UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-Q
| ☑ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | ||||
For the quarterly period ended December 31, 2022
or
| ☐ | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | ||||
For the transition period from ________ to ________
Commission File Number: 1-11373
Cardinal Health, Inc.
(Exact name of registrant as specified in its charter)
| Ohio | 31-0958666 | |||||||||||||||||||
| (State or other jurisdiction of incorporation or organization) | (IRS Employer Identification No.) | |||||||||||||||||||
| 7000 Cardinal Place | , | Dublin | , | Ohio | 43017 | |||||||||||||||
| (Address of principal executive offices) | (Zip Code) | |||||||||||||||||||
(614) 757-5000
(Registrant’s telephone number, including area code)
| Securities registered pursuant to Section 12(b) of the Act: | ||||||||
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered | ||||||
| Common shares (without par value) | CAH | New York Stock Exchange | ||||||
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 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 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, a 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.
| Large accelerated filer | ☑ | Accelerated filer | ☐ | ||||||||||||||
| Non-accelerated filer | ☐ | Smaller reporting company | ☐ | ||||||||||||||
| Emerging growth company | ☐ | ||||||||||||||||
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No þ
The number of the registrant’s common shares, without par value, outstanding as of January 31, 2023, was the following: 257,639,059.
Cardinal Health Q2 Fiscal 2023 Form 10-Q | ||
Table of Contents
| Page | |||||
About Cardinal Health
Cardinal Health, Inc., an Ohio corporation formed in 1979, is a globally integrated healthcare services and products company providing customized solutions for hospitals, healthcare systems, pharmacies, ambulatory surgery centers, clinical laboratories, physician offices and patients in the home. We provide pharmaceuticals and medical products 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. As used in this report, “we,” “our,” “us,” and similar pronouns refer to Cardinal Health, Inc. and its majority-owned and consolidated subsidiaries, unless the context requires otherwise. Our fiscal year ends on June 30. References to fiscal 2023 and fiscal 2022 and to FY23 and FY22 are to the fiscal years ending or ended June 30, 2023 and June 30, 2022, respectively.
Forward-Looking Statements
This Quarterly Report on Form 10-Q for the quarter ended December 31, 2022 (this "Form 10-Q") (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 Management’s Discussion and Analysis of Financial Condition and Results of Operations ("MD&A"), but there are others in this Form 10-Q, 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 made, projected or implied. The most significant of these risks and uncertainties are described in this Form 10-Q, including Exhibit 99.1, and in "Risk Factors" in our Annual Report on Form 10-K for the fiscal year ended June 30, 2022 (our “2022 Form 10-K”). Forward-looking statements in this Form 10-Q 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.
Non-GAAP Financial Measures
In the "Overview of Consolidated Results" section of MD&A, we use financial measures that are derived from our consolidated financial data but are not presented in our condensed consolidated financial statements prepared in accordance with U.S. generally accepted accounting principles ("GAAP"). These measures are considered "non-GAAP financial measures" under the United States 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 Form 10-Q.
1 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Overview | |||||||
Management's Discussion and Analysis of Financial Condition and Results of Operations
The discussion and analysis presented below is concerned with material changes in financial condition and results of operations, including amounts and certainty of cash flows from operations and from outside sources, between the periods specified in our condensed consolidated balance sheets at December 31, 2022 and June 30, 2022, and in our condensed consolidated statements of earnings/(loss) for the three and six months ended December 31, 2022 and 2021. All comparisons presented are with respect to the prior-year period, unless stated otherwise. This discussion and analysis should be read in conjunction with the MD&A included in our 2022 Form 10-K.
2 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Overview | |||||||
Overview of Consolidated Results
Revenue
During the three and six months ended December 31, 2022, revenue increased 13 percent to $51.5 billion and $101.1 billion, respectively, primarily due to branded and specialty pharmaceutical sales growth from existing and net new customers.
GAAP and Non-GAAP Operating Earnings/(Loss)
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in millions) | 2022 | 2021 | Change | 2022 | 2021 | Change | |||||||||||||||||||||||||||||
| GAAP operating earnings/(loss) | $ | (119) | $ | (950) | (87) | % | $ | 18 | $ | (535) | N.M. | ||||||||||||||||||||||||
| Surgical gown recall costs/(income) | — | 1 | — | 1 | |||||||||||||||||||||||||||||||
| State opioid assessment related to prior fiscal years | (6) | — | (6) | — | |||||||||||||||||||||||||||||||
Shareholder cooperation agreement costs | 2 | — | 8 | — | |||||||||||||||||||||||||||||||
| Restructuring and employee severance | 17 | 7 | 46 | 25 | |||||||||||||||||||||||||||||||
| Amortization and other acquisition-related costs | 71 | 79 | 142 | 158 | |||||||||||||||||||||||||||||||
| Impairments and (gain)/loss on disposal of assets, net | 710 | 1,295 | 863 | 1,293 | |||||||||||||||||||||||||||||||
| Litigation (recoveries)/charges, net | (207) | 34 | (180) | 52 | |||||||||||||||||||||||||||||||
| Non-GAAP operating earnings | $ | 467 | $ | 467 | — | % | $ | 891 | $ | 994 | (10) | % | |||||||||||||||||||||||
The sum of the components and certain computations may reflect rounding adjustments.
We had a GAAP operating loss of $119 million and GAAP operating earnings of $18 million during the three and six months ended December 31, 2022, respectively, which included the impact of pre-tax non-cash goodwill impairment charges related to the Medical segment of $709 million and $863 million, respectively.
We had GAAP operating losses of $950 million and $535 million during the three and six months ended December 31, 2021, respectively, which included the impact of a pre-tax non-cash goodwill impairment charge related to the Medical segment of $1.3 billion.
See "Critical Accounting Policies and Sensitive Accounting Estimates" section of this MD&A and Note 4 of the "Notes to Condensed Consolidated Financial Statements" for additional detail related to goodwill impairment.
Non-GAAP operating earnings during the three months ended December 31, 2022 was flat primarily due to an increase in Pharmaceutical segment profit largely driven by an increased contribution from branded pharmaceutical and specialty pharmaceutical products, mostly offset by a decrease in Medical segment profit largely resulting from lower volumes in products and distribution.
Non-GAAP operating earnings during six months ended December 31, 2022 decreased 10 percent primarily due to a decrease in Medical segment profit largely resulting from lower volumes in products and distribution and net inflationary impacts, which primarily related to increased transportation and commodities costs, partially offset by price increases. This decrease was partially offset by an increase in Pharmaceutical segment profit primarily driven by the performance of our generics program.
3 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Overview | |||||||
GAAP and Non-GAAP Diluted EPS
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| ($ per share) | 2022 (2) | 2021 | Change | 2022 (2) | 2021 | Change | |||||||||||||||||||||||||||||
GAAP diluted EPS (1) | $ | (0.50) | $ | 0.17 | N.M. | $ | (0.08) | $ | 1.12 | N.M. | |||||||||||||||||||||||||
| State opioid assessment related to prior fiscal years | (0.02) | — | (0.02) | — | |||||||||||||||||||||||||||||||
Shareholder cooperation agreement costs | 0.01 | — | 0.02 | — | |||||||||||||||||||||||||||||||
| Restructuring and employee severance | 0.05 | 0.02 | 0.13 | 0.07 | |||||||||||||||||||||||||||||||
| Amortization and other acquisition-related costs | 0.20 | 0.21 | 0.40 | 0.41 | |||||||||||||||||||||||||||||||
Impairments and (gain)/loss on disposal of assets, net (3) | 2.06 | 0.77 | 2.46 | 0.78 | |||||||||||||||||||||||||||||||
| Litigation (recoveries)/charges, net | (0.48) | 0.10 | (0.39) | 0.15 | |||||||||||||||||||||||||||||||
| Loss on early extinguishment of debt | — | — | — | 0.03 | |||||||||||||||||||||||||||||||
Non-GAAP diluted EPS (1) | $ | 1.32 | $ | 1.27 | 4 | % | $ | 2.52 | $ | 2.56 | (2) | % | |||||||||||||||||||||||
The sum of the components and certain computations may reflect rounding adjustments.
The reconciling items are presented within this table net of tax. See quantification of tax effect of each reconciling item in our GAAP to Non-GAAP Reconciliations in the "Explanation and Reconciliation of Non-GAAP Financial Measures."
(1)Diluted earnings/(loss) per share attributable to Cardinal Health, Inc. ("diluted EPS").
(2)For the three and six months ended December 31, 2022, GAAP diluted EPS and the EPS impact from the GAAP to non-GAAP per share reconciling items are calculated using a weighted average of 261 million and 266 million common shares, respectively, which excludes potentially dilutive securities from the denominator due to their anti-dilutive effects resulting from our GAAP net loss for the periods. For the three and six months ended December 31, 2022, non-GAAP diluted EPS is calculated using a weighted average of 263 million and 268 million common shares, which includes potentially dilutive shares.
(3)Impairments and (gain)/loss on disposal of assets, net included pre-tax impairment charges related to the Medical segment of $709 million and $863 million recorded during the three and six months ended December 31, 2022, respectively. For fiscal 2023, the estimated net tax benefit related to the impairments is $68 million and is included in the annual effective tax rate. As a result, the amount of tax benefit increased approximately by an incremental $118 million and $140 million for the three and six months ended December 31, 2022, respectively, and is expected to increase the provision for income taxes during the remainder of the fiscal year.
During the three and six months ended December 31, 2021, impairments and (gain)/loss on disposal of assets, net included a pre-tax impairment charge of $1.3 billion related to the Medical segment. For fiscal 2022, the estimated net tax benefit related to the impairment was $92 million and was included in the annual effective tax rate. As a result, the amount of tax benefit in the second quarter increased by approximately an incremental $1.0 billion and significantly increased the provision for income taxes during the remainder of fiscal 2022.
GAAP diluted EPS was adversely impacted by the goodwill impairment charges related to the Medical segment, which had a $(2.05) and $(2.46) per share after-tax impact during the three and six months ended December 31, 2022, respectively, and a $(0.77) and $(0.76) per share after tax impact during the three and six months ended December 31, 2021, respectively. See "Critical Accounting Policies and Sensitive Accounting Estimates" section of this MD&A, and Note 4 and Note 7 of the "Notes to Condensed Consolidated Financial Statements" for additional detail. GAAP EPS during the three and six months ended December 31, 2022 also includes the favorable impact of litigation recoveries as described further in the "Results of Operations" section of this MD&A and Note 6 of "Notes to Condensed Consolidated Financial Statements."
During the three months ended December 31, 2022, non-GAAP diluted EPS increased 4 percent to $1.32 per share, due to a lower share count as a result of share repurchases, partially offset by unfavorable changes in discrete tax items.
During the six months ended December 31, 2022, non-GAAP diluted EPS decreased 2 percent to $2.52 per share due to the factors impacting non-GAAP operating earnings discussed above, partially offset by a lower share count as a result of share repurchases and net favorable changes in discrete tax items.
Cash and Equivalents
Our cash and equivalents balance was $3.7 billion at December 31, 2022 compared to $4.7 billion at June 30, 2022. During the six months ended December 31, 2022, net cash provided by operating activities was $620 million, which includes the impact of our second annual payment of $372 million related to the agreement to settle the vast majority of the opioid lawsuits filed by states and local governmental entities (the "Settlement Agreement"). In addition, during the six months ended December 31, 2022, we deployed $1.3 billion for share repurchases and $271 million for cash dividends.
4 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Overview | |||||||
Significant Developments in Fiscal 2023 and Trends
Inflationary Impacts
Medical segment profit was negatively affected by inflationary impacts, primarily related to transportation (including ocean and domestic freight), commodities and labor during the three and six months ended December 31, 2022 and on a year-over-year basis.
We expect these inflationary impacts to continue to adversely affect Medical segment profit in fiscal 2023 and beyond. In order to mitigate this impact, we have implemented certain price increases and are also evolving our pricing and commercial contracting processes to provide us with greater pricing flexibility. These inflationary costs are difficult to predict and may be greater than we expect or continue longer than our current expectations. In the event these costs decrease, the benefit to Medical segment profit will be delayed until the higher-cost inventory has moved through our supply chain. Our plans to continue to increase prices and evolve our contracting strategies are subject to contingencies and uncertainties and it is possible that our results of operations will be adversely impacted to a greater extent than we currently anticipate or that we may not be able to mitigate the negative impact to the extent or on the timeline we anticipate.
To a lesser extent, inflationary impacts, primarily related to increased transportation and labor costs, also adversely affected Pharmaceutical segment profit during the three and six months ended December 31, 2022 and on a year-over-year basis. We expect these inflationary supply chain costs to continue to adversely impact Pharmaceutical segment profit during the remainder of fiscal 2023 on a year-over-year basis, but to a lesser extent than during the six months ended December 31, 2022.
PPE Demand and Pricing
Personal protective equipment ("PPE") refers to protective clothing, medical gloves, face shields, face masks and other equipment designed to protect the wearer from injury or the spread of infection or illness.
PPE adversely impacted Medical segment revenue during the three and six months ended December 31, 2022 and on a year-over-year basis, primarily due to declines in pricing and volumes.
Medical segment profit was favorably impacted during the three and six months ended December 31, 2022 and on a year-over-year basis by a net positive contribution from PPE, primarily driven by decreased costs.
The demand and pricing for PPE is subject to risks and uncertainties, which may continue to impact Medical segment revenue, Medical segment profit and consolidated operating earnings/(loss) during the remainder of fiscal 2023.
Medical Goodwill
Due to certain reductions in our long-term financial plan assumptions made during the three months ended December 31, 2022, including those related to Cardinal Health branded medical products sales growth, we performed interim goodwill impairment testing for the Medical operating segment (excluding our Cardinal Health at-Home Solutions division) (the “Medical Unit”) at December 31, 2022. This testing resulted in a pre-tax goodwill impairment charge of $709 million.
During the three months ended September 30, 2022, we performed interim goodwill impairment testing for the Medical Unit, which resulted in a pre-tax goodwill impairment charge of $154 million, primarily due to an increase in the risk-free interest rate.
The cumulative pre-tax goodwill impairment charges of $863 million were recognized in impairments and (gain)/loss on disposal of assets, net in our condensed consolidated statements of earnings/(loss) for the six months ended December 31, 2022. See "Critical Accounting Policies and Sensitive Accounting Estimates" section of this MD&A and Note 4 of the "Notes to Condensed Consolidated Financial Statements" for additional detail.
Adverse changes in key assumptions or a significant change in industry or economic trends during the remainder of fiscal 2023 could result in additional goodwill impairment.
Shareholder Cooperation Agreement
In September 2022, we entered into a Cooperation Agreement (the "Cooperation Agreement") with Elliott Associates, L.P. and Elliott International, L.P. (together, "Elliott") under which our Board of Directors (the "Board"), among other things, (1) appointed four new
5 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Overview | |||||||
independent directors, including a representative from Elliott, and (2) formed an advisory Business Review Committee of the Board, which is tasked with undertaking a comprehensive review of our strategy, portfolio, capital-allocation framework and operations.
The evaluation and implementation of any actions recommended by the Business Review Committee and the Board may impact our financial position and results of operations during the remainder of fiscal 2023 and beyond. In addition, during the three and six months ended December 31, 2022, we incurred $2 million and $8 million, respectively, of expenses related to the negotiation and finalization of the Cooperation Agreement and other consulting expenses. We expect to incur additional legal, consulting and other expenses related to the Cooperation Agreement and the activities of the Business Review Committee during the remainder of fiscal 2023. See "Risk Factors" section for additional detail related to risks associated with the Cooperation Agreement.
Pharmaceutical Segment Generics Program
The performance of our Pharmaceutical segment generics program positively impacted the year-over-year comparison of Pharmaceutical segment profit during the three and six months ended December 31, 2022. The Pharmaceutical segment generics program includes, among other things, the impact of generic pharmaceutical product launches, customer volumes, pricing changes, the Red Oak Sourcing, LLC venture ("Red Oak Sourcing") with CVS Health Corporation ("CVS Health") and generic pharmaceutical contract manufacturing and sourcing costs. During the three and six months ended December 31, 2022, generic pharmaceutical contract manufacturing inventory-related charges adversely impacted the performance of our generics program.
The frequency, timing, magnitude and profit impact of generic pharmaceutical customer volumes, pricing changes, customer contract renewals, generic pharmaceutical manufacturer pricing changes and generic pharmaceutical contract manufacturing and sourcing costs all impact Pharmaceutical segment profit and are subject to risks and uncertainties. These risks and uncertainties may impact Pharmaceutical segment profit and consolidated operating earnings/(loss) during the remainder of fiscal 2023.
6 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Results of Operations | |||||||
Results of Operations
Revenue
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in millions) | 2022 | 2021 | Change | 2022 | 2021 | Change | |||||||||||||||||||||||||||||
| Pharmaceutical | $ | 47,673 | $ | 41,375 | 15 | % | $ | 93,501 | $ | 81,197 | 15 | % | |||||||||||||||||||||||
| Medical | 3,797 | 4,085 | (7) | % | 7,575 | 8,234 | (8) | % | |||||||||||||||||||||||||||
| Total segment revenue | 51,470 | 45,460 | 13 | % | 101,076 | 89,431 | 13 | % | |||||||||||||||||||||||||||
| Corporate | (1) | (3) | N.M. | (4) | (6) | N.M. | |||||||||||||||||||||||||||||
| Total revenue | $ | 51,469 | $ | 45,457 | 13 | % | $ | 101,072 | $ | 89,425 | 13 | % | |||||||||||||||||||||||
Pharmaceutical Segment
Pharmaceutical segment revenue increased during the three and six months ended December 31, 2022 primarily due to branded and specialty pharmaceutical sales growth from existing and net new customers, which together increased revenue by $6.2 billion and $12.2 billion, respectively.
Medical Segment
Medical segment revenue decreased during the three and six months ended December 31, 2022 primarily due to lower sales within products and distribution, which includes an adverse impact from PPE pricing and volumes, and was partially offset by sales growth in at-Home Solutions.
Cost of Products Sold
Cost of products sold for the three and six months ended December 31, 2022 increased 14 percent to $49.8 billion and 13 percent to $97.8 billion, respectively, compared to the prior-year periods due to the factors affecting the changes in revenue and gross margin.
7 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Results of Operations | |||||||
Gross Margin
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in millions) | 2022 | 2021 | Change | 2022 | 2021 | Change | |||||||||||||||||||||||||||||
| Gross margin | $ | 1,663 | $ | 1,616 | 3 | % | $ | 3,277 | $ | 3,258 | 1 | % | |||||||||||||||||||||||
Gross margin increased during the three and six months ended December 31, 2022 primarily due to the Pharmaceutical segment, which included the performance of our generics program and a higher contribution from branded and specialty pharmaceutical products. During the six months ended December 31, 2022, the increase in gross margin due to the Pharmaceutical segment was partially offset by the adverse impact of lower volumes within products and distribution in the Medical segment.
Gross margin rate declined 33 basis points and 40 basis points during the three and six months ended December 31, 2022, respectively, mainly due to changes in overall product mix, primarily driven by increased pharmaceutical distribution branded sales, which have a dilutive impact on our overall gross margin rate.
Distribution, Selling, General and Administrative ("SG&A") Expenses
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in millions) | 2022 | 2021 | Change | 2022 | 2021 | Change | |||||||||||||||||||||||||||||
| SG&A expenses | $ | 1,191 | $ | 1,151 | 3 | % | $ | 2,388 | $ | 2,265 | 5 | % | |||||||||||||||||||||||
During the three and six months ended December 31, 2022, SG&A expenses increased largely due to inflationary impacts, primarily related to increased transportation and labor costs, and higher operating expenses, partially offset by the beneficial impact of enterprise-wide cost-savings measures.
During the three and six months ended December 31, 2022, we incurred $2 million and $8 million of expenses primarily related to the finalization of the Cooperation Agreement. See the Significant Developments in Fiscal 2023 and Trends section in this MD&A for additional detail related to the Cooperation Agreement.
During the three and six months ended December 31, 2022, we recorded $6 million of income to reduce our accrual for the assessment on prescription opioid medications that were sold or distributed in New York state in calendar year 2018 to the amount invoiced. See Note 6 of the "Notes to Condensed Consolidated Financial Statements" for additional information.
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| MD&A | Results of Operations | |||||||
Segment Profit
We evaluate segment performance based on segment profit, among other measures. See Note 12 of the "Notes to Condensed Consolidated Financial Statements" for additional information on segment profit.
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in millions) | 2022 | 2021 | Change | 2022 | 2021 | Change | |||||||||||||||||||||||||||||
| Pharmaceutical | $ | 464 | $ | 426 | 9 | % | $ | 895 | $ | 832 | 8 | % | |||||||||||||||||||||||
| Medical | 17 | 50 | (66) | % | 9 | 173 | (95) | % | |||||||||||||||||||||||||||
| Total segment profit | 481 | 476 | 1 | % | 904 | 1,005 | (10) | % | |||||||||||||||||||||||||||
| Corporate | (600) | (1,426) | N.M. | (886) | (1,540) | N.M. | |||||||||||||||||||||||||||||
| Total consolidated operating earnings/(loss) | $ | (119) | $ | (950) | (87) | % | $ | 18 | $ | (535) | N.M. | ||||||||||||||||||||||||
Pharmaceutical Segment Profit
Pharmaceutical segment profit increased during the three and six months ended December 31, 2022 primarily due to increased contribution from branded and specialty pharmaceutical products and the performance of our generics program, partially offset by inflationary impacts, primarily related to increased transportation and labor costs.
During the three and six months ended December 31, 2021, Pharmaceutical segment profit was positively impacted by a $16 million judgment for lost profits related to an ordinary course intellectual property rights claim.
Medical Segment Profit
Medical segment profit decreased during the three and six months ended December 31, 2022 largely due to the lower volumes in products and distribution and net inflationary impacts, which primarily related to increased transportation and commodities costs, partially offset by price increases. Medical segment profit during the three months ended December 31, 2022 was favorably impacted by a net positive contribution from PPE, primarily driven by decreased costs.
Corporate
The changes in Corporate during the three and six months ended December 31, 2022 were due to the factors discussed in the Other Components of Consolidated Operating Earnings/(Loss) section that follows.
9 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Results of Operations | |||||||
Other Components of Consolidated Operating Earnings/(Loss)
In addition to revenue, gross margin and SG&A expenses discussed previously, consolidated operating earnings/(loss) were impacted by the following:
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||
| (in millions) | 2022 | 2021 | 2022 | 2021 | |||||||||||||||||||
| Restructuring and employee severance | $ | 17 | $ | 7 | $ | 46 | $ | 25 | |||||||||||||||
| Amortization and other acquisition-related costs | 71 | 79 | 142 | 158 | |||||||||||||||||||
| Impairments and (gain)/loss on disposal of assets, net | 710 | 1,295 | 863 | 1,293 | |||||||||||||||||||
| Litigation (recoveries)/charges, net | (207) | 34 | (180) | 52 | |||||||||||||||||||
Restructuring and Employee Severance
Restructuring and employee severance costs during the three and six months ended December 31, 2022 were primarily related to the implementation of certain enterprise-wide cost-savings measures. During the three months and six months ended December 31, 2021, restructuring also included costs related to the divestiture of the Cordis business.
Amortization and Other Acquisition-Related Costs
Amortization of acquisition-related intangible assets was $71 million and $79 million for the three months ended December 31, 2022 and 2021, respectively, and $142 million and $157 million for the six months ended December 31, 2022 and 2021, respectively.
Impairments and (Gain)/Loss on Disposal of Assets, Net
We recognized $709 million and $863 million of pre-tax non-cash goodwill impairment charges related to our Medical segment during the three and six months ended December 31, 2022, respectively, and $1.3 billion during the three and six months ended December 31, 2021, as discussed further in the "Critical Accounting Policies and Sensitive Accounting Estimates" section of this MD&A and Note 4 of the "Notes to Condensed Consolidated Financial Statements."
Litigation (Recoveries)/Charges, Net
We recognized income of $93 million due to net proceeds from the settlement of a shareholder derivative litigation matter as described further in the Legal Proceedings section during the three and six months ended December 31, 2022.
We recognized income for net recoveries in class action antitrust lawsuits in which we were a class member or plaintiff of $66 million during the three and six months ended December 31, 2022, and of $17 million during the six months ended December 31, 2021.
We recognized net income of $46 million and $25 million during the three and six months ended December 31, 2022, respectively, to reduce the reserve for the estimated settlement and defense costs for the Cordis OptEase and TrapEase inferior vena cava ("IVC") product liability due to certain claim settlements and to reflect insurance recoveries received. During the three and six months ended December 31, 2021, we recognized estimated losses and legal defense costs associated with the IVC filter product liability claims of $13 million and $39 million, respectively. See Note 6 of the "Notes to Condensed Consolidated Financial Statements" for additional information.
Earnings/(Loss) Before Income Taxes
In addition to the items discussed above, earnings/(loss) before income taxes were impacted by the following:
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||||||||||||||
| (in millions) | 2022 | 2021 | Change | 2022 | 2021 | Change | |||||||||||||||||||||||||||||
| Other (income)/expense, net | $ | (7) | $ | (13) | N.M. | $ | (5) | $ | (17) | N.M. | |||||||||||||||||||||||||
| Interest expense, net | 25 | 37 | (32) | % | 50 | 77 | (35) | % | |||||||||||||||||||||||||||
| Loss on early extinguishment of debt | — | — | N.M. | — | 10 | N.M. | |||||||||||||||||||||||||||||
| (Gain)/loss on sale of equity interest in naviHealth | — | (1) | N.M. | — | (1) | N.M. | |||||||||||||||||||||||||||||
Interest Expense, Net
During the three and six months ended December 31, 2022, interest expense decreased by 32 percent and 35 percent, respectively, primarily due to increased interest income from cash and equivalents.
Loss on Early Extinguishment of Debt
During the six months ended December 31, 2021, we recognized a $10 million loss in connection with the debt redemption as described further in Note 5 of the “Notes to Condensed Consolidated Financial Statements.”
10 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Results of Operations | |||||||
Provision for/(Benefit from) Income Taxes
The effective tax rate was 5.4 percent and 105.0 percent during the three months ended December 31, 2022 and 2021, respectively, and 30.0 percent and 153.1 percent during the six months ended December 31, 2022 and 2021, respectively. These tax rates reflect the impact of the tax effects of the goodwill impairment charges recognized during the three and six months ended December 31, 2022 and 2021.
Tax Effects of Goodwill Impairment Charges
During the six months ended December 31, 2022, we recognized cumulative pre-tax goodwill impairment charges of $863 million related to the Medical Unit. The net tax benefit related to this charge is $68 million for fiscal 2023.
Unless an item is considered discrete because it is unusual or infrequent, the tax impact of the item is included in our estimated annual effective tax rate. When items are recognized through our estimated annual effective tax rate, we apply our estimated annual effective tax rate to the earnings/(loss) before income taxes for the year-to-date period to compute our benefit from income taxes for the current quarter and year-to-date period. The tax impacts of discrete items are recognized in their entirety in the period in which they occur.
The tax effect of the goodwill impairment charges recorded during the six months ended December 31, 2022 was included in our estimated annual effective tax rate because it was not considered unusual or infrequent, given that we recorded goodwill impairment in prior fiscal years. The impact of the non-deductible goodwill significantly increased the estimated annual effective tax rate for fiscal 2023. Applying the higher tax rate to the pre-tax loss for the six months ended December 31, 2022 resulted in recognizing an incremental interim tax benefit of approximately $140 million, which impacted the benefit from income taxes in the condensed consolidated statements of earnings/(loss) during the six months ended December 31, 2022 and prepaid expenses and other assets in the condensed consolidated balance sheet at December 31, 2022. This incremental interim tax benefit will reverse in the future quarters of fiscal 2023.
11 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| 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 and cash requirements; tax payments; current and projected debt service requirements, upcoming debt maturities, dividends and share repurchases; and known opioid litigation settlement payments. If we decide to engage in one or more 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 $3.7 billion at December 31, 2022 compared to $4.7 billion at June 30, 2022.
During the six months ended December 31, 2022, net cash provided by operating activities was $620 million, which includes the impact of our second annual payment of $372 million related to the Settlement Agreement. For additional information, see Opioid Litigation Settlement Agreement section below. In addition, we deployed cash of $1.3 billion for share repurchases and $271 million for cash dividends.
At December 31, 2022, our cash and equivalents were held in cash depository accounts with major banks or invested in high quality, short-term liquid investments.
Changes in working capital, which impact operating cash flow, can vary significantly depending on factors such as the timing of
customer payments, inventory purchases, payments to vendors and tax payments 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 December 31, 2022 includes $605 million of cash held by subsidiaries outside of the United States.
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 December 31, 2022 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 December 31, 2022, we had no amounts outstanding under our commercial paper program, revolving credit facility, or our committed receivables sales facility.
In September 2022, we renewed our committed receivables sales facility program through Cardinal Health Funding, LLC ("CHF") through September 30, 2025.
Our revolving credit and committed receivables sales facilities require us to maintain a consolidated net leverage ratio of no more than 3.75-to-1. As of December 31, 2022, we were in compliance with this financial covenant.
Long-Term Debt and Other Short-Term Borrowings
At both December 31, 2022 and June 30, 2022, we had total long-term obligations, including the current portion and other short-term borrowings, of $5.3 billion. We plan to repay our outstanding 3.2% Notes due 2023 at maturity in March 2023 with $550 million of available cash.
12 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Liquidity and Capital Resources | |||||||
Capital Deployment
Opioid Litigation Settlement Agreement
We had $5.89 billion accrued at December 31, 2022 related to certain opioid litigation, as further described within Note 6 of the "Notes to Condensed Consolidated Financial Statements." We expect the majority of the remaining payment amounts to be spread over the next 17 years. The effective date of the Settlement Agreement was April 2, 2022. During the six months ended December 31, 2022, we made our second annual payment of $372 million under the Settlement Agreement. We expect to make subsequent annual payments under the Settlement Agreement every July for the 18-year term of the Settlement Agreement. The amounts of these future payments may differ from the payments that we have already made.
Capital Expenditures
Capital expenditures during the six months ended December 31, 2022 and 2021 were $155 million and $141 million, respectively.
Dividends
On each of May 10, 2022, August 10, 2022, and November 8, 2022, our Board of Directors approved a quarterly dividend of $0.4957 per share, or $1.98 per share on an annualized basis, which were paid on July 15, 2022, October 17, 2022 and January 15, 2023 to shareholders of record on July 1, 2022, October 3, 2022 and January 3, 2023, respectively.
Share Repurchases
During the six months ended December 31, 2022, we repurchased $1.3 billion of our common shares, in the aggregate, under accelerated share repurchase ("ASR") programs. We funded the ASR programs with available cash. The ASR program initiated in the second quarter of fiscal 2023 concluded in the third quarter of fiscal 2023, which reduced the amount remaining under our existing share repurchase authorization to approximately $1.5 billion. See Note 10 of the "Notes to Condensed Consolidated Financial Statements" for additional information.
13 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Other Items | |||||||
Other Items
The MD&A in our 2022 Form 10-K addresses our contractual obligations and cash requirements, as of and for the fiscal year ended June 30, 2022. There have been no subsequent material changes outside the ordinary course of business to those items.
Critical Accounting Policies and Sensitive Accounting Estimates
The discussion and analysis presented below is a supplemental disclosure to the critical accounting policies and sensitive accounting estimates specified in our consolidated balance sheet at June 30, 2022. This discussion and analysis should be read in conjunction with the Critical Accounting Policies and Sensitive Accounting Estimates included in our 2022 Form 10-K and our Form 10-Q for the quarter ended September 30, 2022.
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, including due to the risks discussed in "Risk Factors" and other risks discussed in our 2022 Form 10-K and our other filings with the SEC since June 30, 2022.
Goodwill
Purchased goodwill is 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. If it is determined that it is more likely than not that the fair value does not exceed the carrying amount, then a quantitative test is performed. 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).
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.
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.
Medical Unit Goodwill
Due to certain reductions in our long-term financial plan assumptions made during the three months ended December 31, 2022, including those related to Cardinal Health branded medical products sales growth, we elected to bypass the qualitative assessment and perform quantitative goodwill impairment testing for the Medical Unit. This quantitative testing resulted in the carrying amount of the Medical Unit exceeding the fair value, resulting in a pre-tax goodwill impairment charge of $709 million.
During the three months ended September 30, 2022, we performed quantitative goodwill impairment testing for the Medical Unit, which resulted in a pre-tax goodwill impairment charge of $154 million driven by an increase in the discount rate primarily due to an increase in the risk-free interest rate. The cumulative pre-tax goodwill impairment charges of $863 million were recognized in impairments and (gain)/loss on disposal of assets, net in our condensed consolidated statements of earnings/(loss) for six months ended December 31, 2022.
Our determinations of the estimated fair value of the Medical Unit at December 31, 2022 and at September 30, 2022 were based on a combination of the income-based approach (using a terminal growth rate of 2 percent), and the market-based approaches. For the income-based approach, we used discount rates of 10.5 percent for both periods. Additionally, we assigned a weighting of 80 percent to the discounted cash flow method, 10 percent to the guideline public company method, and 10 percent to the guideline transaction method.
In connection with the interim testing performed at December 31, 2022, we updated our long-term financial plan assumptions, including reductions related to the timing and magnitude of the impact of key initiatives related to optimizing and growing sales of Cardinal Health branded medical products. The impairment charge recognized during the three months ended December 31, 2022
14 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| MD&A | Other Items | |||||||
was driven primarily by the impact of the reductions in our long-term financial plan assumptions.
The carrying value of the Medical Unit at December 31, 2022 after recognizing the impairment charge was $6.2 billion, of which $1.1 billion was goodwill. See Note 4 of the "Notes to Condensed Consolidated Financial Statements" for further discussion.
While we consider these assumptions to be reasonable and appropriate, they are complex and subjective, and additional adverse changes in one key assumption or a combination of key assumptions during fiscal 2023 may significantly affect future estimates. These assumptions include, among other things, a failure to meet expected earnings or other financial plans, including the execution of key initiatives related to optimizing and growing sales of Cardinal Health branded medical products, increasing growth in certain strategic divisions within our Medical segment, and driving simplification efforts and cost optimization projects, or unanticipated events and circumstances, such as changes in assumptions about the duration and magnitude of increased supply chain and commodities costs and our planned efforts to mitigate such impact, including price increases or surcharges; further disruptions in the supply chain; manufacturing cost inefficiencies resulting from lower than anticipated sales volume; estimated demand and selling prices for PPE; an increase in the discount rate; a decrease in the terminal growth rate; increases in tax rates; or a significant change in industry or economic trends. Adverse changes in key assumptions may result in a decline in fair value below the carrying value in the future and therefore, an impairment of our Medical Unit goodwill in future periods, which could adversely affect our results of operations. For example, if we were to increase the discount rate by a hypothetical 0.5 percent to 11 percent or decrease the terminal growth rate by a hypothetical 1.75 percent to 0.25 percent, the fair value for the Medical Unit would have further decreased by approximately $250 million.
During the three months ended December 31, 2021, we performed quantitative goodwill impairment testing for the Medical Unit. This quantitative testing resulted in the carrying amount of the Medical Unit exceeding the fair value, resulting in a pre-tax impairment charge of $1.3 billion recorded during the three months ended December 31, 2021.
15 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Explanation and Reconciliation of Non-GAAP Financial Measures | ||||||||
Explanation and Reconciliation of Non-GAAP Financial Measures
The "Overview of Consolidated Results" section within MD&A in this Form 10-Q 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. We did not recognize any LIFO charges or credits during the periods presented.
•Surgical gown recall costs or income includes inventory write-offs and certain remediation and supply disruption costs, net of related insurance recoveries, arising from the January 2020 recall of select Association for the Advancement of Medical Instrumentation ("AAMI") Level 3 surgical gowns and voluntary field actions (a recall of some packs and a corrective action allowing overlabeling of other packs) for Presource Procedure Packs containing affected gowns. Income from surgical gown recall costs represents insurance recoveries of these certain costs. We have excluded these costs from our non-GAAP metrics to allow investors to better understand the underlying operating results of the business and to facilitate comparison of our current financial results to our historical financial results and to our peer group companies’ financial results.
•State opioid assessments related to prior fiscal years is the portion of state assessments for prescription opioid medications that were sold or distributed in periods prior to the period in which the expense is incurred. This portion is excluded from non-GAAP financial measures because it is retrospectively applied to sales in prior fiscal years and inclusion would obscure analysis of the current fiscal year results of our underlying, ongoing business. Additionally, while states' laws may require us to make payments on an ongoing basis, the portion of the assessment related to sales in prior periods are contemplated to be one-time, nonrecurring items. Income from state opioid assessments related to prior fiscal years represents reversals of accruals due to changes in estimates or when the underlying assessments were invalidated by a Court or reimbursed by manufacturers.
•Shareholder cooperation agreement costs includes costs such as legal, consulting and other expenses incurred in relation to the agreement (the "Cooperation Agreement") entered into among Elliott Associates, L.P., Elliott International, L.P. (together, "Elliott") and Cardinal Health, including costs incurred to negotiate and finalize the Cooperation Agreement and costs incurred by the new Business Review Committee of the Board of Directors, which was formed under this Cooperation Agreement. We have excluded these costs from our non-GAAP metrics because they do not occur in or reflect the ordinary course of our ongoing business operations and may obscure analysis of trends and financial performance.
•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
16 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Explanation and Reconciliation of Non-GAAP Financial Measures | ||||||||
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, net 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. During fiscal 2022, we incurred a one-time contingent attorneys' fee of $18 million related to the finalization of the settlement agreement (the “Settlement Agreement”) resulting in the settlement of the vast majority of opioid lawsuits filed by state and local governmental entities. Due to the unique nature and significance of the Settlement Agreement, and the one-time, contingent nature of the fee, this fee was included in litigation recoveries or charges, net. Additionally, during fiscal 2022 our Pharmaceutical segment profit was positively impacted by a $16 million judgment for lost profits. This judgment was the result of an ordinary course intellectual property rights claim and, therefore, is not adjusted in calculating the litigation recoveries or charges, net adjustment. During fiscal 2021, we incurred a tax benefit related to a carryback of a net operating loss. Some pre-tax amounts, which contributed to this loss, relate to litigation charges. As a result, we allocated substantially all of the tax benefit to litigation charges.
•Loss on early 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.
•(Gain)/Loss on sale of equity interest in naviHealth was incurred in connection with the sale of our remaining equity interest in naviHealth in fiscal 2020. The equity interest was retained in connection with the initial sale of our majority interest in naviHealth during fiscal 2019. We exclude this significant gain because gains or losses on investments of this magnitude do not typically occur in the normal course of business and are similar in nature to a gain or loss from a divestiture of a majority interest, which we exclude from non-GAAP results. The gain on the initial sale of our majority interest in naviHealth in fiscal 2019 was also excluded from our non-GAAP measures.
The tax effect for each of the items listed above 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) surgical gown recall costs/(income), (3) state opioid assessment related to prior fiscal years, (4) shareholder cooperation agreement costs, (5) restructuring and employee severance, (6) amortization and other acquisition-related costs, (7) impairments and (gain)/loss on disposal of assets, net, and (8) litigation (recoveries)/charges, net.
Non-GAAP earnings before income taxes: earnings before income taxes excluding (1) LIFO charges/(credits), (2) surgical gown recall costs/(income), (3) state opioid assessment related to prior fiscal years, (4) shareholder cooperation agreement costs, (5) restructuring and employee severance, (6) amortization and other acquisition-related costs, (7) impairments and (gain)/loss on disposal of assets, net, (8) litigation (recoveries)/charges, net, (9) loss on early extinguishment of debt and (10) (gain)/loss on sale of equity interest in naviHealth.
Non-GAAP net earnings attributable to Cardinal Health, Inc.: net earnings attributable to Cardinal Health, Inc. excluding (1) LIFO charges/(credits), (2) surgical gown recall costs/(income), (3) state opioid assessment related to prior fiscal years, (4) shareholder cooperation agreement costs, (5) restructuring and employee severance, (6) amortization and other acquisition-related costs, (7) impairments and (gain)/loss on disposal of assets, net, (8) litigation (recoveries)/charges, net, (9) loss on early extinguishment of debt and (10) (gain)/loss on sale of equity interest in naviHealth, each net of tax.
17 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Explanation and Reconciliation of Non-GAAP Financial Measures | ||||||||
Non-GAAP effective tax rate: provision for/(benefit from) income taxes adjusted for the tax impacts of (1) LIFO charges/(credits), (2) surgical gown recall costs/(income), (3) state opioid assessment related to prior fiscal years, (4) shareholder cooperation agreement costs, (5) restructuring and employee severance, (6) amortization and other acquisition-related costs, (7) impairments and (gain)/loss on disposal of assets, net, (8) litigation (recoveries)/charges, net, (9) loss on early extinguishment of debt and (10) (gain)/loss on sale of equity interest in naviHealth divided by (earnings before income taxes adjusted for the ten items above).
Non-GAAP diluted earnings per share attributable to Cardinal Health, Inc.: non-GAAP net earnings attributable to Cardinal Health, Inc. divided by diluted weighted-average shares outstanding.
18 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Explanation and Reconciliation of Non-GAAP Financial Measures | ||||||||
GAAP to Non-GAAP Reconciliation
| (in millions, except per common share amounts) | Operating Earnings/(Loss) | Operating Earnings Growth Rate | Earnings/(Loss) Before Income Taxes | Provision for/ (Benefit from) Income Taxes | Net Earnings/(Loss)1 | Net Earnings1 Growth Rate | Diluted EPS1,2 | Diluted EPS1 Growth Rate | ||||||||||||||||||
| Three Months Ended December 31, 2022 | ||||||||||||||||||||||||||
| GAAP | $ | (119) | (87) | % | $ | (137) | $ | (7) | $ | (130) | N.M. | $ | (0.50) | N.M. | ||||||||||||
| State opioid assessment related to prior fiscal years | (6) | (6) | (2) | (4) | (0.02) | |||||||||||||||||||||
| Shareholder cooperation agreement costs | 2 | 2 | 1 | 1 | 0.01 | |||||||||||||||||||||
| Restructuring and employee severance | 17 | 17 | 4 | 13 | 0.05 | |||||||||||||||||||||
| Amortization and other acquisition-related costs | 71 | 71 | 18 | 53 | 0.20 | |||||||||||||||||||||
Impairments and (gain)/loss on disposal of assets, net 3 | 710 | 710 | 173 | 537 | 2.06 | |||||||||||||||||||||
| Litigation (recoveries)/charges, net | (207) | (207) | (83) | (124) | (0.48) | |||||||||||||||||||||
| Non-GAAP | $ | 467 | — | % | $ | 450 | $ | 104 | $ | 346 | (3) | % | $ | 1.32 | 4 | % | ||||||||||
| Three Months Ended December 31, 2021 | ||||||||||||||||||||||||||
| GAAP | $ | (950) | N.M. | $ | (973) | $ | (1,022) | $ | 49 | N.M. | $ | 0.17 | N.M. | |||||||||||||
| Surgical gown recall costs/(income) | 1 | 1 | — | 1 | — | |||||||||||||||||||||
| Restructuring and employee severance | 7 | 7 | 2 | 5 | 0.02 | |||||||||||||||||||||
| Amortization and other acquisition-related costs | 79 | 79 | 20 | 59 | 0.21 | |||||||||||||||||||||
Impairments and (gain)/loss on disposal of assets, net 3 | 1,295 | 1,295 | 1,080 | 215 | 0.77 | |||||||||||||||||||||
Litigation (recoveries)/charges, net 4 | 34 | 34 | 6 | 28 | 0.10 | |||||||||||||||||||||
| (Gain)/Loss on sale of equity interest in naviHealth | — | (1) | — | (1) | — | |||||||||||||||||||||
| Non-GAAP | $ | 467 | (26) | % | $ | 443 | $ | 86 | $ | 357 | (31) | % | $ | 1.27 | (27) | % | ||||||||||
| Six Months Ended December 31, 2022 | ||||||||||||||||||||||||||
GAAP | $ | 18 | N.M. | $ | (27) | $ | (8) | $ | (20) | N.M. | $ | (0.08) | N.M. | |||||||||||||
| State opioid assessment related to prior fiscal years | (6) | (6) | (2) | (4) | (0.02) | |||||||||||||||||||||
| Shareholder cooperation agreement costs | 8 | 8 | 2 | 6 | 0.02 | |||||||||||||||||||||
| Restructuring and employee severance | 46 | 46 | 10 | 36 | 0.13 | |||||||||||||||||||||
| Amortization and other acquisition-related costs | 142 | 142 | 37 | 105 | 0.40 | |||||||||||||||||||||
Impairments and (gain)/loss on disposal of assets, net 3 | 863 | 863 | 207 | 656 | 2.46 | |||||||||||||||||||||
| Litigation (recoveries)/charges, net | (180) | (180) | (76) | (104) | (0.39) | |||||||||||||||||||||
Non-GAAP | $ | 891 | (10) | % | $ | 846 | $ | 170 | $ | 675 | (7) | % | $ | 2.52 | (2) | % | ||||||||||
| Six Months Ended December 31, 2021 | ||||||||||||||||||||||||||
| GAAP | $ | (535) | N.M. | $ | (604) | $ | (925) | $ | 320 | (15) | % | $ | 1.12 | (12) | % | |||||||||||
| Surgical gown recall costs/(income) | 1 | 1 | — | 1 | — | |||||||||||||||||||||
| Restructuring and employee severance | 25 | 25 | 6 | 19 | 0.07 | |||||||||||||||||||||
| Amortization and other acquisition-related costs | 158 | 158 | 41 | 117 | 0.41 | |||||||||||||||||||||
Impairments and (gain)/loss on disposal of assets, net 3 | 1,293 | 1,293 | 1,070 | 223 | 0.78 | |||||||||||||||||||||
Litigation (recoveries)/charges, net 4 | 52 | 52 | 10 | 42 | 0.15 | |||||||||||||||||||||
| Loss on early extinguishment of debt | — | 10 | 3 | 7 | 0.03 | |||||||||||||||||||||
| (Gain)/Loss on sale of equity interest in naviHealth | — | (1) | — | (1) | — | |||||||||||||||||||||
| Non-GAAP | $ | 994 | (20) | % | $ | 934 | $ | 205 | $ | 728 | (24) | % | $ | 2.56 | (21) | % | ||||||||||
19 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Explanation and Reconciliation of Non-GAAP Financial Measures | ||||||||
1 Attributable to Cardinal Health, Inc.
2 For the three and six months ended December 31, 2022, GAAP diluted EPS and the EPS impact from the GAAP to non-GAAP per share reconciling items are calculated using a weighted average of 261 million and 266 million common shares, respectively, which excludes potentially dilutive securities from the denominator due to their anti-dilutive effects resulting from our GAAP net loss for the periods. For the three and six months ended December 31, 2022, non-GAAP diluted EPS is calculated using a weighted average of 263 million and 268 million common shares, which includes potentially dilutive shares.
3 Impairments and (gain)/loss on disposal of assets, net included pre-tax impairment charges related to the Medical segment of $709 million and $863 million recorded during the three and six months ended December 31, 2022, respectively. For fiscal 2023, the estimated net tax benefit related to the impairments is $68 million and is included in the annual effective tax rate. As a result, the amount of tax benefit increased approximately by an incremental $118 million and $140 million for the three and six months ended December 31, 2022, respectively, and is expected to increase the provision for income taxes during the remainder of the fiscal year.
During the three and six months ended December 31, 2021, impairments and (gain)/loss on disposal of assets, net included a pre-tax impairment charge of $1.3 billion related to the Medical segment.
4 Litigation (recoveries)/charges, net for the three months ended December 31, 2021 does not include a $16 million judgement for lost profits related to an ordinary course intellectual property claim, which positively impacted Pharmaceutical segment profit in the quarter.
.
The sum of the components and certain computations may reflect rounding adjustments.
We apply varying tax rates depending on the item's nature and tax jurisdiction where it is incurred.
20 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Other | |||||
Quantitative and Qualitative Disclosures About Market Risk
There have been no material changes in the quantitative and qualitative market risk disclosures included in our 2022 Form 10-K since the end of fiscal 2022 through December 31, 2022.
Controls and Procedures
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 December 31, 2022. Based on this evaluation, our principal executive officer and principal financial officer have concluded that as of December 31, 2022, our disclosure controls and procedures were effective 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.
Changes in Internal Control Over Financial Reporting
There were no changes in our internal control over financial reporting during the quarter ended December 31, 2022 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
21 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Other | ||||||||
Legal Proceedings
In addition to the proceeding described below, the legal proceedings described in Note 6 of the "Notes to Condensed Consolidated Financial Statements" are incorporated in this "Legal Proceedings" section by reference.
Between June 2019 and January 2020, three purported shareholders filed actions 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 and approving certain payments of executive compensation. In January, 2020, the court consolidated these derivative cases under the caption In re Cardinal Health, Inc. Derivative Litigation and in March 2020, plaintiffs filed an amended complaint.
In December 2021, the parties reached an agreement in principle to settle this matter and in October 2022, the court entered an order approving the settlement and dismissing the case. This settlement does not include any admission of liability. Under the settlement, in December 2022, Cardinal's director and officer's liability insurance carriers, on behalf of the defendants, paid Cardinal Health $124 million, less approximately $31 million in attorneys' fees and expenses awarded by the court to plaintiffs' counsel.
22 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Other | |||||
Risk Factors
You should carefully consider the information in this Form 10-Q, including the Risk Factors below, and the risk factors discussed in "Risk Factors" and other risks discussed in our 2022 Form 10-K, our Form 10-Q for the quarter ended September 30, 2022, and our other filings with the SEC since June 30, 2022. These risks could materially and adversely affect our results of operations, financial condition, liquidity, and cash flows. Our business also could be affected by risks that we are not presently aware of or that we currently consider immaterial to our operations.
Our business could be affected by activist shareholders.
In September 2022, we entered into a Cooperation Agreement (the "Cooperation Agreement") with Elliott Associates, L.P. and Elliott International, L.P. (together, "Elliott") under which our Board of Directors, among other things, (1) appointed four new independent directors, including a representative from Elliott , and (2) formed an advisory Business Review Committee of the Board, which is tasked with undertaking a comprehensive review of our strategy, portfolio, capital-allocation framework and operations.
The Cooperation Agreement may create unintended consequences, such as creating uncertainty about our management or future strategic direction, which could result in the loss of future business opportunities or negatively impact our ability to attract and retain qualified talent. Additionally, implementing any actions recommended by the Business Review Committee and Board may be costly and time-consuming, may be disruptive to our ongoing business operations and may ultimately be unsuccessful.
It is possible that activist shareholders may, among other things, attempt to effect additional changes and exert influence over our Board of Directors and management or initiate a proxy contest, which may disrupt our operations by diverting the attention of management and the Board and be costly and time-consuming. Any such proxy contests, actions or requests, or the mere public presence of activist shareholders, may cause the market price for our shares to experience volatility.
We could be subject to adverse changes in the tax laws or additional 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, proposals are made 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 possible increases in U.S. or foreign corporate income tax rates or other changes in tax law to raise revenue, 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 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. In August 2022, the U.S. federal government enacted the Inflation Reduction Act, which imposed a 15 percent corporate minimum tax on certain large corporations and a 1
percent tax on share repurchases after December 31, 2022. These provisions may adversely impact our financial position and results of operations.
Additionally, in connection with the accruals taken in connection with opioid-related lawsuits in fiscal years 2021 and 2020, we recorded net tax benefits of $228 million and $488 million, respectively, reflecting our current assessment of the estimated future deductibility of the amount that may be paid. We have made reasonable estimates and recorded amounts based on management's judgment and our current understanding of the U.S. Tax Cuts and Jobs Act ("Tax Act"); however, these estimates require significant judgment, and it is possible that they could be subject to challenges by the U.S. Internal Revenue Service ("IRS").
The U.S. tax law governing deductibility was changed by the Tax Act. The taxing authorities could challenge our interpretation of the Tax Act or the estimates and assumptions used to assess the future deductibility of these benefits, or tax law could change again. We also regularly review these estimates and assumptions from time to time and adjust our accruals based on our review, resulting in changes in our tax provision/(benefit). The actual amount of tax benefit related to uncertain tax positions may differ materially from these estimates. See Note 7 of the "Notes to Condensed Consolidated Financial Statements" for more information regarding these matters.
In fiscal year 2021, our provision for income taxes reflected a $424 million benefit from the tax benefits of a self-insurance pre-tax net operating loss carryback under the Coronavirus Aid, Relief and Economic Security (“CARES”) Act. Also, as a result of this net operating loss carryback, we received a U.S. federal income tax refund of $966 million. In connection with this net operating loss carryback, certain industry participants, including us, received a letter from the U.S. House of Representatives’ Committee on Oversight and Reform questioning, among other things, our plans to take tax deductions for opioid-related losses, including our use of the net operating loss carryback provisions under the CARES Act and deductibility under the Tax Act. We responded to the letter. It is possible that the IRS could challenge our tax position with respect to this self-insurance loss. If these initiatives are successful, our effective tax rate could be adversely impacted. Additionally, laws governing insurance coverage vary by state and some state courts have interpreted laws and insurance policies in ways that may impact our self-insurance loss, which could negatively impact our financial position.
23 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Other | |||||
We file income tax returns in the U.S. federal jurisdiction, various U.S. state jurisdictions and various foreign jurisdictions. Tax laws are complex and subject to varying interpretations. With few exceptions, we are subject to audit by taxing authorities for fiscal years 2015 through the current fiscal year. Proposed adjustments in ongoing audits may adversely affect our effective tax rate or tax payments.
24 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Other | |||||
Unregistered Sales of Equity Securities and Use of Proceeds
Issuer Purchases of Equity Securities
| Period | Total Number of Shares Purchased (1) | Average Price Paid per Share (2,3) | Total Number of Shares Purchased as Part of Publicly Announced Programs (2,3,4) | Approximate Dollar Value of Shares That May Yet be Purchased Under the Program (4) (in millions) | |||||||||||||||||||
| October 2022 | 713 | $ | 70.72 | — | $ | 1,943 | |||||||||||||||||
| November 2022 | 2,611,836 | 76.58 | 2,611,648 | 1,743 | |||||||||||||||||||
| December 2022 | 1,645,191 | 73.36 | 1,645,010 | 1,543 | |||||||||||||||||||
| Total | 4,257,740 | $ | 75.33 | 4,256,658 | $ | 1,543 | |||||||||||||||||
(1)Reflects 713, 188, and 181 common shares purchased in October, November, and December 2022, respectively, through a rabbi trust as investments of participants in our Deferred Compensation Plan.
(2)On November 17, 2022, we entered into an accelerated share repurchase ("ASR") program to purchase common shares for an aggregate purchase price of $250 million and received an initial delivery of 2.6 million common shares using a reference price of $76.58. The program concluded on January 13, 2023 at a volume weighted average price per common share of $77.50 resulting in a final delivery of 0.6 million common shares. See Note 10 of the "Notes to Condensed Consolidated Financial Statements" for additional information.
(3)On September 14, 2022, we entered into an ASR program to purchase common shares for an aggregate purchase price of $1.0 billion and received an initial delivery of 12.0 million common shares using a reference price of $66.74. The ASR program concluded on December 23, 2022 at a volume weighted average price per common share of $73.36 resulting in a final delivery of 1.6 million common shares. See Note 10 of the "Notes to Condensed Consolidated Financial Statements" for additional information.
(4)On November 4, 2021, our Board of Directors approved a new $3.0 billion share repurchase program, which will expire on December 31, 2024. As of December 31, 2022, we have $1.5 billion authorized for share repurchases remaining under this program.
25 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Financial Statements | ||||||||
Condensed Consolidated Statements of Earnings/(Loss)
(Unaudited)
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||
| (in millions, except per common share amounts) | 2022 | 2021 | 2022 | 2021 | |||||||||||||||||||
| Revenue | $ | 51,469 | $ | 45,457 | $ | 101,072 | $ | 89,425 | |||||||||||||||
| Cost of products sold | 49,806 | 43,841 | 97,795 | 86,167 | |||||||||||||||||||
| Gross margin | 1,663 | 1,616 | 3,277 | 3,258 | |||||||||||||||||||
| Operating expenses: | |||||||||||||||||||||||
| Distribution, selling, general and administrative expenses | 1,191 | 1,151 | 2,388 | 2,265 | |||||||||||||||||||
| Restructuring and employee severance | 17 | 7 | 46 | 25 | |||||||||||||||||||
| Amortization and other acquisition-related costs | 71 | 79 | 142 | 158 | |||||||||||||||||||
| Impairments and (gain)/loss on disposal of assets, net | 710 | 1,295 | 863 | 1,293 | |||||||||||||||||||
| Litigation (recoveries)/charges, net | (207) | 34 | (180) | 52 | |||||||||||||||||||
| Operating earnings/(loss) | (119) | (950) | 18 | (535) | |||||||||||||||||||
| Other (income)/expense, net | (7) | (13) | (5) | (17) | |||||||||||||||||||
| Interest expense, net | 25 | 37 | 50 | 77 | |||||||||||||||||||
| Loss on early extinguishment of debt | — | — | — | 10 | |||||||||||||||||||
| (Gain)/loss on sale of equity interest in naviHealth | — | (1) | — | (1) | |||||||||||||||||||
| Loss before income taxes | (137) | (973) | (27) | (604) | |||||||||||||||||||
| Benefit from income taxes | (7) | (1,022) | (8) | (925) | |||||||||||||||||||
| Net earnings/(loss) | (130) | 49 | (19) | 321 | |||||||||||||||||||
| Less: Net earnings attributable to noncontrolling interests | — | — | (1) | (1) | |||||||||||||||||||
| Net earnings/(loss) attributable to Cardinal Health, Inc. | $ | (130) | $ | 49 | $ | (20) | $ | 320 | |||||||||||||||
| Earnings/(Loss) per common share attributable to Cardinal Health, Inc.: | |||||||||||||||||||||||
| Basic | $ | (0.50) | $ | 0.17 | $ | (0.08) | $ | 1.13 | |||||||||||||||
| Diluted | (0.50) | 0.17 | (0.08) | 1.12 | |||||||||||||||||||
| Weighted-average number of common shares outstanding: | |||||||||||||||||||||||
| Basic | 261 | 279 | 266 | 283 | |||||||||||||||||||
| Diluted | 261 | 281 | 266 | 285 | |||||||||||||||||||
| Cash dividends declared per common share | $ | 0.4957 | $ | 0.4908 | $ | 0.9914 | $ | 0.9816 | |||||||||||||||
See notes to condensed consolidated financial statements.
26 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Financial Statements | ||||||||
Condensed Consolidated Statements of Comprehensive Income/(Loss)
(Unaudited)
| Three Months Ended December 31, | Six Months Ended December 31, | ||||||||||||||||||||||
| (in millions) | 2022 | 2021 | 2022 | 2021 | |||||||||||||||||||
| Net earnings/(loss) | $ | (130) | $ | 49 | $ | (19) | $ | 321 | |||||||||||||||
| Other comprehensive income/(loss): | |||||||||||||||||||||||
| Foreign currency translation adjustments and other | 20 | (18) | (38) | (43) | |||||||||||||||||||
| Net unrealized gain/(loss) on derivative instruments, net of tax | 10 | (6) | 6 | (8) | |||||||||||||||||||
| Total other comprehensive income/(loss), net of tax | 30 | (24) | (32) | (51) | |||||||||||||||||||
| Total comprehensive income/(loss) | (100) | 25 | (51) | 270 | |||||||||||||||||||
| Less: comprehensive income/(loss) attributable to noncontrolling interests | — | — | (1) | (1) | |||||||||||||||||||
| Total comprehensive income/(loss) attributable to Cardinal Health, Inc. | $ | (100) | $ | 25 | $ | (52) | $ | 269 | |||||||||||||||
See notes to condensed consolidated financial statements.
27 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Financial Statements | ||||||||
Condensed Consolidated Balance Sheets
| (in millions) | December 31, 2022 | June 30, 2022 | |||||||||
| (Unaudited) | |||||||||||
| Assets | |||||||||||
| Current assets: | |||||||||||
| Cash and equivalents | $ | 3,654 | $ | 4,717 | |||||||
| Trade receivables, net | 11,421 | 10,561 | |||||||||
| Inventories, net | 17,263 | 15,636 | |||||||||
| Prepaid expenses and other | 2,258 | 2,021 | |||||||||
| Total current assets | 34,596 | 32,935 | |||||||||
| Property and equipment, net | 2,341 | 2,361 | |||||||||
| Goodwill and other intangibles, net | 6,618 | 7,629 | |||||||||
| Other assets | 927 | 953 | |||||||||
| Total assets | $ | 44,482 | $ | 43,878 | |||||||
| Liabilities and Shareholders’ Deficit | |||||||||||
| Current liabilities: | |||||||||||
| Accounts payable | $ | 30,083 | $ | 27,128 | |||||||
| Current portion of long-term obligations and other short-term borrowings | 577 | 580 | |||||||||
| Other accrued liabilities | 2,552 | 2,842 | |||||||||
| Total current liabilities | 33,212 | 30,550 | |||||||||
| Long-term obligations, less current portion | 4,685 | 4,735 | |||||||||
| Deferred income taxes and other liabilities | 8,797 | 9,299 | |||||||||
| Shareholders’ deficit: | |||||||||||
| 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 December 31, 2022 and June 30, 2022 | 2,747 | 2,813 | |||||||||
| Accumulated deficit | (560) | (280) | |||||||||
Common shares in treasury, at cost: 68 million shares and 54 million shares at December 31, 2022 and June 30, 2022, respectively | (4,254) | (3,128) | |||||||||
| Accumulated other comprehensive loss | (146) | (114) | |||||||||
| Total Cardinal Health, Inc. shareholders' deficit | (2,213) | (709) | |||||||||
| Noncontrolling interests | 1 | 3 | |||||||||
| Total shareholders’ deficit | (2,212) | (706) | |||||||||
| Total liabilities and shareholders’ deficit | $ | 44,482 | $ | 43,878 | |||||||
See notes to condensed consolidated financial statements.
28 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Financial Statements | ||||||||
Condensed Consolidated Statements of Shareholders'
Equity/(Deficit)
(Unaudited)
| Common Shares | Treasury Shares | Accumulated Other Comprehensive Loss | Noncontrolling Interests | Total Shareholders’ Equity/ (Deficit) | |||||||||||||||||||||||||||||||||||||||||||
| (in millions) | Shares Issued | Amount | Retained Earnings/ (Accumulated Deficit) | Shares | Amount | ||||||||||||||||||||||||||||||||||||||||||
| Three Months Ended December 31, 2022 | |||||||||||||||||||||||||||||||||||||||||||||||
| Balance at September 30, 2022 | 327 | $ | 2,576 | $ | (301) | (65) | $ | (3,880) | $ | (176) | $ | 1 | $ | (1,780) | |||||||||||||||||||||||||||||||||
| Net loss | (130) | — | (130) | ||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive income, net of tax | 30 | 30 | |||||||||||||||||||||||||||||||||||||||||||||
| Employee stock plans activity, net of shares withheld for employee taxes | — | 21 | 1 | 26 | 47 | ||||||||||||||||||||||||||||||||||||||||||
| Share repurchase program activity | 150 | (4) | (400) | (250) | |||||||||||||||||||||||||||||||||||||||||||
| Dividends declared | (129) | (129) | |||||||||||||||||||||||||||||||||||||||||||||
| Balance at December 31, 2022 | 327 | $ | 2,747 | $ | (560) | (68) | $ | (4,254) | $ | (146) | $ | 1 | $ | (2,212) | |||||||||||||||||||||||||||||||||
| Three Months Ended December 31, 2021 | |||||||||||||||||||||||||||||||||||||||||||||||
| Balance at September 30, 2021 | 327 | $ | 2,666 | $ | 1,335 | (43) | $ | (2,547) | $ | (61) | $ | 3 | $ | 1,396 | |||||||||||||||||||||||||||||||||
| Net earnings | 49 | — | 49 | ||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive loss, net of tax | (24) | (24) | |||||||||||||||||||||||||||||||||||||||||||||
| Employee stock plans activity, net of shares withheld for employee taxes | — | 15 | 4 | 19 | |||||||||||||||||||||||||||||||||||||||||||
| Share repurchase program activity | 40 | (7) | (340) | (300) | |||||||||||||||||||||||||||||||||||||||||||
| Dividends declared | (139) | (139) | |||||||||||||||||||||||||||||||||||||||||||||
| Other | — | 1 | 1 | ||||||||||||||||||||||||||||||||||||||||||||
| Balance at December 31, 2021 | 327 | $ | 2,721 | $ | 1,245 | (50) | $ | (2,883) | $ | (85) | $ | 4 | $ | 1,002 | |||||||||||||||||||||||||||||||||
| Six Months Ended December 31, 2022 | |||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2022 | 327 | $ | 2,813 | $ | (280) | (54) | $ | (3,128) | $ | (114) | $ | 3 | $ | (706) | |||||||||||||||||||||||||||||||||
| Net loss | (20) | 1 | (19) | ||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive loss, net of tax | (32) | (32) | |||||||||||||||||||||||||||||||||||||||||||||
| Purchase of noncontrolling interests | (2) | (2) | |||||||||||||||||||||||||||||||||||||||||||||
| Employee stock plans activity, net of shares withheld for employee taxes | — | (16) | 2 | 74 | 58 | ||||||||||||||||||||||||||||||||||||||||||
| Share repurchase program activity | (50) | (16) | (1,200) | (1,250) | |||||||||||||||||||||||||||||||||||||||||||
| Dividends declared | (260) | (260) | |||||||||||||||||||||||||||||||||||||||||||||
| Other | (1) | (1) | |||||||||||||||||||||||||||||||||||||||||||||
| Balance at December 31, 2022 | 327 | $ | 2,747 | $ | (560) | (68) | $ | (4,254) | $ | (146) | $ | 1 | $ | (2,212) | |||||||||||||||||||||||||||||||||
| Six Months Ended December 31, 2021 | |||||||||||||||||||||||||||||||||||||||||||||||
| Balance at June 30, 2021 | 327 | $ | 2,806 | $ | 1,205 | (36) | $ | (2,186) | $ | (34) | $ | 3 | $ | 1,794 | |||||||||||||||||||||||||||||||||
| Net earnings | 320 | 1 | 321 | ||||||||||||||||||||||||||||||||||||||||||||
| Other comprehensive loss, net of tax | (51) | (51) | |||||||||||||||||||||||||||||||||||||||||||||
| Employee stock plans activity, net of shares withheld for employee taxes | — | (25) | 1 | 43 | 18 | ||||||||||||||||||||||||||||||||||||||||||
| Share repurchase program activity | (60) | (15) | (740) | (800) | |||||||||||||||||||||||||||||||||||||||||||
| Dividends declared | (280) | (280) | |||||||||||||||||||||||||||||||||||||||||||||
| Balance at December 31, 2021 | 327 | $ | 2,721 | $ | 1,245 | (50) | $ | (2,883) | $ | (85) | $ | 4 | $ | 1,002 | |||||||||||||||||||||||||||||||||
See notes to condensed consolidated financial statements.
29 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Financial Statements | ||||||||
Condensed Consolidated Statements of Cash Flows
(Unaudited)
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Cash flows from operating activities: | |||||||||||
| Net earnings/(loss) | $ | (19) | $ | 321 | |||||||
| Adjustments to reconcile net earnings/(loss) to net cash provided by operating activities: | |||||||||||
| Depreciation and amortization | 341 | 332 | |||||||||
| (Gain)/loss on sale of equity interest in naviHealth | — | (1) | |||||||||
| Impairments and (gain)/loss on disposal of assets, net | 863 | 1,293 | |||||||||
| Loss on early extinguishment of debt | — | 10 | |||||||||
| Share-based compensation | 48 | 42 | |||||||||
| Provision for bad debts | 59 | 25 | |||||||||
| Change in operating assets and liabilities, net of effects from acquisitions and divestitures: | |||||||||||
| Increase in trade receivables | (919) | (329) | |||||||||
| Increase in inventories | (1,643) | (361) | |||||||||
| Increase in accounts payable | 2,954 | 1,059 | |||||||||
| Other accrued liabilities and operating items, net | (1,064) | (1,842) | |||||||||
| Net cash provided by operating activities | 620 | 549 | |||||||||
| Cash flows from investing activities: | |||||||||||
| Proceeds from divestitures, net of cash sold | — | 938 | |||||||||
| Additions to property and equipment | (155) | (141) | |||||||||
| Proceeds from disposal of property and equipment | 2 | — | |||||||||
| Purchases of investments | (5) | (4) | |||||||||
| Proceeds from investments | 1 | 22 | |||||||||
| Net cash provided by/(used in) investing activities | (157) | 815 | |||||||||
| Cash flows from financing activities: | |||||||||||
| Reduction of long-term obligations | (13) | (592) | |||||||||
Net tax proceeds/(withholdings) from share-based compensation | 9 | (27) | |||||||||
| Dividends on common shares | (271) | (289) | |||||||||
| Purchase of treasury shares | (1,250) | (800) | |||||||||
| Net cash used in financing activities | (1,525) | (1,708) | |||||||||
| Effect of exchange rate changes on cash and equivalents | (1) | (11) | |||||||||
| Cash and equivalents reclassified from assets held for sale | — | 109 | |||||||||
| Net decrease in cash and equivalents | (1,063) | (246) | |||||||||
| Cash and equivalents at beginning of period | 4,717 | 3,407 | |||||||||
| Cash and equivalents at end of period | $ | 3,654 | $ | 3,161 | |||||||
See notes to condensed consolidated financial statements.
30 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Notes to Financial Statements | ||||||||
Notes to Condensed Consolidated Financial Statements
1. Basis of Presentation and Summary of Significant Accounting Policies
Basis of Presentation
Our condensed consolidated financial statements include the accounts of all majority-owned or consolidated subsidiaries, and all significant intercompany transactions and amounts have been eliminated. The results of businesses acquired or disposed of are included in the condensed consolidated financial statements from the date of the acquisition or up to the date of disposal, respectively.
References to "we," "our," and similar pronouns in this Quarterly Report on Form 10-Q for the quarter ended December 31, 2022 (this "Form 10-Q") refer to Cardinal Health, Inc. and its majority-owned or consolidated subsidiaries unless the context requires otherwise.
Our fiscal year ends on June 30. References to fiscal 2023 and 2022 in these condensed consolidated financial statements are to the fiscal years ending or ended June 30, 2023 and June 30, 2022, respectively.
Our condensed consolidated financial statements have been prepared in accordance with the U.S. Securities and Exchange Commission ("SEC") instructions to Quarterly Reports on Form 10-Q and include the information and disclosures required by accounting principles generally accepted in the United States ("GAAP") for interim financial reporting. The preparation of financial statements in conformity with GAAP requires us to make estimates, judgments and assumptions that affect amounts reported in the condensed consolidated financial statements and accompanying notes. Actual amounts may differ from these estimated amounts.
In our opinion, all adjustments necessary for a fair presentation of the condensed consolidated financial statements have been included. Except as disclosed elsewhere in this Form 10-Q, all such adjustments are of a normal and recurring nature. In addition, financial results presented for this fiscal 2023 interim period are not necessarily indicative of the results that may be expected for the full fiscal year ending June 30, 2023. These condensed consolidated financial statements are unaudited and, accordingly, should be read in conjunction with the audited consolidated financial statements and related notes contained in our Annual Report on Form 10-K for the fiscal year ended June 30, 2022 (the "2022 Form 10-K").
Recently Issued Financial Accounting Standards
Not Yet Adopted
We assess the adoption impacts of recently issued accounting standards by the Financial Accounting Standards Board ("FASB") on our condensed consolidated financial statements as well as material updates to previous assessments, if any, from our fiscal 2022 Form 10-K. There were no accounting standards issued in fiscal 2023 that will have a material impact on our condensed consolidated financial statements.
Recently Adopted Financial Accounting Standards
There were no new material accounting standards adopted during the six months ended December 31, 2022.
2. Divestitures
In August 2021, we sold the Cordis business to Hellman & Friedman for proceeds of $923 million, net of cash transferred, and we retained certain working capital accounts. Cardinal Health also retained product liability associated with lawsuits and claims related to the Cordis OptEase and TrapEase inferior vena cava ("IVC") filter products in the U.S. and Canada, as well as authority for these matters discussed in Note 6. The Cordis business operated within our Medical segment.
31 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Notes to Financial Statements | ||||||||
3. Restructuring and Employee Severance
The following table summarizes restructuring and employee severance:
| Three Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Employee-related | $ | 10 | $ | 2 | |||||||
| Facility exit and other | 7 | 5 | |||||||||
| Total restructuring and employee severance | $ | 17 | $ | 7 | |||||||
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Employee-related | $ | 29 | $ | 10 | |||||||
| Facility exit and other | 17 | 15 | |||||||||
| Total restructuring and employee severance | $ | 46 | $ | 25 | |||||||
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. Facility exit and other costs primarily consist of accelerated depreciation, costs associated with vacant facilities, professional, project management and other service fees to support divestitures, vendor transition fees, project consulting fees, and certain other divestiture-related costs.
Restructuring and employee severance costs during the three and six months ended December 31, 2022 and December 31, 2021 were primarily related to the implementation of certain enterprise-wide cost-savings measures. During the three months and six months ended December 31, 2021, restructuring also included costs related to the divestiture of the Cordis business.
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, 2022 | $ | 56 | $ | 10 | $ | 66 | |||||||||||
| Additions | 25 | 5 | 30 | ||||||||||||||
| Payments and other adjustments | (20) | (13) | (33) | ||||||||||||||
| Balance at December 31, 2022 | $ | 61 | $ | 2 | $ | 63 | |||||||||||
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 | Medical (1) | Total | ||||||||||||||
| Balance at June 30, 2022 | $ | 2,673 | $ | 3,182 | $ | 5,855 | |||||||||||
| Foreign currency translation adjustments and other | — | (6) | (6) | ||||||||||||||
| Goodwill impairment | — | (863) | (863) | ||||||||||||||
| Balance at December 31, 2022 | $ | 2,673 | $ | 2,313 | $ | 4,986 | |||||||||||
(1)At December 31, 2022 and June 30, 2022, the Medical segment accumulated goodwill impairment loss was $4.4 billion and $3.5 billion, respectively.
Due to certain reductions in our long-term financial plan assumptions made during the three months ended December 31, 2022, including those related to Cardinal Health branded medical products sales growth, we elected to bypass the qualitative assessment and perform quantitative goodwill impairment testing for the Medical Unit. This quantitative testing resulted in the carrying amount of the Medical Unit exceeding the fair value, resulting in a pre-tax goodwill impairment charge of $709 million. The impairment charge recognized during the three months ended December 31, 2022 was driven primarily by the impact of the reductions in our long-term financial plan assumptions.
During the three months ended September 30, 2022, we performed quantitative goodwill impairment testing for the Medical Unit, which resulted in a pre-tax goodwill impairment charge of $154 million driven by an increase in the discount rate primarily due to an increase in the risk-free interest rate. The cumulative pre-tax goodwill impairment charges of $863 million were recognized in impairments and (gain)/loss on disposal of assets, net in our condensed consolidated statements of earnings/(loss) for six months ended December 31, 2022.
Our determinations of the estimated fair value of the Medical Unit at December 31, 2022 and at September 30, 2022 were based on a combination of the income-based approach (using a terminal growth rate of 2 percent), and the market-based approaches. For the income-based approach, we used discount rates of 10.5 percent for both periods. Additionally, we assigned a weighting of 80 percent to the discounted cash flow method, 10 percent to the guideline public company method, and 10 percent to the guideline transaction method. Our fair value estimates utilize significant unobservable inputs and thus represent Level 3 fair value measurements.
The carrying value of the Medical Unit at December 31, 2022 after recognizing the impairment charges was $6.2 billion, of which $1.1 billion was goodwill.
During the three months ended December 31, 2021, we performed quantitative goodwill impairment testing for the Medical Unit. This quantitative testing resulted in the carrying amount of the Medical
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| Notes to Financial Statements | ||||||||
Unit exceeding the fair value, resulting in a pre-tax impairment charge of $1.3 billion recorded during the three months ended December 31, 2021.
Other Intangible Assets
The following tables summarize other intangible assets by class at:
| December 31, 2022 | |||||||||||||||||||||||
| (in millions) | Gross Intangible | Accumulated Amortization | Net Intangible | Weighted- Average Remaining Amortization Period (Years) | |||||||||||||||||||
| Indefinite-life intangibles: | |||||||||||||||||||||||
| Trademarks and patents | $ | 11 | $ | — | $ | 11 | N/A | ||||||||||||||||
| Total indefinite-life intangibles | 11 | — | 11 | N/A | |||||||||||||||||||
| Definite-life intangibles: | |||||||||||||||||||||||
| Customer relationships | 3,234 | 2,220 | 1,014 | 10 | |||||||||||||||||||
| Trademarks, trade names and patents | 547 | 369 | 178 | 9 | |||||||||||||||||||
| Developed technology and other | 1,036 | 607 | 429 | 9 | |||||||||||||||||||
| Total definite-life intangibles | 4,817 | 3,196 | 1,621 | 10 | |||||||||||||||||||
| Total other intangible assets | $ | 4,828 | $ | 3,196 | $ | 1,632 | N/A | ||||||||||||||||
| June 30, 2022 | |||||||||||||||||
| (in millions) | Gross Intangible | Accumulated Amortization | Net Intangible | ||||||||||||||
| Indefinite-life intangibles: | |||||||||||||||||
| Trademarks and patents | $ | 11 | $ | — | $ | 11 | |||||||||||
| Total indefinite-life intangibles | 11 | — | 11 | ||||||||||||||
| Definite-life intangibles: | |||||||||||||||||
| Customer relationships | 3,272 | 2,165 | 1,107 | ||||||||||||||
| Trademarks, trade names and patents | 552 | 360 | 192 | ||||||||||||||
| Developed technology and other | 1,038 | 574 | 464 | ||||||||||||||
| Total definite-life intangibles | 4,862 | 3,099 | 1,763 | ||||||||||||||
| Total other intangible assets | $ | 4,873 | $ | 3,099 | $ | 1,774 | |||||||||||
Total amortization of intangible assets was $71 million and $79 million for the three months ended December 31, 2022 and 2021, respectively, and $142 million and $157 million for the six months ended December 31, 2022 and 2021, respectively. Estimated annual amortization of intangible assets for the remainder of fiscal 2023 through 2027 is as follows: $147 million, $260 million, $235 million, $208 million, and $176 million.
5. Long-Term Obligations and Other Short-Term Borrowings
Long-Term Debt
We had total long-term obligations, including the current portion and other short-term borrowings, of $5.3 billion at both December 31, 2022 and June 30, 2022. 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. 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 $30.1 billion and $27.1 billion at December 31, 2022 and June 30, 2022, respectively.
During the six months ended December 31, 2021, we redeemed all outstanding $572 million principal amount of 2.616% Notes due June 2022 at a redemption price equal to 100% of the principal amount and accrued but unpaid interest, plus the make-whole premium applicable to the notes. In connection with this redemption, we recorded a $10 million loss on early extinguishment of debt. The early redemption was funded with available cash.
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. At December 31, 2022, we had no amounts outstanding under our commercial paper program, revolving credit facility, or our committed receivables sales facility.
In September 2022, we renewed our committed receivables sales facility program through Cardinal Health Funding, LLC (“CHF”) through September 30, 2025. 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.
Our revolving credit and committed receivables sales facilities require us to maintain a consolidated net leverage ratio of no more than 3.75-to-1. As of December 31, 2022, we were in compliance with this financial covenant.
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6. Commitments, Contingent Liabilities and Litigation
Commitments
Generic Sourcing Venture with CVS Health Corporation ("CVS Health")
In July 2014, we established Red Oak Sourcing, LLC ("Red Oak Sourcing"), a U.S.-based generic pharmaceutical sourcing venture with CVS Health for an initial term of 10 years. Red Oak Sourcing negotiates generic pharmaceutical supply contracts on behalf of its participants. In August 2021, we amended our agreement to extend the term through June 2029. We are required to make quarterly payments to CVS Health for the term of the arrangement.
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 share of the total morphine milligram equivalents sold or distributed in New York during the applicable calendar year, beginning in 2017. Subsequently, New York passed a new statute that modified the assessment going forward and limited the OSA to two years (2017 and 2018).
We accrue contingencies if it is probable that a liability has been incurred and the amount can be estimated. In the second quarter of fiscal year 2022, we paid the State of New York $20 million, our portion of the assessment for calendar year 2017. At June 30, 2022, we had an accrual of $20 million, which represented our estimate of our portion of the assessment for calendar year 2018. During the three and six months ended December 31, 2022, we recorded $6 million of income to reduce this accrual to the invoiced amount for the calendar year 2018 assessment.
Legal Proceedings
We become involved from time to time in disputes, litigation and regulatory matters.
From time to time, we determine that products we source, 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 have led to product recalls, costs to repair or replace affected products, temporary interruptions in product sales, product liability claims and lawsuits and can lead to action by regulators. Even absent an identified regulatory or quality issue or product recall, we can become subject to product liability claims and lawsuits.
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 directly or indirectly lead to the assertion of claims or the commencement of legal proceedings against us or result in sanctions.
We have been 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.
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, net in our condensed consolidated statements of earnings/(loss); however, losses and recoveries of lost profits from disputes that occur in the ordinary course of business are included within segment profit. For example, in the second quarter of fiscal year 2022, our Pharmaceutical segment profit was positively impacted by a $16 million judgment for lost profits related to an ordinary course intellectual property rights claim.
Opioid Lawsuits and Investigations
States & Political Subdivisions
National Settlement
As previously disclosed, in February 2022, we along with two other national distributors (collectively, the "Distributors") independently approved a settlement and settlement agreement (the "Settlement Agreement") to settle the vast majority of opioid lawsuits and
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claims brought by states and political subdivisions. This Settlement Agreement became effective on April 2, 2022. In May and June 2022, the Distributors reached agreements with the States of Washington and Oklahoma, respectively, to resolve the opioid-related claims of those states and their political subdivisions. Under these agreements, Cardinal Health agreed to pay approximately $160 million to the State of Washington and its participating subdivisions and approximately $95 million to the State of Oklahoma and its participating subdivisions. These amounts are consistent with the amounts that would have been allocated to Washington and Oklahoma under the Settlement Agreement. Each of Washington and Oklahoma is now subject to the Settlement Agreement.
In addition to the Distributors, parties to the Settlement Agreement include 48 states, the District of Columbia and 5 U.S. territories. Over 99 percent of political subdivisions (by population as calculated under the Settlement Agreement) that had brought opioid-related suits against us had chosen to join the Settlement Agreement or have had their claims addressed by state legislation.
Under the Settlement Agreement, we agreed to pay up to approximately $6.3 billion. The Settlement Agreement also includes injunctive relief terms related to distributors’ controlled substance anti-diversion programs. For more information on the terms of the Settlement Agreement, refer to our 2022 Form 10-K. As a result of the Settlement Agreement, most lawsuits brought against us by states and other political subdivisions have been dismissed and we expect additional lawsuits to be dismissed over the coming months. We continue to engage in resolution discussions with certain non-participating political subdivisions, including the Attorney General for the State of Alabama, and we intend to defend ourselves vigorously against all remaining lawsuits.
During the six months ended December 31, 2022, we made our second annual payment of $372 million under the Settlement Agreement. In total, we have $5.89 billion accrued at December 31, 2022, of which $480 million is included in other accrued liabilities and the remainder is included in deferred income taxes and other liabilities in our condensed consolidated balance sheets.
Other Settlements
West Virginia subdivisions and Native American tribes were not a part of the national settlement, and we had separate negotiations with these groups. A bench trial before a federal judge in West Virginia in a case brought by Cabell County and City of Huntington against the Distributors concluded in July 2021. In July 2022, a judgement in favor of the Distributors was entered. In July 2022, the Distributors reached an agreement to settle the opioid-related claims of the majority of the remaining West Virginia subdivisions. Under this agreement, we have agreed to pay eligible West Virginia subdivisions up to approximately $124 million over an eleven-year period. This agreement became effective in October 2022 when all participating subdivisions dismissed their cases.
In January 2022, the Distributors entered into a term sheet with Native American tribes to resolve their opioid claims. In October 2022, we executed a final settlement agreement with the Native American Tribes, pursuant to which we will pay up to approximately $136 million over five years. In connection with this settlement, the court entered dismissals for the Native American tribes' cases.
Because loss contingencies are inherently unpredictable and unfavorable developments or resolutions can occur, the assessment is highly subjective and requires judgments about future events. We regularly review these opioid litigation matters to determine whether our accrual is adequate. The amount of ultimate loss may differ materially from this accrual, whether as a result of settlement discussions, a judicial decision or verdict or otherwise, but we are not able to estimate a range of reasonably possible additional losses for these matters. We continue to strongly dispute the allegations made in these lawsuits and none of these agreements is an admission of liability or wrongdoing.
Department of Justice Investigations
We have received federal grand jury subpoenas issued in connection with investigations being conducted by the U.S. Attorney's Office for the Eastern District of New York and the Fraud Section of the U.S. Department of Justice ("DOJ"). We have also received civil requests for information from other DOJ offices. We believe that these investigations concern operation of our anti-diversion program, our anti-diversion policies and procedures, and distribution of certain controlled substances. We are cooperating with these investigations. We are unable to predict the outcome of any of these investigations.
Private Plaintiffs
The Settlement Agreement does not address claims by private parties, which includes unions and other health and welfare funds, hospital systems and other healthcare providers, businesses and individuals alleging personal injury. Private parties had brought approximately 468 lawsuits as of January 31, 2023. Of these, 88 are purported class actions. The causes of action asserted by these plaintiffs are similar to those asserted by public plaintiffs.
A trial in a case involving 21 plaintiffs began in state court in Georgia in July 2022. A mistrial was declared shortly thereafter due to rising COVID-19 cases and a new trial began in January 2023. A trial involving eight hospital plaintiffs is scheduled to begin in Alabama in July 2023. We are vigorously defending ourselves in all of these matters; however, trials are inherently unpredictable and it is possible that an unfavorable outcome in these matters, individually or in the aggregate, could have a negative impact on our financial results.
Insurance Litigation
We are involved in ongoing legal proceedings with insurers related their obligations to reimburse us for defense and indemnity costs in connection with the lawsuits described above. In the three months ended December 31, 2022, we received approximately $10 million in insurance recoveries related to these matters; however, we
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have not recorded a receivable for any additional recoveries as of December 31, 2022.
Cordis IVC Filter Matters
Product Liability Lawsuits
As of January 31, 2023, we are named as a defendant in approximately 450 product liability lawsuits coordinated in Alameda County Superior Court in California involving claims by approximately 5,161 plaintiffs that allege personal injuries associated with the use of IVC filter products. Another 3 lawsuits involving similar claims by approximately 3 plaintiffs are pending in other jurisdictions. In August 2021, the Attorney General for the State of New Mexico filed an action against certain IVC filter manufacturers, including us, alleging claims under New Mexico's Unfair Practices Act, Medicaid Fraud Act and Fraud Against Taxpayers Act. The allegations are similar to those made in the product liability lawsuits.
These lawsuits seek a variety of remedies, including unspecified monetary damages. Since July 2021, we have entered into agreements to settle approximately 2,885 product liability claims. As a result, certain lawsuits have been dismissed and we expect additional lawsuits to be dismissed over the coming months. We continue to vigorously defend ourselves in the remaining lawsuits and are engaged in ongoing resolution discussions with certain plaintiffs.
We recognized net income of $46 million and $25 million during the three and six months ended December 31, 2022, respectively, to reduce the reserve for the estimated settlement and defense costs for these matters due to certain claim settlements and to reflect insurance recoveries received in the quarter. At December 31, 2022, we had a total of $471 million accrued for losses and legal defense costs, related to the IVC filter product liability lawsuits in our condensed 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 $826 million. The divestiture of the Cordis business did not include product liability related to the IVC filters in the U.S. and Canada, which we retained.
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. In June 2020, the court appointed 1199 SEIU Health Care Employees Pension Fund as lead plaintiff and a consolidated amended complaint was filed in September 2020. The amended complaint alleges that the defendants violated Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 by making misrepresentations and omissions related to the acquisition and 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. The complaint also alleges that one of the individual defendants violated Section 20A of the Exchange Act because he sold shares of Cardinal Health stock during the time period. In September 2021, the court denied our motion to dismiss. In September 2022, the court entered an order staying the case while the parties participate in mediation. We continue to vigorously defend ourselves against these claims.
Other Civil Litigation
Generic Pharmaceutical Pricing Antitrust Litigation
In December 2019, pharmaceutical distributors including us were added as defendants in a civil class action lawsuit filed by indirect purchasers of generic drugs, such as hospitals and retail pharmacies. The indirect purchaser case is part of a multidistrict litigation consisting of multiple individual class action matters consolidated in the Eastern District of Pennsylvania. The indirect purchaser plaintiffs allege that pharmaceutical distributors encouraged manufacturers to increase prices, provided anti-competitive pricing information to manufacturers and improperly engaged in customer allocation. In May 2020, the court granted our motion to dismiss. In July 2022, the indirect purchasers filed an amended complaint and in August 2022, we filed a motion to dismiss the intended complaint. We are vigorously defending ourselves in this matter.
Antitrust Litigation Proceeds
In October 2022, we received net cash proceeds resulting from the settlement of a lawsuit in which we were a class member or plaintiff of $66 million, which was recognized in litigation (recoveries)/charges, net, during the three months ended December 31, 2022.
Shareholder Derivative Litigation
Between June 2019 and January 2020, three purported shareholders filed actions 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 and approving certain payments of executive compensation. In January 2020, the court consolidated these derivative cases under the caption In re Cardinal Health, Inc. Derivative Litigation and in March 2020, plaintiffs filed an amended complaint.
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In December 2021, the parties reached an agreement in principle to settle this matter. In October 2022, a court entered an order approving the settlement and dismissing the case. The settlement does not include any admission of liability. Under this settlement, in December 2022, Cardinal's director and officer's liability insurance carriers, on behalf of the defendants, paid Cardinal Health $124 million, less approximately $31 million in attorneys' fees and expenses awarded by the court to plaintiffs' counsel. Cardinal received net cash proceeds resulting from this settlement of $93 million, which was recognized in litigation (recoveries)/charges, net, during the three months ended December 31, 2022.
7. Income Taxes
Fluctuations in our provision for/(benefit from) income taxes as a percentage of pre-tax earnings/(loss) (“effective tax rate”) are due to changes in international and U.S. state effective tax rates resulting from our business mix and discrete items.
Effective Tax Rate
During the three and six months ended December 31, 2022, the effective tax rate was 5.4 percent and 30.0 percent, respectively, and reflects the impact of the tax effects of the goodwill impairment charges recognized during the three and six months ended December 31, 2022.
During the three and six months ended December 31, 2021, the effective tax rate was 105.0 percent and 153.1 percent, respectively, and reflects the impact of the tax effect of the goodwill impairment charge recognized during the three and six months ended December 31, 2021.
Tax Effects of Goodwill Impairment Charges
During the six months ended December 31, 2022, we recognized pre-tax goodwill impairment charges of $863 million related to the Medical Unit. The net tax benefit related to this charge is $68 million for fiscal 2023.
Unless an item is considered discrete because it is unusual or infrequent, the tax impact of the item is included in our estimated annual effective tax rate. When items are recognized through our estimated annual effective tax rate, we apply our estimated annual effective tax rate to the earnings/(loss) before income taxes for the year-to-date period to compute our benefit from income taxes for the current quarter and year-to-date period. The tax impacts of discrete items are recognized in their entirety in the period in which they occur.
The tax effect of the goodwill impairment charges during the six months ended December 31, 2022 was included in our estimated annual effective tax rate because it was not considered unusual or infrequent, given that we recorded goodwill impairment in prior fiscal years. The impact of the non-deductible goodwill significantly increased the estimated annual effective tax rate for fiscal 2023. Applying the higher tax rate to the pre-tax loss for the six months ended December 31, 2022 resulted in recognizing an incremental interim tax benefit of approximately $140 million, which impacted
the benefit from income taxes in the condensed consolidated statements of earnings/(loss) during the six months ended December 31, 2022 and prepaid expenses and other assets in the condensed consolidated balance sheet at December 31, 2022. This incremental interim tax benefit will reverse in the future quarters of fiscal 2023.
Unrecognized Tax Benefits
We had $1.0 billion and $943 million of unrecognized tax benefits, at December 31, 2022 and June 30, 2022, respectively. The December 31, 2022 and June 30, 2022 balances include $889 million and $858 million of unrecognized tax benefits, respectively, that if recognized, would have an impact on the effective tax rate.
At December 31, 2022 and June 30, 2022, we had $56 million and $48 million, respectively, accrued for the payment of interest and penalties related to unrecognized tax benefits, which we recognize in the provision for/(benefit from) income taxes in the condensed consolidated statements of earnings/(loss). These balances are gross amounts before any tax benefits and are included in deferred income taxes and other liabilities in the condensed consolidated balance sheets.
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 IRS and other 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 between zero and a net decrease of up to $120 million, exclusive of penalties and interest.
Other Tax Matters
We file income tax returns in the U.S. federal jurisdiction, various U.S. state jurisdictions, and various foreign jurisdictions. With few exceptions, we are subject to audit by taxing authorities for fiscal years 2015 through the current fiscal year.
We are a party to a tax matters agreement with CareFusion Corporation ("CareFusion"), a subsidiary of 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 $78 million and $75 million at
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December 31, 2022 and June 30, 2022, respectively, and is included in other assets in the condensed consolidated balance sheets.
8. Fair Value Measurements
The following tables present the fair values for assets and (liabilities) measured on a recurring basis at:
| December 31, 2022 | |||||||||||||||||||||||
| (in millions) | Level 1 | Level 2 | Level 3 | Total | |||||||||||||||||||
| Assets: | |||||||||||||||||||||||
| Cash equivalents | $ | 1,146 | $ | — | $ | — | $ | 1,146 | |||||||||||||||
| Other investments (1) | 94 | — | — | 94 | |||||||||||||||||||
| Liabilities: | |||||||||||||||||||||||
| Forward contracts (2) | — | (48) | — | (48) | |||||||||||||||||||
| June 30, 2022 | |||||||||||||||||||||||
| (in millions) | Level 1 | Level 2 | Level 3 | Total | |||||||||||||||||||
| Assets: | |||||||||||||||||||||||
| Cash equivalents | $ | 2,425 | $ | — | $ | — | $ | 2,425 | |||||||||||||||
| Other investments (1) | 97 | — | — | 97 | |||||||||||||||||||
| Forward contracts (2) | — | 15 | — | 15 | |||||||||||||||||||
(1)The other investments balance includes investments in mutual funds, which 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, and net investment hedges 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 prepaid expenses and other, other assets, other accrued liabilities, and deferred income taxes and other liabilities within the condensed consolidated balance sheets.
9. 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 rated 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 on our fixed-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.
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 condensed consolidated statements of earnings/(loss). For the three and six months ended December 31, 2022 and 2021, 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 the six months ended December 31, 2022 and 2021, we entered into pay-floating interest rate swaps with total notional amounts of $200 million and $300 million, respectively. 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 condensed consolidated balance sheets.
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| Notes to Financial Statements | ||||||||
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 accumulated other comprehensive loss 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.
Pre-tax gains and losses recognized in other comprehensive income/(loss) were a $2 million loss and a $1 million gain for the three months ended December 31, 2022 and 2021, respectively, and a $2 million gain and a $3 million gain for the six months ended December 31, 2022 and 2021, respectively. Gains and losses recognized in accumulated other comprehensive loss and reclassified into earnings were immaterial for the three and six months ended December 31, 2022 and 2021. All gains and losses currently included within accumulated other comprehensive loss associated with our cash flow hedges to be reclassified into net earnings within the next 12 months are immaterial.
Net Investment Hedges
We hedge the foreign currency risk associated with certain net investment positions in foreign subsidiaries. To accomplish this, we enter into cross-currency swaps that are designated as hedges of net investments.
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 net investment hedges are not highly effective, changes in carrying value attributable to the change in spot rates are recorded in earnings.
Pre-tax gain and loss from net investment hedges recorded in the foreign currency translation component of accumulated other comprehensive loss was a $43 million loss and a $17 million gain during the three months ended December 31, 2022 and 2021, respectively, and a $21 million loss and a $22 million gain during the six months ended December 31, 2022 and 2021, respectively. Gains recognized in interest expense, net in the condensed consolidated statements of earnings/(loss) for the portion of the net investment hedges excluded from the assessment of hedge effectiveness were $4 million and $5 million during the three months ended December 31, 2022 and 2021, respectively, and $8 million and $11 million during the six months ended December 31, 2022 and 2021, respectively.
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. We recorded a $3 million gain and a $2 million gain during the three months ended December 31, 2022 and 2021, respectively, and a $3 million loss and a $4 million gain during the six months ended December 31, 2022 and 2021, respectively. The principal currencies managed through foreign currency contracts are Canadian dollar, Euro, Chinese renminbi, Indian rupee and Thai baht..
Fair Value of Financial Instruments
The carrying amounts of cash and equivalents, trade receivables, accounts payable, and other accrued liabilities at December 31, 2022 and June 30, 2022 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:
| (in millions) | December 31, 2022 | June 30, 2022 | |||||||||
| Estimated fair value | $ | 4,912 | $ | 5,049 | |||||||
| Carrying amount | 5,262 | 5,315 | |||||||||
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.
10. Shareholders' Equity/(Deficit)
We repurchased $1.3 billion and $800 million of our common shares, in the aggregate, through share repurchase programs during the six months ended December 31, 2022 and 2021, respectively. We funded the repurchases with available cash. The common shares repurchased are held in treasury to be used for general corporate purposes.
During the three months ended December 31, 2022, we entered into an accelerated share repurchase ("ASR") program to repurchase common shares for an aggregate purchase price of $250 million. We received an initial delivery of 2.6 million common shares using a reference price of $76.58. The program concluded on January 13, 2023 at a volume weighted average price per common share of $77.50 resulting in a final delivery of 0.6 million common shares.
During the three months ended September 30, 2022, we entered into an ASR program to repurchase common shares for an aggregate purchase price of $1.0 billion. We received an initial
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| Notes to Financial Statements | ||||||||
delivery of 12.0 million common shares using a reference price of $66.74. The program concluded on December 23, 2022 at a volume weighted average price per common share of $73.36 resulting in a final delivery of 1.6 million common shares.
During the three months ended December 31, 2021, we entered into an ASR program to repurchase common shares for an aggregate purchase price of $300 million. We received an initial delivery of 4.8 million common shares using a reference price of $50.30. The program concluded on January 31, 2022 at a volume weighted average price per common share of $49.39 resulting in a final delivery of 1.3 million common shares.
During the three months ended September 30, 2021, we entered into an ASR program to repurchase common shares for an aggregate purchase price of $500 million. We received an initial delivery of 7.8 million common shares using a reference price of $51.53. The program concluded on October 4, 2021 at a volume weighted average price per common share of $51.10 resulting in a final delivery of 2.0 million common shares.
Accumulated Other Comprehensive Loss
The following tables summarize the changes in the balance of accumulated other comprehensive loss by component and in total:
| (in millions) | Foreign Currency Translation Adjustments | Unrealized Gain/(Loss) on Derivatives, net of tax | Accumulated Other Comprehensive Loss | ||||||||||||||
| Balance at June 30, 2022 | $ | (102) | $ | (12) | $ | (114) | |||||||||||
| Other comprehensive loss, before reclassifications | (38) | 11 | (27) | ||||||||||||||
| Amounts reclassified to earnings | — | (5) | (5) | ||||||||||||||
Total other comprehensive loss attributable to Cardinal Health, Inc. net of tax benefit of $5 million | (38) | 6 | (32) | ||||||||||||||
| Balance at December 31, 2022 | $ | (140) | $ | (6) | $ | (146) | |||||||||||
| (in millions) | Foreign Currency Translation Adjustments | Unrealized Gain/(Loss) on Derivatives, net of tax | Accumulated Other Comprehensive Loss | ||||||||||||||
| Balance at June 30, 2021 | $ | (46) | $ | 12 | $ | (34) | |||||||||||
| Other comprehensive loss, before reclassifications | (43) | (5) | (48) | ||||||||||||||
| Amounts reclassified to earnings | — | (3) | (3) | ||||||||||||||
Total other comprehensive loss attributable to Cardinal Health, Inc. net of tax expense of $7 million | $ | (43) | (8) | (51) | |||||||||||||
| Balance at December 31, 2021 | $ | (89) | $ | 4 | $ | (85) | |||||||||||
11. Earnings/(Loss) Per Share Attributable to Cardinal Health, Inc.
The following table reconciles the number of common shares used to compute basic and diluted earnings/(loss) per share attributable to Cardinal Health, Inc.:
| Three Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Weighted-average common shares–basic | 261 | 279 | |||||||||
| Effect of dilutive securities: | |||||||||||
| Employee stock options, restricted share units and performance share units | — | 2 | |||||||||
| Weighted-average common shares–diluted | 261 | 281 | |||||||||
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Weighted-average common shares–basic | 266 | 283 | |||||||||
| Effect of dilutive securities: | |||||||||||
| Employee stock options, restricted share units and performance share units | — | 2 | |||||||||
| Weighted-average common shares–diluted | 266 | 285 | |||||||||
The potentially dilutive employee stock options, restricted share units and performance share units that were antidilutive were 3 million and 5 million for the three and six months ended December 31, 2022, respectively. For both the three and six months ended December 31, 2022, there were 2 million potentially dilutive employee stock options, restricted share units and performance share units not included in the computation of diluted loss per common share attributable to Cardinal Health, Inc. because their effect would have been antidilutive as a result of the net loss during those periods.
The potentially dilutive employee stock options, restricted share units and performance share units that were antidilutive were 5 million and 4 million for the three and six months ended December 31, 2021, respectively.
12. 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.
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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; provides pharmacy management services to hospitals and operates a limited number of pharmacies, including pharmacies in community health centers; operates nuclear pharmacies and radiopharmaceutical manufacturing facilities; and connects pharmacists, payers and pharmaceutical companies and delivers health solutions for medication therapy management, digital patient engagement and telepharmacy; 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. 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.
Revenue
The following tables present revenue for each reportable segment and disaggregated revenue within our two reportable segments and Corporate:
| Three Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Pharmaceutical Distribution and Specialty Solutions (1) (2) | $ | 47,391 | $ | 41,164 | |||||||
| Nuclear and Precision Health Solutions (3) | 282 | 211 | |||||||||
Pharmaceutical segment revenue | 47,673 | 41,375 | |||||||||
| Medical distribution and products (4) | 3,099 | 3,446 | |||||||||
| Cardinal Health at-Home Solutions | 698 | 639 | |||||||||
Medical segment revenue | 3,797 | 4,085 | |||||||||
| Total segment revenue | 51,470 | 45,460 | |||||||||
| Corporate (5) | (1) | (3) | |||||||||
| Total revenue | $ | 51,469 | $ | 45,457 | |||||||
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Pharmaceutical Distribution and Specialty Solutions (1) (2) | $ | 92,938 | $ | 80,778 | |||||||
| Nuclear and Precision Health Solutions (3) | 563 | 419 | |||||||||
Pharmaceutical segment revenue | 93,501 | 81,197 | |||||||||
| Medical distribution and products (4) | 6,239 | 7,013 | |||||||||
| Cardinal Health at-Home Solutions | 1,336 | 1,221 | |||||||||
Medical segment revenue | 7,575 | 8,234 | |||||||||
| Total segment revenue | 101,076 | 89,431 | |||||||||
| Corporate (5) | (4) | (6) | |||||||||
| Total revenue | $ | 101,072 | $ | 89,425 | |||||||
(1)Products and services offered by our Specialty Solutions division are referred to as “specialty pharmaceutical products and services."
(2)Comprised of all Pharmaceutical segment businesses except for Nuclear and Precision Health Solutions division.
(3)Increase from prior year relates to new product launches and changes in revenue recognition presentation from agent to principal for certain customer contracts.
(4)Comprised of all Medical segment businesses except for Cardinal Health at-Home Solutions division.
(5)Corporate revenue consists of the elimination of inter-segment revenue and other revenue not allocated to the segments.
The following tables present revenue by geographic area:
| Three Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| United States | $ | 50,333 | $ | 44,382 | |||||||
| International | 1,137 | 1,078 | |||||||||
| Total segment revenue | 51,470 | 45,460 | |||||||||
| Corporate (1) | (1) | (3) | |||||||||
| Total revenue | $ | 51,469 | $ | 45,457 | |||||||
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| United States | $ | 98,810 | $ | 87,223 | |||||||
| International | 2,266 | 2,208 | |||||||||
| Total segment revenue | 101,076 | 89,431 | |||||||||
| Corporate (1) | (4) | (6) | |||||||||
| Total revenue | $ | 101,072 | $ | 89,425 | |||||||
(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, and legal and compliance, including certain litigation defense
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| Notes to Financial Statements | ||||||||
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);
•surgical gown recall costs/(income);
•shareholder cooperation agreement costs;
•state opioid assessment related to prior fiscal years;
•restructuring and employee severance;
•amortization and other acquisition-related costs;
•impairments and (gain)/loss on disposal of assets, net; in connection with goodwill impairment testing for the Medical Unit as discussed further in Note 4, we recognized goodwill impairment charges of $709 million and $863 million during the three and six months ended December 31, 2022, respectively;
•litigation (recoveries)/charges, net;
•other (income)/expense, net;
•interest expense, net;
•loss on early extinguishment of debt;
•(gain)/loss on sale of equity interest in naviHealth; or
•provision for/(benefit from) income taxes
In addition, certain investment spending, certain portions of enterprise-wide incentive compensation and other spending are not 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 $5 million and $11 million for the three months ended December 31, 2022 and 2021, and $11 million and $18 million for the six months ended December 31, 2022 and 2021, respectively.
The following tables present segment profit by reportable segment and Corporate:
| Three Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Pharmaceutical (1) | $ | 464 | $ | 426 | |||||||
| Medical | 17 | 50 | |||||||||
| Total segment profit | 481 | 476 | |||||||||
| Corporate | (600) | (1,426) | |||||||||
| Total operating loss | $ | (119) | $ | (950) | |||||||
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Pharmaceutical (1) | $ | 895 | $ | 832 | |||||||
| Medical | 9 | 173 | |||||||||
| Total segment profit | 904 | 1,005 | |||||||||
| Corporate | (886) | (1,540) | |||||||||
| Total operating earnings/(loss) | $ | 18 | $ | (535) | |||||||
(1)Pharmaceutical segment profit during the three and six months ended December 31, 2021 was positively impacted by a $16 million judgment for lost profits related to an ordinary course intellectual property rights claim.
The following table presents total assets for each reportable segment and Corporate at:
| (in millions) | December 31, 2022 | June 30, 2022 | |||||||||
| Pharmaceutical | $ | 28,992 | $ | 26,409 | |||||||
| Medical (1) | 10,757 | 11,632 | |||||||||
| Corporate | 4,733 | 5,837 | |||||||||
| Total assets | $ | 44,482 | $ | 43,878 | |||||||
(1)Medical reflects cumulative $863 million goodwill impairment charges recorded in connection with the interim goodwill impairment testing for the Medical Unit during the three and six months ended December 31, 2022, respectively.
13. Share-Based Compensation
We maintain stock incentive plans (collectively, the “Plans”) for the benefit of certain of our officers, directors and employees.
The following table provides total share-based compensation expense by type of award:
| Three Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Restricted share unit expense | $ | 15 | $ | 17 | |||||||
| Performance share unit expense | 10 | 1 | |||||||||
Total share-based compensation | $ | 25 | $ | 18 | |||||||
| Six Months Ended December 31, | |||||||||||
| (in millions) | 2022 | 2021 | |||||||||
| Restricted share unit expense | $ | 32 | $ | 35 | |||||||
| Performance share unit expense | 16 | 7 | |||||||||
Total share-based compensation | $ | 48 | $ | 42 | |||||||
The total tax benefit related to share-based compensation was $3 million and $2 million for the three months ended December 31, 2022 and 2021, respectively, and $6 million for both the six months ended December 31, 2022 and 2021.
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.
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| Notes to Financial Statements | ||||||||
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, 2022 | 2.7 | $ | 46.03 | ||||||||
| Granted | 1.3 | 70.15 | |||||||||
| Vested | (1.3) | 49.95 | |||||||||
| Canceled and forfeited | (0.4) | 57.75 | |||||||||
| Nonvested at December 31, 2022 | 2.3 | $ | 56.86 | ||||||||
At December 31, 2022, the total pre-tax compensation cost, net of estimated forfeitures, related to nonvested restricted share units not yet recognized was $108 million, which is expected to be recognized over a weighted-average period of two years.
Performance Share Units
Performance share units vest over a 3-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 for the fiscal 2020 and 2021 grants and zero to 234 percent for the fiscal 2022 and 2023 grants. 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, 2022 | 1.2 | $ | 54.32 | ||||||||
| Granted | 0.6 | 76.93 | |||||||||
| Vested | (0.4) | 59.04 | |||||||||
| Canceled and forfeited | (0.3) | 64.32 | |||||||||
| Nonvested at December 31, 2022 | 1.1 | $ | 76.49 | ||||||||
At December 31, 2022, the total pre-tax compensation cost, net of estimated forfeitures, related to nonvested performance share units not yet recognized was $41 million, which is expected to be recognized over a weighted-average period of two years if performance goals are achieved.
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| Exhibits | ||||||||
Exhibits
| Exhibit Number | Exhibit Description | ||||
| 3.1 | |||||
| 3.2 | |||||
| 10.1 | |||||
| 10.2 | |||||
| 10.3 | |||||
| 10.4 | |||||
| 31.1 | |||||
| 31.2 | |||||
| 32.1 | |||||
| 99.1 | |||||
| 101.SCH | Inline XBRL Taxonomy Extension Schema Document | ||||
| 101.CAL | Inline XBRL Taxonomy Extension Calculation Linkbase Document | ||||
| 101.DEF | Inline XBRL Taxonomy Definition Linkbase Document | ||||
| 101.LAB | Inline XBRL Taxonomy Extension Label Linkbase Document | ||||
| 101.PRE | Inline XBRL Taxonomy Extension Presentation Linkbase Document | ||||
| 104 | Cover Page Interactive Data File - formatted in Inline XBRL (included as Exhibit 101) | ||||
Cardinal Health Website
Cardinal Health uses its website as a channel of distribution for material company information. Important information, including news releases, financial information, earnings and analyst presentations, and information about upcoming presentations and events is routinely posted and accessible at ir.cardinalhealth.com. In addition, the website allows investors and other interested persons to sign up automatically to receive e-mail alerts when we post news releases, SEC filings and certain other information on its website.
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| Form 10-Q Cross Reference Index | ||||||||
Form 10-Q Cross Reference Index
| Item Number | Page | |||||||
| Part I. Financial Information | ||||||||
| Item 1 | ||||||||
| Item 2 | ||||||||
| Item 3 | ||||||||
| Item 4 | ||||||||
| Part II. Other Information | ||||||||
| Item 1 | ||||||||
| Item 1A | ||||||||
| Item 2 | ||||||||
| Item 3 | Defaults Upon Senior Securities | N/A | ||||||
| Item 4 | Mine Safety Disclosures | N/A | ||||||
| Item 5 | Other Information | N/A | ||||||
| Item 6 | ||||||||
| N/A | Not applicable | |||||||
45 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||
| Additional Information | ||||||||
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.
| Cardinal Health, Inc. | ||||||||
| Date: | February 2, 2023 | /s/ JASON M. HOLLAR | ||||||
| Jason M. Hollar | ||||||||
| Chief Executive Officer | ||||||||
| /s/ PATRICIA M. ENGLISH | ||||||||
| Patricia M. English | ||||||||
| Chief Financial Officer | ||||||||
46 | Cardinal Health | Q2 Fiscal 2023 Form 10-Q | |||||||