Financial Officer</div>
          </td>
        </tr>

    </table>
    <div><br>
    </div>
    <div><br>
    </div>
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<DOCUMENT>
<TYPE>EX-99.1
<SEQUENCE>2
<FILENAME>a53388260ex99_1.htm
<DESCRIPTION>EXHIBIT 99.1
<TEXT>
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        <tr>
          <td style="width: 100%; text-align: right;"><font style="font-weight: bold;">Exhibit 99.1</font><br>
          </td>
        </tr>

    </table>
  </div>
  <div><br>
  </div>
  <div>
    <div class="bw-release">
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            <div class="bw-release">
              <h1 style="text-align: center; list-style-position: inside;FONT-SIZE: 14pt;"> <b>ICON Reports First Quarter 2023</b> <b>Results</b> </h1>
              <div class="bw-release-subhead">
                <p><b> <b>Highlights</b> </b></p>
                <ul style="list-style-type: disc;">
                  <b>
                    <li> Net business wins in the quarter of $2,415 million; a net book to bill of 1.22. </li>
                    <li> Closing backlog of $21.2 billion, an increase of 2.4% on quarter four 2022 or an increase of 8.4% on quarter one 2022. </li>
                    <li> First quarter revenue of $1,978.6 million representing an increase of 4.0% on prior year revenue and 5.3% on a constant currency organic basis. </li>
                    <li> Quarter one adjusted EBITDA of $399.1 million or 20.2% of revenue, an increase of 17.2% on quarter one 2022. </li>
                    <li> GAAP net income attributable to the Group for quarter one of $116.7 million or $1.41 per diluted share. </li>
                    <li> Quarter one adjusted net income attributable to the Group was $239.8 million or $2.90 per diluted share, an increase of 5.1% on quarter one 2022 adjusted earnings per share. </li>
                    <li> $250 million repayment made on Term Loan B debt. Net debt balance of $4.2 billion with Net debt to adjusted EBITDA ratio of 2.8x. </li>
                    <li> Full year 2023 revenue guidance reaffirmed in the range of $7,940 - $8,340 million, representing a year-on-year increase of 2.6% to 7.7%, and full year 2023 adjusted earnings per share<sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">1</sup> guidance in the range of $12.40 -
                      $13.05, representing a year-on-year increase of 5.5% to 11.1%. Adjusted earnings per share to exclude amortization, stock compensation, foreign exchange restructuring and transaction-related / integration-related adjustments. </li>
                  </b>
                </ul>
              </div>
              <div class="bw-release-body">
                <div class="bw-release-table-js bw-release-story">
                  <p>DUBLIN--(BUSINESS WIRE)--April 26, 2023--ICON plc (NASDAQ: ICLR), a world-leading healthcare intelligence and clinical research organization, today reported its financial results for the first quarter ended March 31, 2023. </p>
                  <p> CEO, Dr. Steve Cutler commented, <i>&#8220;ICON&#8217;s first quarter results reflect continued demand for our broad portfolio of services despite the challenging macroeconomic environment. Our unique position in providing scaled full-service,
                      functional and hybrid solutions is resonating well across customer segments, resulting in 8.4% backlog growth on quarter one 2022. Financial performance was solid with year-over-year revenue growth of 5.3% on a constant currency
                      organic basis, along with another strong quarter of adjusted EBITDA growth, increasing 17.2% over quarter one 2022. Adjusted earnings per share increased 5.1% on a year-over-year basis, despite the anticipated substantial increase in
                      interest expense. We are reaffirming our financial outlook for the full year 2023, with revenue guidance of $7,940 - $8,340 million and adjusted earnings per share of $12.40 &#8211; $13.05.&#8221;</i> </p>
                  <p> <b>First Quarter 2023 Results</b> </p>
                  <p> Gross business wins in the quarter were $2,858 million and cancellations were $443 million. This resulted in net business wins of $2,415 million and a book to bill of 1.22. </p>
                  <p> Revenue for the first quarter was $1,978.6 million. This represents an increase of 4.0% on prior year revenue or 5.3% on a constant currency organic basis. </p>
                  <p> GAAP net income attributable to the Group was $116.7 million resulting in $1.41 diluted earnings per share in quarter one 2023 compared to $1.36 diluted earnings per share in quarter one 2022. Adjusted net income attributable to the
                    Group for the quarter was $239.8 million resulting in an adjusted diluted earnings per share of $2.90 compared to $2.76 per share for the first quarter 2022. </p>
                  <p> Adjusted EBITDA for the first quarter was $399.1 million or 20.2% of revenue, a year-on-year increase of 17.2%. </p>
                  <p> Cash generated from operating activities for the quarter was $175.5 million. During the quarter $26.7 million was spent on capital expenditure. At March 31, 2023, the Group had cash and cash equivalents of $279.9 million, compared to
                    cash and cash equivalents of $288.8 million at December 31, 2022 and $559.1 million at March 31, 2022. $80 million of the revolving credit facility was drawn down at March 31, 2023. Additionally, $250 million of Term Loan B payments
                    were made during the quarter resulting in a net indebtedness of $4.2 billion at March 31, 2023. </p>
                  <div> </div>
                  <div style="MARGIN-BOTTOM: 10pt; CLEAR: both; MARGIN-TOP: 10pt" id="DSPFPageBreakArea">
                    <div style="PAGE-BREAK-AFTER: always" id="DSPFPageBreak">
                      <hr style="BORDER-LEFT-WIDTH: 0px; HEIGHT: 2px; BORDER-RIGHT-WIDTH: 0px; WIDTH: 100%; BORDER-BOTTOM-WIDTH: 0px; COLOR: #000000; CLEAR: both; MARGIN: 4px 0px; BORDER-TOP-WIDTH: 0px; BACKGROUND-COLOR: #000000"> </div>
                  </div>
                  <p> <b>Other Information</b> </p>
                  <p> 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. </p>
                  <p> ICON will hold a conference call on April 27, 2023 at 08:00 EDT [13:00 Ireland &amp; 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 &#8220;Investors&#8221;. This calendar will be updated regularly. </p>
                  <p> 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. </p>
                  <p> (1) 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. </p>
                  <p> 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 109 locations in
                    53 countries as at March 31, 2023. For further information about ICON, visit: www.iconplc.com. </p>
                  <div> </div>
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                  </div>
                  <p> ICON/ICLR-F </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>ICON plc</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>FOR THE THREE MONTHS ENDED MARCH 31, 2023 AND MARCH 31, 2022</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>(UNAUDITED)</b> </p>
                  <table cellspacing="0" id="zad71b6cd604445dfac3b5f51027cb4c7" style="margin-bottom: 10px;margin-left: 0px; margin-right: auto; font-size: 10pt;">

                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;" colspan="2">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>Three Months Ended</b> </p>
                        </td>
                      </tr>
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                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="margin-bottom: 0px; margin-top: 0px; list-style-position: inside;"> <b>March 31, 2023</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="margin-bottom: 0px; margin-top: 0px; list-style-position: inside;"> <b>March 31, 2022</b> </p>
                        </td>
                      </tr>
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                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;" colspan="2">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(in thousands except share and per share data)</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
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                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Revenue </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 1,978,578 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 1,901,764 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Costs and expenses: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Direct costs (excluding depreciation and amortization) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,395,546 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,378,467 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Selling, general and administrative expense </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 200,006 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 195,261 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Depreciation and amortization </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 145,126 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 141,405 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Transaction and integration-related expenses </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 11,382 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 12,085 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Restructuring </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 9,729 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,207 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total costs and expenses </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,761,789 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,731,425 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Income from operations </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 216,789 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 170,339 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Interest income </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,072 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 127 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Interest expense </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (86,551) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (44,425) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Income before provision for income taxes </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 131,310 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 126,041 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Provision for income taxes </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (14,273) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (13,286) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Income before share of earnings from equity method investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 117,037 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 112,755 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Share of equity method investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (383) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (785) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: solid black 1pt;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: solid black 1pt;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: solid black 1pt;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net income attributable to the Group </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 116,654 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 111,970 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net income per Ordinary Share attributable to the Group: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Basic </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 1.43 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 1.37 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Diluted </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 1.41 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 1.36 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Weighted average number of Ordinary Shares outstanding: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;border-bottom: double black 2.25pt;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Basic </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: double black 2.25pt;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 81,784,389 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: double black 2.25pt;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 81,463,303 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Diluted </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 82,605,659 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 82,613,098 </p>
                        </td>
                      </tr>

                  </table>
                  <div> </div>
                  <div style="MARGIN-BOTTOM: 10pt; CLEAR: both; MARGIN-TOP: 10pt" id="DSPFPageBreakArea">
                    <div style="PAGE-BREAK-AFTER: always" id="DSPFPageBreak">
                      <hr style="BORDER-LEFT-WIDTH: 0px; HEIGHT: 2px; BORDER-RIGHT-WIDTH: 0px; WIDTH: 100%; BORDER-BOTTOM-WIDTH: 0px; COLOR: #000000; CLEAR: both; MARGIN: 4px 0px; BORDER-TOP-WIDTH: 0px; BACKGROUND-COLOR: #000000"> </div>
                  </div>
                  <p style="text-align: center; list-style-position: inside;"> <b>ICON plc</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>CONDENSED CONSOLIDATED BALANCE SHEETS</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>AS AT MARCH 31, 2023 AND DECEMBER 31, 2022</b> </p>
                  <table cellspacing="0" id="z955c7477fbcc491393ea3c4c37f2cdb2" style="margin-bottom: 10px;margin-left: 0px; margin-right: auto; font-size: 10pt;">

                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(Unaudited)</b> </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(Audited)</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="list-style-position: inside; margin-bottom: 0px; margin-top: 0px;"> <b>March 31, 2023</b> </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="list-style-position: inside; margin-bottom: 0px; margin-top: 0px;"> <b>December 31, 2022</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>ASSETS</b> </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;" colspan="3">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(in thousands)</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Current Assets: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Cash and cash equivalents </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 279,880 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 288,768 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Available for sale investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,653 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,713 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Accounts receivable, net of allowance for credit losses </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,802,726 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,731,388 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Unbilled revenue </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 974,260 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 957,655 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Other receivables </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 143,727 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 63,658 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Prepayments and other current assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 170,167 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 137,094 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Income taxes receivable </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 56,820 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 48,790 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total current assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 3,429,233 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 3,229,066 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Non-current Assets: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Property, plant and equipment, net </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 348,106 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 350,320 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Goodwill </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 8,979,134 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 8,971,670 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Intangible assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,164,410 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,278,659 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Operating right-of-use assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 150,495 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 153,832 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Other receivables </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 71,612 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 70,790 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Income taxes receivable </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 22,076 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 21,380 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Deferred tax asset </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 89,406 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 76,930 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Investments in equity- long term </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 32,052 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 32,631 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total Assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 17,286,524 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 17,185,278 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>LIABILITIES AND SHAREHOLDERS&#8217; EQUITY</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Current Liabilities: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Accounts payable </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 85,126 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 81,194 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Unearned revenue </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,580,235 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,507,449 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Other liabilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,029,893 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,005,025 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Income taxes payable </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 68,676 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 41,783 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Current bank credit lines and loan facilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 135,150 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 55,150 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total current liabilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 2,899,080 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 2,690,601 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Non-current Liabilities: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Non-current bank credit lines and loan facilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,353,534 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,599,037 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Lease liabilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 133,048 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 131,644 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Non-current other liabilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 46,177 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 38,260 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Non-current income taxes payable </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 243,813 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 239,188 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;border-bottom: solid black 1pt;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Deferred tax liability </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: solid black 1pt;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 957,019 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;border-bottom: solid black 1pt;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 988,585 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total Liabilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 8,632,671 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 8,687,315 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Shareholders' Equity: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Ordinary shares, par value 6 euro cents per share; 100,000,000 shares authorized, </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> 81,928,422 shares issued and outstanding at March 31, 2023 and </p>
                          <p style="margin-bottom: 0px; margin-top: 0px;"> 81,723,555 shares issued and outstanding at December 31, 2022. </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 6,662 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 6,649 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Additional paid&#8209;in capital </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 6,867,887 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 6,840,306 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Other undenominated capital </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,162 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,162 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Accumulated other comprehensive income </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (159,896) </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (171,538) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Retained earnings </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,938,038 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,821,384 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total Shareholders' Equity </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 8,653,853 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 8,497,963 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Total Liabilities and Equity </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 17,286,524 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 17,185,278 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>

                  </table>
                  <div> </div>
                  <div style="MARGIN-BOTTOM: 10pt; CLEAR: both; MARGIN-TOP: 10pt" id="DSPFPageBreakArea">
                    <div style="PAGE-BREAK-AFTER: always" id="DSPFPageBreak">
                      <hr style="BORDER-LEFT-WIDTH: 0px; HEIGHT: 2px; BORDER-RIGHT-WIDTH: 0px; WIDTH: 100%; BORDER-BOTTOM-WIDTH: 0px; COLOR: #000000; CLEAR: both; MARGIN: 4px 0px; BORDER-TOP-WIDTH: 0px; BACKGROUND-COLOR: #000000"> </div>
                  </div>
                  <p style="text-align: center; list-style-position: inside;"> <b>ICON plc</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>FOR THE THREE MONTHS ENDED MARCH 31, 2023 AND MARCH 31, 2022</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>(UNAUDITED)</b> </p>
                  <table cellspacing="0" id="zeb18f450568b42be853bf0aaf865cb7c" style="margin-bottom: 10px;margin-left: 0px; margin-right: auto; font-size: 10pt;">

                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;" colspan="3">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>Three Months Ended</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="margin-bottom: 0px; margin-top: 0px; list-style-position: inside;"> <b>March 31, 2023</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="margin-bottom: 0px; margin-top: 0px; list-style-position: inside;"> <b>March 31, 2022</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;" colspan="3">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(in thousands)</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Cash flows from operating activities:</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net income </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 116,654 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 111,970 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Adjustments to reconcile net income to net cash provided by operating activities: </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Depreciation and amortization expense </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 145,126 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 141,405 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Impairment of long lived assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 6,933 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 3,574 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Reduction in carrying value of operating right-of-use assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 11,304 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 13,077 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Loss on equity method investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 383 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 785 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Charge on cash flow hedge </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 2,253 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Amortization of financing costs and debt discount </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,497 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 5,781 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Stock compensation expense </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 14,759 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 18,903 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Deferred taxes </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (43,823) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (34,702) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Foreign exchange movements </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (1,319) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (7,323) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Other non-cash items </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 17,534 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (2,895) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Changes in assets and liabilities:</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Accounts receivable </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (93,259) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (35,461) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Unbilled revenue </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (18,346) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (55,427) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Unearned revenue </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 80,990 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (16,812) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Other net assets </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (68,186) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 84,041 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net cash provided by operating activities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 175,500 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 226,916 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Cash flows from investing activities:</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Purchase of property, plant and equipment </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (26,744) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (19,632) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Sale of available for sale investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 482 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Purchase of available for sale investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (422) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Sale of investments in equity - long term </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 96 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Purchase of investments in equity - long term </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (1,358) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net cash used in investing activities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (28,042) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (19,536) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Cash flows from financing activities:</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Drawdown of bank credit lines and loan facilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 180,000 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Repayment of bank credit lines and loan facilities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (350,000) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (300,000) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Proceeds from exercise of equity compensation </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 12,940 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 7,491 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Share issue costs </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (4) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (3) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Repurchase of ordinary shares </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (99,983) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Share repurchase costs </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> &#8212; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (17) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net cash used in financing activities </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (157,064) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (392,512) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Effect of exchange rate movements on cash </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 718 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (7,983) </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Net (decrease)/ increase in cash and cash equivalents</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(8,888)</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>(193,115)</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Cash and cash equivalents at beginning of period </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 288,768 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 752,213 </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Cash and cash equivalents at end of period</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>$ 279,880</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>$ 559,098</b> </p>
                        </td>
                      </tr>

                  </table>
                  <div> </div>
                  <div style="MARGIN-BOTTOM: 10pt; CLEAR: both; MARGIN-TOP: 10pt" id="DSPFPageBreakArea">
                    <div style="PAGE-BREAK-AFTER: always" id="DSPFPageBreak">
                      <hr style="BORDER-LEFT-WIDTH: 0px; HEIGHT: 2px; BORDER-RIGHT-WIDTH: 0px; WIDTH: 100%; BORDER-BOTTOM-WIDTH: 0px; COLOR: #000000; CLEAR: both; MARGIN: 4px 0px; BORDER-TOP-WIDTH: 0px; BACKGROUND-COLOR: #000000"> </div>
                  </div>
                  <p style="text-align: center; list-style-position: inside;"> <b>ICON plc</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>RECONCILIATION OF NON-GAAP MEASURES</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>FOR THE THREE MONTHS ENDED MARCH 31, 2023 AND MARCH 31, 2022</b> </p>
                  <p style="text-align: center; list-style-position: inside;"> <b>(UNAUDITED)</b> </p>
                  <table cellspacing="0" id="z135595d7d2dd4e6f980d893a6aea90db" style="margin-bottom: 10px;margin-left: 0px; margin-right: auto; font-size: 10pt;">

                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;" colspan="3">
                          <p style="text-align: center; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> <b>Three Months Ended</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="margin-bottom: 0px; margin-top: 0px; list-style-position: inside;"> <b>March 31, 2023</b> </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;">
                          <p style="margin-bottom: 0px; margin-top: 0px; list-style-position: inside;"> <b>March 31, 2022</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td rowspan="1" style="vertical-align: bottom;padding-left: 0px;text-align: center; list-style-position: inside;" colspan="4">
                          <p style="list-style-position: inside; margin-bottom: 0px; margin-top: 0px;"> <b>(in thousands except share and per share data)</b> </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Adjusted EBITDA</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net income attributable to the Group </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 116,654 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 111,970 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Share of equity method investments </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 383 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 785 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Provision for income taxes </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 14,273 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 13,286 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net interest expense </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 85,479 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 44,298 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Depreciation and amortization </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 145,126 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 141,405 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Stock-based compensation expense <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(a)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 14,759 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 19,220 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Foreign currency losses (gains), net <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(b)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,338 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (6,646) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Restructuring <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(c)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 9,729 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,207 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Transaction-related / integration-related costs <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(d)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 11,382 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 12,085 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Adjusted EBITDA</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 399,123 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: double black 2.25pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 340,610 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Adjusted net income attributable to the Group and adjusted diluted net income per Ordinary Share attributable to the Group</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Net income attributable to the Group </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 116,654 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 111,970 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Provision for income taxes </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 14,273 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 13,286 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Amortization </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 114,678 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 114,802 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Stock-based compensation expense <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(a)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 14,759 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 19,220 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Foreign currency losses (gains), net <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(b)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 1,338 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (6,646) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Restructuring <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(c)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 9,729 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,207 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Transaction-related / integration-related costs <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(d)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 11,382 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 12,085 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Transaction-related financing costs <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(e)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 4,498 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 5,781 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Adjusted tax expense <sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(f)</sup> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (47,469) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> (46,744) </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: top;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Adjusted net income attributable to the Group</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 239,842 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: double black 2.25pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 227,961 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> Diluted weighted average number of Ordinary Shares outstanding </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 82,605,659 </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> 82,613,098 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: solid black 1pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: solid black 1pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> <b>Adjusted diluted net income per Ordinary Share attributable to the Group</b> </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 2.90 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="border-bottom: double black 2.25pt;">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;padding-right: 0px;">
                          <p style="text-align: right; list-style-position: inside;margin-bottom: 0px; margin-top: 0px;"> $ 2.76 </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;border-bottom: double black 2.25pt;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>
                      <tr>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1">&#160;</td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                        <td colspan="1" rowspan="1" style="vertical-align: bottom;padding-left: 0px;">
                          <p style="margin-bottom: 0px; margin-top: 0px;"> &#160; </p>
                        </td>
                      </tr>

                  </table>
                  <div> </div>
                  <div style="MARGIN-BOTTOM: 10pt; CLEAR: both; MARGIN-TOP: 10pt" id="DSPFPageBreakArea">
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                  </div>
                  <p> (a) Stock-based compensation expense represents the amount of recurring non-cash expense related to the Company&#8217;s equity compensation programs (inclusive of employer related taxes). </p>
                  <p> (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. </p>
                  <p> (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. </p>
                  <p> (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. </p>
                  <p> (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. </p>
                  <p> (f) Represents the tax effect of adjusted pre-tax income at our estimated effective tax rate. </p>
                  <p> http://www.iconplc.com </p>
                </div>
                <div class="bw-release-contact">
                  <h2 style="FONT-SIZE: 14pt;">Contacts</h2>
                  <p> Investor Relations <br>
                    +1 888 381 7923 </p>
                  <p> Brendan Brennan <br>
                    Chief Financial Officer <br>
                    +353 1 291 2000 </p>
                  <p> Kate Haven <br>
                    Vice President Investor Relations <br>
                    +1 888 381 7923 </p>
                  <p> All at ICON </p>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
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</SEC-DOCUMENT>
