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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 10-Q
 
      QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE QUARTERLY PERIOD ENDED December 31, 2022
OR
         TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE TRANSITION PERIOD FROM ___________ TO___________
Commission file number 1-16671
 
AMERISOURCEBERGEN CORPORATION
(Exact name of registrant as specified in its charter)
Delaware 23-3079390
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
1 West First AvenueConshohocken,PA 19428-1800
(Address of principal executive offices) (Zip Code)
 (610727-7000
(Registrant’s telephone number, including area code)

 Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of exchange on which registered
Common stock, par value $0.01 per shareABCNew York Stock Exchange(NYSE)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes  ý  No  o
 
Indicate by check mark whether the registrant has submitted electronically, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes  ý  No o
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company (as defined in Rule 12b-2 of the Exchange Act).
 
Large accelerated filer ý  Accelerated filer o  Non-accelerated filer o  Smaller reporting company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes    No  ý
 
The number of shares of common stock of AmerisourceBergen Corporation outstanding as of January 31, 2023 was 202,258,188.


AMERISOURCEBERGEN CORPORATION
 
TABLE OF CONTENTS
 
 Page No.
  
 
  
 
  
  
  
  
Consolidated Statements of Changes in Stockholders' Equity for the three months ended December 31, 2022 and 2021
  
  
  
  
  
 
  
  
  
  
  
  
  
  

1

PART I. FINANCIAL INFORMATION 
ITEM I. Financial Statements (Unaudited) 
AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share data)December 31,
2022
September 30,
2022
 (Unaudited) 
ASSETS  
Current assets:  
Cash and cash equivalents$1,692,205 $3,388,189 
Accounts receivable, less allowances for returns and credit losses:
$1,610,686 as of December 31, 2022 and $1,626,729 as of September 30, 2022
18,627,397 18,452,675 
Inventories16,779,873 15,556,394 
Right to recover assets1,529,346 1,532,061 
Income tax receivable85,174 172,568 
Prepaid expenses and other1,994,130 487,871 
Total current assets40,708,125 39,589,758 
Property and equipment, net2,139,782 2,135,003 
Goodwill8,597,145 8,503,886 
Other intangible assets4,429,882 4,332,737 
Deferred income taxes230,437 237,571 
Other assets1,801,522 1,761,661 
TOTAL ASSETS$57,906,893 $56,560,616 
LIABILITIES AND STOCKHOLDERS’ EQUITY  
Current liabilities:  
Accounts payable$41,757,949 $40,192,890 
Accrued expenses and other2,014,399 2,214,592 
Short-term debt988,275 1,070,473 
Total current liabilities44,760,623 43,477,955 
Long-term debt4,656,029 4,632,360 
Accrued income taxes329,129 320,274 
Deferred income taxes1,633,249 1,620,413 
Other liabilities991,609 976,583 
Accrued litigation liability5,462,695 5,461,758 
Commitments and contingencies (Note 9)
Stockholders’ equity: 
Common stock, $0.01 par value - authorized, issued, and outstanding:
600,000,000 shares, 294,174,491 shares, and 202,225,546 shares as of December 31, 2022, respectively, and 600,000,000 shares, 292,700,490 shares, and 206,203,817 shares as of September 30, 2022, respectively
2,942 2,927 
Additional paid-in capital5,737,106 5,658,733 
Retained earnings3,357,678 2,977,646 
Accumulated other comprehensive loss(1,411,918)(1,830,970)
Treasury stock, at cost: 91,948,945 shares as of December 31, 2022 and 86,496,673 shares as of September 30, 2022
(7,863,939)(7,019,895)
Total AmerisourceBergen Corporation stockholders' deficit(178,131)(211,559)
Noncontrolling interests251,690 282,832 
Total stockholders' equity73,559 71,273 
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY$57,906,893 $56,560,616 


See notes to consolidated financial statements.
2

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
Three months ended
December 31,
(in thousands, except per share data)20222021
Revenue$62,846,832 $59,628,810 
Cost of goods sold60,700,879 57,568,451 
Gross profit2,145,953 2,060,359 
Operating expenses: 
Distribution, selling, and administrative1,290,928 1,170,110 
Depreciation99,542 95,585 
Amortization72,398 80,344 
Litigation and opioid-related expenses12,706 32,635 
Acquisition, integration, and restructuring expenses37,236 32,334 
Impairment of assets 4,946 
Operating income633,143 644,405 
Other income, net(6,328)(5,172)
Interest expense, net46,016 53,372 
Income before income taxes593,455 596,205 
Income tax expense117,285 146,789 
Net income476,170 449,416 
Net loss (income) attributable to noncontrolling interests3,575 (311)
Net income attributable to AmerisourceBergen Corporation
$479,745 $449,105 
Earnings per share:
Basic$2.35 $2.15 
Diluted$2.33 $2.13 
Weighted average common shares outstanding:  
Basic204,032 208,555 
Diluted206,327 211,168 
Cash dividends declared per share of common stock$0.485 $0.460 
 











See notes to consolidated financial statements.
3

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES
 CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited) 
Three months ended
December 31,
(in thousands)20222021
Net income$476,170 $449,416 
Other comprehensive income (loss)
Foreign currency translation adjustments396,074 (378,461)
Other, net(2,709)(673)
Total other comprehensive income (loss)393,365 (379,134)
Total comprehensive income869,535 70,282 
Comprehensive loss attributable to noncontrolling interests29,262 1,482 
Comprehensive income attributable to AmerisourceBergen Corporation$898,797 $71,764 






























See notes to consolidated financial statements.
4

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES 
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
(Unaudited)
(in thousands, except per share data)Common StockAdditional Paid-in CapitalRetained EarningsAccumulated Other Comprehensive LossTreasury StockNoncontrolling InterestsTotal
September 30, 2022$2,927 $5,658,733 $2,977,646 $(1,830,970)$(7,019,895)$282,832 $71,273 
Net income (loss)— — 479,745 — — (3,575)476,170 
Other comprehensive income (loss)— — — 419,052 — (25,687)393,365 
Cash dividends, $0.485 per share
— — (99,713)— — — (99,713)
Exercises of stock options3 21,860 — — — — 21,863 
Share-based compensation expense— 55,633 — — — — 55,633 
Purchases of common stock— — — — (778,827)— (778,827)
Employee tax withholdings related to restricted share vesting— — — — (65,217)— (65,217)
Other, net12 880 — — — (1,880)(988)
December 31, 2022$2,942 $5,737,106 $3,357,678 $(1,411,918)$(7,863,939)$251,690 $73,559 

(in thousands, except per share data)Common StockAdditional Paid-in CapitalRetained EarningsAccumulated Other Comprehensive LossTreasury StockNoncontrolling InterestsTotal
September 30, 2021$2,907 $5,465,104 $1,670,513 $(445,442)$(6,469,728)$361,057 $584,411 
Net income — — 449,105 — — 311 449,416 
Other comprehensive loss— — — (377,341)— (1,793)(379,134)
Cash dividends, $0.460 per share
— — (100,541)— — — (100,541)
Exercises of stock options4 38,933 — — — — 38,937 
Share-based compensation expense— 42,920 — — — — 42,920 
Employee tax withholdings related to restricted share vesting— — — — (34,554)— (34,554)
Other, net9 (343)— — — — (334)
December 31, 2021$2,920 $5,546,614 $2,019,077 $(822,783)$(6,504,282)$359,575 $601,121 




















See notes to consolidated financial statements.
5

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES 
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
 Three months ended
December 31,
(in thousands)20222021
OPERATING ACTIVITIES 
Net income$476,170 $449,416 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation, including amounts charged to cost of goods sold100,332 96,926 
Amortization, including amounts charged to interest expense75,080 83,476 
(Benefit) provision for credit losses(1,486)2,191 
(Benefit) provision for deferred income taxes(12,326)30,512 
Share-based compensation expense55,633 42,920 
LIFO expense (credit)25,050 (44,679)
Impairment of assets 4,946 
Other, net664 5,360 
Changes in operating assets and liabilities, excluding the effects of acquisitions:
Accounts receivable(59,872)716,380 
Inventories(1,178,035)(989,993)
Income taxes receivable87,394 38,637 
Prepaid expenses and other assets(7,421)18,914 
Accounts payable1,381,079 824,056 
Accrued expenses (233,640)(314,732)
Long-term accrued litigation liability937 (50,479)
Income taxes payable and other liabilities521 (50,440)
NET CASH PROVIDED BY OPERATING ACTIVITIES710,080 863,411 
INVESTING ACTIVITIES  
Capital expenditures(75,727)(79,691)
Cost of acquired companies, net of cash acquired (62,641)
Prefunded business acquisition (Note 13)(1,438,124) 
Other, net2,693 (788)
NET CASH USED IN INVESTING ACTIVITIES(1,511,158)(143,120)
FINANCING ACTIVITIES  
Loan borrowings54,960 38,547 
Loan repayments(52,756)(55,069)
Borrowings under revolving and securitization credit facilities1,882,229 956,827 
Repayments under revolving and securitization credit facilities(1,894,951)(946,791)
Purchases of common stock(807,214) 
Exercises of stock options21,863 38,937 
Cash dividends on common stock(99,713)(100,541)
Employee tax withholdings related to restricted share vesting(65,217)(34,554)
Other, net(3,145)(3,779)
NET CASH USED IN FINANCING ACTIVITIES(963,944)(106,423)
EFFECT OF EXCHANGE RATE CHANGES ON CASH, CASH EQUIVALENTS, AND RESTRICTED CASH84,140 (2,654)
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH, INCLUDING CASH CLASSIFIED WITHIN ASSETS HELD FOR SALE(1,680,882)611,214 
PLUS: DECREASE IN CASH CLASSIFIED WITHIN ASSETS HELD FOR SALE 1,038 
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH(1,680,882)612,252 
Cash, cash equivalents, and restricted cash at beginning of period3,593,539 3,070,128 
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH AT END OF PERIOD$1,912,657 $3,682,380 



See notes to consolidated financial statements.
6

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
 
Note 1.  Summary of Significant Accounting Policies
Basis of Presentation
The accompanying financial statements present the consolidated financial position, results of operations, and cash flows of AmerisourceBergen Corporation and its subsidiaries, including less-than-wholly-owned subsidiaries in which AmerisourceBergen Corporation has a controlling financial interest (the "Company"), as of the dates and for the periods indicated. All significant intercompany accounts and transactions have been eliminated in consolidation.
The accompanying unaudited consolidated financial statements have been prepared in conformity with U.S. generally accepted accounting principles ("GAAP") for interim financial information and in accordance with the instructions to Form 10-Q, and Rule 10-01 of Regulation S-X. In the opinion of management, all adjustments (consisting only of normal recurring accruals, except as otherwise disclosed herein) considered necessary to present fairly the financial position as of December 31, 2022 and the results of operations and cash flows for the interim periods ended December 31, 2022 and 2021 have been included. Certain information and footnote disclosures normally included in financial statements presented in accordance with U.S. GAAP, but which are not required for interim reporting purposes, have been omitted. The accompanying unaudited consolidated financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2022.
The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect amounts reported in the financial statements and accompanying notes. Actual amounts could differ from these estimated amounts. Certain reclassifications have been made to prior-period amounts in order to conform to the current year presentation.
Restricted Cash
The Company is required to maintain certain cash deposits with banks mainly consisting of deposits restricted under contractual agency agreements and cash restricted by law and other obligations, including opioid-related legal settlements.
The following represents a reconciliation of cash and cash equivalents in the Consolidated Balance Sheets to cash, cash equivalents, and restricted cash used in the Consolidated Statements of Cash Flows:
(amounts in thousands)December 31,
2022
September 30,
2022
December 31,
2021
September 30,
2021
(unaudited)(unaudited)
Cash and cash equivalents$1,692,205 $3,388,189 $3,168,881 $2,547,142 
Restricted cash (included in Prepaid Expenses and Other)159,599 144,980 453,485 462,986 
Restricted cash (included in Other Assets)60,853 60,370 60,014 60,000 
Cash, cash equivalents, and restricted cash$1,912,657 $3,593,539 $3,682,380 $3,070,128 
Recently Adopted Accounting Pronouncements
As of December 31, 2022, there were no recently-issued accounting standards that may have a material impact on the Company’s financial position, results of operations, cash flows, or notes to the financial statements upon their adoption.





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Note 2. Variable Interest Entity
The Company has substantial governance rights over Profarma Distribuidora de Produtos Farmacêuticos S.A. ("Profarma"), which allow it to direct the activities that significantly impact Profarma’s economic performance. As such, the Company consolidates the operating results of Profarma in its consolidated financial statements. The Company is not obligated to provide future financial support to Profarma.
The following assets and liabilities of Profarma are included in the Company's Consolidated Balance Sheets:
(in thousands)December 31,
2022
September 30,
2022
Cash and cash equivalents$13,002 $23,144 
Accounts receivables, net216,759 192,930 
Inventories198,851 207,858 
Prepaid expenses and other63,316 63,982 
Property and equipment, net37,925 35,554 
Other intangible assets65,504 66,568 
Other long-term assets72,531 71,327 
Total assets$667,888 $661,363 
Accounts payable$220,568 $215,515 
Accrued expenses and other44,161 47,952 
Short-term debt44,151 60,851 
Long-term debt87,532 64,918 
Deferred income taxes25,591 25,801 
Other long-term liabilities52,414 52,417 
Total liabilities$474,417 $467,454 
Profarma's assets can only be used to settle its obligations, and its creditors do not have recourse to the general credit of the Company.
Note 3.  Income Taxes
The Company files income tax returns in U.S. federal, state, and various foreign jurisdictions. As of December 31, 2022, the Company had unrecognized tax benefits, defined as the aggregate tax effect of differences between tax return positions and the benefits recognized in the Company’s financial statements, of $553.5 million ($481.5 million, net of federal benefit). If recognized, $463.3 million of these tax benefits would have reduced income tax expense and the effective tax rate. Included in this amount is $22.9 million of interest and penalties, which the Company records in Income Tax Expense in the Company's Consolidated Statements of Operations. In the three months ended December 31, 2022, unrecognized tax benefits increased by $0.3 million. Over the next 12 months, it is reasonably possible that tax authority audit resolutions and the expiration of statutes of limitations could result in a reduction of unrecognized tax benefits of approximately $19.3 million.
The Company's effective tax rates were 19.8% and 24.6% for the three months ended December 31, 2022 and 2021, respectively. The effective tax rate for the three months ended December 31, 2022 was lower than the U.S. statutory rate primarily due to the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate, as well as tax benefits associated with the vesting of restricted stock units and stock option exercises, offset in part by U.S. state income taxes. The effective tax rate in the three months ended December 31, 2021 was higher than the U.S. statutory rate primarily due to U.S. state income taxes as well as discrete tax expense associated with foreign valuation allowance adjustments.
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Note 4.  Goodwill and Other Intangible Assets
The following is a summary of the changes in the carrying value of goodwill, by reportable segment, for the three months ended December 31, 2022:
(in thousands)U. S. Healthcare SolutionsInternational Healthcare SolutionsTotal
Goodwill as of September 30, 2022$6,280,240 $2,223,646 $8,503,886 
Foreign currency translation2,367 90,892 93,259 
Goodwill as of December 31, 2022$6,282,607 $2,314,538 $8,597,145 
The following is a summary of other intangible assets:
 December 31, 2022September 30, 2022
(in thousands)Weighted Average Remaining Useful LifeGross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Indefinite-lived trade names$667,974 $— $667,974 $667,932 $— $667,932 
Finite-lived:
   Customer relationships15 years4,396,380 (1,007,837)3,388,543 4,226,547 (931,961)3,294,586 
   Trade names and other11 years559,542 (186,177)373,365 542,346 (172,127)370,219 
Total other intangible assets$5,623,896 $(1,194,014)$4,429,882 $5,436,825 $(1,104,088)$4,332,737 
The increases in the gross carrying amounts of finite-lived intangible assets since September 30, 2022 were primarily due to foreign currency translation.
Amortization expense for finite-lived intangible assets was $72.4 million and $80.3 million in the three months ended December 31, 2022 and 2021, respectively. Amortization expense for finite-lived intangible assets is estimated to be $287.3 million in fiscal 2023, $285.5 million in fiscal 2024, $284.5 million in fiscal 2025, $280.0 million in fiscal 2026, $275.1 million in fiscal 2027, and $2,421.9 million thereafter.

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Note 5.  Debt
Debt consisted of the following:
(in thousands)December 31,
2022
September 30,
2022
Multi-currency revolving credit facility due 2027$ $ 
Receivables securitization facility due 2025350,000 350,000 
Revolving credit note  
Overdraft facility due 2024 (£10,000)
  
Money market facility  
0.737% senior notes due 2023
673,866 672,736 
$500,000, 3.400% senior notes due 2024
499,316 499,195 
$500,000, 3.250% senior notes due 2025
498,517 498,347 
$750,000, 3.450% senior notes due 2027
745,833 745,622 
$500,000, 2.800% senior notes due 2030
495,501 495,348 
$1,000,000, 2.700% senior notes due 2031
990,760 990,480 
$500,000, 4.250% senior notes due 2045
495,216 495,162 
$500,000, 4.300% senior notes due 2047
493,354 493,288 
Alliance Healthcare debt270,258 336,886 
Nonrecourse debt131,683 125,769 
Total debt5,644,304 5,702,833 
Less AmerisourceBergen Corporation current portion673,866 672,736 
Less Alliance Healthcare current portion270,258 336,886 
Less nonrecourse current portion44,151 60,851 
Total, net of current portion$4,656,029 $4,632,360 
Multi-Currency Revolving Credit Facility
    The Company has a $2.4 billion multi-currency senior unsecured revolving credit facility ("Multi-Currency Revolving Credit Facility") with a syndicate of lenders, which is scheduled to expire in October 2027. Interest on borrowings under the Multi-Currency Revolving Credit Facility accrues at specified rates based on the Company’s debt rating and ranges from 80.5 basis points to 122.5 basis points over SOFR/EURIBOR/CDOR/RFR, as applicable (102.5 basis points over SOFR/EURIBOR/CDOR/RFR as of December 31, 2022) and from 0 basis points to 22.5 basis points over the alternate base rate and Canadian prime rate, as applicable. The Company pays facility fees to maintain the availability under the Multi-Currency Revolving Credit Facility at specified rates based on its debt rating, ranging from 7 basis points to 15 basis points, annually, of the total commitment (10 basis points as of December 31, 2022). The Company may choose to repay or reduce its commitments under the Multi-Currency Revolving Credit Facility at any time. The Multi-Currency Revolving Credit Facility contains covenants, including compliance with a financial leverage ratio test, as well as others that impose limitations on, among other things, indebtedness of subsidiaries and asset sales, with which the Company was compliant as of December 31, 2022.
Commercial Paper Program
    The Company has a commercial paper program whereby it may from time to time issue short-term promissory notes in an aggregate amount of up to $2.4 billion at any one time. Amounts available under the program may be borrowed, repaid, and re-borrowed from time to time. The maturities on the notes will vary, but may not exceed 365 days from the date of issuance. The notes will bear interest, if interest bearing, or will be sold at a discount from their face amounts. The commercial paper program does not increase the Company’s borrowing capacity as it is fully backed by the Company’s Multi-Currency Revolving Credit Facility. There were no borrowings outstanding under the commercial paper program as of December 31, 2022.
Receivables Securitization Facility
The Company has a $1,450 million receivables securitization facility ("Receivables Securitization Facility"), which is scheduled to expire in October 2025. The Company has available to it an accordion feature whereby the commitment on the Receivables Securitization Facility may be increased by up to $250 million, subject to lender approval, for seasonal needs during the December and March quarters. Interest rates are based on prevailing market rates for short-term commercial paper or
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30-day Term SOFR, plus a program fee. The Company pays a customary unused fee at prevailing market rates, annually, to maintain the availability under the Receivables Securitization Facility. The Receivables Securitization Facility contains similar covenants to the Multi-Currency Revolving Credit Facility, with which the Company was compliant as of December 31, 2022.
Revolving Credit Note, Overdraft Facility, and Money Market Facility
    The Company has an uncommitted, unsecured line of credit available to it pursuant to a revolving credit note ("Revolving Credit Note"). The Revolving Credit Note provides the Company with the ability to request short-term unsecured revolving credit loans from time to time in a principal amount not to exceed $75 million. The Revolving Credit Note may be decreased or terminated by the bank or the Company at any time without prior notice. The Company also has a £10 million uncommitted U.K. overdraft facility ("Overdraft Facility"), which expires in February 2024, to fund short-term normal trading cycle fluctuations related to its MWI Animal Health business. The Company has an uncommitted, unsecured line of credit available to it pursuant to a money market credit agreement ("Money Market Facility"). The Money Market Facility provides the Company with the ability to request short-term unsecured revolving credit loans from time to time in a principal amount not to exceed $100 million. The Money Market Facility may be decreased or terminated by the bank or the Company at any time without prior notice.
Alliance Healthcare Debt
Alliance Healthcare debt is comprised of uncommitted revolving credit facilities in various currencies with various rates. A majority of the outstanding borrowings were held in Egypt (which is 50% owned) as of December 31, 2022. These facilities are used to fund its working capital needs.
Nonrecourse Debt
Nonrecourse debt is comprised of short-term and long-term debt belonging to the Brazil subsidiary and is repaid solely from the Brazil subsidiary's cash flows and such debt agreements provide that the repayment of the loans (and interest thereon) is secured solely by the capital stock, physical assets, contracts, and cash flows of the Brazil subsidiary.
Note 6.  Stockholders’ Equity and Earnings per Share
In May 2022, the Company's board of directors authorized a share repurchase program allowing the Company to purchase up to $1.0 billion of its outstanding shares of common stock, subject to market conditions. In the three months ended December 31, 2022, the Company purchased 5.0 million shares of its common stock for a total of $778.8 million, including 4.4 million shares from Walgreens Boots Alliance, Inc. ("WBA") for $700 million. These purchases excluded $28.4 million of purchases in September 2022 that cash settled in October 2022. As of December 31, 2022, the Company had $182.5 million of availability remaining under this program.
    Basic earnings per share is computed by dividing net income attributable to AmerisourceBergen Corporation by the weighted average number of shares of common stock outstanding during the periods presented. Diluted earnings per share is computed by dividing net income attributable to AmerisourceBergen Corporation by the weighted average number of shares of common stock outstanding, plus the dilutive effect of stock options and restricted stock units during the periods presented.
    The following illustrates the components of diluted weighted average shares outstanding for the periods indicated:
Three months ended
December 31,
(in thousands)20222021
Weighted average common shares outstanding - basic204,032 208,555 
Dilutive effect of stock options and restricted stock units2,295 2,613 
Weighted average common shares outstanding - diluted206,327 211,168 
The potentially dilutive stock options and restricted stock units that were antidilutive for the three months ended December 31, 2022 and 2021 were 0.4 million.
Note 7. Related Party Transactions
WBA owns more than 10% of the Company’s outstanding common stock and is, therefore, considered a related party. The Company operates under various agreements and arrangements with WBA, including a pharmaceutical distribution agreement pursuant to which the Company distributes pharmaceutical products to WBA and an agreement that provides the Company the ability to access favorable economic pricing and generic products through a generic purchasing services
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arrangement with Walgreens Boots Alliance Development GmbH (both through 2029) as well as a distribution agreement pursuant to which it supplies branded and generic pharmaceutical products to WBA’s Boots UK Ltd. subsidiary (through 2031).
Revenue from the various agreements and arrangements with WBA was $16.2 billion in the three months ended December 31, 2022 and 2021. The Company’s receivable from WBA, net of incentives, was $6.7 billion and $7.0 billion as of December 31, 2022 and September 30, 2022, respectively.
Note 8. Acquisition, Integration, and Restructuring Expenses
    The following illustrates the expenses incurred by the Company relating to Acquisition, Integration, and Restructuring Expenses for the periods indicated:
Three months ended
December 31,
(in thousands)20222021
Acquisition-related deal and integration$20,996 $21,350 
Employee severance716 343 
Business transformation efforts12,920 4,342 
Other restructuring initiatives2,604 6,299 
    Total acquisition, integration, and restructuring expenses$37,236 $32,334 
Acquisition-related deal and integration expenses in the three months ended December 31, 2022 and 2021 primarily related to costs associated with the integration of Alliance Healthcare.
Business transformation efforts in the three months ended December 31, 2022 primarily related to costs associated with the Company's name change (see Note 13). Business transformation efforts in the three months ended December 31, 2021 primarily related to costs associated with reorganizing the Company to further align the organization to its customers' needs. The majority of these costs related to services provided by third-party consultants, including certain technology initiatives.
Note 9. Legal Matters and Contingencies
In the ordinary course of its business, the Company becomes involved in lawsuits, administrative proceedings, government subpoenas, government investigations, stockholder demands, and other disputes, including antitrust, commercial, product liability, intellectual property, regulatory, employment discrimination, and other matters. Significant damages or penalties may be sought from the Company in some matters, and some matters may require years for the Company to resolve. The Company records a reserve for these matters when it is both probable that a liability has been incurred and the amount of the loss can be reasonably estimated.
For those matters for which the Company has not recognized a liability, the Company cannot predict the outcome of their impact on the Company as uncertainty remains with regard to whether such matters will proceed to trial, whether settlements will be reached, and the amount and terms of any such settlements. Outcomes may include settlements in significant amounts that are not currently estimable, limitations on the Companys conduct, the imposition of corporate integrity agreement obligations, consent decrees, and/or other civil and criminal penalties. From time to time, the Company is also involved in disputes with its customers, which the Company generally seeks to resolve through commercial negotiations. If negotiations are unsuccessful, the parties may litigate the dispute or otherwise attempt to settle the matter.
With respect to the specific legal proceedings and claims described below, unless otherwise noted, the amount or range of possible losses is not reasonably estimable. There can be no assurance that the settlement, resolution, or other outcome of one or more matters, including the matters set forth below, during any subsequent reporting period will not have a material adverse effect on the Companys results of operations or cash flows for that period or on the Company's financial condition.
Opioid Lawsuits and Investigations
A significant number of counties, municipalities, and other governmental entities in a majority of U.S. states and Puerto Rico, as well as numerous states and tribes, filed lawsuits in various federal, state and other courts against pharmaceutical wholesale distributors (including the Company and certain subsidiaries, such as AmerisourceBergen Drug Corporation (“ABDC”) and H.D. Smith), pharmaceutical manufacturers, retail pharmacy chains, medical practices, and physicians relating to the distribution of prescription opioid pain medications.
An initial group of cases was consolidated for Multidistrict Litigation (“MDL”) proceedings before the United States District Court for the Northern District of Ohio (the “Court”) in December 2017. In April 2018, the Court issued an order creating a litigation track, which included dispositive motion practice, discovery, and trials in certain bellwether jurisdictions. In
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November 2019 and January 2020, the Court filed Suggestions of Remand with the Judicial Panel on Multidistrict Litigation that identified four cases filed against the Company for potential transfer from the MDL back to federal courts in California, Oklahoma, and West Virginia for the completion of discovery, motion practice, and trial. All four cases were remanded to those federal district courts. Trial in the two consolidated cases in West Virginia commenced in May 2021 and concluded in July 2021. On July 4, 2022, the court entered judgment in favor of the defendants, including the Company. The plaintiffs filed an appeal of the court’s decision on August 2, 2022. The Oklahoma case, in which the plaintiff was the Cherokee Nation, was resolved through a settlement with the Cherokee Nation, as announced on September 28, 2021. The California case, in which the plaintiff was the City and County of San Francisco, was resolved pursuant to the comprehensive settlement described below (the “Distributor Settlement Agreement”), and all claims against the Company have been dismissed in both cases.
On July 21, 2021, the Company announced that it and the two other national pharmaceutical distributors had negotiated a Distributor Settlement Agreement that, if all conditions were satisfied, would result in the resolution of a substantial majority of opioid lawsuits filed by state and local governmental entities. The Distributor Settlement Agreement became effective on April 2, 2022, and as of December 31, 2022, it included 48 of 49 eligible states (the "Settling States"), as well as 99% by population of the eligible political subdivisions in the Settling States. Pursuant to the Distributor Settlement Agreement and related agreements with Settling States, the Company will pay up to approximately $6.4 billion over 18 years and comply with other requirements, including establishment of a clearinghouse that will consolidate data from all three national distributors. The exact payment amount will depend on several factors, including the extent to which states take action to foreclose opioid lawsuits by subdivisions (e.g., laws barring opioid lawsuits by subdivisions). West Virginia and its subdivisions and Native American tribes are not a part of the Distributor Settlement Agreement and the Company has reached separate agreements with these groups.
On July 22, 2022, the State of Alabama sought and was subsequently granted leave to amend its complaint in a pending state court action against another distributor in order to add the Company as a party. The amended Complaint was filed on July 25, 2022. The trial in the Alabama state court is currently anticipated to begin in February 2024.
The Company’s accrued litigation liability related to the Distributor Settlement Agreement, including an estimate for the State of Alabama (with whom the Company has not reached a settlement agreement), as well as other opioid-related litigation for which it has reached settlement agreements, as described above, was $5.9 billion as of December 31, 2022 and $6.0 billion as of September 30, 2022. The Company currently estimates that $471.8 million will be paid prior to December 31, 2023, which is recorded in Accrued Expenses and Other on the Company’s Consolidated Balance Sheet. The remaining long-term liability of $5.5 billion is recorded in Accrued Litigation Liability on the Companys Consolidated Balance Sheet. While the Company has accrued its estimated liability for opioid litigation, it is unable to estimate the range of possible loss associated with the matters that are not included in the accrual. Because loss contingencies are inherently unpredictable and unfavorable developments or resolutions can occur, the assessment is highly subjective and requires judgments about future events. The Company regularly reviews opioid litigation matters to determine whether its accrual is adequate. The amount of ultimate loss may differ materially from the amount accrued to date. Until such time as otherwise resolved, the Company will continue to litigate and prepare for trial and to vigorously defend itself in all such matters. Since these matters are still developing, the Company is unable to predict the outcome, but the result of these lawsuits could include excessive monetary verdicts and/or injunctive relief that may affect the Companys operations.
Other lawsuits regarding the distribution of prescription opioid pain medications have been filed by: third-party payors and similar entities; hospitals; hospital groups; and individuals, including cases styled as putative class actions. These lawsuits, which have been and continue to be filed in federal, state, and other courts, generally allege violations of controlled substance laws and various other statutes as well as common law claims, including negligence, public nuisance, and unjust enrichment, and seek equitable relief and monetary damages. Motion practice and active discovery are ongoing in many of these cases. In Alabama, discovery is proceeding for a jury trial scheduled to begin in July 2023 that will include up to eight plaintiff hospitals. The Company, as well as additional pharmaceutical distributors and manufacturers, will be defendants in the July trial. Ongoing and additional litigation is anticipated in cases filed by subdivisions that are not participating in the Distributor Settlement Agreement, as well as in cases filed by non-governmental or non-political entities, including hospitals, third-party payors, and individuals, among others. Certain cases related to opioids filed in various state courts have trial dates scheduled after July 2023, although all such dates are subject to change. The Company is vigorously defending itself in the pending lawsuits and intends to vigorously defend itself against any threatened lawsuits or enforcement proceedings.
Since July 2017, the Company has received subpoenas from several U.S. Attorneys Offices, including grand jury subpoenas from the U.S. Attorneys Office for the District of New Jersey (USAO-NJ”) and the U.S. Attorneys Office for the Eastern District of New York (USAO-EDNY”). Those subpoenas requested the production of a broad range of documents pertaining to the Companys distribution of controlled substances through its various subsidiaries, including ABDC, and its diversion control programs. The Company produced documents in response to the subpoenas and engaged in discussions with the various U.S. Attorney’s Offices, including the Health Care and Government Fraud Unit of the Criminal Division of the
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USAO-NJ, the U.S. Department of Justice Consumer Protection Branch and the U.S. Drug Enforcement Administration, in an attempt to resolve these matters. On December 29, 2022, the Department of Justice filed a civil Complaint against the Company, ABDC, and Integrated Commercialization Services, LLC, a subsidiary of the Company, alleging violations of the Controlled Substances Act. Specifically, the Complaint alleges that the Company negligently failed to report suspicious orders to the Drug Enforcement Administration. In the Complaint, the Department of Justice seeks civil penalties and injunctive relief. This Complaint relates to the aforementioned and previously-disclosed investigations. The Company denies the allegations in the Complaint and intends to defend itself vigorously in the litigation.
Shareholder Securities Litigation
On October 11, 2019, Teamsters Local 443 Health Services & Insurance Plan, St. Paul Electrical Construction Pension Plan, St. Paul Electrical Construction Workers Supplemental Pension Plan (2014 Restatement), Retirement Medical Funding Plan for the St. Paul Electrical Workers, and San Antonio Fire & Police Pension Fund filed a complaint for a purported derivative action in the Delaware Court of Chancery against the Company and certain of its current and former officers and directors (collectively, Defendants”). The complaint alleges that the Defendants breached their fiduciary duties by failing to oversee the compliance by certain of the Companys subsidiaries (including the Companys former subsidiary Medical Initiatives, Inc. (MII”)) with federal regulations, allegedly resulting in the payment of fines and penalties in connection with the settlements with the USAO-EDNY in fiscal 2017 and 2018 that resolved claims arising from MIIs pre-filled syringe program. In December 2019, Defendants filed a motion to dismiss the complaint. After briefing and oral argument, on August 24, 2020 the Delaware Court of Chancery denied Defendants motion to dismiss. On September 24, 2020, the Board of Directors of the Company established a Special Litigation Committee to conduct an investigation concerning the plaintiffs’ allegations, and on November 10, 2020, the Delaware Court of Chancery granted the Special Litigation Committee’s motion to stay the litigation pending its investigation. On September 22, 2021, the Special Litigation Committee filed its report under seal and moved to dismiss the case. The Special Litigation Committee’s motion to dismiss the case is pending.
On December 30, 2021, Lebanon County Employees Retirement Fund and Teamsters Local 443 Health Services & Insurance Plan filed a complaint for a purported derivative action in the Delaware Court of Chancery against the Company and certain of its current officers and directors. The complaint alleges claims for breach of fiduciary duty allegedly arising from the Board’s and certain officers’ oversight of the Company’s controlled substance diversion control programs. The defendants moved to dismiss the complaint on March 29, 2022. On December 22, 2022, the Court of Chancery granted the motion to dismiss. On January 9, 2023, the Plaintiffs filed a Motion for Relief from Judgment and Order Pursuant to Rule 60(b) from the Chancery Courts judgment. On January 20, 2023, the Plaintiffs also appealed the ruling to the Delaware Supreme Court.
Subpoenas, Ongoing Investigations, and Other Contingencies
From time to time, the Company receives subpoenas or requests for information from various government agencies relating to the Companys business or to the business of a customer, supplier, or other industry participant. The Companys responses often require time and effort and can result in considerable costs being incurred. Most of these matters are resolved without incident; however, such subpoenas or requests can lead to the assertion of claims or the commencement of civil or criminal legal proceedings against the Company and other members of the healthcare industry, as well as to substantial settlements.
In January 2017, U.S. Bioservices Corporation (“U.S. Bio”), a former subsidiary of the Company, received a subpoena for information from the USAO-EDNY relating to its activities in connection with billing for products and making returns of potential overpayments to government payers. A filed qui tam complaint related to the investigation was unsealed in April 2019 and the relator filed an amended complaint under seal in the U.S. District Court for the Eastern District of New York. In December 2019, the government filed a notice that it was declining to intervene. The court ordered that the relators complaint against the Company and other defendants, including AmerisourceBergen Specialty Group, LLC, be unsealed. The relator’s complaint alleged violations of the federal False Claims Act and the false claims acts of various states. The relator filed a second amended complaint, removing one state false claims act count. The Company filed a motion to dismiss the second amended complaint and all briefs on the motion were filed with the court on October 9, 2020. The motion to dismiss was granted on December 22, 2022. The False Claims Act claims were dismissed with prejudice, and the state claims were dismissed without prejudice. On January 24, 2023, the relator filed Motions to Reconsider Dismissal and For Leave to Amend the Complaint.
In December 2019, Reliable Pharmacy, together with other retail pharmacies and North Sunflower Medical Center, filed a civil antitrust complaint against multiple generic drug manufacturers, and also included claims against ABDC and H.D. Smith, and other drug distributors and industry participants. The case is filed as a putative class action and plaintiffs purport to represent a class of drug purchasers including other retail pharmacies and healthcare providers. The case has been consolidated for multidistrict litigation proceedings before the United States District Court for the Eastern District of Pennsylvania. The complaint alleges that ABDC, H.D. Smith, and others in the industry participated in a conspiracy to fix prices, allocate markets
14


and rig bids regarding generic drugs. In March 2020, the plaintiffs filed a further amended complaint. On July 15, 2020, the defendants filed a motion to dismiss the complaint. On May 25, 2022, the Court granted the motion to dismiss without prejudice. On July 1, 2022, the plaintiffs filed an amended complaint, again including claims against the Company and other drug distributors and industry participants. On August 21, 2022, the Company and other industry participants filed a motion to dismiss the amended complaint. All briefs on the motion were filed with the court on November 22, 2022.
On March 3, 2022, the United States Attorney’s Office for the Western District of Virginia notified the Company of the existence of a criminal investigation into MWI Veterinary Supply Co., the Company’s animal health subsidiary, in connection with grand jury subpoenas to which MWI previously responded relating to compliance with state and federal regulatory requirements governing wholesale shipments of animal health products to customers in certain states. The Company is cooperating with the investigation.
Note 10. Litigation Settlements
Antitrust Settlements
Numerous lawsuits have been filed against certain brand pharmaceutical manufacturers alleging that the manufacturer, by itself or in concert with others, took improper actions to delay or prevent generic drugs from entering the market. These lawsuits are generally brought as class actions. The Company is not typically named as a plaintiff in these lawsuits, but has been a member of the direct purchasers' class (i.e., those purchasers who purchase directly from these pharmaceutical manufacturers). None of the lawsuits have gone to trial, but some have settled in the past with the Company receiving proceeds from the settlement funds. The Company recognized gains related to these lawsuits of $49.9 million the three months ended December 31, 2022. These gains, which are net of attorney fees and estimated payments due to other parties, were recorded as reductions to cost of goods sold in the Company’s Consolidated Statements of Operations.
Note 11.  Fair Value of Financial Instruments
The recorded amounts of the Company's cash and cash equivalents, accounts receivable, and accounts payable as of December 31, 2022 and September 30, 2022 approximate fair value based upon the relatively short-term nature of these financial instruments. Within Cash and Cash Equivalents, the Company had no investments in money market accounts as of December 31, 2022 due to the prefunding of the PharmaLex acquisition (see Note 13) and had $1,602.0 million of investments in money market accounts as of September 30, 2022. The fair value of the money market accounts was determined based upon unadjusted quoted prices in active markets for identical assets, otherwise known as Level 1 inputs.
The recorded amount of long-term debt (see Note 5) and the corresponding fair value as of December 31, 2022 were $4,656.0 million and $4,194.0 million, respectively. The recorded amount of long-term debt and the corresponding fair value as of September 30, 2022 were $4,632.4 million and $4,130.3 million, respectively. The fair value of long-term debt was determined based upon inputs other than quoted prices, otherwise known as Level 2 inputs.
Note 12.  Business Segment Information
    The Company is organized geographically based upon the products and services it provides to its customers and reports its results under two reportable segments: U.S. Healthcare Solutions and International Healthcare Solutions.
Effective October 1, 2022, the chief operating decision maker ("CODM") of the Company is the Executive Vice President and Chief Operating Officer.
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The following illustrates reportable and operating segment disaggregated revenue as required by Accounting Standards Codification 606 for the periods indicated:
Three months ended
December 31,
(in thousands)20222021
U.S. Healthcare Solutions:
Human Health$55,076,613 $51,782,129 
Animal Health1,159,966 1,197,518 
Total U.S. Healthcare Solutions56,236,579 52,979,647 
International Healthcare Solutions:
Alliance Healthcare5,460,691 5,556,671 
Other Healthcare Solutions1,150,587 1,093,111 
Total International Healthcare Solutions6,611,278 6,649,782 
Intersegment eliminations(1,025)(619)
Revenue$62,846,832 $59,628,810 
The following illustrates reportable segment operating income for the periods indicated:
Three months ended
December 31,
(in thousands)20222021
U.S. Healthcare Solutions$572,416 $569,087 
International Healthcare Solutions161,282 180,060 
Total segment operating income$733,698 $749,147 
The following reconciles total segment operating income to income before income taxes for the periods indicated:
Three months ended
December 31,
(in thousands)20222021
Total segment operating income$733,698 $749,147 
Gains from antitrust litigation settlements49,899  
LIFO (expense) credit(25,050)44,679 
Turkey highly inflationary impact(3,584) 
Acquisition-related intangibles amortization(71,878)(79,506)
Litigation and opioid-related expenses(12,706)(32,635)
Acquisition, integration, and restructuring expenses(37,236)(32,334)
Impairment of assets (4,946)
Operating income633,143 644,405 
Other income, net(6,328)(5,172)
Interest expense, net46,016 53,372 
Income before income taxes$593,455 $596,205 
Segment operating income is evaluated by the CODM of the Company before gains from antitrust litigation settlements; LIFO (expense) credit; Turkey highly inflationary impact; acquisition-related intangibles amortization; litigation and opioid-related expenses; acquisition, integration, and restructuring expenses; and impairment of assets. All corporate office expenses are allocated to the operating segment level.
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Note 13.  Subsequent Events
PharmaLex Acquisition
The Company acquired and assumed control of PharmaLex Holding Gmbh ("PharmaLex") effective January 1, 2023 for €1.381 billion, subject to customary adjustments, including a €27.5 million cash holdback. Subsequent to the signing of the definitive agreement in September 2022 to acquire PharmaLex for €1.28 billion, PharmaLex completed other acquisitions that the Company had agreed to, and, as a result, the Company paid an incremental €101 million at transaction closing. Due to the timing of the acquisition and federal holidays, the Company prefunded $1.438 billion for the acquisition on December 29, 2022, which resulted in a prepaid asset on the Company's Consolidated Balance Sheet as of December 31, 2022. PharmaLex is a leading provider of specialized services for the life sciences industry. PharmaLex's services include regulatory affairs, development consulting and scientific affairs, pharmacovigilance, and quality management and compliance. PharmaLex is headquartered in Germany and operates in over 30 countries. The acquisition will advance the Company's role as a partner of choice for biopharmaceutical partners across the pharmaceutical development and commercialization journey. PharmaLex will be a component of the Company's International Healthcare Solutions reportable segment.
The purchase price has not yet been allocated to the underlying assets acquired and liabilities assumed. The allocation is pending third-party appraisals of intangible assets and the corresponding deferred taxes, as well as other asset and liability account balances.
Company Name Change
On January 24, 2023, the Company announced its intent to change its name to better reflect its bold vision and purpose-driven approach to creating healthier futures. The Company intends to begin operating as Cencora in the second half of calendar year 2023. The new name represents a unified presence that will continue to fuel the Company’s ongoing growth strategy and advance its impact across healthcare. In connection with the name change, the useful lives of certain trade names will be shortened, which will result in additional acquisition-related intangibles amortization expense over the next few years.
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Cautionary Note Regarding Forward-Looking Statements
This Quarterly Report on Form 10-Q contains statements that are forward-looking and as such are not historical facts. This includes, without limitation, statements regarding the financial position, business strategy and the plans and objectives of management for our future operations; anticipated trends and prospects in the industries in which our business operates; and new products, services and related strategies. These statements constitute projections, forecasts and forward-looking statements, and are not guarantees of performance. Such statements can be identified by the fact that they do not relate strictly or historical or current facts. When used in this Quarterly Report on Form 10-Q, words such as “aim,” “anticipate,” “believe,” “can,” “continue,” “could,”, “estimate,” "expect," “intend,” “may,” “might,” “on track,” “opportunity,” “plan,” “possible,” “potential,” “predict,” “project,” “seek,” “should,” “strive,” “sustain,” “synergy,” “target,” “will,” “would” and similar expressions are intended to identify forward-looking statements, but the absence of these words does not mean that a statement is not forward-looking. These statements are based on management's current expectations and are subject to uncertainty and changes in circumstances and speak only as of the date hereof. These statements are not guarantees of future performance and are based on assumptions and estimates that could prove incorrect or could cause actual results to vary materially from those indicated.
Forward-looking statements in this Quarterly Report on Form 10-Q may include, for example, statements about the following:
The effect of and uncertainties related to the ongoing COVID-19 pandemic (including any government responses thereto) and any continued recovery from the impact of the COVID-19 pandemic;
our ability to achieve and maintain profitability in the future;
our ability to respond to general economic conditions, including elevated levels of inflation;
our ability to manage our growth effectively and our expectations regarding the development and expansion of our business;
the impact on our business of the regulatory environment and complexities with compliance;
unfavorable trends in brand and generic pharmaceutical pricing, including in rate or frequency of price inflation or deflation;
competition and industry consolidation of both customers and suppliers resulting in increasing pressure to reduce prices for our products and services;
changes in the United States healthcare and regulatory environment, including changes that could impact prescription drug reimbursement under Medicare and Medicaid and declining reimbursement rates for pharmaceuticals;
increasing governmental regulations regarding the pharmaceutical supply channel;
continued federal and state government enforcement initiatives to detect and prevent suspicious orders of controlled substances and the diversion of controlled substances;
continued prosecution or suit by federal and state governmental entities and other parties (including third-party payors, hospitals, hospital groups and individuals) of alleged violations of laws and regulations regarding controlled substances, and any related disputes, including shareholder derivative lawsuits;
increased federal scrutiny and litigation, including qui tam litigation, for alleged violations of laws and regulations governing the marketing, sale, purchase and/or dispensing of pharmaceutical products or services, and associated reserves and costs;
failure to comply with the Corporate Integrity Agreement;
the outcome of any legal or governmental proceedings that may be instituted against us, including material adverse resolution of pending legal proceedings;
the retention of key customer or supplier relationships under less favorable economics or the adverse resolution of any contract or other dispute with customers or suppliers;
changes to customer or supplier payment terms, including as a result of the COVID-19 impact on such payment terms;
unexpected costs, charges or expenses resulting from the acquisition of PharmaLex;
the integration of the Alliance Healthcare and PharmaLex businesses into the Company being more difficult, time consuming or costly than expected;
the Company's, Alliance Healthcare's, or PharmaLex's failure to achieve expected or targeted future financial and operating performance and results;
the effects of disruption from the acquisition and related strategic transactions on the respective businesses of the Company, Alliance Healthcare and PharmaLex, and the fact that the acquisition and related strategic transactions may make it more difficult to establish or maintain relationships with employees, suppliers and other business partners;
the acquisition of businesses, including the acquisition of the Alliance Healthcare and PharmaLex businesses and related strategic transactions, that do not perform as expected, or that are difficult to integrate or control, or the inability to capture all of the anticipated synergies related thereto or to capture the anticipated synergies within the expected time period;
risks associated with the strategic, long-term relationship between WBA and the Company, including with respect to the pharmaceutical distribution agreement and/or the global generic purchasing services arrangement;
18


managing foreign expansion, including non-compliance with the U.S. Foreign Corrupt Practices Act, anti-bribery laws, economic sanctions and import laws and regulations;
our ability to respond to financial market volatility and disruption;
changes in tax laws or legislative initiatives that could adversely affect the Company's tax positions and/or the Company's tax liabilities or adverse resolution of challenges to the Company's tax positions;
the loss, bankruptcy or insolvency of a major supplier, or substantial defaults in payment, material reduction in purchases by or the loss, bankruptcy or insolvency of a major customer, including as a result of COVID-19;
financial and other impacts of COVID-19 on our operations or business continuity;
changes to the customer or supplier mix;
malfunction, failure or breach of sophisticated information systems to operate as designed, and risks generally associated with cybersecurity;
risks generally associated with data privacy regulation and the international transfer of personal data;
financial and other impacts of macroeconomic and geopolitical trends and events, including the unfolding situation in Russia and Ukraine and its regional and global ramifications;
natural disasters or other unexpected events, such as additional pandemics, that affect the Company’s operations;
the impairment of goodwill or other intangible assets (including any additional impairments with respect to foreign operations), resulting in a charge to earnings;
the Company's ability to manage and complete divestitures;
the disruption of the Company’s cash flow and ability to return value to its stockholders in accordance with its past practices;
interest rate and foreign currency exchange rate fluctuations;
declining economic conditions and increases in inflation in the United States and abroad; and
other economic, business, competitive, legal, tax, regulatory and/or operational factors affecting the Company’s business generally.
These forward-looking statements are based on information available as of the date of this Quarterly Report on Form 10-Q and current expectations, forecasts and assumptions, and involve a number of judgments, risks and uncertainties. Accordingly, forward-looking statements should not be relied upon as representing our views as of any subsequent date, and we do not undertake any obligation to update forward-looking statements to reflect events or circumstances after the date they were made, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws.
As a result of a number of known and unknown risks and uncertainties, our actual results or performance may be materially different from those expressed or implied by these forward-looking statements. You should not place undue reliance on these forward-looking statements.

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ITEM 2.   Management’s Discussion and Analysis of Financial Condition and Results of Operations
Overview
The following discussion should be read in conjunction with the Consolidated Financial Statements and notes thereto contained herein and in conjunction with the financial statements and related notes included in our Annual Report on Form 10-K for the fiscal year ended September 30, 2022.
We are one of the largest global pharmaceutical sourcing and distribution services companies, helping both healthcare providers and pharmaceutical and biotech manufacturers improve patient access to products and enhance patient care. We deliver innovative programs and services designed to increase the effectiveness and efficiency of the pharmaceutical supply chain in both human and animal health.
We are organized geographically based upon the products and services we provide to our customers, and we report our results under two reportable segments: U.S. Healthcare Solutions and International Healthcare Solutions.
U.S. Healthcare Solutions Segment
The U.S. Healthcare Solutions reportable segment distributes a comprehensive offering of brand-name, specialty brand-name and generic pharmaceuticals, over-the-counter healthcare products, home healthcare supplies and equipment, and related services to a wide variety of healthcare providers, including acute care hospitals and health systems, independent and chain retail pharmacies, mail order pharmacies, medical clinics, long-term care and alternate site pharmacies, and other customers. The U.S. Healthcare Solutions reportable segment also provides pharmaceutical distribution (including plasma and other blood products, injectable pharmaceuticals, vaccines, and other specialty pharmaceutical products) and additional services to physicians who specialize in a variety of disease states, especially oncology, and to other healthcare providers, including hospitals and dialysis clinics. Additionally, the U.S. Healthcare Solutions reportable segment provides data analytics, outcomes research, and additional services for biotechnology and pharmaceutical manufacturers. The U.S. Healthcare Solutions reportable segment also provides pharmacy management, staffing and additional consulting services, and supply management software to a variety of retail and institutional healthcare providers. It also provides a full suite of integrated manufacturer services that ranges from clinical trial support to product post-approval and commercialization support. Additionally, it delivers packaging solutions to institutional and retail healthcare providers. Through its animal health business, the U.S. Healthcare Solutions reportable segment sells pharmaceuticals, vaccines, parasiticides, diagnostics, micro feed ingredients, and various other products to customers in both the companion animal and production animal markets. It also offers demand-creating sales force services to manufacturers.
International Healthcare Solutions Segment
The International Healthcare Solutions reportable segment consists of businesses that focus on international pharmaceutical wholesale and related service operations and global commercialization services. The International Healthcare Solutions reportable segment distributes pharmaceuticals, other healthcare products, and related services to healthcare providers, including pharmacies, doctors, health centers and hospitals primarily in Europe. It also is a leading global specialty transportation and logistics provider for the biopharmaceutical industry. In Canada, the business drives innovative partnerships with manufacturers, providers, and pharmacies to improve product access and efficiency throughout the healthcare supply chain.
    










20

Recent Developments
PharmaLex Acquisition
We acquired and assumed control of PharmaLex Holding Gmbh ("PharmaLex") effective January 1, 2023 for €1.381 billion, subject to customary adjustments, including a €27.5 million cash holdback. Subsequent to the signing of the definitive agreement in September 2022 to acquire PharmaLex for €1.28 billion, PharmaLex completed other acquisitions that we had agreed to, and, as a result, we paid an incremental €101 million at transaction closing. PharmaLex is a leading provider of specialized services for the life sciences industry. PharmaLex's services include regulatory affairs, development consulting and scientific affairs, pharmacovigilance, and quality management and compliance. PharmaLex is headquartered in Germany and operates in over 30 countries. The acquisition will advance our role as a partner of choice for biopharmaceutical partners across the pharmaceutical development and commercialization journey. PharmaLex will be a component of our International Healthcare Solutions reportable segment.
Company Name Change
On January 24, 2023, we announced our intent to change our name to better reflect our bold vision and purpose-driven approach to creating healthier futures. We intend to begin operating as Cencora in the second half of calendar year 2023. The new name represents a unified presence that will continue to fuel our ongoing growth strategy and advance our impact across healthcare. In connection with the name change, the useful lives of certain trade names will be shortened, which will result in additional acquisition-related intangibles amortization expense over the next few years.
Executive Summary
    This executive summary provides highlights from the results of operations that follow:
Revenue increased by $3.2 billion, or 5.4%, from the prior year quarter due to growth in our U.S. Healthcare Solutions segment. The U.S. Healthcare Solutions segment grew its revenue by $3.3 billion, or 6.1%, from the prior quarter primarily due to overall market growth driven by unit volume growth and increased sales to specialty physician practices, offset in part by a decline in sales of COVID-19 treatments (primarily commercial treatments). Revenue in International Healthcare Solutions decreased $38.5 million from the prior year quarter due to a decline at Alliance Healthcare, our European distribution business, resulting from unfavorable foreign currency exchange rates in the current year quarter in comparison to the prior year quarter and the June 2022 divestiture of our Brazil specialty business, offset in part by increases in sales in our less-than-wholly-owned Brazil full-line distribution business, our Canada operations, and our global specialty logistics business;
Gross profit increased by $85.6 million, or 4.2%, from the prior year quarter. Gross profit in the current year quarter was favorably impacted by an increase in gross profit in U.S. Healthcare Solutions and gains from antitrust litigation settlements. The increase was offset in part by last-in, first-out ("LIFO") expense in the current year quarter in comparison to a LIFO credit in the prior year quarter. U.S. Healthcare Solutions gross profit increased by $107.6 million, or 8.4%, from the prior year quarter primarily due to increased sales and a 5-basis point improvement in gross profit margin. Gross profit in International Healthcare Solutions increased by $1.4 million, or 0.2%, from prior year quarter primarily due to our less-than-wholly-owned Brazil full-line distribution business and our global specialty logistics business, and was largely offset by a decrease in our European distribution business resulting from unfavorable foreign currency exchange rates in the current year quarter in comparison to the prior year quarter and the June 2022 divestiture of our Brazil specialty business;
Total operating expenses increased by $96.9 million, or 6.8%, compared to the prior year quarter primarily as a result of an increase in distribution, selling, and administrative expenses, offset in part by lower litigation and opioid-related expenses in the current year quarter;
Total segment operating income decreased by $15.4 million, or 2.1%, from the prior year quarter primarily due to the decrease in operating income in the International Healthcare Solutions segment resulting from unfavorable foreign currency exchange rates in the current year quarter in comparison to the prior year quarter; and
Our effective tax rates were 19.8% and 24.6% for the three months ended December 31, 2022 and 2021, respectively. The effective tax rate for the three months ended December 31, 2022 was lower than the U.S. statutory rate primarily due to the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate, as well as tax benefits associated with the vesting of restricted stock units and stock option exercises, offset in part by U.S. state income taxes.
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Results of Operations
Revenue
Three months ended
December 31,
(dollars in thousands)20222021Change
U.S. Healthcare Solutions:
Human Health$55,076,613 $51,782,129 6.4%
Animal Health1,159,966 1,197,518 (3.1)%
Total U.S. Healthcare Solutions56,236,579 52,979,647 6.1%
International Healthcare Solutions:
Alliance Healthcare5,460,691 5,556,671 (1.7)%
Other Healthcare Solutions1,150,587 1,093,111 5.3%
Total International Healthcare Solutions6,611,278 6,649,782 (0.6)%
Intersegment eliminations(1,025)(619)
Revenue$62,846,832 $59,628,810 5.4%
Our future revenue growth will continue to be affected by various factors, such as industry growth trends, including drug utilization, the introduction of new, innovative brand therapies, the likely increase in the number of generic drugs and biosimilars that will be available over the next few years as a result of the expiration of certain drug patents held by brand-name pharmaceutical manufacturers and the rate of conversion from brand products to those generic drugs and biosimilars, price inflation and price deflation, general economic conditions in the United States and Europe, currency exchange rates, competition within the industry, customer consolidation, changes in pharmaceutical manufacturer pricing and distribution policies and practices, increased downward pressure on government and other third-party reimbursement rates to our customers, changes in government rules and regulations, and the impact of the COVID-19 pandemic.
Revenue increased by 5.4% from the prior year quarter due to growth in the U.S. Healthcare Solutions segment.
The U.S. Healthcare Solutions segment grew its revenue by $3.3 billion, or 6.1%, from the prior year quarter primarily due to overall market growth driven by unit volume growth and increased sales to specialty physician practices, offset in part by a decline in sales of COVID-19 treatments (primarily commercial treatments).
More specifically, the increase in the U.S. Healthcare Solutions segment revenue was largely attributable to the following (in billions):
Increased sales to specialty physician practices$0.8
Decreased sales of COVID-19 treatments$(0.3)
Increased sales to other customers$2.8
The International Healthcare Solutions' revenue decreased by $38.5 million, or 0.6%, from the prior year quarter primarily due to a decline at Alliance Healthcare, our European distribution business, resulting from unfavorable foreign currency exchange rates in the current year quarter in comparison to the prior year quarter and the June 2022 divestiture of our Brazil specialty business, offset in part by increases in sales in our less-than-wholly-owned Brazil full-line distribution business, our Canada operations, and our global specialty logistics business.
A number of our contracts with customers, including group purchasing organizations, are typically subject to expiration each year. We may lose a significant customer if an existing contract with such customer expires without being extended, renewed, or replaced. During the three months ended December 31, 2022, no significant contracts expired. Over the next twelve months, there are no significant contracts scheduled to expire. Additionally, from time to time, significant contracts may be terminated in accordance with their terms or extended, renewed, or replaced prior to their expiration dates. If those contracts are extended, renewed, or replaced at less favorable terms, they may also negatively impact our revenue, results of operations, and cash flows.
22

Gross Profit
Three months ended
December 31,
(dollars in thousands)20222021Change
U.S. Healthcare Solutions$1,386,148 $1,278,553 8.4%
International Healthcare Solutions738,540 737,127 0.2%
Gains from antitrust litigation settlements49,899 — 
LIFO (expense) credit(25,050)44,679 
Turkey highly inflationary impact(3,584)— 
Gross profit$2,145,953 $2,060,359 4.2%
    Gross profit increased by $85.6 million, or 4.2%, from the prior year quarter. Gross profit in the current year quarter was favorably impacted by an increase in gross profit in U.S. Healthcare Solutions and gains from antitrust litigation settlements. The increase was offset in part by LIFO expense in the current year quarter in comparison to a LIFO credit in the prior year quarter.
U.S. Healthcare Solutions gross profit increased by $107.6 million, or 8.4%, from the prior year quarter primarily due to increased sales and a 5-basis point improvement in gross profit margin to 2.46% in the current year quarter from 2.41% in the prior year quarter.
Gross profit in International Healthcare Solutions increased by $1.4 million, or 0.2%, from the prior year quarter primarily due to our less-than-wholly-owned Brazil full-line distribution business and our global specialty logistics business, and was largely offset by a decrease in our European distribution business resulting from unfavorable foreign currency exchange rates in the current year quarter in comparison to the prior year quarter and the June 2022 divestiture of our Brazil specialty business.
We recognized gains from antitrust litigation settlements with pharmaceutical manufacturers of $49.9 million in the three months ended December 31, 2022. The gains were recorded as reductions to Cost of Goods Sold (see Note 10 of the Notes to Consolidated Financial Statements).
Our cost of goods sold for interim periods includes a LIFO provision that is recorded ratably on a quarterly basis and is based on our estimated annual LIFO provision. The annual LIFO provision, which we estimate on a quarterly basis, is affected by manufacturer pricing practices, which may be impacted by market and other external influences, expected changes in inventory quantities, and product mix, many of which are difficult to predict. Changes to any of the above factors may have a material impact on our annual LIFO provision. The $25.1 million LIFO expense in the current year quarter is primarily due to higher brand pharmaceutical inflation and inventory product mix, offset in part by greater generic pharmaceutical deflation.
Operating Expenses
Three months ended
December 31,
(dollars in thousands)20222021Change
Distribution, selling, and administrative$1,290,928 $1,170,110 10.3%
Depreciation and amortization171,940 175,929 (2.3)%
Litigation and opioid-related expenses12,706 32,635 
Acquisition, integration, and restructuring expenses37,236 32,334 
Impairment of assets— 4,946 
Total operating expenses$1,512,810 $1,415,954 6.8%
Distribution, selling, and administrative expenses increased by $120.8 million, or 10.3%, compared to prior year quarter primarily to support revenue growth in U.S. Healthcare Solutions and included inflationary impacts on certain operating expenses. As a percentage of revenue, distribution, selling, and administrative expenses were 2.05% in the current year quarter and represented a 9-basis point increase compared to the prior year quarter.
Depreciation expense increased 4.1% from the prior year quarter. Amortization expense decreased 9.9% from the prior year quarter primarily due to favorable foreign currency exchange rates in the current year quarter in comparison to the prior year quarter.
23

Litigation and opioid-related expenses in the three months ended December 31, 2022 included legal fees in connection with opioid lawsuits and investigations. Litigation and opioid-related expenses in the three months ended December 31, 2021 included a $6.8 million accrual related to opioid litigation settlements and $25.8 million of legal fees in connection with opioid lawsuits and investigations.
Acquisition, integration, and restructuring expenses in the three months ended December 31, 2022 included $21.0 million of acquisition-related deal and integration costs primarily related to the integration of Alliance Healthcare, $12.9 million related to our business transformation efforts, and $3.3 million of other restructuring initiatives and severance.
Acquisition, integration, and restructuring expenses in the three months ended December 31, 2021 included $21.4 million of acquisition-related deal and integration costs primarily related to the integration of Alliance Healthcare, $6.6 million of other restructuring initiatives and severance, and $4.3 million related to our business transformation efforts.
Operating Income
Three months ended
December 31,
(dollars in thousands)20222021Change
U.S. Healthcare Solutions$572,416 $569,087 0.6%
International Healthcare Solutions161,282 180,060 (10.4)%