Earnings Labs

Fortrea Holdings Inc. (FTRE)

Q3 2024 Earnings Call· Fri, Nov 8, 2024

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Transcript

Operator

Operator

Ladies and gentlemen, thank you for standing by. Welcome to Fortrea Third Quarter 2024 Earnings Conference Call. At this time, all participants are in a listen-only mode. After the speakers' presentation, there will be a question-and-answer session. [Operator Instructions]. Please be advised that today's conference is being recorded. I would like now to turn the conference over to Hima Inguva, Head of Investor Relations and Corporate Development. Please go ahead.

Hima Inguva

Analyst

Good morning. Thank you for joining Fortrea's third quarter 2024 earnings conference call. I am Hima Inguva, Head of Investor Relations and Corporate Development at Fortrea. On the call with me today are our CEO, Tom Pike; and CFO, Jill McConnell. The call is being webcasted, and the slides accompanying today's presentation have been posted to the Investor Relations page of our website, fortrea.com. During this call, we'll make certain forward-looking statements within the meaning of Private Securities Litigation Reform Act of 1995. These statements are subject to significant risks and uncertainties that could cause actual results to differ materially from our current expectations. We strongly encourage you to review the reports we filed with the SEC regarding these risks and uncertainties. In particular, those that are described in the cautionary statement concerning forward-looking statements and Risk Factors in our press release and presentation that we posted to the website. Please note that any forward-looking statements represent our views as of today November 8, 2024, and that we assume no obligation to update the forward-looking statements even if estimates change. During this call, we'll also be referring to certain non-GAAP financial measures. These non-GAAP measures are not superior to or replacement for the comparable GAAP measures, but we believe these measures help investors gain a complete understanding of results. A reconciliation of such non-GAAP financial measures to the most directly comparable GAAP measures is available in the earnings press release and earnings call presentation slides provided in connection with today's call. With that, I'd like to turn it over to our CEO, Tom Pike. Tom?

Tom Pike

Analyst

Good morning, everyone. Welcome to the call. Let me start by saying that Fortrea had a solid quarter of execution and progress on our strategic objectives. Our bookings landed well and we delivered on other key metrics as anticipated. Fortrea, as you probably know, is a pure-play CRO serving Phases 1 through 4. We're a leading global provider of clinical pharmacology or Phase 1 development, functional service provision, which we call FSP and full-service outsourcing. Fortrea is broad and deep in how we address the market. We have preferred relationships with some large pharmaceutical firms and have broad exposure to biotech. Our business overall is about 50:50 between large pharma and biotechs. Our large pharma partners appreciate that we have sufficient scale to conduct clinical services almost anywhere in the world. The biotech customers value that we're small enough to give our customers the personal attention they need to drive agile solutions. Both types of customers value our 30 years of experience and expertise. Since Fortrea spun out of our parent, our customer and net promoter scores, have improved, especially recently. We're getting external recognition too. This quarter PharmaTimes recognized a number of Fortreans for their great work, including an in-house CRA, global project manager and other roles. In addition, Fortrea has just been named a finalist in Fierce Healthcare's Excellence in Data-Driven DEI Award for our DEI Dashboard. We're also a finalist in the CRO of the Year category in the annual Scrip Awards. Both awards will be announced in early December. All that is pretty incredible given we've only been independent for 16 months. Now, here are some highlights for execution and progress during the quarter. We achieved a book-to-bill of 1.23 for the quarter. We closed a number of important projects with larger pharmaceutical customers and we…

Jill McConnell

Analyst

Thank you, Tom, and thank you to everyone for joining us today. As a reminder, all my remarks relate to continuing operations of Fortrea following the divestiture of our Enabling Services businesses unless I note otherwise. I'll start by saying that this quarter has delivered as we expected. Revenues of $674.9 million declined 5.4% year-on-year. The reduction versus the prior year was driven by lower service fee and pass-through revenues. Our service fee revenue continues to be impacted by a combination of factors, primarily lower new business awards in the pre-spin period along with the mix of later stage and longer duration studies in our portfolio. The pass-through decline is driven by lower pass-throughs on the biomarker study we have previously called out, which is continuing to normalize given its stage in the project life cycle. On a GAAP basis, direct costs in the quarter decreased 6.6% year-over-year, primarily due to lower personnel costs as well as lower pass-through costs, partially offset by an increase in stock compensation and professional fees. SG&A in the quarter was higher year-over-year by 27.6%, primarily due to an increase in professional fees and incremental one-time costs incurred for exiting the TSA, along with the yield costs related to the receivable securitization program we initiated in the second quarter. The company reclassified $39 million from direct cost to SG&A expense in the prior year comparison period, primarily related to information technology costs and certain non-clinic facility charges. For the third quarter, you will see SG&A as a percent of revenue on a GAAP basis at 20.2%. However, if you exclude the impact of approximately $27 million of one-time costs related to the continued separation from our former parent and the incremental impact of a full quarter's worth of expense related to the yield cost underlying…

Tom Pike

Analyst

Thank you, Jill. In closing, let me provide a few thoughts about the remainder of the year. Regarding the fourth quarter of 2024, as I mentioned, our pipeline of opportunities has grown and has sufficient large pharma which should be more predictable. We're targeting 1.2 book-to-bill in the second half. We have looked at qualified opportunities for Q1 and feel it is solid at this point. Our customer systems such as Veeva and Medidata are already transitioning in production in Fortrea's environment. I'll be excited to see our new ERP system implemented this quarter. Next year, our hardworking teams will turn their attention to making improvements for Fortrea. Moving to customers, I had a number of senior level meetings with our larger pharma customers this quarter and got consistent reports of the strong job our teams are doing. While the environment is uncertain for some larger pharma organizations causing companies to increase or decrease their spend in R&D, we're doing our best to help them through whatever they need to do. I have also met with many biotech prospects and customers and the Fortrea teams are delivering their well as well. They're bullish on their therapeutic assets and know Fortrea can provide top quality data packages for regulators. We provide multiple executive touch points to help them achieve their goals, often complex goals with clinical research. In Q3, we published our inaugural Corporate Social Responsibility Report, underscoring our commitment to safety, environmental stewardship, fairness, and ethical governance in everything that we do. In summary, Fortrea had a solid quarter of execution and progress and we're well-positioned for growth and value creation in the future. I would like to recognize our Fortrea team around the world. It can be challenging to balance the competing demands of working at a 30-year old company with the needs and energy of a startup. Our team is committed to customers and the important work of developing solutions that bring treatments to patients sooner. I'm proud of what we've achieved so far and remain excited about what we can deliver in the years ahead. Operator, can you please open the lineup for questions? Thank you.

Operator

Operator

Thank you. [Operator Instructions]. And our first question will come from Eric Coldwell with Baird. Your line is open.

Eric Coldwell

Analyst

Thanks very much. Good morning. Good job to pull in 3Q as you did. I wanted to ask about clinpharm in particular. You have quite a few studies going in your various units. They're not all diabetes and weight loss, but there are quite a few of them. I'm curious if you could talk about what the nature of studies have. How that's transitioned this year? Is clinpharm really getting a lift because of the GLT-1 type category or are you seeing strength in other therapeutic categories as well? What's your overall read on how strong the overall Phase 1 market is?

Tom Pike

Analyst

Yes. I think I'd start, by the way, good morning, Eric. I think I'd start by saying that one of the things we think about here at Fortrea is given our size and given our breadth, we do have a different kind of exposure than the largest CRO to the marketplace. And the exposure we have is to some attractive large pharmaceutical firms in Phase 1 in particular, as well as to biotechs around the world. And so the combination of those two, we've kind of re-spliced that business in terms of how we target ourselves in the market, and we're really trying to target those organizations that are spending well. Interestingly, Eric, it's -- we do some work on GLP-1s, but we also have broad exposure across the business. As I mentioned, and I actually, I had another point that I didn't add in, an interesting autoimmune compound that we have in the UK that we're working on. We have a wide variety of things that we work through. So it's actually less GLP-1 oriented and it's more oriented across a wide array of sophisticated scientific therapies.

Eric Coldwell

Analyst

That's good to hear. And Tom, you mentioned the win rate was up and Net Promoter Score is up. Are there any stats or metrics you could give us around those putting comparison…

Tom Pike

Analyst

…specifics, because then you'll ask me next time and.

Eric Coldwell

Analyst

Of course.

Tom Pike

Analyst

But are -- but yes, we basically have win rates that are up since the spin year. Our CPS win rates are quite good and in particular as we were talking about it. And so I think and the Net Promoter Scores have also taken turns for the better since we spun. So we're pretty proud of those things as we move forward.

Eric Coldwell

Analyst

Great. If I could squeeze one last one in with Jill, just a technical one. A lot of moving pieces with the TSAs, the facility and the rates changing just a lot moving on here with your interest expense, you gave some metrics on the improvements year-over-year. I'm curious if you could give us a sense on where you see sort of normalized interest expense quarterly. What's the exit rate on that as we go into 2025?

Jill McConnell

Analyst

Yes. I think what you saw this quarter, Eric, is pretty consistent because you'll remember Q2 was a little bit unusual in that we had, well, the debt paydown happened during the quarter, but we also had the yield cost from the original debt that we were amortizing and we had to take a portion of that as a write-off in the quarter, which impacted interest expense. So what you saw this quarter is generally representative. It will depend on how rates move and it also would depend on what we might do if we need to be in and out of the revolver a bit in the quarter. But I think somewhere in this range, plus or minus 10%, 15% is a decent approximation going forward.

Tom Pike

Analyst

Hopefully minus.

Jill McConnell

Analyst

Hopefully minus, but we'll see.

Eric Coldwell

Analyst

Thanks very much, guys.

Jill McConnell

Analyst

Sure.

Tom Pike

Analyst

Thank you.

Operator

Operator

And the next question comes from Patrick Donnelly with Citi. Your line is open.

Patrick Donnelly

Analyst · Citi. Your line is open.

Hey guys, thank you for taking the questions. Tom, maybe just on the bookings environment, it was really nice to see the book-to-bill come in at the 1.23 level. I think the prior commentary was 1.2 in the back half with kind of a build, right, with 3Q lower, building into a higher 4Q. Can you just talk about; I guess what changed that, what you saw in the quarter that was that much better? And then it sounds like still 1.2 for the second half. Maybe just frame up 4Q for us. What you've seen so far this quarter would be helpful?

Tom Pike

Analyst · Citi. Your line is open.

Yes. Thanks, Patrick. Good morning. We feel good about the back half. I think, given what the uncertainty we saw in Q1 and Q2, we've decided to stick with our prior commentary that we're looking for a 1.2 average in the second half. But as I mentioned in the prepared remarks, we do have a nice mix of large and biotech, which gives us a little bit more predictability in Q4. But as you know, with Q4, given the holiday schedule that many large pharmaceutical firms have, you really have to get a lot done given that holiday period we have there. But I think overall we feel pretty comfortable with Q4. And I'll also add that we've looked at Q1 and we feel pretty comfortable with Q1 as well. So as we look out, I stick with my prior remarks, but we feel pretty comfortable that if we execute, we can deliver at 1.2 average.

Patrick Donnelly

Analyst · Citi. Your line is open.

Okay. That's helpful. And then, Jill, maybe just on the margin front, I know the prior commentary was around kind of this 11% to 12% EBITDA margin for next year, very much contingent on the 1.2 book-to-bill in the second half, which obviously we just kind of talked through. You guys feel good about that. Would be helpful just at least at a high level to talk through the confidence level in that EBITDA again, I know the bookings were the big piece at least one quarter through the second half looking pretty good. So maybe just talk through the moving pieces and again, just the confidence level in the prior EBITDA commentary.

Jill McConnell

Analyst · Citi. Your line is open.

Sure, Patrick. We specifically are saying we're going to not give 2025 guidance right now. I think it's important. Yes, we're very pleased obviously with the 1.23 that we achieved in the third quarter, but we have to deliver in Q4 again and it will depend very much on the mix and also what we see going into the first quarter because you'll recall from earlier this year, we have had to change our guidance based on the fact of where we landed in the first half. So I think it's important for us also to understand what that pipeline really looks like. It looks good at the moment, but the mix is also important and the timing of those TSA exits is really critical because they're essential. We believe we're on track for year-end, but there's still a lot of work and obviously as I mentioned, two big systems getting ready to go live and those are absolutely essential for us in terms of moving into the next-generation of SG&A improvement. So we would rather wait and have more clarity on what things look like rather than say something now that they still has a lot of moving parts in it. So I'm going to refrain from answering that one directly, but explain a little bit why of we're going to take the pause and give you that feedback or update in the first quarter.

Patrick Donnelly

Analyst · Citi. Your line is open.

Understood. Okay. We'll stay tuned on that. Thanks, Jill.

Jill McConnell

Analyst · Citi. Your line is open.

Sure.

Operator

Operator

And our next question comes from Justin Bowers with DB. Your line is open.

Justin Bowers

Analyst · DB. Your line is open.

Hi, good morning, everyone. Tom, just one for you. You've been in the industry just as long as anyone and could you help characterize the environment, especially with what we're seeing in large pharma now? And do you have a sense of maybe where we are in terms of some of the restructurings and reprioritizations? Are we closer to these to finish line here or is this something that we think endures for the next year or two?

Tom Pike

Analyst · DB. Your line is open.

Hey Justin, good morning. I guess a few things I'd say, we mentioned last time that we've started to categorize the top 20 and they are so much of the spend of the industry into three groups. They're those who are very successful and growing rapidly and frankly spending rapidly on R&D. And you even heard some of our competitors talk about it that it's spilling out into new full-service outsourcing projects and opportunities for the industry. And then we have two other groups that are kind of easily described. One is the really flat to declining group and the other ones have slower growth or they're flat and both of those other groups are doing some level of restructuring. So a huge amount depends who you're exposed to. If you're one of the largest CROs, you're probably exposed to most of that mix. So you have a fairly complex puzzle, if you're somebody like us, we're exposed to some of it and we're -- we've been able to manage it to date I think would be a way to say it. So -- and I'd also Justin, I saw your report associated with the market growth and comments and I’d generally agree with what you said in there, I think there are certain pharmaceutical firms where R&D is accelerating and the general backdrop, it seems solid on the biotech front. We've said that in prior quarters. I think the recent September funding numbers for instance have indicated that as well. So it seems solid, not spectacular but solid. And so I think that firms can execute against this if their commercial organizations manage well.

Justin Bowers

Analyst · DB. Your line is open.

Got it. And then maybe one for Jill. Appreciate the EBITDA bridge that that you guys provide in the deck. With respect to the bridge from 3Q to 4Q, you have two buckets, one for service fee revenue growth and one for cost savings. Which one has the greatest variability and what's the interrelationship between the two, if any.

Jill McConnell

Analyst · DB. Your line is open.

Yes, let me start. I think the two buckets, when you look at the SG&A bucket and well margin optimization generally, I think as you saw in this quarter, that was a big contributor really to the improvement quarter-on-quarter. There's a piece of really related to variable comp and where we end up landing for the year, that's still on the table. And that, that kind of will drive how big we are in that range. But the margin improvements that you saw this quarter, you'll probably also note, I called out 15,500 people that's come down a little bit from where we were in the past quarter or two. And so it's a combination of the work that we've been doing in a very thoughtful way to manage the business and set ourselves up for future success, all while making sure that we prioritize our customers' needs and think about the needs of the projects. On the revenue side, as I had mentioned at Q2, some of this step-up in the second half was going to be related to a large suite of projects that we had won in the clinical pharmacology business as we've been talking about earlier. And we did see that step-up as we headed into Q3 and we're expecting that to continue into Q4, although sometimes with the volunteers and things around the holidays, things can be a little bit variable. So we wanted to just provide that little bit of range there because I do think there could be a little bit of movement just depending on where we land. We feel good about it at the moment, but it will very much depend on how things play out over the next couple of months. So those are some of the big drivers in terms of what's driving those two buckets in the range that we provided.

Justin Bowers

Analyst · DB. Your line is open.

Understood. Thank you so much.

Jill McConnell

Analyst · DB. Your line is open.

Sure.

Operator

Operator

And the next question comes from Luke Sergott with Barclays. Your line is now open.

Luke Sergott

Analyst · Barclays. Your line is now open.

Great. Thanks, guys. I guess could we talk about some of the pricing dynamics here and for the recently won awards that you guys have, the fear is that the feedback has been like, pricing has been extremely competitive. And so how much of this your wins are associated with coming in as one of the lower cost providers?

Tom Pike

Analyst · Barclays. Your line is now open.

Yes. Good morning, Luke. As we said on prior calls, we recognize the situation that this organization needs to improve its margins. And in general, our belief is that we can price it market and based on our capabilities and experience, we can win projects. And so I know there's been some noise out there about different organizations, but in general, for us, we're trying to price that market because we don't believe our customers make a decision based solely on price they base it on. If you think about it, the strategy we have, how long the duration is that we propose the probability that we can deliver patients in the timeframes that are required for the study. So they're looking at quite a number of things and our customers really aren't short sighted enough to make choices on that. Now, I will say FSP continues to be competitive. You'll hear this everywhere. There's less differentiation there. But again the size of our business, at this moment, in those most competitive top pharma FSP clinical situations. We're -- that's not a focus for us right now. So I think you'll hear from people who are in that area. You'll hear an intense focus on price, so.

Luke Sergott

Analyst · Barclays. Your line is now open.

Okay. And then just follow-up here. I mean the -- just talk about, you guys talked about biotech strength and the larger strategic strength that you guys saw and that's driving the bookings. Can you talk about like from a biotech perspective? Is this mostly like from the recent or the public raises that we've seen this year or is it mostly broad-based? We're just trying to figure out like the rest of the CROs have been really choppy and then you guys kind of have really avoided a lot of the bookings and other issues that others have seen. So talk about like how you're positioned in the market differently than the others that you guys aren't really seeing this pressure, exposure.

Tom Pike

Analyst · Barclays. Your line is now open.

Yes. I think I acknowledge that with the biotechs and you saw this for us in quarters one and two. There is some uncertainty around their decision making process that is the nature of the beast over there. And the question is really how well can the commercial organizations manage that? You heard us talk last time, Luke, that, that we put a lot of intense effort around our commercial organization trying to understand those decision processes better, trying to, we actually created a new process for forecasting. So we had a prior process, but in terms of forecasting book-to-bill, we added a new process after really late in the second quarter, starting in the third quarter. And so I think that that's helping us manage those expectations and make sure we point our resources at the most likely situations and really try to manage the decision process. One of the things you get with Fortrea is you get the entire management team involved where we need to be involved with customers, not just in the back offices administering the business. So we're trying to put not only the sales teams, but the operations team and the leadership when necessary, and get them directly involved with customers. And frankly, I think that makes a difference. That being said, again, what we've seen at our size, given our exposure is a solid biotech environment. We've been saying this for several quarters and it really is how does your commercial organization execute against that -- that that can help you create some consistency there. Does that help, Luke? I'm done.

Luke Sergott

Analyst · Barclays. Your line is now open.

Yes, it does. Thank you.

Tom Pike

Analyst · Barclays. Your line is now open.

Thanks.

Operator

Operator

And the next question comes from David Windley with Jefferies. Your line is open.

David Windley

Analyst · Jefferies. Your line is open.

Hi, thanks for taking my questions. Impressive progress in the quarter. What we've heard in addition to what some of the other folks have asked already. One of the key things we've heard in the quarter has been cancellations. So choppiness in the environment, difficulty to predict decision making, timelines, things like that, but predominantly cancellations. Can you talk about what you are seeing or maybe not seeing from the standpoint of clients changing their mind about intention to move forward on projects?

Jill McConnell

Analyst · Jefferies. Your line is open.

Yes. Thanks, David. I can take that one. We've looked at this really closely because we obviously hear what our peers are saying and we have not seen any increase in cancellations. We had called out the one; you remember that late in the first quarter. That kind of impacted the first quarter book-to-bill, but we have not had any uptick. We looked across the portfolio very carefully. We've seen it be kind of our normal rates. So obviously, it can be situational from customer to customer, but fortunately for us, this doesn't seem to be an issue.

Tom Pike

Analyst · Jefferies. Your line is open.

Yes, Dave, I'd add just because sort of in full disclosure, and Jill and I have talked about it in our clinical pharmacology business, there's almost what I'd call a churn where there are cancellations, but it's usually just pulling back a project to re-strategize how to deal with it, and then it's going to come back later. And so we've seen that. And I think the industry talks about what happened with CRO and what's happening in the early development stuff and whether it spills into clinical pharmacology. But for us, I'd almost call it a churn. It's not really a cancellation rate. It's things moving in and out based on different strategies that customers are taking. And so -- but overall, Jill's absolutely right, when you look at our numbers overall, they're at sort of historical norms.

David Windley

Analyst · Jefferies. Your line is open.

Tom, while I have you on this concept of qualified pipeline, I appreciate you've talked about your comfort there. I think to Justin's question, you talked about kind of the triage of top 20 and how you think about it. I'm going to assume, but I'm going to let you confirm that when you think about what's in your qualified pipeline and what's moving forward, that more of that, maybe not all of it, but more of that leans toward these folks that are spending more, moving more, maybe less mired in restructuring and things like that maybe flesh out a little bit more of what gives you the comfort that you expressed in the qualified pipeline that you're looking at internally.

Tom Pike

Analyst · Jefferies. Your line is open.

Yes. I'd say, interestingly, Dave, we do have a mix. So I'd love to say that our exposure is highly to that top segment, but we do have a mix. But given the exposure that we have, we -- they are moving ahead with projects. Everybody in the industry is moving ahead with projects. Even the folks who talked about restructuring have important projects that they're driving. So right now, what we're involved in, how we're delivering, I got some excellent feedback this quarter from some of our large pharma customers with some terms like that we are doing excellent work and phrases like that that are helping us. So we may not be as large, but what we are doing in larger pharma, we're getting some accolades for.

David Windley

Analyst · Jefferies. Your line is open.

Got it. If I could sneak one more in, Jill, on the TSA exits, appreciate that you said that the timing is critical. I just want to make sure I understand that as you kind of emphasized to me, that the TSA, the kind of removal of the check that you're writing to Labcorp for the TSA support services they are providing, that in and of itself is not what drives your margin expansion, but rather your ability to manage the business on your own systems and identify areas to take SG&A cost out. Is that correct? Is my understanding correct? If you flush that out a little bit.

Jill McConnell

Analyst · Jefferies. Your line is open.

Yes. No, your understanding is correct, David. And I do think that's important. I know we have talked about it before. So getting out of those TSA exits is really critical. Obviously, there's additional costs associated there and the one-time cost. And you will see, I shared this before, but for everyone's benefit, the way those things are paid and billed, you're going to see one-time costs through the first quarter just by the nature of how things go. But we still believe that we're on track to exit the vast majority of it all by the end of this year, right around the end of this year, certainly by the time we're coming out talking about Q4 results with all of you. And that, that is then really important. We'll go live on the new systems and then that allows us to bring in different processes, new structures and ways of working, be able to do more volume of transactions and a more efficient, effective way. So that is really critical. It's not an immediate switch that you exit a TSA and we get massively reduced SG&A. There are some places as we've talked about, particularly with our IT infrastructure, where because of the work that we're doing with Cognizant, we've talked about that before, there will be some improvements, but you'll see more of those come out over the course of next year and we'll provide a lot more detail about that journey when we give our guidance for 2025.

David Windley

Analyst · Jefferies. Your line is open.

Fantastic. Thanks for taking my questions and the extra one. Appreciate it.

Jill McConnell

Analyst · Jefferies. Your line is open.

Sure.

Tom Pike

Analyst · Jefferies. Your line is open.

Thanks, Dave.

Operator

Operator

And the next question comes from Elizabeth Anderson with Evercore. Your line is open.

Elizabeth Anderson

Analyst · Evercore. Your line is open.

Hi guys, congrats on the nice quarter, and thanks for the question. Maybe just to start out with a shorter-term question on the cost side. Traditionally, you've seen at least in the last two years, a nice dip down in SG&A in the fourth quarter. Could you talk a little bit, remind us why that happened and sort of your expectations. Obviously, it's in your embedded guidance. I just want to kind of structurally understand what that is, and then I have a follow-up.

Jill McConnell

Analyst · Evercore. Your line is open.

Yes. Sure, Elizabeth. Thanks for the question. We typically do and oftentimes over the course of the year, you're managing things right as you get. I mean, most folks would understand that in an organization you get to the end of the year, you tend to get a little bit tighter on things. So you see some of that that comes through. I do think for us, as I mentioned, one of the drivers there is around some variable comp and where the year lands in terms of how that plays out. But I also highlight the changes we've been making over the course of this year. And I called out the change in headcount. That's not just operations that's also parts of SG&A as well, where we can do it a bit more thoughtfully. So it's the cumulative impact of those as they've been happening over the course of the year. You get the full quarter of benefit in the fourth quarter and then some of the other things that we mentioned. But I think there is a bit of a -- most organizations over the course of the year you get closer to the end, you tighten up a bit and that you see that. But that is generally what's driving the improvements as we go into the fourth quarter. Having said that, I think as a percent of revenue, it's not going to be. It will be broadly in line with what we've seen over the course of this year because we really do need to exit those TSAs and SG&A to start to be able to drive the really different model.

Elizabeth Anderson

Analyst · Evercore. Your line is open.

Got it. That's very helpful. Thank you. And then I know earlier in the year you talked about some variability in terms of trial starts and maybe pivoting off of Dave's question a little bit, just sort of like slower decision making in biotech. But it seems like maybe what you're saying, and I just want to make sure we're understanding this correctly, is that you're not -- you are seeing that as perhaps like stabilizing, maybe even a little bit better. Is that a fair characterization?

Tom Pike

Analyst · Evercore. Your line is open.

Let me take that one, Elizabeth. Good morning. I think we would say we really tried to manage that hard this quarter. So we had two factors. We talked about this a little bit less and one is that, can you manage the biotech decision processes better? And our commercial team worked really hard to try to do that, try to make sure we had the right interactions with executives, understood the processes, had less stuff at the last minute. So we worked hard on that. And then the other thing frankly is that we just had a little bit more large pharma in the mix and that does add predictability. So because they have a tendency to stay on schedule, they don't make decisions, they don't have the board intervene or things that can happen with biotechs. So it's really the combo of those two in the second half that makes us feel better about our second half numbers. But we're -- I think as an industry, we all, as biotech continues to grow as a proportion and continues to be targeted by various CROs beside us. Everyone has to get used to and get better at managing those decision cycles.

Elizabeth Anderson

Analyst · Evercore. Your line is open.

Got it. Thank you very much.

Tom Pike

Analyst · Evercore. Your line is open.

Thank you.

Operator

Operator

And our next question comes from Max Smock with William Blair. Your line is open.

Max Smock

Analyst · William Blair. Your line is open.

Hi, Tom. Hi, Jill. Thanks for taking our questions. Wanted to follow-up on some of your commentary on the pipeline here. You mentioned the environment or the pipeline for the next two quarters is strong, but just wondering if you think it's healthy enough to support a 1.2 book-to-bill beyond the next couple of quarters here. I mean, you had those decisions in 2Q that got pushed out to 3Q on average the last couple of quarters’ book-to-bill about 1.1. How much of the solid bookings this quarter? Do you think was a push-out of those opportunities from 2Q or do you really think the environment is healthy enough to kind of support that 1.2 book-to-bill moving forward? Thank you.

Tom Pike

Analyst · William Blair. Your line is open.

Yes. Good morning, Max. We -- as I said, we've got a process that we have initiated here where we try to look out and we look at essentially what's in a stage where it's been awarded and not contracted, what's still to be awarded and contracted. We look at the size, we look at the likelihood that there'll be some kind of issue with the process. And so we've done that in quite a bit of detail. And so when we look out over the next two quarters, we feel comfortable that if we execute, we can be in that range of that target at 1.2. Now, frankly, it's a little difficult for us to look out that much further. This is such a funny industry. We do have things in the pipeline for next year, but it's such a funny industry because so many things come in on short-term RFPs where there's a 10-day response time. For those who don't know the industry that well, it's -- the good news is, there's so much volume of this and it's fairly well structured that it's consistent, you can manage around it. The bad news is you have these short cycle RFPs that you deal with all the time. And so I think we feel comfortable saying the next two quarters are have a solid pipeline. What Jill was referring to around 2025, I think we'd like to get a little bit further in the quarter and frankly, because we'd be reporting during the first quarter on Q4 results and providing guidance, we'd like to get further along, finish out the year, understand these TSAs, understand where our systems are at, and then really talk about that full pipeline for next year. So I realize that's probably not what you want to hear, Max, but what I can tell you is we have a very rigorous process and what we see among our large and small customers looks solid for the next two quarters.

Max Smock

Analyst · William Blair. Your line is open.

Yes. That was helpful, Tom. Thank you for that color. Also, I just wanted to follow-up on some of your commentary around small biotech. Tom, you mentioned there's still some uncertainty around small biotech decision making timelines, but just wanted to clarify whether you've actually seen those decision making timelines get better at all over the last few months. And if so, what do you think were the drivers behind that improvement? I guess, my question really is do we need to see funding get better from here or do you think the funding environment is actually okay, now that we're past the election and just had another rate cut, does that give these smaller innovators some more confidence to go ahead and start spending again?

Tom Pike

Analyst · William Blair. Your line is open.

Yes. I think on the second part, I was thinking about, in case we get near this question, Max, and we're still kind of in battlefield fog from this election this week. But there is no question that in general biotech funding is correlated with lower rates. And if we have an SEC that's more comfortable with mergers and acquisitions, you could see some tailwinds to the biotech sector. What we -- if you -- my father-in-law used to talk about assume the positive because it is a better way to live. And so if we assume the positive, we did see some good things last time, like a guy like Scott Gottlieb put in his FDA commissioner and we did see Project Warp Speed, which I think we were all hoping would give us the same kind of tailwinds for decision making that you saw during the HIV crisis. So -- and we won't see the IRA expansion or we may not see the IRA expansion that was discussed. So I think there are -- right now, we're in battlefield fog. It's very early. But if things continue to progress the way they are, it's possible that we'll see more attractive biotech environment in the coming months here. I actually don't think for Fortrea it needs to be increased. I think given our size and our exposure, if we execute well as a commercial team, I think the solid funding we've seen, the numbers that have come out in August, September are solid enough for us and the beginning of IPOs again. But for the industry overall, certainly more funding is always better. Does that help, Max? It's a little longer.

Max Smock

Analyst · William Blair. Your line is open.

Thanks again for taking -- yes. No, no, not at all. That was very helpful. Thank you again for taking our question.

Tom Pike

Analyst · William Blair. Your line is open.

Thank you.

Operator

Operator

And the next question comes from Matt Sykes with Goldman Sachs. Your lane is open.

Will Ortmayer

Analyst · Goldman Sachs. Your lane is open.

Good morning. Thanks for taking our questions. This is Will Ortmayer on for Matt. Just wanted to touch on the burn rate, given the higher conversion in the quarter and step-up that's implied for the fourth quarter, what are your expectations for backlog burn going into 2025?

Jill McConnell

Analyst · Goldman Sachs. Your lane is open.

I thought you were going to talk about fourth quarter and you tried to sneak in one on 2025 there, Will. But I will say you did see a little bit of a step-up in the burn rate from Q2 to Q3, we'd expect that to be consistent. I did talk at Q2 about the fact that some of the improvement we see in the back half would be due to the improvement in the clinical pharmacology business, which has so far come in generally as we expected, and it is a bit faster burning. I don't think at this point, I can comment on 2025 burn rate, except to say that we are continuing to look at ways to improve productivity and get projects started faster and focus on improving the timelines on milestone delivery. So it's a focus for us. But I'm going to hold off on commenting on 2025 burn until we give 2025 guidance.

Will Ortmayer

Analyst · Goldman Sachs. Your lane is open.

That's helpful. I had to try in 2025.

Jill McConnell

Analyst · Goldman Sachs. Your lane is open.

I appreciate it. You did well there. That was clever, yes.

Will Ortmayer

Analyst · Goldman Sachs. Your lane is open.

I guess, just one more from our side. When you think about the drivers of the gross margin improvement, how should we be thinking about that between mix and cost efficiencies as you grow that backlog? And are there any mix dynamics to call out that we should think about moving forward?

Jill McConnell

Analyst · Goldman Sachs. Your lane is open.

Yes. I do think we've been really clear from the beginning that prior to the spin, the mix wasn't necessarily in the places we really want to grow the full-service clinical business. We all know that, that is the strongest from a margin delivery. And so we're still focused on that. We have really seen great strength in clinpharm, as we talked about earlier. And we still like the FSP business, although as Tom mentioned, it is getting more and more price competitive. We still like it, though. It's very steady revenue, and we've learned to navigate that business really well. So we welcome it all. But I do think that mix is really important. And even within late-stage clinical the therapeutic mix is, you've heard -- we've talked about -- some of our peers have talked about the fact that the oncology programs do tend to burn a little bit slower as they get more and more specialized, some of them are longer because you have longer-term follow-up requirements. So the mix is critical. We want to be in all of it. We've talked about going into we've got really strong therapeutic breadth, but we've talked about areas we want to continue to focus on cardiovascular and neurology, some of these things with the obesity drugs and we're making great inroads on all of those, but that mix really does drive. So I think that's also part of why we want to be really thoughtful as we go into 2025 because in a quarter, you can have a great book-to-bill. But if it's all long duration, slower burning studies, it's going to impact your revenue rates for the next year. So we are looking at all of that. But the focus is clearly broad balance, but we really do want to grow more of that late-stage clinical.

Will Ortmayer

Analyst · Goldman Sachs. Your lane is open.

That’s helpful. Thanks, Jill.

Operator

Operator

And our next question comes from Michael Ryskin with Bank of America. Your line is open.

John Kim

Analyst · Bank of America. Your line is open.

Good morning. This is John Kim on for Michael. So you've talked about the SG&A and the TSA exit seem to be on track. But without giving us the margin details if you think about the investments and investments you still have to make the parts of the SG&A, that, that involves IT infrastructure, but you also mentioned commercial organization today. So I wonder what that entails. And earlier, you mentioned that SG&A as a percentage of revenues would be consistent. But at least for the next two quarters, I'm wondering what the percentage would be for those one-time costs is fairly high as a percentage of EBITDA, so.

Jill McConnell

Analyst · Bank of America. Your line is open.

Okay. Sure. I think two things there. The -- in terms of the investments, I did call that out because it is really important to understand, as we've come out of the spin, one of the reasons you did this was so that we could focus and have the right attention on the things we need to do to grow Fortrea. And so the commercial investments are very much about and we've talked about this previously, certain therapeutic areas or locations in our sales organization, where we might feel like we're slightly underrepresented and we want to have more opportunities to go after the great portfolio of work that's out there and really focus on the pipeline. So that's the commercial investment we're talking about, particularly in the biotech space. I think the other areas; I mentioned operational investments in SG&A. Operationally, we've talked about really wanting to focus on better resource management tools, which also help with our margin longer-term, even though there's a bit of an upfront investment. And SG&A is a very small amount. I'll just -- I'll say personally, within finance, there are a couple of technical expertise areas that we've had to invest in. But generally, within SG&A, it's not so much significant systems or changes there. It might be around how do you think about places where you can do work and making sure you invest in the best technology to drive that work. So those are the types of investments we're making. In one-time costs, we will see those, especially the spin-related ones come down. We did expect Q2, it was the highest. It's come down this quarter, probably step down a little bit again in Q4, and it should -- it's not going to completely go away in the first quarter because there are still some things that happen. But truly as you get through the first half, those one-time spin-related costs will disappear. And we are on track, really and really pleased. I do -- there's a lot of focus on this and it might not be as obvious to the outside, but the effort to stand up in HCM, stand up in ERP, rebuild your entire infrastructure. It's significant. So I do think the teams have done a phenomenal job and we feel really good about where we are. We have to get a few things over the line, and it's a lot of moving parts in the quarter. Thankfully, they're all internal moving parts. So hopefully, it doesn't have any impact on our customers, but there's a lot to navigate here, but we're excited about the fact that once we turn that corner, really allows us to focus on how we take Fortrea forward in the right way for our organization in 2025 and beyond.

John Kim

Analyst · Bank of America. Your line is open.

Got you. And then sorry if I missed it, but in terms of the pharma versus biotech mix, it's -- I think, Tom mentioned earlier that it's a 50:50 split there and the large -- it seems like the awards are coming in evenly. But how is the RFP flow trending looking ahead, what's your expectation there?

Tom Pike

Analyst · Bank of America. Your line is open.

I think -- good morning, John, I think it's consistent with the prior discussions here. It's solid. We carefully choose our words, we continue to see opportunities that are adequate for us to be able to grow. So we just have to sustain our win rate against those and deliver well and what we see as a solid pipeline for the targets that we have.

Tom Pike

Analyst · Bank of America. Your line is open.

So I think we're out of time. Operator I think, I'll just close out by saying that we had a solid quarter of execution and progress. And we thank all of you for your time.

Operator

Operator

This concludes today's conference call. Thank you for participating. You may now disconnect.