Cencora, Inc. quarterly report, Q2 FY2022

Cencora, Inc. (then AmerisourceBergen Corporation) — Fiscal 2022 Second-Quarter 10-Q

Reporting period: Quarter and six months ended March 31, 2022. Unaudited consolidated results; comparisons are with the periods ended March 31, 2021. The company reports U.S. Healthcare Solutions and International Healthcare Solutions. International results include Alliance Healthcare, acquired in June 2021.

Financial performance

MetricQuarterSix months
Revenue$57.72 billion, up 17.4%$117.35 billion, up 15.4%
Gross profit$2.24 billion, up 45.8%; gross margin 3.87% versus 3.12%$4.30 billion, up 43.9%
Operating income$780.2 million, up 25.0%$1.42 billion, up 21.6%
Net income attributable to AmerisourceBergen$548.0 million; diluted EPS $2.59$997.1 million; diluted EPS $4.71
Operating cash flow$1.13 billion, versus $449.2 million in the prior-year six-month period

Quarterly diluted EPS increased from $2.10. Consolidated operating margin was approximately 1.35%, compared with 1.27%; net margin was approximately 0.95%, compared with 0.89%. Quarterly dividends declared rose to $0.46 per share from $0.44.

U.S. Healthcare Solutions revenue grew 5.8% in the quarter, principally on unit-volume growth and specialty physician sales, partly offset by lower commercial COVID-19 treatment sales. International Healthcare Solutions revenue rose to $6.78 billion from $989.0 million, mainly reflecting Alliance Healthcare. U.S. gross profit also benefited from fees for distributing government-owned COVID-19 treatments.

Cash, debt, and liquidity

  • At March 31, 2022, cash and cash equivalents were $2.96 billion; total debt was $6.46 billion, down from $6.68 billion at September 30, 2021. Cash less total debt was approximately $3.50 billion.
  • Current assets were $39.41 billion and current liabilities $42.80 billion. Accounts payable was $38.21 billion, consistent with the company’s high-volume distribution working-capital model.
  • Operating cash flow improved year over year, supported by net income and a $598.4 million increase in accounts payable. Cash use included increases in receivables and inventory of $527.5 million and $215.5 million, respectively; management cautions that operating cash flow can fluctuate with working-capital timing.
  • Investing cash use was $337.2 million, including $209.3 million in capital expenditures and $124.2 million for acquisitions. Financing cash use was $384.6 million; the company repaid a $250 million term loan in March.
  • Reported available capacity under identified credit facilities was $3.80 billion. No commercial paper was outstanding, and the company was compliant with its financial covenants. Fiscal 2022 capital expenditures were expected to be approximately $500 million.

Material changes, outlook, and risks

  • Alliance Healthcare was the primary driver of the increase in consolidated revenue, gross profit, operating expenses, and interest expense. Higher acquisition-related amortization and distribution, selling, and administrative expenses partly offset profit growth.
  • Management expected fiscal 2022 revenue growth in the high-single- to low-double-digit range. The filing provides no clear full-year earnings or EPS guidance.
  • The $6.7 billion accrued opioid-related litigation liability was unchanged from September 30, 2021. The comprehensive distributor settlement became effective April 2, 2022 for 46 states and more than 98% by population of eligible subdivisions in those states; the company expects to pay approximately $5.9 billion over 18 years. The estimated liability for non-settling jurisdictions, subdivisions, and Native American tribes was approximately $0.8 billion. Approximately $795.7 million was classified as payable before March 31, 2023. These estimates remain subject to uncertainty and further legal developments.
  • Subsequent to quarter-end, the company and other distributors agreed to a Washington settlement of up to $518 million; the company’s 31% share was included in its existing opioid accrual. The filing also describes continuing opioid-related litigation and investigations, including a criminal investigation involving MWI Veterinary Supply.
  • Other items include $141.4 million of employee severance, litigation, and other costs for the six-month period, including opioid legal and settlement costs, Alliance integration, and restructuring. A $4.9 million impairment charge was recorded on a disposal group held for sale. One non-core business was sold in April for $110 million, subject to a working-capital adjustment; another sale was expected by September 30, 2022.
  • Risks cited include opioid and other litigation, regulation of controlled substances, customer and supplier concentration and contract economics, Alliance integration, pharmaceutical price and reimbursement changes, working-capital volatility, foreign exchange and interest-rate exposure, and macroeconomic and geopolitical uncertainty. Management said the Russia-Ukraine conflict’s fiscal second-quarter financial impact was not material.

Important facts for investors to verify

  • Whether revenue and operating-profit growth persists after separating Alliance Healthcare’s contribution from underlying growth in existing businesses.
  • Whether operating cash flow remains strong when accounts-payable timing and seasonal working-capital changes normalize.
  • How opioid settlement participation, payment timing, unresolved claims, and related legal costs compare with the $6.7 billion accrual.
  • Progress on Alliance integration, expected synergies, and planned divestitures, alongside the impact of higher amortization and interest expense.
  • Whether fiscal 2022 revenue and capital-expenditure expectations are achieved, and how debt maturities and available credit capacity evolve.