| Summary of Revenues by Geographic Region and Reportable Segment |
The following tables represent revenues by geographic region and reportable segment for the three and nine months ended September 30, 2024 and 2023: | | | | | | | | | | | | | | | | | | | | | | | | | | | | Three Months Ended September 30, 2024 | | (in millions) | | Technology & Analytics Solutions | | Research & Development Solutions | | Contract Sales & Medical Solutions | | Total | | Revenues: | | | | | | | | | | Americas | | $ | 797 | | | $ | 969 | | | $ | 72 | | | $ | 1,838 | | | Europe and Africa | | 626 | | | 607 | | | 54 | | | 1,287 | | | Asia-Pacific | | 131 | | | 586 | | | 54 | | | 771 | | | Total revenues | | $ | 1,554 | | | $ | 2,162 | | | $ | 180 | | | $ | 3,896 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Three Months Ended September 30, 2023 | | | (in millions) | | Technology & Analytics Solutions | | Research & Development Solutions | | Contract Sales & Medical Solutions | | Total | | | Revenues: | | | | | | | | | | | Americas | | $ | 761 | | | $ | 1,017 | | | $ | 78 | | | $ | 1,856 | | | | Europe and Africa | | 519 | | | 520 | | | 50 | | | 1,089 | | | | Asia-Pacific | | 151 | | | 585 | | | 55 | | | 791 | | | | Total revenues | | $ | 1,431 | | | $ | 2,122 | | | $ | 183 | | | $ | 3,736 | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | Nine Months Ended September 30, 2024 | | (in millions) | | Technology & Analytics Solutions | | Research & Development Solutions | | Contract Sales & Medical Solutions | | Total | | Revenues: | | | | | | | | | | Americas | | $ | 2,323 | | | $ | 2,969 | | | $ | 211 | | | $ | 5,503 | | | Europe and Africa | | 1,757 | | | 1,699 | | | 166 | | | 3,622 | | | Asia-Pacific | | 422 | | | 1,736 | | | 164 | | | 2,322 | | | Total revenues | | $ | 4,502 | | | $ | 6,404 | | | $ | 541 | | | $ | 11,447 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Nine Months Ended September 30, 2023 | | (in millions) | | Technology & Analytics Solutions | | Research & Development Solutions | | Contract Sales & Medical Solutions | | Total | | Revenues: | | | | | | | | | | Americas | | $ | 2,268 | | | $ | 2,982 | | | $ | 228 | | | $ | 5,478 | | | Europe and Africa | | 1,606 | | | 1,547 | | | 146 | | | 3,299 | | | Asia-Pacific | | 457 | | | 1,715 | | | 167 | | | 2,339 | | | Total revenues | | $ | 4,331 | | | $ | 6,244 | | | $ | 541 | | | $ | 11,116 | |
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