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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-K
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þ
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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For the fiscal year ended
June 30, 2019
or
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o
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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For the transition period from ________ to ________
Commission File Number: 1-11373
Cardinal Health, Inc.
(Exact name of registrant as specified in its charter)
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes
þ
No
o
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes
o
No
þ
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
þ
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 (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes
þ
No
o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and "emerging growth company" in Rule 12b-2 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
o
No
þ
The aggregate market value of voting stock held by non-affiliates or registrant on
December 31, 2018
, was the following:
$13,267,580,148
.
The number of the registrant’s common shares, without par value, outstanding as of
July 31, 2019
, was the following:
298,133,678
.
Documents Incorporated by Reference:
Portions of the registrant’s Definitive Proxy Statement to be filed for its
2019
Annual Meeting of Shareholders are incorporated by reference into the sections of this Form 10-K addressing the requirements of Part III of Form 10-K.
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Cardinal Health
Fiscal 2019 Form 10-K
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Table of Contents
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Page
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1
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Cardinal Health
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Fiscal 2019 Form 10-K
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Introduction
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Introduction
References to Cardinal Health and Fiscal Years
As used in this report, "we," "our," "us," "Cardinal Health" and similar pronouns refer to Cardinal Health, Inc. and its majority-owned subsidiaries, unless the context requires otherwise. Our fiscal year ends on June 30. References to fiscal
2020
,
2019
,
2018
,
2017
,
2016
and
2015
are to the fiscal years ended
June 30, 2020
,
2019
,
2018
,
2017
,
2016
and
2015
, respectively. Except as otherwise specified, information in this report is provided as of
June 30, 2019
.
Non-GAAP Financial Measures
In this report, including in the "Fiscal
2019
Overview" section of Management's Discussion and Analysis of Financial Condition and Results of Operations ("MD&A"), we use financial measures that are derived from consolidated financial data but are not presented in our financial statements that are prepared in accordance with U.S. generally accepted accounting principles (“GAAP”). These measures are considered “non-GAAP financial measures” under the Securities and Exchange Commission (“SEC”) rules. The reasons we use these non-GAAP financial measures and the reconciliations to their most directly comparable GAAP financial measures are included in the “Explanation and Reconciliation of Non-GAAP Financial Measures” section following MD&A in this report.
Important Information Regarding Forward-Looking Statements
This report (including information incorporated by reference) includes forward-looking statements addressing expectations, prospects, estimates and other matters that are dependent upon future events or developments. Many forward-looking statements appear in MD&A, but there are others throughout this report, which may be identified by words such as “expect,” “anticipate,” “intend,” “plan,” “believe,” “will,” “should,” “could,” “would,” “project,” “continue,” “likely,” and similar expressions, and include statements reflecting future results or guidance, statements of outlook and expense accruals. These matters are subject to risks and uncertainties that could cause actual results to differ materially from those projected, anticipated or implied. The most significant of these risks and uncertainties are described in “Risk Factors” in this report and in Exhibit 99.1 to the Form 10-K included in this report. Forward-looking statements in this report speak only as of the date of this document. Except to the extent required by applicable law, we undertake no obligation to update or revise any forward-looking statement.
Available Information
Our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and amendments to those reports are available free of charge on our website (www.cardinalhealth.com), under the “Investor Relations — Financial Reporting — SEC Filings” caption, as soon as reasonably practicable after we electronically file them with, or furnish them to, the SEC. The SEC also maintains a website (www.sec.gov) where you can search for annual, quarterly and current reports, proxy and information statements, and other information regarding us and other public companies.
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Cardinal Health
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Fiscal 2019 Form 10-K
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2
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MD&A
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Results of Operations
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Management's Discussion and Analysis of Financial Condition and Results of Operations (MD&A)
About Cardinal Health
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Cardinal Health, Inc. is an Ohio corporation formed in 1979 and is a globally integrated healthcare services and products company providing customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices. We provide medical products and pharmaceuticals and cost-effective solutions that enhance supply chain efficiency. We connect patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. We manage our business and report our financial results in two segments: Pharmaceutical and Medical.
Pharmaceutical Segment
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Our Pharmaceutical segment distributes branded and generic pharmaceutical, specialty pharmaceutical and over-the-counter healthcare and consumer products in the United States. This segment also provides services to pharmaceutical manufacturers and healthcare providers for specialty pharmaceutical products; operates nuclear pharmacies and radiopharmaceutical manufacturing facilities; provides pharmacy management services to hospitals, as well as medication therapy management and patient outcomes services to hospitals, other healthcare providers and payers; and repackages generic pharmaceuticals and over-the-counter healthcare products.
Medical Segment
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Our Medical segment manufactures, sources and distributes Cardinal Health branded medical, surgical and laboratory products, which are sold in the United States, Canada, Europe, Asia and other markets. In addition to distributing Cardinal Health branded products, this segment also distributes a broad range of medical, surgical and laboratory products known as national brand products and provides supply chain services and solutions to hospitals, ambulatory surgery centers, clinical laboratories and other healthcare providers in the United States and Canada. This segment also distributes medical products to patients' homes in the United States through our Cardinal Health at-Home Solutions division.
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3
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Cardinal Health
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Fiscal 2019 Form 10-K
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MD&A
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Results of Operations
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Consolidated Results
Fiscal
2019
Overview
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Revenue
Revenue for fiscal
2019
was
$145.5 billion
, a
6 percent
increase from the prior year, primarily due to sales growth from pharmaceutical distribution and specialty pharmaceutical customers, partially offset by the February 2018 divestiture of our China distribution business.
GAAP and Non-GAAP Operating Earnings
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(in millions)
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2019
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2018
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Change
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|||||
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GAAP
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$
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2,060
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$
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126
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N.M.
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Restructuring and employee severance
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125
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176
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|||
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Amortization and other acquisition-related costs
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621
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707
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|||
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Impairments and (gain)/loss on disposal of assets
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(488
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)
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1,417
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|||
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Litigation (recoveries)/charges, net
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36
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159
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Non-GAAP
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$
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2,353
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$
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2,585
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(9
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)%
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The sum of the components may not equal the total due to rounding.
During fiscal
2019
, GAAP operating earnings increased to
$2.1 billion
from
$126 million
during fiscal 2018. Non-GAAP operating earnings decreased
9 percent
to
$2.4 billion
. The increase in GAAP operating earnings was primarily due to the goodwill impairment charge related to our Medical segment in the prior year and the current year gain from the divestiture of our naviHealth Holdings, LLC ("naviHealth") business.
The decrease in non-GAAP operating earnings was primarily due to the negative impact of our Pharmaceutical segment generics program, performance of Medical segment Cardinal Health Brand products and the adverse impact of Pharmaceutical segment customer contract renewals. These factors were partially offset by growth from our specialty pharmaceutical products and services business within our Pharmaceutical segment, the beneficial impact of
enterprise-wide cost-savings measures and
higher contribution from branded pharmaceutical sales and mix.
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Cardinal Health
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Fiscal 2019 Form 10-K
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4
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MD&A
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Results of Operations
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GAAP and Non-GAAP Diluted EPS
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($ per share)
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2019
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2018
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Change
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|||||
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GAAP
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$
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4.53
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$
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0.81
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N.M.
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Restructuring and employee severance
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0.31
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0.48
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Amortization and other acquisition-related costs
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1.57
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1.69
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Impairments and (gain)/loss on disposal of assets
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(1.25
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)
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4.64
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Litigation (recoveries)/charges, net
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0.09
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0.35
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Transitional tax benefit, net
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0.03
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(2.97
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)
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Non-GAAP
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$
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5.28
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$
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5.00
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6
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%
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The sum of the components may not equal the total due to rounding.
During fiscal
2019
, GAAP diluted earnings per share attributable to Cardinal Health, Inc. ("diluted EPS") increased to
$4.53
from
$0.81
during fiscal
2018
. Non-GAAP diluted EPS increased
6 percent
to
$5.28
.
Fiscal 2019 GAAP diluted EPS increased primarily due to the increase in GAAP operating earnings and the benefits from applying a lower federal statutory tax rate to our U.S. pre-tax earnings as a result of the U.S. Tax Cuts and Jobs Act ("Tax Act"). This increase was partially offset by a $2.97 per share favorable impact in the prior year from the estimated net transitional benefit from the remeasurement of our deferred tax assets and liabilities partially offset by the repatriation tax on cash and earnings of foreign subsidiaries.
Fiscal 2019 non-GAAP diluted EPS increased primarily due to a $0.49 per share impact from a lower non-GAAP effective tax rate in the current period compared to the higher prior year non-GAAP effective tax rate. Also contributing to the increase in non-GAAP diluted EPS was a lower share count as a result of share repurchases. These factors were partially offset by the decrease in non-GAAP operating earnings. The non-GAAP effective tax rate is lower in the current year primarily because of the benefits from applying a lower federal statutory tax rate to our U.S. pre-tax earnings as a result of the Tax Act.
Cash and Equivalents
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Our cash and equivalents balance was
$2.5 billion
at
June 30, 2019
compared to
$1.8 billion
at
June 30, 2018
. The increase in cash and equivalents during fiscal
2019
was due to
$2.7 billion
of net cash provided by operating activities and $737 million of net cash proceeds from the sale of our naviHealth business, offset by
$1.1 billion
of debt repayments,
$600 million
of share repurchases,
$577 million
of dividends, and
$328 million
of capital expenditures.
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5
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Cardinal Health
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Fiscal 2019 Form 10-K
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MD&A
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Results of Operations
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Significant Developments in Fiscal
2019
and Trends
Divestitures
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naviHealth Divestiture
In August 2018, we sold our 98 percent ownership interest in naviHealth in exchange for cash proceeds of
$737 million
and a
44 percent
equity interest in a partnership that owns 100 percent of naviHealth. We also have certain call rights to reacquire naviHealth. We recognized a pre-tax gain of $508 million related to this divestiture during fiscal 2019.
Trends
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Within our Pharmaceutical segment, we expect fiscal 2020 segment profit to be less than our fiscal 2019 segment profit due to the adverse impact of recent customer contract renewals and generics program performance, which includes the negative impact of generic pharmaceutical customer pricing changes partially offset by the benefits of Red Oak Sourcing. As is generally the case, the frequency, timing, magnitude and profit impact of generic pharmaceutical customer pricing changes, customer renewals, and branded and generic pharmaceutical manufacturer pricing changes remain uncertain and their impact on Pharmaceutical segment profit and consolidated operating earnings in fiscal 2020 could be more or less than we expect.
On August 7, 2019, we were authorized to incur restructuring costs in connection with certain cost-savings initiatives intended to optimize and simplify our operating model and cost structure. We expect these cost-savings initiatives, which will affect various functional and commercial areas across the Company, to be substantially implemented during fiscal year 2020. As a result of these initiatives, we expect to record restructuring charges of approximately $120 million to $145 million, the majority of which are expected to be expensed during fiscal year 2020. We may incur additional restructuring charges in connection with other projects.
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Cardinal Health
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Fiscal 2019 Form 10-K
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6
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MD&A
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Results of Operations
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Results of Operations
Revenue
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Revenue
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Change
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||||||||||||||
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(in millions)
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2019
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2018
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2017
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2019
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2018
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Pharmaceutical
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$
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129,917
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$
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121,241
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$
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116,463
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7
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%
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4
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%
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Medical
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15,633
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15,581
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13,524
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—
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%
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15
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%
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|||
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Total segment revenue
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145,550
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136,822
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129,987
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6
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%
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5
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%
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|||
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Corporate
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(16
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)
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(13
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)
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(11
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)
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N.M.
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N.M.
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Total revenue
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$
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145,534
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$
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136,809
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$
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129,976
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6
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%
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5
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%
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Fiscal
2019
Compared to Fiscal
2018
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Pharmaceutical Segment
Fiscal
2019
Pharmaceutical segment revenue grew primarily due to sales growth from pharmaceutical distribution and specialty pharmaceutical customers, which together increased revenue by $10.7 billion. The increases were partially offset by the February 2018 divestiture of our China distribution business.
Medical Segment
Fiscal
2019
Medical segment revenue was flat compared to fiscal
2018
. Sales growth from existing customers and the benefit from one additional month of contribution from the Patient Recovery acquisition were offset by the divestitures of our China distribution and naviHealth businesses.
Fiscal
2018
Compared to Fiscal
2017
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Pharmaceutical Segment
Fiscal
2018
Pharmaceutical segment revenue grew primarily due to sales growth from pharmaceutical distribution and specialty pharmaceutical customers, which together increased revenue by $9.4 billion. The increases were partially offset by the previously announced May 2017 expiration of a large pharmaceutical distribution mail order customer contract and the February 2018 divestiture of our China distribution business.
Medical Segment
Fiscal
2018
Medical segment revenue grew mainly due to $1.9 billion of contributions from acquisitions, primarily the Patient Recovery Business acquisition.
Cost of Products Sold
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Cost of products sold f
or fiscal 2019 and 2018
increased
$9.1 billion
(
7 percent
) and
$6.2 billion
(
5 percent
) compared to the prior-year periods, respectively, as a result of the same factors affecting the changes in revenue and gross margin.
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7
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Cardinal Health
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Fiscal 2019 Form 10-K
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MD&A
|
Results of Operations
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Gross Margin
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Consolidated Gross Margin
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Change
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(in millions)
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2019
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2018
|
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2017
|
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2019
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2018
|
||||||||
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Gross margin
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$
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6,834
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$
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7,181
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$
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6,544
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(5
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)%
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10
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%
|
Fiscal
2019
Compared to Fiscal
2018
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Fiscal
2019
consolidated gross margin decreased $347 million (
5 percent
) due to lower contribution from our Pharmaceutical segment generics program, performance of Medical segment's Cardinal Health Brand products, the net impact of acquisitions and divestitures and the adverse impact of Pharmaceutical segment customer contract renewals. These factors were partially offset by sales growth from our specialty pharmaceutical products and services business and higher contribution from branded pharmaceutical sales and mix.
Gross margin rate declined during fiscal
2019
mainly due to changes in product mix, lower contribution from our Pharmaceutical segment generics program, performance of Medical segment's Cardinal Health Brand products, and the adverse impact of Pharmaceutical segment customer contract renewals.
Fiscal
2018
Compared to Fiscal
2017
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Fiscal
2018
consolidated gross margin increased $637 million (10 percent) and was favorably impacted by acquisitions ($809 million), primarily the Patient Recovery Business acquisition.
Gross margin rate grew during fiscal
2018
mainly due to acquisitions, primarily the Patient Recovery Business acquisition. Gross margin rate growth was partially offset by the negative impact of changes in pharmaceutical distribution product mix and performance in our Cordis business due to inventory challenges and increased manufacturing costs.
Distribution, Selling, General and Administrative ("SG&A") Expenses
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SG&A Expenses
|
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Change
|
||||||||||||||
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(in millions)
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2019
|
|
2018
|
|
2017
|
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2019
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2018
|
||||||||
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SG&A expenses
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$
|
4,480
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$
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4,596
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$
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3,775
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(3
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)%
|
|
22
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%
|
Fiscal
2019
Compared to Fiscal
2018
|
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||||
Fiscal
2019
SG&A expenses decreased due to the beneficial impact of divestitures and enterprise-wide cost-savings measures, largely offset by certain costs to exit transition service agreements for our Patient Recovery Business and legal expenses for opioid-related matters.
Fiscal
2018
Compared to Fiscal
2017
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Fiscal
2018
SG&A expenses increased mainly due to acquisitions ($524 million),
which primarily consists of the Patient Recovery Business acquisition, and enterprise-wide compensation related items.
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Cardinal Health
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Fiscal 2019 Form 10-K
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8
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MD&A
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Results of Operations
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Segment Profit
|
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We evaluate segment performance based on segment profit, among other measures. See
Note 15
of the "Notes to Consolidated Financial Statements" for additional information on segment profit.
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Segment Profit and Operating Earnings
|
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Change
|
||||||||||||||
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(in millions)
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2019
|
|
2018
|
|
2017
|
|
2019
|
|
2018
|
||||||||
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Pharmaceutical
|
$
|
1,834
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|
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$
|
1,992
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$
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2,187
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|
(8
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)%
|
|
(9
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)%
|
|
Medical
|
576
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|
|
662
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|
572
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|
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(13
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)%
|
|
16
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%
|
|||
|
Total segment profit
|
2,410
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|
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2,654
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|
|
2,759
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|
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(9
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)%
|
|
(4
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)%
|
|||
|
Corporate
|
(350
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)
|
|
(2,528
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)
|
|
(639
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)
|
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N.M.
|
|
|
296
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%
|
|||
|
Total consolidated operating earnings
|
$
|
2,060
|
|
|
$
|
126
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|
|
$
|
2,120
|
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N.M.
|
|
|
(94
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)%
|
Fiscal
2019
Compared to Fiscal
2018
|
|
||||
Pharmaceutical Segment Profit
Fiscal
2019
Pharmaceutical segment profit decreased largely due to our generics program performance, the adverse impact of customer contract renewals and
legal expenses for opioid-related matters
. Our generics program performance includes the negative impact of generic pharmaceutical customer pricing changes partially offset by the benefits of Red Oak Sourcing. The decreases were partially offset by growth from our specialty pharmaceutical products and services business, higher contribution from our branded pharmaceutical sales and mix and the beneficial impact of enterprise-wide cost-savings measures.
Medical Segment Profit
Fiscal
2019
Medical segment profit decreased largely due to the performance of Cardinal Health Brand products, including incremental supply chain costs, charges related to an exclusive distribution agreement with a Cordis supplier, and increased commodities prices. This decrease was partially offset by the benefits from enterprise-wide and segment cost-savings measures and the prior-year impact of Cordis inventory challenges and increased operating costs specific to Cordis. Medical segment profit comparison to the prior year also benefitted from acquisitions and divestitures, net, which includes the beneficial comparison to the impact in fiscal
2018 from the fair value step-up of inventory acquired with the Patient Recovery Business.
Corporate
The changes in Corporate during fiscal
2019
are due to the factors discussed in the Other Components of Consolidated Operating Earnings section that follows.
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9
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Cardinal Health
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Fiscal 2019 Form 10-K
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MD&A
|
Results of Operations
|
|
Fiscal
2018
Compared to Fiscal
2017
|
|
||||
Pharmaceutical Segment Profit
Fiscal
2018
Pharmaceutical segment profit decreased largely due to our generics program performance and the adverse impact of customer contract renewals. Performance from our specialty pharmaceutical products distribution and services business positively impacted Pharmaceutical segment profit.
Medical Segment Profit
Fiscal
2018
Medical segment profit increased largely due to acquisitions, inclusive of the unfavorable cost of products sold impact from the fair value step up of inventory acquired with the Patient
Recovery Business acquisition.
The increase was partially offset by
performance from the Cordis business, and to a lesser extent, performance from other Cardinal Health Brand products. The performance from the Cordis business primarily reflected inventory challenges and increased operating costs.
Corporate
The changes in Corporate during fiscal
2018
were due to the factors discussed in the Other Components of Consolidated Operating Earnings section that follows.
Other Components of Consolidated Operating Earnings
|
|
In addition to revenue, gross margin, and SG&A expenses discussed previously, consolidated operating earnings were impacted by the following:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Restructuring and employee severance
|
$
|
125
|
|
|
$
|
176
|
|
|
$
|
56
|
|
|
Amortization and other acquisition-related costs
|
621
|
|
|
707
|
|
|
527
|
|
|||
|
Impairments and (gain)/loss on disposal of assets, net
|
(488
|
)
|
|
1,417
|
|
|
18
|
|
|||
|
Litigation (recoveries)/charges, net
|
36
|
|
|
159
|
|
|
48
|
|
|||
Restructuring and Employee Severance
During fiscal 2019, we recognized
$92 million
of restructuring related costs in connection with enterprise-wide cost-savings measures that began in fiscal 2019.
During fiscal 2018, we incurred
$125 million
of contract termination costs to transition the distribution of our Medical segment surgeon gloves in certain international markets from a third-party distribution arrangement to a direct distribution model.
Amortization and Other Acquisition-Related Costs
Amortization of acquisition-related intangible assets was
$531 million
,
$574 million
and
$395 million
for fiscal
2019
,
2018
and
2017
, respectively.
Transaction and integration costs associated with the acquisition of the Patient Recovery Business were
$75 million
,
$109 million
and
$54 million
during fiscal
2019
,
2018
, and
2017
, respectively.
Impairments and (Gain)/Loss on Disposal of Assets, Net
During fiscal
2019
, we recognized a pre-tax gain of $508 million related to the divestiture of our naviHealth business.
During fiscal
2018
, we recognized a
$1.4 billion
non-cash goodwill impairment charge related to our Medical segment, as discussed further in
Note 4
of the "Notes to Consolidated Financial Statements." There was no tax benefit related to this goodwill impairment charge.
Litigation (Recoveries)/Charges, Net
During fiscal
2019
,
2018
and
2017
, we recognized $117 million, $177 million and $24 million, respectively, of estimated losses and legal defense costs associated with inferior vena cava ("IVC") filter product liability claims.
During fiscal
2019
and 2018, we recognized income of
$94 million
and $22 million, respectively, for
recoveries in class action antitrust lawsuits in which we were a class member.
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Cardinal Health
|
Fiscal 2019 Form 10-K
|
10
|
|
MD&A
|
Results of Operations
|
|
Earnings/(loss) Before Income Taxes
|
|
In addition to the items discussed above, earnings/(loss) before income taxes was impacted by the following:
|
|
Earnings/(loss) Before Income Taxes
|
|
Change
|
||||||||||||||
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
|
2019
|
|
2018
|
||||||||
|
Other (income)/expense, net
|
$
|
15
|
|
|
$
|
23
|
|
|
$
|
(5
|
)
|
|
N.M.
|
|
|
N.M.
|
|
|
Interest expense, net
|
294
|
|
|
329
|
|
|
201
|
|
|
(11
|
)%
|
|
64
|
%
|
|||
|
Loss on extinguishment of debt
|
—
|
|
|
2
|
|
|
—
|
|
|
N.M.
|
|
|
N.M.
|
|
|||
Interest Expense, Net
Fiscal 2019 interest expense decreased primarily due to lower debt outstanding.
Fiscal 2018 interest expense increased primarily due to new debt issued in June 2017 to fund a portion of the purchase price of the Patient Recovery Business acquisition.
|
11
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
MD&A
|
Results of Operations
|
|
Provision for Income Taxes
|
|
Generally, fluctuations in the effective tax rate are due to changes in the distribution of income among taxing jurisdictions with differing income tax rates and other reconciling items.
The fluctuations in the effective tax rate from fiscal 2018 to fiscal 2019 were primarily due to the prior-year impacts of the net benefits from the enactment of the Tax Act, nondeductible goodwill impairment charge, and benefit from a capital loss due to international legal entity reorganization.
A reconciliation of the provision based on the federal statutory income tax rate to our effective income tax rate from continuing operations is as follows
(see
Note 7
of the "Notes to Consolidated Financial Statements" for additional information):
|
|
2019 (1)
|
|
2018 (2)
|
|
2017 (1)
|
|||
|
Provision at Federal statutory rate
|
21.0
|
%
|
|
28.1
|
%
|
|
35.0
|
%
|
|
State and local income taxes, net of federal benefit
|
0.9
|
|
|
(16.0
|
)
|
|
1.0
|
|
|
Tax effect of foreign operations
|
(0.7
|
)
|
|
(48.4
|
)
|
|
(7.3
|
)
|
|
Nondeductible/nontaxable items
|
2.5
|
|
|
(10.2
|
)
|
|
0.2
|
|
|
Goodwill impairment
|
—
|
|
|
(124.7
|
)
|
|
—
|
|
|
Tax Act
|
(0.8
|
)
|
|
410.9
|
|
|
—
|
|
|
Change in valuation allowances
|
4.5
|
|
|
(76.9
|
)
|
|
7.7
|
|
|
Foreign tax credits
|
(1.0
|
)
|
|
27.3
|
|
|
(1.6
|
)
|
|
China tax related to divestiture
|
—
|
|
|
(25.8
|
)
|
|
—
|
|
|
Legal entity reorganization
|
(3.6
|
)
|
|
71.4
|
|
|
—
|
|
|
Other
|
(0.7
|
)
|
|
(21.9
|
)
|
|
(2.3
|
)
|
|
Effective income tax rate
|
22.1
|
%
|
|
213.8
|
%
|
|
32.7
|
%
|
|
(1)
|
The effective income tax rates for fiscal 2019 and 2017 represents income tax expense tax rates.
|
|
(2)
|
The effective income tax rate for fiscal 2018 represents an income tax benefit tax rate.
|
Fiscal
2019
|
|
||||
The fiscal 2019 effective income tax rate was impacted by a lower federal statutory tax rate to our U.S. pre-tax earnings as a result of the Tax Act and net discrete benefits of $17 million, primarily related to international legal entity changes offset by increases in valuation allowances.
Ongoing Audits
The IRS is currently conducting audits of fiscal years 2008 through 2014. Years after 2014 remain open.
Fiscal
2018
and Fiscal
2017
|
|
||||
The fiscal 2018 effective income tax rate was impacted by various items including benefits from the enactment of the Tax Act, the impact of nondeductible goodwill impairment charges, changes in valuation allowances and a benefit from a capital loss due to an international legal entity reorganization.
The net benefit from the Tax Act for fiscal 2018 includes a provisional net tax benefit of $977 million related to the remeasurement of our deferred tax assets and liabilities to the new federal statutory rate, the benefit from the impact of applying a lower federal tax rate to our year-to-date U.S. pre-tax earnings and a provisional tax expense of $41 million for the one-time repatriation tax applied to our undistributed foreign earnings.
Our effective tax rate for fiscal 2018 also includes $59 million of tax expense recognized in connection with the sale of our China distribution business.
The fiscal 2017 effective income tax rate was favorably impacted by the realignment of foreign subsidiaries in anticipation of closing the acquisition of the Patient Recovery Business and also from deductions related to U.S. production activities. The state and local income tax rate decreased primarily due to resolutions with state taxing authorities.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
12
|
|
MD&A
|
Liquidity and Capital Resources
|
|
Liquidity and Capital Resources
We currently believe that, based on available capital resources (cash on hand and committed credit facilities) and projected operating cash flow, we have adequate capital resources to fund working capital needs; currently anticipated capital expenditures; currently anticipated business growth and expansion; contractual obligations; tax payments; and current and projected debt service requirements, dividends and share repurchases. If we decide to engage in one or more additional acquisitions, depending on the size and timing of such transactions, we may need to access capital markets for additional financing.
Cash and Equivalents
|
|
Our cash and equivalents balance was
$2.5 billion
at
June 30, 2019
compared to
$1.8 billion
at
June 30, 2018
.
The increase in cash and equivalents during fiscal
2019
was due to
$2.7 billion
of net cash provided by operating activities and
$737 million
of net cash proceeds from the sale of our naviHealth business, offset by
$1.1 billion
paid for debt repayments,
$600 million
paid for share repurchases,
$577 million
paid in dividends and
$328 million
paid for capital expenditures.
At
June 30, 2019
, our cash and equivalents were held in cash depository accounts with major banks or invested in high quality, short-term liquid investments.
During fiscal
2018
our cash and cash equivalents declined $5.1 billion due to
$6.1 billion
deployed for acquisitions during the year,
$954 million
used for debt repayments,
$581 million
paid in dividends,
$550 million
paid for share repurchases and
$384 million
paid for capital expenditures, offset in part by
$2.8 billion
net cash provided by operating activities and
$861 million
of proceeds from the divestiture of the China distribution business. Net cash provided by operating activities increased by $1.6 billion from fiscal 2017 primarily due to working capital changes in part as a result of timing of customer and vendor payments related to the new Pharmaceutical segment finance and operating information systems.
The increase in cash and equivalents during fiscal
2017
of $4.5 billion was due to proceeds from a
$5.2 billion
debt issuance and
$1.2 billion
provided by operating activities, partially offset by
$600 million
paid for share repurchases,
$577 million
paid in dividends and
$387 million
paid in capital expenditures and
$310 million
in debt repayments. The $1.8 billion decrease in net cash provided by operating activities in fiscal 2017 was primarily due to an increase in working capital as a result of changes in timing of customer and vendor payments, some of which related to implementation of the new Pharmaceutical segment finance and operating information systems.
Changes in working capital, which impact operating cash flow, can vary significantly depending on factors such as the timing of customer payments, inventory purchases and payments to vendors in the regular course of business, as well as fluctuating working capital needs driven by customer and product mix.
The cash and equivalents balance at
June 30, 2019
included $575 million of cash held by subsidiaries outside of the United States.
In June 2019, we repatriated $318 million of cash held by foreign subsidiaries.
During the year ended June 30, 2019, we completed the final calculation of the U.S. repatriation tax after the issuance of final regulations by the U.S Treasury Department under section 965. After completion of the calculation and an overall review of our cash positions and business needs globally, we changed our assertion on $309 million previously considered indefinitely reinvested as of June 30, 2018,
which did not have a material impact on our provision for income taxes
. See
Note 7
of the "Notes to Consolidated Financial Statements" for additional information on the Tax Act.
Other Financing Arrangements and Financial Instruments
|
|
Credit Facilities and Commercial Paper
In addition to cash and equivalents and operating cash flow, other sources of liquidity at
June 30, 2019
include a
$2.0 billion
commercial paper program, backed by a
$2.0 billion
revolving credit facility. We also have a $1.0 billion committed receivables sales facility. At
June 30, 2019
, we had no amounts outstanding under our commercial paper program, revolving credit facility or our committed receivables sales facility. Under our commercial paper program, we had a maximum amount outstanding of
$785 million
and an average daily amount outstanding of
$15 million
during fiscal 2019.
In June 2019, we extended our revolving credit facility through June 2024. The revolving credit facility requires us to maintain a maximum consolidated net leverage ratio as of the end of any calendar quarter. On June 30, 2019, the maximum permitted ratio was
4.25-to-1
. The maximum permitted ratio will reduce to 4.00-to-1 in September 2019
and to 3.75- to-1 in March 2021. As of
June 30, 2019
, we were in compliance with this financial covenant.
Our committed receivables sales facility provides that, as of the end of any calendar quarter, our maximum consolidated leverage ratio may be
no more than 4.25-to-1
. The maximum permitted ratio will reduce to 4.00-to-1 in September 2019, to 3.75- to-1 in March 2020 and to 3.25-to-1 in September 2020. As of
June 30, 2019
, we were in compliance with this financial covenant. We intend to renew our committed receivables sales facility program in the first quarter of fiscal 2020.
|
13
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
MD&A
|
Liquidity and Capital Resources
|
|
Long-Term Obligations
At June 30, 2019, we had total long-term obligations, including the current portion and other short-term borrowings of
$8.0 billion
. In June 2019, we repaid $1.0 billion 1.948% notes at maturity. In the fourth quarter of fiscal 2019, we repurchased a total of
$100 million
of notes due in 2022 and 2027.
In June 2018, we repaid our
$550 million
1.95% Notes due 2018 in full at maturity.
In fiscal 2018 we sold our China distribution business, including its debt which was $378 million as of June 30, 2017.
See
Note 2
of the “Notes to Consolidated Financial Statements”
for further discussion of this divestiture.
Risk Management
We use interest rate swaps, foreign currency contracts and commodity contracts to manage our exposure to cash flow variability. We also use interest rate swaps to protect the value of our debt and use foreign currency forward contracts to protect the value of our existing and forecasted foreign currency assets and liabilities. See the "Quantitative and Qualitative Disclosures About Market Risk" section as well as
Note 1
and
Note 11
of the “Notes to Consolidated Financial Statements” for information regarding the use of financial instruments and derivatives as well as foreign currency, interest rate and commodity exposures.
Capital Deployment
|
|
Capital Expenditures
Capital expenditures during fiscal
2019
,
2018
and
2017
were
$328 million
,
$384 million
and
$387 million
, respectively.
We expect capital expenditures in fiscal
2020
to be between $320 million and $360 million primarily for information technology and infrastructure projects.
Dividends
During fiscal
2019
, we paid quarterly dividends totaling
$1.91
per share, an increase of
3 percent
from fiscal
2018
.
On May 8, 2019, our Board of Directors approved a quarterly dividend of $0.4811 per share, or $1.92 per share on an annualized basis, which was paid on July 15, 2019 to shareholders of record on July 1, 2019.
On August 7, 2019, our Board of Directors approved a quarterly dividend of $0.4811 per share, or $1.92 per share on an annualized basis, payable on October 15, 2019 to shareholders of record on October 1, 2019.
Share Repurchases
During fiscal
2019
and
2018
, we repurchased
$600 million
and
$550 million
, respectively, of our common shares. We funded the repurchases with available cash and short-term borrowing. See
Note 13
of the "Notes to Consolidated Financial Statements" for additional information. At
June 30, 2019
, we
had
$1.3 billion
authorized for share repurchases r
emaining under all programs.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
14
|
|
MD&A
|
Other
|
|
Contractual Obligations
At
June 30, 2019
, our contractual obligations, including estimated payments due by period, were as follows:
|
(in millions)
|
2020
|
|
2021 to 2022
|
|
2023 to 2024
|
|
There-after
|
|
Total
|
||||||||||
|
Long-term debt and short-term borrowings (1)
|
$
|
450
|
|
|
$
|
2,176
|
|
|
$
|
1,333
|
|
|
$
|
4,065
|
|
|
$
|
8,024
|
|
|
Interest on long-term debt
|
318
|
|
|
631
|
|
|
481
|
|
|
1,972
|
|
|
3,402
|
|
|||||
|
Capital lease obligations (2)
|
2
|
|
|
3
|
|
|
2
|
|
|
—
|
|
|
7
|
|
|||||
|
Operating leases (3)
|
126
|
|
|
176
|
|
|
87
|
|
|
94
|
|
|
483
|
|
|||||
|
Purchase obligations and other payments (4)
|
569
|
|
|
456
|
|
|
381
|
|
|
8
|
|
|
1,414
|
|
|||||
|
Total contractual obligations (5)
|
$
|
1,465
|
|
|
$
|
3,442
|
|
|
$
|
2,284
|
|
|
$
|
6,139
|
|
|
$
|
13,330
|
|
|
(1)
|
Represents maturities of our long-term debt obligations and other short-term borrowings excluding capital lease obligations described below. See
Note 6
of the “Notes to Consolidated Financial Statements” for further information.
|
|
(2)
|
Represents maturities of our capital lease obligations included within long-term obligations in our consolidated balance sheets.
|
|
(3)
|
Represents minimum rental payments for operating leases having initial or remaining non-cancelable lease terms as described in
Note 8
of the “Notes to Consolidated Financial Statements.”
|
|
(4)
|
A purchase obligation is defined as an agreement to purchase goods or services that is legally enforceable and specifies all significant terms, including fixed or minimum quantities to be purchased; fixed, minimum or variable price provisions; and approximate timing of the transaction. The purchase obligation amounts disclosed above represent estimates of the minimum for which we are obligated and the time period in which cash outflows will occur. Purchase orders and authorizations to purchase that involve no firm commitment from either party are excluded from the above table. In addition, contracts that can be unilaterally canceled with no termination fee or with proper notice are excluded from our total purchase obligations except for the amount of the termination fee or the minimum amount of goods that must be purchased during the requisite notice period. Purchase obligations and other payments also includes quarterly payments of $
45.6 million
that we are required to pay CVS Health Corporation ("CVS") in connection with Red Oak Sourcing and will be in place for the remaining five years of the agreement. See
Note 8
of the “Notes to Consolidated Financial Statements” for additional information.
|
|
(5)
|
Long-term liabilities, such as unrecognized tax benefits, deferred taxes and other tax liabilities, have been excluded from the above table due to the inherent uncertainty of the underlying tax positions or because of the inability to reasonably estimate the timing of any cash outflows. See
Note 7
of the "Notes to Consolidated Financial Statements" for further discussion of income taxes.
|
Off-Balance Sheet Arrangements
We had no significant "off-balance sheet arrangements" at
June 30, 2019
, as that term is defined in the SEC rules.
Recent Financial Accounting Standards
See
Note 1
of the “Notes to Consolidated Financial Statements” for a discussion of recent financial accounting standards.
|
15
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
MD&A
|
Critical Accounting Policies and Sensitive Accounting Estimates
|
|
Critical Accounting Policies and Sensitive Accounting Estimates
Critical accounting policies are those accounting policies that (i) can have a significant impact on our financial condition and results of operations and (ii) require the use of complex and subjective estimates based upon past experience and management’s judgment. Other people applying reasonable judgment to the same facts and circumstances could develop different estimates. Because estimates are inherently uncertain, actual results may differ. In this section, we describe the significant policies applied in preparing our consolidated financial statements that management believes are the most dependent on estimates and assumptions. For further discussion of accounting policies for items within this section and of additional accounting policies, see
Note 1
of the “Notes to Consolidated Financial Statements.”
Allowance for Doubtful Accounts
|
|
The allowance for doubtful accounts includes general and specific reserves. We determine our allowance for doubtful accounts by reviewing accounts receivable aging, industry trends, customer financial strength and credit standing, historical write-off trends and payment history. We regularly evaluate how changes in economic conditions may affect credit risks. See
Note 1
of the “Notes to Consolidated Financial Statements” for further information on our policy for Receivables and Allowance for Doubtful Accounts.
A hypothetical 0.1 percent increase or decrease in the reserve as a percentage of trade receivables at
June 30, 2019
, would result in an increase or decrease in bad debt expense of
$9 million
. We believe the reserve maintained and expenses recorded in fiscal
2019
are appropriate.
At this time, we are not aware of any analytical findings or customer issues that are likely to lead to a significant future increase in the allowance for doubtful accounts as a percentage of revenue. The following table presents information regarding the allowance for doubtful accounts over the past three fiscal years:
|
(in millions, except percentages)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Allowance for doubtful accounts at beginning of period
|
$
|
139
|
|
|
$
|
137
|
|
|
$
|
135
|
|
|
Charged to costs and expenses
|
141
|
|
|
114
|
|
|
60
|
|
|||
|
Reduction to allowance for customer deductions and write-offs
|
(87
|
)
|
|
(111
|
)
|
|
(58
|
)
|
|||
|
Allowance for doubtful accounts at end of period
|
$
|
193
|
|
|
$
|
139
|
|
|
$
|
137
|
|
|
Allowance as a percentage of customer receivables
|
2.3
|
%
|
|
1.8
|
%
|
|
1.7
|
%
|
|||
|
Allowance as a percentage of revenue
|
0.13
|
%
|
|
0.10
|
%
|
|
0.11
|
%
|
|||
The sum of the components may not equal the total due to rounding.
Inventories
|
|
A substantial portion of our inventories (
56 percent
at both
June 30, 2019
and
2018
) are valued at the lower of cost, using the last-in, first-out ("LIFO") method, or market. These are primarily merchandise inventories at the core pharmaceutical distribution facilities within our Pharmaceutical segment (“distribution facilities”). The LIFO impact on the consolidated statements of earnings depends on pharmaceutical manufacturer price appreciation or deflation and our fiscal year-end inventory levels, which can be meaningfully influenced by customer buying behavior immediately preceding our fiscal year-end. Historically, prices for branded pharmaceuticals have generally tended to rise, resulting in an increase in cost of products sold, whereas prices for generic pharmaceuticals generally tend to decline, resulting in a decrease in cost of products sold. See
Note 1
of the “Notes to Consolidated Financial Statements” for further information on our policy for Inventories.
Using LIFO, if there is a decrease in inventory levels that have experienced pharmaceutical price appreciation, the result generally will be a decrease in future cost of products sold as our older inventory is held at a lower cost. Conversely, if there is a decrease in inventory levels that have experienced a pharmaceutical price decline, the result generally will be an increase in future cost of products sold as our older inventory is held at a higher cost.
We believe that the average cost method of inventory valuation provides a reasonable approximation of the current cost of replacing inventory within these distribution facilities. As such, the LIFO reserve is the difference between (a) inventory at the lower of LIFO cost or market and (b) inventory at replacement cost determined using the average cost method of inventory valuation. If we had used the average cost method of inventory valuation for all inventory within the distribution facilities, the value of our inventories would not have changed in fiscal
2019
or
2018
because inventories valued at LIFO were
$230 million
and
$92 million
higher than the average cost value at
June 30, 2019
and
2018
, respectively. We do not record inventories in excess of replacement cost. As such, we did not record a LIFO reserve in fiscal
2019
or
2018
.
Our remaining inventory that is not valued at the lower of LIFO or market is stated at the lower of cost, using the first-in, first-out method, or market. Inventories presented in the consolidated balance sheets are net of reserves for excess and obsolete inventory which were
$171 million
and
$147 million
at
June 30, 2019
and
2018
, respectively. We reserve for inventory obsolescence using estimates based on historical experience, historical and projected sales trends, specific categories of inventory, age and expiration dates of on-hand inventory and manufacturer return policies.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
16
|
|
MD&A
|
Critical Accounting Policies and Sensitive Accounting Estimates
|
|
If actual conditions are less favorable than our assumptions, additional inventory reserves may be required.
Business Combinations
|
|
The assets acquired and liabilities assumed in a business combination, including identifiable intangible assets, are recorded at their estimated fair values as of the acquisition date. For further discussion of the Business Combinations accounting policy, see
Note 1
of the “Notes to Consolidated Financial Statements.”
Critical estimates and assumptions include: expected future cash flows for customer relationships, trademarks, trade names, patents,
developed technology, in-process research and development ("IPR&D") and other identifiable intangible assets; discount rates that reflect the risk factors associated with future cash flows; and estimates of useful lives. See
Note 2
of the “Notes to Consolidated Financial Statements” for additional information regarding our acquisitions.
Goodwill and Other Indefinite-Lived Intangible Assets
|
|
Purchased goodwill and intangible assets with indefinite lives are tested for impairment annually or when indicators of impairment exist. Goodwill impairment testing involves a comparison of the estimated fair value of reporting units to the respective carrying amount, which may be performed utilizing either a qualitative or quantitative assessment.
Qualitative factors are first assessed to determine if it is more likely than not that the fair value of a reporting unit is less than its carrying amount. There is an option to bypass the qualitative assessment for any reporting unit in any period and proceed directly to performing the quantitative goodwill impairment test. We have elected to bypass the qualitative assessment for the annual goodwill impairment test in the current year. The quantitative goodwill impairment test involves a comparison of the estimated fair value of the reporting unit to the respective carrying amount.
A reporting unit is defined as an operating segment or
one level below an operating segment (also known as a component).
We have two operating segments, which are the same as our reportable segments: Pharmaceutical and Medical. These operating segments are comprised of divisions (which are components), for which discrete financial information is available. Components are aggregated into reporting units for purposes of goodwill impairment testing to the extent that they share similar economic characteristics. Our reporting units are: Pharmaceutical operating segment (excluding our Nuclear and Precision Health Solutions division); Nuclear and Precision Health Solutions division; Medical operating segment (excluding our Cardinal Health at-Home Solutions division) (“Medical Unit”); and Cardinal Health at-Home Solutions division. Our Nuclear and Precision Health Solutions division was formerly referred to as our Nuclear Pharmacy Services division and our Cardinal Health at-Home Solutions division was formerly referred to as our Cardinal Health at Home division.
Goodwill impairment testing involves judgment, including the identification of repo
rting units, qualitative evaluation of events and circumstances to determine if it is more likely than not that an impairment exists, and, if necessary,
the estimation of the fair value of the applicable reporting
unit. Our qualitative evaluation considers the weight of evidence and significance of all identified events and circumstances and most relevant drivers of fair value, both positive
and negative, in determining whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount.
Our determination of estimated fair value of our reporting units is based on a combination of the income-based and market-based approaches
(using discount rates ranging from
8.5 percent
to
11.5 percent
)
. We use discount rates that are commensurate with the risks and uncertainty inherent in the respective reporting units and in our internally-developed forecasts. Under the market-based approach, we determine fair value by comparing our reporting units to similar businesses or guideline companies whose securities are actively traded in public markets. We also use the guideline transaction method to determine fair value based on pricing multiples derived from the sale of companies that are similar to our reporting units.
Estimating the fair value of reporting units requires the use of estimates and significant judgments that are based on a number of factors including actual operating results. The use of alternate estimates and assumptions or changes in the industry or peer groups could materially affect the determination of fair value for each reporting unit and potentially result in goodwill impairment. If a reporting unit fails to achieve expected earnings or otherwise fails to meet current financial plans, or if there were changes to any other key assumptions used in the tests, the reporting unit could incur a goodwill impairment in a future period.
We performed annual impairment testing in fiscal 2019, 2018 and 2017 and, with the exception of our Medical Unit in fiscal 2018, concluded that there were no impairments of goodwill as the estimated fair value of each reporting unit exceeded its carrying value.
For our annual impairment test in fiscal 2019, the fair value of our Medical Unit exceeded its carrying value of $10.8 billion by approximately 4 percent. For this test, we used a discount rate of 8.5 percent and a terminal growth rate of 2 percent. The goodwill balance for our Medical Unit is $4.2 billion. A decrease in future cash flows, an increase in the discount rate or a decrease in the terminal growth rate, among other things, could result in a goodwill impairment for the Medical Unit. For example, if we were to increase the discount rate by 0.5 percent, the carrying value would have exceeded the fair value for our Medical Unit by approximately 2 percent for fiscal 2019. Similarly, if we were to decrease the terminal growth rate by 0.5
|
17
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
MD&A
|
Critical Accounting Policies and Sensitive Accounting Estimates
|
|
percent, the carrying value would have exceeded the fair value for our Medical Unit by approximately 3 percent for fiscal 2019. For any of our other reporting units, the fair value would not have been less than the carrying amount for fiscal 2019 if we increased the discount rate by 0.5 percent or decreased the terminal growth rate by 0.5 percent.
As discussed further in
Note 4
of the "Notes to Consolidated Financial Statements," during the fourth quarter of fiscal 2018 we recognized a
$1.4 billion
goodwill impairment charge related to our Medical Unit, which is included in impairments and (gain)/loss on disposal of assets in our consolidated statements of earnings. There was no tax benefit related to the goodwill impairment charge.
The impairment test for indefinite-lived intangibles other than goodwill (primarily IPR&D) involves first assessing qualitative factors to determine if it is more likely than not that the fair value of the indefinite-
lived intangible asset is less than its carrying amount. If so, then a quantitative test is performed to compare the estimated fair value of the indefinite-lived intangible asset to the respective asset's carrying amount. Our qualitative evaluation
requires the use of estimates and significant judgments and
considers the weight of evidence and significance of all identified events and circumstances and most relevant drivers of fair value, both positive and negative, in determining whether it is more likely than not that the fair value of the indefinite-lived intangible asset is less than its carrying amount.
See
Note 1
of "Notes to Consolidated Financial Statements" for additional information regarding goodwill and other intangible assets.
Loss Contingencies and Self-Insurance
|
|
We accrue for contingencies related to disputes, litigation and regulatory matters if it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. Because these matters are inherently unpredictable and unfavorable developments or outcomes can occur, assessing contingencies is highly subjective and requires judgments about future events.
We also self-insure for employee healthcare, certain product liability matters, auto liability, property and workers' compensation and maintain insurance for individual losses exceeding certain limits when available.
Self-insurance accruals include an estimate for expected settlements on pending claims, defense costs, administrative fees, claims adjustment costs and an estimate for claims incurred but not reported. For certain types of exposures, we develop the estimate of expected ultimate costs to settle each claim based on specific information
related to each claim if available. Other estimates are based on an assessment of outstanding claims, historical analysis and current payment trends. For claims incurred but not reported, the liabilities are calculated and derived in accordance with generally accepted actuarial practices or using an estimated lag period.
We regularly review contingencies and self-insurance accruals to determine whether our accruals and related disclosures are adequate. Any adjustments for changes in reserves are recorded in the period in which the change in estimate occurs.
Examples of such contingencies include various lawsuits related to the distribution of prescription opioid pain medications and the Cordis IVC filter lawsuits.
We develop and periodically update reserve estimates for Cordis IVC claims, including those received to date and expected to be received in the future and related costs. To project future Cordis IVC claim costs, we use a methodology based largely on recent experience, including claim filing rates, estimated indemnity severity by claim type, sales data and estimated defense costs.
The amount of loss may differ from these estimates. See
Note 8
of the “Notes to Consolidated Financial Statements” for additional information regarding loss contingencies and product liability lawsuits.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
18
|
|
MD&A
|
Critical Accounting Policies and Sensitive Accounting Estimates
|
|
Provision for Income Taxes
|
|
We account for income taxes using the asset and liability method. Deferred tax assets and liabilities are measured using enacted tax rates in the respective jurisdictions in which we operate. Our income tax expense, deferred income tax assets and liabilities, and unrecognized tax benefits reflect management’s assessment of estimated future taxes to be paid on items in the consolidated financial statements.
The following table presents information about our tax position at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Total deferred income tax assets (1)
|
$
|
864
|
|
|
$
|
848
|
|
|
Valuation allowance for deferred income tax assets (2)
|
(542
|
)
|
|
(412
|
)
|
||
|
Net deferred income tax assets
|
322
|
|
|
436
|
|
||
|
Total deferred income tax liabilities
|
(2,035
|
)
|
|
(2,213
|
)
|
||
|
Net deferred income tax liability
|
$
|
(1,713
|
)
|
|
$
|
(1,777
|
)
|
|
(1)
|
Total deferred income tax assets included
$621 million
and
$526 million
of loss and tax credit carryforwards at
June 30, 2019
and
2018
, respectively.
|
|
(2)
|
The valuation allowance primarily relates to federal, state and international loss and credit carryforwards for which the ultimate realization of future benefits is uncertain.
|
Expiring or unusable loss and credit carryforwards and the required valuation allowances are adjusted quarterly when it is more likely than not that at least a portion of the respective deferred tax assets will not be realized. After applying the valuation allowances, we do not anticipate any limitations on our use of any of the other net deferred income tax assets described above. We operate in a complex multinational tax environment and are subject to tax treaty arrangements and transfer pricing guidelines for intercompany transactions that are subject to interpretation. Uncertainty in a tax position may arise as tax laws are subject to interpretation.
Tax benefits from uncertain tax positions are recognized when it is more likely than not that the position will be sustained upon examination of the technical merits of the position, including resolutions of any related appeals or litigation. The amount recognized is measured as the largest amount of tax benefit that is greater than 50 percent likely of being realized upon settlement. For tax benefits that do not qualify for recognition, we recognize a liability for unrecognized tax benefits.
Our assumptions and estimates around uncertain tax positions require significant judgment; the actual amount of tax benefit related to uncertain tax positions may differ from these estimates. See
Note 7
of the “Notes to Consolidated Financial Statements” for additional information regarding unrecognized tax benefits.
We believe that our estimates for the valuation allowances against deferred tax assets and unrecognized tax benefits are appropriate based on current facts and circumstances. The amount we ultimately pay when matters are resolved may differ from the amounts accrued. Changes in our current estimates due to unanticipated market conditions, tax law changes or other factors could have a material effect on our ability to utilize deferred tax assets. For a further
discussion on Provision for Income Taxes, see
Note 7
of the “Notes to the Consolidated Financial Statements.”
The calculation of our tax liabilities includes estimates for uncertainties in the application of broad and complex changes to the U.S. tax code as per the Tax Cuts and Jobs Act ("the Tax Act") as enacted by the United States government on December 22, 2017. We have made reasonable estimates and recorded amounts based on management judgment and our current understanding of the Tax Act which is subject to further interpretation by the Internal Revenue Service ("IRS"). See
Note 7
of the “Notes to Consolidated Financial Statements” for additional information regarding the Tax Act.
|
19
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Explanation and Reconciliation of Non-GAAP Financial Measures
|
|
|
Explanation and Reconciliation of Non-GAAP Financial Measures
This report, including the "Fiscal
2019
Overview" section within MD&A, contains financial measures that are not calculated in accordance with GAAP.
In addition to analyzing our business based on financial information prepared in accordance with GAAP, we use these non-GAAP financial measures internally to evaluate our performance, engage in financial and operational planning, and determine incentive compensation because we believe that these measures provide additional perspective on and, in some circumstances are more closely correlated to, the performance of our underlying, ongoing business. We provide these non-GAAP financial measures to investors as supplemental metrics to assist readers in assessing the effects of items and events on our financial and operating results on a year-over-year basis and in comparing our performance to that of our competitors. However, the non-GAAP financial measures that we use may be calculated differently from, and therefore may not be comparable to, similarly titled measures used by other companies. The non-GAAP financial measures disclosed by us should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP, and the financial results calculated in accordance with GAAP and reconciliations to those financial statements set forth below should be carefully evaluated.
Exclusions from Non-GAAP Financial Measures
Management believes it is useful to exclude the following items from the non-GAAP measures presented in this report for its own and for investors’ assessment of the business for the reasons identified below:
|
•
|
LIFO charges and credits
are excluded because the factors that drive last-in first-out ("LIFO") inventory charges or credits, such as pharmaceutical manufacturer price appreciation or deflation and year-end inventory levels (which can be meaningfully influenced by customer buying behavior immediately preceding our fiscal year-end), are largely out of our control and cannot be accurately predicted. The exclusion of LIFO charges and credits from non-GAAP metrics facilitates comparison of our current financial results to our historical financial results and to our peer group companies’ financial results.
|
|
•
|
State opioid assessment related to prior fiscal years
is the portion of the New York State assessment under the Opioid Stewardship Act for prescription opioid medications that were sold or distributed in periods prior to fiscal 2019. This portion was excluded from non-GAAP financial measures because it related to sales in prior fiscal years and inclusion would have obscured analysis of the current fiscal year results of our underlying, ongoing business. Additionally, while the New York law would have required us to make payments on an ongoing basis, the portion of the assessment related to sales in periods prior to fiscal 2019 was contemplated to be a one-time, nonrecurring item. In December 2018, this assessment was declared to be unconstitutional, so during the three months ended December 31, 2018, we reversed the accrual we booked in the three months ended September 30, 2018.
|
|
•
|
Restructuring and employee severance costs
are excluded because they are not part of the ongoing operations of our underlying business.
|
|
•
|
Amortization and other acquisition-related costs
, which include transaction costs, integration costs, and changes in the fair value of contingent consideration obligations, are excluded because they are not part of the ongoing operations of our underlying business and to facilitate comparison of our current financial results to our historical financial results and to our peer group companies' financial results. Additionally, costs for amortization of acquisition-related intangible assets are non-cash amounts, which are variable in amount and frequency and are significantly impacted by the timing and size of acquisitions, so their exclusion facilitates comparison of historical, current and forecasted financial results. We also exclude other acquisition-related costs, which are directly related to an acquisition but do not meet the criteria to be recognized on the acquired entity’s initial balance sheet as part of the purchase price allocation. These costs are also significantly impacted by the timing, complexity and size of acquisitions.
|
|
•
|
Impairments and gain or loss on disposal of assets
are excluded because they do not occur in or reflect the ordinary course of our ongoing business operations and are inherently unpredictable in timing and amount, and in the case of impairments, are non-cash amounts, so their exclusion facilitates comparison of historical, current and forecasted financial results.
|
|
•
|
Litigation recoveries or charges, net
are excluded because they often relate to events that may have occurred in prior or multiple periods, do not occur in or reflect the ordinary course of our business and are inherently unpredictable in timing and amount.
|
|
•
|
Loss on extinguishment of debt
is excluded because it does not typically occur in the normal course of business and may obscure analysis of trends and financial performance. Additionally, the amount and frequency of this type of charge is not consistent and is significantly impacted by the timing and size of debt extinguishment transactions.
|
|
•
|
Transitional tax benefit, net
related to the Tax Cuts and Jobs Act is excluded because it results from the one-time impact of a very significant change in the U.S. federal corporate tax rate and, due to the significant size of the benefit, obscures analysis of trends and financial performance. The transitional tax benefit includes the initial estimate and subsequent adjustments for the re-
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
20
|
|
Explanation and Reconciliation of Non-GAAP Financial Measures
|
|
|
measurement of deferred tax assets and liabilities due to the reduction of the U.S. federal corporate income tax rate and the repatriation tax on undistributed foreign earnings.
The tax effect for each of the items listed above, other than the transitional tax benefit item, is determined using the tax rate and other tax attributes applicable to the item and the jurisdiction(s) in which the item is recorded. The gross, tax and net impact of each item are presented with our GAAP to non-GAAP reconciliations.
Definitions
Growth rate calculation
: growth rates in this report are determined by dividing the difference between current period results and prior period results by prior period results.
Non-GAAP operating earnings
: operating earnings excluding (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) impairments and (gain)/loss on disposal of assets, and (6) litigation (recoveries)/charges, net.
Non-GAAP earnings before income taxes
: earnings before income taxes excluding (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) impairments and (gain)/loss on disposal of assets, (6) litigation (recoveries)/charges, net, and (7) loss on extinguishment of debt.
Non-GAAP Net Earnings attributable to Cardinal Health, Inc.:
net earnings attributable to Cardinal Health, Inc. excluding (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) impairments and (gain)/loss on disposal of assets, (6) litigation (recoveries)/charges, net, (7) loss on extinguishment of debt, each net of tax, and (8) transitional tax benefit, net.
Non-GAAP effective tax rate
: provision for income taxes adjusted for (1) LIFO charges/(credits), (2) state opioid assessment related to prior fiscal years, (3) restructuring and employee severance, (4) amortization and other acquisition-related costs, (5) impairments and (gain)/loss on disposal of assets, (6) litigation (recoveries)/charges, net, (7) loss on extinguishment of debt, and (8) transitional tax benefit, (net) divided by (earnings before income taxes adjusted for the first seven items).
Non-GAAP diluted EPS attributable to Cardinal Health, Inc.
: non-GAAP net earnings attributable to Cardinal Health, Inc. divided by diluted weighted-average shares outstanding.
|
21
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Explanation and Reconciliation of Non-GAAP Financial Measures
|
|
|
GAAP to Non-GAAP Reconciliations
|
(in millions, except per common share amounts)
|
Operating Earnings
|
Operating Earnings Growth Rate
|
Earnings/(Loss) Before Income Taxes
|
Provision for Income Taxes
|
Net Earnings
1
|
Net Earnings/(Loss)
1
Growth Rate
|
Effective Tax Rate
|
Diluted EPS
1
|
Diluted EPS
1
Growth Rate
|
||||||||||||||
|
|
Fiscal Year 2019
|
||||||||||||||||||||||
|
GAAP
|
$
|
2,060
|
|
N.M.
|
|
$
|
1,751
|
|
$
|
386
|
|
$
|
1,363
|
|
N.M.
|
|
22.1
|
%
|
$
|
4.53
|
|
N.M.
|
|
|
Restructuring and employee severance
|
125
|
|
|
125
|
|
32
|
|
93
|
|
|
|
0.31
|
|
|
|||||||||
|
Amortization and other acquisition-related costs
|
621
|
|
|
621
|
|
148
|
|
473
|
|
|
|
1.57
|
|
|
|||||||||
|
Impairments and (gain)/loss on disposal of assets
|
(488
|
)
|
|
(488
|
)
|
(113
|
)
|
(375
|
)
|
|
|
(1.25
|
)
|
|
|||||||||
|
Litigation (recoveries)/charges, net
|
36
|
|
|
36
|
|
10
|
|
26
|
|
|
|
0.09
|
|
|
|||||||||
|
Transitional tax benefit, net
2
|
—
|
|
|
—
|
|
(9
|
)
|
9
|
|
|
|
0.03
|
|
|
|||||||||
|
Non-GAAP
|
$
|
2,353
|
|
(9
|
)%
|
$
|
2,044
|
|
$
|
453
|
|
$
|
1,589
|
|
1
|
%
|
22.1
|
%
|
$
|
5.28
|
|
6
|
%
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
Fiscal Year 2018
|
||||||||||||||||||||||
|
GAAP
|
$
|
126
|
|
(94
|
)%
|
$
|
(228
|
)
|
$
|
(487
|
)
|
$
|
256
|
|
(80
|
)%
|
213.8
|
%
|
$
|
0.81
|
|
(80
|
)%
|
|
Restructuring and employee severance
|
176
|
|
|
176
|
|
25
|
|
151
|
|
|
|
0.48
|
|
|
|||||||||
|
Amortization and other acquisition-related costs
|
707
|
|
|
707
|
|
176
|
|
531
|
|
|
|
1.69
|
|
|
|||||||||
|
Impairments and (gain)/loss on disposal of assets
3
|
1,417
|
|
|
1,417
|
|
(44
|
)
|
1,461
|
|
|
|
4.64
|
|
|
|||||||||
|
Litigation (recoveries)/charges, net
|
159
|
|
|
159
|
|
48
|
|
111
|
|
|
|
0.35
|
|
|
|||||||||
|
Loss on extinguishment of debt
|
—
|
|
|
2
|
|
1
|
|
1
|
|
|
|
—
|
|
|
|||||||||
|
Transitional tax benefit, net
2
|
—
|
|
|
—
|
|
936
|
|
(936
|
)
|
|
|
(2.97
|
)
|
|
|||||||||
|
Non-GAAP
|
$
|
2,585
|
|
(7
|
)%
|
$
|
2,233
|
|
$
|
655
|
|
$
|
1,575
|
|
(9
|
)%
|
29.3
|
%
|
$
|
5.00
|
|
(7
|
)%
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
Fiscal Year 2017
|
||||||||||||||||||||||
|
GAAP
|
$
|
2,120
|
|
(14
|
)%
|
$
|
1,924
|
|
$
|
630
|
|
$
|
1,288
|
|
(10
|
)%
|
32.7
|
%
|
$
|
4.03
|
|
(7
|
)%
|
|
Restructuring and employee severance
|
56
|
|
|
56
|
|
20
|
|
36
|
|
|
|
0.11
|
|
|
|||||||||
|
Amortization and other acquisition-related costs
|
527
|
|
|
527
|
|
165
|
|
362
|
|
|
|
1.13
|
|
|
|||||||||
|
Impairments and (gain)/loss on disposal of assets
|
18
|
|
|
18
|
|
6
|
|
12
|
|
|
|
0.04
|
|
|
|||||||||
|
Litigation (recoveries)/charges, net
|
48
|
|
|
48
|
|
19
|
|
29
|
|
|
|
0.09
|
|
|
|||||||||
|
Non-GAAP
|
$
|
2,769
|
|
(4
|
)%
|
$
|
2,572
|
|
$
|
839
|
|
$
|
1,727
|
|
—
|
%
|
32.6
|
%
|
$
|
5.40
|
|
3
|
%
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
1
|
attributable to Cardinal Health, Inc.
|
|
2
|
Reflects the net transitional benefit from the remeasurement of our deferred tax assets and liabilities partially offset by the repatriation tax on cash and earnings of foreign subsidiaries. See
Note 7
of the "Notes to Consolidated Financial Statements" for more information on the Tax Act.
|
|
3
|
Fiscal year 2018 includes a goodwill impairment charge of $1.4 billion related to our Medical segment. There was no tax benefit related to this goodwill impairment charge.
|
The sum of the components may not equal the total due to rounding.
We apply varying tax rates depending on the item's nature and tax jurisdiction where it is incurred.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
22
|
|
Selected Financial Data
|
|
|
Selected Financial Data
The consolidated financial data below includes all business combinations as of the date of acquisition that occurred during these periods. The following selected consolidated financial data should be read in conjunction with the consolidated financial statements and related notes and MD&A.
|
(in millions, except per common share amounts)
|
2019
1
|
|
2018
2,3
|
|
2017
|
|
2016
|
|
2015
|
||||||||||
|
Earnings Data:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Revenue
|
$
|
145,534
|
|
|
$
|
136,809
|
|
|
$
|
129,976
|
|
|
$
|
121,546
|
|
|
$
|
102,531
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Operating earnings
|
2,060
|
|
|
126
|
|
|
2,120
|
|
|
2,459
|
|
|
2,161
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Earnings from continuing operations
|
1,365
|
|
|
259
|
|
|
1,294
|
|
|
1,431
|
|
|
1,212
|
|
|||||
|
Earnings from discontinued operations, net of tax
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
3
|
|
|||||
|
Net earnings
|
1,365
|
|
|
259
|
|
|
1,294
|
|
|
1,431
|
|
|
1,215
|
|
|||||
|
Less: Net earnings attributable to noncontrolling interests
|
(2
|
)
|
|
(3
|
)
|
|
(6
|
)
|
|
(4
|
)
|
|
—
|
|
|||||
|
Net earnings attributable to Cardinal Health, Inc.
|
$
|
1,363
|
|
|
$
|
256
|
|
|
$
|
1,288
|
|
|
$
|
1,427
|
|
|
$
|
1,215
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Basic earnings per common share attributable to Cardinal Health, Inc.:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Continuing operations
|
$
|
4.55
|
|
|
$
|
0.82
|
|
|
$
|
4.06
|
|
|
$
|
4.36
|
|
|
$
|
3.65
|
|
|
Discontinued operations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
0.01
|
|
|||||
|
Net basic earnings per common share attributable to Cardinal Health, Inc.
|
$
|
4.55
|
|
|
$
|
0.82
|
|
|
$
|
4.06
|
|
|
$
|
4.36
|
|
|
$
|
3.66
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Diluted earnings per common share attributable to Cardinal Health, Inc.:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Continuing operations
|
$
|
4.53
|
|
|
$
|
0.81
|
|
|
$
|
4.03
|
|
|
$
|
4.32
|
|
|
$
|
3.61
|
|
|
Discontinued operations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
0.01
|
|
|||||
|
Net diluted earnings per common share attributable to Cardinal Health, Inc.
|
$
|
4.53
|
|
|
$
|
0.81
|
|
|
$
|
4.03
|
|
|
$
|
4.32
|
|
|
$
|
3.62
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Cash dividends declared per common share
|
$
|
1.9100
|
|
|
$
|
1.8635
|
|
|
$
|
1.8091
|
|
|
$
|
1.6099
|
|
|
$
|
1.4145
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Balance Sheet Data:
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Total assets
|
$
|
40,963
|
|
|
$
|
39,951
|
|
|
$
|
40,112
|
|
|
$
|
34,122
|
|
|
$
|
30,142
|
|
|
Long-term obligations, less current portion
|
7,579
|
|
|
8,012
|
|
|
9,068
|
|
|
4,952
|
|
|
5,211
|
|
|||||
|
Total Cardinal Health, Inc. shareholders' equity
|
6,328
|
|
|
6,059
|
|
|
6,808
|
|
|
6,554
|
|
|
6,256
|
|
|||||
1
During the first quarter of fiscal 2019, we sold our 98 percent ownership interest in naviHealth and recognized a pre-tax gain of $508 million ($378 million after-tax).
2
During the fourth quarter of fiscal 2018, we recognized a non-cash goodwill impairment charge of $1.4 billion related to our Medical segment. There was no tax benefit related to this goodwill impairment charge.
3
During fiscal 2018, the United States enacted the Tax Cuts and Jobs Act. See
Note 7
for more information.
|
23
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Disclosures about Market Risk
|
|
Quantitative and Qualitative Disclosures About Market Risk
We are exposed to cash flow and earnings fluctuations as a result of certain market risks. These market risks primarily relate to foreign exchange, interest rate, and commodity price-related changes. We maintain a hedging program to manage volatility related to some of these market exposures which employs operational, economic, and derivative financial instruments in order to mitigate risk. See
Note 1
and
Note 11
of the “Notes to Consolidated Financial Statements” for further discussion regarding our use of derivative instruments.
Foreign Exchange Rate Sensitivity
|
|
By the nature of our global operations, we are exposed to cash flow and earnings fluctuations resulting from foreign exchange rate variation. These exposures are transactional and translational in nature. The following foreign currencies represent the principal drivers of our foreign exchange exposure: Canadian dollar, euro, Thai baht, Mexican peso, Chinese renminbi, Australian dollar, British pound and Japanese yen.
We apply a Value-At-Risk ("VAR") methodology to our transactional and translational exposures. The VAR model is a risk estimation tool and is not intended to represent actual losses in fair value that could be incurred.
Transactional Exposure
Transactional exposure arises from the purchase and sale of goods and services in currencies other than our functional currency or the functional currency of our subsidiaries. At the end of each fiscal year we perform sensitivity analyses on our forecasted transactional exposure for the upcoming fiscal year. These analyses include the
estimated impact of our hedging program, which is designed to mitigate transactional exposure. Applying a VAR methodology to our transactional exposure and including the impact of our hedging program, the potential maximum loss in earnings for the upcoming fiscal year is estimated to be $15 million, which is based on a one-year horizon and a 95 percent confidence level. Under the same methodology, at June 30, 2018, our potential maximum loss in earnings for the upcoming fiscal year was estimated to be $26 million.
Translational Exposure
We have exposure related to the translation of financial statements of our foreign operations into U.S. dollars, our functional currency. Applying a VAR methodology to our translational exposure, the potential maximum loss in earnings for the upcoming fiscal year is estimated to be $7 million, which is based on a one-year horizon and a 95 percent confidence level. Under the same methodology, at June 30, 2018, our potential maximum loss in earnings for the upcoming fiscal year was estimated to be $9 million.
Interest Rate Sensitivity
|
|
We are exposed to changes in interest rates primarily as a result of our borrowing and investing activities to maintain liquidity and fund operations. The nature and amount of our long-term and short-term debt can be expected to fluctuate as a result of business requirements, market conditions and other factors. Our policy is to manage exposures to interest rates using a mix of fixed and floating rate debt as deemed appropriate by management. We utilize interest rate swap instruments to mitigate our exposure to interest rate movements.
As part of our risk management program, we perform an annual sensitivity analysis on our forecasted exposure to interest rates for the upcoming fiscal year. This analysis assumes a hypothetical 50 basis point change in interest rates. At
June 30, 2019
and
2018
, the potential increase or decrease in annual interest expense under this analysis as a result of this hypothetical change was $9 million and $15 million, respectively.
We are also exposed to market risk from changes in interest rates related to our cash and cash equivalents, which includes marketable securities that are carried at fair value in the consolidated balance sheets. The fair value of our cash and cash equivalents is subject to change primarily as a result of changes in market interest rates and investment risk related to the issuers' credit worthiness. At
June 30, 2019
and 2018, a hypothetical increase or decrease of 50 basis points in interest rates would result in no change in the estimated fair value.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
24
|
|
Disclosures about Market Risk
|
|
Commodity Price Sensitivity
|
|
We are directly exposed to market price changes for certain commodities, including oil-based resins, nitrile, cotton, diesel fuel and latex. We typically purchase raw materials at either market prices or prices tied to a commodity index and some finished goods at prices based in part on a commodity price index.
As part of our risk management program, we perform sensitivity analysis on our forecasted direct commodity exposure for the upcoming fiscal year. Our forecasted direct commodity exposure at
June 30, 2019
increased approximately $11 million from June 30, 2018. At
June 30, 2019
and
2018
, we had hedged a portion of these direct commodity exposures (see
Note 11
of the “Notes to Consolidated Financial Statements” for further discussion).
Our forecasted direct commodity exposures for the upcoming fiscal years were $435 million and $424 million at June 30, 2019 and 2018, respectively. The potential gain/loss given a hypothetical 10 percent fluctuation in commodity prices, assuming pricing collectively shifts in the same direction and we are unable to change customer pricing in response to those shifts, for the upcoming fiscal year were $44 million and $42 million at June 30, 2019 and 2018, respectively. The hypothetical offsetting impact of hedges in both periods was minimal.
|
25
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Business
|
|
|
Business
General
|
|
Cardinal Health, Inc. is a global integrated healthcare services and products company providing customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices. We provide medical products and pharmaceuticals and cost-effective solutions that enhance supply chain efficiency.
Pharmaceutical Segment
|
|
In the United States, our Pharmaceutical segment:
|
•
|
through its Pharmaceutical Distribution division, distributes branded and generic pharmaceutical and over-the-counter healthcare and consumer products to retailers (including chain and independent drug stores and pharmacy departments of supermarkets and mass merchandisers), hospitals and other healthcare providers. This division:
|
|
•
|
maintains prime vendor relationships that streamline the purchasing process resulting in greater efficiency and lower costs for our retail, hospital and other healthcare provider customers;
|
|
•
|
provides services to pharmaceutical manufacturers, including distribution, inventory management, data reporting, new product launch support and chargeback administration;
|
|
•
|
through the connected care service offering, provides medication therapy management, telepharmacy and health messaging services and seeks to develop solutions to improve patient care through improved coordination of manufacturers, payers, pharmacies and patients;
|
|
•
|
provides pharmacy management services to hospitals and operates pharmacies in community health centers; and
|
|
•
|
repackages generic pharmaceuticals and over-the-counter healthcare products;
|
|
•
|
through its Specialty Solutions division, distributes specialty pharmaceutical products to hospitals and other healthcare providers and provides consulting, patient support and other services for specialty pharmaceutical products to pharmaceutical manufacturers and healthcare providers; and
|
|
•
|
through its Nuclear and Precision Health Solutions division, operates nuclear pharmacies and manufacturing facilities, which manufacture, prepare and deliver radiopharmaceuticals for use in nuclear imaging and other procedures in hospitals and physician offices. This division also contract manufactures a radiopharmaceutical treatment (Xofigo) and holds the North American rights to manufacture and distribute Lymphoseek, a radiopharmaceutical diagnostic imaging agent.
|
See
Note 15
of the “Notes to Consolidated Financial Statements” for Pharmaceutical segment revenue, profit and assets for fiscal
2019
,
2018
and
2017
.
Pharmaceutical Distribution
Our Pharmaceutical Distribution division’s gross margin includes margin from our generic pharmaceutical program, from distribution services agreements with branded pharmaceutical manufacturers and from over-the-counter healthcare and consumer products. It also includes manufacturer cash discounts.
Margin from our generic pharmaceutical program includes price discounts and rebates from manufacturers and may in limited instances include price appreciation. Our earnings on generic pharmaceuticals are generally highest during the period immediately following the initial launch of a product, because generic pharmaceutical selling prices are generally highest during that period and tend to decline over time.
Margin from distribution services agreements with branded pharmaceutical manufacturers is derived from compensation we receive for providing a range of distribution and related services to manufacturers. Our compensation typically is a percentage of the wholesale acquisition cost that is set by manufacturers. In addition, under a limited number of agreements, branded pharmaceutical price appreciation, which is determined by the manufacturers, also serves as part of our compensation.
Sourcing Venture with CVS Health Corporation
In July 2014, we established Red Oak Sourcing, a U.S.-based generic pharmaceutical sourcing venture with CVS with an initial term of 10 years. Red Oak Sourcing negotiates generic pharmaceutical supply contracts on behalf of both companies.
Specialty Pharmaceutical Products and Services
We refer to products and services offered by our Specialty Solutions division as “specialty pharmaceutical products and services.” The Specialty Solutions division distributes oncology, rheumatology, urology, nephrology and other pharmaceutical products ("specialty pharmaceutical products") and human-derived plasma products to hospitals, dialysis clinics, physician offices and other healthcare providers; provides consulting, patient support, logistics, group purchasing and other services to pharmaceutical manufacturers and healthcare providers primarily supporting the development, marketing and distribution of specialty pharmaceutical products; and provides specialty pharmacy services. Our use of the terminology "specialty pharmaceutical products and services" may not be comparable to the terminology used by other industry participants.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
26
|
|
Business
|
|
|
Medical Segment
|
|
Our Medical segment manufactures and sources Cardinal Health branded general and specialty medical, surgical and laboratory products. These products include exam and surgical gloves; needle, syringe and sharps disposal; compression; incontinence; nutritional delivery; wound care; cardiovascular and endovascular; single-use surgical drapes, gowns and apparel; fluid suction and collection systems; urology; operating room supply; and electrode product lines. Our Cardinal Health Brand products are sold directly or through third-party distributors in the United States, Canada, Europe, Asia and other markets.
The Medical segment also distributes a broad range of medical, surgical and laboratory products known as national brand products and provides supply chain services and solutions to hospitals, ambulatory surgery centers, clinical laboratories and other healthcare providers in the United States and Canada and this segment also assembles and sells sterile and non-sterile procedure kits.
Through Cardinal Health at-Home Solutions, this segment also distributes medical products to patients' homes in the United States.
naviHealth Partnership
In August 2018, we entered into a partnership with Clayton, Dubilier & Rice, LLC ("CD&R"), through which we own 44% of the ownership interests in the naviHealth business. naviHealth partners with health plans, hospital systems, physician groups and other healthcare providers to manage post-acute care through value-based programs.
See
Note 15
of the “Notes to Consolidated Financial Statements” for Medical segment revenue, profit and assets for fiscal
2019
,
2018
and
2017
.
Acquisitions and Divestitures
|
|
Acquisitions
We have acquired a number of businesses over the years that have enhanced our core strategic areas of Cardinal Health Brand medical products, generic pharmaceutical distribution and services, specialty pharmaceutical products and services, international and post-acute care. We expect to continue to pursue additional acquisitions in the future.
During the last five fiscal years, we completed the following three large acquisitions:
|
Date
|
Company
|
Location
|
Lines
of Business
|
Acquisition
Price
(in billions)
|
|
|
07/17
|
Patient Recovery Business of Medtronic, plc
|
Mansfield, MA
|
Patient Care, Deep Vein Thrombosis and Nutritional Insufficiency
|
$6.1
|
|
|
10/15
|
Cordis business of Johnson & Johnson
|
Fremont, CA
|
Cardiovascular and endovascular products
|
$1.9
|
|
|
07/15
|
The Harvard Drug Group
|
Livonia, MI
|
Pharmaceutical product distribution
|
$1.1
|
|
We also completed several smaller acquisitions during the last five fiscal years, including: in fiscal 2017, the acquisition of the North
American rights to Lymphoseek, a radiopharmaceutical diagnostic imaging agent, from Navidea Biopharmaceuticals, Inc.; and in fiscal 2015, the acquisitions of Tradex International, Inc., a supplier of disposable gloves, and Metro Medical Supply, Inc., a distributor of specialty pharmaceuticals and medical and surgical products.
Divestitures
Over the past two fiscal years, we have also completed several divestitures. In February 2018, we completed the sale of our pharmaceutical and medical products distribution business in China to Shanghai Pharmaceuticals Holding Co., Ltd. for proceeds of $861 million (after adjusting for third party indebtedness and preliminary transaction adjustments).
In August 2018, we completed the sale of our ownership interest in naviHealth, Inc. to investor entities controlled by CD&R for proceeds of $736 million (after adjusting for certain fees and expenses) and a 44% equity interest in a partnership that owns the naviHealth business.
We had acquired our ownership interest in naviHealth through a series of transactions, beginning in fiscal 2016, when we acquired a 71% ownership interest. As of the end of fiscal 2018, we owned 98% of the interests in naviHealth.
|
27
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Business
|
|
|
Customers
|
|
Our largest customers, CVS and OptumRx, accounted for
26 percent
and
13 percent
of our fiscal
2019
revenue, respectively. In the aggregate, our five largest customers, including CVS and OptumRx, accounted for 51 percent of our fiscal
2019
revenue. In May 2019, we extended our pharmaceutical distribution agreements with CVS through fiscal 2023.
We have agreements with group purchasing organizations (“GPOs”) that act as agents to negotiate vendor contracts on behalf of their
members. Our two largest GPO relationships in terms of member revenue are with Vizient, Inc. and Premier, Inc. Sales to members of these two GPOs, under numerous contracts across all of our businesses, collectively accounted for
22 percent
of our revenue in fiscal
2019
.
Suppliers
|
|
We rely on many different suppliers. Products obtained from our five largest suppliers accounted for an aggregate of
42 percent
of our revenue during fiscal
2019
, and our largest supplier’s products accounted for approximately
10 percent
of revenue.
Competition
|
|
We operate in a highly competitive environment in the distribution of pharmaceuticals and consumer healthcare products. We also operate in a highly competitive environment in the manufacturing and distribution of medical devices and surgical products. We compete on many levels, including price, service offerings, support services, breadth of product lines and product quality and efficacy.
In the Pharmaceutical segment, we compete with wholesale distributors with national reach, including McKesson Corporation and AmerisourceBergen Corporation, regional wholesale distributors, self-warehousing chains, specialty distributors, third-party logistics companies, companies that provide specialty pharmaceutical services and nuclear pharmacies, among others. In addition, the
Pharmaceutical segment has experienced competition from a number of organizations offering generic pharmaceuticals, including telemarketers. We also compete with manufacturers that sell their products directly.
In the Medical segment, we compete with many diversified healthcare companies and national medical product distributors, such as Medline Industries, Inc., Owens & Minor, Inc. and Becton, Dickinson and Company, as well as regional medical product distributors and companies that are focused on specific product categories. We also compete with companies that distribute medical products to patients' homes and third-party logistics companies.
Employees
|
|
At
June 30, 2019
, we had approximately 31,000 employees in the United States and approximately 18,500 employees outside of the United States.
Intellectual Property
|
|
We rely on a combination of trade secret, patent, copyright and trademark laws, nondisclosure and other contractual provisions, and technical measures to protect our products, services and intangible assets. We hold patents, and continue to pursue patent protection throughout the world, relating to the manufacture, operation and use of various medical and surgical products, to certain distribution and logistics systems, to the production and distribution of our nuclear pharmacy products and to other service offerings. We also operate under licenses for certain proprietary technologies, and in certain instances we license our technologies to third parties.
We believe that we have taken all necessary steps to protect our proprietary rights, but no assurance can be given that we will be able to successfully enforce or protect our rights in the event that they are infringed upon by a third party. While all of these proprietary rights are important to our operations, we do not consider any particular patent, trademark, license, franchise or concession to be material to our overall business.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
28
|
|
Business
|
|
|
Regulatory Matters
|
|
Our business is highly regulated in the United States, at both the federal and state level, and in foreign countries. Depending upon the specific business, we may be subject to regulation by government entities including:
|
•
|
the U.S. Drug Enforcement Administration (the “DEA”);
|
|
•
|
certain agencies within the U.S. Department of Health and Human Services, including the U.S. Food and Drug Administration (the “FDA”), the Centers for Medicare and Medicaid Services, the Office of Inspector General and the Office for Civil Rights;
|
|
•
|
state health departments, insurance departments, Medicaid departments or other comparable state agencies;
|
|
•
|
state boards of pharmacy and other controlled substance authorities;
|
|
•
|
the U.S. Nuclear Regulatory Commission (the “NRC”);
|
|
•
|
the U.S. Federal Trade Commission (the "FTC");
|
|
•
|
U.S. Customs and Border Protection; and
|
|
•
|
agencies comparable to those listed above in markets outside the United States.
|
These regulatory agencies have a variety of civil, administrative and criminal sanctions at their disposal for failure to comply with applicable legal or regulatory requirements. They can suspend our ability to manufacture and distribute products, require us to initiate product recalls, seize products or impose criminal, civil and administrative sanctions.
Distribution
State Boards of Pharmacy, FDA, DEA and various other state authorities regulate the marketing, purchase, storage and distribution of pharmaceutical and medical products under various federal and state statutes including the federal Prescription Drug Marketing Act of 1987, Drug Quality and Security Act of 2013 (the “DQSA”), and Controlled Substances Act (the "CSA"). The CSA governs the sale, packaging, storage and distribution of controlled substances. Wholesale distributors of controlled substances must hold valid DEA registrations and state-level licenses, meet various security and operating standards including effective anti-diversion programs, and comply with the CSA. They must also comply with state requirements relating to controlled substances that differ from state to state.
Manufacturing and Marketing
We sell our manufactured products in the United States, Canada, Europe, Asia, Latin America and other markets. The FDA and other governmental agencies in the United States, as well as foreign governmental agencies, administer requirements that cover the design, testing, safety, effectiveness, manufacturing (including good manufacturing practices), quality systems, labeling, promotion and advertising (including restrictions on promoting or advertising a product other than for the product's cleared or approved uses), distribution, importation and post-market surveillance for most of our manufactured products. In addition, we need specific approval or clearance from, and registrations with, regulatory authorities before
we can market and sell some products in the United States and certain other countries, including countries in the European Union ("EU").
In the United States, authorization to commercially market a medical device is generally received in one of two ways. The first, known as pre-market notification or the 510(k) process, requires us to demonstrate that a medical device is substantially equivalent to a legally marketed medical device. The second more rigorous process, known as pre-market approval (“PMA”), requires us to independently demonstrate that a medical device is safe and effective. Many of our Medical segment products are cleared through the 510(k) process and certain products must be approved through the PMA process.
In the EU, we are required to comply with the Medical Device Directive ("MDD") and obtain CE Mark Certification in order to market medical devices. The EU regulatory bodies finalized a new Medical Device Regulation ("MDR") in 2017, which will replace the existing MDD after a three-year transition period. Under the MDR, medical devices marketed in the EU will require certification under its requirements, except that devices with valid CE Mark issued before May 2020 can be marketed until May 2024.
It can be costly and time-consuming to obtain regulatory approvals, clearances and registrations of medical devices, and they might not be granted on a timely basis, if at all. Even after we obtain approval or clearance to market a product or obtain product registrations, the product and our manufacturing processes are subject to continued regulatory oversight, including periodic inspection of manufacturing facilities by FDA and other regulatory authorities both in the United States and internationally.
From time to time, we may determine that products we manufacture or market do not meet our specifications, regulatory requirements or published standards. When we or a regulatory agency identify a quality or regulatory issue, we investigate and take appropriate corrective action, which may include recalling the product, correcting the product at the customer location, revising product labeling and notifying customers.
Health and Personal Information Practices and Privacy
We collect, handle and maintain patient-identifiable health information. The U.S. Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), as augmented by the Health Information Technology for Economic and Clinical Health Act, and state laws regulate the use and disclosure of patient-identifiable health information, including requiring specified privacy and security measures. We also collect, handle and maintain other sensitive personal and financial information that is subject to U.S. federal and state laws protecting such information.
Additionally, the new California Consumer Privacy Act ("CCPA"), effective in January 2020, grants additional rights for consumers over the use of their personal information that we hold, including increased transparency. Other U.S. states are considering adopting similar or different privacy laws.
|
29
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Business
|
|
|
The processing and disclosure of personal information is also highly regulated in many other countries in which we operate. In Europe, for example, we are subject to the EU data protection regulations, including the current EU Directive on Data Protection, which requires member states to impose minimum restrictions on the collection, use and transfer of personal data. The EU General Data Protection Regulation ("GDPR") includes, among other things, a requirement for prompt notice of data breaches to data subjects and supervisory authorities in certain circumstances and significant fines for non-compliance. The GDPR also requires companies processing personal data of individuals residing in the EU to comply with EU privacy and data protection rules.
Nuclear Pharmacies and Related Businesses
Our nuclear pharmacies and radiopharmaceutical manufacturing facilities (including for Xofigo) require licenses or permits and must abide by regulations issued by the NRC, applicable state boards of pharmacy and the radiologic health agency or department of health of each state in which we operate, including pharmacy sterile compounding standards and practices. In addition, our radiopharmaceutical manufacturing facilities also must comply with FDA regulations, including good manufacturing practices.
Product Tracing and Supply Chain Integrity
Title II of the DQSA, known as the Drug Supply Chain Security Act or "Track and Trace," establishes a phased-in national system for tracing pharmaceutical products through the pharmaceutical distribution supply chain to prevent the introduction of counterfeit, adulterated or mislabeled drugs. The first phase of implementation began in 2015, and upon full implementation in 2023, we and other supply chain stakeholders will participate in an electronic, interoperable, prescription drug tracing system. In addition, the FDA also has issued regulations requiring most medical device labeling to bear a unique device identifier. These regulations are being phased in through 2020. The MDR finalized in the EU in 2017 also introduces a new unique device identifier requirement with a three-year transition period.
Government Healthcare Programs
We are subject to U.S. federal healthcare fraud and abuse laws. These laws generally prohibit persons from soliciting, offering, receiving or paying any compensation in order to induce someone to order, recommend or purchase products or services that are in any way paid for by Medicare, Medicaid or other federally-funded healthcare programs. They also prohibit submitting any fraudulent claim for payment by the federal government. There are similar state healthcare fraud and abuse laws that apply to Medicaid and other state-funded healthcare programs. Violations of these laws may result in criminal or civil penalties, as well as breach of contract claims and
qui tam
actions (false claims cases initiated by private parties purporting to act on behalf of federal or state governments).
Some businesses within each of our segments are Medicare-certified suppliers or participate in other federal and state healthcare
programs, such as state Medicaid programs and the federal 340B drug pricing program. These businesses are subject to accreditation and quality standards and other rules and regulations, including applicable reporting, billing, payment and record-keeping requirements. Other businesses within each segment manufacture pharmaceutical or medical products or repackage pharmaceuticals that are purchased or reimbursed through, or are otherwise governed by, federal or state healthcare programs. Failure to comply with applicable eligibility requirements, standards and regulations could result in civil or criminal sanctions, including the loss of our ability to participate in Medicare, Medicaid and other federal and state healthcare programs.
Our U.S. federal and state government contracts are subject to specific procurement requirements. Failure to comply with applicable rules or regulations or with contractual or other requirements may result in monetary damages and criminal or civil penalties as well as termination of our government contracts or our suspension or debarment from government contract work.
Environmental, Health and Safety Laws
In the United States and other countries, we are subject to various federal, state and local environmental laws, including laws regulating the production or use of hazardous substances, as well as laws relating to safe working conditions and laboratory practices.
Antitrust Laws
The U.S. federal government, most U.S. states and many foreign countries have laws that prohibit certain types of conduct deemed to be anti-competitive. Violations of these laws can result in various sanctions, including criminal and civil penalties. Private plaintiffs also could bring civil lawsuits against us in the United States for alleged antitrust law violations, including claims for treble damages.
Laws Relating to Foreign Trade and Operations
U.S. and foreign laws require us to abide by standards relating to the import and export of finished goods, raw materials and supplies and the handling of information. We also must comply with various export control and trade embargo laws, which may require licenses or other authorizations for transactions within some countries or with some counterparties.
Similarly, we are subject to U.S. and foreign laws concerning the conduct of our foreign operations, including the U.S. Foreign Corrupt Practices Act, the U.K. Bribery Act and other foreign anti-bribery laws. Among other things, these laws generally prohibit companies and their intermediaries from offering, promising or making payments to officials of foreign governments for the purpose of obtaining or retaining business.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
30
|
|
Business
|
|
|
Other Information
|
|
Although our agreements with manufacturers sometimes require us to maintain inventory levels within specified ranges, our distribution businesses are generally not required by our customers to maintain particular inventory levels other than as needed to meet service level requirements. Certain supply contracts with U.S. government entities require us to maintain sufficient inventory to meet emergency demands, but we do not believe those requirements materially affect inventory levels.
Our customer return policies generally require that the product be physically returned, subject to restocking fees. We only allow customers to return product for credit that can be added back to inventory and resold at full value, or that can be returned to vendors for credit.
We offer market payment terms to our customers.
|
31
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Risk Factors
|
|
|
Risk Factors
The risks described below could materially and adversely affect our results of operations, financial condition, liquidity or cash flows. These are not the only risks we face. Our businesses also could be affected by risks that we are not presently aware of or that we currently consider immaterial to our operations.
We could continue to suffer the adverse effects of competitive pressures.
As described in greater detail in the "Business" section, we operate in markets that are highly competitive and dynamic. In addition, competitive pressures in our pharmaceutical and medical segments may be increased by new business models, new entrants, new regulations, changes in consumer demand or general competitive dynamics. Our businesses face continued pricing pressure from these factors, which adversely affects our margins. If we are unable to offset margin reductions caused by these pricing pressures through steps such as sourcing or cost control measures, additional service offerings and sales of higher margin products, our results of operations could continue to be adversely affected.
Our Pharmaceutical segment’s generic pharmaceutical program may continue to be adversely affected by pricing changes and fewer product launches.
The performance of our Pharmaceutical segment’s generic pharmaceutical program declined in fiscal 2019, 2018 and 2017 and is expected to decline again in fiscal 2020. These declines have been due, in large part, to generic pharmaceutical customer pricing deflation and less incremental benefit from new generic pharmaceutical launches, which have more than offset the benefits from sourcing generic pharmaceuticals through our Red Oak Sourcing venture with CVS. If performance of the generic pharmaceutical program continues to decline and we continue to be unable to offset the decline, our Pharmaceutical segment profit and consolidated operating earnings will continue to be adversely affected.
The extent and magnitude of generic pharmaceutical pricing changes is uncertain in future fiscal years and may vary from what we anticipate. Similarly, the number of new generic pharmaceutical launches also varies from year to year, and the margin impact of these launches varies from product to product. Finally, the benefit from Red Oak Sourcing could be less than we anticipate.
Changes in manufacturer approaches to pricing branded pharmaceutical products could have an adverse effect on our Pharmaceutical segment’s margins.
Compensation under our contractual arrangements with manufacturers for the purchase of branded pharmaceutical products is generally based on the wholesale acquisition cost set by the manufacturer. Sales prices of branded pharmaceutical products to our customers generally are a percentage discount from wholesale acquisition cost.
Historically, pharmaceutical manufacturers have generally increased the wholesale acquisition cost of their branded pharmaceuticals each year. However, the U.S. government has announced plans to, among
other things, adopt policies to encourage manufacturers to limit increases in (or reduce) wholesale acquisition cost. In fiscal 2019, manufacturers, in the aggregate, increased prices less than in prior years. If manufacturers change their historical approach to setting and increasing wholesale acquisition cost and we are unable to negotiate alternative ways to be compensated by manufacturers or customers for the value of our services, our Pharmaceutical segment profit and consolidated operating earnings could be adversely affected.
Also, almost all of our distribution services agreements with branded pharmaceutical manufacturers generally provide that we receive fees from the manufacturers to compensate us for services we provide them. However, under a limited number of agreements, branded pharmaceutical price appreciation, which is determined by the manufacturers also serves as a part of our compensation. If manufacturers decide to reduce prices, not to increase prices or to implement only small increases and we are unable to negotiate alternative ways to be compensated by manufacturers or customers for the value of our services, our margins could be adversely affected.
The public health crisis involving the abuse of prescription opioid pain medication could have a material negative effect on our business.
Our Pharmaceutical segment distributes prescription opioid pain medications. In recent years, the abuse of prescription opioid pain medication has become a public health crisis.
A significant number of counties, municipalities and other plaintiffs, including a number of state attorneys general, have filed lawsuits against pharmaceutical manufacturers, pharmaceutical wholesale distributors (including us), retail chains and others relating to the manufacturing, marketing or distribution of prescription opioid pain medications. In addition, we are currently being investigated or sued by most other states for the same activities and expect to be named as a defendant in additional lawsuits. We are vigorously defending ourselves in these lawsuits. The defense and resolution of current and future lawsuits and events relating to these lawsuits could have a material adverse effect on our results of operations, financial condition, cash flows or liquidity or have adverse reputational or operational effects on our business. See
Note 8
of the "Notes to the Consolidated Financial Statements" for more information regarding these matters.
Other legislative, regulatory or industry measures related to the public health crisis involving the abuse of prescription opioid pain medication and the distribution of these medications could affect our business in ways that we may not be able to predict. For example, several states have now adopted taxes or other fees on the sale of opioids, and several other states have proposed similar legislative initiatives. These laws and proposals vary in the tax amounts imposed and the means of calculation. Liabilities for taxes or assessments under any such laws could have an adverse impact on our results of operations unless we are able to mitigate them through operational changes or commercial arrangements where permitted.
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Cardinal Health
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Fiscal 2019 Form 10-K
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32
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Risk Factors
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Ongoing unfavorable publicity regarding the abuse or misuse of prescription opioid pain medications and the role of wholesale distributors in the supply chain of such prescription medications, as well as the continued proliferation of the opioid lawsuits, investigations, regulations and legislative actions, and unfavorable publicity in relation to those lawsuits could have a material adverse effect on our reputation or results of operations.
Our business is subject to rigorous regulatory and licensing requirements.
As described in greater detail in the "Business" section, our business is highly regulated in the United States, at both the federal and state level, and in foreign countries. If we fail to comply with regulatory requirements, or if allegations are made that we fail to comply, our results of operations and financial condition could be adversely affected.
To lawfully operate our businesses, we are required to obtain and hold permits, product registrations, licenses and other regulatory approvals from, and to comply with operating and security standards of, numerous governmental bodies. For example, as a wholesale distributor of controlled substances, we must hold valid DEA registrations and state-level licenses, meet various security and operating standards, and comply with the CSA. Failure to maintain or renew necessary permits, product registrations, licenses or approvals, or to comply with required standards, could have an adverse effect on our results of operations and financial condition.
Products that we manufacture, source, distribute or market must comply with regulatory requirements. Noncompliance or concerns over noncompliance may result in suspension of our ability to distribute, import or manufacture products, product bans, recalls or seizures, or criminal or civil sanctions, which, in turn, could result in product liability claims and lawsuits, including class actions. In addition, it can be costly and time-consuming to obtain regulatory approvals or product registrations to market a medical device, and such approvals or registrations might not be granted on a timely basis, if at all.
We collect, handle and maintain patient-identifiable health information and other sensitive personal and financial information, which are subject to federal, state and foreign laws that regulate the use and disclosure of such information. Regulations currently in place continue to evolve, and new laws in this area could further restrict our ability to collect, handle and maintain personal or patient information, or could require us to incur additional compliance costs, either of which could have an adverse impact on our results of operations. Violations of federal, state or foreign laws concerning privacy and data protection could subject us to civil or criminal penalties, breach of contract claims, costs for remediation and harm to our reputation.
We are required to comply with laws relating to healthcare fraud and abuse. The requirements of these laws are complex and subject to varying interpretations. From time to time, regulatory authorities investigate our policies or practices, and may challenge them. If we fail to comply with these laws, we could be subject to federal or state government investigations or
qui tam
actions (false claims cases initiated by private parties purporting to act on behalf of federal or
state governments), which could result in civil or criminal sanctions, including the loss of licenses or the ability to participate in Medicare, Medicaid and other federal and state healthcare programs. Such sanctions and damages could adversely affect our results of operations and financial condition.
Some businesses within each of our segments are Medicare-certified suppliers or participate in other federal and state healthcare programs, such as state Medicaid program and the federal 340B drug pricing program. In addition, some businesses within each segment manufacture pharmaceutical or medical products or repackage pharmaceuticals that are purchased or reimbursed through, or are otherwise governed by, federal or state healthcare programs. Failure to comply with applicable eligibility requirements, standards and regulations could result in civil or criminal sanctions, including the loss of our ability to participate in Medicare, Medicaid and other federal and state healthcare programs.
Our government contracts are subject to specific procurement requirements. Failure to comply with applicable rules or regulations or with contractual or other requirements may result in monetary damages and criminal or civil penalties as well as termination of our government contracts or our suspension or debarment from government contract work.
Our global operations are required to comply with the U.S. Foreign Corrupt Practices Act, the U.K. Bribery Act and similar anti-bribery laws in other jurisdictions and U.S. and foreign export control, trade embargo and customs laws. If we fail to comply with any of these laws, we could suffer civil or criminal sanctions.
We could be subject to adverse changes in the tax laws or challenges to our tax positions.
We are a large multinational corporation with operations in the United States and many foreign countries. As a result, we are subject to the tax laws of many jurisdictions.
From time to time, initiatives are proposed in the United States and other jurisdictions in which we operate that could adversely affect our tax positions, effective tax rate or tax payments. Specific initiatives that may impact us include the repeal of the LIFO (last-in, first-out) method of inventory accounting for income tax purposes, the establishment or increase in taxation at the U.S. state level on the basis of gross revenues, recommendations of the recently completed base erosion and profit shifting project undertaken by the Organization for Economic Cooperation and Development and the European Commission’s investigation into illegal state aid.
Tax laws are complex and subject to varying interpretations. Tax authorities have challenged some of our tax positions and it is possible that they will challenge others. These challenges may adversely affect our effective tax rate or tax payments.
Changes to the U.S. healthcare environment may not be favorable to us.
Over a number of years, the U.S. healthcare industry has undergone significant changes designed to increase access to medical care, improve safety and patient outcomes, contain costs and increase efficiencies. These changes include adoption of the Patient Protection and Affordable Care Act, a general decline in Medicare
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33
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Cardinal Health
|
Fiscal 2019 Form 10-K
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Risk Factors
|
|
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and Medicaid reimbursement levels, efforts by healthcare insurance companies to limit or reduce payments to pharmacies and providers, the basis for payments beginning to transition from a fee-for-service model to value-based payments and risk-sharing models, and the industry shifting away from traditional healthcare venues like hospitals and into clinics, physician offices and patients’ homes.
We expect the U.S. healthcare industry to continue to change significantly in the future. Possible changes include repeal and replacement of major parts of the Patient Protection and Affordable Care Act, further reduction or limitations on governmental funding at the state or federal level, efforts by healthcare insurance companies to further limit payments for products and services or changes in legislation or regulations governing prescription pharmaceutical pricing, healthcare services or mandated benefits. These possible changes, and the uncertainty surrounding these possible changes, may cause healthcare industry participants to reduce the amount of products and services they purchase from us or the price they are willing to pay for our products and services, which could adversely affect us.
Our business and operations depend on the proper functioning of information systems, critical facilities and distribution networks.
We rely on our and third-party service providers' information systems for a wide variety of critical operations, including to obtain, rapidly process, analyze and manage data to:
|
•
|
facilitate the purchase and distribution of inventory items from numerous distribution centers;
|
|
•
|
receive, process and ship orders on a timely basis;
|
|
•
|
manage accurate billing and collections for thousands of customers;
|
|
•
|
process payments to suppliers;
|
|
•
|
facilitate manufacturing and assembly of medical products; and
|
|
•
|
generate financial information.
|
Our business also depends on the proper functioning of our critical facilities, including our national logistics center, and our distribution networks. Our results of operations could be adversely affected if our or a service provider's information systems, critical facilities or distribution networks are disrupted (including disruption of access), are damaged or fail, whether due to physical disruptions, such as fire, natural disaster, pandemic or power outage, or due to cyber-security incidents, ransomware or other actions of third parties, including labor strikes, political unrest and terrorist attacks. Manufacturing disruptions also can occur due to regulatory action, production quality deviations, safety issues or raw material shortages or defects, or because a key product or component is manufactured at a single manufacturing facility with limited alternate facilities.
From time to time, our businesses perform business process improvements or infrastructure modernizations or use service providers for key systems and processes, such as receiving and processing customer orders, customer service and accounts payable. If any of these initiatives are not successfully or efficiently
implemented or maintained, they could adversely affect our business and our internal control over financial reporting.
Our business and results of operations could be adversely affected if we experience a cyber-attack or other systems breach.
Our business relies on the secure transmission, storage and hosting of patient-identifiable health information, financial information and other sensitive information relating to our customers, company and workforce. We have programs in place to detect, contain and respond to information security incidents. However, because the techniques used to obtain unauthorized access, disable or degrade service or sabotage systems change frequently and may be difficult to detect for long periods of time, we may be unable to anticipate these techniques or to implement adequate preventative measures. In addition, hardware, software or applications developed internally or procured from third parties may contain defects in design or manufacture or other problems that could unexpectedly compromise information security.
Unauthorized parties have gained access and will continue to attempt to gain access to our or a service provider's systems or facilities through fraud, trickery or other forms of deception. We have been the target of cyber attacks, including incidents where certain customer account information was accessed. Although we do not believe these incidents had a material impact on us, similar incidents or events in the future may negatively impact our business, reputation or financial results.
Any compromise of our or a service provider's information systems, including unauthorized access to or use or disclosure of sensitive information, could adversely impact our operations, results of operations or our ability to satisfy legal or regulatory requirements, including the new EU general data protection regulation (GDPR) and those related to patient-identifiable health information as further described in the Risk Factor titled “Our business is subject to rigorous regulatory and licensing requirements,” above.
CVS is a large customer that generates a significant amount of our revenue.
Our sales and credit concentration is significant. CVS accounted for 26 percent of our fiscal 2019 revenue and 24 percent of our gross trade receivable balance at June 30, 2019. In May 2019, we extended our pharmaceutical distribution agreements with CVS through fiscal 2023. If CVS does not renew our agreements, terminates the agreements due to an alleged default by us, defaults in payment or significantly reduces its purchases from us, our results of operations and financial condition could be adversely affected.
Consolidation in the U.S. healthcare industry may negatively impact our results of operations.
In recent years, U.S. healthcare industry participants, including distributors, manufacturers, suppliers, healthcare providers, insurers and pharmacy chains, have consolidated or formed strategic alliances. Consolidations create larger enterprises with greater negotiating power, and also could result in the possible loss of a customer where the combined enterprise selects one distributor from
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Cardinal Health
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Fiscal 2019 Form 10-K
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34
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Risk Factors
|
|
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two incumbents. If this consolidation trend continues, it could adversely affect our results of operations.
We may become involved in legal proceedings that could adversely impact our cash flows or results of operations.
Due to the nature of our business, which includes the distribution of controlled substances and the manufacture of medical products, we regularly become involved in disputes, litigation and regulatory matters. Litigation is inherently unpredictable and the unfavorable outcome of one or more of these legal proceedings could adversely affect our results of operations or financial condition.
For example, we are subject to a number of lawsuits and investigations related to the national health crisis involving the abuse of opioid pain medication as described above in the Risk Factor titled "The public health crisis involving the abuse of prescription opioid pain medication could negatively affect our business" and in
Note 8
to the "Notes to Consolidated Financial Statements."
Additionally, some of the products that we distribute or manufacture have been and may in the future be alleged to cause personal injury, subjecting us to product liability claims. For example, we are a defendant in product liability lawsuits that allege personal injuries associated with the use of Cordis OptEase and TrapEase inferior vena cava (IVC) filter products. We have accrued an amount for losses and legal defense costs related to these lawsuits, which are discussed in
Note 8
of the “Notes to Consolidated Financial Statements." Any settlement of or judgment for a product liability claim that is not covered by insurance and is in excess of any prior accruals could adversely affect our results of operations and financial condition.
We also operate in an industry characterized by extensive intellectual property litigation. Patent litigation can result in significant damage awards and injunctions that could prevent the manufacture and sale of affected products or force us to make royalty payments in order to continue selling the affected products.
Our ability to manage and complete acquisitions could impact our strategic objectives and financial condition.
An important element of our growth strategy has been to acquire other businesses that expand or complement our existing businesses. Completion of acquisitions and the integration of acquired businesses involve a number of risks, including the following: we may overpay for a business or fail to realize the synergies and other benefits we expect from the acquisition; our management’s attention may be diverted to integration efforts; we may fail to retain key personnel of the acquired business; future developments may impair the value of our purchased goodwill or intangible assets; we may face difficulties or delays establishing, integrating or combining operations and systems, including manufacturing facilities; we may assume liabilities related to legal proceedings involving the acquired business; we may face challenges retaining the customers of the acquired business; or we may encounter unforeseen internal control, regulatory or compliance issues.
Our results of operations could be adversely impacted if we fail to manage and complete divestitures.
We regularly evaluate our portfolio of businesses to determine whether an asset or business may no longer help us meet our objectives or whether there may be a more advantaged owner for that business. For example, over the past two fiscal years, we divested our pharmaceutical and medical products distribution business in China and our ownership interest in naviHealth, Inc. When we decide to sell assets or a business, we may encounter difficulty finding buyers or alternative exit strategies, which could delay the achievement of our strategic objectives. We could also experience greater dis-synergies than expected and the impact of the divestiture on our results of operations could be greater than anticipated.
We depend on certain suppliers to make their raw materials and products available to us and are subject to fluctuations in costs of raw materials and products.
We depend on the availability of various components, compounds, raw materials and energy supplied by others for our operations. In some instances, for reasons of quality assurance, cost effectiveness, or availability, we procure certain components and raw materials from a sole supplier. Any of our supplier relationships could be interrupted or become less favorable due to events beyond our control, including natural disasters, U.S. or international foreign policy, including tariffs, or could be terminated. In addition, due to the stringent regulations and requirements of the FDA regarding the manufacture of our products, we may not be able to quickly establish additional or replacement sources for certain components or materials. A sustained supply reduction or interruption, and an inability to develop alternative sources for such supply, could have an adverse effect on our business.
Our manufacturing businesses use oil-based resins, pulp, cotton, latex and other commodities as raw materials in many products. Prices of oil and gas also affect our distribution and transportation costs. Prices of these commodities are volatile and can fluctuate significantly, causing our costs to produce and distribute our products to fluctuate. Due to competitive dynamics and contractual limitations, we may be unable to pass along cost increases through higher prices. If we cannot fully offset cost increases through other cost reductions, or recover these costs through price increases or surcharges, our results of operations could be adversely affected.
We may not realize the expected benefits from our restructuring and cost-savings initiatives.
We recently announced that we will be undertaking certain cost-savings initiatives intended to simplify our operating model and cost structure, and we expect to identify and enter into similar initiatives in the future. These initiatives could result in unexpected charges and expenses that negatively impact our financial results or we could fail to achieve the desired efficiencies and estimated cost savings.
Additionally, these types of initiatives could yield unintended consequences such as distraction of management and employees, business disruption, an inability to attract or retain key personnel,
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35
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Cardinal Health
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Fiscal 2019 Form 10-K
|
|
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Risk Factors
|
|
|
which could negatively affect our business or financial condition and results of operations.
If we are not able to effectively develop, implement and manage our outsourcing or similar third-party relationships, we may experience operational difficulties and increased costs, which may adversely affect our results of operations.
As a result of our international operations, we have exposure to economic, political and currency risks.
We conduct our operations in various regions of the world outside of the United States, including Europe, Asia and Latin America. Global developments can affect our business in many ways. Our global operations are affected by local economic environments, including inflation, recession and competition. Additionally, divergent or unfamiliar regulatory systems and labor markets also can increase the risks and burdens of operating in numerous countries.
In addition, we conduct our business in U.S. dollars and various functional currencies of our foreign subsidiaries. Changes in foreign currency exchange rates could adversely affect our financial results, which are reported in U.S. dollars. We may not be able to hedge to protect us against these exposures, and any hedges may not successfully mitigate these exposures.
Changes or uncertainty in U.S. or international trade policies or tariffs could disrupt our global operations or negatively impact our financial results.
Our foreign operations expose us to a number of risks related to trade protection laws, tariffs, excise or other border taxes on goods sourced from certain countries or on the importation or exportation of products or raw materials. Changes or uncertainty in U.S. or international trade policies or tariffs could impact our global operations, as well as our customers and suppliers. We may be required to spend more money to source certain products or materials that we need or to manufacture certain of our products. This could adversely impact our business and results of operations.
Our goodwill may be further impaired, which would require us to record a significant charge to earnings in accordance with generally accepted accounting principles.
U.S. GAAP requires us to test our goodwill for impairment on an annual basis, or more frequently if indicators for potential impairment exist. In the fourth quarter of fiscal year 2018, we recorded a $1.4 billion impairment to goodwill within our Medical segment. The testing required by GAAP involves estimates and significant judgments by management. Although we believe our assumptions and estimates are reasonable and appropriate, any changes in key assumptions, including a failure to meet business plans or other unanticipated events and circumstances such as a rise in interest rates, may affect the accuracy or validity of such estimates. It is possible that we may record significant charges related to other reporting units or we may record additional charges in our Medical segment, which charge or charges could adversely affect our results of operations. See "Critical Accounting Policies and Sensitive Accounting Estimates" in MD&A above for more information regarding goodwill impairment testing.
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Cardinal Health
|
Fiscal 2019 Form 10-K
|
36
|
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Properties and Legal Proceedings
|
|
|
Properties
In the United States, at
June 30, 2019
, the Pharmaceutical segment operated one national logistics center; a number of primary pharmaceutical and specialty distribution facilities as well as nuclear pharmacy and radiopharmaceutical manufacturing facilities.
The Medical segment operated medical-surgical distribution, assembly, manufacturing and other operating facilities in the United States.
Outside the United States and Puerto Rico, at
June 30, 2019
, our Medical segment operated manufacturing facilities in Canada, Costa Rica, the Dominican Republic, Germany, Ireland, Japan, Malaysia, Malta, Mexico and Thailand.
Our principal executive offices are headquartered in an owned building located at 7000 Cardinal Place in Dublin, Ohio.
We consider our operating properties to be in satisfactory condition and adequate to meet our present needs. However, we regularly evaluate operating properties and may make further additions and improvements or consolidate locations as we seek opportunities to expand or enhance the efficiency of our business.
Legal Proceedings
In addition to the proceedings described below, the legal proceedings described in
Note 8
of the "Notes to Consolidated Financial Statements" are incorporated in this "Legal Proceedings" section by reference.
In June 2019, Melissa Cohen, a purported shareholder, filed an action on behalf of Cardinal Health, Inc. in the U.S. District Court for the Southern District of Ohio against certain current and former members of our Board of Directors alleging that the defendants breached their fiduciary duties by failing to effectively monitor Cardinal Health's distribution of controlled substances. The derivative complaint seeks, among other things, unspecified money damages against the defendants and an award of attorney's fees.
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37
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Market for Registrant's Common Equity
|
|
|
Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Our common shares are listed on the New York Stock Exchange under the symbol “CAH.”
At July 31, 2019 there were approximately
7,460
shareholders of record of our common shares.
We anticipate that we will continue to pay quarterly cash dividends in the future. The payment and amount of future dividends remain, however, within the discretion of our Board of Directors and will depend upon our future earnings, financial condition, capital requirements and other factors.
Issuer Purchases of Equity Securities
|
Period
|
Total Number
of Shares Purchased (1) |
|
Average Price Paid per Share
|
|
Total Number of Shares
Purchased as Part of Publicly Announced Programs (2) |
|
Approximate
Dollar Value of
Shares That May
Yet be Purchased
Under the Programs (2)
(in millions)
|
||||||
|
April 2019
|
263
|
|
|
$
|
46.41
|
|
|
—
|
|
|
$
|
1,293
|
|
|
May 2019
|
395
|
|
|
45.58
|
|
|
—
|
|
|
1,293
|
|
||
|
June 2019
|
132
|
|
|
45.27
|
|
|
—
|
|
|
1,293
|
|
||
|
Total
|
790
|
|
|
$
|
45.80
|
|
|
—
|
|
|
$
|
1,293
|
|
|
(1)
|
Reflects
263
,
395
and
132
common shares purchased in April, May and June
2019
, respectively, through a rabbi trust as investments of participants in our Deferred Compensation Plan.
|
|
(2)
|
On February 7, 2018 our Board of Directors approved a $1.0 billion share repurchase program that expires on December 31, 2020. On November 7, 2018, our Board of Directors approved an additional $1.0 billion share repurchase program that expires on December 31, 2021. As of June 30, 2019, we have $1.3 billion authorized for share repurchases remaining under these programs.
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
38
|
|
Market for Registrant's Common Equity
|
|
|
Five Year Performance Graph
The following line graph compares the cumulative total return of our common shares with the cumulative total return of the Standard & Poor’s Composite—500 Stock Index (the "S&P 500 Index") and the Standard & Poor's Composite—500 Healthcare Index (the "S&P 500 Healthcare Index"). The line graph assumes, in each case, an initial investment of $100 on June 30, 2014, based on the market prices at the end of each fiscal year through and including
June 30, 2019
, and reinvestment of dividends. The S&P 500 Index and S&P 500 Healthcare Index investments are weighted on the basis of market capitalization at the beginning of each period.
|
|
June 30
|
|||||||||||||||||
|
|
2014
|
2015
|
2016
|
2017
|
2018
|
2019
|
||||||||||||
|
Cardinal Health, Inc.
|
$
|
100.00
|
|
$
|
124.11
|
|
$
|
118.06
|
|
$
|
120.71
|
|
$
|
78.06
|
|
$
|
78.32
|
|
|
S&P 500 Index
|
100.00
|
|
107.42
|
|
111.69
|
|
131.67
|
|
150.59
|
|
166.26
|
|
||||||
|
S&P 500 Healthcare Index
|
100.00
|
|
124.17
|
|
121.66
|
|
136.83
|
|
146.55
|
|
165.59
|
|
||||||
|
39
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Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Reports
|
|
|
Management Reports
Evaluation of Disclosure Controls and Procedures
We evaluated, with the participation of our principal executive officer and principal financial officer, the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) under the Securities Exchange Act of 1934 (the "Exchange Act")) as of
June 30, 2019
. Based on this evaluation, our principal executive officer and principal financial officer has concluded that our disclosure controls and procedures were effective as of
June 30, 2019
to provide reasonable assurance that information required to be disclosed in our reports under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC rules and forms and that such information is accumulated and communicated to management as appropriate to allow timely decisions regarding required disclosure.
Management’s Report on Internal Control Over Financial Reporting
Management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rule 13a-15(f) under the Exchange Act. Our internal control system is designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, controls deemed effective now may become inadequate in the future because of changes in conditions, or because compliance with policies or procedures has deteriorated or been circumvented.
Management assessed the effectiveness of our internal control over financial reporting as of
June 30, 2019
. In making this assessment, management used the criteria established in the Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the “COSO criteria”). Based on management’s assessment and the COSO criteria, management believes that our internal control over financial reporting was effective as of
June 30, 2019
.
Our independent registered public accounting firm, Ernst & Young LLP, has issued a report on our internal control over financial reporting. Ernst & Young LLP’s report appears following this "Management Reports" section and expresses an unqualified opinion on the effectiveness of our internal control over financial reporting.
Changes in Internal Control Over Financial Reporting
There were no changes in our internal control over financial reporting during the quarter ended
June 30, 2019
that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
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|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
40
|
|
Reports
|
|
|
Report of Independent Registered Public Accounting Firm on Internal Control Over Financial Reporting
The Shareholders and the Board of Directors of Cardinal Health, Inc.
Opinion on Internal Control over Financial Reporting
We have audited Cardinal Health, Inc. and subsidiaries’ internal control over financial reporting as of June 30, 2019, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) (the COSO criteria). In our opinion, Cardinal Health, Inc. and subsidiaries’ (the Company) maintained, in all material respects, effective internal control over financial reporting as of June 30, 2019, based on the COSO criteria.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of the Company as of June 30, 2019 and 2018, the related consolidated statements of earnings, comprehensive income, shareholders' equity and cash flows for each of the three years in the period ended June 30, 2019, and the related notes and the financial statement schedule listed in the Index at Item 15(a)(2) and our report dated August 20, 2019 expressed an unqualified opinion thereon.
Basis for Opinion
The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting included in the accompanying “Management’s Report on Internal Control Over Financial Reporting.” Our responsibility is to express an opinion on the Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audit in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether effective internal control over financial reporting was maintained in all material respects.
Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion.
Definition and Limitations of Internal Control Over Financial Reporting
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
|
/s/ Ernst & Young LLP
|
|
|
|
Grandview Heights, Ohio
|
|
August 20, 2019
|
|
41
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Reports
|
|
|
Report of Independent Registered Public Accounting Firm
To the Shareholders and the Board of Directors of Cardinal Health, Inc.
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Cardinal Health, Inc. and subsidiaries (the Company) as of June 30, 2019 and 2018, the related consolidated statements of earnings, comprehensive income, shareholders' equity and cash flows for each of the three years in the period ended June 30, 2019, and the related notes and the financial statement schedule listed in the Index at Item 15(a)(2) (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at June 30, 2019 and 2018, and the results of its operations and its cash flows for each of the three years in the period ended June 30, 2019, in conformity with U.S. generally accepted accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's internal control over financial reporting as of June 30, 2019, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework) and our report dated August 20, 2019 expressed an unqualified opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that our audits provide a reasonable basis for our opinion.
Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements that were communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or disclosures to which they relate.
|
|
Medical Unit Goodwill
|
|
Description of the Matter
|
At June 30, 2019, goodwill related to the Company’s Medical segment, including the Medical Unit was $5.7 billion. As discussed in
Note 4
to the consolidated financial statements, goodwill is tested for impairment at least annually at the reporting unit level.
Auditing management’s annual goodwill impairment test for the Medical Unit was challenging because this reporting unit’s fair value had an impairment in the previous year and there is significant judgement required in determining the fair value of the reporting unit. In particular, the fair value estimate was sensitive to significant judgmental assumptions including the revenue growth rate, gross margin, distribution, selling, general and administrative expenses, and company specific risk premium, which are affected by expectations about future market or economic conditions.
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
42
|
|
Reports
|
|
|
|
How We Addressed the Matter in Our Audit
|
We obtained an understanding, evaluated the design and tested the operating effectiveness of controls over the Company’s goodwill impairment review process. For example, we tested controls over management’s review of significant judgmental assumptions, including the revenue growth rate, gross margin, distribution, selling, general and administrative expenses, and company specific risk premium, among other assumptions.
To test the estimated fair value of the Company’s reporting unit, we performed audit procedures that included, among others, evaluating methodologies used, involving our valuation specialists in testing the significant assumptions described above and testing the underlying data used by the Company in its analysis for completeness and accuracy. We compared the significant assumptions used by management to current industry and economic trends, recent historical performance, changes to the reporting unit’s business model, customer base or product mix and other relevant factors. We assessed the historical accuracy of management’s estimates and performed sensitivity analyses of significant assumptions to evaluate the changes in the fair value of the reporting unit that would result from changes in the assumptions. We evaluated the incorporation of the applicable assumptions into the model and tested the model’s computational accuracy. In addition, we inspected the Company’s reconciliation of the fair value of all reporting units to the market capitalization of the Company and assessed the results.
|
|
|
Product Liability Lawsuits
|
|
Description of the Matter
|
As described in
Note 8
to the consolidated financial statements, the Company is a defendant in various product liability claims in which individuals seek damages associated with the use of Cordis OptEase and TrapEase inferior vena cava (IVC) filter products. The Company accrues for losses and defense costs related to product liability at the time a loss is probable and the amount of loss can be reasonably estimated. The methodology used by the Company to project future Cordis IVC claim costs is based largely on recent experience, including claim filing rates, indemnity severity by claim type, sales data and defense costs. The Company periodically reviews such estimates and records adjustments for changes in reserves in the period in which the change in estimate occurs. At June 30, 2019, the Company’s product liability reserve balance related to the Cordis IVC lawsuits totaled $368 million, net. The Company believes there is a range of estimated losses with respect to these matters. Because no amount within the range is a better estimate than any other amount within the range, the Company has accrued the minimum amount in the range. The Company estimates the high end of the range to be approximately $762 million, net of estimated insurance recoveries.
Auditing management’s accounting for and disclosure of loss contingencies related to the Cordis IVC product liability lawsuits was challenging due to the significant judgment required to develop the key assumptions utilized in the model and the nature of information available given the early stages of these lawsuits and the limited claims history.
|
|
How We Addressed the Matter in Our Audit
|
We obtained an understanding, evaluated the design, and tested the operating effectiveness of controls over management’s evaluation of the product liability litigation reserve. For example, we tested controls over management’s review of the model used to estimate the product liability reserve amount and the significant assumptions as described above used within the model. We also tested management’s controls over the completeness and accuracy of the data used in the model.
To test management’s assessment of the probability of occurrence of a loss and whether the loss was reasonably estimable, we evaluated, for example, claims data of the Company, we evaluated the legal letters obtained from internal and external legal counsel, and we discussed with internal and external legal counsel of the plaintiffs’ claims. Among other procedures we performed to test the measurement of the product liability litigation reserve, we evaluated the method of measuring the reserve for claims including analyses to determine the range of possible losses, obtained and performed audit procedures relative to the analysis, tested the accuracy and completeness of the data, and evaluated new or contrary information affecting the estimate. In addition, we involved internal actuarial specialists to assist with our procedures related to the measurement of the product liability reserve. We have also assessed the adequacy of the Company’s disclosures included in
Note 8
in relation to these matters.
|
|
|
Uncertain Tax Positions
|
|
Description of the Matter
|
As described in
Note 7
to the consolidated financial statements, the Company’s unrecognized tax benefits related to its uncertain tax positions were approximately $456 million at June 30, 2019. The Company operates in a multinational tax environment and is subject to tax treaty arrangements and transfer pricing guidelines for intercompany transactions that have pricing subjectivity.
For those tax positions that qualify for recognition, the Company uses significant judgment to measure the largest amount of benefit that is more likely than not to be realized upon ultimate settlement. For tax benefits that do not qualify for recognition, the Company recognizes a liability for unrecognized tax benefits. Auditing the measurement of tax positions related to transfer pricing used in intercompany transactions was challenging because the pricing of the intercompany transactions is based on pricing analyses that may produce a number of different outcomes or ranges of outcomes (e.g., the price that would be charged in an arm’s-length transaction).
|
|
43
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Reports
|
|
|
|
How We Addressed the Matter in Our Audit
|
We obtained an understanding, evaluated the design, and tested the operating effectiveness of controls over the Company’s process to measure tax positions related to transfer pricing from intercompany transactions. For example, we tested management’s review of inputs and calculations of these tax positions, which included evaluation of the ranges of outcomes and pricing conclusions reached within management’s transfer pricing studies.
To test the Company’s measurement of tax positions related to transfer pricing used in intercompany transactions, we involved our tax professionals to assess the appropriateness of the ranges of outcomes utilized and the pricing conclusions reached within the transfer pricing studies conducted by the Company. For example, we compared the transfer pricing methodology utilized by management to alternative methodologies and industry benchmarks. We also verified our understanding of the relevant facts by reading the Company’s correspondence with the relevant tax authorities and any third-party advice obtained by the Company. In addition, we used our knowledge of international and local income tax laws, as well as historical settlement activity from income tax authorities, to evaluate the appropriateness of the Company’s measurement of uncertain tax positions related to transfer pricing used in these intercompany transactions.
|
|
/s/ Ernst & Young LLP
|
|
We have served as the Company's auditor since 2002.
|
|
Grandview Heights, Ohio
|
|
August 20, 2019
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
44
|
|
Financial Statements
|
|
|
Financial Statements and Supplementary Data
|
|
Page
|
|
|
|
|
Consolidated Financial Statements and Schedule:
|
|
|
45
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Financial Statements
|
|
|
Consolidated Statements of Earnings
|
(in millions, except per common share amounts)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Revenue
|
$
|
145,534
|
|
|
$
|
136,809
|
|
|
$
|
129,976
|
|
|
Cost of products sold
|
138,700
|
|
|
129,628
|
|
|
123,432
|
|
|||
|
Gross margin
|
6,834
|
|
|
7,181
|
|
|
6,544
|
|
|||
|
|
|
|
|
|
|
||||||
|
Operating expenses:
|
|
|
|
|
|
||||||
|
Distribution, selling, general and administrative expenses
|
4,480
|
|
|
4,596
|
|
|
3,775
|
|
|||
|
Restructuring and employee severance
|
125
|
|
|
176
|
|
|
56
|
|
|||
|
Amortization and other acquisition-related costs
|
621
|
|
|
707
|
|
|
527
|
|
|||
|
Impairments and (gain)/loss on disposal of assets, net
|
(488
|
)
|
|
1,417
|
|
|
18
|
|
|||
|
Litigation (recoveries)/charges, net
|
36
|
|
|
159
|
|
|
48
|
|
|||
|
Operating earnings
|
2,060
|
|
|
126
|
|
|
2,120
|
|
|||
|
|
|
|
|
|
|
||||||
|
Other (income)/expense, net
|
15
|
|
|
23
|
|
|
(5
|
)
|
|||
|
Interest expense, net
|
294
|
|
|
329
|
|
|
201
|
|
|||
|
Loss on extinguishment of debt
|
—
|
|
|
2
|
|
|
—
|
|
|||
|
Earnings/(loss) before income taxes
|
1,751
|
|
|
(228
|
)
|
|
1,924
|
|
|||
|
|
|
|
|
|
|
||||||
|
Provision for/(benefit from) income taxes
|
386
|
|
|
(487
|
)
|
|
630
|
|
|||
|
Net earnings
|
1,365
|
|
|
259
|
|
|
1,294
|
|
|||
|
|
|
|
|
|
|
||||||
|
Less: Net earnings attributable to noncontrolling interests
|
(2
|
)
|
|
(3
|
)
|
|
(6
|
)
|
|||
|
Net earnings attributable to Cardinal Health, Inc.
|
$
|
1,363
|
|
|
$
|
256
|
|
|
$
|
1,288
|
|
|
|
|
|
|
|
|
||||||
|
Earnings per common share attributable to Cardinal Health, Inc.
|
|
|
|
|
|
||||||
|
Basic
|
$
|
4.55
|
|
|
$
|
0.82
|
|
|
$
|
4.06
|
|
|
Diluted
|
4.53
|
|
|
0.81
|
|
|
4.03
|
|
|||
|
|
|
|
|
|
|
||||||
|
Weighted-average number of common shares outstanding:
|
|
|
|
|
|
||||||
|
Basic
|
300
|
|
|
313
|
|
|
317
|
|
|||
|
Diluted
|
301
|
|
|
315
|
|
|
320
|
|
|||
The accompanying notes are an integral part of these consolidated statements.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
46
|
|
Financial Statements
|
|
|
Consolidated Statements of Comprehensive Income
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Net earnings
|
$
|
1,365
|
|
|
$
|
259
|
|
|
$
|
1,294
|
|
|
|
|
|
|
|
|
||||||
|
Other comprehensive income/(loss):
|
|
|
|
|
|
||||||
|
Foreign currency translation adjustments and other
|
18
|
|
|
58
|
|
|
(25
|
)
|
|||
|
Amounts reclassified to earnings
|
—
|
|
|
(23
|
)
|
|
—
|
|
|||
|
Net unrealized gain/(loss) on derivative instruments, net of tax
|
(5
|
)
|
|
(2
|
)
|
|
16
|
|
|||
|
Total other comprehensive income/(loss), net of tax
|
13
|
|
|
33
|
|
|
(9
|
)
|
|||
|
|
|
|
|
|
|
||||||
|
Total comprehensive income
|
1,378
|
|
|
292
|
|
|
1,285
|
|
|||
|
|
|
|
|
|
|
||||||
|
Less: comprehensive income attributable to noncontrolling interests
|
(2
|
)
|
|
(3
|
)
|
|
(6
|
)
|
|||
|
Total comprehensive income attributable to Cardinal Health, Inc.
|
$
|
1,376
|
|
|
$
|
289
|
|
|
$
|
1,279
|
|
The accompanying notes are an integral part of these consolidated statements.
|
47
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Financial Statements
|
|
|
Consolidated Balance Sheets
|
|
June 30
|
||||||
|
(in millions)
|
2019
|
|
2018
|
||||
|
Assets
|
|
|
|
||||
|
Current assets:
|
|
|
|
||||
|
Cash and equivalents
|
$
|
2,531
|
|
|
$
|
1,763
|
|
|
Trade receivables, net
|
8,448
|
|
|
7,800
|
|
||
|
Inventories, net
|
12,822
|
|
|
12,308
|
|
||
|
Prepaid expenses and other
|
1,946
|
|
|
1,926
|
|
||
|
Assets held for sale
|
—
|
|
|
756
|
|
||
|
Total current assets
|
25,747
|
|
|
24,553
|
|
||
|
|
|
|
|
||||
|
Property and equipment, net
|
2,356
|
|
|
2,487
|
|
||
|
Goodwill and other intangibles, net
|
11,808
|
|
|
12,229
|
|
||
|
Other assets
|
1,052
|
|
|
682
|
|
||
|
Total assets
|
$
|
40,963
|
|
|
$
|
39,951
|
|
|
|
|
|
|
||||
|
Liabilities, Redeemable Noncontrolling Interests and Shareholders’ Equity
|
|
|
|
||||
|
Current liabilities:
|
|
|
|
||||
|
Accounts payable
|
$
|
21,535
|
|
|
$
|
19,677
|
|
|
Current portion of long-term obligations and other short-term borrowings
|
452
|
|
|
1,001
|
|
||
|
Other accrued liabilities
|
2,122
|
|
|
2,002
|
|
||
|
Liabilities related to assets held for sale
|
—
|
|
|
213
|
|
||
|
Total current liabilities
|
24,109
|
|
|
22,893
|
|
||
|
|
|
|
|
||||
|
Long-term obligations, less current portion
|
7,579
|
|
|
8,012
|
|
||
|
Deferred income taxes and other liabilities
|
2,945
|
|
|
2,975
|
|
||
|
|
|
|
|
||||
|
Redeemable noncontrolling interests
|
—
|
|
|
12
|
|
||
|
|
|
|
|
||||
|
Shareholders’ equity:
|
|
|
|
||||
|
Preferred shares, without par value:
|
|
|
|
||||
|
Authorized—
500 thousand
shares, Issued—
none
|
—
|
|
|
—
|
|
||
|
Common shares, without par value:
|
|
|
|
||||
|
Authorized—
755 million
shares, Issued—
327 million
shares at
June 30, 2019
and 2018, respectively
|
2,763
|
|
|
2,730
|
|
||
|
Retained earnings
|
5,434
|
|
|
4,645
|
|
||
|
Common shares in treasury, at cost:
28 million
shares and 18 million shares at
June 30, 2019
and 2018, respectively
|
(1,790
|
)
|
|
(1,224
|
)
|
||
|
Accumulated other comprehensive loss
|
(79
|
)
|
|
(92
|
)
|
||
|
Total Cardinal Health, Inc. shareholders' equity
|
6,328
|
|
|
6,059
|
|
||
|
Noncontrolling interests
|
2
|
|
|
—
|
|
||
|
Total shareholders’ equity
|
6,330
|
|
|
6,059
|
|
||
|
Total liabilities, redeemable noncontrolling interests and shareholders’ equity
|
$
|
40,963
|
|
|
$
|
39,951
|
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
48
|
|
Financial Statements
|
|
|
Consolidated Statements of Shareholders' Equity
|
|
Common Shares
|
|
|
|
Treasury Shares
|
|
Accumulated Other
Comprehensive Income/(Loss) |
|
Noncontrolling Interests
|
|
Total
Shareholders’ Equity |
||||||||||||||||||
|
(in millions)
|
Shares Issued
|
|
Amount
|
|
Retained
Earnings |
|
Shares
|
|
Amount
|
|
|
|
|||||||||||||||||
|
Balance at June 30, 2016
|
364
|
|
|
$
|
3,010
|
|
|
$
|
6,419
|
|
|
(42
|
)
|
|
$
|
(2,759
|
)
|
|
$
|
(116
|
)
|
|
$
|
17
|
|
|
$
|
6,571
|
|
|
Net earnings
|
|
|
|
|
1,288
|
|
|
|
|
|
|
|
|
2
|
|
|
1,290
|
|
|||||||||||
|
Other comprehensive income/(loss), net of tax
|
|
|
|
|
|
|
|
|
|
|
(9
|
)
|
|
|
|
(9
|
)
|
||||||||||||
|
Purchase of noncontrolling interests
|
|
|
|
|
|
|
|
|
|
|
|
|
(1
|
)
|
|
(1
|
)
|
||||||||||||
|
Employee stock plans activity, including tax benefit of $34 million
|
—
|
|
|
(11
|
)
|
|
|
|
2
|
|
|
167
|
|
|
|
|
|
|
156
|
|
|||||||||
|
Treasury shares acquired
|
|
|
|
|
|
|
(8
|
)
|
|
(600
|
)
|
|
|
|
|
|
(600
|
)
|
|||||||||||
|
Dividends declared
|
|
|
|
|
(580
|
)
|
|
|
|
|
|
|
|
|
|
(580
|
)
|
||||||||||||
|
Other
|
|
|
|
|
(1
|
)
|
|
|
|
|
|
|
|
2
|
|
|
1
|
|
|||||||||||
|
Retirement of Treasury Shares
|
(37
|
)
|
|
(302
|
)
|
|
(2,159
|
)
|
|
37
|
|
|
2,461
|
|
|
|
|
|
|
—
|
|
||||||||
|
Balance at June 30, 2017
|
327
|
|
|
2,697
|
|
|
4,967
|
|
|
(11
|
)
|
|
(731
|
)
|
|
(125
|
)
|
|
20
|
|
|
6,828
|
|
||||||
|
Net earnings
|
|
|
|
|
256
|
|
|
|
|
|
|
|
|
(1
|
)
|
|
255
|
|
|||||||||||
|
Other comprehensive income/(loss), net of tax
|
|
|
|
|
|
|
|
|
|
|
33
|
|
|
|
|
33
|
|
||||||||||||
|
Purchase and divestiture of noncontrolling interests
|
|
|
|
|
|
|
|
|
|
|
|
|
(19
|
)
|
|
(19
|
)
|
||||||||||||
|
Employee stock plans activity, including tax benefit of $10 million
|
—
|
|
|
33
|
|
|
|
|
1
|
|
|
57
|
|
|
|
|
|
|
90
|
|
|||||||||
|
Treasury shares acquired
|
|
|
|
|
|
|
(8
|
)
|
|
(550
|
)
|
|
|
|
|
|
(550
|
)
|
|||||||||||
|
Dividends declared
|
|
|
|
|
(584
|
)
|
|
|
|
|
|
|
|
|
|
(584
|
)
|
||||||||||||
|
Other
|
|
|
|
|
6
|
|
|
|
|
|
|
|
|
|
|
6
|
|
||||||||||||
|
Balance at June 30, 2018
|
327
|
|
|
2,730
|
|
|
4,645
|
|
|
(18
|
)
|
|
(1,224
|
)
|
|
(92
|
)
|
|
—
|
|
|
6,059
|
|
||||||
|
Net earnings
|
|
|
|
|
1,363
|
|
|
|
|
|
|
|
|
2
|
|
|
1,365
|
|
|||||||||||
|
Other comprehensive income/(loss), net of tax
|
|
|
|
|
|
|
|
|
|
|
13
|
|
|
|
|
13
|
|
||||||||||||
|
Employee stock plans activity, net of shares withheld for employee taxes
|
—
|
|
|
33
|
|
|
|
|
1
|
|
|
34
|
|
|
|
|
|
|
67
|
|
|||||||||
|
Treasury shares acquired
|
|
|
|
|
|
|
(11
|
)
|
|
(600
|
)
|
|
|
|
|
|
(600
|
)
|
|||||||||||
|
Dividends declared
|
|
|
|
|
(575
|
)
|
|
|
|
|
|
|
|
|
|
(575
|
)
|
||||||||||||
|
Other
|
|
|
|
|
1
|
|
|
|
|
|
|
|
|
—
|
|
|
1
|
|
|||||||||||
|
Balance at June 30, 2019
|
327
|
|
|
$
|
2,763
|
|
|
$
|
5,434
|
|
|
(28
|
)
|
|
$
|
(1,790
|
)
|
|
$
|
(79
|
)
|
|
$
|
2
|
|
|
$
|
6,330
|
|
The accompanying notes are an integral part of these consolidated statements.
|
49
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Financial Statements
|
|
|
Consolidated Statements of Cash Flows
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Cash flows from operating activities:
|
|
|
|
|
|
||||||
|
Net earnings
|
$
|
1,365
|
|
|
$
|
259
|
|
|
$
|
1,294
|
|
|
Adjustments to reconcile net earnings to net cash provided by operating activities:
|
|
|
|
|
|
||||||
|
Depreciation and amortization
|
1,000
|
|
|
1,032
|
|
|
717
|
|
|||
|
Impairments and loss on sale of other investments
|
3
|
|
|
6
|
|
|
4
|
|
|||
|
Impairments and loss/(gain) on disposal of assets, net
|
(488
|
)
|
|
1,417
|
|
|
18
|
|
|||
|
Share-based compensation
|
82
|
|
|
85
|
|
|
96
|
|
|||
|
Provision for/(benefit from) deferred income taxes
|
(83
|
)
|
|
(1,012
|
)
|
|
291
|
|
|||
|
Provision for bad debts
|
88
|
|
|
74
|
|
|
36
|
|
|||
|
Change in fair value of contingent consideration obligation
|
—
|
|
|
(2
|
)
|
|
(5
|
)
|
|||
|
Change in operating assets and liabilities, net of effects from acquisitions and divestitures:
|
|
|
|
|
|
||||||
|
Increase in trade receivables
|
(751
|
)
|
|
(871
|
)
|
|
(665
|
)
|
|||
|
Increase in inventories
|
(551
|
)
|
|
(1,211
|
)
|
|
(673
|
)
|
|||
|
Increase in accounts payable
|
1,864
|
|
|
2,574
|
|
|
564
|
|
|||
|
Other accrued liabilities and operating items, net
|
193
|
|
|
417
|
|
|
(493
|
)
|
|||
|
Net cash provided by operating activities
|
2,722
|
|
|
2,768
|
|
|
1,184
|
|
|||
|
Cash flows from investing activities:
|
|
|
|
|
|
||||||
|
Acquisition of subsidiaries, net of cash acquired
|
(82
|
)
|
|
(6,142
|
)
|
|
(132
|
)
|
|||
|
Additions to property and equipment
|
(328
|
)
|
|
(384
|
)
|
|
(387
|
)
|
|||
|
Purchase of available-for-sale securities and other investments
|
(18
|
)
|
|
(9
|
)
|
|
(194
|
)
|
|||
|
Proceeds from sale of available-for-sale securities and other investments
|
3
|
|
|
65
|
|
|
228
|
|
|||
|
Proceeds from maturities of available-for-sale securities
|
—
|
|
|
—
|
|
|
77
|
|
|||
|
Proceeds from divestitures, net of cash sold, and disposal of property and equipment
|
763
|
|
|
862
|
|
|
3
|
|
|||
|
Net cash provided by/(used in) investing activities
|
338
|
|
|
(5,608
|
)
|
|
(405
|
)
|
|||
|
Cash flows from financing activities:
|
|
|
|
|
|
||||||
|
Payment of contingent consideration obligation
|
—
|
|
|
(35
|
)
|
|
(3
|
)
|
|||
|
Net change in short-term borrowings
|
—
|
|
|
(50
|
)
|
|
3
|
|
|||
|
Purchase of noncontrolling interests
|
—
|
|
|
(106
|
)
|
|
(12
|
)
|
|||
|
Proceeds from interest rate swap terminations
|
—
|
|
|
—
|
|
|
14
|
|
|||
|
Proceeds from long-term obligations, net of issuance costs
|
—
|
|
|
3
|
|
|
5,171
|
|
|||
|
Reduction of long-term obligations
|
(1,102
|
)
|
|
(954
|
)
|
|
(310
|
)
|
|||
|
Net tax proceeds/(withholding) from share-based compensation
|
(14
|
)
|
|
(3
|
)
|
|
26
|
|
|||
|
Excess tax benefits from share-based compensation
|
—
|
|
|
—
|
|
|
34
|
|
|||
|
Dividends on common shares
|
(577
|
)
|
|
(581
|
)
|
|
(577
|
)
|
|||
|
Purchase of treasury shares
|
(600
|
)
|
|
(550
|
)
|
|
(600
|
)
|
|||
|
Net cash provided by/(used in) financing activities
|
(2,293
|
)
|
|
(2,276
|
)
|
|
3,746
|
|
|||
|
Effect of exchange rates changes on cash and equivalents
|
1
|
|
|
4
|
|
|
(2
|
)
|
|||
|
Cash reclassified to assets held for sale
|
—
|
|
|
(4
|
)
|
|
—
|
|
|||
|
Net increase/(decrease) in cash and equivalents
|
768
|
|
|
(5,116
|
)
|
|
4,523
|
|
|||
|
Cash and equivalents at beginning of period
|
1,763
|
|
|
6,879
|
|
|
2,356
|
|
|||
|
Cash and equivalents at end of period
|
$
|
2,531
|
|
|
$
|
1,763
|
|
|
$
|
6,879
|
|
|
Supplemental Information:
|
|
|
|
|
|
||||||
|
Cash payments for interest
|
$
|
285
|
|
|
$
|
320
|
|
|
$
|
200
|
|
|
Cash payments for income taxes
|
311
|
|
|
425
|
|
|
686
|
|
|||
The accompanying notes are an integral part of these consolidated statements.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
50
|
|
Notes to Financial Statements
|
|
|
Notes to Consolidated Financial Statements
1. Basis of Presentation and Summary of Significant Accounting Policies
Cardinal Health, Inc. is a globally integrated healthcare services and products company providing customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices. The company provides medical products and pharmaceuticals and cost-effective solutions that enhance supply chain efficiency. References to “we”, “our” and similar pronouns in these consolidated financial statements are to Cardinal Health, Inc. and its majority-owned or controlled subsidiaries unless the context otherwise requires.
Our fiscal year ends on June 30. References to fiscal
2019
,
2018
and
2017
in these consolidated financial statements are to the fiscal years ended
June 30, 2019
,
2018
and
2017
, respectively.
Basis of Presentation
Our consolidated financial statements include the accounts of all majority-owned or controlled subsidiaries, and all significant intercompany transactions and amounts have been eliminated. To conform to the current year presentation, certain prior year amounts have been reclassified. The results of businesses acquired or disposed of are included in the consolidated financial statements from the date of the acquisition or up to the date of disposal, respectively.
Use of Estimates
Our consolidated financial statements are prepared in accordance with accounting principles generally accepted in the United States (“GAAP”). The preparation of financial statements in accordance with GAAP requires us to make estimates, judgments and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Estimates, judgments and assumptions are used in the accounting and disclosure related to, among other items, allowance for doubtful accounts, inventory valuation and reserves, business combinations, goodwill and other intangible asset impairment, vendor reserves, loss contingencies, self-insurance accruals, income taxes and share-based compensation. Actual amounts could ultimately differ from these estimated amounts.
Cash Equivalents
We consider liquid investments purchased with an initial maturity of three months or less to be cash equivalents. The carrying value of cash equivalents approximates fair value.
Receivables and Allowance for Doubtful Accounts
Trade receivables are presented net of an allowance for doubtful accounts of
$193 million
and
$139 million
at
June 30, 2019
and
2018
, respectively. An account is considered past due on the first day after its due date. In accordance with contract terms, we generally have the ability to charge customers service fees or higher prices if an account is considered past due. We regularly monitor past due accounts and establish appropriate reserves to cover potential
losses, which are based primarily on historical collection rates and the credit worthiness of the customer. We write off any amounts deemed uncollectible against the established allowance for doubtful accounts.
We provide financing to various customers. Such financing arrangements range from
1 year
to
5 years
at interest rates that are generally subject to fluctuation. Interest income on these arrangements is recognized as it is earned. The financings may be collateralized, guaranteed by third parties or unsecured. Finance notes, net and related accrued interest were
$103 million
(current portion
$12 million
) and
$136 million
(current portion
$26 million
) at
June 30, 2019
and
2018
, respectively, and are included in other assets (current portion is included in prepaid expenses and other) in the consolidated balance sheets. Finance notes receivable allowance for doubtful accounts were
$14 million
and
$7 million
at
June 30, 2019
and
2018
, respectively. We estimate an allowance for these financing receivables based on historical collection rates and the credit worthiness of the customer. We write off any amounts deemed uncollectible against the established allowance for doubtful accounts.
Concentrations of Credit Risk
We maintain cash depository accounts with major banks, and we invest in high quality, short-term liquid instruments, and in marketable securities. Our short-term liquid instruments mature within three months and we have not historically incurred any related losses.
Our trade receivables and finance notes and related accrued interest are exposed to a concentration of credit risk with certain large customers and with customers in the retail and healthcare sectors. Credit risk can be affected by changes in reimbursement and other economic pressures impacting the healthcare industry. With respect to customers in the retail and healthcare sectors, such credit risk is limited due to supporting collateral and the diversity of the customer base, including its wide geographic dispersion. We perform regular credit evaluations of our customers’ financial conditions and maintain reserves for losses through the established allowance for doubtful accounts. Historically, such losses have been within our expectations. Refer to the "Receivables and Allowance for Doubtful Accounts" section within this Note for additional information on the accounting treatment of reserves for allowance for doubtful accounts.
Major Customers
CVS Health Corporation ("CVS") and OptumRx, are our only customers that individually account for at least 10 percent of revenue and gross trade receivables. These customers are primarily serviced through our Pharmaceutical segment.
|
51
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
The following table summarizes historical percent of revenue and gross trade receivables from CVS and OptumRx:
|
|
Percent of Revenue
|
|
Percent of Gross Trade Receivables at June 30
|
|||||||||||
|
|
2019
|
|
2018
|
|
2017
|
|
2019
|
|
2018
|
|||||
|
CVS
|
26
|
%
|
|
25
|
%
|
|
23
|
%
|
|
24
|
%
|
|
22
|
%
|
|
OptumRx
|
13
|
%
|
|
11
|
%
|
|
11
|
%
|
|
4
|
%
|
|
4
|
%
|
We have entered into agreements with group purchasing organizations (“GPOs”) which act as purchasing agents that negotiate vendor contracts on behalf of their members. Vizient, Inc. and Premier, Inc. are our
two
largest GPO member relationships in terms of revenue. Sales to members of these
two
GPOs collectively accounted for
22 percent
,
22 percent
and
21 percent
of revenue for fiscal
2019
,
2018
and
2017
, respectively. Our trade receivable balances are with individual members of the GPO, and therefore no significant concentration of credit risk exists with these types of arrangements.
Inventories
A substantial portion of our inventories (
56 percent
at both
June 30, 2019
and
2018
) are valued at the lower of cost, using the last-in, first-out ("LIFO") method, or market. These inventories are included within the core pharmaceutical distribution facilities of our Pharmaceutical segment (“distribution facilities”) and are primarily merchandise inventories. The LIFO method presumes that the most recent inventory purchases are the first items sold, so LIFO helps us better match current costs and revenue. We believe that the average cost method of inventory valuation provides a reasonable approximation of the current cost of replacing inventory within the distribution facilities. As such, the LIFO reserve is the difference between (a) inventory at the lower of LIFO cost or market and (b) inventory at replacement cost determined using the average cost method of inventory valuation.
If we had used the average cost method of inventory valuation for all inventory within the distribution facilities, the value of our inventories would not have changed in fiscal
2019
or
2018
because inventories valued at LIFO were
$230 million
and
$92 million
higher than the average cost value at
June 30, 2019
and
2018
, respectively. We do not record inventories in excess of replacement cost. As such, we did not record a LIFO reserve in fiscal
2019
or
2018
.
Our remaining inventory that is not valued at the lower of LIFO or market is stated at the lower of cost, using the first-in, first-out method, or net realizable value.
Net realizable value is defined as the estimated selling prices in the ordinary course of business, less reasonably predictable costs of completion, disposal and transportation.
Inventories presented in the consolidated balance sheets are net of reserves for excess and obsolete inventory which were
$171 million
and
$147 million
at
June 30, 2019
and
2018
, respectively. We reserve for inventory obsolescence using estimates based on historical experience, historical and projected sales trends, specific categories of inventory, age and expiration dates of on-hand inventory and manufacturer return policies.
Cash Discounts
Manufacturer cash discounts are recorded as a component of inventory cost and recognized as a reduction of cost of products sold as inventory is sold.
Property and Equipment
Property and equipment are carried at cost less accumulated depreciation. Property and equipment held for sale are recorded at the lower of cost or fair value less cost to sell. When certain events or changes in operating conditions occur, an impairment assessment may be performed on the recoverability of the carrying amounts.
Depreciation expense is computed using the straight-line method over the estimated useful lives of the assets, including capital lease assets which are depreciated over the terms of their respective leases. We generally use the following range of useful lives for our property and equipment categories: buildings and improvements—
3
to
39 years
; machinery and equipment—
3
to
20 years
; and furniture and fixtures—
3
to
7 years
. We recorded depreciation and amortization expense of
$455 million
,
$446 million
and
$314 million
for fiscal
2019
,
2018
and
2017
, respectively.
The following table presents the components of property and equipment, net at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Land, building and improvements
|
$
|
1,992
|
|
|
$
|
2,115
|
|
|
Machinery and equipment
|
3,038
|
|
|
3,006
|
|
||
|
Furniture and fixtures
|
138
|
|
|
139
|
|
||
|
Total property and equipment, at cost
|
5,168
|
|
|
5,260
|
|
||
|
Accumulated depreciation and amortization
|
(2,812
|
)
|
|
(2,773
|
)
|
||
|
Property and equipment, net
|
$
|
2,356
|
|
|
$
|
2,487
|
|
Repairs and maintenance expenditures are expensed as incurred. Interest on long-term projects is capitalized using a rate that approximates the weighted-average interest rate on long-term obligations, which was
5 percent
at
June 30, 2019
. The amount of capitalized interest was immaterial for all periods presented.
Business Combinations
The assets acquired and liabilities assumed in a business combination, including identifiable intangible assets, are recorded at their estimated fair values as of the acquisition date. The excess of the purchase price over the estimated fair value of the identifiable net assets acquired is recorded as goodwill. We base the fair values of identifiable intangible assets on detailed valuations that require management to make significant judgments, estimates and assumptions. Critical estimates and assumptions include: expected future cash flows for customer relationships, trade names and other identifiable intangible assets; discount rates that reflect the risk factors associated with future cash flows; and estimates of useful lives. When an acquisition involves contingent consideration, we recognize a liability equal to the fair value of the contingent consideration obligation at the acquisition date. The estimate of fair value of a contingent consideration obligation requires subjective assumptions to be made regarding future business results, discount rates, discount periods and probabilities assigned to various potential business result scenarios. See
Note 2
for additional information regarding our acquisitions.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
52
|
|
Notes to Financial Statements
|
|
|
Goodwill and Other Intangible Assets
Purchased goodwill and intangible assets with indefinite lives are not amortized, but instead are tested for impairment annually or when indicators of impairment exist.
Purchased goodwill is tested for impairment at least annually. Qualitative factors are first assessed to determine if it is more likely than not that the fair value of a reporting unit is less than its carrying amount. There is an option to bypass the qualitative assessment for any reporting unit in any period and proceed directly to performing the quantitative goodwill impairment test. We have elected to bypass the qualitative assessment for our annual goodwill impairment test in the current year. The quantitative goodwill impairment test involves a comparison of the estimated fair value of the reporting unit to the respective carrying amount.
Goodwill impairment testing involves judgment, including the identification of reporting units, qualitative evaluation of events and circumstances to determine if it is more likely than not that an impairment exists, and, if necessary, the estimation of the fair value of the applicable reporting unit. Our qualitative evaluation considers the weight of evidence and significance of all identified events and circumstances and most relevant drivers of fair value, both positive and negative, in determining whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount.
We have
two
operating segments, which are the same as our reportable segments: Pharmaceutical and Medical. These operating segments are comprised of divisions (components), for which discrete financial information is available. Components are aggregated into reporting units for purposes of goodwill impairment testing to the extent that they share similar economic characteristics. Our reporting units are: Pharmaceutical operating segment (excluding our Nuclear and Precision Health Solutions division); Nuclear and Precision Health Solutions division; Medical operating segment (excluding our Cardinal Health at-Home Solutions division) (“Medical Unit”); and Cardinal Health at-Home Solutions division. Our Nuclear and Precision Health Solutions division was formerly referred to as our Nuclear Pharmacy Services division and our Cardinal Health at-Home Solutions division was formerly referred to as our Cardinal Health at Home division.
Fair value can be determined using market, income or cost-based approaches. Our determination of estimated fair value of the reporting units is based on a combination of the income-based and market-based approaches. Under the income-based approach, we use a discounted cash flow model in which cash flows anticipated over several future periods, plus a terminal value at the end of that time horizon, are discounted to their present value using an appropriate risk-adjusted rate of return. We use our internal forecasts to estimate future cash flows, which we believe are consistent with those of a market participant, and include an estimate of long-term growth rates based on our most recent views of the long-term outlook for each reporting unit. Actual results may differ materially from those used in our forecasts. We use discount rates that are commensurate with the risks and uncertainty inherent in the respective reporting units and in our internally-developed forecasts. Discount rates used in our reporting unit valuations ranged from
8.5 percent
to
11.5 percent
.
Under the market-based approach, we determine fair value by comparing our reporting units to similar businesses or guideline companies whose securities are actively traded in public markets. We also use the guideline transaction method to determine fair value based on pricing multiples derived from the sale of companies that are similar to our reporting units. To further confirm fair value, we compare the aggregate fair value of our reporting units to our total market capitalization. Estimating the fair value of reporting units requires the use of estimates and significant judgments that are based on a number of factors including forecasted operating results. The use of alternate estimates and assumptions or changes in the industry or peer groups could materially affect the determination of fair value for each reporting unit and potentially result in goodwill impairment.
We performed annual impairment testing in fiscal
2019
,
2018
and
2017
and with the exception of our Medical Unit in fiscal 2018, concluded that there were no impairments of goodwill as the estimated fair value of each reporting unit exceeded its carrying value. As discussed further in
Note 4
of the "Notes to Consolidated Financial Statements," during the fourth quarter of fiscal 2018 we recognized a
$1.4 billion
goodwill impairment charge related to our Medical Unit, which is included in impairments and loss on disposal of assets in our consolidated statements of earnings. There was no tax benefit related to this goodwill impairment charge.
The impairment test for indefinite-lived intangibles other than goodwill (primarily IPR&D) involves first assessing qualitative factors to determine if it is more likely than not that the fair value of the indefinite-lived intangible asset is less than its carrying amount. If so, then a quantitative test is performed to compare the estimated fair value of the indefinite-lived intangible asset to the respective asset's carrying amount. Our qualitative evaluation
requires the use of estimates and significant judgments and
considers the weight of evidence and significance of all identified events and circumstances and most relevant drivers of fair value, both positive and negative, in determining whether it is more likely than not that the fair value of the indefinite-lived intangible asset is less than its carrying amount.
Intangible assets with finite lives, primarily customer relationships; trademarks, trade names and patents; and developed technology, are amortized using a combination of straight-line and accelerated methods based on the expected cash flows from the asset over their estimated useful lives. We review intangible assets with finite lives for impairment whenever events or changes in circumstances indicate that the related carrying amounts may not be recoverable. Determining whether an impairment loss occurred requires a comparison of the carrying amount to the sum of the future forecasted undiscounted cash flows expected to be generated by the asset group. Actual results may differ materially from those used in our forecasts.
Assets Held for Sale
We classify assets and liabilities (the “disposal group”) as held for sale when management commits to a plan to sell the disposal group in its present condition and at a price that is reasonable in relation to its current fair value. We also consider whether an active program to locate a buyer has been initiated and if it is probable that the sale will
|
53
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
occur within one year without significant changes to the plan to sell. Upon classification of the disposal group as held for sale, we test the assets for impairment and cease related depreciation and amortization.
Investments
Investments in non-marketable equity securities are accounted for under the fair value, equity or net asset value method of accounting and are included in other assets in the consolidated balance sheets. For equity securities without a readily determinable fair value, we use the fair value measurement alternative and measure the securities at cost less impairment, if any, including adjustments for observable price changes in orderly transactions for an identical or similar investment of the same issuer. For investments in which we can exercise significant influence but do not control, we use the equity method of accounting. Our share of the earnings and losses are recorded in other income, net in the consolidated statements of earnings. We monitor our investments for impairment by considering factors such as the operating performance of the investment and current economic and market conditions.
Vendor Reserves
In the ordinary course of business, our vendors may dispute deductions taken against payments otherwise due to them or assert other disputes. These disputes are researched and resolved based upon the findings of the research performed. At any given time, there are outstanding items in various stages of research and resolution. In determining appropriate reserves for areas of exposure with our vendors, we assess historical experience and current outstanding claims. We have established various levels of reserves based on the type of claim and status of review. Though the claim types are relatively consistent, we periodically refine our methodology by updating the reserve estimate percentages to reflect actual historical experience. The ultimate outcome of certain claims may be different than our original estimate and may require an adjustment. Adjustments to vendor reserves are included in cost of products sold. In addition, the reserve balance will fluctuate due to variations of outstanding claims from period-to-period, timing of settlements and specific vendor issues, such as bankruptcies. Vendor reserves were
$53 million
and
$45 million
at
June 30, 2019
and
2018
, respectively, excluding third-party returns. See Third-Party Returns section within this Note for a description of third-party returns.
Distribution Services Agreement and Other Vendor Fees
Our Pharmaceutical segment recognizes fees received from distribution services agreements and other fees received from vendors related to the purchase or distribution of the vendors’ inventory when those fees have been earned and we are entitled to payment. Since the benefit provided to a vendor is related to the purchase and distribution of the vendor’s inventory, we recognize the fees as a reduction in the carrying value of the inventory that generated the fees, and as such, a reduction of cost of products sold in our consolidated statements of earnings when the inventory is sold.
Loss Contingencies and Self-Insurance
We accrue for contingencies related to disputes, litigation and regulatory matters if it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated.
We develop and periodically update reserve estimates for Cordis IVC claims, including those received to date and expected to be received in the future and related costs. To project future Cordis IVC claim costs, we use a methodology based largely on recent experience, including claim filing rates, estimated indemnity severity by claim type, sales data and estimated defense costs.
We also self-insure for employee healthcare, general liability, certain product liability matters, auto liability, property and workers' compensation. Self-insurance accruals include an estimate for expected settlements or pending claims, defense costs, administrative fees, claim adjustment costs and an estimate for claims incurred but not reported.
Because these matters are inherently unpredictable and unfavorable developments or resolutions can occur, assessing contingencies and other liabilities is highly subjective and requires judgments about future events. We regularly review contingencies and our self-insurance accruals to determine whether our accruals and related disclosures are adequate. Any adjustments for changes in reserves are recorded in the period in which the change in estimate occurs.
The amount of ultimate loss may differ from these estimates.
We recognize these estimated loss contingencies, income from favorable resolution of litigation and certain defense costs in litigation (recoveries)/charges in our consolidated statements of earnings.
See
Note 8
for additional information regarding loss contingencies and product liability lawsuits.
Income Taxes
We account for income taxes using the asset and liability method. Deferred tax assets and liabilities are measured using enacted tax rates in the respective jurisdictions in which we operate
. We assess the realizability of deferred tax assets on a quarterly basis and provide a valuation allowance for deferred tax assets when it is more likely than not that at least a portion of the deferred tax assets will not be realized. The realizability of deferred tax assets depends on our ability to generate sufficient taxable income within the carryback or carryforward periods provided for in the tax law for each applicable tax jurisdiction and also considers all available positive and negative evidence.
Deferred taxes for non-U.S. liabilities are not provided on the unremitted earnings of subsidiaries outside of the United States when it is expected that these earnings are indefinitely reinvested.
We operate in a complex multinational tax environment and are subject to tax treaty arrangements and transfer pricing guidelines for intercompany transactions that are subject to interpretation. Uncertainty in a tax position may arise as tax laws are subject to interpretation.
Tax benefits from uncertain tax positions are recognized when it is more likely than not that the position will be sustained upon examination of the technical merits of the position, including resolutions of any related appeals or litigation processes. The amount
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recognized is measured as the largest amoun
t of tax benefit that is greater than 50 percent likely of being realized upon settlement. For tax benefits that do not qualify for recognition, we recognize a liability for unrecognized tax benefits.
See
Note 7
for additional information regarding income taxes.
Other Accrued Liabilities
Other accrued liabilities represent various current obligations, including certain accrued operating expenses and taxes payable.
Noncontrolling Interests and Redeemable Noncontrolling Interests
Noncontrolling interests represent the portion of net earnings, comprehensive income and net assets that is not attributable to Cardinal Health, Inc.
The redeemable noncontrolling interests relate to our prior
ownership interest in naviHealth Holdings, LLC ("naviHealth"), which we acquired during
fiscal
2016. The redeemable noncontrolling interests were redeemable at the option of the third-party noncontrolling interest holders at any time after the two-year anniversary of the closing, or earlier if a trigger event occurred. As such, the noncontrolling interests were presented as redeemable noncontrolling interests in our June 30, 2018 consolidated balance sheets. The noncontrolling interests were adjusted each period for net earnings and dividends attributable to the noncontrolling interests and changes in the noncontrolling ownership interests, if any. Changes in the carrying value of the noncontrolling interests related to a change in the redemption value were recorded through retained earnings and did not affect net earnings attributable to Cardinal Health, Inc. See
Note 12
for additional information regarding redeemable noncontrolling interests.
In August 2018, we sold our 98 percent ownership interest in naviHealth. For more information on this divestiture see
Note 2
.
Share-Based Compensation
Share-based compensation provided to employees is recognized in the consolidated statements of earnings based on the grant date fair value of the awards. The fair value of stock options is determined on the grant date using a lattice valuation model. The fair value of restricted share units and performance share units is determined by the grant date market price of our common shares. The compensation expense associated with nonvested performance share units is dependent on our periodic assessment of the probability of the targets being achieved and our estimate, which may vary over time, of the number of shares that ultimately will be issued. The compensation expense recognized for share-based awards is net of estimated forfeitures and is recognized ratably over the service period of the awards. All income tax effects of share-based awards are recognized in the statement of earnings as awards vest or are settled. We classify share-based compensation expense in distribution, selling, general and administrative ("SG&A") expenses to correspond with the same line item as the majority of the cash compensation paid to employees. If awards are modified in connection with a restructuring activity, the incremental share-based compensation expense is classified in restructuring and employee severance. See
Note 16
for additional information regarding share-based compensation.
Dividends
We paid cash dividends per common share of
$1.91
,
$1.85
and
$1.80
in fiscal
2019
,
2018
and
2017
, respectively.
Revenue Recognition
We recognize revenue in an amount that reflects the consideration to which we expect to be entitled in exchange for the transfer of goods or services to customers.
Revenue in both segments is primarily related to the distribution of pharmaceutical and medical products, which we recognize at a point in time when title transfers to customers and we have no further obligation to provide services related to such merchandise. Service revenues are recognized over the period that services are provided to the customer. Revenues derived from services are not material for either segment for all periods presented.
We are generally the principal in a transaction, therefore our revenue is primarily recorded on a gross basis. When we are a principal in a transaction, we have determined that we control the ability to direct the use of the product or service prior to transfer to a customer, are primarily responsible for fulfilling the promise to provide the product or service to our customer, have discretion in establishing prices, and ultimately control the transfer of the product or services provided to the customer.
Sales Returns and Allowances
Revenue is recorded net of sales returns and allowances. Revenues are measured based on the amount of consideration that we expect to receive, reduced by estimates for return allowances, discounts, rebates and other variable consideration. Sales returns are recorded based on estimates using historical data.
Our customer return policies generally require that the product be physically returned, subject to restocking fees. We only allow customers to return products for credit in a condition suitable to be added back to inventory and resold at full value, or returned to vendors for credit (“merchantable product”). Product returns are generally consistent throughout the year and typically are not specific to any particular product or customer.
We accrue for estimated sales returns and allowances at the time of sale based upon historical customer return trends, margin rates and processing costs. Our accrual for sales returns is reflected as a reduction of revenue and cost of products sold for the sales price and cost, respectively. At both
June 30, 2019
and
2018
, the accrual for estimated sales returns and allowances was
$479 million
, the impact of which is reflected in trade receivables, net and inventories, net in the consolidated balance sheets. Sales returns and allowances were
$2.2 billion
,
$2.4 billion
and
$2.3 billion
, for fiscal
2019
,
2018
and
2017
, respectively.
Third-Party Returns
We generally do not accept non-merchantable pharmaceutical product returns from our customers, so many of our customers return non-merchantable pharmaceutical products to the manufacturer through third parties. Since our customers generally do not have a direct relationship with manufacturers, our vendors pass the value of such returns to us (usually in the form of an accounts payable deduction). We, in turn, pass the value received, less an
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administrative fee, to our customer. In certain instances, we pass the estimated value of the return to our customer prior to our receipt of the value from the vendor. Although we believe we have satisfactory protections, we could be subject to claims from customers or vendors if our administration of this overall process was deficient in some respect or our contractual terms with vendors are in conflict with our contractual terms with our customers. We have maintained reserves for some of these situations based on their nature and our historical experience with their resolution.
Shipping and Handling
Shipping and handling costs are primarily included in SG&A expenses in our consolidated statements of earnings and include all delivery expenses as well as all costs to prepare the product for shipment to the end customer. Shipping and handling costs were
$622 million
,
$543 million
and
$496 million
, for fiscal
2019
,
2018
and
2017
, respectively.
Restructuring and Employee Severance
Restructuring activities are programs that are not part of the ongoing operations of our underlying business, such as closing and consolidating facilities, changing the way we manufacture or distribute our products, moving manufacturing of a product to another location, changes in production or business process outsourcing or insourcing, employee severance (including rationalizing headcount or other significant changes in personnel) and realigning operations (including realignment of the management structure in response to changing market conditions). Also included within restructuring and employee severance are employee severance costs that are not incurred in connection with a restructuring activity. See
Note 3
for additional information regarding our restructuring activities.
Amortization and Other Acquisition-Related Costs
We classify certain costs incurred in connection with acquisitions as amortization and other acquisition-related costs in our consolidated statements of earnings. These costs consist of amortization of acquisition-related intangible assets, transaction costs, integration costs and changes in the fair value of contingent consideration obligations. Transaction costs are incurred during the initial evaluation of a potential acquisition and primarily relate to costs to analyze, negotiate and consummate the transaction as well as due diligence activities. Integration costs relate to activities required to combine the operations of an acquired enterprise into our operations and, in the case of the Cordis and Patient Recovery businesses, to stand-up the systems and processes needed to support an expanded geographic footprint. We record changes in the fair value of contingent consideration obligations relating to acquisitions as income or expense in amortization and other acquisition-related costs. See
Note 4
for additional information regarding amortization of acquisition-related intangible assets.
Translation of Foreign Currencies
Financial statements of our subsidiaries outside the United States are generally measured using the local currency as the functional currency. Adjustments to translate the assets and liabilities of these foreign subsidiaries into U.S. dollars are accumulated in shareholders’ equity through AOCI utilizing period-end exchange
rates. Revenues and expenses of these foreign subsidiaries are translated using average exchange rates during the year.
The foreign currency translation gains/(losses) included in AOCI at
June 30, 2019
and
2018
are presented in
Note 13
. Foreign currency transaction gains and losses for the period are included in the consolidated statements of earnings in the respective financial statement line item.
Interest Rate, Currency and Commodity Risk
All derivative instruments are recognized at fair value on the consolidated balance sheets and all changes in fair value are recognized in net earnings or shareholders’ equity through AOCI, net of tax.
For contracts that qualify for hedge accounting treatment, the hedge contracts must be effective at reducing the risk associated with the exposure being hedged and must be designated as a hedge at the inception of the contract. Hedge effectiveness is assessed periodically. Any contract not designated as a hedge, or so designated but ineffective, is adjusted to fair value and recognized immediately in net earnings. If a fair value or cash flow hedge ceases to qualify for hedge accounting treatment, the contract continues to be carried on the balance sheet at fair value until settled and future adjustments to the contract’s fair value are recognized immediately in net earnings. If a forecasted transaction is probable not to occur, amounts previously deferred in AOCI are recognized immediately in net earnings. See
Note 11
for additional information regarding our derivative instruments, including the accounting treatment for instruments designated as fair value, cash flow and economic hedges.
Fair Value Measurements
Fair value is defined as the price that would be received upon selling an asset or the price paid to transfer a liability on the measurement date. It focuses on the exit price in the principal or most advantageous market for the asset or liability in an orderly transaction between willing market participants. A three-tier fair value hierarchy is established as a basis for considering such assumptions and for inputs used in the valuation methodologies in measuring fair value. This hierarchy requires entities to maximize the use of observable inputs and minimize the use of unobservable inputs. The three levels of inputs used to measure fair values are:
|
Level 1 -
|
Observable prices in active markets for identical assets and liabilities.
|
|
Level 2 -
|
Observable inputs other than quoted prices in active markets for identical assets and liabilities.
|
|
Level 3 -
|
Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets and liabilities.
|
See
Note 10
for additional information regarding fair value measurements.
Recent Financial Accounting Standards
In October 2018, the
Financial Accounting Standards Board ("FASB")
issued amended accounting guidance related to derivatives and hedging which permits the use of the Secured Overnight Financing
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Notes to Financial Statements
|
|
|
Rate ("SOFR") Overnight Index Swap ("OIS") as a Benchmark Interest Rate for Hedge Accounting Purposes. This guidance will be effective for us in the first quarter of fiscal 2020 and must be applied on a prospective basis. The impact of adoption on our consolidated financial statements is contingent upon future events. We do not expect the adoption to have a material impact on our consolidated financial statements.
In March 2018, the
FASB
issued amended accounting guidance to codify SEC staff accounting bulletin 118 (“SAB 118”), which was issued in connection with the Tax Cuts and Jobs Act (the “Tax Act”) of December 2017. The guidance allows companies to use provisional estimates to record the effects of the Tax Act and also provides a measurement period (not to exceed one year from the date of enactment) to complete the accounting for the impacts of the Tax Act. We adopted this guidance in the second quarter of fiscal 2018 when it was initially issued as SAB 118. We completed our accounting for the impacts from enactment of the Tax Act during the second quarter of fiscal 2019. Future adjustments to the financial statements may be necessary as final tax regulations, including issued and pending regulatory changes, are issued. We will assess any impact as additional guidance is issued. See
Note 7
for additional information regarding income taxes.
In June 2016, the FASB issued amended accounting guidance that will require entities to measure credit losses on trade and other receivables, held-to-maturity debt securities, loans and other instruments using an "expected credit loss" model that considers historical experience, current conditions and reasonable supportable forecasts. This guidance also requires that credit losses on available-for-sale debt securities with unrealized losses be recognized as allowances rather than as deductions in the amortized cost of the securities. This guidance will be effective for us in the first quarter of fiscal 2021. We are currently evaluating the impact of adoption on our consolidated financial statements.
Leases
In February 2016, the FASB issued amended accounting guidance that requires lessees to recognize most leases on the balance sheet as a lease liability and corresponding right-of-use asset. The guidance also requires disclosures that meet the objective of enabling financial statement users to assess the amount, timing and uncertainty of cash flows arising from leases. We will adopt this guidance when it is effective for us in the first quarter of fiscal 2020 and we will elect the transition option which will allow us to apply the guidance prospectively.
While we are finalizing the evaluation of the impact of this standard on our consolidated financial statements, we expect the adoption of this guidance will result in recognition of operating lease liabilities in excess of
$400 million
based on the present value of the remaining minimum lease commitments. We anticipate recognizing a corresponding right-of-use asset based on the operating lease liabilities adjusted for prepaid and deferred rent and unamortized initial direct costs. We do not currently believe that the guidance will have a material impact on our results of operations, liquidity or debt covenant compliance under our current debt agreements. The majority of our lease spend relates to certain real estate with the
remaining lease spend primarily related to equipment. We generally anticipate that the adoption of the amended lease guidance will require certain changes to our systems and processes.
Revenue Recognition
In May 2014, the FASB issued amended accounting guidance related to revenue recognition which we adopted in the first quarter of fiscal 2019 using the modified retrospective method and that we applied to customer contracts that were not completed as of June 30, 2018.
The adoption of the amended accounting guidance did not have a material impact on our consolidated financial statements. We did not record any material contract assets, contract liabilities, or deferred contract costs in our consolidated balance sheets upon adopting the amended accounting guidance. As a result of adoption, assets recorded for the right to recover products from customers and the associated refund liabilities for return allowances were not material.
We elected the practical expedient to expense costs to obtain a contract when incurred when the amortization period would have been one year or less. Additionally, we elected the practical expedients to not disclose the value of unsatisfied performance obligations for contracts with an original expected length of one year or less, contracts for which we recognize revenue at the amount to which we have the right to invoice for services performed and for contracts for which the variable consideration is allocated entirely to a wholly unsatisfied performance obligation or to a wholly unsatisfied promise to transfer a distinct good or service that forms part of a single performance obligation. See
Note 15
for additional information regarding our disaggregation of revenue.
Other Recently Adopted Financial Accounting Standards
In the first quarter of fiscal 2019, we adopted the following Accounting Standards Updates ("ASU"). ASU 2016-01 Financial Instruments: Recognition and Measurement of Financial Assets and Financial Liabilities; ASU 2018-03 Technical Corrections and Improvements to Financial Instruments; ASU 2016-15 Statement of Cash Flows: Classification of Certain Cash Receipts and Cash Payments; ASU 2016-16 Income Taxes: Intra-Entity Transfers of Assets Other Than Inventory; and ASU 2017-12 Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities. The adoption of these ASU's did not have a material impact on our consolidated financial statements.
2. Acquisitions and Divestitures
Acquisitions
While we have completed several acquisitions d
uring fiscal
2019
, the pro forma results of operations and the results of operations for acquired businesses since the acquisition dates have not been separately disclosed because the effects were not significant compared to the consolidated financial statements, individually or in the aggregate. The cash paid for these acquisitions, net of cash acquired was $
82 million
.
Patient Recovery Business
On July 29, 2017, we acquired the Patient Care, Deep Vein Thrombosis, and Nutritional Insufficiency businesses (the "Patient Recovery Business") from Medtronic plc for
$6.1 billion
in cash. The
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acquisition further expanded the Medical segment's portfolio of self-manufactured products.
Transaction and integration costs associated with the acquisition of the Patient Recovery Business were
$75 million
and
$109 million
for the fiscal year ended
June 30, 2019
and 2018, respectively. These costs are included in amortization and other acquisition-related costs in the consolidated statement of earnings.
Fair Value of Assets Acquired and Liabilities Assumed
The allocation of the fair value of assets acquired and liabilities assumed for the acquisition of the Patient Recovery Business was finalized during the three months ended September 30, 2018, resulting in goodwill of
$3.3 billion
. There were no significant adjustments to the allocation of the fair value of assets acquired and liabilities assumed for the Patient Recovery Business acquisition from those disclosed in our fiscal 2018 Form 10-K.
The valuation of identifiable intangible assets utilizes significant unobservable inputs and thus represents a Level 3 nonrecurring fair value measurement. The estimated fair value of the identifiable intangible assets was determined using income-based approaches, which includes market participant expectations of the cash flows that an asset could generate over its economic life, discounted back to present value using an appropriate rate of return. The weighted- average discount rate used to arrive at the present value of the identifiable intangible assets was
8.0
percent, and considers the inherent risk of each intangible asset relative to the internal rate of return and weighted-average cost of capital.
The following table summarizes the estimated fair value of the assets acquired and liabilities assumed as of the acquisition date for the Patient Recovery Business:
|
(in millions)
|
Patient Recovery Business
|
||
|
Identifiable intangible assets:
|
|
||
|
Customer relationships (1)
|
$
|
1,733
|
|
|
Trade names (2)
|
187
|
|
|
|
Developed technology and other (3)
|
732
|
|
|
|
Total identifiable intangible assets acquired
|
2,652
|
|
|
|
|
|
||
|
Cash and equivalents
|
22
|
|
|
|
Inventories
|
420
|
|
|
|
Prepaid expenses and other
|
252
|
|
|
|
Property and equipment, net
|
739
|
|
|
|
Other accrued liabilities
|
(322
|
)
|
|
|
Deferred income taxes and other liabilities
|
(982
|
)
|
|
|
Total identifiable net assets acquired
|
2,781
|
|
|
|
Goodwill
|
3,299
|
|
|
|
Total net assets acquired
|
$
|
6,080
|
|
|
(1)
|
The range of useful lives for customer relationships is
10
to
18
years.
|
|
(2)
|
The useful life of trade names is
15
years.
|
|
(3)
|
The useful life of developed technology is
15
years.
|
Divestitures
China Divestiture
In February 2018, we sold our pharmaceutical and medical
products distribution business in China ("China distribution business") for proceeds of
$861 million
(after adjusting for third party indebtedness and preliminary transaction adjustments) to Shanghai Pharmaceuticals Holding Co., Ltd. The proceeds are not reflective of tax obligations due in connection with the sale, for which we have recorded a liability of
$59 million
. The purchase price was subject to adjustment based on working capital requirements as set forth in the definitive agreement, for which there were no significant changes in fiscal 2019.
We determined that the sale of the China distribution business did not meet the criteria to be classified as discontinued operations. The China distribution business primarily operated within our Pharmaceutical segment, and a smaller portion operated within our Medical segment.
During the fiscal year ended 2018, we recognized a pre-tax loss of
$41 million
related to this divestiture.
naviHealth
In August 2018, we sold our
98 percent
ownership interest in naviHealth to investor entities controlled by Clayton, Dubilier & Rice in exchange for cash proceeds of
$737 million
(after adjusting for certain fees and expenses) and a
44 percent
equity interest in a partnership that owns
100 percent
of the equity interest of naviHealth. We also have certain call rights to reacquire naviHealth. Refer to
Note 5
for further discussion regarding this investment.
For the fiscal year ended
June 30, 2019
, we recognized a pre-tax gain of
$508 million
related to this divestiture in impairments and (gain)/loss on disposal of assets in our consolidated statement of earnings. This gain includes our initial recognition of an equity method investment for
$358 million
and the derecognition of redeemable noncontrolling interests of
$12 million
. The fiscal 2019 tax expense as a result of this transaction was
$130 million
. We determined that the sale of the naviHealth business did not meet the criteria to be classified as discontinued operations. The naviHealth business operated within our Medical segment.
3. Restructuring and Employee Severance
The following tables summarize restructuring and employee severance costs:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Employee-related costs (1)
|
$
|
95
|
|
|
$
|
34
|
|
|
$
|
51
|
|
|
Facility exit and other costs (2)
|
30
|
|
|
142
|
|
|
5
|
|
|||
|
Total restructuring and employee severance
|
$
|
125
|
|
|
$
|
176
|
|
|
$
|
56
|
|
|
(1)
|
Employee-related costs primarily consist of termination benefits provided to employees who have been involuntarily terminated, duplicate payroll costs and retention bonuses incurred during transition periods.
|
|
(2)
|
Facility exit and other costs primarily consist of product distribution and lease contract termination costs, lease costs associated with vacant facilities, accelerated depreciation, equipment relocation costs, project consulting fees, costs associated with restructuring our delivery of information technology infrastructure services and certain other divestiture-related costs.
|
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Fiscal 2019 Form 10-K
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|
Notes to Financial Statements
|
|
|
In early fiscal 2019, we began implementing certain enterprise-wide cost-savings measures, which we expect will reduce our future operating expenses. As a result of these measures, we incurred pre-tax restructuring related costs of
$92 million
during the fiscal year ended June 30, 2019, which are reflected in restructuring and employee severance in the consolidated statements of earnings.
In fiscal 2018, we entered into an agreement to transition the distribution of our Medical segment's surgeon gloves in certain international markets from a third-party distribution arrangement to a direct distribution model. The costs associated with this restructuring included
$125 million
, on a pre-tax basis, in contract termination costs that were paid during fiscal 2018. These costs are reflected in restructuring and employee severance in the consolidated statements of earnings during the fiscal year ended 2018.
The following table summarizes activity related to liabilities associated with restructuring and employee severance:
|
(in millions)
|
Employee-
Related Costs
|
|
Facility Exit
and Other Costs
|
|
Total
|
||||||
|
Balance at June 30, 2017
|
$
|
41
|
|
|
$
|
—
|
|
|
$
|
41
|
|
|
Additions
|
19
|
|
|
131
|
|
|
150
|
|
|||
|
Payments and other adjustments
|
(36
|
)
|
|
(127
|
)
|
|
(163
|
)
|
|||
|
Balance at June 30, 2018
|
24
|
|
|
4
|
|
|
28
|
|
|||
|
Additions
|
84
|
|
|
8
|
|
|
92
|
|
|||
|
Payments and other adjustments
|
(44
|
)
|
|
(4
|
)
|
|
(48
|
)
|
|||
|
Balance at June 30, 2019
|
$
|
64
|
|
|
$
|
8
|
|
|
$
|
72
|
|
4. Goodwill and Other Intangible Assets
Goodwill
The following table summarizes the changes in the carrying amount of goodwill by segment and in total:
|
(in millions)
|
Pharmaceutical (1)
|
|
Medical (2)
|
|
Total
|
||||||
|
Balance at June 30, 2017
|
$
|
2,939
|
|
|
$
|
4,282
|
|
|
$
|
7,221
|
|
|
Goodwill acquired, net of purchase price adjustments
|
1
|
|
|
3,342
|
|
|
3,343
|
|
|||
|
Foreign currency translation adjustments and other
|
28
|
|
|
6
|
|
|
34
|
|
|||
|
Goodwill divested with the sale of our China distribution business
|
(347
|
)
|
|
(54
|
)
|
|
(401
|
)
|
|||
|
naviHealth goodwill reclassified to assets held for sale
|
—
|
|
|
(509
|
)
|
|
(509
|
)
|
|||
|
Impairment
|
—
|
|
|
(1,372
|
)
|
|
(1,372
|
)
|
|||
|
Balance at June 30, 2018
|
2,621
|
|
|
5,695
|
|
|
8,316
|
|
|||
|
Goodwill acquired, net of purchase price adjustments
|
45
|
|
|
7
|
|
|
52
|
|
|||
|
Foreign currency translation adjustments and other
|
(3
|
)
|
|
13
|
|
|
10
|
|
|||
|
Balance at June 30, 2019
|
$
|
2,663
|
|
|
$
|
5,715
|
|
|
$
|
8,378
|
|
|
(1)
|
At
June 30, 2019
and 2018, the Pharmaceutical segment accumulated goodwill impairment loss was
$829 million
.
|
|
(2)
|
At
June 30, 2019
and 2018, the Medical segment accumulated goodwill impairment loss was
$1.4 billion
.
|
Fiscal 2018
The increase in the Medical segment goodwill during fiscal 2018 is primarily due to the Patient Recovery Business acquisition. Goodwill recognized in connection with the Patient Recovery Business acquisition primarily represents the expected benefits from certain synergies of integrating the business, the existing workforce of the acquired entity, and the expected growth from new customers. See
Note 2
for further discussion of this acquisition.
In conjunction with the preparation of our consolidated financial statements for fiscal 2018, we completed our annual quantitative goodwill impairment test, which we perform annually in the fourth quarter. Using a combination of income and market-based approaches (using a discount rate of
8.5 percent
), the carrying value exceeded the fair value and resulted in an impairment charge of
$1.4 billion
related to our Medical Unit, which is included in impairments and loss on disposal of assets in our consolidated statements of earnings. Our fair value estimates utilize significant unobservable inputs and thus represent Level 3 fair value measurements.
The impairment was primarily driven by inventory and cost challenges within our Cordis business which furthered in the fourth quarter of fiscal 2018. This impairment charge did not impact our liquidity, cash flows from operations, or compliance with debt covenants. There was no tax benefit related to the goodwill impairment charge. The goodwill balance for our Medical Unit, after recognizing the impairment, was
$4.3 billion
at June 30, 2018.
During fiscal 2018, goodwill was also reduced by
$401 million
and
$509 million
in connection with the sale of our China distribution business and reclassification of naviHealth's assets and liabilities to held for sale, respectively.
See
Note 2
for further discussion of this divestiture and assets held for sale.
|
59
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
Other Intangible Assets
The following tables summarize other intangible assets by class at June 30:
|
|
2019
|
||||||||||||
|
(in millions)
|
Gross
Intangible
|
|
Accumulated
Amortization
|
|
Net
Intangible
|
|
Weighted- Average Remaining Amortization Period (Years)
|
||||||
|
Indefinite-life intangibles:
|
|
|
|
|
|
|
|
||||||
|
IPR&D, trademarks and other
|
$
|
22
|
|
|
$
|
—
|
|
|
$
|
22
|
|
|
N/A
|
|
Total indefinite-life intangibles
|
22
|
|
|
—
|
|
|
22
|
|
|
N/A
|
|||
|
Definite-life intangibles:
|
|
|
|
|
|
|
|
||||||
|
Customer relationships
|
3,562
|
|
|
1,517
|
|
|
2,045
|
|
|
14
|
|||
|
Trademarks, trade names and patents
|
672
|
|
|
295
|
|
|
377
|
|
|
14
|
|||
|
Developed technology and other
|
1,602
|
|
|
616
|
|
|
986
|
|
|
12
|
|||
|
Total definite-life intangibles
|
5,836
|
|
|
2,428
|
|
|
3,408
|
|
|
13
|
|||
|
Total other intangible assets
|
$
|
5,858
|
|
|
$
|
2,428
|
|
|
$
|
3,430
|
|
|
N/A
|
|
|
2018
|
||||||||||
|
(in millions)
|
Gross
Intangible
|
|
Accumulated
Amortization
|
|
Net
Intangible
|
||||||
|
Indefinite-life intangibles:
|
|
|
|
|
|
||||||
|
IPR&D, trademarks and other
|
$
|
62
|
|
|
$
|
—
|
|
|
$
|
62
|
|
|
Total indefinite-life intangibles
|
62
|
|
|
—
|
|
|
62
|
|
|||
|
Definite-life intangibles:
|
|
|
|
|
|
||||||
|
Customer relationships
|
3,513
|
|
|
1,191
|
|
|
2,322
|
|
|||
|
Trademarks, trade names and patents
|
667
|
|
|
246
|
|
|
421
|
|
|||
|
Developed technology and other
|
1,562
|
|
|
454
|
|
|
1,108
|
|
|||
|
Total definite-life intangibles
|
5,742
|
|
|
1,891
|
|
|
3,851
|
|
|||
|
Total other intangible assets
|
$
|
5,804
|
|
|
$
|
1,891
|
|
|
$
|
3,913
|
|
Total amortization of intangible assets was
$531 million
,
$574 million
and
$395 million
for fiscal
2019
,
2018
and
2017
, respectively. The estimated annual amortization for intangible assets for fiscal
2020
through
2024
is as follows:
$509 million
,
$442 million
,
$408 million
,
$358 million
and
$329 million
.
During fiscal 2018, other intangible assets were reduced by
$62 million
and
$133 million
in connection with the sale of our China distribution business and reclassification of naviHealth's assets and liabilities to held for sale, respectively.
5. Investments
In connection with the naviHealth divestiture discussed in
Note 2
, we obtained a
44 percent
equity interest in a partnership that owns 100 percent of the equity interest of naviHealth. We accounted for this investment initially at its fair value using Level 3 unobservable inputs based on expected sales proceeds following a competitive bidding process. We initially recognized a
$358 million
equity method investment.
We are accounting for our equity interest in naviHealth using the equity method of accounting on a one-month reporting lag. The impact of our proportionate share of naviHealth's results was a loss of
$9 million
for fiscal 2019. Upon the divestiture closing, we received a non-cash distribution of
$14 million
in the form of the partnership's payment for certain of our divestiture transaction costs directly to the applicable third-party. At
June 30, 2019
the carrying value of this investment was
$334 million
.
6. Long-Term Obligations and Other Short-Term Borrowings
The following table summarizes long-term obligations and other short-term borrowings at June 30:
|
(in millions) (1)
|
2019
|
|
2018
|
||||
|
1.948% Notes due 2019
|
$
|
—
|
|
|
$
|
998
|
|
|
2.4% Notes due 2019
|
450
|
|
|
448
|
|
||
|
4.625% Notes due 2020
|
508
|
|
|
514
|
|
||
|
2.616% Notes due 2022
|
1,079
|
|
|
1,143
|
|
||
|
3.2% Notes due 2022
|
247
|
|
|
243
|
|
||
|
Floating Rate Notes due 2022
|
340
|
|
|
348
|
|
||
|
3.2% Notes due 2023
|
551
|
|
|
525
|
|
||
|
3.079% Notes due 2024
|
781
|
|
|
742
|
|
||
|
3.5% Notes due 2024
|
402
|
|
|
390
|
|
||
|
3.75% Notes due 2025
|
494
|
|
|
460
|
|
||
|
3.41% Notes due 2027
|
1,318
|
|
|
1,340
|
|
||
|
4.6% Notes due 2043
|
346
|
|
|
346
|
|
||
|
4.5% Notes due 2044
|
342
|
|
|
342
|
|
||
|
4.9% Notes due 2045
|
445
|
|
|
445
|
|
||
|
4.368% Notes due 2047
|
594
|
|
|
594
|
|
||
|
7.0% Debentures due 2026
|
124
|
|
|
124
|
|
||
|
Other obligations
|
10
|
|
|
11
|
|
||
|
Total
|
8,031
|
|
|
9,013
|
|
||
|
Less: current portion of long-term obligations and other short-term borrowings
|
452
|
|
|
1,001
|
|
||
|
Long-term obligations, less current portion
|
$
|
7,579
|
|
|
$
|
8,012
|
|
(1) Maturities are presented on a calendar year basis.
Maturities of existing long-term obligations and other short-term borrowings for fiscal
2020
through
2024
and thereafter are as follows:
$452 million
,
$512 million
,
$1.7 billion
,
$552 million
,
$782 million
and
$4.1 billion
.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
60
|
|
Notes to Financial Statements
|
|
|
Long-Term Debt
All the notes represent unsecured obligations of Cardinal Health, Inc. and rank equally in right of payment with all of our existing and future unsecured and unsubordinated indebtedness. The
7.0%
Debentures represent unsecured obligations of Allegiance Corporation (a wholly-owned subsidiary), which Cardinal Health, Inc. has guaranteed. None of these obligations are subject to a sinking fund and the Allegiance obligations are not redeemable prior to maturity. Interest is paid pursuant to the terms of the obligations. These notes are effectively subordinated to the liabilities of our subsidiaries, including trade payables of
$21.5 billion
.
In the fourth quarter of fiscal 2019, we repurchased
$67 million
of the 2.616% Notes due 2022,
$1 million
of the 3.2% Notes due 2022,
$8 million
of the Floating Rate Notes due 2022, and
$24 million
of the 3.41% Notes due 2027 for a total of
$100 million
. The repurchases were paid for with available cash. We also paid off the 1.948% Notes due 2019 as they became due with available cash.
In June 2018, we repaid the full principal of the 1.95% Notes due 2018 at maturity for
$550 million
. In July 2017, we redeemed the 1.7% Notes due 2018 early in full with a portion of the proceeds from the June 2017 issuance for
$400 million
.
If we undergo a change of control, as defined in the notes, and if the notes receive specified ratings below investment grade by each of Standard & Poors Ratings Services, Moody’s Investors Services and Fitch Ratings, any holder of the notes, excluding the debentures, can require with respect to the notes owned by such holder, or we can offer, to repurchase the notes at
101%
of the principal amount plus accrued and unpaid interest.
Other Financing Arrangements
In addition to cash and equivalents and operating cash flow, other sources of liquidity include a
$2.0 billion
commercial paper program backed by a
$2.0 billion
revolving credit facility. We also have a
$1.0 billion
committed receivables sales facility.
In June 2019, we renewed our
$2.0 billion
revolving credit facility.
As part of the renewal of our revolving credit facility, as of the end of any calendar quarter, our maximum consolidated net leverage ratio may be no more than 4.25-to-1. The maximum permitted ratio will reduce to 4.00-to-1 in September 2019, and to 3.75-to-1 in March 2021 and thereafter. As of
June 30, 2019
, we were in compliance with this financial covenant.
In November 2018, we increased the maximum consolidated leverage ratio permitted under our committed receivables facilities to provide that, as of the end of any calendar quarter, our maximum consolidated leverage ratio may be no more than 4.25-to-1. The maximum permitted ratio will reduce to 4.00-to-1 in September 2019, to 3.75-to-1 in March 2020 and to 3.25-to-1 in September 2020. As of
June 30, 2019
, we were in compliance with this financial covenant.
In November 2016, we renewed our committed receivables sales facility program through Cardinal Health Funding, LLC (“CHF”) through November 1, 2019. CHF was organized for the sole purpose of buying receivables and selling undivided interests in those receivables to third-party purchasers. Although consolidated with Cardinal Health, Inc. in accordance with GAAP, CHF is a separate legal entity from Cardinal Health, Inc. and from our subsidiary that sells receivables to CHF. CHF is designed to be a special purpose, bankruptcy-remote entity whose assets are available solely to satisfy the claims of its creditors. We intend to renew our committed receivables sales facility program in the first quarter of fiscal 2020.
At
June 30, 2019
, we had no amounts outstanding under the revolving credit facility; however, availability was reduced by outstanding letters of credit of
$24 million
at both
June 30, 2019
and
2018
. We also had no amounts outstanding under the committed receivables sales facility program; however, availability was reduced by outstanding standby letters of credit of
$30 million
and
$34 million
at
June 30, 2019
and
2018
, respectively. Under our commercial paper program we had a maximum amount outstanding of
$785 million
and an average daily amount outstanding of
$15 million
during fiscal
2019
. We had no amounts outstanding under the commercial paper program as of
June 30, 2019
.
We also maintain other short-term credit facilities and an unsecured line of credit that allowed for borrowings up to
$9 million
and
$8 million
at
June 30, 2019
and
2018
, respectively. The
$10 million
and
$11 million
balance of other obligations at
June 30, 2019
and
2018
, respectively, consisted of short-term borrowings and capital leases.
In fiscal 2018 we sold our China distribution business, including its debt which was
$378 million
as of June 30, 2017. See
Note 2
for further discussion of this divestiture.
7. Income Taxes
Earnings/(loss) before Income Taxes and Provision for Income Taxes
|
61
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
The following table summarizes the components of provision for/(benefit from) income taxes:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Current:
|
|
|
|
|
|
||||||
|
Federal
|
$
|
295
|
|
|
$
|
341
|
|
|
$
|
273
|
|
|
State and local
|
89
|
|
|
41
|
|
|
10
|
|
|||
|
Non-U.S.
|
85
|
|
|
143
|
|
|
56
|
|
|||
|
Total current
|
$
|
469
|
|
|
$
|
525
|
|
|
$
|
339
|
|
|
|
|
|
|
|
|
||||||
|
Deferred:
|
|
|
|
|
|
||||||
|
Federal
|
$
|
(28
|
)
|
|
$
|
(1,003
|
)
|
|
$
|
258
|
|
|
State and local
|
(37
|
)
|
|
16
|
|
|
37
|
|
|||
|
Non-U.S.
|
(18
|
)
|
|
(25
|
)
|
|
(4
|
)
|
|||
|
Total deferred
|
(83
|
)
|
|
(1,012
|
)
|
|
291
|
|
|||
|
Provision for/(benefit from) income taxes
|
$
|
386
|
|
|
$
|
(487
|
)
|
|
$
|
630
|
|
Effective Tax Rate
The following table presents a reconciliation of the provision based on the federal statutory income tax rate to our effective income tax rate:
|
|
2019 (1)
|
|
2018 (2)
|
|
2017 (1)
|
|||
|
Provision at Federal statutory rate
|
21.0
|
%
|
|
28.1
|
%
|
|
35.0
|
%
|
|
State and local income taxes, net of federal benefit
|
0.9
|
|
|
(16.0
|
)
|
|
1.0
|
|
|
Tax effect of foreign operations
|
(0.7
|
)
|
|
(48.4
|
)
|
|
(7.3
|
)
|
|
Nondeductible/nontaxable items
|
2.5
|
|
|
(10.2
|
)
|
|
0.2
|
|
|
Goodwill impairment
|
—
|
|
|
(124.7
|
)
|
|
—
|
|
|
Tax Act
|
(0.8
|
)
|
|
410.9
|
|
|
—
|
|
|
Change in valuation allowances
|
4.5
|
|
|
(76.9
|
)
|
|
7.7
|
|
|
Foreign tax credits
|
(1.0
|
)
|
|
27.3
|
|
|
(1.6
|
)
|
|
China tax related to divestiture
|
—
|
|
|
(25.8
|
)
|
|
—
|
|
|
Legal entity reorganization
|
(3.6
|
)
|
|
71.4
|
|
|
—
|
|
|
Other
|
(0.7
|
)
|
|
(21.9
|
)
|
|
(2.3
|
)
|
|
Effective income tax rate
|
22.1
|
%
|
|
213.8
|
%
|
|
32.7
|
%
|
|
(1)
|
The effective income tax rate for fiscal 2019 and 2017 represents an income tax expense tax rate.
|
|
(2)
|
The effective income tax rate for fiscal 2018 represents an income tax benefit tax rate.
|
The income tax expense rate in fiscal 2019 was
22.1%
compared to an income tax benefit rate of
213.8%
in fiscal 2018 and an income tax expense rate of
32.7%
in fiscal 2017. Fluctuations in the effective tax rates are primarily due to fiscal 2018 net benefits from the enactment of the Tax Act, the impact of nondeductible goodwill impairment charge, and a benefit from a capital loss due to international legal entity reorganization. There were also changes in valuation allowances related to capital losses, credit carryforwards and net operating loss carryforwards in U.S. federal, U.S. state and international jurisdictions.
Our effective tax rate has benefits from negotiated lower than statutory tax rates in select foreign jurisdictions which individually are not material to our effective tax rate but in aggregate have a favorable tax impact of approximately
$40 million
.
On December 22, 2017, the United States enacted the Tax Act. The Tax Act made broad and comp
lex changes to the U.S. tax code that affected fiscal 2018 and will incrementally affect our fiscal year 2019 financial results in several ways. First, the U.S. statutory tax rate in fiscal 2019 is reduced to
21.0%
. Second, the Tax Act established new tax provisions that affected us beginning July 1, 2018 including, (1) eliminating the U.S. manufacturing deduction; (2) establishing new limitations on deductible interest expense and certain executive compensation; (3) eliminating the corporate alternative minimum tax; (4) creating the base erosion anti-abuse tax; (5) creating a new provision designed to tax global intangible low-tax income (“GILTI”) and allow for a deduction related to foreign derived intangible income ("FDII"); (6) generally eliminating U.S. federal income taxes on dividends from foreign subsidiaries; and (7) changing rules related to uses and limitations of net operating loss carryforwards created in tax years beginning after December 31, 2017.
Regarding the new GILTI tax rules, we elected to treat taxes due on future GILTI inclusions in U.S. taxable income as a current period expense when incurred.
In accordance with SAB 118, we finalized our provisional estimates related to transitional tax benefits (i.e., remeasurement of deferred tax assets and liabilities and the repatriation tax on undistributed foreign earnings) which did not have a significant impact on tax expense during fiscal 2019. Future adjustments to the financial statements may be necessary as final tax regulations, including issued and pending regulatory changes are issued. We will assess any impact as additional guidance is issued.
During the fiscal year ended June 30, 2019, the Company completed the final calculation of the U.S. repatriation tax after the issuance of final regulations by the U.S Treasury Department under section 965. After completion of the calculation and an overall review of the cash positions post-tax reform and business needs globally, the Company is changing its assertion on
$309 million
previously considered indefinitely reinvested as of June 30, 2018, which did not have a material impact on our provision for income taxes.
As of June 30, 3019, foreign earnings of approximately
$780 million
are considered indefinitely reinvested for working capital and other offshore investment needs. The computation of tax required if those earnings are repatriated is not practicable.
Deferred Income Taxes
Deferred income taxes arise from temporary differences between financial reporting and tax reporting bases of assets and liabilities and operating loss and tax credit carryforwards for tax purposes.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
62
|
|
Notes to Financial Statements
|
|
|
The following table presents the components of the deferred income tax assets and liabilities at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Deferred income tax assets:
|
|
|
|
||||
|
Receivable basis difference
|
$
|
35
|
|
|
$
|
41
|
|
|
Accrued liabilities
|
133
|
|
|
110
|
|
||
|
Share-based compensation
|
39
|
|
|
40
|
|
||
|
Loss and tax credit carryforwards
|
621
|
|
|
526
|
|
||
|
Deferred tax assets related to uncertain tax positions
|
30
|
|
|
30
|
|
||
|
Other
|
6
|
|
|
101
|
|
||
|
Total deferred income tax assets
|
864
|
|
|
848
|
|
||
|
Valuation allowance for deferred income tax assets
|
(542
|
)
|
|
(412
|
)
|
||
|
Net deferred income tax assets
|
$
|
322
|
|
|
$
|
436
|
|
|
|
|
|
|
||||
|
Deferred income tax liabilities:
|
|
|
|
||||
|
Inventory basis differences
|
$
|
(1,056
|
)
|
|
$
|
(1,103
|
)
|
|
Property-related
|
(171
|
)
|
|
(176
|
)
|
||
|
Goodwill and other intangibles
|
(808
|
)
|
|
(934
|
)
|
||
|
Total deferred income tax liabilities
|
$
|
(2,035
|
)
|
|
$
|
(2,213
|
)
|
|
Net deferred income tax liability
|
$
|
(1,713
|
)
|
|
$
|
(1,777
|
)
|
Deferred income tax assets and liabilities in the preceding table, after netting by taxing jurisdiction, are in the following captions in the consolidated balance sheets at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Noncurrent deferred income tax asset (1)
|
$
|
36
|
|
|
$
|
37
|
|
|
Noncurrent deferred income tax liability (2)
|
(1,749
|
)
|
|
(1,814
|
)
|
||
|
Net deferred income tax liability
|
$
|
(1,713
|
)
|
|
$
|
(1,777
|
)
|
|
(1)
|
Included in other assets in the consolidated balance sheets.
|
|
(2)
|
Included in deferred income taxes and other liabilities in the consolidated balance sheets.
|
At
June 30, 2019
we had gross federal, state and international loss and credit carryforwards of
$463 million
,
$2.7 billion
and
$1.9 billion
, respectively, the tax effect of which is an aggregate deferred tax asset of
$621 million
. Substantially all of these carryforwards are available for at least three years. Approximately
$524 million
of the valuation allowance at
June 30, 2019
applies to certain federal, state and international loss carryforwards that, in our opinion, are more likely than not to expire unutilized. However, to the extent that tax benefits related
to these carryforwards are realized in the future, the reduction in the valuation allowance would reduce income tax expense.
Unrecognized Tax Benefits
We had
$456 million
,
$423 million
and
$417 million
of unrecognized tax benefits at
June 30, 2019
,
2018
and
2017
, respectively. The
June 30, 2019
,
2018
and
2017
balances include
$303 million
,
$262 million
and
$268 million
, respectively, of unrecognized tax benefits that, if recognized, would have an impact on the effective tax rate. The remaining unrecognized tax benefits relate to tax positions for which ultimate deductibility is highly certain but for which there is uncertainty as to the timing of such deductibility. Recognition of these
tax benefits would not affect our effective tax rate. We include the full amount of unrecognized tax benefits in deferred income taxes and other liabilities in the consolidated balance sheets. The following table presents a reconciliation of the beginning and ending amounts of unrecognized tax benefits:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Balance at beginning of fiscal year
|
$
|
423
|
|
|
$
|
417
|
|
|
$
|
527
|
|
|
Additions for tax positions of the current year
|
24
|
|
|
15
|
|
|
29
|
|
|||
|
Additions for tax positions of prior years (1)
|
39
|
|
|
141
|
|
|
23
|
|
|||
|
Reductions for tax positions of prior years
|
(5
|
)
|
|
(40
|
)
|
|
(8
|
)
|
|||
|
Settlements with tax authorities (1)
|
(25
|
)
|
|
(99
|
)
|
|
(154
|
)
|
|||
|
Expiration of the statute of limitations (1)
|
—
|
|
|
(11
|
)
|
|
—
|
|
|||
|
Balance at end of fiscal year
|
$
|
456
|
|
|
$
|
423
|
|
|
$
|
417
|
|
|
(1)
|
Included in fiscal 2018 additions for tax positions of prior years is
$110 million
related to exposures acquired as part of the Patient Recovery Business for which we are fully indemnified. Also for fiscal 2018 are settlements of
$81 million
related to the Patient Recovery Business as well as
$11 million
of statute expirations.
|
It is reasonably possible that there could be a change in the amount of unrecognized tax benefits within the next 12 months due to activities of the U.S. Internal Revenue Service ("IRS") or other taxing authorities, possible settlement of audit issues, reassessment of existing unrecognized tax benefits or the expiration of statutes of limitations.
We estimate that the range of the possible change in unrecognized tax benefits within the next 12 months is a net decrease of
$0 million
to
$15 million
, exclusive of penalties and interest.
We recognize accrued interest and penalties related to unrecognized tax benefits in the provision for income taxes. At
June 30, 2019
,
2018
and
2017
, we had
$122 million
,
$110 million
and
$99 million
, respectively, accrued for the payment of interest and penalties. These balances are gross amounts before any tax benefits and are included in deferred income taxes and other liabilities in the consolidated balance sheets. During fiscal
2019
, 2018, and 2017 we recognized
$8 million
,
$8 million
, and
$12 million
of expense for interest and penalties in income tax expense, respectively.
Other Tax Matters
We file income tax returns in the U.S. federal jurisdiction, various U.S. state and local jurisdictions, and various foreign jurisdictions. With few exceptions, we are subject to audit by taxing authorities for fiscal years 2008 through the current fiscal year.
We are a party to a tax matters agreement with CareFusion Corporation ("CareFusion"), which has been acquired by Becton, Dickinson and Company. Under the tax matters agreement, CareFusion is obligated to indemnify us for certain tax exposures and transaction taxes prior to our fiscal 2010 spin-off of CareFusion. The indemnification receivable was
$165 million
and
$151 million
at
June 30, 2019
and
2018
, respectively, and is included in other assets in the consolidated balance sheets.
As a result of the acquisition of the Patient Recovery Business, Medtronic plc is obligated to indemnify us for certain tax exposures and transaction taxes related to periods prior to the acquisition under the purchase agreement. The indemnification receivable was
$22
|
63
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
million
and
$21 million
at June 30, 2019 and 2018, respectively, and is included in other assets in the consolidated balance sheets.
8. Commitments, Contingent Liabilities and Litigation
Commitments
Operating Leases
The future minimum rental payments for operating leases having initial or remaining non-cancelable lease terms in excess of one year at
June 30, 2019
for fiscal
2020
through
2024
and thereafter are as follows:
$126 million
,
$100 million
,
$76 million
,
$54 million
,
$33 million
and
$94 million
. Rental expense relating to operating leases was
$153 million
,
$172 million
and
$159 million
in fiscal
2019
,
2018
and
2017
, respectively. Sublease rental income was immaterial for all periods presented.
Generic Sourcing Venture with CVS Health Corporation ("CVS Health")
Red Oak Sourcing, LLC ("Red Oak Sourcing") is a U.S.-based generic pharmaceutical sourcing venture with CVS Health for an initial term through June 2024. Red Oak Sourcing negotiates generic pharmaceutical supply contracts on behalf of its participants. Due to the achievement of predetermined milestones, we are required to make quarterly payments of $
45.6 million
to CVS Health for the initial term.
Contingencies
New York Opioid Stewardship Act
In April 2018, the State of New York passed a budget which included the Opioid Stewardship Act (the "OSA"). The OSA created an aggregate $100 million annual assessment on all manufacturers and distributors licensed to sell or distribute opioids in New York. Under the OSA, each licensed manufacturer and distributor would be required to pay a portion of the assessment based on its ratable share, as determined by the state, of the total morphine milligram equivalents sold or distributed in New York during the applicable calendar year, beginning in 2017.
In October 2018, we received notices from the New York Department of Health of our estimated payment amount for calendar year 2017. In December 2018, the U.S. District Court for the Southern District of New York ruled that the OSA is unconstitutional and enjoined its enforcement (the "Ruling"). In January 2019, the State filed notice of its intent to appeal the Ruling. In April 2019, the State, among other things, amended the OSA so that the assessment would only cover opioid sales in 2017 and 2018, subject to the State's pending appeal of the Ruling.
We accrue contingencies if it is probable that a liability has been incurred and the amount can be estimated. At June 30, 2019, we have no amounts accrued for the OSA because we do not believe it is probable that a liability has been incurred.
Legal Proceedings
We become involved from time to time in disputes, litigation and regulatory matters.
We may be named from time to time in
qui tam
actions initiated by private third parties. In such actions, the private parties purport to act
on behalf of federal or state governments, allege that false claims have been submitted for payment by the government and may receive an award if their claims are successful. After a private party has filed a
qui tam
action, the government must investigate the private party's claim and determine whether to intervene in and take control over the litigation. These actions may remain under seal while the government makes this determination. If the government declines to intervene, the private party may nonetheless continue to pursue the litigation on his or her own purporting to act on behalf of the government
.
From time to time, we become aware through employees, internal audits or other parties of possible compliance matters, such as complaints or concerns relating to accounting, internal accounting controls, financial reporting, auditing, or other ethical matters or relating to compliance with laws such as healthcare fraud and abuse, anti-corruption or anti-bribery laws. When we become aware of such possible compliance matters, we investigate internally and take appropriate corrective action. In addition, from time to time, we receive subpoenas or requests for information from various federal or state agencies relating to our business or to the business of a customer, supplier or other industry participants. Internal investigations, subpoenas or requests for information could lead to the assertion of claims or the commencement of legal proceedings against us or result in sanctions.
From time to time, we determine that products we manufacture or market do not meet our specifications, regulatory requirements, or published standards. When we or a regulatory agency identify a potential quality or regulatory issue, we investigate and take appropriate corrective action. Such actions can lead to product recalls, costs to repair or replace affected products, temporary interruptions in product sales, action by regulators and product liability claims and lawsuits, including class actions. Even absent an identified regulatory or quality issue or product recall, we can become subject to product liability claims and lawsuits.
We accrue for contingencies related to disputes, litigation and regulatory matters if it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. Because these matters are inherently unpredictable and unfavorable developments or resolutions can occur, assessing contingencies is highly subjective and requires judgments about future events. We regularly review contingencies to determine whether our accruals and related disclosures are adequate. The amount of ultimate loss may differ from these estimates.
We recognize income from the favorable outcome of litigation when we receive the associated cash or assets.
We recognize estimated loss contingencies for certain litigation and regulatory matters and income from favorable resolution of litigation in litigation (recoveries)/charges in our consolidated statements of earnings.
Opioid Lawsuits
Pharmaceutical wholesale distributors, including us, have been named as defendants in approximately
2,500
lawsuits relating to the distribution of prescription opioid pain medications. These lawsuits have been filed in various federal, state, and other courts by a variety
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
64
|
|
Notes to Financial Statements
|
|
|
of plaintiffs, primarily counties, municipalities and political subdivisions. Plaintiffs also include unions and other health and welfare funds, hospital systems and other healthcare providers, as well as individuals. Of these lawsuits,
95
are purported class actions. The lawsuits seek equitable relief and monetary damages based on a variety of legal theories including various common law claims, such as negligence, public nuisance and unjust enrichment as well as violations of controlled substance laws, the Racketeer Influenced and Corrupt Organizations Act and various other statutes. These lawsuits also name pharmaceutical manufacturers, retail pharmacy chains and other entities as defendants.
The vast majority of these lawsuits were filed in U.S. federal court and have been transferred for consolidated pre-trial proceedings in a Multi-District Litigation proceeding in the U.S. District Court for the Northern District of Ohio. The court, among other things, has ordered that a bellwether trial involving two county plaintiffs begin in October 2019. Motions for summary judgment have been filed by plaintiffs and defendants.
In addition,
18
state attorneys general have filed lawsuits against distributors, including us, in various state courts. Several of these lawsuits, including lawsuits filed by the New York, Ohio and Washington Attorneys General, as well as other cases pending in state court, are currently scheduled to go to trial in the second half of fiscal year 2020 or early fiscal 2021.
In addition to the
18
state attorneys general that have filed suit,
43
state attorneys general have formed a multi-state task force to investigate the manufacturing, distribution, dispensing and prescribing practices of opioid medications. We have received requests related to the multi-state investigation, as well as separate civil investigative demands, subpoenas or requests for information from these and other state attorneys general offices. We are cooperating with the offices conducting these investigations.
In connection with these proceedings, distributors continue to discuss possible resolution with various parties, including state attorneys general and representatives of the MDL plaintiffs.
We are vigorously defending ourselves in all of these opioid-related matters. Given the uncertainty surrounding these lawsuits and investigations, we are unable to predict their outcome or estimate a range of reasonably possible losses, but the defense and resolution of these lawsuits could have a material adverse effect on our results of operations, financial condition, cash flows and liquidity or have adverse reputational or operational effects on our business.
Product Liability Lawsuits
As of August 13, 2019, we are named as a defendant in
261
product liability lawsuits coordinated in Alameda County Superior Court in California involving claims by approximately
3,160
plaintiffs that allege personal injuries associated with the use of Cordis OptEase and TrapEase inferior vena cava (IVC) filter products. Another
22
lawsuits involving similar claims by approximately
26
plaintiffs are pending in other jurisdictions. These lawsuits seek a variety of remedies, including unspecified monetary damages. We are vigorously defending ourselves in these lawsuits.
At June 30, 2019, we had a total of
$368 million
, net of estimated insurance recoveries, accrued for losses and legal defense costs related to the Cordis IVC filter lawsuits which are presented on a gross basis in the consolidated balance sheets. We believe there is a range of estimated losses with respect to these matters. Because no amount within the range is a better estimate than any other amount within the range, we have accrued the minimum amount in the range. We estimate the high end of the range to be approximately
$762 million
, net of estimated insurance recoveries.
Shareholder Securities Litigation
In August 2019, the Louisiana Sheriffs' Pension & Relief Fund filed a purported class action complaint against Cardinal Health and certain current and former officers and employees in the United States District Court for the Southern District of Ohio purportedly on behalf of all purchasers of our common shares between March 2015 and May 2018. The complaint alleges that the defendants violated Sections 10(b) and 20(a) of the Securities and Exchange Act of 1934 by making misrepresentations and omissions related to the integration of the Cordis business and inventory and supply chain problems within the Cordis business, and seeks to recover unspecified damages and equitable relief for the alleged misstatements and omissions. We believe that the claims asserted in this complaint are without merit and intend to vigorously defend against them. Due to the early stage of this proceeding, it is not possible to reasonably estimate the amount of any possible loss or range of loss in this matter.
Antitrust Litigation Proceeds
We received and recognized income resulting from settlements of lawsuits in which we were a class member or plaintiff of
$94 million
and
$22 million
during fiscal 2019 and 2018, respectively.
9. Guarantees
In the ordinary course of business, we agree to indemnify certain other parties under acquisition and disposition agreements, customer agreements, intellectual property licensing agreements, and other agreements. Such indemnification obligations vary in scope and, when defined, in duration. In many cases, a maximum obligation is not explicitly stated, and therefore the overall maximum amount of the liability under such indemnification obligations cannot be reasonably estimated. Where appropriate, such indemnification obligations are recorded as a liability. Historically, we have not, individually or in the aggregate, made payments under these indemnification obligations in any material amounts. In certain circumstances, we believe that existing insurance arrangements, subject to the general deduction and exclusion provisions, would cover portions of the liability that may arise from these indemnification obligations. In addition, we believe that the likelihood of a material liability being triggered under these indemnification obligations is not probable.
From time to time we enter into agreements that obligate us to make fixed payments upon the occurrence of certain events. Such obligations primarily relate to obligations arising under acquisition transactions, where we have agreed to make payments based upon the achievement of certain financial performance measures by the
|
65
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
acquired business. Generally, the obligation is capped at an explicit amount. There were
no
material obligations at June 30, 2019.
10. Fair Value Measurements
The following tables present the fair values for assets and (liabilities) measured on a recurring basis at June 30:
|
|
2019
|
||||||||||||||
|
(in millions)
|
Level 1
|
|
Level 2
|
|
Level 3
|
|
Total
|
||||||||
|
Assets:
|
|
|
|
|
|
|
|
||||||||
|
Other investments (1)
|
$
|
118
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
118
|
|
|
Forward contracts (2)
|
—
|
|
|
53
|
|
|
—
|
|
|
53
|
|
||||
|
|
2018
|
||||||||||||||
|
(in millions)
|
Level 1
|
|
Level 2
|
|
Level 3
|
|
Total
|
||||||||
|
Assets:
|
|
|
|
|
|
|
|
||||||||
|
Cash equivalents
|
$
|
200
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
200
|
|
|
Other investments (1)
|
117
|
|
|
—
|
|
|
—
|
|
|
117
|
|
||||
|
Liabilities:
|
|
|
|
|
|
|
|
||||||||
|
Forward contracts (2)
|
—
|
|
|
(76
|
)
|
|
—
|
|
|
(76
|
)
|
||||
|
(1)
|
The other investments balance includes investments in mutual funds, which are used to offset fluctuations in deferred compensation liabilities. These mutual funds invest in the equity securities of companies with both large and small market capitalization and high-quality fixed income debt securities. The fair value of these investments is determined using quoted market prices.
|
|
(2)
|
The fair value of interest rate swaps, foreign currency contracts, net investment hedges and commodity contracts is determined based on the present value of expected future cash flows considering the risks involved, including non-performance risk, and using discount rates appropriate for the respective maturities. Observable Level 2 inputs are used to determine the present value of expected future cash flows. The fair value of these derivative contracts, which are subject to master netting arrangements under certain circumstances, is presented on a gross basis in the consolidated balance sheets.
|
11. Financial Instruments
We utilize derivative financial instruments to manage exposure to certain risks related to our ongoing operations. The primary risks managed through the use of derivative instruments include interest rate risk, currency exchange risk, and commodity price risk. We do not use derivative instruments for trading or speculative purposes. While the majority of our derivative instruments are designated as hedging instruments, we also enter into derivative instruments that are designed to hedge a risk, but are not designated as hedging instruments. These derivative instruments are adjusted to current fair value through earnings at the end of each period.
We are exposed to counterparty credit risk on all of our derivative instruments. Accordingly, we have established and maintain strict counterparty credit guidelines and only enter into derivative instruments with major financial institutions that are investment grade or better. We do not have significant exposure to any one counterparty and we believe the risk of loss is remote. Additionally, we do not require collateral under these agreements.
Interest Rate Risk Management
We are exposed to the impact of interest rate changes. Our objective is to manage the impact of interest rate changes on cash flows and the market value of our borrowings. We utilize a mix of debt maturities
along with both fixed-rate and variable-rate debt to manage changes in interest rates. In addition, we enter into interest rate swaps to further manage our exposure to interest rate variations related to our borrowings and to lower our overall borrowing costs.
Currency Exchange Risk Management
We conduct business in several major international currencies and are subject to risks associated with changing foreign exchange rates. Our objective is to reduce earnings and cash flow volatility associated with foreign exchange rate changes to allow management to focus its attention on business operations. Accordingly, we enter into various contracts that change in value as foreign exchange rates change to protect the value of existing foreign currency assets and liabilities, commitments and anticipated foreign currency revenue and expenses.
Commodity Price Risk Management
We are exposed to changes in the price of certain commodities. Our objective is to reduce earnings and cash flow volatility associated with forecasted purchases of these commodities to allow management to focus its attention on business operations. Accordingly, we enter into derivative contracts when possible to manage the price risk associated with certain forecasted purchases.
The following table summarizes the fair value of our assets and liabilities related to derivatives designated as hedging instruments and the respective line items in which they were recorded in the consolidated balance sheets at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Assets:
|
|
|
|
||||
|
Pay-floating interest rate swaps (1)
|
$
|
46
|
|
|
$
|
—
|
|
|
Cross-currency swap (1)
|
12
|
|
|
—
|
|
||
|
Foreign currency contracts (2)
|
6
|
|
|
3
|
|
||
|
Commodity contracts (2)
|
—
|
|
|
2
|
|
||
|
Total assets
|
$
|
64
|
|
|
$
|
5
|
|
|
|
|
|
|
||||
|
Liabilities:
|
|
|
|
||||
|
Pay-floating interest rate swaps (3)
|
$
|
6
|
|
|
$
|
78
|
|
|
Foreign currency contracts (4)
|
2
|
|
|
3
|
|
||
|
Commodity contracts (4)
|
3
|
|
|
—
|
|
||
|
Total liabilities
|
$
|
11
|
|
|
$
|
81
|
|
|
(1)
|
Included in other assets in the consolidated balance sheets.
|
|
(2)
|
Included in prepaid expenses and other in the consolidated balance sheets.
|
|
(3)
|
Included in deferred income taxes and other liabilities in the consolidated balance sheets.
|
|
(4)
|
Included in other accrued liabilities in the consolidated balance sheets.
|
Fair Value Hedges
We enter into pay-floating interest rate swaps to hedge the changes in the fair value of fixed-rate debt resulting from fluctuations in interest rates. These contracts are designated and qualify as fair value hedges. Accordingly, the gain or loss recorded on the pay-floating interest rate swaps is directly offset by the change in fair value of the underlying debt. Both the derivative instrument and the underlying debt are adjusted to market value at the end of each period with any resulting gain or loss recorded in interest expense, net in the consolidated statements of earnings.
During fiscal
2019
and
2018
,
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
66
|
|
Notes to Financial Statements
|
|
|
there was
no
gain or loss recorded to interest expense as changes in the market value of our derivative instruments offset changes in the market value of the underlying debt.
During fiscal
2018
we entered into pay-floating interest rate swaps with total notional amounts of
$1.1 billion
. These swaps have been designated as fair value hedges of our fixed rate debt and are included in deferred income taxes and other liabilities in the consolidated balance sheets.
During fiscal
2019
, we terminated notional amounts of
$163 million
of pay-floating interest rate swaps in connection with the debt redemption in fourth quarter fiscal
2019
described in
Note 6
. These swaps were previously designated as fair value hedges.
During fiscal
2018
,
$550 million
of pay-floating interest rate swaps matured.
The following tables summarize the outstanding interest rate swaps designated as fair value hedges at June 30:
|
|
2019
|
||||||
|
(in millions)
|
Notional Amount
|
|
Maturity Date
|
||||
|
Pay-floating interest rate swaps
|
$
|
2,150
|
|
|
Nov 2019
|
-
|
Sep 2025
|
|
|
2018
|
||||||
|
(in millions)
|
Notional Amount
|
|
Maturity Date
|
||||
|
Pay-floating interest rate swaps
|
$
|
2,313
|
|
|
Nov 2019
|
-
|
Sep 2025
|
The following table summarizes the gain/(loss) recognized in earnings for interest rate swaps designated as fair value hedges:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Pay-floating interest rate swaps (1)
|
$
|
9
|
|
|
$
|
11
|
|
|
$
|
17
|
|
|
Fixed-rate debt (1)
|
(9
|
)
|
|
(11
|
)
|
|
(17
|
)
|
|||
(1) Included in interest expense, net in the consolidated statements of earnings.
There was
no
ineffectiveness associated with these derivative instruments for any periods presented.
Cash Flow Hedges
We enter into derivative instruments to hedge our exposure to changes in cash flows attributable to interest rate, foreign currency and commodity price fluctuations associated with certain forecasted transactions.
These derivative instruments are designated and qualify as cash flow hedges. Accordingly, the gain or loss on the derivative instrument is reported as a component of other comprehensive income and reclassified into earnings in the same line item associated with the forecasted transaction and in the same period during which the hedged transaction affects earnings.
All gains and losses currently included within accumulated other comprehensive loss associated with our foreign exchange forward contracts that are expected to be reclassified into net earnings within the next 12 months are immaterial.
We enter into foreign currency contracts to protect the value of anticipated foreign currency revenues and expenses. At
June 30,
2019
and
2018
, we held contracts to hedge probable, but not firmly committed, revenue and expenses. The principal currencies hedged are the Canadian dollar, Mexican peso, euro, Thai baht, Chinese renminbi, Japanese yen, Australian dollar, and British pound.
We enter into commodity contracts to manage the price risk associated with forecasted purchases of certain commodities used in our Medical segment.
The following tables summarize the outstanding cash flow hedges at June 30:
|
|
2019
|
||||||
|
(in millions)
|
Notional Amount
|
|
Maturity Date
|
||||
|
Foreign currency contracts
|
$
|
381
|
|
|
Jul 2019
|
-
|
Jun 2020
|
|
Commodity contracts
|
20
|
|
|
Jul 2019
|
-
|
Jun 2020
|
|
|
|
2018
|
||||||
|
(in millions)
|
Notional Amount
|
|
Maturity Date
|
||||
|
Foreign currency contracts
|
$
|
124
|
|
|
Jul 2018
|
-
|
Jun 2019
|
|
Commodity contracts
|
12
|
|
|
Jul 2018
|
-
|
Oct 2020
|
|
The following table summarizes the gain/(loss) included in AOCI for derivative instruments designated as cash flow hedges at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Commodity contracts
|
$
|
(3
|
)
|
|
$
|
2
|
|
|
Foreign currency contracts
|
4
|
|
|
(2
|
)
|
||
The following table summarizes the gain/(loss) reclassified from AOCI into earnings for derivative instruments designated as cash flow hedges:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Foreign currency contracts (1)
|
$
|
2
|
|
|
$
|
1
|
|
|
$
|
(1
|
)
|
|
Foreign currency contracts (2)
|
—
|
|
|
—
|
|
|
(1
|
)
|
|||
|
Foreign currency contracts (3)
|
1
|
|
|
(2
|
)
|
|
2
|
|
|||
|
Commodity contracts (3)
|
—
|
|
|
—
|
|
|
(3
|
)
|
|||
|
(1)
|
Included in revenue in the consolidated statements of earnings.
|
|
(2)
|
Included in cost of products sold in the consolidated statements of earnings.
|
|
(3)
|
Included in SG&A expenses in the consolidated statements of earnings.
|
The amount of ineffectiveness associated with these derivative instruments was immaterial for all periods presented.
Net Investment Hedges
We hedge the foreign currency risk associated with certain net investment positions in European subsidiaries. To accomplish this, we enter into cross-currency swaps that are designated as hedges of net investments.
In
September 2018
, we entered into a
€200 million
cross-currency swap maturing in
2023
.
Cross-currency swaps designated as net investment hedges are marked-to-market using the current spot exchange rate as of the end of the period, with gains and losses included in the foreign currency translation component of accumulated other comprehensive loss until the sale or substantial liquidation of the underlying net investments. To the extent the cross-currency swaps designated as
|
67
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
net investment hedges are not highly effective, changes in carrying value attributable to the change in spot rates are recorded in earnings. There was no ineffectiveness in our net investment hedges during fiscal
2019
.
Economic (Non-Designated) Hedges
We enter into foreign currency contracts to manage our foreign exchange exposure related to sales transactions, intercompany financing transactions and other balance sheet items subject to revaluation that do not meet the requirements for hedge accounting treatment. Accordingly, these derivative instruments are adjusted to current market value at the end of each period through earnings. The gain or loss recorded on these instruments is substantially offset by the remeasurement adjustment on the foreign currency denominated asset or liability. The settlement of the derivative instrument and the remeasurement adjustment on the foreign currency denominated asset or liability are both recorded in other (income)/expense, net. The principal currency managed through foreign currency contracts is the euro.
The following tables summarize the outstanding economic (non-designated) derivative instruments at June 30:
|
|
2019
|
||||||
|
(in millions)
|
Notional Amount
|
|
Maturity Date
|
||||
|
Foreign currency contracts
|
$
|
488
|
|
|
Jul 2019
|
-
|
Jun 2020
|
|
|
2018
|
||||||
|
(in millions)
|
Notional Amount
|
|
Maturity Date
|
||||
|
Foreign currency contracts
|
$
|
550
|
|
|
Jul 2018
|
||
The following table summarizes the gain/(loss) recognized in earnings for economic (non-designated) derivative instruments:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Foreign currency contracts (1)
|
$
|
(13
|
)
|
|
$
|
(5
|
)
|
|
$
|
(5
|
)
|
|
(1)
|
Included in other income, net in the consolidated statements of earnings.
|
Fair Value of Financial Instruments
The carrying amounts of cash and equivalents, trade receivables, net, accounts payable, and other accrued liabilities at
June 30, 2019
and
2018
approximate fair value due to their short-term maturities.
The following table summarizes the estimated fair value of our long-term obligations and other short-term borrowings compared to the respective carrying amounts at June 30:
|
(in millions)
|
2019
|
|
2018
|
||||
|
Estimated fair value
|
$
|
8,065
|
|
|
$
|
8,852
|
|
|
Carrying amount
|
8,031
|
|
|
9,013
|
|
||
The fair value of our long-term obligations and other short-term borrowings is estimated based on either the quoted market prices for the same or similar issues or other inputs derived from available market information, which represents a Level 2 measurement.
The following table is a summary of the fair value gain/(loss) of our derivative instruments based upon the estimated amount that we would receive (or pay), considering counter-party credit risk, to terminate the contracts at June 30:
|
|
2019
|
|
2018
|
||||||||||||
|
(in millions)
|
Notional
Amount |
|
Fair Value
Gain/(Loss) |
|
Notional
Amount |
|
Fair Value
Gain/(Loss) |
||||||||
|
Pay-floating interest rate swaps
|
$
|
2,150
|
|
|
$
|
40
|
|
|
$
|
2,313
|
|
|
$
|
(78
|
)
|
|
Foreign currency contracts
|
869
|
|
|
4
|
|
|
674
|
|
|
—
|
|
||||
|
Commodity contracts
|
20
|
|
|
(3
|
)
|
|
12
|
|
|
—
|
|
||||
12. Redeemable Noncontrolling Interests
In connection with the acquisition of a
71 percent
ownership interest in naviHealth during
fiscal
2016
, we recognized redeemable noncontrolling interests with a fair value of
$119 million
at the acquisition date.
In
August 2017
, certain third-party noncontrolling interest holders exercised their put right on the noncontrolling interest representing
16 percent
of naviHealth with a redemption value of $
103 million
and a carrying value of $
109 million
. We settled the put in
September 2017
and our ownership in naviHealth increased to
98 percent
, up from
82 percent
at
June 30, 2017
and
2016
.
In
June 2018
, we entered into a Securities Purchase Agreement and related Contribution and Rollover Agreement to sell our
98 percent
ownership interest in naviHealth, which closed on
August 1, 2018
. See
Note 2
for more information.
The reconciliation of the changes in redeemable noncontrolling interests are as follows:
|
(in millions)
|
Redeemable Noncontrolling Interests
|
||
|
Balance at June 30, 2016
|
$
|
117
|
|
|
Net earnings attributable to redeemable noncontrolling interests
|
4
|
|
|
|
Net purchase of redeemable noncontrolling interests
|
(3
|
)
|
|
|
Balance at June 30, 2017
|
118
|
|
|
|
Net earnings attributable to redeemable noncontrolling interest
|
2
|
|
|
|
Net purchase of redeemable noncontrolling interests
|
(103
|
)
|
|
|
Adjustment of redeemable noncontrolling interests to redemption value
|
(5
|
)
|
|
|
Balance at June 30, 2018
|
12
|
|
|
|
Derecognition of redeemable noncontrolling interests
|
(12
|
)
|
|
|
Balance at June 30, 2019
|
$
|
—
|
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
68
|
|
Notes to Financial Statements
|
|
|
13. Shareholders' Equity
At
June 30, 2019
and
2018
, authorized capital shares consisted of the following:
750 million
Class A common shares, without par value;
5 million
Class B common shares, without par value; and
500 thousand
non-voting preferred shares, without par value. The Class A common shares and Class B common shares are collectively referred to below as “common shares”. Holders of common shares are entitled to share equally in any dividends declared by the Board of Directors and to participate equally in all distributions of assets upon liquidation. Generally, the holders of Class A common shares are entitled to
one vote
per share, and the holders of Class B common shares are entitled to
one-fifth of one vote
per share on proposals presented to shareholders for vote. Under certain circumstances, the holders of Class B common shares are entitled to vote as a separate class. Only Class A common shares were outstanding at
June 30, 2019
and
2018
.
We repurchased
$1.8 billion
of our common shares, in the aggregate, through share repurchase programs during fiscal
2019
,
2018
and
2017
, as described below. We funded the repurchases with available cash and short term borrowings. The common shares repurchased are held in treasury to be used for general corporate purposes.
During fiscal
2019
, we repurchased
11.5 million
common shares having an aggregate cost of
$600 million
. The average price paid per common share was
$52.32
. These repurchases were made under an accelerated share repurchase ("ASR") program, which began on August 16, 2018 and was completed on October 25, 2018.
During fiscal
2018
, we repurchased
8.4 million
common shares having an aggregate cost of
$550 million
. The average price paid per common share was
$65.30
. These repurchases include
$300 million
purchased under an ASR program, which began on February 14, 2018 and was completed on March 21, 2018. We repurchased
4.3 million
shares under the ASR at an average price paid per share of
$69.26
.
During fiscal
2017
, we repurchased
8.1 million
common shares having an aggregate cost of
$600 million
. The average price paid per common share was
$74.08
.
During fiscal
2017
, we retired
37 million
common shares in treasury. The retirement of these shares had no impact on total shareholders' equity; however, it did impact certain individual components of shareholders' equity as follows:
$2.5 billion
decrease in common shares in treasury,
$302 million
decrease in common shares, and
$2.2 billion
decrease in retained earnings.
Accumulated Other Comprehensive Income/(Loss)
The following table summarizes the changes in the balance of accumulated other comprehensive income/(loss) by component and in total:
|
(in millions)
|
Foreign
Currency
Translation
Adjustments and other
|
|
Unrealized
Gain/(Loss) on
Derivatives,
net of tax
|
|
Accumulated Other
Comprehensive
Income/(Loss)
|
||||||
|
Balance at June 30, 2017
|
$
|
(148
|
)
|
|
$
|
23
|
|
|
$
|
(125
|
)
|
|
Other comprehensive income/(loss), net before reclassifications
|
58
|
|
|
—
|
|
|
58
|
|
|||
|
Amounts reclassified to earnings
|
(23
|
)
|
|
(2
|
)
|
|
(25
|
)
|
|||
|
Total other comprehensive loss attributable to Cardinal Health, Inc., net of tax of $1 million
|
35
|
|
|
(2
|
)
|
|
33
|
|
|||
|
Balance at June 30, 2018
|
(113
|
)
|
|
21
|
|
|
(92
|
)
|
|||
|
Other comprehensive income/(loss), before reclassifications
|
18
|
|
|
—
|
|
|
18
|
|
|||
|
Amounts reclassified to earnings
|
—
|
|
|
(5
|
)
|
|
(5
|
)
|
|||
|
Total comprehensive income/(loss) attributable to Cardinal Health, Inc., net of tax of $4 million
|
18
|
|
|
(5
|
)
|
|
13
|
|
|||
|
Balance at June 30, 2019
|
$
|
(95
|
)
|
|
$
|
16
|
|
|
$
|
(79
|
)
|
14. Earnings Per Share Attributable to Cardinal Health, Inc.
The following table reconciles the computation of basic and diluted earnings per share attributable to Cardinal Health, Inc.:
|
(in millions, except per share amounts)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Net earnings
|
$
|
1,365
|
|
|
$
|
259
|
|
|
$
|
1,294
|
|
|
Net earnings attributable to noncontrolling interest
|
(2
|
)
|
|
(3
|
)
|
|
(6
|
)
|
|||
|
Net earnings attributable to Cardinal Health, Inc.
|
$
|
1,363
|
|
|
$
|
256
|
|
|
$
|
1,288
|
|
|
Weighted-average common shares–basic
|
300
|
|
|
313
|
|
|
317
|
|
|||
|
Effect of dilutive securities:
|
|
|
|
|
|
||||||
|
Employee stock options, restricted share units, and performance share units
|
1
|
|
|
2
|
|
|
3
|
|
|||
|
Weighted-average common shares–diluted
|
301
|
|
|
315
|
|
|
320
|
|
|||
|
Basic earnings per common share attributable to Cardinal Health, Inc.:
|
$
|
4.55
|
|
|
$
|
0.82
|
|
|
$
|
4.06
|
|
|
Diluted earnings per common share attributable to Cardinal Health, Inc.:
|
4.53
|
|
|
0.81
|
|
|
4.03
|
|
|||
The potentially dilutive employee stock options, restricted share units and performance share units that were antidilutive for fiscal
2019
,
2018
and
2017
were
7 million
,
6 million
and
3 million
, respectively.
|
69
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
15. Segment Information
Our operations are principally managed on a products and services basis and are comprised of
two
operating segments, which are the same as our reportable segments: Pharmaceutical and Medical. The factors for determining the reportable segments include the manner in which management evaluates performance for purposes of allocating resources and assessing performance combined with the nature of the individual business activities.
Revenue
Our Pharmaceutical segment distributes branded and generic pharmaceutical, specialty pharmaceutical and over-the-counter healthcare and consumer products in the United States. This segment also provides services to pharmaceutical manufacturers and healthcare providers for specialty pharmaceutical products; operates nuclear pharmacies and radiopharmaceutical manufacturing facilities; provides pharmacy management services to hospitals as well as medication therapy management and patient outcomes services to hospitals, other healthcare providers and payers; and repackages generic pharmaceuticals and over-the-counter healthcare products.
Our Medical segment manufactures, sources and distributes Cardinal Health branded medical, surgical and laboratory products, which are sold in the United States, Canada, Europe, Asia and other markets.
We further expanded this segment's portfolio of manufactured products through the acquisition of the
Patient Recovery Business
from Medtronic in July 2017, which includes incontinence, wound care, enteral feeding, urology, operating room supply, electrode and needle, syringe and sharps disposal product lines.
In addition to distributing Cardinal Health branded products, this segment also distributes a broad range of medical, surgical and laboratory products known as national brand products and provides supply chain services and solutions to hospitals, ambulatory surgery centers, clinical laboratories and other healthcare providers in the United States and Canada.
The following table presents revenue for each reportable segment and Corporate:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Pharmaceutical
|
$
|
129,917
|
|
|
$
|
121,241
|
|
|
$
|
116,463
|
|
|
Medical
|
15,633
|
|
|
15,581
|
|
|
13,524
|
|
|||
|
Total segment revenue
|
145,550
|
|
|
136,822
|
|
|
129,987
|
|
|||
|
Corporate (1)
|
(16
|
)
|
|
(13
|
)
|
|
(11
|
)
|
|||
|
Total revenue
|
$
|
145,534
|
|
|
$
|
136,809
|
|
|
$
|
129,976
|
|
|
(1)
|
Corporate revenue consists of the elimination of inter-segment revenue and other revenue not allocated to the segments.
|
The following table presents disaggregated revenue within our two reportable segments:
|
|
2019
|
||
|
(in millions)
|
|
||
|
Pharmaceutical Distribution and Specialty Solutions (1)
|
$
|
129,067
|
|
|
Nuclear and Precision Health Solutions
|
850
|
|
|
|
Pharmaceutical segment revenue
|
129,917
|
|
|
|
Medical distribution and products (2)
|
13,833
|
|
|
|
Cardinal Health at-Home Solutions
|
1,800
|
|
|
|
Medical segment revenue
|
15,633
|
|
|
|
Total segment revenue
|
145,550
|
|
|
|
Corporate (3)
|
(16
|
)
|
|
|
Total revenue
|
$
|
145,534
|
|
|
(1)
|
Products and services offered by our Specialty Solutions division are referred to as “specialty pharmaceutical products and services"
|
|
(2)
|
Comprised of all Medical segment businesses except for Cardinal Health at-Home Solutions division
|
|
(3)
|
Corporate revenue consists of the elimination of inter-segment revenue and other revenue not allocated to the segments.
|
The following table presents revenue by geographic area:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
United States
|
$
|
141,479
|
|
|
$
|
132,539
|
|
|
$
|
125,017
|
|
|
International
|
4,071
|
|
|
4,283
|
|
|
4,970
|
|
|||
|
Total segment revenue
|
145,550
|
|
|
136,822
|
|
|
129,987
|
|
|||
|
Corporate (1)
|
(16
|
)
|
|
(13
|
)
|
|
(11
|
)
|
|||
|
Total revenue
|
$
|
145,534
|
|
|
$
|
136,809
|
|
|
$
|
129,976
|
|
|
(1)
|
Corporate revenue consists of the elimination of inter-segment revenue and other revenue not allocated to the segments.
|
Segment Profit
We evaluate segment performance based on segment profit, among other measures. Segment profit is segment revenue, less segment cost of products sold, less segment distribution, selling, general, and administrative ("SG&A") expenses. Segment SG&A expenses include share-based compensation expense as well as allocated corporate expenses for shared functions, including corporate management, corporate finance, financial and customer care shared services, human resources, information technology, legal and compliance, including certain litigation defense costs. Corporate expenses are allocated to the segments based on headcount, level of benefit provided and other ratable allocation methodologies. The results attributable to noncontrolling interests are recorded within segment profit.
We do not allocate the following items to our segments: last-in first-out, or ("LIFO"), inventory charges/(credits); restructuring and employee severance; amortization and other acquisition-related costs; impairments and (gain)/loss on disposal of assets; litigation (recoveries)/charges, net; other (income)/expense, net; interest expense, net; loss on extinguishment of debt; and provision for/(benefit from) income taxes.
In addition, certain investment spending, certain portions of enterprise-wide incentive compensation and other spending are not
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
70
|
|
Notes to Financial Statements
|
|
|
allocated to the segments. Investment spending generally includes the first-year spend for certain projects that require incremental investments in the form of additional operating expenses. Because approval for these projects is dependent on executive management, we retain these expenses at Corporate. Investment spending within Corporate was
$55 million
,
$43 million
and
$17 million
for fiscal
2019
,
2018
and
2017
, respectively.
In connection with the naviHealth divestiture discussed in
Note 2
, we recognized a pre-tax gain of
$508 million
during fiscal 2019 which was retained at Corporate.
The following tables present segment profit by reportable segment and Corporate:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Pharmaceutical
|
$
|
1,834
|
|
|
$
|
1,992
|
|
|
$
|
2,187
|
|
|
Medical
|
576
|
|
|
662
|
|
|
572
|
|
|||
|
Total segment profit
|
2,410
|
|
|
2,654
|
|
|
2,759
|
|
|||
|
Corporate
|
(350
|
)
|
|
(2,528
|
)
|
|
(639
|
)
|
|||
|
Total operating earnings
|
$
|
2,060
|
|
|
$
|
126
|
|
|
$
|
2,120
|
|
The following tables present depreciation and amortization and additions to property and equipment by reportable segment and Corporate:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Pharmaceutical
|
$
|
147
|
|
|
$
|
156
|
|
|
$
|
122
|
|
|
Medical
|
288
|
|
|
278
|
|
|
156
|
|
|||
|
Corporate
|
565
|
|
|
598
|
|
|
439
|
|
|||
|
Total depreciation and amortization
|
$
|
1,000
|
|
|
$
|
1,032
|
|
|
$
|
717
|
|
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Pharmaceutical
|
$
|
35
|
|
|
$
|
58
|
|
|
$
|
50
|
|
|
Medical
|
74
|
|
|
127
|
|
|
123
|
|
|||
|
Corporate
|
219
|
|
|
199
|
|
|
214
|
|
|||
|
Total additions to property and equipment
|
$
|
328
|
|
|
$
|
384
|
|
|
$
|
387
|
|
The following table presents total assets for each reportable segment and Corporate at June 30:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Pharmaceutical
|
$
|
22,446
|
|
|
$
|
21,421
|
|
|
$
|
21,848
|
|
|
Medical
|
15,284
|
|
|
16,066
|
|
|
10,688
|
|
|||
|
Corporate
|
3,233
|
|
|
2,464
|
|
|
7,576
|
|
|||
|
Total assets
|
$
|
40,963
|
|
|
$
|
39,951
|
|
|
$
|
40,112
|
|
The following tables present property and equipment, net by geographic area:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
United States
|
$
|
1,846
|
|
|
$
|
1,950
|
|
|
$
|
1,623
|
|
|
International
|
510
|
|
|
537
|
|
|
256
|
|
|||
|
Property and equipment, net
|
$
|
2,356
|
|
|
$
|
2,487
|
|
|
$
|
1,879
|
|
16. Share-Based Compensation
We maintain stock incentive plans (collectively, the “Plans”) for the benefit of certain of our officers, directors and employees. At
June 30, 2019
,
16 million
shares remain available for future grants under the Amended Cardinal Health, Inc. 2011 Long-Term Incentive Plan ("2011 LTIP"). Under the 2011 LTIP's fungible share counting provisions, stock options are counted against the plan as
one share for every share issued
; awards other than stock options are counted against the plan as
two and one-half shares for every share issued
. This means that only
6 million
shares could be issued under awards other than stock options while
16 million
shares could be issued under stock options. Shares are issued out of treasury shares when stock options are exercised and when restricted share units and performance share units vest.
The following table provides total share-based compensation expense by type of award:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Restricted share unit expense
|
$
|
63
|
|
|
$
|
73
|
|
|
$
|
69
|
|
|
Employee stock option expense
|
10
|
|
|
22
|
|
|
19
|
|
|||
|
Performance share unit expense
|
9
|
|
|
(10
|
)
|
|
8
|
|
|||
|
Total share-based compensation expense
|
$
|
82
|
|
|
$
|
85
|
|
|
$
|
96
|
|
The total tax benefit related to share-based compensation was
$16 million
,
$23 million
and
$34 million
for fiscal
2019
,
2018
and
2017
, respectively.
Restricted Share Units
Restricted share units granted under the Plans generally vest in equal annual installments over
three years
. Restricted share units accrue cash dividend equivalents that are payable upon vesting of the awards.
The following table summarizes all transactions related to restricted share units under the Plans:
|
(in millions, except per share amounts)
|
Restricted Share Units
|
|
Weighted-Average
Grant Date Fair
Value per Share
|
|||
|
Nonvested at June 30, 2017
|
2
|
|
|
$
|
76.72
|
|
|
Granted
|
1
|
|
|
65.97
|
|
|
|
Vested
|
(1
|
)
|
|
78.92
|
|
|
|
Canceled and forfeited
|
—
|
|
|
—
|
|
|
|
Nonvested at June 30, 2018
|
2
|
|
|
71.58
|
|
|
|
Granted
|
2
|
|
|
50.13
|
|
|
|
Vested
|
(1
|
)
|
|
74.52
|
|
|
|
Canceled and forfeited
|
(1
|
)
|
|
62.32
|
|
|
|
Nonvested at June 30, 2019
|
2
|
|
|
$
|
51.65
|
|
|
71
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
The following table provides additional data related to restricted share unit activity:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Total compensation cost, net of estimated forfeitures, related to nonvested restricted share and share unit awards not yet recognized, pre-tax
|
$
|
75
|
|
|
$
|
78
|
|
|
$
|
73
|
|
|
Weighted-average period in years over which restricted share and share unit cost is expected to be recognized (in years)
|
2
|
|
|
2
|
|
|
2
|
|
|||
|
Total fair value of shares vested during the year
|
$
|
68
|
|
|
$
|
65
|
|
|
$
|
64
|
|
Stock Options
Employee stock options granted under the Plans generally vest in equal annual installments over
three years
and are exercisable for a period up to
ten years
from the grant date. All stock options are exercisable at a price equal to the market value of the common shares underlying the option on the grant date.
The following table summarizes all stock option transactions under the Plans:
|
(in millions, except per share amounts)
|
Stock
Options
|
|
Weighted-Average
Exercise Price per
Common Share
|
|||
|
Outstanding at June 30, 2017
|
6
|
|
|
$
|
63.44
|
|
|
Granted
|
2
|
|
|
66.39
|
|
|
|
Exercised
|
(1
|
)
|
|
43.12
|
|
|
|
Canceled and forfeited
|
—
|
|
|
—
|
|
|
|
Outstanding at June 30, 2018
|
7
|
|
|
64.50
|
|
|
|
Granted
|
—
|
|
|
—
|
|
|
|
Exercised
|
—
|
|
|
—
|
|
|
|
Canceled and forfeited
|
(1
|
)
|
|
72.54
|
|
|
|
Outstanding at June 30, 2019
|
6
|
|
|
$
|
63.78
|
|
|
Exercisable at June 30, 2019
|
6
|
|
|
$
|
62.74
|
|
The following table provides additional detail related to stock options:
|
(in millions, except per share amounts)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Aggregate intrinsic value of outstanding options at period end
|
$
|
10
|
|
|
$
|
13
|
|
|
$
|
109
|
|
|
Aggregate intrinsic value of exercisable options at period end
|
10
|
|
|
13
|
|
|
106
|
|
|||
|
Aggregate intrinsic value of exercised options
|
1
|
|
|
14
|
|
|
73
|
|
|||
|
Net proceeds/(withholding) from share-based compensation
|
3
|
|
|
(3
|
)
|
|
26
|
|
|||
|
Excess tax benefits from share based compensation
|
7
|
|
|
10
|
|
|
34
|
|
|||
|
Total compensation cost, net of estimated forfeitures, related to unvested stock options not yet recognized, pre-tax
|
5
|
|
|
17
|
|
|
22
|
|
|||
|
Total fair value of shares vested during the year
|
20
|
|
|
19
|
|
|
19
|
|
|||
|
Weighted-average grant date fair value per stock option
|
$
|
8.34
|
|
|
$
|
13.50
|
|
|
$
|
16.67
|
|
|
(in years)
|
2019
|
|
2018
|
|
2017
|
|
Weighted-average remaining contractual life of outstanding options
|
5
|
|
7
|
|
7
|
|
Weighted-average remaining contractual life of exercisable options
|
5
|
|
5
|
|
6
|
|
Weighted-average period over which stock option compensation cost is expected to be recognized
|
1
|
|
2
|
|
2
|
Until the end of fiscal 2018, stock options were granted to our officers and certain employees. The fair values were estimated on the grant date using a lattice valuation model. We believe the lattice model provides reasonable estimates because it has the ability to take into account individual exercise patterns based on changes in our stock price and other variables, and it provides for a range of input assumptions, which are disclosed in the table below. The risk-free rate is based on the U.S. Treasury yield curve at the time of the grant. We analyzed historical data to estimate option exercise behaviors and employee terminations to be used within the lattice model. The expected life of the options granted was calculated from the option valuation model and represents the length of time in years that the options granted are expected to be outstanding. Expected volatilities are based on implied volatility from traded options on our common shares and historical volatility over a period of time commensurate with the contractual term of the option grant (up to
ten years
).
There were no stock options granted to employees during fiscal year 2019. The following table provides the range of assumptions used to estimate the fair value of stock options:
|
|
2018
|
|
2017
|
||||
|
Risk-free interest rate
|
2.1%
|
|
1.4%
|
-
|
2.0%
|
||
|
Expected volatility
|
25%
|
|
24%
|
||||
|
Dividend yield
|
2.7%
|
-
|
2.8%
|
|
2.2%
|
-
|
2.5%
|
|
Expected life in years
|
7
|
|
7
|
||||
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
72
|
|
Notes to Financial Statements
|
|
|
Performance Share Units
Performance share units generally vest over a
three
-year performance period based on achievement of specific performance goals. Based on the extent to which the targets are achieved, vested shares may range from
zero
to
240 percent
of the target award amount. Performance share units accrue cash dividend equivalents that are payable upon vesting of the awards.
The following table summarizes all transactions related to performance share units under the Plans (based on target award amounts):
|
(in millions, except per share amounts)
|
Performance
Share Units
|
|
Weighted-Average
Grant Date Fair
Value per Share
|
|||
|
Nonvested at June 30, 2017
|
0.6
|
|
|
$
|
77.83
|
|
|
Granted
|
0.2
|
|
|
66.43
|
|
|
|
Vested (1)
|
(0.2
|
)
|
|
71.57
|
|
|
|
Canceled and forfeited
|
(0.2
|
)
|
|
—
|
|
|
|
Nonvested at June 30, 2018
|
0.4
|
|
|
66.13
|
|
|
|
Granted
|
0.6
|
|
|
50.96
|
|
|
|
Vested
|
—
|
|
|
—
|
|
|
|
Canceled and forfeited
|
(0.1
|
)
|
|
52.20
|
|
|
|
Nonvested at June 30, 2019
|
0.9
|
|
|
$
|
51.45
|
|
(1) Vested at
133 percent
of the target performance share units granted.
The following table provides additional data related to performance share unit activity:
|
(in millions)
|
2019
|
|
2018
|
|
2017
|
||||||
|
Total compensation cost, net of estimated forfeitures, related to nonvested performance share units not yet recognized, pre-tax
|
$
|
12
|
|
|
$
|
1
|
|
|
$
|
13
|
|
|
Weighted-average period over which performance share unit cost is expected to be recognized (in years)
|
2
|
|
|
2
|
|
|
2
|
|
|||
|
Total fair value of shares vested during the year
|
$
|
—
|
|
|
$
|
14
|
|
|
$
|
19
|
|
Employee Retirement Savings Plans
Substantially all of our domestic non-union employees are eligible to be enrolled in our company-sponsored contributory retirement savings plans, which include features under Section 401(k) of the Internal Revenue Code of 1986, and provide for matching and profit sharing contributions by us. Our contributions to the plans are determined by the Board of Directors subject to certain minimum requirements as specified in the plans. The total expense for our employee retirement savings plans was
$99 million
,
$129 million
and
$49 million
for fiscal
2019
,
2018
and
2017
, respectively.
17. Selected Quarterly Financial Data (Unaudited)
The following is selected quarterly financial data for fiscal
2019
and
2018
. The sum of the quarters may not equal year-to-date due to rounding.
|
(in millions, except per common share amounts)
|
First
Quarter (2) |
|
Second
Quarter |
|
Third
Quarter |
|
Fourth
Quarter |
||||||||
|
Fiscal 2019
|
|
|
|
|
|
|
|
||||||||
|
Revenue
|
$
|
35,213
|
|
|
$
|
37,740
|
|
|
$
|
35,228
|
|
|
$
|
37,353
|
|
|
Gross margin (1)
|
1,667
|
|
|
1,730
|
|
|
1,764
|
|
|
1,674
|
|
||||
|
Distribution, selling, general and administrative expenses
|
1,155
|
|
|
1,064
|
|
|
1,097
|
|
|
1,168
|
|
||||
|
Net earnings
|
594
|
|
|
281
|
|
|
296
|
|
|
194
|
|
||||
|
Less: Net earnings attributable to noncontrolling interests
|
(1
|
)
|
|
(1
|
)
|
|
—
|
|
|
—
|
|
||||
|
Net earnings attributable to Cardinal Health, Inc.
|
593
|
|
|
280
|
|
|
296
|
|
|
194
|
|
||||
|
|
|
|
|
|
|
|
|
||||||||
|
Net earnings attributable to Cardinal Health, Inc. per common share:
|
|
|
|
|
|
|
|
||||||||
|
Basic
|
$
|
1.95
|
|
|
$
|
0.94
|
|
|
$
|
0.99
|
|
|
$
|
0.65
|
|
|
Diluted
|
1.94
|
|
|
0.93
|
|
|
0.99
|
|
|
0.65
|
|
||||
|
(1)
|
Gross margin was not impacted by LIFO benefit/(charges) in fiscal 2019.
|
|
(2)
|
Includes a
$508 million
gain (
$378 million
after-tax) related to the naviHealth divestiture.
|
|
(in millions, except per common share amounts)
|
First
Quarter |
|
Second
Quarter |
|
Third
Quarter |
|
Fourth
Quarter |
||||||||
|
Fiscal 2018
|
|
|
|
|
|
|
|
||||||||
|
Revenue
|
$
|
32,641
|
|
|
$
|
35,186
|
|
|
$
|
33,633
|
|
|
$
|
35,349
|
|
|
Gross margin (1)
|
1,672
|
|
|
1,861
|
|
|
1,913
|
|
|
1,735
|
|
||||
|
Distribution, selling, general and administrative expenses
|
1,062
|
|
|
1,131
|
|
|
1,132
|
|
|
1,270
|
|
||||
|
Net earnings/(loss) (2)
|
117
|
|
|
1,053
|
|
|
255
|
|
|
(1,166
|
)
|
||||
|
Less: Net earnings attributable to noncontrolling interests
|
(2
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
|
Net earnings/(loss) attributable to Cardinal Health, Inc.
|
115
|
|
|
1,053
|
|
|
255
|
|
|
(1,166
|
)
|
||||
|
|
|
|
|
|
|
|
|
||||||||
|
Net earnings/(loss) attributable to Cardinal Health, Inc. per common share:
|
|
|
|
|
|
|
|
||||||||
|
Basic
|
$
|
0.36
|
|
|
$
|
3.35
|
|
|
$
|
0.81
|
|
|
$
|
(3.76
|
)
|
|
Diluted (3)
|
0.36
|
|
|
3.33
|
|
|
0.81
|
|
|
(3.76
|
)
|
||||
|
(1)
|
Gross margin was not impacted by LIFO benefit/(charges) in fiscal 2018.
|
|
(2)
|
During the fourth quarter of fiscal 2018, we recognized a goodwill impairment charge of $
1.4 billion
related to our Medical segment. There was no tax benefit related to this goodwill impairment charge.
|
|
(3)
|
Due to the net loss during the fourth quarter of fiscal 2018, dilutive potential common shares have not been included in the denominator of the dilutive per share computation due to their antidilutive effect.
|
|
73
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Notes to Financial Statements
|
|
|
18. Subsequent Events
On August 7, 2019, we were authorized to incur restructuring costs in connection with certain cost-savings initiatives intended to optimize and simplify our operating model and cost structure. We expect these cost-savings initiatives, which will affect various functional and commercial areas across the Company, to be substantially implemented during fiscal year 2020. As a result of these initiatives, we expect to record restructuring charges of approximately
$120 million
to
$145 million
, the majority of which are expected to be expensed during fiscal year 2020.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
74
|
|
Schedule II
|
Valuation and Qualifying Accoun
ts
|
|
Cardinal Health, Inc. and Subsidiaries
Schedule II - Valuation and Qualifying Accounts
|
(in millions)
|
Balance at
Beginning of Period
|
|
Charged to Costs
and Expenses (1)
|
|
Charged to
Other Accounts (2)
|
|
Deductions (3)
|
|
Balance at
End of Period
|
||||||||||
|
Fiscal 2019
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Accounts receivable
|
$
|
139
|
|
|
$
|
140
|
|
|
$
|
1
|
|
|
$
|
(87
|
)
|
|
$
|
193
|
|
|
Finance notes receivable
|
7
|
|
|
8
|
|
|
—
|
|
|
(1
|
)
|
|
14
|
|
|||||
|
Sales returns and allowances
|
479
|
|
|
2,205
|
|
|
—
|
|
|
(2,205
|
)
|
|
479
|
|
|||||
|
Other
|
1
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1
|
|
|||||
|
|
$
|
626
|
|
|
$
|
2,353
|
|
|
$
|
1
|
|
|
$
|
(2,293
|
)
|
|
$
|
687
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Fiscal 2018
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Accounts receivable
|
$
|
137
|
|
|
$
|
113
|
|
|
$
|
1
|
|
|
$
|
(111
|
)
|
|
$
|
139
|
|
|
Finance notes receivable
|
9
|
|
|
(2
|
)
|
|
—
|
|
|
—
|
|
|
7
|
|
|||||
|
Sales returns and allowances
|
347
|
|
|
2,402
|
|
|
—
|
|
|
(2,270
|
)
|
|
479
|
|
|||||
|
Other
|
1
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1
|
|
|||||
|
|
$
|
494
|
|
|
$
|
2,513
|
|
|
$
|
1
|
|
|
$
|
(2,381
|
)
|
|
$
|
626
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Fiscal 2017
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Accounts receivable
|
$
|
135
|
|
|
$
|
59
|
|
|
$
|
1
|
|
|
$
|
(58
|
)
|
|
$
|
137
|
|
|
Finance notes receivable
|
19
|
|
|
3
|
|
|
—
|
|
|
(13
|
)
|
|
9
|
|
|||||
|
Sales returns and allowances
|
386
|
|
|
2,285
|
|
|
—
|
|
|
(2,324
|
)
|
|
347
|
|
|||||
|
Other
|
1
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1
|
|
|||||
|
|
$
|
541
|
|
|
$
|
2,347
|
|
|
$
|
1
|
|
|
$
|
(2,395
|
)
|
|
$
|
494
|
|
|
(1)
|
Fiscal
2019
,
2018
and
2017
include
$60 million
,
$37 million
and
$27 million
, respectively, for reserves related to service charges and customer pricing disputes, excluded from provision for bad debts on the consolidated statements of cash flows and classified as a reduction in revenue in the consolidated statements of earnings.
|
|
(2)
|
Recoveries of amounts provided for or written off in prior years was
$1 million
in each fiscal year
2019
,
2018
and
2017
.
|
|
(3)
|
Write-off of uncollectible accounts or actual sales returns.
|
The sum of the components may not equal the total due to rounding.
|
75
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Directors, Executive Officers, and Corporate Governance
|
|
|
Directors, Executive Officers and Corporate Governance
Information About Our Executive Officers
The following is a list of our executive officers:
|
Name
|
Age
|
Position
|
|
Michael C. Kaufmann
|
56
|
Chief Executive Officer, Chief Financial Officer
|
|
Victor L. Crawford
|
58
|
Chief Executive Officer, Pharmaceutical segment
|
|
Stephen M. Mason
|
48
|
Chief Executive Officer, Medical segment
|
|
Michele A. M. Holcomb
|
51
|
Executive Vice President, Strategy and Corporate Development
|
|
Ola M. Snow
|
52
|
Chief Human Resources Officer
|
|
Jessica L. Mayer
|
50
|
Chief Legal and Compliance Officer
|
|
Brian S. Rice
|
56
|
Executive Vice President, Chief Information Officer and Customer Support Services
|
The business experience summaries provided below for our executive officers describe positions held during the last five years (unless otherwise indicated).
Mr. Kaufmann has served as Chief Executive Officer since January 2018 and in August 2019, he was also appointed to serve as Interim Chief Financial Officer. From November 2014 through December 2017, he served as Chief Financial Officer. From August 2009 until November 2014, he served as Chief Executive Officer, Pharmaceutical segment.
Mr. Crawford has served as Chief Executive Officer, Pharmaceutical segment since November 2018. From September 2012 until November 2018, Mr. Crawford served as the Chief Operating Officer, Healthcare, Education, Business Dining for Aramark Corporation.
Mr. Mason was promoted to Chief Executive Officer, Medical segment in August 2019. From September 2016 through August 2019, he served as President of our Cardinal Health at-Home Solutions within our Medical segment and from June 2013 until August 2016, he served as the President of our Kinray pharmaceutical distribution business.
Ms. Holcomb has served as Executive Vice President, Strategy and Corporate Development since January 2017. She joined us from Teva Pharmaceutical Industries Ltd., where she served as Senior Vice President, Strategy, Portfolio, Search, and Partnerships and Chief Operating Officer, Global R&D from October 2015 to December 2016 and Senior Vice President, Chief Operating Officer, Global R&D from September 2012 to September 2015.
Ms. Snow has served as Chief Human Resources Officer since October 2018. From January 2016 through September 2018, Ms. Snow served as Senior Vice President, Human Resources, Total Rewards, Talent Acquisition and Corporate Business Partner. From November 2012 to January 2016, she served as the Senior Vice President of Human Resources for the Medical segment.
Ms. Mayer has served as Chief Legal and Compliance Officer since March 2019. Ms. Mayer served as Executive Vice President, Deputy General Counsel and Secretary from September 2017 through March 2019. From December 2015 through September 2017, Ms. Mayer served as Senior Vice President, Deputy General Counsel, and from June 2008 to December 2015, she was Vice President, Managing Counsel.
Mr. Rice has served as Executive Vice President, Chief Information Officer and Customer Support Services since February 2019. From 2009 until the beginning of 2019, Mr. Rice served as Senior Vice President, Chief Information Officer & Global and Business Services for Kellogg Company.
Directors and Corporate Governance
We have adopted
Standards of Business Conduct
that apply to all of our directors, officers and employees. The
Standards of Business Conduct
outline our corporate values and standards of integrity and behavior and are designed to protect and promote our reputation. The full text of the
Standards of Business Conduct
is posted on our website at www.cardinalhealth.com under “About Us — Ethics and Compliance.”
Any waiver of the
Standards of Business Conduct
for directors or executive officers must be approved by the Audit Committee. As required under SEC and New York Stock Exchange rules, we will disclose future amendments to our
Standards of Business Conduct
and waivers from the
Standards of Business Conduct
for our principal executive officer, principal financial officer, and principal accounting officer, or persons performing similar functions, and our other executive officers and directors on our website within four business days following the date of the amendment or waiver.
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
76
|
|
Directors, Executive Officers, and Corporate Governance
|
|
|
The other information called for by Item 10 of Form 10-K is incorporated by reference to our Definitive Proxy Statement (which will be filed with the SEC pursuant to Regulation 14A under the Exchange Act) relating to our 2019 Annual Meeting of Shareholders (our “2019 Proxy Statement”) under the captions “Corporate Governance” and “Share Ownership Information.”
|
77
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
|
|
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
The table below summarizes information relating to our equity compensation plans at June 30, 2019.
|
Equity Compensation Plan Information
|
|||||||||||
|
Plan Category
|
|
Common Shares
to be Issued
Upon Exercise of Outstanding Options and Rights (#)
|
Weighted Average
Exercise Price of Outstanding Options ($)
|
Common Shares
Remaining Available
for Future Issuance
Under Equity
Compensation Plans (excluding securities
reflected in column (a)) (#)
|
|||||||
|
|
|
(a)
|
(b)
|
(c)
|
|||||||
|
Equity compensation plans approved by shareholders
|
|
10,622,045
|
|
(1)
|
$
|
63.78
|
|
(1)
|
15,780,125
|
|
(2)
|
|
Equity compensation plans not approved by shareholders
|
|
4,203
|
|
(3)
|
—
|
|
(3)
|
—
|
|
|
|
|
Total at June 30, 2019
|
|
10,626,248
|
|
|
|
|
15,780,125
|
|
|
||
|
(1)
|
In addition to stock options outstanding under the Amended Cardinal Health, Inc. 2011 Long-Term Incentive Plan (the "2011 LTIP") and the Cardinal Health, Inc. 2005 Long-Term Incentive Plan (the "2005 LTIP"), also includes 1,432,425 PSUs and 2,546,551 RSUs outstanding under the 2011 LTIP, 10,214 PSUs and 61,861 RSUs outstanding under the 2005 LTIP, and 130,591 RSUs outstanding under the 2007 Nonemployee Directors Equity Incentive Plan that are payable solely in common shares. PSUs and RSUs do not have an exercise price, and therefore were not included for purposes of computing the weighted-average exercise price. PSUs that vested after June 30, 2019 are reported at the actual amount that vested. All other PSUs are reported at the maximum payout level in accordance with SEC rules.
|
|
(2)
|
Reflects common shares available under the 2011 LTIP in the form of stock options and other stock-based awards. Under the 2011 LTIP's fungible share counting provisions, stock options are counted against the plan as one share for every common share issued; awards other than stock options are counted against the plan as two and one-half shares for every common share issued. This means that only 6,312,050 shares could be issued under awards other than stock options while 15,780,125 shares could be issued under stock options.
|
|
(3)
|
RSUs outstanding under the Cardinal Health, Inc. Amended and Restated Outside Directors Equity Incentive Plan that are payable solely in common shares. RSUs do not have an exercise price, and therefore were not included for purposes of computing the weighted-average exercise price.
|
The other information called for by Item 12 of Form 10-K is incorporated by reference to our 2019 Proxy Statement under the caption “Share Ownership Information.”
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
78
|
|
Exhibits
|
|
|
Exhibits, Financial Statement Schedules
(a)(1) The following financial statements are included in the "Financial Statements" section of this report:
|
|
Page
|
|
|
|
|
Consolidated Financial Statements and Schedule:
|
|
(a)(2) The following Supplemental Schedule is included in this report:
All other schedules not listed above have been omitted as not applicable or because the required information is included in the Consolidated Financial Statements or in the Notes thereto.
|
Exhibit
Number
|
Exhibit Description
|
|
2.1.1
|
|
|
2.1.2
|
|
|
2.1.3
|
|
|
3.1
|
|
|
3.2
|
|
|
4.1
|
|
|
4.2.1
|
|
|
4.2.2
|
|
|
4.2.3
|
|
|
4.2.4
|
|
|
4.2.5
|
|
|
4.2.6
|
|
|
4.2.7
|
|
|
4.2.8
|
|
|
4.2.9
|
|
|
4.2.10
|
|
|
4.2.11
|
|
|
4.2.12
|
|
|
79
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Exhibits
|
|
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
80
|
|
Exhibits
|
|
|
|
10.7
|
|
|
10.8.1
|
|
|
10.8.2
|
|
|
10.8.3
|
|
|
10.8.4
|
|
|
10.9.1
|
|
|
10.9.2
|
|
|
10.10
|
|
|
10.11
|
|
|
10.12.1
|
|
|
10.12.2
|
|
|
10.13.1
|
|
|
10.13.2
|
|
|
10.14.1
|
|
|
10.14.2
|
|
|
10.15.1
|
|
|
10.15.2
|
|
|
10.15.3
|
|
|
10.15.4
|
|
|
10.15.5
|
|
|
10.15.6
|
|
|
10.15.7
|
|
|
10.15.8
|
|
|
10.15.9
|
|
|
10.15.10
|
|
|
10.15.11
|
|
|
10.15.12
|
|
|
10.15.13
|
|
|
10.15.14
|
|
|
10.15.15
|
|
|
10.15.16
|
|
|
81
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Exhibits
|
|
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
82
|
|
Exhibits
|
|
|
|
101.LAB
|
XBRL Taxonomy Extension Label Linkbase Document
|
|
101.PRE
|
XBRL Taxonomy Extension Presentation Linkbase Document
|
|
|
* Management contract or compensatory plan or arrangement.
|
|
83
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|
|
Form 10-K Cross Reference Index
|
|
|
Form 10-K Cross Reference Index
|
Item
|
|
Page(s)
|
|
|
|
|
|
|
Part 1
|
|
|
1
|
||
|
1A
|
||
|
1B
|
Unresolved Staff Comments
|
N/A
|
|
2
|
||
|
3
|
||
|
4
|
Mine Safety Disclosures
|
N/A
|
|
|
|
|
|
|
|
|
|
|
Part II
|
|
|
5
|
||
|
6
|
||
|
7
|
||
|
7A
|
||
|
8
|
||
|
9
|
Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
|
N/A
|
|
9A
|
||
|
9B
|
Other Information
|
N/A
|
|
|
|
|
|
|
Part III
|
|
|
10
|
||
|
11
|
Executive Compensation
|
(a)
|
|
12
|
||
|
13
|
Certain Relationships and Related Transactions, and Director Independence
|
(b)
|
|
14
|
Principal Accounting Fees and Services
|
(c)
|
|
|
|
|
|
|
Part IV
|
|
|
15
|
||
|
16
|
Form 10-K Summary
|
N/A
|
|
|
||
|
N/A
|
Not applicable
|
|
|
(a)
|
The information called for by Item 11 of Form 10-K is incorporated by reference to our 2019 Proxy Statement under the captions “Corporate Governance” and “Executive Compensation.”
|
|
|
(b)
|
The information called for by Item 13 of Form 10-K is incorporated by reference to our 2019 Proxy Statement under the caption "Corporate Governance."
|
|
|
(c)
|
The information called for by Item 14 of Form 10-K is incorporated by reference to our 2019 Proxy Statement under the caption “Audit Committee Matters.”
|
|
|
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
84
|
|
Signatures
|
|
|
Signatures
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized on
August 20, 2019
.
|
|
Cardinal Health, Inc.
|
|
|
|
|
|
|
|
By:
|
/s/ MICHAEL C. KAUFMANN
|
|
|
|
Michael C. Kaufmann
|
|
|
|
Chief Executive Officer
|
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed below by the following persons on behalf of the registrant and in the capacities indicated on
August 20, 2019
.
|
Name
|
|
Title
|
|
/s/ MICHAEL C. KAUFMANN
|
|
Chief Executive Officer and Director (principal executive officer)
|
|
Michael C. Kaufmann
|
|
|
|
|
|
|
|
/s/ MICHAEL C. KAUFMANN
|
|
Chief Financial Officer (principal financial officer)
|
|
Michael C. Kaufmann
|
|
|
|
|
|
|
|
/s/ STUART G. LAWS
|
|
Senior Vice President and Chief Accounting Officer (principal accounting officer)
|
|
Stuart G. Laws
|
|
|
|
|
|
|
|
/s/ COLLEEN F. ARNOLD
|
|
Director
|
|
Colleen F. Arnold
|
|
|
|
|
|
|
|
/s/ CARRIE S. COX
|
|
Director
|
|
Carrie S. Cox
|
|
|
|
|
|
|
|
/s/ CALVIN DARDEN
|
|
Director
|
|
Calvin Darden
|
|
|
|
|
|
|
|
/s/ BRUCE L. DOWNEY
|
|
Director
|
|
Bruce L. Downey
|
|
|
|
|
|
|
|
/s/ PATRICIA A. HEMINGWAY HALL
|
|
Director
|
|
Patricia A. Hemingway Hall
|
|
|
|
|
|
|
|
/s/ AKHIL JOHRI
|
|
Director
|
|
Akhil Johri
|
|
|
|
|
|
|
|
/s/ GREGORY B. KENNY
|
|
Director
|
|
Gregory B. Kenny
|
|
|
|
|
|
|
|
/s/ NANCY KILLEFER
|
|
Director
|
|
Nancy Killefer
|
|
|
|
|
|
|
|
/s/ J. MICHAEL LOSH
|
|
Director
|
|
J. Michael Losh
|
|
|
|
|
|
|
|
85
|
Cardinal Health
|
Fiscal 2019 Form 10-K
|
|