Cencora, Inc. quarterly report, Q3 FY2021

Business context and reporting period

This is AmerisourceBergen Corporation’s unaudited Form 10-Q for its fiscal third quarter and nine months ended June 30, 2021. The filing registrant is AmerisourceBergen (ticker ABC). Its main business is pharmaceutical distribution; “Other” includes animal health, global commercialization services, and, from June 1, 2021, Alliance Healthcare.

Financial performance and position

MetricThree months ended June 30, 2021Change year over yearNine months ended June 30, 2021Change year over year
Revenue$53.406 billion+17.7%$155.076 billion+10.3%
Gross profit$1.888 billion+54.0%$4.874 billion+26.8%
Operating income$620.7 million+53.3%$1.792 billion+83.3%
Net income attributable to AmerisourceBergen$292.1 millionUp from $289.4 million$1.102 billionDown from $1.437 billion
Diluted EPS$1.40Down from $1.41$5.31Down from $6.95
Cash from operationsNot separately reported for the quarter$1.657 billionUp from $907.8 million

Margins and earnings drivers: Pharmaceutical Distribution Services gross margin was 2.14% for the quarter and 2.19% for the nine-month period, improving year over year by 6 and 8 basis points, respectively. Company gross profit benefited from higher segment gross profit, LIFO credits versus prior-year LIFO expense, and $147.4 million of antitrust settlement gains in the quarter and nine-month period. The quarter also included a $113.9 million LIFO credit. These items, along with acquisition and litigation costs, affected comparability.

Cash, debt, and liquidity: At June 30, cash and cash equivalents were $2.553 billion, versus $4.598 billion at September 30, 2020; cash, cash equivalents, and restricted cash totaled $2.682 billion. Total debt was $7.103 billion, up from $4.120 billion, principally reflecting financing for Alliance Healthcare. The company reported $3.930 billion of additional availability across listed credit facilities and stated that it was compliant with applicable debt covenants. Nine-month investing cash use was $5.970 billion, including $5.537 billion net cash paid for Alliance Healthcare; capital expenditures were $273.4 million. Nine-month financing cash provided was $2.397 billion.

Material changes versus the prior comparable period

  • Revenue growth reflected Pharmaceutical Distribution Services growth and the June 2021 Alliance Healthcare acquisition. Pharmaceutical Distribution Services revenue rose 13.2% in the quarter and 8.7% for nine months; Alliance Healthcare contributed $1.925 billion of revenue after closing and $20.6 million of pretax earnings.
  • Alliance Healthcare was acquired for total estimated consideration of approximately $6.955 billion, including cash, shares, and accrued consideration. The purchase price allocation remains preliminary.
  • Nine-month diluted EPS and net income were lower than the prior year, despite higher operating income. The prior-year period included substantial tax benefits related to PharMEDium and COVID-19 relief provisions; 2021 results included a $127.6 million deferred tax expense from UK tax reform.
  • Distribution, selling, and administrative expenses rose 37.0% for the quarter and 16.2% for nine months, largely due to Alliance Healthcare and payroll costs. Employee severance, litigation, and other expense was $227.0 million for the quarter, including opioid-related accruals and acquisition costs.
  • Quarterly dividends declared increased to $0.44 per share from $0.42. The company issued two million shares to WBA as part of the Alliance Healthcare consideration.

Outlook, commentary, risks, and contingencies

  • Management expected fiscal 2021 revenue growth in the low double digits, reflecting the Alliance Healthcare acquisition, and expected approximately $400 million of fiscal-year capital expenditures. The filing provides no clear numerical earnings or EPS guidance.
  • Management cited drug utilization, specialty product demand, new therapies, generic and biosimilar competition, price inflation or deflation, reimbursement pressure, customer and supplier terms, regulation, and COVID-19 effects as factors that could affect results.
  • On July 21, 2021, after quarter-end, the company and two other national distributors announced a proposed opioid settlement, subject to participation conditions. AmerisourceBergen could pay up to approximately $6.4 billion over 18 years. The company had accrued approximately $6.7 billion for opioid matters, including an estimated $477 million short-term liability; it cautioned that ultimate loss could differ materially. A separate New York settlement agreement was also announced after quarter-end.
  • Other notable exposures include ongoing opioid lawsuits and government investigations, other litigation and contingencies, uncertain tax positions of $512.8 million, and risks integrating Alliance Healthcare and operating across additional international markets. Management stated that future operating cash flows and borrowings were expected to fund ongoing needs, including anticipated opioid payments.
  • The company reported effective disclosure controls and procedures and no material change in internal control over financial reporting during the quarter.

Important facts for investors to verify

  • Whether the proposed opioid settlement conditions are met, the final payment obligations and timing, and whether the recorded accrual remains adequate.
  • Alliance Healthcare’s final purchase-price allocation, integration costs, performance, and contribution to future results and cash flows.
  • How much reported gross-profit and operating-income growth is sustainable apart from antitrust settlement gains and LIFO credits.
  • The impact of higher debt and acquisition financing on interest expense, leverage, liquidity, and covenant headroom.
  • Future tax expense and cash-tax effects, including UK tax reform and resolution of uncertain tax positions.