40th Annual J.P. Morgan Healthcare Conference - Syneos Health - Investors

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40th Annual J.P. Morgan Healthcare Conference - Syneos Health - Investors
40th Annual J.P. Morgan Healthcare Conference
Syneos Health

January 12, 2022
40th Annual J.P. Morgan Healthcare Conference - Syneos Health - Investors
Forward Looking Statement

Except for historical information, all of the statements, expectations, and assumptions contained in this presentation are forward-looking statements as
that term is defined in the Private Securities Litigation Reform Act of 1995, including Syneos Health, Inc.’s (the “Company”) projected annual adjusted
EBITDA margin expansion, 2022 industry trends, and 2022 strategy. Actual results might differ materially from those explicit or implicit in the forward-
looking statements. Important factors that could cause actual results to differ materially include, but are not limited to: reliance on key personnel; principal
investigators and patients; general and international economic, political, and other risks, including currency and stock market fluctuations and the
uncertain economic environment; the Company's ability to adequately price its contracts and not overrun cost estimates; any adverse effects from the
Company's customer or therapeutic area concentration; the Company's ability to maintain or generate new business awards; the Company's ability to
increase its market share, grow its business, and execute its growth strategies; the Company's backlog not being indicative of future revenues and its
ability to realize the anticipated future revenue reflected in its backlog; fluctuations in the Company’s operating results and effective income tax rate; risks
related to the Company's information systems and cybersecurity; changes and costs of compliance with regulations related to data privacy; risks related to
the United Kingdom’s withdrawal from the European Union; risks related to the Company's transfer pricing policies; failure to perform services in
accordance with contractual requirements, regulatory requirements and ethical considerations; risks relating to litigation and government investigations;
risks associated with the Company's early phase clinical facilities; insurance risk; risks of liability resulting from harm to patients; success of investments in
the Company's customers’ business or drugs; foreign currency exchange rate fluctuations; risks associated with acquired businesses, including the ability
to integrate acquired operations, products, and technologies in our business; risks related to the Company's income tax expense and tax reform; risks
relating to the Company's intellectual property; risks associated with the Company's acquisition strategy; failure to realize the full value of goodwill and
intangible assets; restructuring risk; potential violations of anti-corruption and anti-bribery laws; risks related to the Company's dependence on third
parties; downgrades of the Company's credit ratings; competition in the biopharmaceutical services industry; changes in outsourcing trends; regulatory
risks; trends in the Company's customers’ businesses; the Company's ability to keep pace with rapid technological change; risks related to the Company's
indebtedness; fluctuations in the Company's financial results and stock price; risks associated with business disruptions caused by pandemics such as
COVID-19 (Coronavirus) and other risk factors set forth in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2020 and
other SEC filings, copies of which are available free of charge on the Company's website at investor.syneoshealth.com. The Company assumes no
obligation and does not intend to update these forward-looking statements, except as required by law.

                                                                                                                    © 2022 Syneos Health®. All rights reserved. Authorized use only.   2
SYNH: The Only Fully Integrated Biopharmaceutical Solutions
 Organization Purpose Built to Accelerate Customer Success

   I N C R E A S I N G LY C O M P L E X E N V I R O N M E N T R E Q U I R E S I N N O VAT I V E S O L U T I O N S

  E V O LV I N G M A R K E T D E M A N D S                            S Y N E O S H E A LT H S O L U T I O N S
        Scientific Complexity                                         Product Development Mindset
       Regulatory Complexity                                                 Integrated Solutions
           Rapid Innovation                                                     Insights-Driven
           SMID Innovation                                               Patient-Centric Approach
     DCT and Home Healthcare                                                   Va l u e a n d A c c e s s
       Market Access Hurdles                                             Fit for Purpose Solutions
 Earlier Commercial Consideration                                         Flexible Delivery Models

                                                                                 © 2022 Syneos Health®. All rights reserved. Authorized use only.   3
Driving Long-Term Revenue Growth
Executing the Syneos Health Value Creation Plan

                                                               •     >20% Top 50 clinical ending backlog growth1
                                                               •     Increasing interest in the value of Commercial applied within Clinical
  Penetrate Large Pharma
                                                               •     Expanding existing relationships and breaking into new accounts
                                                               •     Beginning to lap growth headwind from one of our largest clinical customers2

                                                               •     >30% SMID revenue growth year-to-date1 across Clinical and
  High-Growth SMID & Emerging Biopharma                              Commercial, resulting in YTD revenue of nearly $2.0 billion
                                                               •     Synteract expands support to emerging biopharma

                                                               •     Gross awards up over 70% year-to-date1
  Full-Service Commercial
                                                               •     Strong adoption among SMID customers

                                                               •     First Commercial Launch of Syneos One asset in Q3
                                                               •     Integrating intelligence with Kinetic, our modern customer engagement capability
  Innovative Solutions
                                                               •     Combining technology and home healthcare into Decentralized Solutions
                                                               •     Full-service Medical Affairs solution, including high-growth RWE services

                                                               •     StudyKIK enhances patient enrollment and engagement capabilities
  M&A Growth Catalysts                                         •     RXDataScience brings advanced analytic solutions across the
                                                                     product development spectrum
             1.   As of September 30, 2021
             2.   Represented approximately 300bps of clinical revenue growth pressure year-to-date through September 30, 2021
                                                                                                                             © 2022 Syneos Health®. All rights reserved. Authorized use only.   4
Product Development Model and Mindset Accelerates Success
One-Stop Shop Seamlessly Delivers Insights-Infused Solutions

          Clinical Solutions                 Innovative        Commercial Solutions
          77% of TTM          Revenue1        Solutions            23% of TTM Revenue1

                  19.8%                                                         9.1%
           YTD revenue growth1             Dynamic Assembly          YTD revenue growth1

                  22.3%                                                       24.9%
          Ending backlog growth1             Syneos One        Ending Deployment Solutions
                                                                     backlog growth1

                   1.39x                                                       1.16x
                TTM Book-to-Bill1           Medical Affairs              TTM Book-to-Bill1

           1.   As of September 30, 2021
                                                               © 2022 Syneos Health®. All rights reserved. Authorized use only.   5
Syneos One® Driving Pipeline Growth and Differentiation
Fully Integrated Product Development Solutions Ideal for SMID Market Looking to Retain Asset Control

                      ~$1.1B                                           ~$3.2B
            TTM Gross Awards Contribution1                        Total Potential Lifetime Value1

            C O L L A B O R AT I O N D R I V I N G     PIPELINE OF 23+ POTENTIAL ASSET LAUNCHES
                      I N N O VAT I O N               IMPROVES LONG-TERM COMMERCIAL VISIBILITY

                                                     12

                                                     10
        Full Development Operating Model
                                                      8

                Transformational Design               6

                                                      4
          End-to-End Predictive Analytics
                                                      2

                                                      0
                                                           2022         2023                   2024                     2025+

           1.   As of September 30, 2021
                                                                               © 2022 Syneos Health®. All rights reserved. Authorized use only.   6
Building the Recognized Brand in Medical Affairs Solution Design
High-Value, Underpenetrated Capabilities Unlock New Avenues for Growth

       E V O LV I N G R E G U L AT O R Y             MARKET LEADERSHIP OPPORTUNITY IN
               LANDSCAPE                                   HIGH-GROWTH MARKET

       Increasing complexity of
         specialized therapies

      Increased demand for real
           world evidence

        Closer HCP and Payer
             interactions

         Earlier and broader                     Developing market with the opportunity to grow
        stakeholder education                               double-digits annually

       Criticality of value-based                Our breadth of capabilities uniquely positions us
                   data                          to offer a full-service Medical Affairs solution

                                                                     © 2022 Syneos Health®. All rights reserved. Authorized use only.   7
Dynamic Assembly Accelerates Product Development
Unique Combination of Capabilities and Flexibility Creates a Competitive Advantage
F L E X I B L E F O U N D AT I O N A L T E C H N O L O G Y P L AT F O R M        COMBINING BEST OF BREED SOLUTIONS FROM
       A D D R E S S E S E V O LV I N G M A R K E T D E M A N D S                     PA R T N E R S A N D S Y N E O S H E A LT H

                        Research & Development
                                     Patient
                         Trial       Recruitment    Decentralized
                                                                                 Curated Partner Ecosystem
                         Planning                   Trials
                                                           Patient
                                                           Engagement
                                                                                       Syneos Tech-Enabled Services
                                    Ecosystem                  Data Collection

                                    Intelligence
Dynamic                             Automation
                                                                    Real World
                                                                    Evidence
Assembly®                           Interoperability                Medical
                                    Single-source                   Affairs
                                    of truth                  Omnichannel
                                                              Engagement
                                                          Education &
              Campaign                                    Training
                  Mgt     Field Team
                                     Planning &
                                                       Commercial                                                   KINETICTM
                          Support
                                     Launch            Delivery

                                                                                                © 2022 Syneos Health®. All rights reserved. Authorized use only.   8
Driving Efficiency, Effectiveness and a Competitive Advantage
Margin Enhancement Fueling Operational Efficiency and Continued Investment in Innovative Solutions

           FY 2022 MARGIN DRIVERS                 D R I V I N G L O N G - T E R M E F F I C I E N C Y A N D I N N O VAT I O N

                                                                              Syneos One

                         Revenue Growth                                    Medical Affairs
       Revenue Mix        ForwardBound
                                                                    Decentralized Solutions
        Investments           M&A
                                                                      Digital / Analytics / AI

                                                                     Cell and Gene Therapy

              TARGETING 30 – 50 BPS of ANNUAL ADJUSTED EBITDA MARGIN EXPANSION

                                                                               © 2022 Syneos Health®. All rights reserved. Authorized use only.   9
Purpose Built to Accelerate Customer Success
Leading with a Product Development Mindset

       EXECUTING            CONTINUING TO      DELIVERING ON                    INTRODUCING
      AGAINST THE          DRIVE OPERATING     HIGH-GROWTH                       OUR UNIQUE,
    VALUE CREATION          EFFICIENCY AND       INNOVATIVE                     FULL-SERVICE
     PLAN TO DRIVE            INNOVATION        INVESTMENT                     MEDICAL AFFAIRS
       LONG-TERM                                   AREAS                          SOLUTION
        GROWTH

      Uniquely Positioned to Deliver Fully Integrated Product Development Solutions

                                                            © 2022 Syneos Health®. All rights reserved. Authorized use only.   10
Shortening the Distance
from Lab to Life®.
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