Form 10-Q - Quarterly report [Sections 13 or 15(d)]

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE QUARTERLY PERIOD ENDED June 30, 2023

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

FOR THE TRANSITION PERIOD FROM ___________ TO___________

Commission file number 1-16671

AMERISOURCEBERGEN CORPORATION

(Exact name of registrant as specified in its charter)

Delaware

23-3079390

(State or other jurisdiction of

(I.R.S. Employer

incorporation or organization)

Identification No.)

1 West First Avenue

Conshohocken,

19428-1800

(Address of principal executive offices)

(Zip Code)

(610) 727-7000

(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 exchange on which registered
Common stock, par value $0.01 per share	ABC	New York Stock Exchange	(NYSE)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ý No o

Indicate by check mark whether the registrant has submitted electronically, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ý No o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company (as defined in Rule 12b-2 of the Exchange Act).

Large accelerated filer ý Accelerated filer o Non-accelerated filer o Smaller reporting company ☐

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

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ý

The number of shares of common stock of AmerisourceBergen Corporation outstanding as of July 31, 2023 was 202,174,856.

Table of Contents

AMERISOURCEBERGEN CORPORATION

TABLE OF CONTENTS


			Page No.

Part I. FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited)

Consolidated Balance Sheets as of June 30 , 2023 and September 30, 2022			2

Consolidated Statements of Operations for the three and nine months ended June 30 , 2023 and 2022			3

Consolidated Statements of Comprehensive Income for the three and nine months ended June 30 , 2023 and 2022			4

Consolidated Statements of Changes in Stockholders' Equity for the three and nine months ended June 30, 2023 and 2022			5

Consolidated Statements of Cash Flows for the nine months ended June 30 , 2023 and 2022			7

Notes to Consolidated Financial Statements			8

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations			22

Item 3. Quantitative and Qualitative Disclosures About Market Risk			35

Item 4. Controls and Procedures			35

Part II. OTHER INFORMATION

Item 1. Legal Proceedings			36

Item 1A. Risk Factors			36

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds			36

Item 3. Defaults Upon Senior Securities			36

Item 4. Mine Safety Disclosures			36

Item 5. Other Information			36

Item 6. Exhibits			37

SIGNATURES			38

Table of Contents

PART I. FINANCIAL INFORMATION

ITEM I. Financial Statements (Unaudited)

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS


(in thousands, except share and per share data)	June 30, 2023		September 30, 2022
	(Unaudited)
ASSETS
Current assets:
Cash and cash equivalents	$	1,389,345	$	3,388,189
Accounts receivable, less allowances for returns and credit losses: $1,511,373 as of June 30, 2023 and $1,626,729 as of September 30, 2022	20,796,648		18,452,675
Inventories	16,852,340		15,556,394
Right to recover assets	1,417,551		1,532,061
Income tax receivable	37,479		172,568
Prepaid expenses and other	493,221		487,871
Total current assets	40,986,584		39,589,758

Property and equipment, net	2,147,881		2,135,003
Goodwill	9,658,445		8,503,886
Other intangible assets	4,766,820		4,332,737
Deferred income taxes	221,235		237,571
Other assets	3,396,231		1,761,661

TOTAL ASSETS	$	61,177,196	$	56,560,616

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable	$	43,752,080	$	40,192,890
Accrued expenses and other	2,170,270		2,214,592
Short-term debt	860,861		1,070,473
Total current liabilities	46,783,211		43,477,955

Long-term debt	4,159,853		4,632,360
Accrued income taxes	284,020		320,274
Deferred income taxes	1,716,360		1,620,413
Accrued litigation liability	5,455,000		5,461,758
Other liabilities	1,856,708		976,583
Commitments and contingencies (Note 10)

Stockholders’ equity:
Common stock, $0.01 par value - authorized, issued, and outstanding: 600,000,000 shares, 294,660,550 shares, and 202,109,227 shares as of June 30, 2023, respectively, and 600,000,000 shares, 292,700,490 shares, and 206,203,817 shares as of September 30, 2022, respectively	2,947		2,927
Additional paid-in capital	5,807,585		5,658,733
Retained earnings	4,071,961		2,977,646
Accumulated other comprehensive loss	(1,226,694)		(1,830,970)
Treasury stock, at cost: 92,551,323 shares as of June 30, 2023 and 86,496,673 shares as of September 30, 2022	(7,969,781)		(7,019,895)
Total AmerisourceBergen Corporation stockholders' equity (deficit)	686,018		(211,559)
Noncontrolling interests	236,026		282,832
Total stockholders' equity	922,044		71,273

TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$	61,177,196	$	56,560,616

See notes to consolidated financial statements.

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AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)


	Three months ended June 30,				Nine months ended June 30,
(in thousands, except per share data)	2023		2022		2023		2022
Revenue	$	66,947,043	$	60,064,601	$	193,251,080	$	177,412,857
Cost of goods sold	64,682,397		58,049,232		186,545,039		171,102,049
Gross profit	2,264,646		2,015,369		6,706,041		6,310,808
Operating expenses:
Distribution, selling, and administrative	1,304,141		1,212,152		3,916,156		3,585,500
Depreciation	104,504		97,189		304,727		289,272
Amortization	169,768		74,925		382,951		234,061
Litigation and opioid-related (credit) expenses	(67,102)		23,442		(38,583)		108,167
Acquisition-related deal and integration expenses	19,283		36,570		99,392		69,710
Restructuring and other expenses	63,924		7,858		177,608		31,357
Impairment of assets	—		—		—		4,946
Goodwill impairment	—		75,936		—		75,936
Operating income	670,128		487,297		1,863,790		1,911,859
Other loss (income), net	3,436		(41,888)		(18,612)		(48,008)
Interest expense, net	57,864		52,862		167,989		159,150


Income before income taxes	608,828		476,323		1,714,413		1,800,717
Income tax expense	129,615		113,120		330,817		432,853
Net income	479,213		363,203		1,383,596		1,367,864
Net loss attributable to noncontrolling interests	368		43,761		11,132		36,219
Net income attributable to AmerisourceBergen Corporation	$	479,581	$	406,964	$	1,394,728	$	1,404,083

Earnings per share:
Basic	$	2.37	$	1.95	$	6.87	$	6.72
Diluted	$	2.35	$	1.92	$	6.80	$	6.63

Weighted average common shares outstanding:
Basic	202,349		208,885		202,908		208,895
Diluted	204,375		211,738		204,995		211,633

Cash dividends declared per share of common stock	$	0.485	$	0.460	$	1.455	$	1.380

See notes to consolidated financial statements.

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AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Net income	$	479,213	$	363,203	$	1,383,596	$	1,367,864
Other comprehensive income (loss)
Foreign currency translation adjustments	96,999		(438,937)		572,217		(1,011,180)
Other, net	(455)		8,704		(1,578)		7,727

Total other comprehensive income (loss)	96,544		(430,233)		570,639		(1,003,453)
Total comprehensive income (loss)	575,757		(67,030)		1,954,235		364,411
Comprehensive (income) loss attributable to noncontrolling interests	(6,732)		58,512		44,769		63,813
Comprehensive income (loss) attributable to AmerisourceBergen Corporation	$	569,025	$	(8,518)	$	1,999,004	$	428,224

See notes to consolidated financial statements.

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AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

(Unaudited)


(in thousands, except per share data)	Common Stock		Additional Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock		Noncontrolling Interests		Total
March 31, 2023	$	2,944	$	5,770,242	$	3,691,314	$	(1,316,138)	$	(7,866,676)	$	229,451	$	511,137
Net income (loss)	—		—		479,581		—		—		(368)		479,213
Other comprehensive income	—		—		—		89,444		—		7,100		96,544
Cash dividends, $0.485 per share	—		—		(98,934)		—		—		—		(98,934)
Exercises of stock options	2		18,364		—		—		—		—		18,366
Share-based compensation expense	—		20,567		—		—		—		—		20,567
Purchases of common stock	—		—		—		—		(100,000)		—		(100,000)
Employee tax withholdings related to restricted share vesting	—		—		—		—		(3,105)		—		(3,105)
Other, net	1		(1,588)		—		—		—		(157)		(1,744)
June 30, 2023	$	2,947	$	5,807,585	$	4,071,961	$	(1,226,694)	$	(7,969,781)	$	236,026	$	922,044


(in thousands, except per share data)	Common Stock		Additional Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock		Noncontrolling Interests		Total
March 31, 2022	$	2,924	$	5,599,819	$	2,469,709	$	(1,005,819)	$	(6,516,324)	$	355,756	$	906,065
Net income (loss)	—		—		406,964		—		—		(43,761)		363,203
Other comprehensive loss	—		—		—		(415,482)		—		(14,751)		(430,233)
Cash dividends, $0.460 per share	—		—		(97,316)		—		—		—		(97,316)
Exercises of stock options	1		10,980		—		—		—		—		10,981
Share-based compensation expense	—		14,395		—		—		—		—		14,395
Purchases of common stock	—		—		—		—		(248,729)		—		(248,729)
Employee tax withholdings related to restricted share vesting	—		—		—		—		(73)		—		(73)
Alliance Healthcare purchase accounting adjustment	—		—		—		—		—		6,900		6,900
Sale of a business	—		—		—		—		—		(3,544)		(3,544)
Other, net	—		3,250		—		—		—		(7,035)		(3,785)
June 30, 2022	$	2,925	$	5,628,444	$	2,779,357	$	(1,421,301)	$	(6,765,126)	$	293,565	$	517,864

See notes to consolidated financial statements.

Table of Contents

AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

(Unaudited)


(in thousands, except per share data)	Common Stock		Additional Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock		Noncontrolling Interests		Total
September 30, 2022	$	2,927	$	5,658,733	$	2,977,646	$	(1,830,970)	$	(7,019,895)	$	282,832	$	71,273
Net income (loss)	—		—		1,394,728		—		—		(11,132)		1,383,596
Other comprehensive income (loss)	—		—		—		604,276		—		(33,637)		570,639
Cash dividends, $1.455 per share	—		—		(300,413)		—		—		—		(300,413)
Exercises of stock options	6		50,072		—		—		—		—		50,078
Share-based compensation expense	—		99,699		—		—		—		—		99,699
Purchases of common stock	—		—		—		—		(878,827)		—		(878,827)
Employee tax withholdings related to restricted share vesting	—		—		—		—		(71,059)		—		(71,059)
Other, net	14		(919)		—		—		—		(2,037)		(2,942)
June 30, 2023	$	2,947	$	5,807,585	$	4,071,961	$	(1,226,694)	$	(7,969,781)	$	236,026	$	922,044


(in thousands, except per share data)	Common Stock		Additional Paid-in Capital		Retained Earnings		Accumulated Other Comprehensive Loss		Treasury Stock		Noncontrolling Interests		Total
September 30, 2021	$	2,907	$	5,465,104	$	1,670,513	$	(445,442)	$	(6,469,728)	$	361,057	$	584,411

Net income (loss)	—		—		1,404,083		—		—		(36,219)		1,367,864
Other comprehensive loss	—		—		—		(975,859)		—		(27,594)		(1,003,453)
Cash dividends, $1.380 per share	—		—		(295,239)		—		—		—		(295,239)
Exercises of stock options	9		83,945		—		—		—		—		83,954
Share-based compensation expense	—		76,960		—		—		—		—		76,960
Purchases of common stock	—		—		—		—		(260,125)		—		(260,125)
Employee tax withholdings related to restricted share vesting	—		—		—		—		(35,273)		—		(35,273)
Alliance Healthcare purchase accounting adjustment	—		—		—		—		—		6,900		6,900
Sale of a business	—		—		—		—		—		(3,544)		(3,544)
Other, net	9		2,435		—		—		—		(7,035)		(4,591)
June 30, 2022	$	2,925	$	5,628,444	$	2,779,357	$	(1,421,301)	$	(6,765,126)	$	293,565	$	517,864

See notes to consolidated financial statements.

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AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)


	Nine months ended June 30,
(in thousands)	2023		2022
OPERATING ACTIVITIES
Net income	$	1,383,596	$	1,367,864
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation, including amounts charged to cost of goods sold	307,345		292,325
Amortization, including amounts charged to interest expense	389,843		243,241
Provision for credit losses	21,264		20,123
(Benefit) provision for deferred income taxes	(89,968)		57,063
Share-based compensation expense	99,699		76,960
LIFO expense (credit)	114,272		(37,669)
Impairment of assets, including goodwill	—		80,882
Gain on sale of businesses	—		(59,973)

Turkey highly inflationary impact	66,022		33,424
Other, net	(8,674)		(1,748)
Changes in operating assets and liabilities, excluding the effects of acquisitions and divestitures:
Accounts receivable	(2,249,881)		(1,550,962)
Inventories	(1,369,977)		(712,849)

Income taxes receivable	140,310		93,899
Prepaid expenses and other assets	95,435		59,694
Accounts payable	3,513,686		2,074,612

Accrued expenses	(163,660)		(268,945)
Long-term accrued litigation liability	(6,758)		(52,327)
Income taxes payable and other liabilities	(158,031)		(176,996)
NET CASH PROVIDED BY OPERATING ACTIVITIES	2,084,523		1,538,618
INVESTING ACTIVITIES
Capital expenditures	(282,862)		(322,732)
Cost of acquired companies, net of cash acquired	(1,409,681)		(124,158)
Cost of equity investments	(737,025)		—
Proceeds from the sale of businesses	—		258,082
Other, net	10,544		(4,899)
NET CASH USED IN INVESTING ACTIVITIES	(2,419,024)		(193,707)
FINANCING ACTIVITIES
Loan borrowings	157,547		155,189
Senior notes and loan repayments	(759,593)		(827,894)
Borrowings under revolving and securitization credit facilities	49,810,302		4,323,963
Repayments under revolving and securitization credit facilities	(49,789,813)		(4,227,561)

Purchases of common stock	(907,214)		(248,422)
Exercises of stock options	50,078		83,954
Cash dividends on common stock	(300,413)		(295,239)
Employee tax withholdings related to restricted share vesting	(71,059)		(35,273)
Other, net	(5,099)		(8,036)
NET CASH USED IN FINANCING ACTIVITIES	(1,815,264)		(1,079,319)
EFFECT OF EXCHANGE RATE CHANGES ON CASH, CASH EQUIVALENTS, AND RESTRICTED CASH	104,479		(33,056)
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH, INCLUDING CASH CLASSIFIED WITHIN ASSETS HELD FOR SALE	(2,045,286)		232,536
LESS: INCREASE IN CASH CLASSIFIED WITHIN ASSETS HELD FOR SALE	—		(610)
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH	(2,045,286)		231,926
Cash, cash equivalents, and restricted cash at beginning of period	3,593,539		3,070,128
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH AT END OF PERIOD	$	1,548,253	$	3,302,054

See notes to consolidated financial statements.

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AMERISOURCEBERGEN CORPORATION AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

Note 1. Summary of Significant Accounting Policies

Basis of Presentation

The accompanying financial statements present the consolidated financial position, results of operations, and cash flows of AmerisourceBergen Corporation and its subsidiaries, including less-than-wholly-owned subsidiaries in which AmerisourceBergen Corporation has a controlling financial interest (the "Company"), as of the dates and for the periods indicated. All significant intercompany accounts and transactions have been eliminated in consolidation.

The accompanying unaudited consolidated financial statements have been prepared in conformity with U.S. generally accepted accounting principles ("GAAP") for interim financial information and in accordance with the instructions to Form 10-Q, and Rule 10-01 of Regulation S-X. In the opinion of management, all adjustments (consisting only of normal recurring accruals, except as otherwise disclosed herein) considered necessary to present fairly the financial position as of June 30, 2023 and the results of operations and cash flows for the interim periods ended June 30, 2023 and 2022 have been included. Certain information and footnote disclosures normally included in financial statements presented in accordance with U.S. GAAP, but which are not required for interim reporting purposes, have been omitted. The accompanying unaudited consolidated financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2022.

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect amounts reported in the financial statements and accompanying notes. Actual amounts could differ from these estimated amounts. Certain reclassifications have been made to prior-period amounts in order to conform to the current year presentation.

Restricted Cash

The Company is required to maintain certain cash deposits with banks mainly consisting of deposits restricted under contractual agency agreements and cash restricted by law and other obligations, including opioid-related legal settlements.

The following represents a reconciliation of cash and cash equivalents in the Consolidated Balance Sheets to cash, cash equivalents, and restricted cash used in the Consolidated Statements of Cash Flows:


(amounts in thousands)	June 30, 2023		September 30, 2022		June 30, 2022		September 30, 2021
	(unaudited)				(unaudited)
Cash and cash equivalents	$	1,389,345	$	3,388,189	$	3,034,233	$	2,547,142
Restricted cash (included in Prepaid Expenses and Other)	96,623		144,980		207,722		462,986
Restricted cash (included in Other Assets)	62,285		60,370		60,099		60,000
Cash, cash equivalents, and restricted cash	$	1,548,253	$	3,593,539	$	3,302,054	$	3,070,128

Recently Adopted Accounting Pronouncements

As of June 30, 2023, there were no recently-issued accounting standards that may have a material impact on the Company’s financial position, results of operations, cash flows, or notes to the financial statements upon their adoption.

Note 2. Acquisition and Equity Method Investment

PharmaLex Acquisition

The Company acquired and assumed control of PharmaLex Holding Gmbh ("PharmaLex") effective January 1, 2023 for $1.473 billion, subject to customary adjustments, including a $29.3 million cash holdback. PharmaLex is a leading provider of specialized services for the life sciences industry. PharmaLex's services include regulatory affairs, development consulting and scientific affairs, pharmacovigilance, and quality management and compliance. PharmaLex is headquartered in Germany and operates in over 30 countries. The acquisition advances the Company's role as a partner of choice for biopharmaceutical partners across the pharmaceutical development and commercialization journey. PharmaLex is a component of the Company's International Healthcare Solutions reportable segment.

The purchase price has been preliminarily allocated to the underlying assets acquired, including $37.5 million of cash and cash equivalents, and liabilities assumed based upon their estimated fair values as of the date of the acquisition. The preliminary allocation is pending the final valuation of the intangible assets and the corresponding deferred taxes, as well as finalization of the working capital account balances and lease right-of-use assets and liabilities.

The purchase price exceeded the current estimated fair value of the net tangible and intangible assets acquired by $1,016.7 million, which was allocated to goodwill. Goodwill resulting from this acquisition is not expected to be deductible for income tax purposes.

The estimated fair value of the intangible assets acquired of $558.9 million, and the estimated useful lives are as follows:


(in thousands, except useful lives)	Fair Value		Useful Lives
Customer relationships	$	522,634	12
Trade names	30,931		5
Software technology	5,333		6
Total	$	558,898

The Company established an estimated deferred tax liability of $146.0 million primarily in connection with the intangible assets acquired.

Investment in OneOncology

In June 2023, the Company and TPG, a global alternative asset management firm, acquired OneOncology, LLC ("OneOncology"), a network of leading oncology practices. Including all direct transaction costs, the Company invested $718.4 million (representing 34.9%) in a joint venture formed to acquire OneOncology for approximately $2.1 billion, and TPG acquired the majority interest in the joint venture. The Company accounts for its interest in the joint venture as an equity method investment, which is included in Other Assets on its Consolidated Balance Sheet.

Beginning on the third anniversary of the closing of the joint venture's acquisition of OneOncology and ending on the day before the fourth anniversary of that closing, TPG will have a put option under which TPG may require the Company to purchase all of the other interests in the joint venture, including TPG's interest, at a price equal to 19 times OneOncology's adjusted earnings before interest, taxes, depreciation and amortization for the most recently ended 12-month period prior to TPG’s exercise of the put option, all of which is subject to various other adjustments and qualifications. In addition, on the date that is the third anniversary of the closing and again beginning on the fourth anniversary of the closing and ending on the day before the fifth anniversary of the closing, the Company will have a call option to purchase all of the other interests in the joint venture, including TPG's, also at the price set forth above. The Company recorded the net $807 million fair value of the put and call options in Other Liabilities with a corresponding offset in Other Assets in the Company's Consolidated Balance Sheet as of June 30, 2023. The fair value of the put and call options, which is a Level 3 measurement, was determined using a Monte Carlo simulation, which relies on assumptions, including cash flow projections, risk-free rates, volatility, and details specific to the put and call options. The fair value of the put and call options will remain on the balance sheet until their final collective resolution.

Note 3. Variable Interest Entity

The Company has substantial governance rights over Profarma Distribuidora de Produtos Farmacêuticos S.A. ("Profarma"), which allow it to direct the activities that significantly impact Profarma’s economic performance. As such, the Company consolidates the operating results of Profarma in its consolidated financial statements. The Company is not obligated to provide future financial support to Profarma.

The following assets and liabilities of Profarma are included in the Company's Consolidated Balance Sheets:


(in thousands)	June 30, 2023		September 30, 2022
Cash and cash equivalents	$	35,859	$	23,144
Accounts receivables, net	256,472		192,930
Inventories	272,153		207,858
Prepaid expenses and other	70,438		63,982
Property and equipment, net	44,055		35,554
Other intangible assets	63,472		66,568
Other long-term assets	80,021		71,327
Total assets	$	822,470	$	661,363

Accounts payable	$	269,176	$	215,515
Accrued expenses and other	51,739		47,952
Short-term debt	124,579		60,851
Long-term debt	88,806		64,918
Deferred income taxes	20,409		25,801
Other long-term liabilities	56,812		52,417
Total liabilities	$	611,521	$	467,454

Profarma's assets can only be used to settle its obligations, and its creditors do not have recourse to the general credit of the Company.

Note 4. Income Taxes

The Company files income tax returns in U.S. federal, state, and various foreign jurisdictions. As of June 30, 2023, the Company had unrecognized tax benefits, defined as the aggregate tax effect of differences between tax return positions and the benefits recognized in the Company’s financial statements, of $535.1 million ($468.3 million, net of federal benefit). If recognized, $450.0 million of these tax benefits would have reduced income tax expense and the effective tax rate. Included in this amount is $21.4 million of interest and penalties, which the Company records in Income Tax Expense in the Company's Consolidated Statements of Operations. In the nine months ended June 30, 2023, unrecognized tax benefits decreased by $18.1 million. Over the next 12 months, tax authority audit resolutions and the expiration of statutes of limitations are not expected to result in a reduction of unrecognized tax benefits.

The Company's effective tax rates were 21.3% and 19.3% for the three and nine months ended June 30, 2023, respectively. The Company's effective tax rates were 23.7% and 24.0% for the three and nine months ended June 30, 2022, respectively. The effective tax rate for the three months ended June 30, 2023 was higher than the U.S. statutory rate primarily due to U.S. state income taxes, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate. The effective tax rate for the nine months ended June 30, 2023 was lower than the U.S. statutory rate primarily due to the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate, benefits from tax authority audit resolutions, and tax benefits associated with the vesting of restricted stock units and stock option exercises, offset in part by U.S. state income taxes. The effective tax rates for the three and nine months ended June 30, 2022 were higher than the U.S. statutory rate primarily due to U.S. state income taxes as well as discrete tax expenses associated with foreign valuation allowance adjustments, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate.

Note 5. Goodwill and Other Intangible Assets

The following is a summary of the changes in the carrying value of goodwill, by reportable segment, for the nine months ended June 30, 2023:


(in thousands)	U. S. Healthcare Solutions		International Healthcare Solutions		Total
Goodwill as of September 30, 2022	$	6,280,240	$	2,223,646	$	8,503,886

Goodwill recognized in connection with acquisitions	—		1,020,013		1,020,013


Foreign currency translation	3,251		131,295		134,546
Goodwill as of June 30, 2023	$	6,283,491	$	3,374,954	$	9,658,445

The following is a summary of other intangible assets:


	June 30, 2023							September 30, 2022
(in thousands)	Weighted Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Indefinite-lived trade names		$	17,000	$	—	$	17,000	$	667,932	$	—	$	667,932
Finite-lived:
Customer relationships	14 years	5,004,525		(1,160,384)		3,844,141		4,226,547		(931,961)		3,294,586
Trade names and other	4 years	1,259,381		(353,702)		905,679		542,346		(172,127)		370,219
Total other intangible assets		$	6,280,906	$	(1,514,086)	$	4,766,820	$	5,436,825	$	(1,104,088)	$	4,332,737

On January 24, 2023, the Company announced its intent to change its name to better reflect its bold vision and purpose-driven approach to creating healthier futures. The Company intends to begin operating as Cencora on August 30, 2023. The new name represents a unified presence that will continue to fuel the Company's ongoing growth strategy and advance its impact across healthcare. In connection with the Company's name change, it evaluated and shortened the useful lives of certain trade names. The Company also reclassified $651.0 million of trade names from indefinite-lived to finite-lived trade names. The revised useful lives of these trade names, all of which were acquired through prior acquisitions made by the Company, range from less than one year to three years. The below future amortization expense amounts reflect the impact of the intangible assets' revised useful lives.

Amortization expense for finite-lived intangible assets was $169.8 and $74.9 million in the three months ended June 30, 2023 and 2022, respectively. Amortization expense for finite-lived intangible assets was $383.0 million and $234.1 million in the nine months ended June 30, 2023 and 2022, respectively. Amortization expense for finite-lived intangible assets is estimated to be $550.9 million in fiscal 2023, $657.7 million in fiscal 2024, $539.6 million in fiscal 2025, $362.6 million in fiscal 2026, $302.9 million in fiscal 2027, and $2,719.0 million thereafter.

Note 6. Debt

Debt consisted of the following:


(in thousands)	June 30, 2023		September 30, 2022
Multi-currency revolving credit facility due 2027	$	—	$	—
Receivables securitization facility due 2025	350,000		350,000
Revolving credit note	—		—
Overdraft facility due 2024 (£10,000)	—		—
Money market facility	—		—
0.737% senior notes due 2023	—		672,736
$500,000, 3.400% senior notes due 2024	499,557		499,195
$500,000, 3.250% senior notes due 2025	498,857		498,347
$750,000, 3.450% senior notes due 2027	746,254		745,622
$500,000, 2.800% senior notes due 2030	495,806		495,348
$1,000,000, 2.700% senior notes due 2031	991,320		990,480
$500,000, 4.250% senior notes due 2045	495,324		495,162
$500,000, 4.300% senior notes due 2047	493,487		493,288
Alliance Healthcare debt	236,725		336,886
Nonrecourse debt	213,384		125,769
Total debt	5,020,714		5,702,833
Less AmerisourceBergen Corporation current portion	499,557		672,736
Less Alliance Healthcare current portion	236,725		336,886
Less nonrecourse current portion	124,579		60,851
Total, net of current portion	$	4,159,853	$	4,632,360

Multi-Currency Revolving Credit Facility

The Company has a $2.4 billion multi-currency senior unsecured revolving credit facility ("Multi-Currency Revolving Credit Facility") with a syndicate of lenders, which is scheduled to expire in October 2027. Interest on borrowings under the Multi-Currency Revolving Credit Facility accrues at specified rates based on the Company’s debt rating and ranges from 80.5 basis points to 122.5 basis points over SOFR/EURIBOR/CDOR/RFR, as applicable (102.5 basis points over SOFR/EURIBOR/CDOR/RFR as of June 30, 2023) and from 0 basis points to 22.5 basis points over the alternate base rate and Canadian prime rate, as applicable. The Company pays facility fees to maintain the availability under the Multi-Currency Revolving Credit Facility at specified rates based on its debt rating, ranging from 7 basis points to 15 basis points, annually, of the total commitment (10 basis points as of June 30, 2023). The Company may choose to repay or reduce its commitments under the Multi-Currency Revolving Credit Facility at any time. The Multi-Currency Revolving Credit Facility contains covenants, including compliance with a financial leverage ratio test, as well as others that impose limitations on, among other things, indebtedness of subsidiaries and asset sales, with which the Company was compliant as of June 30, 2023.

Commercial Paper Program

The Company has a commercial paper program whereby it may from time to time issue short-term promissory notes in an aggregate amount of up to $2.4 billion at any one time. Amounts available under the program may be borrowed, repaid, and re-borrowed from time to time. The maturities on the notes will vary, but may not exceed 365 days from the date of issuance. The notes will bear interest, if interest bearing, or will be sold at a discount from their face amounts. The commercial paper program does not increase the Company’s borrowing capacity as it is fully backed by the Company’s Multi-Currency Revolving Credit Facility. There were no borrowings outstanding under the commercial paper program as of June 30, 2023.

Receivables Securitization Facility

The Company has a $1,450 million receivables securitization facility ("Receivables Securitization Facility"), which is scheduled to expire in October 2025. The Company has available to it an accordion feature whereby the commitment on the Receivables Securitization Facility may be increased by up to $250 million, subject to lender approval, for seasonal needs during the December and March quarters. Interest rates are based on prevailing market rates for short-term commercial paper or 30-day Term SOFR, plus a program fee. The Company pays a customary unused fee at prevailing market rates, annually, to

maintain the availability under the Receivables Securitization Facility. The Receivables Securitization Facility contains similar covenants to the Multi-Currency Revolving Credit Facility, with which the Company was compliant as of June 30, 2023.

Revolving Credit Note, Overdraft Facility, and Money Market Facility

The Company has an uncommitted, unsecured line of credit available to it pursuant to a revolving credit note ("Revolving Credit Note"). The Revolving Credit Note provides the Company with the ability to request short-term unsecured revolving credit loans from time to time in a principal amount not to exceed $75 million. The Revolving Credit Note may be decreased or terminated by the bank or the Company at any time without prior notice. The Company also has a £10 million uncommitted U.K. overdraft facility ("Overdraft Facility"), which expires in February 2024, to fund short-term normal trading cycle fluctuations related to its MWI Animal Health business. The Company has an uncommitted, unsecured line of credit available to it pursuant to a money market credit agreement ("Money Market Facility"). The Money Market Facility provides the Company with the ability to request short-term unsecured revolving credit loans from time to time in a principal amount not to exceed $100 million. The Money Market Facility may be decreased or terminated by the bank or the Company at any time without prior notice.

Senior Notes

In March 2023, the remaining balance of $675 million on the original $1.5 billion of 0.737% senior notes matured and was repaid.

Alliance Healthcare Debt

Alliance Healthcare debt is comprised of uncommitted revolving credit facilities in various currencies with various rates. A majority of the outstanding borrowings were held in Egypt (which is 50% owned) as of June 30, 2023. These facilities are used to fund its working capital needs.

Nonrecourse Debt

Nonrecourse debt is comprised of short-term and long-term debt belonging to the Brazil subsidiary and is repaid solely from the Brazil subsidiary's cash flows and such debt agreements provide that the repayment of the loans (and interest thereon) is secured solely by the capital stock, physical assets, contracts, and cash flows of the Brazil subsidiary.

Note 7. Stockholders’ Equity and Earnings per Share

In May 2022, the Company's board of directors authorized a share repurchase program allowing the Company to purchase up to $1.0 billion of its outstanding shares of common stock, subject to market conditions. In the nine months ended June 30, 2023, the Company purchased 5.6 million shares of its common stock for a total of $878.8 million, including 5.0 million shares from Walgreens Boots Alliance, Inc. ("WBA") for $800.0 million. These purchases excluded $28.4 million of purchases in September 2022 that cash settled in October 2022. As of June 30, 2023, the Company had $82.5 million of availability remaining under this program.

In March 2023, the Company's board of directors authorized a new share repurchase program allowing the Company to purchase up to $1.0 billion of its outstanding shares of common stock, subject to market conditions. No shares were purchased under this program as of June 30, 2023.

Basic earnings per share is computed by dividing net income attributable to AmerisourceBergen Corporation by the weighted average number of shares of common stock outstanding during the periods presented. Diluted earnings per share is computed by dividing net income attributable to AmerisourceBergen Corporation by the weighted average number of shares of common stock outstanding, plus the dilutive effect of stock options and restricted stock units during the periods presented.

The following illustrates the components of diluted weighted average shares outstanding for the periods indicated:


	Three months ended June 30,		Nine months ended June 30,
(in thousands)	2023	2022	2023	2022
Weighted average common shares outstanding - basic	202,349	208,885	202,908	208,895
Dilutive effect of stock options and restricted stock units	2,026	2,853	2,087	2,738
Weighted average common shares outstanding - diluted	204,375	211,738	204,995	211,633

There were no potentially dilutive stock options and restricted stock units that were antidilutive for three months ended June 30, 2023 and 2022. The potentially dilutive stock options and restricted stock units that were antidilutive for the nine months ended June 30, 2023 and 2022 were 125 thousand and 134 thousand, respectively.

Note 8. Related Party Transactions

WBA owns more than 10% of the Company’s outstanding common stock and is, therefore, considered a related party. The Company operates under various agreements and arrangements with WBA, including a pharmaceutical distribution agreement pursuant to which the Company distributes pharmaceutical products to WBA and an agreement that provides the Company the ability to access favorable economic pricing and generic products through a generic purchasing services arrangement with Walgreens Boots Alliance Development GmbH (both through 2029), as well as a distribution agreement pursuant to which it supplies branded and generic pharmaceutical products to WBA’s Boots UK Ltd. subsidiary (through 2031).

Revenue from the various agreements and arrangements with WBA was $17.4 billion and $50.4 billion in the three and nine months ended June 30, 2023, respectively. Revenue from the various agreements and arrangements with WBA was $16.2 billion and $47.8 billion in the three and nine months ended June 30, 2022, respectively. The Company’s receivable from WBA, net of incentives, was $7.4 billion and $7.0 billion as of June 30, 2023 and September 30, 2022, respectively.

Note 9. Restructuring and Other Expenses

The following illustrates the expenses incurred by the Company for restructuring and other items for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Restructuring and employee severance costs	$	38,209	$	4,475	$	85,060	$	19,696
Business transformation efforts	23,384		3,190		52,007		11,468
Other expenses	2,331		193		40,541		193
Total restructuring and other expenses	$	63,924	$	7,858	$	177,608	$	31,357

Restructuring and employee severance costs in the three and nine months ended June 30, 2023 primarily included expenses incurred in connection with workforce reductions in both of the Company's reportable segments.

Business transformation efforts in the three and nine months ended June 30, 2023 included rebranding costs associated with the Company's name change to Cencora and non-recurring expenses related to significant strategic initiatives to improve operational efficiency, including certain technology initiatives. The majority of these costs related to services provided by third-party consultants.

Business transformation efforts in the three and nine months ended June 30, 2022 primarily related to costs associated with reorganizing the Company to further align the organization to its customers' needs, including certain technology initiatives. The majority of these costs related to services provided by third-party consultants.

In March 2023, one of the Company’s foreign business units experienced a cybersecurity event that impacted a standalone legacy information technology platform in one country and the foreign business unit's ability to operate in that country for approximately two weeks. In connection with this isolated event, the Company incurred costs to restore the foreign business unit's operations in that country, which was recorded in Other expenses in the above table. The majority of Other expenses in the three and nine months ended June 30, 2023 related to the cybersecurity event.

Note 10. Legal Matters and Contingencies

In the ordinary course of its business, the Company becomes involved in lawsuits, administrative proceedings, government subpoenas, government investigations, stockholder demands, and other disputes, including antitrust, commercial, product liability, intellectual property, regulatory, employment discrimination, and other matters. Significant damages or penalties may be sought from the Company in some matters, and some matters may require years for the Company to resolve. The Company records a reserve for these matters when it is both probable that a liability has been incurred and the amount of the loss can be reasonably estimated.

For those matters for which the Company has not recognized a liability, the Company cannot predict the outcome of their impact on the Company as uncertainty remains with regard to whether such matters will proceed to trial, whether settlements will be reached, and the amount and terms of any such settlements. Outcomes may include settlements in significant amounts that are not currently estimable, limitations on the Company's conduct, the imposition of corporate integrity agreement obligations, consent decrees, and/or other civil and criminal penalties. From time to time, the Company is also involved in disputes with its customers, which the Company generally seeks to resolve through commercial negotiations. If negotiations are unsuccessful, the parties may litigate the dispute or otherwise attempt to settle the matter.

With respect to the specific legal proceedings and claims described below, unless otherwise noted, the amount or range of possible losses is not reasonably estimable. There can be no assurance that the settlement, resolution, or other outcome of one or more matters, including the matters set forth below, during any subsequent reporting period will not have a material adverse effect on the Company’s results of operations or cash flows for that period or on the Company's financial condition.

Opioid Lawsuits and Investigations

A significant number of counties, municipalities, and other governmental entities in a majority of U.S. states and Puerto Rico, as well as numerous states and tribes, filed lawsuits in various federal, state and other courts against pharmaceutical wholesale distributors (including the Company and certain subsidiaries, such as AmerisourceBergen Drug Corporation ("ABDC") and H.D. Smith), pharmaceutical manufacturers, retail pharmacy chains, medical practices, and physicians relating to the distribution of prescription opioid pain medications.

An initial group of cases was consolidated for Multidistrict Litigation ("MDL") proceedings before the United States District Court for the Northern District of Ohio (the "Court") in December 2017. In April 2018, the Court issued an order creating a litigation track, which included dispositive motion practice, discovery, and trials in certain bellwether jurisdictions. In November 2019 and January 2020, the Court filed Suggestions of Remand with the Judicial Panel on Multidistrict Litigation that identified four cases filed against the Company for potential transfer from the MDL back to federal courts in California, Oklahoma, and West Virginia for the completion of discovery, motion practice, and trial. All four cases were remanded to those federal district courts. Trial in the two consolidated cases in West Virginia commenced in May 2021 and concluded in July 2021. On July 4, 2022, the court entered judgment in favor of the defendants, including the Company. The plaintiffs filed an appeal of the court’s decision on August 2, 2022, which remains pending. The Oklahoma case, in which the plaintiff was the Cherokee Nation, was resolved through a settlement with the Cherokee Nation, as announced on September 28, 2021. The California case, in which the plaintiff was the City and County of San Francisco, was resolved pursuant to the comprehensive settlement described below (the "Distributor Settlement Agreement"), and all claims against the Company have been dismissed in both cases.

On July 21, 2021, the Company announced that it and the two other national pharmaceutical distributors had negotiated a Distributor Settlement Agreement that, if all conditions were satisfied, would result in the resolution of a substantial majority of opioid lawsuits filed by state and local governmental entities. The Distributor Settlement Agreement became effective on April 2, 2022, and as of June 30, 2023, it included 48 of 49 eligible states (the "Settling States"), as well as 99% by population of the eligible political subdivisions in the Settling States. Pursuant to the Distributor Settlement Agreement and related agreements with Settling States, the Company will pay up to approximately $6.4 billion over 18 years and comply with other requirements, including establishment of a clearinghouse that will consolidate data from all three national distributors. The exact payment amount will depend on several factors, including the extent to which states take action to foreclose opioid lawsuits by subdivisions (e.g., laws barring opioid lawsuits by subdivisions). West Virginia and its subdivisions and Native American tribes are not a part of the Distributor Settlement Agreement and the Company has reached separate agreements with these groups.

On July 25, 2022, the State of Alabama amended its complaint in a pending state court action against another distributor in order to add the Company as a party. The trial in the Alabama state court is scheduled to begin February 26, 2024.

The Company’s accrued litigation liability related to the Distributor Settlement Agreement, including an estimate for the State of Alabama and non-participating government subdivisions (with whom the Company has not reached a settlement agreement), as well as other opioid-related litigation for which it has reached settlement agreements, as described above, was $5.9 billion as of June 30, 2023 and $6.0 billion as of September 30, 2022. The Company currently estimates that $427.3 million will be paid prior to June 30, 2024, which is recorded in Accrued Expenses and Other on the Company’s Consolidated Balance Sheet. The remaining long-term liability of $5.5 billion is recorded in Accrued Litigation Liability on the Company's Consolidated Balance Sheet. While the Company has accrued its estimated liability for opioid litigation, it is unable to estimate the range of possible loss associated with the matters that are not included in the accrual. Because loss contingencies are inherently unpredictable and unfavorable developments or resolutions can occur, the assessment is highly subjective and requires judgments about future events. The Company regularly reviews opioid litigation matters to determine whether its accrual is adequate. The amount of ultimate loss may differ materially from the amount accrued to date. Until such time as otherwise resolved, the Company will continue to litigate and prepare for trial and to vigorously defend itself in all such matters. Since these matters are still developing, the Company is unable to predict the outcome, but the result of these lawsuits could include excessive monetary verdicts and/or injunctive relief that may affect the Company’s operations.

Other lawsuits regarding the distribution of prescription opioid pain medications are ongoing in cases filed by: a small number of non-participating government subdivisions, third-party payors and similar entities; hospitals; hospital groups; and individuals, including cases styled as putative class actions. These lawsuits, which have been and continue to be filed in federal and state courts, generally allege violations of controlled substance laws and various other statutes as well as common law

claims, including negligence, public nuisance, and unjust enrichment, and seek equitable relief and monetary damages. Motion practice and active discovery are ongoing in many of these cases. In Alabama, a jury trial was scheduled to begin on July 24, 2023 in a case that involves up to eight plaintiff hospitals. That case was stayed by order of the Alabama Supreme Court on July 10, 2023, pending further order of that court, so there currently is no trial date. The Company, as well as additional pharmaceutical distributors and manufacturers, will be defendants in the trial. Additional litigation is anticipated in cases filed by subdivisions that are not participating in the Distributor Settlement Agreement, as well as in cases filed by non-governmental or non-political entities, including hospitals, third-party payors, and individuals, among others. Certain cases related to opioids filed in various state and federal courts have trial dates scheduled in 2024 and later, although all such dates are subject to change. The Company is vigorously defending itself in the pending lawsuits and intends to vigorously defend itself against any threatened lawsuits or enforcement proceedings.

Since July 2017, the Company has received subpoenas from several U.S. Attorney’s Offices, including grand jury subpoenas from the U.S. Attorney's Office for the District of New Jersey ("USAO-NJ") and the U.S. Attorney's Office for the Eastern District of New York ("USAO-EDNY"). Those subpoenas requested the production of a broad range of documents pertaining to the Company’s distribution of controlled substances through its various subsidiaries, including ABDC, and its diversion control programs. The Company produced documents in response to the subpoenas and engaged in discussions with the various U.S. Attorney’s Offices, including the Health Care and Government Fraud Unit of the Criminal Division of the USAO-NJ, the U.S. Department of Justice Consumer Protection Branch and the U.S. Drug Enforcement Administration, in an attempt to resolve these matters. On December 29, 2022, the Department of Justice filed a civil Complaint against the Company, ABDC, and Integrated Commercialization Services, LLC ("ICS"), a subsidiary of the Company, alleging violations of the Controlled Substances Act. Specifically, the Complaint alleges that the Company negligently failed to report suspicious orders to the Drug Enforcement Administration. In the Complaint, the Department of Justice seeks civil penalties and injunctive relief. This Complaint relates to the aforementioned and previously-disclosed investigations. On March 30, 2023, the Company filed a motion to dismiss the Complaint in its entirety on behalf of itself, ABDC, and ICS. On June 28, 2023, the Department of Justice filed a response in opposition to the Company's motion to dismiss. The Company filed its reply brief in support of the motion to dismiss on July 28, 2023. The Company denies the allegations in the Complaint and intends to defend itself vigorously in the litigation.

Shareholder Securities Litigation

On October 11, 2019, Teamsters Local 443 Health Services & Insurance Plan, St. Paul Electrical Construction Pension Plan, St. Paul Electrical Construction Workers Supplemental Pension Plan (2014 Restatement), Retirement Medical Funding Plan for the St. Paul Electrical Workers, and San Antonio Fire & Police Pension Fund filed a complaint for a purported derivative action in the Delaware Court of Chancery against the Company and certain of its current and former officers and directors (collectively, “Defendants”). The complaint alleges that the Defendants breached their fiduciary duties by failing to oversee the compliance by certain of the Company’s subsidiaries (including the Company’s former subsidiary Medical Initiatives, Inc. ("MII")) with federal regulations, allegedly resulting in the payment of fines and penalties in connection with the settlements with the USAO-EDNY in fiscal 2017 and 2018 that resolved claims arising from MII's pre-filled syringe program. In December 2019, Defendants filed a motion to dismiss the complaint. After briefing and oral argument, on August 24, 2020 the Delaware Court of Chancery denied Defendants' motion to dismiss. On September 24, 2020, the Board of Directors of the Company established a Special Litigation Committee to conduct an investigation concerning the plaintiffs’ allegations, and on November 10, 2020, the Delaware Court of Chancery granted the Special Litigation Committee’s motion to stay the litigation pending its investigation. On September 22, 2021, the Special Litigation Committee filed its report under seal and moved to dismiss the case. The Court of Chancery heard oral arguments on the Special Litigation Committee’s motion to dismiss on July 12, 2023 and took the motion under advisement.

On December 30, 2021, Lebanon County Employees' Retirement Fund and Teamsters Local 443 Health Services & Insurance Plan filed a complaint for a purported derivative action in the Delaware Court of Chancery against the Company and certain of its current officers and directors. The complaint alleges claims for breach of fiduciary duty allegedly arising from the Board’s and certain officers' oversight of the Company’s controlled substance diversion control programs. The defendants moved to dismiss the complaint on March 29, 2022. On December 22, 2022, the Court of Chancery granted the motion to dismiss. On January 9, 2023, the Plaintiffs filed a Motion for Relief from Judgment and Order Pursuant to Rule 60(b) from the Chancery Court’s judgment. On January 20, 2023, the Plaintiffs also appealed the ruling to the Delaware Supreme Court. The appeal to the Delaware Supreme Court is fully briefed and scheduled for oral argument on September 20, 2023. On March 21, 2023 the Court of Chancery denied the Plaintiffs' Motion for Relief from Judgement and Order Pursuant to Rule 60(b).

Subpoenas, Ongoing Investigations, and Other Contingencies

From time to time, the Company receives subpoenas or requests for information from various government agencies relating to the Company’s business or to the business of a customer, supplier, or other industry participant. The Company’s responses often require time and effort and can result in considerable costs being incurred. Most of these matters are resolved

without incident; however, such subpoenas or requests can lead to the assertion of claims or the commencement of civil or criminal legal proceedings against the Company and other members of the healthcare industry, as well as to substantial settlements.

In January 2017, U.S. Bioservices Corporation, a former subsidiary of the Company, received a subpoena for information from the USAO-EDNY relating to its activities in connection with billing for products and making returns of potential overpayments to government payers. A filed qui tam complaint related to the investigation was unsealed in April 2019 and the relator filed an amended complaint under seal in the U.S. District Court for the Eastern District of New York. In December 2019, the government filed a notice that it was declining to intervene. The court ordered that the relator's complaint against the Company and other defendants, including AmerisourceBergen Specialty Group, LLC, be unsealed. The relator's complaint alleged violations of the federal False Claims Act and the false claims acts of various states. The relator filed a second amended complaint, removing one state false claims act count. The Company filed a motion to dismiss the second amended complaint and all briefs on the motion were filed with the court on October 9, 2020. The motion to dismiss was granted on December 22, 2022. The False Claims Act claims were dismissed with prejudice, and the state claims were dismissed without prejudice. On January 24, 2023, the relator filed Motions to Reconsider Dismissal and For Leave to Amend the Complaint. Response briefs on those motions were filed by the Company and all briefing was completed on February 15, 2023.

In December 2019, Reliable Pharmacy, together with other retail pharmacies and North Sunflower Medical Center, filed a civil antitrust complaint against multiple generic drug manufacturers, and also included claims against ABDC and H.D. Smith, and other drug distributors and industry participants. The case is filed as a putative class action and plaintiffs purport to represent a class of drug purchasers including other retail pharmacies and healthcare providers. The case has been consolidated for multidistrict litigation proceedings before the United States District Court for the Eastern District of Pennsylvania. The complaint alleges that ABDC, H.D. Smith, and others in the industry participated in a conspiracy to fix prices, allocate markets and rig bids regarding generic drugs. In March 2020, the plaintiffs filed a further amended complaint. On July 15, 2020, the defendants filed a motion to dismiss the complaint. On May 25, 2022, the Court granted the motion to dismiss without prejudice. On July 1, 2022, the plaintiffs filed an amended complaint, again including claims against ABDC, H.D. Smith, and other drug distributors and industry participants. On August 21, 2022, the Company and other industry participants filed a motion to dismiss the amended complaint. All briefs on the motion were filed with the court on November 22, 2022.

On March 3, 2022, the United States Attorney’s Office for the Western District of Virginia notified the Company of the existence of a criminal investigation into MWI Veterinary Supply Co., the Company’s animal health subsidiary, in connection with grand jury subpoenas relating to compliance with state and federal regulatory requirements governing wholesale shipments of animal health products to customers. The Company is cooperating with the investigation.

Note 11. Litigation Settlements

Antitrust Settlements

Numerous lawsuits have been filed against certain brand pharmaceutical manufacturers alleging that the manufacturer, by itself or in concert with others, took improper actions to delay or prevent generic drugs from entering the market. These lawsuits are generally brought as class actions. The Company is not typically named as a plaintiff in these lawsuits, but has been a member of the direct purchasers' class (i.e., those purchasers who purchase directly from these pharmaceutical manufacturers). None of the lawsuits have gone to trial, but some have settled in the past with the Company receiving proceeds from the settlement funds. The Company recognized gains related to these lawsuits of $118.6 million and $168.5 million in the three and nine months ended June 30, 2023 and $1.8 million in nine months ended June 30, 2022. These gains, which are net of attorney fees and estimated payments due to other parties, were recorded as reductions to cost of goods sold in the Company’s Consolidated Statements of Operations.

Note 12. Fair Value of Financial Instruments

The recorded amounts of the Company's cash and cash equivalents, accounts receivable, and accounts payable as of June 30, 2023 and September 30, 2022 approximate fair value based upon the relatively short-term nature of these financial instruments. Within Cash and Cash Equivalents, the Company had no investments in money market accounts as of June 30, 2023 and had $1,602.0 million of investments in money market accounts as of September 30, 2022. The fair value of the money market accounts was determined based upon unadjusted quoted prices in active markets for identical assets, otherwise known as Level 1 inputs.

The recorded amount of long-term debt (see Note 6) and the corresponding fair value as of June 30, 2023 were $4,159.9 million and $3,729.1 million, respectively. The recorded amount of long-term debt and the corresponding fair value as of September 30, 2022 were $4,632.4 million and $4,130.3 million, respectively. The fair value of long-term debt was determined based upon inputs other than quoted prices, otherwise known as Level 2 inputs.

Note 13. Business Segment Information

The Company is organized geographically based upon the products and services it provides to its customers and reports its results under two reportable segments: U.S. Healthcare Solutions and International Healthcare Solutions.

Effective October 1, 2022, the chief operating decision maker ("CODM") of the Company is the Executive Vice President and Chief Operating Officer.

The following illustrates reportable and operating segment disaggregated revenue as required by Accounting Standards Codification 606 for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
U.S. Healthcare Solutions:
Human Health	$	58,583,385	$	52,168,130	$	169,113,962	$	153,721,040
Animal Health	1,316,814		1,221,215		3,716,272		3,590,715
Total U.S. Healthcare Solutions	59,900,199		53,389,345		172,830,234		157,311,755
International Healthcare Solutions:
Alliance Healthcare	5,698,635		5,492,656		16,720,262		16,658,799
Other Healthcare Solutions	1,349,142		1,184,070		3,703,728		3,445,400
Total International Healthcare Solutions	7,047,777		6,676,726		20,423,990		20,104,199
Intersegment eliminations	(933)		(1,470)		(3,144)		(3,097)
Revenue	$	66,947,043	$	60,064,601	$	193,251,080	$	177,412,857

The following illustrates reportable segment operating income for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
U.S. Healthcare Solutions	$	635,176	$	579,927	$	1,963,729	$	1,878,556
International Healthcare Solutions	187,132		176,272		524,405		543,400

Total segment operating income	$	822,308	$	756,199	$	2,488,134	$	2,421,956

The following reconciles total segment operating income to income before income taxes for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Total segment operating income	$	822,308	$	756,199	$	2,488,134	$	2,421,956
Gains from antitrust litigation settlements	118,611		—		168,510		1,835
LIFO (expense) credit	(34,952)		(23,070)		(114,272)		37,668
Turkey highly inflationary impact	(50,580)		(27,618)		(59,019)		(27,618)
Acquisition-related intangibles amortization	(169,154)		(74,408)		(381,146)		(231,866)
Litigation and opioid-related credit (expenses)	67,102		(23,442)		38,583		(108,167)
Acquisition-related deal and integration expenses	(19,283)		(36,570)		(99,392)		(69,710)
Restructuring and other expenses	(63,924)		(7,858)		(177,608)		(31,357)
Impairment of assets	—		—		—		(4,946)
Goodwill impairment	—		(75,936)		—		(75,936)
Operating income	670,128		487,297		1,863,790		1,911,859
Other loss (income), net	3,436		(41,888)		(18,612)		(48,008)
Interest expense, net	57,864		52,862		167,989		159,150


Income before income taxes	$	608,828	$	476,323	$	1,714,413	$	1,800,717

Segment operating income is evaluated by the CODM of the Company before gains from antitrust litigation settlements; LIFO (expense) credit; Turkey highly inflationary impact; acquisition-related intangibles amortization; litigation and opioid-related credit (expenses); acquisition-related deal and integration expenses; restructuring and other expenses; impairment of assets; and goodwill impairment. All corporate office expenses are allocated to the operating segment level.

Litigation and opioid-related credit in the three and nine months ended June 30, 2023 includes the receipt of $83.4 million from the H.D. Smith opioid litigation indemnity escrow.

The Company recognized gains of $60.0 million from the sale of non-core businesses in the three and nine months ended June 30, 2022 in Other Loss (Income), Net.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Quarterly Report on Form 10-Q contains statements that are forward-looking and as such are not historical facts. This includes, without limitation, statements regarding the financial position, business strategy and the plans and objectives of management for our future operations; anticipated trends and prospects in the industries in which our business operates; and new products, services and related strategies. These statements constitute projections, forecasts and forward-looking statements, and are not guarantees of performance. Such statements can be identified by the fact that they do not relate strictly to historical or current facts. When used in this Quarterly Report on Form 10-Q, words such as “aim,” “anticipate,” “believe,” “can,” “continue,” “could,”, “estimate,” "expect," “intend,” “may,” “might,” “on track,” “opportunity,” “plan,” “possible,” “potential,” “predict,” “project,” “seek,” “should,” “strive,” “sustain,” “synergy,” “target,” “will,” “would” and similar expressions are intended to identify forward-looking statements, but the absence of these words does not mean that a statement is not forward-looking. These statements are based on management's current expectations and are subject to uncertainty and changes in circumstances and speak only as of the date hereof. These statements are not guarantees of future performance and are based on assumptions and estimates that could prove incorrect or could cause actual results to vary materially from those indicated.

Forward-looking statements in this Quarterly Report on Form 10-Q may include, for example, statements about the following:

•the effect of and uncertainties related to the ongoing COVID-19 pandemic (including any government responses thereto) and any continued recovery from the impact of the COVID-19 pandemic;

•our ability to achieve and maintain profitability in the future;

•our ability to respond to general economic conditions, including elevated levels of inflation;

•our ability to manage our growth effectively and our expectations regarding the development and expansion of our business;

•the impact on our business of the regulatory environment and complexities with compliance;

•unfavorable trends in brand and generic pharmaceutical pricing, including in rate or frequency of price inflation or deflation;

•competition and industry consolidation of both customers and suppliers resulting in increasing pressure to reduce prices for our products and services;

•changes in the United States healthcare and regulatory environment, including changes that could impact prescription drug reimbursement under Medicare and Medicaid and declining reimbursement rates for pharmaceuticals;

•increasing governmental regulations regarding the pharmaceutical supply channel;

•continued federal and state government enforcement initiatives to detect and prevent suspicious orders of controlled substances and the diversion of controlled substances;

•continued prosecution or suit by federal and state governmental entities and other parties (including third-party payors, hospitals, hospital groups and individuals) of alleged violations of laws and regulations regarding controlled substances, and any related disputes, including shareholder derivative lawsuits;

•increased federal scrutiny and litigation, including qui tam litigation, for alleged violations of laws and regulations governing the marketing, sale, purchase and/or dispensing of pharmaceutical products or services, and associated reserves and costs;

•failure to comply with the Corporate Integrity Agreement;

•the outcome of any legal or governmental proceedings that may be instituted against us, including material adverse resolution of pending legal proceedings;

•the retention of key customer or supplier relationships under less favorable economics or the adverse resolution of any contract or other dispute with customers or suppliers;

•changes to customer or supplier payment terms, including as a result of the COVID-19 impact on such payment terms;

•unexpected costs, charges or expenses resulting from the acquisitions of PharmaLex and OneOncology;

•the integration of the Alliance Healthcare and PharmaLex businesses into the Company being more difficult, time consuming or costly than expected;

•the Company's, Alliance Healthcare's, PharmaLex's or OneOncology's failure to achieve expected or targeted future financial and operating performance and results;

•the effects of disruption from acquisitions and related strategic transactions on the respective businesses of the Company, Alliance Healthcare, PharmaLex, and OneOncology and the fact that acquisitions and related strategic transactions may make it more difficult to establish or maintain relationships with employees, suppliers and other business partners;

•the acquisition of businesses, including the acquisitions of the Alliance Healthcare, PharmaLex, and OneOncology businesses and related strategic transactions, that do not perform as expected, or that are difficult to integrate or control, or the inability to capture all of the anticipated synergies related thereto or to capture the anticipated synergies within the expected time period;

•risks associated with the strategic, long-term relationship between WBA and the Company, including with respect to the pharmaceutical distribution agreement and/or the global generic purchasing services arrangement;

•managing foreign expansion, including non-compliance with the U.S. Foreign Corrupt Practices Act, anti-bribery laws, economic sanctions and import laws and regulations;

•our ability to respond to financial market volatility and disruption;

•changes in tax laws or legislative initiatives that could adversely affect the Company's tax positions and/or the Company's tax liabilities or adverse resolution of challenges to the Company's tax positions;

•the loss, bankruptcy or insolvency of a major supplier, or substantial defaults in payment, material reduction in purchases by or the loss, bankruptcy or insolvency of a major customer, including as a result of COVID-19;

•financial and other impacts of COVID-19 on our operations or business continuity;

•changes to the customer or supplier mix;

•malfunction, failure or breach of sophisticated information systems to operate as designed, and risks generally associated with cybersecurity;

•risks generally associated with data privacy regulation and the protection and international transfer of personal data;

•regulatory and legal implications relating to the March 2023 cybersecurity event sustained by one of the Company's foreign business units in one country;

•financial and other impacts of macroeconomic and geopolitical trends and events, including the situation in Russia and Ukraine and its regional and global ramifications;

•natural disasters or other unexpected events, such as additional pandemics, that affect the Company’s operations;

•the impairment of goodwill or other intangible assets (including any additional impairments with respect to foreign operations), resulting in a charge to earnings;

•the Company's ability to manage and complete divestitures;

•the disruption of the Company’s cash flow and ability to return value to its stockholders in accordance with its past practices;

•interest rate and foreign currency exchange rate fluctuations;

•declining economic conditions and increases in inflation in the United States and abroad; and

•other economic, business, competitive, legal, tax, regulatory and/or operational factors affecting the Company’s business generally.

These forward-looking statements are based on information available as of the date of this Quarterly Report on Form 10-Q and current expectations, forecasts and assumptions, and involve a number of judgments, risks and uncertainties. Accordingly, forward-looking statements should not be relied upon as representing our views as of any subsequent date, and we do not undertake any obligation to update forward-looking statements to reflect events or circumstances after the date they were made, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws.

As a result of a number of known and unknown risks and uncertainties, our actual results or performance may be materially different from those expressed or implied by these forward-looking statements. You should not place undue reliance on these forward-looking statements.

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ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

The following discussion should be read in conjunction with the Consolidated Financial Statements and notes thereto contained herein and in conjunction with the financial statements and related notes included in our Annual Report on Form 10-K for the fiscal year ended September 30, 2022.

We are one of the largest global pharmaceutical sourcing and distribution services companies, helping both healthcare providers and pharmaceutical and biotech manufacturers improve patient access to products and enhance patient care. We deliver innovative programs and services designed to increase the effectiveness and efficiency of the pharmaceutical supply chain in both human and animal health.

We are organized geographically based upon the products and services we provide to our customers, and we report our results under two reportable segments: U.S. Healthcare Solutions and International Healthcare Solutions.

U.S. Healthcare Solutions Segment

The U.S. Healthcare Solutions reportable segment distributes a comprehensive offering of brand-name, specialty brand-name and generic pharmaceuticals, over-the-counter healthcare products, home healthcare supplies and equipment, and related services to a wide variety of healthcare providers, including acute care hospitals and health systems, independent and chain retail pharmacies, mail order pharmacies, medical clinics, long-term care and alternate site pharmacies, and other customers. The U.S. Healthcare Solutions reportable segment also provides pharmaceutical distribution (including plasma and other blood products, injectable pharmaceuticals, vaccines, and other specialty pharmaceutical products) and additional services to physicians who specialize in a variety of disease states, especially oncology, and to other healthcare providers, including hospitals and dialysis clinics. Additionally, the U.S. Healthcare Solutions reportable segment provides data analytics, outcomes research, and additional services for biotechnology and pharmaceutical manufacturers. The U.S. Healthcare Solutions reportable segment also provides pharmacy management, staffing and additional consulting services, and supply management software to a variety of retail and institutional healthcare providers. It also provides a full suite of integrated manufacturer services that ranges from clinical trial support to product post-approval and commercialization support. Additionally, it delivers packaging solutions to institutional and retail healthcare providers. Through its animal health business, the U.S. Healthcare Solutions reportable segment sells pharmaceuticals, vaccines, parasiticides, diagnostics, micro feed ingredients, and various other products to customers in both the companion animal and production animal markets. It also offers demand-creating sales force services to manufacturers.

International Healthcare Solutions Segment

The International Healthcare Solutions reportable segment consists of businesses that focus on international pharmaceutical wholesale and related service operations and global commercialization services. The International Healthcare Solutions reportable segment distributes pharmaceuticals, other healthcare products, and related services to healthcare providers, including pharmacies, doctors, health centers and hospitals primarily in Europe. It is a leading global specialty transportation and logistics provider for the biopharmaceutical industry. It is also a leading provider of specialized services, including regulatory affairs, development consulting and scientific affairs, pharmacovigilance, and quality management and compliance, for the life sciences industry. In Canada, the business drives innovative partnerships with manufacturers, providers, and pharmacies to improve product access and efficiency throughout the healthcare supply chain.

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Recent Developments

OneOncology Equity Method Investment

In June 2023, we and TPG, a global alternative asset management firm, acquired OneOncology, LLC ("OneOncology"), a network of leading oncology practices. Including all direct transaction costs, we invested $718.4 million (representing 34.9%) in a joint venture formed to acquire OneOncology for $2.1 billion, and TPG acquired the majority interest in the joint venture. We account for our minority interest in the joint venture as an equity method investment, which is included in Other Assets on our Consolidated Balance Sheet.

Executive Summary

This executive summary provides highlights from the results of operations that follow:

•Revenue increased by $6.9 billion, or 11.5%, from the prior year quarter and $15.8 billion, or 8.9%, from the prior year nine-month period primarily due to growth in our U.S. Healthcare Solutions segment. The U.S. Healthcare Solutions segment grew its revenue by $6.5 billion, or 12.2%, from the prior quarter and $15.5 billion, or 9.9%, from the prior year nine-month period due to overall market growth primarily driven by unit volume growth, including increased sales of products labeled for diabetes and/or weight loss in the glucagon-like peptide-1, or "GLP-1," class and increased sales of specialty products to physician practices and health systems, offset in part by a decrease in sales of COVID-19 treatments (primarily commercial treatments). Revenue in International Healthcare Solutions' increased by $371.1 million, or 5.6%, from the prior year quarter and $319.8 million, or 1.6%, from the prior year nine-month period. The increases from the prior year quarter and nine-month period were primarily due to increased revenue from our less-than-wholly-owned Brazil full-line distribution business, incremental revenue from our January 2023 acquisition of PharmaLex, increased sales at our Canadian business, and increased sales at Alliance Healthcare, our European distribution business, and was offset in part due to the June 2022 divestiture of our Brazil specialty business. Our European distribution business' revenue in the current year nine-month period was negatively impacted by unfavorable foreign currency exchange rates, primarily during the first six months of fiscal 2023, in comparison to the prior year period;

•Gross profit increased by $249.3 million, or 12.4%, from the prior year quarter and $395.2 million, or 6.3%, from the prior year nine-month period. Gross profit in the current year periods was favorably impacted by increases in gross profit in both reportable segments and gains from antitrust litigation settlements. The increase in the current year nine-month period was offset in part by last-in, first-out ("LIFO") expense in the current year period in comparison to a LIFO credit in the prior year period. U.S. Healthcare Solutions gross profit increased by $82.3 million, or 6.2%, from the prior year quarter and $279.2 million, or 6.9%, from the prior year nine-month period primarily due to increased sales. Gross profit in International Healthcare Solutions increased by $83.2 million, or 11.3%, from the prior year quarter and $132.7 million, or 5.9%, from the prior year nine-month period primarily due to the January 2023 acquisition of PharmaLex and increases in our global specialty logistics business, our less-than-wholly-owned Brazil full-line distribution business, and our European distribution business, offset in part by the June 2022 divestiture of our Brazil specialty business. Our European distribution business' gross profit in the current year nine-month period was negatively impacted by unfavorable foreign currency exchange rates, primarily during the first six months of fiscal 2023, in comparison to the prior year period;

•Total operating expenses increased by $66.4 million, or 4.3%, compared to the prior year quarter and $443.3 million, or 10.1%, from the prior year nine-month period primarily as a result of an increases in distribution, selling, and administrative expenses, restructuring and other expenses, and amortization expense, offset in part by a litigation and opioid-related credit in the current year periods in comparison to an expense in the prior year periods and a $75.9 million goodwill impairment recorded in the prior year periods;

•Total segment operating income increased by $66.1 million, or 8.7%, from the prior year quarter and increased $66.2 million, or 2.7%, from the prior year nine-month period. Operating income increased in both reportable

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segments in the current year quarter. The increase in U.S. Healthcare Solutions segment in the current year nine-month period was offset in part by a decrease in operating income in the International Healthcare Solutions segment resulting from unfavorable foreign currency exchange rates, primarily during the first six months of fiscal 2023, in comparison to the prior year period;

•Our effective tax rates were 21.3% and 19.3% for the three and nine months ended June 30, 2023, respectively. Our effective tax rates were 23.7% and 24.0% for the three and nine months ended June 30, 2022, respectively. The effective tax rate for the three months ended June 30, 2023 was higher than the U.S. statutory rate primarily due to U.S. state income taxes, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate. The effective tax rate for the nine months ended June 30, 2023 was lower than the U.S. statutory rate primarily due to the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate, benefits from tax authority audit resolutions, and tax benefits associated with the vesting of restricted stock units and stock option exercises, offset in part by U.S. state income taxes.

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Results of Operations

Revenue


	Three months ended June 30,					Nine months ended June 30,
(dollars in thousands)	2023		2022		Change	2023		2022		Change
U.S. Healthcare Solutions:
Human Health	$	58,583,385	$	52,168,130	12.3%	$	169,113,962	$	153,721,040	10.0%
Animal Health	1,316,814		1,221,215		7.8%	3,716,272		3,590,715		3.5%
Total U.S. Healthcare Solutions	59,900,199		53,389,345		12.2%	172,830,234		157,311,755		9.9%
International Healthcare Solutions:
Alliance Healthcare	5,698,635		5,492,656		3.8%	16,720,262		16,658,799		0.4%
Other Healthcare Solutions	1,349,142		1,184,070		13.9%	3,703,728		3,445,400		7.5%
Total International Healthcare Solutions	7,047,777		6,676,726		5.6%	20,423,990		20,104,199		1.6%
Intersegment eliminations	(933)		(1,470)			(3,144)		(3,097)
Revenue	$	66,947,043	$	60,064,601	11.5%	$	193,251,080	$	177,412,857	8.9%

Our future revenue growth will continue to be affected by various factors, such as industry growth trends, including drug utilization (e.g. products labeled for diabetes and/or weight loss in the GLP-1 class), the introduction of new, innovative brand therapies, the likely increase in the number of generic drugs and biosimilars that will be available over the next few years as a result of the expiration of certain drug patents held by brand-name pharmaceutical manufacturers and the rate of conversion from brand products to those generic drugs and biosimilars, price inflation and price deflation, general economic conditions in the United States and Europe, currency exchange rates, competition within the industry, customer consolidation, changes in pharmaceutical manufacturer pricing and distribution policies and practices, increased downward pressure on government and other third-party reimbursement rates to our customers, changes in government rules and regulations, and the impact of the COVID-19 pandemic.

Revenue increased by 11.5% and 8.9% from the prior year quarter and nine-month period, respectively, primarily due to growth in the U.S. Healthcare Solutions segment.

The U.S. Healthcare Solutions segment grew its revenue by $6.5 billion, or 12.2%, from the prior year quarter and $15.5 billion, or 9.9%, from the prior year nine-month period due to overall market growth primarily driven by unit volume growth, including increased sales of products labeled for diabetes and/or weight loss in the GLP-1 class and increased sales of specialty products to physician practices and health systems, offset in part by a decrease in sales of COVID-19 treatments (primarily commercial treatments). The total increases in U.S. Healthcare Solutions revenues included increases in sales of products labeled for diabetes and/or weight loss of $2.4 billion and $5.6 billion in the three and nine months ended June 30, 2023, respectively. COVID-19 treatment revenue declined by $0.1 billion and $0.8 billion in the three and nine months ended June 30, 2023 in comparison to the same prior year periods. Sales, including GLP-1 products and COVID-19 treatments, to our two largest customers increased by $2.1 billion and $5.0 billion in the three and nine months ended June 30, 2023 in comparison to the same prior year periods.

International Healthcare Solutions' revenue increased by $371.1 million, or 5.6%, from the prior year quarter and $319.8 million, or 1.6%, from the prior year nine-month period. The increases from the prior year quarter and nine-month period were primarily due to increased revenue from our less-than-wholly-owned Brazil full-line distribution business, incremental revenue from our January 2023 acquisition of PharmaLex, increased sales at our Canadian business, and increased sales at Alliance Healthcare, our European distribution business, and was offset in part due to the June 2022 divestiture of our Brazil specialty business. Our European distribution business' revenue in the current year nine-month period was negatively impacted by unfavorable foreign currency exchange rates, primarily during the first six months of fiscal 2023, in comparison to the prior year period.

A number of our contracts with customers, including group purchasing organizations, are typically subject to expiration each year. We may lose a significant customer if an existing contract with such customer expires without being extended, renewed, or replaced. During the nine months ended June 30, 2023, no significant contracts expired. Over the next twelve months, there are no significant contracts scheduled to expire. Additionally, from time to time, significant contracts may be terminated in accordance with their terms or extended, renewed, or replaced prior to their expiration dates. If those contracts

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are extended, renewed, or replaced at less favorable terms, they may also negatively impact our revenue, results of operations, and cash flows.

Gross Profit


	Three months ended June 30,					Nine months ended June 30,
(dollars in thousands)	2023		2022		Change	2023		2022		Change
U.S. Healthcare Solutions	$	1,410,822	$	1,328,511	6.2%	$	4,347,841	$	4,068,626	6.9%
International Healthcare Solutions	820,745		737,546		11.3%	2,362,981		2,230,297		5.9%
Gains from antitrust litigation settlements	118,611		—			168,510		1,835
LIFO (expense) credit	(34,952)		(23,070)			(114,272)		37,668
Turkey highly inflationary impact	(50,580)		(27,618)			(59,019)		(27,618)
Gross profit	$	2,264,646	$	2,015,369	12.4%	$	6,706,041	$	6,310,808	6.3%

Gross profit increased by $249.3 million, or 12.4%, from the prior year quarter and $395.2 million, or 6.3%, from the prior year nine-month period. Gross profit in the current year periods was favorably impacted by increases in gross profit in both reportable segments and gains from antitrust litigation settlements. The increase in the current year nine-month period was offset in part by LIFO expense in the current year period in comparison to a LIFO credit in the prior year period.

U.S. Healthcare Solutions gross profit increased by $82.3 million, or 6.2%, from the prior year quarter and $279.2 million, or 6.9%, from the prior year nine-month period primarily due to increased sales. As a percentage of revenue, U.S. Healthcare Solutions' gross profit margin was 2.36% and 2.52% in the current year quarter and nine-month period, respectively, a 13-basis point decrease from prior year quarter and a 7-basis point decrease from the prior year nine-month period primarily due to higher sales of GLP-1 products, which have lower gross profit margins, and lower sales of COVID-19 treatments, which have higher gross profit margins.

Gross profit in International Healthcare Solutions increased by $83.2 million, or 11.3%, from the prior year quarter and $132.7 million, or 5.9%, from the prior year nine-month period primarily due to the January 2023 acquisition of PharmaLex and increases in our global specialty logistics business, our less-than-wholly-owned Brazil full-line distribution business, and our European distribution business, offset in part by the June 2022 divestiture of our Brazil specialty business. Our European distribution business' gross profit in the current year nine-month period was negatively impacted by unfavorable foreign currency exchange rates, primarily during the first six months of fiscal 2023, in comparison to the prior year period.

We recognized gains from antitrust litigation settlements with pharmaceutical manufacturers of $118.6 million and $168.5 million in the three and nine months ended June 30, 2023, respectively. We recognized gains from antitrust litigation settlements with pharmaceutical manufacturers of $1.8 million in nine months ended June 30, 2022. The gains were recorded as reductions to Cost of Goods Sold (see Note 11 of the Notes to Consolidated Financial Statements).

We recognized an expense in Cost of Goods Sold of $50.6 million and $59.0 million in the three and nine months ended June 30, 2023, respectively, related to the impact of Turkey highly inflationary accounting. We recognized an expense in Cost of Goods Sold of $27.6 million in the three and nine months ended June 30, 2022 related to the impact of Turkey highly inflationary accounting. These expenses were driven by the weakening of the Turkish Lira.

Our cost of goods sold for interim periods includes a LIFO provision that is recorded ratably on a quarterly basis and is based on our estimated annual LIFO provision. The annual LIFO provision, which we estimate on a quarterly basis, is affected by manufacturer pricing practices, which may be impacted by market and other external influences, expected changes in inventory quantities, and product mix, many of which are difficult to predict. Changes to any of the above factors may have a material impact on our annual LIFO provision. Based on estimates in our current fiscal year LIFO provision, LIFO expense in the current year nine-month period in comparison to the LIFO credit in the prior year nine-month period was primarily driven by lower generic pharmaceutical deflation, higher brand inventory product mix, and higher brand pharmaceutical inflation.

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Operating Expenses


	Three months ended June 30,					Nine months ended June 30,
(dollars in thousands)	2023		2022		Change	2023		2022		Change
Distribution, selling, and administrative	$	1,304,141	$	1,212,152	7.6%	$	3,916,156	$	3,585,500	9.2%
Depreciation and amortization	274,272		172,114		59.4%	687,678		523,333		31.4%
Litigation and opioid-related (credit) expenses	(67,102)		23,442			(38,583)		108,167
Acquisition-related deal and integration expenses	19,283		36,570			99,392		69,710
Restructuring and other expenses	63,924		7,858			177,608		31,357
Impairment of assets	—		—			—		4,946
Goodwill impairment	—		75,936			—		75,936
Total operating expenses	$	1,594,518	$	1,528,072	4.3%	$	4,842,251	$	4,398,949	10.1%

Distribution, selling, and administrative expenses increased by $92.0 million, or 7.6%, compared to prior year quarter primarily due to higher operating costs in the International Healthcare Solutions segment, including incremental operating expenses at PharmaLex. Distribution, selling, and administrative expenses increased by $330.7 million, or 9.2%, compared to prior year nine-month period primarily to support revenue growth and included inflationary impacts on certain operating expenses. As a percentage of revenue, distribution, selling, and administrative expenses were 1.95% and 2.03% in the current year quarter and nine-month period, respectively, which represented a 7-basis point decrease and a 1-basis point increase compared to the prior year three and nine-month periods, respectively. The decrease in distribution, selling, and administrative expenses as a percentage of revenue in the current year quarter in comparison to the prior year quarter is primarily due to recent initiatives undertaken to improve operating efficiency across many of our businesses and administrative functions.

Depreciation expense increased 7.5% and 5.3% from the prior year quarter and nine-month period, respectively. Amortization expense increased 126.6% and 63.6% from the prior year quarter and nine-month period, respectively, primarily due to accelerated amortization expense recorded in connection with the revised useful lives of certain trade names resulting from our January 2023 announcement of our intended company name change.

Litigation and opioid-related credit in the three and nine months ended June 30, 2023 included the receipt of $83.4 million from the H.D. Smith opioid litigation indemnity escrow. Litigation and opioid-related credit was offset in part by $16.3 million and $44.8 million of legal fees in connection with opioid lawsuits and investigations in the three and nine months ended June 30, 2023, respectively. Litigation and opioid-related expenses in the three months ended June 30, 2022 included legal fees in connection with opioid lawsuits and investigations. Litigation and opioid-related expenses in the nine months ended June 30, 2022 included $71.6 million of legal fees in connection with opioid lawsuits and investigations and a $36.6 million accrual related to opioid litigation settlements.

Acquisition-related deal and integration expenses in the three and nine months ended June 30, 2023 primarily related to the continued integration of Alliance Healthcare and the acquisition of PharmaLex. Acquisition-related deal and integration expenses in the three and nine months ended June 30, 2022 primarily related to the integration of Alliance Healthcare.

Restructuring and other expenses are comprised of the following for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Restructuring and employee severance costs	$	38,209	$	4,475	$	85,060	$	19,696
Business transformation efforts	23,384		3,190		52,007		11,468
Other expenses	2,331		193		40,541		193
Total restructuring and other expenses	$	63,924	$	7,858	$	177,608	$	31,357

Business transformation efforts in the three and nine months ended June 30, 2023 included rebranding costs associated with our name change to Cencora and non-recurring expenses related to significant strategic initiatives to improve operational

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efficiency, including certain technology initiatives. The majority of these costs related to services provided by third-party consultants.

Business transformation efforts in the three and nine months ended June 30, 2022 primarily related to costs associated with reorganizing to further align our organization to our customers' needs, including certain technology initiatives. The majority of these costs related to services provided by third-party consultants.

In March 2023, one of our foreign business units experienced a cybersecurity event that impacted a standalone legacy information technology platform in one country and the foreign business unit's ability to operate in that country for approximately two weeks. In connection with this isolated event, we incurred costs to restore the foreign business unit's operations in that country, which was recorded in Other expenses in the above table. The majority of Other expenses in the three and nine months ended June 30, 2023 related to the cybersecurity event.

We recorded a $75.9 million goodwill impairment of our Profarma reporting unit in the quarter and nine-month period ended June 30, 2022.

Operating Income


	Three months ended June 30,					Nine months ended June 30,
(dollars in thousands)	2023		2022		Change	2023		2022		Change
U.S. Healthcare Solutions	$	635,176	$	579,927	9.5%	$	1,963,729	$	1,878,556	4.5%
International Healthcare Solutions	187,132		176,272		6.2%	524,405		543,400		(3.5)%

Total segment operating income	822,308		756,199		8.7%	2,488,134		2,421,956		2.7%

Gains from antitrust litigation settlements	118,611		—			168,510		1,835
LIFO (expense) credit	(34,952)		(23,070)			(114,272)		37,668
Turkey highly inflationary impact	(50,580)		(27,618)			(59,019)		(27,618)



Acquisition-related intangibles amortization	(169,154)		(74,408)			(381,146)		(231,866)
Litigation and opioid-related credit (expenses)	67,102		(23,442)			38,583		(108,167)
Acquisition-related deal and integration expenses	(19,283)		(36,570)			(99,392)		(69,710)
Restructuring and other expenses	(63,924)		(7,858)			(177,608)		(31,357)
Impairment of assets	—		—			—		(4,946)
Goodwill impairment	—		(75,936)			—		(75,936)
Operating income	$	670,128	$	487,297	37.5%	$	1,863,790	$	1,911,859	(2.5)%

Segment operating income is evaluated before gains from antitrust litigation settlements; LIFO (expense) credit; Turkey highly inflationary impact; acquisition-related intangibles amortization; litigation and opioid-related credit (expenses); acquisition-related deal and integration expenses; restructuring and other expenses; impairment of assets; and goodwill impairment.

U.S. Healthcare Solutions' operating income increased by $55.2 million, or 9.5%, from prior year quarter and $85.2 million, or 4.5%, from prior year nine-month period primarily due to the increases in gross profit, as noted above, and was offset in part by the increases in operating expenses. As a percentage of revenue, U.S. Healthcare Solutions' operating income margin was 1.06% and 1.14% in the current year quarter and nine-month period ended June 30, 2023, respectively, and represented declines of 3 basis points and 5 basis points compared to the prior year quarter and prior year nine-month period, respectively, primarily due to the declines in gross profit margins, as described above in the Gross Profit section.

International Healthcare Solutions' operating income increased by $10.9 million, or 6.2%, from the prior year quarter and decreased $19.0 million, or 3.5%, from the prior year nine-month period. The increase in the current year quarter was primarily due to our global specialty logistics business and the January 2023 acquisition of PharmaLex, offset in part by a decrease in operating income in our European distribution business. The decrease in the current year nine-month period was

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primarily due to a decrease in operating income in our European distribution business, in part due to unfavorable foreign currency exchange rates, primarily during the first six months of fiscal 2023, in comparison to the prior year period, and the June 2022 divestiture of our Brazil specialty business.

Other Loss (Income), Net

We recognized a gain of $60.0 million from the sale of non-core businesses in the three and nine months ended June 30, 2022.

Interest Expense, Net

Interest expense, net and the respective weighted average interest rates for the three months ended June 30, 2023 and 2022 are as follows:


	2023			2022
(dollars in thousands)	Amount		Weighted Average Interest Rate	Amount		Weighted Average Interest Rate
Interest expense	$	68,466	3.72%	$	57,657	2.71%
Interest income	(10,602)		4.31%	(4,795)		0.70%
Interest expense, net	$	57,864		$	52,862

Interest expense, net and the respective weighted average interest rates for the nine months ended June 30, 2023 and 2022 are as follows:


	2023			2022
(dollars in thousands)	Amount		Weighted Average Interest Rate	Amount		Weighted Average Interest Rate
Interest expense	$	201,544	3.51%	$	169,661	2.63%
Interest income	(33,555)		3.34%	(10,511)		0.75%
Interest expense, net	$	167,989		$	159,150

Interest expense, net increased by $5.0 million, or 9.5%, from prior year quarter and $8.8 million, or 5.6%, from the prior year nine-month period primarily due to the increases in interest expense. The increases in interest expense were primarily driven by an increase in our variable-rate borrowings and associated interest rates. The increases in interest expense were offset in part by increases in interest income, which were primarily driven by higher investment interest rates in the current year periods in comparison to the prior year periods. The higher investment interest rates were offset in part by lower average investment cash balances in the current year periods in comparison to the prior year periods.

Income Tax Expense

Our effective tax rates were 21.3% and 19.3% for the three and nine months ended June 30, 2023, respectively. Our effective tax rates were 23.7% and 24.0% for the three and nine months ended June 30, 2022, respectively. The effective tax rate for the three months ended June 30, 2023 was higher than the U.S. statutory rate primarily due to U.S. state income taxes, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate. The effective tax rate for the nine months ended June 30, 2023 was lower than the U.S. statutory rate primarily due to the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate, benefits from tax authority audit resolutions, and tax benefits associated with the vesting of restricted stock units and stock option exercises, offset in part by U.S. state income taxes. The effective tax rates for the three and nine months ended June 30, 2022 were higher than the U.S. statutory rate primarily due to U.S. state income taxes as well as discrete tax expenses associated with foreign valuation allowance adjustments, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate.

Liquidity and Capital Resources

Our operating results have generated cash flows, which, together with availability under our debt agreements and credit terms from suppliers, have provided sufficient capital resources to finance working capital and cash operating requirements, and to fund capital expenditures, acquisitions, repayment of debt, the payment of interest on outstanding debt, dividends, and purchases of shares of our common stock.

Our primary ongoing cash requirements will be to finance working capital, fund the repayment of debt, fund the payment of interest on debt, fund the payment of dividends, fund purchases of our common stock, finance acquisitions, and fund capital expenditures and routine growth and expansion through new business opportunities. Future cash flows from

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operations and borrowings are expected to be sufficient to fund our ongoing cash requirements, including the opioid litigation payments that will be made over the next 16 years (see below).

Cash Flows

As of June 30, 2023 and September 30, 2022, our cash and cash equivalents held by foreign subsidiaries were $643.2 million and $688.4 million, respectively. We have the ability to repatriate the majority of our cash and cash equivalents held by our foreign subsidiaries without incurring significant additional taxes upon repatriation.

We have increased seasonal needs related to our inventory build during the December and March quarters that, depending on our cash balance, may require the use of our credit facilities to fund short-term capital needs. Our cash balances in the nine months ended June 30, 2023 and 2022 were supplemented by intra-period credit facility borrowings to cover short-term working capital needs. The largest amount of intra-period borrowings under our revolving and securitization credit facilities that was outstanding at any one time during the nine months ended June 30, 2023 and 2022 was $2,121.0 million and $590.0 million, respectively. We had $49,452.9 million and $3,991.6 million of cumulative intra-period borrowings that were repaid under our credit facilities during the nine months ended June 30, 2023 and 2022, respectively.

During the nine months ended June 30, 2023, our operating activities provided cash of $2,084.5 million in comparison to $1,538.6 million in the prior year period. Cash provided by operations during the nine months ended June 30, 2023 was principally the result of the following:

•An increase in accounts payable of $3,513.7 million primarily due to the increase in our inventory balances and the timing of scheduled payments to our suppliers;

•Net income of $1,383.6 million; and

•Positive non-cash items of $899.8 million, which is primarily comprised of amortization expense of $389.8 million, depreciation expense of $307.3 million, and LIFO expense of $114.3 million.

The cash provided by the above items was offset in part by the following:

•An increase in accounts receivable of $2,249.9 million primarily due to an increase in sales and the timing of scheduled payments from our customers and

•An increase in inventories of $1,370.0 million to support the increase in business volume.

Cash provided by operations during the nine months ended June 30, 2022 was principally the result of the following:

•An increase in accounts payable of $2,074.6 million primarily due to the increase in our inventory balances and the timing of scheduled payments to our suppliers;

•Net income of $1,367.9 million; and

•Positive non-cash items of $704.6 million, which is primarily comprised of depreciation expense of $292.3 million and amortization expense of $243.2 million.

The cash provided by the above items was offset in part by the following:

•An increase in accounts receivable of $1,551.0 million primarily due to an increase in sales and the timing of scheduled payments from our customers;

•An increase in inventories of $712.8 million to support the increase in business volume; and

•A decrease in accrued expenses of $268.9 million.

We use days sales outstanding, days inventory on hand, and days payable outstanding to evaluate our working capital performance. The below financial metrics are calculated based upon a quarterly average and can be impacted by the timing of cash receipts and disbursements, which can vary significantly depending upon the day of the week on which the month ends.


	Three months ended June 30,		Nine months ended June 30,
	2023	2022	2023	2022
Days sales outstanding	27.6	27.8	27.5	27.7
Days inventory on hand	27.4	27.9	28.0	28.3
Days payable outstanding	60.1	59.6	60.0	59.7

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Our cash flows from operating activities can vary significantly from period to period based upon fluctuations in our period-end working capital account balances. Additionally, any changes to payment terms with a significant customer or manufacturer supplier could have a material impact to our cash flows from operations. Operating cash flows during the nine months ended June 30, 2023 included $200.9 million of interest payments and $342.7 million of income tax payments, net of refunds. Operating cash flows during the nine months ended June 30, 2022 included $160.8 million of interest payments and $184.1 million of income tax payments, net of refunds.

Capital expenditures in the nine months ended June 30, 2023 and 2022 were $282.9 million and $322.7 million, respectively. Significant capital expenditures in the nine months ended June 30, 2023 and 2022 included investments in various technology initiatives, including technology investments at Alliance Healthcare.

We currently expect to invest approximately $500 million for capital expenditures during fiscal 2023. Larger 2023 capital expenditures will include investments relating to various technology initiatives, including technology investments at Alliance Healthcare and those needed to comply with new regulatory requirements.

In addition to capital expenditures, net cash used in investing activity in the nine months ended June 30, 2023 included $1,406.3 million for the acquisition of PharmaLex and $718.4 million for our investment in OneOncology (see Note 2 of the Notes to Consolidated Financial Statements). Net cash used in investing activity in the nine months ended June 30, 2022 included $124.2 million of costs to acquire companies, including $60.0 million that was paid to settle accrued consideration related to the Alliance Healthcare acquisition, and was offset in part by $258.1 million in proceeds from the sale of non-core businesses.

Net cash used in financing activities in the nine months ended June 30, 2023 principally resulted from $907.2 million purchases of our common stock, a $675 million repayment of our 0.737% senior notes that matured in March 2023, and $300.4 million in cash dividends paid on our common stock. Net cash used in financing activities in the nine months ended June 30, 2022 principally resulted from a $500 million repayment of our 0.737% senior notes prior to their maturity in March 2023, the repayment of our $250 million term loan, $295.2 million in cash dividends paid on our common stock, and $248.4 million in purchases of common stock.

Debt and Credit Facility Availability

The following table illustrates our debt structure as of June 30, 2023, including availability under the multi-currency revolving credit facility, the receivables securitization facility, the revolving credit note, the money market facility, the Alliance Healthcare debt, and the overdraft facility:


(in thousands)	Outstanding Balance		Additional Availability
Fixed-Rate Debt:
$500,000, 3.400% senior notes due 2024	$	499,557	$	—
$500,000, 3.250% senior notes due 2025	498,857		—
$750,000, 3.450% senior notes due 2027	746,254		—
$500,000, 2.800% senior notes due 2030	495,806		—
$1,000,000, 2.700% senior notes due 2031	991,320		—
$500,000, 4.250% senior notes due 2045	495,324		—
$500,000, 4.300% senior notes due 2047	493,487		—
Nonrecourse debt	108,951		—
Total fixed-rate debt	4,329,556		—

Variable-Rate Debt:
Multi-currency revolving credit facility due 2027	—		2,400,000
Receivables securitization facility due 2025	350,000		1,100,000
Revolving credit note	—		75,000
Overdraft facility due 2024 (£10,000)	—		12,703
Money market facility	—		100,000
Alliance Healthcare debt	236,725		178,789
Nonrecourse debt	104,433		—
Total variable-rate debt	691,158		3,866,492
Total debt	$	5,020,714	$	3,866,492

In March 2023, the remaining balance of $675 million on our original $1.5 billion, 0.737% senior notes matured and was repaid.

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We have a $2.4 billion multi-currency senior unsecured revolving credit facility ("Multi-Currency Revolving Credit Facility") with a syndicate of lenders, which is scheduled to expire in October 2027. Interest on borrowings under the Multi-Currency Revolving Credit Facility accrues at specified rates based on our debt rating and ranges from 80.5 basis points to 122.5 basis points over SOFR/EURIBOR/CDOR/RFR, as applicable (102.5 basis points over SOFR/EURIBOR/CDOR/RFR as of June 30, 2023) and from 0 basis points to 22.5 basis points over the alternate base rate and Canadian prime rate, as applicable. We pay facility fees to maintain the availability under the Multi-Currency Revolving Credit Facility at specified rates based on our debt rating, ranging from 7 basis points to 15.0 basis points, annually, of the total commitment (10 basis points as of June 30, 2023). We may choose to repay or reduce our commitments under the Multi-Currency Revolving Credit Facility at any time. The Multi-Currency Revolving Credit Facility contains covenants, including compliance with a financial leverage ratio test, as well as others that impose limitations on, among other things, indebtedness of subsidiaries and asset sales, with which we were compliant as of June 30, 2023.

We have a commercial paper program whereby we may from time to time issue short-term promissory notes in an aggregate amount of up to $2.4 billion at any one time. Amounts available under the program may be borrowed, repaid, and re-borrowed from time to time. The maturities on the notes will vary, but may not exceed 365 days from the date of issuance. The notes will bear interest, if interest bearing, or will be sold at a discount from their face amounts. The commercial paper program does not increase our borrowing capacity as it is fully backed by our Multi-Currency Revolving Credit Facility. There were no borrowings outstanding under our commercial paper program as of June 30, 2023.

We have a $1,450 million receivables securitization facility ("Receivables Securitization Facility"), which is scheduled to expire in October 2025. We have available to us an accordion feature whereby the commitment on the Receivables Securitization Facility may be increased by up to $250 million, subject to lender approval, for seasonal needs during the December and March quarters. Interest rates are based on prevailing market rates for short-term commercial paper or 30-day Term SOFR plus a program fee. We pay a customary unused fee at prevailing market rates, annually, to maintain the availability under the Receivables Securitization Facility. The Receivables Securitization Facility contains similar covenants to the Multi-Currency Revolving Credit Facility, with which we were compliant as of June 30, 2023.

We have an uncommitted, unsecured line of credit available to us pursuant to a revolving credit note ("Revolving Credit Note"). The Revolving Credit Note provides us with the ability to request short-term unsecured revolving credit loans from time to time in a principal amount not to exceed $75 million. The Revolving Credit Note may be decreased or terminated by the bank or us at any time without prior notice. We also have a £10 million uncommitted U.K. overdraft facility ("Overdraft Facility"), which expires in February 2024, to fund short-term normal trading cycle fluctuations related to our MWI Animal Health business. We have an uncommitted, unsecured line of credit available to us pursuant to a money market credit agreement ("Money Market Facility"). The Money Market Facility provides us with the ability to request short-term unsecured revolving credit loans from time to time in a principal amount not to exceed $100 million. The Money Market Facility may be decreased or terminated by the bank or us at any time without prior notice.

Nonrecourse debt is comprised of short-term and long-term debt belonging to the Brazil subsidiary and is repaid solely from the Brazil subsidiary' cash flows and such debt agreements provide that the repayment of the loans (and interest thereon) is secured solely by the capital stock, physical assets, contracts, and cash flows of the Brazil subsidiary.

Share Purchase Programs and Dividends

In May 2022, our board of directors authorized a share repurchase program allowing us to purchase up to $1.0 billion of our outstanding shares of common stock, subject to market conditions. In the nine months ended June 30, 2023, we purchased $878.8 million of our common stock, including $800.0 million from Walgreens Boots Alliance, Inc. These purchases excluded $28.4 million of purchases in September 2022 that cash settled in October 2022. As of June 30, 2023, we had $82.5 million of availability remaining under this program.

In March 2023, our board of directors authorized a new share repurchase program allowing us to purchase up to $1.0 billion of our outstanding shares of common stock, subject to market conditions. No shares were purchased under this program as of June 30, 2023.

In November 2022, our board of directors increased the quarterly dividend paid on common stock by 5% from $0.460 per share to $0.485 per share. We anticipate that we will continue to pay quarterly cash dividends in the future. However, the payment and amount of future dividends remains within the discretion of our board of directors and will depend upon future earnings, financial condition, capital requirements, and other factors.

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Commitments and Obligations

As discussed and defined in Note 10 of the Notes to Consolidated Financial Statements, on July 21, 2021, it was announced that we and the two other national pharmaceutical distributors had negotiated a Distributor Settlement Agreement. The Distributor Settlement Agreement became effective on April 2, 2022, and as of June 30, 2023, it included 48 of 49 eligible states (the “Settling States”) as well as 99% by population of the eligible political subdivisions in the Settling States. Our remaining estimated liability related to the Distributor Settlement Agreement, the State of Alabama (with whom we have not reached a settlement agreement), and other opioid-related litigation for which we have reached settlement agreements is approximately $5.9 billion on our Consolidated Balance Sheet as of June 30, 2023 and is expected to be paid over the next 16 years. The payment of the aforementioned litigation liability has not and is not expected to have an impact on our ability to pay dividends.

The following is a summary of our contractual obligations for future principal and interest payments on our debt, minimum rental payments on our noncancellable operating leases, and minimum payments on our other commitments as of June 30, 2023:


Payments Due by Period (in thousands)	Debt, Including Interest Payments		Operating Leases		Other Commitments		Total
Within 1 year	$	1,072,554	$	216,322	$	138,379	$	1,427,255
1-3 years	1,198,997		374,448		131,752		1,705,197
4-5 years	980,863		281,957		64		1,262,884
After 5 years	3,389,500		458,291		—		3,847,791
Total	$	6,641,914	$	1,331,018	$	270,195	$	8,243,127

The 2017 Tax Act requires a one-time transition tax to be recognized on historical foreign earnings and profits. We expect to pay $139.0 million, net of overpayments and tax credits, related to the transition tax as of June 30, 2023, which is payable in installments over a six-year period, and commenced in January 2021. The transition tax commitment is included in "Other Commitments" in the above table.

Our liability for uncertain tax positions was $535.1 million (including interest and penalties) as of June 30, 2023. This liability represents an estimate of tax positions that we have taken in our tax returns which may ultimately not be sustained upon examination by taxing authorities. Since the amount and timing of any future cash settlements cannot be predicted with reasonable certainty, the estimated liability has been excluded from the above contractual obligations table. Our liability for uncertain tax positions as of June 30, 2023 primarily includes an uncertain tax benefit related to the legal accrual for litigation related to the distribution of prescription opioid pain medications, as disclosed in Note 10 of the Notes to Consolidated Financial Statements.

Market Risks

We have exposure to foreign currency and exchange rate risk from our non-U.S. operations. Our largest exposure to foreign exchange rates exists primarily with the U.K. Pound Sterling, the Euro, the Turkish Lira, the Egyptian Pound, the Brazilian Real, and the Canadian Dollar. We use forward contracts to hedge against the foreign currency exchange rate impact on certain intercompany receivable and payable balances. We may use derivative instruments to hedge our foreign currency exposure, but not for speculative or trading purposes. Revenue from our foreign operations during the nine months ended June 30, 2023 was approximately 11% of our consolidated revenue.

We have market risk exposure to interest rate fluctuations relating to our debt. We manage interest rate risk by using a combination of fixed-rate and variable-rate debt. The amount of variable-rate debt fluctuates during the year based on our working capital requirements. We had $691.2 million of variable-rate debt outstanding as of June 30, 2023. We periodically evaluate financial instruments to manage our exposure to fixed and variable interest rates. However, there are no assurances that such instruments will be available in the combinations we want and/or on terms acceptable to us. There were no such financial instruments in effect as of June 30, 2023.

We also have market risk exposure to interest rate fluctuations relating to our cash and cash equivalents. We had $1,389.3 million in cash and cash equivalents as of June 30, 2023. The unfavorable impact of a hypothetical decrease in interest rates on cash and cash equivalents would be partially offset by the favorable impact of such a decrease on variable-rate debt. For every $100 million of cash invested that is in excess of variable-rate debt, a 10-basis point decrease in interest rates would increase our annual net interest expense by $0.1 million.

Deterioration of general economic conditions, among other factors, could adversely affect the number of prescriptions that are filled and the amount of pharmaceutical products purchased by consumers and, therefore, could reduce purchases by our customers. In addition, volatility in financial markets may also negatively impact our customers' ability to obtain credit to

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finance their businesses on acceptable terms. Reduced purchases by our customers or changes in the ability of our customers to remit payments to us could adversely affect our revenue growth, our profitability, and our cash flow from operations.

Recent elevated levels of inflation in the global and U.S. economies have impacted certain operating expenses. If elevated levels of inflation persist or increase, our operations and financial results could be adversely affected, particularly in certain global markets.

We have risks from other geopolitical trends and events, such as the Russia-Ukraine war. Although the long-term implications of Russia’s invasion of Ukraine are difficult to predict at this time, the financial impact of the conflict has not been material.

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ITEM 3. Quantitative and Qualitative Disclosures About Market Risk

The Company’s most significant market risks are the effects of foreign currency risk, changing interest rates, and changes in the price and volatility of the Company’s common stock. See the discussion under the heading "Market Risks," which is incorporated by reference herein.

ITEM 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures

The Company maintains disclosure controls and procedures that are intended to ensure that information required to be disclosed in the Company’s reports submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the SEC. These controls and procedures also are intended to ensure that information required to be disclosed in such reports is accumulated and communicated to management to allow timely decisions regarding required disclosures.

The Company’s Chief Executive Officer and Chief Financial Officer, with the participation of other members of the Company’s management, have evaluated the effectiveness of the Company’s disclosure controls and procedures (as such term is defined in Rules 13a — 15(e) and 15d — 15(e) under the Exchange Act) and have concluded that the Company’s disclosure controls and procedures were effective for their intended purposes as of the end of the period covered by this report.

Changes in Internal Control over Financial Reporting

During the third quarter of fiscal 2023, there was no change in AmerisourceBergen Corporation’s internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the quarter ended June 30, 2023 that has materially affected, or is reasonably likely to materially affect, the Company's internal control over financial reporting.

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PART II. OTHER INFORMATION

ITEM 1. Legal Proceedings

See Note 10 (Legal Matters and Contingencies) of the Notes to Consolidated Financial Statements set forth under Item 1 of Part I of this report for the Company’s current description of legal proceedings.

ITEM 1A. Risk Factors

Our significant business risks are described in Item 1A to our Form 10-K for the fiscal year ended September 30, 2022, as supplemented by the description of business risks described in Item 1A to our Form 10-Q for the fiscal quarter ended March 31, 2023, to which reference is made herein.

ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds

The following table sets forth the number of shares purchased, the average price paid per share, the total number of shares purchased as part of publicly announced programs, and the approximate dollar value of shares that may yet be purchased under the programs during each month in the third fiscal quarter ended June 30, 2023. See Note 7, "Stockholders' Equity and Earnings per Share," contained in "Notes to Condensed Consolidated Financial Statements" in Part I, Item 1 of this Quarterly Report on Form 10-Q for additional information.


Period	Total Number of Shares Purchased	Average Price Paid per Share		Total Number of Shares Purchased as Part of Publicly Announced Programs	Approximate Dollar Value of Shares that May Yet Be Purchased Under the Programs
April 1 to April 30	—			—	$	1,182,525,290
May 1 to May 31	292,792	$	170.77	292,792	$	1,132,525,201
June 1 to June 30	292,119	$	181.79	275,984	$	1,082,525,179
Total	584,911			568,776

ITEM 3. Defaults Upon Senior Securities

None.

ITEM 4. Mine Safety Disclosures

Not applicable.

ITEM 5. Other Information

Leslie E. Donato, our Executive Vice President and Chief Strategy Officer, adopted a stock trading plan on May 26, 2023, pursuant to which she may sell up to 15,867 shares of the Company’s common stock, including through the exercise and sale of stock options, prior to May 31, 2024.

Gina K. Clark, our Executive Vice President and Chief Communications & Administrations Officer, adopted a stock trading plan on June 22, 2023, pursuant to which she may sell up to 31,666 shares of the Company’s common stock, including through the exercise and sale of stock options, prior to June 21, 2024.

Robert P. Mauch, our Executive Vice President and Chief Operating Officer, adopted a stock trading plan on June 23, 2023, pursuant to which he may sell up to 20,197 shares of the Company’s common stock prior to April 30, 2024.

These stock trading plans were entered into during an open insider trading window and are intended to satisfy the affirmative defense of Rule 10b5-1(c) under the Securities Exchange Act of 1934, as amended, and the Company’s policies regarding transactions in our securities.

Table of Contents

ITEM 6. Exhibits

(a) Exhibits:


Exhibit Number			Description

10.1			Nineteenth Amendment to Amended and Restated Receivables Purchase Agreement, dated as of May 3, 2023, among Amerisource Receivables Financial Corporation, as seller, AmerisourceBergen Drug Corporation, as servicer, the Purchaser Agents and Purchasers party thereto, and MUFG Bank, Ltd., as administrator (incorporated by reference to Exhibit 10.1 to the Registrant's Current Report on Form 8-K filed on May 5, 2023).

10.2			Share Repurchase Agreement, dated as of May 11, 2023, by and between AmerisourceBergen Corporation and Walgreens Boots Alliance Holdings LLC (incorporated by reference to Exhibit 10.1 to the Registrant's Current Report on Form 8-K filed on May 15, 2023).

10.3			Share Repurchase Agreement, dated as of June 15, 2023, by and between AmerisourceBergen Corporation and Walgreens Boots Alliance Holdings LLC (incorporated by reference to Exhibit 10.1 to the Registrant's Current Report on Form 8-K filed on June 20, 2023).

31.1			Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer.

31.2			Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer.

32			Section 1350 Certifications of Chief Executive Officer and Chief Financial Officer.

101			Financial statements from the Quarterly Report on Form 10-Q of AmerisourceBergen Corporation for the quarter ended June 30, 2023, formatted in Inline Extensible Business Reporting Language (iXBRL): (i) the Consolidated Balance Sheets, (ii) the Consolidated Statements of Operations, (iii) the Consolidated Statements of Comprehensive Income, (iv) the Consolidated Statements of Changes in Stockholders' Equity, (v) the Consolidated Statements of Cash Flows, and (vi) the Notes to Consolidated Financial Statements.

104			Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101).

Table of Contents

SIGNATURES

Pursuant to the requirements 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.


			AMERISOURCEBERGEN CORPORATION

August 2, 2023			/s/ Steven H. Collis
			Steven H. Collis
			Chairman, President & Chief Executive Officer

August 2, 2023			/s/ James F. Cleary
			James F. Cleary
			Executive Vice President & Chief Financial Officer

Exhibit 31.1

Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer

I, Steven H. Collis, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q (the "Report") of AmerisourceBergen Corporation (the "Registrant");

2.Based on my knowledge, this Report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this Report;

3.Based on my knowledge, the financial statements, and other financial information included in this Report, fairly present in all material respects the financial condition, results of operations and cash flows of the Registrant as of, and for, the periods presented in this Report;

4.The Registrant's other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Registrant and have:

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this Report is being prepared;

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c)Evaluated the effectiveness of the Registrant's disclosure controls and procedures and presented in this Report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this Report based on such evaluation; and

(d)Disclosed in this Report any change in the Registrant's internal control over financial reporting that occurred during the Registrant's most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5.The Registrant's other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant's auditors and the audit committee of the Registrant’s board of directors:

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant's internal control over financial reporting.

Date: August 2, 2023

/s/ Steven H. Collis

Steven H. Collis

Chairman, President and Chief Executive Officer

Exhibit 31.2

Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer

I, James F. Cleary, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q (the "Report") of AmerisourceBergen Corporation (the "Registrant");

(d)Disclosed in this Report any change in the Registrant's internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant's fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

5.The Registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Registrant's auditors and the audit committee of the Registrant's board of directors:

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant's internal control over financial reporting.

Date: August 2, 2023

/s/ James F. Cleary

James F. Cleary

Executive Vice President and Chief Financial Officer

Exhibit 32

Section 1350 Certification of Chief Executive Officer

In connection with the Quarterly Report of AmerisourceBergen Corporation (the "Company") on Form 10-Q for the quarter ended June 30, 2023 as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, Steven H. Collis, President and Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ Steven H. Collis

Steven H. Collis

Chairman, President and Chief Executive Officer

August 2, 2023

Section 1350 Certification of Chief Financial Officer

In connection with the Quarterly Report of AmerisourceBergen Corporation (the "Company") on Form 10-Q for the quarter ended June 30, 2023 as filed with the Securities and Exchange Commission on the date hereof (the "Report"), I, James F. Cleary, Executive Vice President and Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that to the best of my knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/ James F. Cleary

James F. Cleary

Executive Vice President and Chief Financial Officer

August 2, 2023

Cover - shares	9 Months Ended
Cover - shares	Jun. 30, 2023	Jul. 31, 2023
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Jun. 30, 2023
Document Transition Report	false
Entity File Number	1-16671
Entity Registrant Name	AMERISOURCEBERGEN CORP
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	23-3079390
Entity Address, Address Line One	1 West First Avenue
Entity Address, City or Town	Conshohocken,
Entity Address, State or Province	PA
Entity Address, Postal Zip Code	19428-1800
City Area Code	610
Local Phone Number	727-7000
Title of 12(b) Security	Common stock, par value $0.01 per share
Trading Symbol	ABC
Security Exchange Name	NYSE
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		202,174,856
Entity Central Index Key	0001140859
Amendment Flag	false
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Current Fiscal Year End Date	--09-30

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Jun. 30, 2023	Sep. 30, 2022
Current assets:
Cash and cash equivalents	$ 1,389,345	$ 3,388,189
Accounts receivable, less allowances for returns and credit losses: $1,511,373 as of June 30, 2023 and $1,626,729 as of September 30, 2022	20,796,648	18,452,675
Inventories	16,852,340	15,556,394
Right to recover assets	1,417,551	1,532,061
Income tax receivable	37,479	172,568
Prepaid expenses and other	493,221	487,871
Total current assets	40,986,584	39,589,758
Property and equipment, net	2,147,881	2,135,003
Goodwill	9,658,445	8,503,886
Other intangible assets	4,766,820	4,332,737
Deferred income taxes	221,235	237,571
Other assets	3,396,231	1,761,661
TOTAL ASSETS	61,177,196	56,560,616
Current liabilities:
Accounts payable	43,752,080	40,192,890
Accrued expenses and other	2,170,270	2,214,592
Short-term debt	860,861	1,070,473
Total current liabilities	46,783,211	43,477,955
Long-term debt	4,159,853	4,632,360
Accrued income taxes	284,020	320,274
Deferred income taxes	1,716,360	1,620,413
Accrued litigation liability	5,455,000	5,461,758
Other liabilities	1,856,708	976,583
Commitments and contingencies (Note 10)
Stockholders’ equity:
Common stock, $0.01 par value - authorized, issued, and outstanding: 600,000,000 shares, 294,660,550 shares, and 202,109,227 shares as of June 30, 2023, respectively, and 600,000,000 shares, 292,700,490 shares, and 206,203,817 shares as of September 30, 2022, respectively	2,947	2,927
Additional paid-in capital	5,807,585	5,658,733
Retained earnings	4,071,961	2,977,646
Accumulated other comprehensive loss	(1,226,694)	(1,830,970)
Treasury stock, at cost: 92,551,323 shares as of June 30, 2023 and 86,496,673 shares as of September 30, 2022	(7,969,781)	(7,019,895)
Total AmerisourceBergen Corporation stockholders' equity (deficit)	686,018	(211,559)
Noncontrolling interests	236,026	282,832
Total stockholders' equity	922,044	71,273
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY	$ 61,177,196	$ 56,560,616

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2023	Sep. 30, 2022
Statement of Financial Position [Abstract]
Allowances for returns and credit losses	$ 1,511,373	$ 1,626,729
Common stock, par value (usd per share)	$ 0.01	$ 0.01
Common stock, authorized (shares)	600,000,000	600,000,000
Common stock, issued (shares)	294,660,550	292,700,490
Common stock, outstanding (shares)	202,109,227	206,203,817
Treasury stock (shares)	92,551,323	86,496,673

CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Income Statement [Abstract]
Revenue	$ 66,947,043	$ 60,064,601	$ 193,251,080	$ 177,412,857
Cost of goods sold	64,682,397	58,049,232	186,545,039	171,102,049
Gross profit	2,264,646	2,015,369	6,706,041	6,310,808
Operating expenses:
Distribution, selling, and administrative	1,304,141	1,212,152	3,916,156	3,585,500
Depreciation	104,504	97,189	304,727	289,272
Amortization	169,768	74,925	382,951	234,061
Litigation and opioid-related (credit) expenses	(67,102)	23,442	(38,583)	108,167
Acquisition-related deal and integration expenses	19,283	36,570	99,392	69,710
Restructuring and other expenses	63,924	7,858	177,608	31,357
Impairment of assets	0	0	0	4,946
Goodwill impairment	0	75,936	0	75,936
Operating income	670,128	487,297	1,863,790	1,911,859
Other loss (income), net	3,436	(41,888)	(18,612)	(48,008)
Interest expense, net	57,864	52,862	167,989	159,150
Income before income taxes	608,828	476,323	1,714,413	1,800,717
Income tax expense	129,615	113,120	330,817	432,853
Net income	479,213	363,203	1,383,596	1,367,864
Net loss attributable to noncontrolling interests	368	43,761	11,132	36,219
Net income attributable to AmerisourceBergen Corporation	$ 479,581	$ 406,964	$ 1,394,728	$ 1,404,083
Earnings per share:
Basic (usd per share)	$ 2.37	$ 1.95	$ 6.87	$ 6.72
Diluted (usd per share)	$ 2.35	$ 1.92	$ 6.80	$ 6.63
Weighted average common shares outstanding:
Basic (shares)	202,349	208,885	202,908	208,895
Diluted (shares)	204,375	211,738	204,995	211,633
Cash dividends declared per share of common stock (usd per share)	$ 0.485	$ 0.460	$ 1.455	$ 1.380

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Statement of Comprehensive Income [Abstract]
Net income	$ 479,213	$ 363,203	$ 1,383,596	$ 1,367,864
Other comprehensive income (loss)
Foreign currency translation adjustments	96,999	(438,937)	572,217	(1,011,180)
Other, net	(455)	8,704	(1,578)	7,727
Total other comprehensive income (loss)	96,544	(430,233)	570,639	(1,003,453)
Total comprehensive income (loss)	575,757	(67,030)	1,954,235	364,411
Comprehensive (income) loss attributable to noncontrolling interests	(6,732)	58,512	44,769	63,813
Comprehensive income (loss) attributable to AmerisourceBergen Corporation	$ 569,025	$ (8,518)	$ 1,999,004	$ 428,224

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (Unaudited) - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Retained Earnings	Accumulated Other Comprehensive Loss	Treasury Stock	Noncontrolling Interests
Beginning balance at Sep. 30, 2021	$ 584,411	$ 2,907	$ 5,465,104	$ 1,670,513	$ (445,442)	$ (6,469,728)	$ 361,057
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	1,367,864			1,404,083			(36,219)
Other comprehensive income (loss)	(1,003,453)				(975,859)		(27,594)
Cash dividends	(295,239)			(295,239)
Exercises of stock options	83,954	9	83,945
Share-based compensation expense	76,960		76,960
Purchases of common stock	(260,125)					(260,125)
Employee tax withholdings related to restricted share vesting	(35,273)					(35,273)
Alliance Healthcare purchase accounting adjustment	6,900						6,900
Sale of a business	(3,544)						(3,544)
Other, net	(4,591)	9	2,435				(7,035)
Ending balance at Jun. 30, 2022	517,864	2,925	5,628,444	2,779,357	(1,421,301)	(6,765,126)	293,565
Beginning balance at Mar. 31, 2022	906,065	2,924	5,599,819	2,469,709	(1,005,819)	(6,516,324)	355,756
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	363,203			406,964			(43,761)
Other comprehensive income (loss)	(430,233)				(415,482)		(14,751)
Cash dividends	(97,316)			(97,316)
Exercises of stock options	10,981	1	10,980
Share-based compensation expense	14,395		14,395
Purchases of common stock	(248,729)					(248,729)
Employee tax withholdings related to restricted share vesting	(73)					(73)
Alliance Healthcare purchase accounting adjustment	6,900						6,900
Sale of a business	(3,544)						(3,544)
Other, net	(3,785)		3,250				(7,035)
Ending balance at Jun. 30, 2022	517,864	2,925	5,628,444	2,779,357	(1,421,301)	(6,765,126)	293,565
Beginning balance at Sep. 30, 2022	71,273	2,927	5,658,733	2,977,646	(1,830,970)	(7,019,895)	282,832
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	1,383,596			1,394,728			(11,132)
Other comprehensive income (loss)	570,639				604,276		(33,637)
Cash dividends	(300,413)			(300,413)
Exercises of stock options	50,078	6	50,072
Share-based compensation expense	99,699		99,699
Purchases of common stock	(878,827)					(878,827)
Employee tax withholdings related to restricted share vesting	(71,059)					(71,059)
Other, net	(2,942)	14	(919)				(2,037)
Ending balance at Jun. 30, 2023	922,044	2,947	5,807,585	4,071,961	(1,226,694)	(7,969,781)	236,026
Beginning balance at Mar. 31, 2023	511,137	2,944	5,770,242	3,691,314	(1,316,138)	(7,866,676)	229,451
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	479,213			479,581			(368)
Other comprehensive income (loss)	96,544				89,444		7,100
Cash dividends	(98,934)			(98,934)
Exercises of stock options	18,366	2	18,364
Share-based compensation expense	20,567		20,567
Purchases of common stock	(100,000)					(100,000)
Employee tax withholdings related to restricted share vesting	(3,105)					(3,105)
Other, net	(1,744)	1	(1,588)				(157)
Ending balance at Jun. 30, 2023	$ 922,044	$ 2,947	$ 5,807,585	$ 4,071,961	$ (1,226,694)	$ (7,969,781)	$ 236,026

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY (Unaudited) (Parenthetical) - $ / shares	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Statement of Stockholders' Equity [Abstract]
Cash dividends (usd per share)	$ 0.485	$ 0.460	$ 1.455	$ 1.380

CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
OPERATING ACTIVITIES
Net income	$ 1,383,596	$ 1,367,864
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation, including amounts charged to cost of goods sold	307,345	292,325
Amortization, including amounts charged to interest expense	389,843	243,241
Provision for credit losses	21,264	20,123
(Benefit) provision for deferred income taxes	(89,968)	57,063
Share-based compensation expense	99,699	76,960
LIFO expense (credit)	114,272	(37,669)
Impairment of assets, including goodwill	0	80,882
Gain on sale of businesses	0	(59,973)
Turkey highly inflationary impact	66,022	33,424
Other, net	(8,674)	(1,748)
Changes in operating assets and liabilities, excluding the effects of acquisitions and divestitures:
Accounts receivable	(2,249,881)	(1,550,962)
Inventories	(1,369,977)	(712,849)
Income taxes receivable	140,310	93,899
Prepaid expenses and other assets	95,435	59,694
Accounts payable	3,513,686	2,074,612
Accrued expenses	(163,660)	(268,945)
Long-term accrued litigation liability	(6,758)	(52,327)
Income taxes payable and other liabilities	(158,031)	(176,996)
NET CASH PROVIDED BY OPERATING ACTIVITIES	2,084,523	1,538,618
INVESTING ACTIVITIES
Capital expenditures	(282,862)	(322,732)
Cost of acquired companies, net of cash acquired	(1,409,681)	(124,158)
Cost of equity investments	(737,025)	0
Proceeds from the sale of businesses	0	258,082
Other, net	10,544	(4,899)
NET CASH USED IN INVESTING ACTIVITIES	(2,419,024)	(193,707)
FINANCING ACTIVITIES
Loan borrowings	157,547	155,189
Senior notes and loan repayments	(759,593)	(827,894)
Borrowings under revolving and securitization credit facilities	49,810,302	4,323,963
Repayments under revolving and securitization credit facilities	(49,789,813)	(4,227,561)
Purchases of common stock	(907,214)	(248,422)
Exercises of stock options	50,078	83,954
Cash dividends on common stock	(300,413)	(295,239)
Employee tax withholdings related to restricted share vesting	(71,059)	(35,273)
Other, net	(5,099)	(8,036)
NET CASH USED IN FINANCING ACTIVITIES	(1,815,264)	(1,079,319)
EFFECT OF EXCHANGE RATE CHANGES ON CASH, CASH EQUIVALENTS, AND RESTRICTED CASH	104,479	(33,056)
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH, INCLUDING CASH CLASSIFIED WITHIN ASSETS HELD FOR SALE	(2,045,286)	232,536
LESS: INCREASE IN CASH CLASSIFIED WITHIN ASSETS HELD FOR SALE	0	(610)
(DECREASE) INCREASE IN CASH, CASH EQUIVALENTS, AND RESTRICTED CASH	(2,045,286)	231,926
Cash, cash equivalents, and restricted cash at beginning of period	3,593,539	3,070,128
CASH, CASH EQUIVALENTS, AND RESTRICTED CASH AT END OF PERIOD	$ 1,548,253	$ 3,302,054

Summary of Significant Accounting Policies

9 Months Ended

Jun. 30, 2023

Accounting Policies [Abstract]

Summary of Significant Accounting Policies

Basis of Presentation

Restricted Cash


(amounts in thousands)	June 30, 2023		September 30, 2022		June 30, 2022		September 30, 2021
	(unaudited)				(unaudited)
Cash and cash equivalents	$	1,389,345	$	3,388,189	$	3,034,233	$	2,547,142
Restricted cash (included in Prepaid Expenses and Other)	96,623		144,980		207,722		462,986
Restricted cash (included in Other Assets)	62,285		60,370		60,099		60,000
Cash, cash equivalents, and restricted cash	$	1,548,253	$	3,593,539	$	3,302,054	$	3,070,128

Recently Adopted Accounting Pronouncements

Acquisition and Equity Method Investment

9 Months Ended

Jun. 30, 2023

Business Combination and Asset Acquisition [Abstract]

Acquisition and Equity Method Investment

PharmaLex Acquisition

The estimated fair value of the intangible assets acquired of $558.9 million, and the estimated useful lives are as follows:


(in thousands, except useful lives)	Fair Value		Useful Lives
Customer relationships	$	522,634	12
Trade names	30,931		5
Software technology	5,333		6
Total	$	558,898

The Company established an estimated deferred tax liability of $146.0 million primarily in connection with the intangible assets acquired.

Investment in OneOncology

Variable Interest Entity

9 Months Ended

Jun. 30, 2023

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Variable Interest Entity

The following assets and liabilities of Profarma are included in the Company's Consolidated Balance Sheets:


(in thousands)	June 30, 2023		September 30, 2022
Cash and cash equivalents	$	35,859	$	23,144
Accounts receivables, net	256,472		192,930
Inventories	272,153		207,858
Prepaid expenses and other	70,438		63,982
Property and equipment, net	44,055		35,554
Other intangible assets	63,472		66,568
Other long-term assets	80,021		71,327
Total assets	$	822,470	$	661,363

Accounts payable	$	269,176	$	215,515
Accrued expenses and other	51,739		47,952
Short-term debt	124,579		60,851
Long-term debt	88,806		64,918
Deferred income taxes	20,409		25,801
Other long-term liabilities	56,812		52,417
Total liabilities	$	611,521	$	467,454

Profarma's assets can only be used to settle its obligations, and its creditors do not have recourse to the general credit of the Company.

Income Taxes	9 Months Ended
Income Taxes	Jun. 30, 2023
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The Company files income tax returns in U.S. federal, state, and various foreign jurisdictions. As of June 30, 2023, the Company had unrecognized tax benefits, defined as the aggregate tax effect of differences between tax return positions and the benefits recognized in the Company’s financial statements, of $535.1 million ($468.3 million, net of federal benefit). If recognized, $450.0 million of these tax benefits would have reduced income tax expense and the effective tax rate. Included in this amount is $21.4 million of interest and penalties, which the Company records in Income Tax Expense in the Company's Consolidated Statements of Operations. In the nine months ended June 30, 2023, unrecognized tax benefits decreased by $18.1 million. Over the next 12 months, tax authority audit resolutions and the expiration of statutes of limitations are not expected to result in a reduction of unrecognized tax benefits. The Company's effective tax rates were 21.3% and 19.3% for the three and nine months ended June 30, 2023, respectively. The Company's effective tax rates were 23.7% and 24.0% for the three and nine months ended June 30, 2022, respectively. The effective tax rate for the three months ended June 30, 2023 was higher than the U.S. statutory rate primarily due to U.S. state income taxes, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate. The effective tax rate for the nine months ended June 30, 2023 was lower than the U.S. statutory rate primarily due to the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate, benefits from tax authority audit resolutions, and tax benefits associated with the vesting of restricted stock units and stock option exercises, offset in part by U.S. state income taxes. The effective tax rates for the three and nine months ended June 30, 2022 were higher than the U.S. statutory rate primarily due to U.S. state income taxes as well as discrete tax expenses associated with foreign valuation allowance adjustments, offset in part by the benefit of non-U.S. income taxed at rates lower than the U.S. statutory rate.

Goodwill and Other Intangible Assets

9 Months Ended

Jun. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Other Intangible Assets

The following is a summary of the changes in the carrying value of goodwill, by reportable segment, for the nine months ended June 30, 2023:


(in thousands)	U. S. Healthcare Solutions		International Healthcare Solutions		Total
Goodwill as of September 30, 2022	$	6,280,240	$	2,223,646	$	8,503,886

Goodwill recognized in connection with acquisitions	—		1,020,013		1,020,013


Foreign currency translation	3,251		131,295		134,546
Goodwill as of June 30, 2023	$	6,283,491	$	3,374,954	$	9,658,445

The following is a summary of other intangible assets:


	June 30, 2023							September 30, 2022
(in thousands)	Weighted Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Indefinite-lived trade names		$	17,000	$	—	$	17,000	$	667,932	$	—	$	667,932
Finite-lived:
Customer relationships	14 years	5,004,525		(1,160,384)		3,844,141		4,226,547		(931,961)		3,294,586
Trade names and other	4 years	1,259,381		(353,702)		905,679		542,346		(172,127)		370,219
Total other intangible assets		$	6,280,906	$	(1,514,086)	$	4,766,820	$	5,436,825	$	(1,104,088)	$	4,332,737

Debt

9 Months Ended

Jun. 30, 2023

Debt Disclosure [Abstract]

Debt

Debt consisted of the following:


(in thousands)	June 30, 2023		September 30, 2022
Multi-currency revolving credit facility due 2027	$	—	$	—
Receivables securitization facility due 2025	350,000		350,000
Revolving credit note	—		—
Overdraft facility due 2024 (£10,000)	—		—
Money market facility	—		—
0.737% senior notes due 2023	—		672,736
$500,000, 3.400% senior notes due 2024	499,557		499,195
$500,000, 3.250% senior notes due 2025	498,857		498,347
$750,000, 3.450% senior notes due 2027	746,254		745,622
$500,000, 2.800% senior notes due 2030	495,806		495,348
$1,000,000, 2.700% senior notes due 2031	991,320		990,480
$500,000, 4.250% senior notes due 2045	495,324		495,162
$500,000, 4.300% senior notes due 2047	493,487		493,288
Alliance Healthcare debt	236,725		336,886
Nonrecourse debt	213,384		125,769
Total debt	5,020,714		5,702,833
Less AmerisourceBergen Corporation current portion	499,557		672,736
Less Alliance Healthcare current portion	236,725		336,886
Less nonrecourse current portion	124,579		60,851
Total, net of current portion	$	4,159,853	$	4,632,360

Multi-Currency Revolving Credit Facility

Commercial Paper Program

Receivables Securitization Facility

Revolving Credit Note, Overdraft Facility, and Money Market Facility

Senior Notes

In March 2023, the remaining balance of $675 million on the original $1.5 billion of 0.737% senior notes matured and was repaid.

Alliance Healthcare Debt

Nonrecourse Debt

Stockholders' Equity and Earnings per Share

9 Months Ended

Jun. 30, 2023

Equity [Abstract]

Stockholders' Equity and Earnings per Share

Stockholders’ Equity and Earnings per Share

The following illustrates the components of diluted weighted average shares outstanding for the periods indicated:


	Three months ended June 30,		Nine months ended June 30,
(in thousands)	2023	2022	2023	2022
Weighted average common shares outstanding - basic	202,349	208,885	202,908	208,895
Dilutive effect of stock options and restricted stock units	2,026	2,853	2,087	2,738
Weighted average common shares outstanding - diluted	204,375	211,738	204,995	211,633

Related Party Transactions	9 Months Ended
Related Party Transactions	Jun. 30, 2023
Related Party Transactions [Abstract]
Related Party Transactions	Related Party Transactions WBA owns more than 10% of the Company’s outstanding common stock and is, therefore, considered a related party. The Company operates under various agreements and arrangements with WBA, including a pharmaceutical distribution agreement pursuant to which the Company distributes pharmaceutical products to WBA and an agreement that provides the Company the ability to access favorable economic pricing and generic products through a generic purchasing services arrangement with Walgreens Boots Alliance Development GmbH (both through 2029), as well as a distribution agreement pursuant to which it supplies branded and generic pharmaceutical products to WBA’s Boots UK Ltd. subsidiary (through 2031). Revenue from the various agreements and arrangements with WBA was $17.4 billion and $50.4 billion in the three and nine months ended June 30, 2023, respectively. Revenue from the various agreements and arrangements with WBA was $16.2 billion and $47.8 billion in the three and nine months ended June 30, 2022, respectively. The Company’s receivable from WBA, net of incentives, was $7.4 billion and $7.0 billion as of June 30, 2023 and September 30, 2022, respectively.

Restructuring and Other Expenses

9 Months Ended

Jun. 30, 2023

Restructuring and Related Activities [Abstract]

Restructuring and Other Expenses

The following illustrates the expenses incurred by the Company for restructuring and other items for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Restructuring and employee severance costs	$	38,209	$	4,475	$	85,060	$	19,696
Business transformation efforts	23,384		3,190		52,007		11,468
Other expenses	2,331		193		40,541		193
Total restructuring and other expenses	$	63,924	$	7,858	$	177,608	$	31,357

Legal Matters and Contingencies	9 Months Ended
Legal Matters and Contingencies	Jun. 30, 2023
Commitments and Contingencies Disclosure [Abstract]
Legal Matters and Contingencies	Legal Matters and Contingencies In the ordinary course of its business, the Company becomes involved in lawsuits, administrative proceedings, government subpoenas, government investigations, stockholder demands, and other disputes, including antitrust, commercial, product liability, intellectual property, regulatory, employment discrimination, and other matters. Significant damages or penalties may be sought from the Company in some matters, and some matters may require years for the Company to resolve. The Company records a reserve for these matters when it is both probable that a liability has been incurred and the amount of the loss can be reasonably estimated. For those matters for which the Company has not recognized a liability, the Company cannot predict the outcome of their impact on the Company as uncertainty remains with regard to whether such matters will proceed to trial, whether settlements will be reached, and the amount and terms of any such settlements. Outcomes may include settlements in significant amounts that are not currently estimable, limitations on the Company's conduct, the imposition of corporate integrity agreement obligations, consent decrees, and/or other civil and criminal penalties. From time to time, the Company is also involved in disputes with its customers, which the Company generally seeks to resolve through commercial negotiations. If negotiations are unsuccessful, the parties may litigate the dispute or otherwise attempt to settle the matter. With respect to the specific legal proceedings and claims described below, unless otherwise noted, the amount or range of possible losses is not reasonably estimable. There can be no assurance that the settlement, resolution, or other outcome of one or more matters, including the matters set forth below, during any subsequent reporting period will not have a material adverse effect on the Company’s results of operations or cash flows for that period or on the Company's financial condition. Opioid Lawsuits and Investigations A significant number of counties, municipalities, and other governmental entities in a majority of U.S. states and Puerto Rico, as well as numerous states and tribes, filed lawsuits in various federal, state and other courts against pharmaceutical wholesale distributors (including the Company and certain subsidiaries, such as AmerisourceBergen Drug Corporation ("ABDC") and H.D. Smith), pharmaceutical manufacturers, retail pharmacy chains, medical practices, and physicians relating to the distribution of prescription opioid pain medications. An initial group of cases was consolidated for Multidistrict Litigation ("MDL") proceedings before the United States District Court for the Northern District of Ohio (the "Court") in December 2017. In April 2018, the Court issued an order creating a litigation track, which included dispositive motion practice, discovery, and trials in certain bellwether jurisdictions. In November 2019 and January 2020, the Court filed Suggestions of Remand with the Judicial Panel on Multidistrict Litigation that identified four cases filed against the Company for potential transfer from the MDL back to federal courts in California, Oklahoma, and West Virginia for the completion of discovery, motion practice, and trial. All four cases were remanded to those federal district courts. Trial in the two consolidated cases in West Virginia commenced in May 2021 and concluded in July 2021. On July 4, 2022, the court entered judgment in favor of the defendants, including the Company. The plaintiffs filed an appeal of the court’s decision on August 2, 2022, which remains pending. The Oklahoma case, in which the plaintiff was the Cherokee Nation, was resolved through a settlement with the Cherokee Nation, as announced on September 28, 2021. The California case, in which the plaintiff was the City and County of San Francisco, was resolved pursuant to the comprehensive settlement described below (the "Distributor Settlement Agreement"), and all claims against the Company have been dismissed in both cases. On July 21, 2021, the Company announced that it and the two other national pharmaceutical distributors had negotiated a Distributor Settlement Agreement that, if all conditions were satisfied, would result in the resolution of a substantial majority of opioid lawsuits filed by state and local governmental entities. The Distributor Settlement Agreement became effective on April 2, 2022, and as of June 30, 2023, it included 48 of 49 eligible states (the "Settling States"), as well as 99% by population of the eligible political subdivisions in the Settling States. Pursuant to the Distributor Settlement Agreement and related agreements with Settling States, the Company will pay up to approximately $6.4 billion over 18 years and comply with other requirements, including establishment of a clearinghouse that will consolidate data from all three national distributors. The exact payment amount will depend on several factors, including the extent to which states take action to foreclose opioid lawsuits by subdivisions (e.g., laws barring opioid lawsuits by subdivisions). West Virginia and its subdivisions and Native American tribes are not a part of the Distributor Settlement Agreement and the Company has reached separate agreements with these groups. On July 25, 2022, the State of Alabama amended its complaint in a pending state court action against another distributor in order to add the Company as a party. The trial in the Alabama state court is scheduled to begin February 26, 2024. The Company’s accrued litigation liability related to the Distributor Settlement Agreement, including an estimate for the State of Alabama and non-participating government subdivisions (with whom the Company has not reached a settlement agreement), as well as other opioid-related litigation for which it has reached settlement agreements, as described above, was $5.9 billion as of June 30, 2023 and $6.0 billion as of September 30, 2022. The Company currently estimates that $427.3 million will be paid prior to June 30, 2024, which is recorded in Accrued Expenses and Other on the Company’s Consolidated Balance Sheet. The remaining long-term liability of $5.5 billion is recorded in Accrued Litigation Liability on the Company's Consolidated Balance Sheet. While the Company has accrued its estimated liability for opioid litigation, it is unable to estimate the range of possible loss associated with the matters that are not included in the accrual. Because loss contingencies are inherently unpredictable and unfavorable developments or resolutions can occur, the assessment is highly subjective and requires judgments about future events. The Company regularly reviews opioid litigation matters to determine whether its accrual is adequate. The amount of ultimate loss may differ materially from the amount accrued to date. Until such time as otherwise resolved, the Company will continue to litigate and prepare for trial and to vigorously defend itself in all such matters. Since these matters are still developing, the Company is unable to predict the outcome, but the result of these lawsuits could include excessive monetary verdicts and/or injunctive relief that may affect the Company’s operations. Other lawsuits regarding the distribution of prescription opioid pain medications are ongoing in cases filed by: a small number of non-participating government subdivisions, third-party payors and similar entities; hospitals; hospital groups; and individuals, including cases styled as putative class actions. These lawsuits, which have been and continue to be filed in federal and state courts, generally allege violations of controlled substance laws and various other statutes as well as common law claims, including negligence, public nuisance, and unjust enrichment, and seek equitable relief and monetary damages. Motion practice and active discovery are ongoing in many of these cases. In Alabama, a jury trial was scheduled to begin on July 24, 2023 in a case that involves up to eight plaintiff hospitals. That case was stayed by order of the Alabama Supreme Court on July 10, 2023, pending further order of that court, so there currently is no trial date. The Company, as well as additional pharmaceutical distributors and manufacturers, will be defendants in the trial. Additional litigation is anticipated in cases filed by subdivisions that are not participating in the Distributor Settlement Agreement, as well as in cases filed by non-governmental or non-political entities, including hospitals, third-party payors, and individuals, among others. Certain cases related to opioids filed in various state and federal courts have trial dates scheduled in 2024 and later, although all such dates are subject to change. The Company is vigorously defending itself in the pending lawsuits and intends to vigorously defend itself against any threatened lawsuits or enforcement proceedings. Since July 2017, the Company has received subpoenas from several U.S. Attorney’s Offices, including grand jury subpoenas from the U.S. Attorney's Office for the District of New Jersey ("USAO-NJ") and the U.S. Attorney's Office for the Eastern District of New York ("USAO-EDNY"). Those subpoenas requested the production of a broad range of documents pertaining to the Company’s distribution of controlled substances through its various subsidiaries, including ABDC, and its diversion control programs. The Company produced documents in response to the subpoenas and engaged in discussions with the various U.S. Attorney’s Offices, including the Health Care and Government Fraud Unit of the Criminal Division of the USAO-NJ, the U.S. Department of Justice Consumer Protection Branch and the U.S. Drug Enforcement Administration, in an attempt to resolve these matters. On December 29, 2022, the Department of Justice filed a civil Complaint against the Company, ABDC, and Integrated Commercialization Services, LLC ("ICS"), a subsidiary of the Company, alleging violations of the Controlled Substances Act. Specifically, the Complaint alleges that the Company negligently failed to report suspicious orders to the Drug Enforcement Administration. In the Complaint, the Department of Justice seeks civil penalties and injunctive relief. This Complaint relates to the aforementioned and previously-disclosed investigations. On March 30, 2023, the Company filed a motion to dismiss the Complaint in its entirety on behalf of itself, ABDC, and ICS. On June 28, 2023, the Department of Justice filed a response in opposition to the Company's motion to dismiss. The Company filed its reply brief in support of the motion to dismiss on July 28, 2023. The Company denies the allegations in the Complaint and intends to defend itself vigorously in the litigation. Shareholder Securities Litigation On October 11, 2019, Teamsters Local 443 Health Services & Insurance Plan, St. Paul Electrical Construction Pension Plan, St. Paul Electrical Construction Workers Supplemental Pension Plan (2014 Restatement), Retirement Medical Funding Plan for the St. Paul Electrical Workers, and San Antonio Fire & Police Pension Fund filed a complaint for a purported derivative action in the Delaware Court of Chancery against the Company and certain of its current and former officers and directors (collectively, “Defendants”). The complaint alleges that the Defendants breached their fiduciary duties by failing to oversee the compliance by certain of the Company’s subsidiaries (including the Company’s former subsidiary Medical Initiatives, Inc. ("MII")) with federal regulations, allegedly resulting in the payment of fines and penalties in connection with the settlements with the USAO-EDNY in fiscal 2017 and 2018 that resolved claims arising from MII's pre-filled syringe program. In December 2019, Defendants filed a motion to dismiss the complaint. After briefing and oral argument, on August 24, 2020 the Delaware Court of Chancery denied Defendants' motion to dismiss. On September 24, 2020, the Board of Directors of the Company established a Special Litigation Committee to conduct an investigation concerning the plaintiffs’ allegations, and on November 10, 2020, the Delaware Court of Chancery granted the Special Litigation Committee’s motion to stay the litigation pending its investigation. On September 22, 2021, the Special Litigation Committee filed its report under seal and moved to dismiss the case. The Court of Chancery heard oral arguments on the Special Litigation Committee’s motion to dismiss on July 12, 2023 and took the motion under advisement. On December 30, 2021, Lebanon County Employees' Retirement Fund and Teamsters Local 443 Health Services & Insurance Plan filed a complaint for a purported derivative action in the Delaware Court of Chancery against the Company and certain of its current officers and directors. The complaint alleges claims for breach of fiduciary duty allegedly arising from the Board’s and certain officers' oversight of the Company’s controlled substance diversion control programs. The defendants moved to dismiss the complaint on March 29, 2022. On December 22, 2022, the Court of Chancery granted the motion to dismiss. On January 9, 2023, the Plaintiffs filed a Motion for Relief from Judgment and Order Pursuant to Rule 60(b) from the Chancery Court’s judgment. On January 20, 2023, the Plaintiffs also appealed the ruling to the Delaware Supreme Court. The appeal to the Delaware Supreme Court is fully briefed and scheduled for oral argument on September 20, 2023. On March 21, 2023 the Court of Chancery denied the Plaintiffs' Motion for Relief from Judgement and Order Pursuant to Rule 60(b). Subpoenas, Ongoing Investigations, and Other Contingencies From time to time, the Company receives subpoenas or requests for information from various government agencies relating to the Company’s business or to the business of a customer, supplier, or other industry participant. The Company’s responses often require time and effort and can result in considerable costs being incurred. Most of these matters are resolved without incident; however, such subpoenas or requests can lead to the assertion of claims or the commencement of civil or criminal legal proceedings against the Company and other members of the healthcare industry, as well as to substantial settlements. In January 2017, U.S. Bioservices Corporation, a former subsidiary of the Company, received a subpoena for information from the USAO-EDNY relating to its activities in connection with billing for products and making returns of potential overpayments to government payers. A filed qui tam complaint related to the investigation was unsealed in April 2019 and the relator filed an amended complaint under seal in the U.S. District Court for the Eastern District of New York. In December 2019, the government filed a notice that it was declining to intervene. The court ordered that the relator's complaint against the Company and other defendants, including AmerisourceBergen Specialty Group, LLC, be unsealed. The relator's complaint alleged violations of the federal False Claims Act and the false claims acts of various states. The relator filed a second amended complaint, removing one state false claims act count. The Company filed a motion to dismiss the second amended complaint and all briefs on the motion were filed with the court on October 9, 2020. The motion to dismiss was granted on December 22, 2022. The False Claims Act claims were dismissed with prejudice, and the state claims were dismissed without prejudice. On January 24, 2023, the relator filed Motions to Reconsider Dismissal and For Leave to Amend the Complaint. Response briefs on those motions were filed by the Company and all briefing was completed on February 15, 2023. In December 2019, Reliable Pharmacy, together with other retail pharmacies and North Sunflower Medical Center, filed a civil antitrust complaint against multiple generic drug manufacturers, and also included claims against ABDC and H.D. Smith, and other drug distributors and industry participants. The case is filed as a putative class action and plaintiffs purport to represent a class of drug purchasers including other retail pharmacies and healthcare providers. The case has been consolidated for multidistrict litigation proceedings before the United States District Court for the Eastern District of Pennsylvania. The complaint alleges that ABDC, H.D. Smith, and others in the industry participated in a conspiracy to fix prices, allocate markets and rig bids regarding generic drugs. In March 2020, the plaintiffs filed a further amended complaint. On July 15, 2020, the defendants filed a motion to dismiss the complaint. On May 25, 2022, the Court granted the motion to dismiss without prejudice. On July 1, 2022, the plaintiffs filed an amended complaint, again including claims against ABDC, H.D. Smith, and other drug distributors and industry participants. On August 21, 2022, the Company and other industry participants filed a motion to dismiss the amended complaint. All briefs on the motion were filed with the court on November 22, 2022. On March 3, 2022, the United States Attorney’s Office for the Western District of Virginia notified the Company of the existence of a criminal investigation into MWI Veterinary Supply Co., the Company’s animal health subsidiary, in connection with grand jury subpoenas relating to compliance with state and federal regulatory requirements governing wholesale shipments of animal health products to customers. The Company is cooperating with the investigation.

Litigation Settlements	9 Months Ended
Litigation Settlements	Jun. 30, 2023
Commitments and Contingencies Disclosure [Abstract]
Litigation Settlements	Litigation Settlements Antitrust Settlements Numerous lawsuits have been filed against certain brand pharmaceutical manufacturers alleging that the manufacturer, by itself or in concert with others, took improper actions to delay or prevent generic drugs from entering the market. These lawsuits are generally brought as class actions. The Company is not typically named as a plaintiff in these lawsuits, but has been a member of the direct purchasers' class (i.e., those purchasers who purchase directly from these pharmaceutical manufacturers). None of the lawsuits have gone to trial, but some have settled in the past with the Company receiving proceeds from the settlement funds. The Company recognized gains related to these lawsuits of $118.6 million and $168.5 million in the three and nine months ended June 30, 2023 and $1.8 million in nine months ended June 30, 2022. These gains, which are net of attorney fees and estimated payments due to other parties, were recorded as reductions to cost of goods sold in the Company’s Consolidated Statements of Operations.

Fair Value of Financial Instruments	9 Months Ended
Fair Value of Financial Instruments	Jun. 30, 2023
Fair Value Disclosures [Abstract]
Fair Value of Financial Instruments	Fair Value of Financial Instruments The recorded amounts of the Company's cash and cash equivalents, accounts receivable, and accounts payable as of June 30, 2023 and September 30, 2022 approximate fair value based upon the relatively short-term nature of these financial instruments. Within Cash and Cash Equivalents, the Company had no investments in money market accounts as of June 30, 2023 and had $1,602.0 million of investments in money market accounts as of September 30, 2022. The fair value of the money market accounts was determined based upon unadjusted quoted prices in active markets for identical assets, otherwise known as Level 1 inputs. The recorded amount of long-term debt (see Note 6) and the corresponding fair value as of June 30, 2023 were $4,159.9 million and $3,729.1 million, respectively. The recorded amount of long-term debt and the corresponding fair value as of September 30, 2022 were $4,632.4 million and $4,130.3 million, respectively. The fair value of long-term debt was determined based upon inputs other than quoted prices, otherwise known as Level 2 inputs.

Business Segment Information

9 Months Ended

Jun. 30, 2023

Segment Reporting [Abstract]

Business Segment Information

Effective October 1, 2022, the chief operating decision maker ("CODM") of the Company is the Executive Vice President and Chief Operating Officer.

The following illustrates reportable and operating segment disaggregated revenue as required by Accounting Standards Codification 606 for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
U.S. Healthcare Solutions:
Human Health	$	58,583,385	$	52,168,130	$	169,113,962	$	153,721,040
Animal Health	1,316,814		1,221,215		3,716,272		3,590,715
Total U.S. Healthcare Solutions	59,900,199		53,389,345		172,830,234		157,311,755
International Healthcare Solutions:
Alliance Healthcare	5,698,635		5,492,656		16,720,262		16,658,799
Other Healthcare Solutions	1,349,142		1,184,070		3,703,728		3,445,400
Total International Healthcare Solutions	7,047,777		6,676,726		20,423,990		20,104,199
Intersegment eliminations	(933)		(1,470)		(3,144)		(3,097)
Revenue	$	66,947,043	$	60,064,601	$	193,251,080	$	177,412,857

The following illustrates reportable segment operating income for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
U.S. Healthcare Solutions	$	635,176	$	579,927	$	1,963,729	$	1,878,556
International Healthcare Solutions	187,132		176,272		524,405		543,400

Total segment operating income	$	822,308	$	756,199	$	2,488,134	$	2,421,956

The following reconciles total segment operating income to income before income taxes for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Total segment operating income	$	822,308	$	756,199	$	2,488,134	$	2,421,956
Gains from antitrust litigation settlements	118,611		—		168,510		1,835
LIFO (expense) credit	(34,952)		(23,070)		(114,272)		37,668
Turkey highly inflationary impact	(50,580)		(27,618)		(59,019)		(27,618)
Acquisition-related intangibles amortization	(169,154)		(74,408)		(381,146)		(231,866)
Litigation and opioid-related credit (expenses)	67,102		(23,442)		38,583		(108,167)
Acquisition-related deal and integration expenses	(19,283)		(36,570)		(99,392)		(69,710)
Restructuring and other expenses	(63,924)		(7,858)		(177,608)		(31,357)
Impairment of assets	—		—		—		(4,946)
Goodwill impairment	—		(75,936)		—		(75,936)
Operating income	670,128		487,297		1,863,790		1,911,859
Other loss (income), net	3,436		(41,888)		(18,612)		(48,008)
Interest expense, net	57,864		52,862		167,989		159,150


Income before income taxes	$	608,828	$	476,323	$	1,714,413	$	1,800,717

Litigation and opioid-related credit in the three and nine months ended June 30, 2023 includes the receipt of $83.4 million from the H.D. Smith opioid litigation indemnity escrow.

The Company recognized gains of $60.0 million from the sale of non-core businesses in the three and nine months ended June 30, 2022 in Other Loss (Income), Net.

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
Pay vs Performance Disclosure - USD ($) $ in Thousands	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Pay vs Performance Disclosure
Net Income (Loss) Attributable to Parent	$ 479,581	$ 406,964	$ 1,394,728	$ 1,404,083

Insider Trading Arrangements	3 Months Ended	9 Months Ended
Insider Trading Arrangements	Jun. 30, 2023 shares	Jun. 30, 2023 shares
Trading Arrangements, by Individual
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false
Leslie E. Donato [Member]
Trading Arrangements, by Individual
Material Terms of Trading Arrangement		Leslie E. Donato, our Executive Vice President and Chief Strategy Officer, adopted a stock trading plan on May 26, 2023, pursuant to which she may sell up to 15,867 shares of the Company’s common stock, including through the exercise and sale of stock options, prior to May 31, 2024.
Name	Leslie E. Donato
Title	Executive Vice President and Chief Strategy Officer
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	May 26, 2023
Arrangement Duration	371 days
Aggregate Available	15,867	15,867
Gina K. Clark [Member]
Trading Arrangements, by Individual
Material Terms of Trading Arrangement		Gina K. Clark, our Executive Vice President and Chief Communications & Administrations Officer, adopted a stock trading plan on June 22, 2023, pursuant to which she may sell up to 31,666 shares of the Company’s common stock, including through the exercise and sale of stock options, prior to June 21, 2024.
Name	Gina K. Clark
Title	Executive Vice President and Chief Communications & Administrations Officer
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	June 22, 2023
Arrangement Duration	365 days
Aggregate Available	31,666	31,666
Robert P. Mauch [Member]
Trading Arrangements, by Individual
Material Terms of Trading Arrangement		Robert P. Mauch, our Executive Vice President and Chief Operating Officer, adopted a stock trading plan on June 23, 2023, pursuant to which he may sell up to 20,197 shares of the Company’s common stock prior to April 30, 2024.
Name	Robert P. Mauch
Title	Executive Vice President and Chief Operating Officer
Rule 10b5-1 Arrangement Adopted	true
Adoption Date	June 23, 2023
Arrangement Duration	312 days
Aggregate Available	20,197	20,197

Summary of Significant Accounting Policies (Policies)	9 Months Ended
Summary of Significant Accounting Policies (Policies)	Jun. 30, 2023
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying financial statements present the consolidated financial position, results of operations, and cash flows of AmerisourceBergen Corporation and its subsidiaries, including less-than-wholly-owned subsidiaries in which AmerisourceBergen Corporation has a controlling financial interest (the "Company"), as of the dates and for the periods indicated. All significant intercompany accounts and transactions have been eliminated in consolidation. The accompanying unaudited consolidated financial statements have been prepared in conformity with U.S. generally accepted accounting principles ("GAAP") for interim financial information and in accordance with the instructions to Form 10-Q, and Rule 10-01 of Regulation S-X. In the opinion of management, all adjustments (consisting only of normal recurring accruals, except as otherwise disclosed herein) considered necessary to present fairly the financial position as of June 30, 2023 and the results of operations and cash flows for the interim periods ended June 30, 2023 and 2022 have been included. Certain information and footnote disclosures normally included in financial statements presented in accordance with U.S. GAAP, but which are not required for interim reporting purposes, have been omitted. The accompanying unaudited consolidated financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2022.
Use of Estimates	The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect amounts reported in the financial statements and accompanying notes. Actual amounts could differ from these estimated amounts. Certain reclassifications have been made to prior-period amounts in order to conform to the current year presentation.
Restricted Cash	Restricted Cash The Company is required to maintain certain cash deposits with banks mainly consisting of deposits restricted under contractual agency agreements and cash restricted by law and other obligations, including opioid-related legal settlements.
Recently Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncements As of June 30, 2023, there were no recently-issued accounting standards that may have a material impact on the Company’s financial position, results of operations, cash flows, or notes to the financial statements upon their adoption.

Summary of Significant Accounting Policies (Tables)

9 Months Ended

Jun. 30, 2023

Accounting Policies [Abstract]

Schedule of Cash and Cash Equivalents


(amounts in thousands)	June 30, 2023		September 30, 2022		June 30, 2022		September 30, 2021
	(unaudited)				(unaudited)
Cash and cash equivalents	$	1,389,345	$	3,388,189	$	3,034,233	$	2,547,142
Restricted cash (included in Prepaid Expenses and Other)	96,623		144,980		207,722		462,986
Restricted cash (included in Other Assets)	62,285		60,370		60,099		60,000
Cash, cash equivalents, and restricted cash	$	1,548,253	$	3,593,539	$	3,302,054	$	3,070,128

Schedule of Restrictions on Cash and Cash Equivalents


(amounts in thousands)	June 30, 2023		September 30, 2022		June 30, 2022		September 30, 2021
	(unaudited)				(unaudited)
Cash and cash equivalents	$	1,389,345	$	3,388,189	$	3,034,233	$	2,547,142
Restricted cash (included in Prepaid Expenses and Other)	96,623		144,980		207,722		462,986
Restricted cash (included in Other Assets)	62,285		60,370		60,099		60,000
Cash, cash equivalents, and restricted cash	$	1,548,253	$	3,593,539	$	3,302,054	$	3,070,128

Acquisition and Equity Method Investment (Tables)

9 Months Ended

Jun. 30, 2023

Business Combination and Asset Acquisition [Abstract]

Schedule of Fair Value of the Intangible Assets Acquired

The estimated fair value of the intangible assets acquired of $558.9 million, and the estimated useful lives are as follows:


(in thousands, except useful lives)	Fair Value		Useful Lives
Customer relationships	$	522,634	12
Trade names	30,931		5
Software technology	5,333		6
Total	$	558,898

Variable Interest Entity (Tables)

9 Months Ended

Jun. 30, 2023

Organization, Consolidation and Presentation of Financial Statements [Abstract]

Schedule of VIE's Assets and Liabilities

The following assets and liabilities of Profarma are included in the Company's Consolidated Balance Sheets:


(in thousands)	June 30, 2023		September 30, 2022
Cash and cash equivalents	$	35,859	$	23,144
Accounts receivables, net	256,472		192,930
Inventories	272,153		207,858
Prepaid expenses and other	70,438		63,982
Property and equipment, net	44,055		35,554
Other intangible assets	63,472		66,568
Other long-term assets	80,021		71,327
Total assets	$	822,470	$	661,363

Accounts payable	$	269,176	$	215,515
Accrued expenses and other	51,739		47,952
Short-term debt	124,579		60,851
Long-term debt	88,806		64,918
Deferred income taxes	20,409		25,801
Other long-term liabilities	56,812		52,417
Total liabilities	$	611,521	$	467,454

Goodwill and Other Intangible Assets (Tables)

9 Months Ended

Jun. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in the Carrying Value of Goodwill by Reportable Segment

The following is a summary of the changes in the carrying value of goodwill, by reportable segment, for the nine months ended June 30, 2023:


(in thousands)	U. S. Healthcare Solutions		International Healthcare Solutions		Total
Goodwill as of September 30, 2022	$	6,280,240	$	2,223,646	$	8,503,886

Goodwill recognized in connection with acquisitions	—		1,020,013		1,020,013


Foreign currency translation	3,251		131,295		134,546
Goodwill as of June 30, 2023	$	6,283,491	$	3,374,954	$	9,658,445

Schedule of Indefinite-lived Intangible Assets

The following is a summary of other intangible assets:


	June 30, 2023							September 30, 2022
(in thousands)	Weighted Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Indefinite-lived trade names		$	17,000	$	—	$	17,000	$	667,932	$	—	$	667,932
Finite-lived:
Customer relationships	14 years	5,004,525		(1,160,384)		3,844,141		4,226,547		(931,961)		3,294,586
Trade names and other	4 years	1,259,381		(353,702)		905,679		542,346		(172,127)		370,219
Total other intangible assets		$	6,280,906	$	(1,514,086)	$	4,766,820	$	5,436,825	$	(1,104,088)	$	4,332,737

Schedule of Finite-lived Intangible Assets

The following is a summary of other intangible assets:


	June 30, 2023							September 30, 2022
(in thousands)	Weighted Average Remaining Useful Life	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Indefinite-lived trade names		$	17,000	$	—	$	17,000	$	667,932	$	—	$	667,932
Finite-lived:
Customer relationships	14 years	5,004,525		(1,160,384)		3,844,141		4,226,547		(931,961)		3,294,586
Trade names and other	4 years	1,259,381		(353,702)		905,679		542,346		(172,127)		370,219
Total other intangible assets		$	6,280,906	$	(1,514,086)	$	4,766,820	$	5,436,825	$	(1,104,088)	$	4,332,737

Debt (Tables)

9 Months Ended

Jun. 30, 2023

Debt Disclosure [Abstract]

Schedule of Debt Instruments

Debt consisted of the following:


(in thousands)	June 30, 2023		September 30, 2022
Multi-currency revolving credit facility due 2027	$	—	$	—
Receivables securitization facility due 2025	350,000		350,000
Revolving credit note	—		—
Overdraft facility due 2024 (£10,000)	—		—
Money market facility	—		—
0.737% senior notes due 2023	—		672,736
$500,000, 3.400% senior notes due 2024	499,557		499,195
$500,000, 3.250% senior notes due 2025	498,857		498,347
$750,000, 3.450% senior notes due 2027	746,254		745,622
$500,000, 2.800% senior notes due 2030	495,806		495,348
$1,000,000, 2.700% senior notes due 2031	991,320		990,480
$500,000, 4.250% senior notes due 2045	495,324		495,162
$500,000, 4.300% senior notes due 2047	493,487		493,288
Alliance Healthcare debt	236,725		336,886
Nonrecourse debt	213,384		125,769
Total debt	5,020,714		5,702,833
Less AmerisourceBergen Corporation current portion	499,557		672,736
Less Alliance Healthcare current portion	236,725		336,886
Less nonrecourse current portion	124,579		60,851
Total, net of current portion	$	4,159,853	$	4,632,360

Stockholders' Equity and Earnings per Share (Tables)

9 Months Ended

Jun. 30, 2023

Equity [Abstract]

Schedule of Weighted Average Number of Common Shares Outstanding

The following illustrates the components of diluted weighted average shares outstanding for the periods indicated:


	Three months ended June 30,		Nine months ended June 30,
(in thousands)	2023	2022	2023	2022
Weighted average common shares outstanding - basic	202,349	208,885	202,908	208,895
Dilutive effect of stock options and restricted stock units	2,026	2,853	2,087	2,738
Weighted average common shares outstanding - diluted	204,375	211,738	204,995	211,633

Restructuring and Other Expenses (Tables)

9 Months Ended

Jun. 30, 2023

Restructuring and Related Activities [Abstract]

Schedule of Employee Severance, Litigation, and Other Charge

The following illustrates the expenses incurred by the Company for restructuring and other items for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Restructuring and employee severance costs	$	38,209	$	4,475	$	85,060	$	19,696
Business transformation efforts	23,384		3,190		52,007		11,468
Other expenses	2,331		193		40,541		193
Total restructuring and other expenses	$	63,924	$	7,858	$	177,608	$	31,357

Business Segment Information (Tables)

9 Months Ended

Jun. 30, 2023

Segment Reporting [Abstract]

Schedule of Segment Revenue

The following illustrates reportable and operating segment disaggregated revenue as required by Accounting Standards Codification 606 for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
U.S. Healthcare Solutions:
Human Health	$	58,583,385	$	52,168,130	$	169,113,962	$	153,721,040
Animal Health	1,316,814		1,221,215		3,716,272		3,590,715
Total U.S. Healthcare Solutions	59,900,199		53,389,345		172,830,234		157,311,755
International Healthcare Solutions:
Alliance Healthcare	5,698,635		5,492,656		16,720,262		16,658,799
Other Healthcare Solutions	1,349,142		1,184,070		3,703,728		3,445,400
Total International Healthcare Solutions	7,047,777		6,676,726		20,423,990		20,104,199
Intersegment eliminations	(933)		(1,470)		(3,144)		(3,097)
Revenue	$	66,947,043	$	60,064,601	$	193,251,080	$	177,412,857

Schedule of Segment Operating Income

The following illustrates reportable segment operating income for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
U.S. Healthcare Solutions	$	635,176	$	579,927	$	1,963,729	$	1,878,556
International Healthcare Solutions	187,132		176,272		524,405		543,400

Total segment operating income	$	822,308	$	756,199	$	2,488,134	$	2,421,956

Schedule of Reconciliation of Total Segment Operating Income to Income (Loss) From Operations Before Income Taxes

The following reconciles total segment operating income to income before income taxes for the periods indicated:


	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2023		2022		2023		2022
Total segment operating income	$	822,308	$	756,199	$	2,488,134	$	2,421,956
Gains from antitrust litigation settlements	118,611		—		168,510		1,835
LIFO (expense) credit	(34,952)		(23,070)		(114,272)		37,668
Turkey highly inflationary impact	(50,580)		(27,618)		(59,019)		(27,618)
Acquisition-related intangibles amortization	(169,154)		(74,408)		(381,146)		(231,866)
Litigation and opioid-related credit (expenses)	67,102		(23,442)		38,583		(108,167)
Acquisition-related deal and integration expenses	(19,283)		(36,570)		(99,392)		(69,710)
Restructuring and other expenses	(63,924)		(7,858)		(177,608)		(31,357)
Impairment of assets	—		—		—		(4,946)
Goodwill impairment	—		(75,936)		—		(75,936)
Operating income	670,128		487,297		1,863,790		1,911,859
Other loss (income), net	3,436		(41,888)		(18,612)		(48,008)
Interest expense, net	57,864		52,862		167,989		159,150


Income before income taxes	$	608,828	$	476,323	$	1,714,413	$	1,800,717

Summary of Significant Accounting Policies - Schedule of Restricted Cash (Details) - USD ($) $ in Thousands	Jun. 30, 2023	Sep. 30, 2022	Jun. 30, 2022	Sep. 30, 2021
Restricted Cash and Cash Equivalents Items [Line Items]
Cash and cash equivalents	$ 1,389,345	$ 3,388,189	$ 3,034,233	$ 2,547,142
Cash, cash equivalents, and restricted cash	1,548,253	3,593,539	3,302,054	3,070,128
Restricted cash (included in Prepaid Expenses and Other)
Restricted Cash and Cash Equivalents Items [Line Items]
Restricted cash	96,623	144,980	207,722	462,986
Restricted cash (included in Other Assets)
Restricted Cash and Cash Equivalents Items [Line Items]
Restricted cash	$ 62,285	$ 60,370	$ 60,099	$ 60,000

Acquisition and Equity Method Investment - Additional Information (Details) $ in Thousands		1 Months Ended
	Jan. 02, 2023 USD ($)	Jun. 30, 2023 USD ($)	Jan. 01, 2023 USD ($) country	Sep. 30, 2022 USD ($)
Asset Acquisition, Contingent Consideration [Line Items]
Goodwill		$ 9,658,445		$ 8,503,886
Deferred tax liabilities			$ 146,000
PharmaLex Acquisition
Asset Acquisition, Contingent Consideration [Line Items]
Purchase price	$ 1,473,000
Cash holdback			$ 29,300
Operating countries (over) \| country			30
Cash and cash equivalents			$ 37,500
Goodwill			$ 1,016,700
OneOncology \| OneOncology
Asset Acquisition, Contingent Consideration [Line Items]
Investment in specialty joint venture		718,400
OneOncology \| OneOncology \| The Company and TPG
Asset Acquisition, Contingent Consideration [Line Items]
Investment in specialty joint venture		$ 2,100,000
Share price multiplier		19
Threshold period		12 months
Other liabilities		$ 807,000
OneOncology \| OneOncology \| OneOncology
Asset Acquisition, Contingent Consideration [Line Items]
Ownership percentage		34.90%

Acquisition and Equity Method Investment - Fair Value Of Intangible Assets (Details) - PharmaLex Acquisition $ in Thousands	Jan. 02, 2023 USD ($)
Finite-Lived Intangible Assets [Line Items]
Fair Value	$ 558,898
Customer relationships
Finite-Lived Intangible Assets [Line Items]
Fair Value	$ 522,634
Useful Lives	12 years
Trade names
Finite-Lived Intangible Assets [Line Items]
Fair Value	$ 30,931
Useful Lives	5 years
Software technology
Finite-Lived Intangible Assets [Line Items]
Fair Value	$ 5,333
Useful Lives	6 years

Variable Interest Entity - Financial Position of Variable Interest Entity (Details) - USD ($) $ in Thousands	Jun. 30, 2023	Sep. 30, 2022	Jun. 30, 2022	Sep. 30, 2021
Variable Interest Entity [Line Items]
Cash and cash equivalents	$ 1,548,253	$ 3,593,539	$ 3,302,054	$ 3,070,128
Inventories	16,852,340	15,556,394
Property and equipment, net	2,147,881	2,135,003
Other long-term assets	3,396,231	1,761,661
TOTAL ASSETS	61,177,196	56,560,616
Deferred income taxes	1,716,360	1,620,413
Other long-term liabilities	1,856,708	976,583
Profarma
Variable Interest Entity [Line Items]
Cash and cash equivalents	35,859	23,144
Accounts receivables, net	256,472	192,930
Inventories	272,153	207,858
Prepaid expenses and other	70,438	63,982
Property and equipment, net	44,055	35,554
Other intangible assets	63,472	66,568
Other long-term assets	80,021	71,327
TOTAL ASSETS	822,470	661,363
Accounts payable	269,176	215,515
Accrued expenses and other	51,739	47,952
Short-term debt	124,579	60,851
Long-term debt	88,806	64,918
Deferred income taxes	20,409	25,801
Other long-term liabilities	56,812	52,417
Total liabilities	$ 611,521	$ 467,454

Income Taxes (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
Income Taxes (Details) - USD ($) $ in Millions	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Income Tax Disclosure [Abstract]
Unrecognized tax benefits	$ 535.1		$ 535.1
Unrecognized tax benefits, net of federal benefit	468.3		468.3
Tax benefits that would reduce income tax expense and effective tax rate	450.0		450.0
Unrecognized tax benefits - interest and penalties	$ 21.4		21.4
Unrecognized tax benefits - increase			$ 18.1
Effective tax rate (as a percentage)	21.30%	23.70%	19.30%	24.00%

Goodwill and Other Intangible Assets - Schedule of Change in the Carrying Value of Goodwill by Reportable Segment (Details) $ in Thousands	9 Months Ended
	Jun. 30, 2023 USD ($)
Goodwill [Roll Forward]
Goodwill, beginning balance	$ 8,503,886
Goodwill recognized in connection with acquisitions	1,020,013
Foreign currency translation	134,546
Goodwill, ending balance	9,658,445
U. S. Healthcare Solutions
Goodwill [Roll Forward]
Goodwill, beginning balance	6,280,240
Goodwill recognized in connection with acquisitions	0
Foreign currency translation	3,251
Goodwill, ending balance	6,283,491
International Healthcare Solutions
Goodwill [Roll Forward]
Goodwill, beginning balance	2,223,646
Goodwill recognized in connection with acquisitions	1,020,013
Foreign currency translation	131,295
Goodwill, ending balance	$ 3,374,954

Goodwill and Other Intangible Assets - Schedule of Other Intangible Assets (Details) - USD ($) $ in Thousands	Jun. 30, 2023	Sep. 30, 2022
Finite-lived
Accumulated Amortization	$ (1,514,086)	$ (1,104,088)
Intangible Assets
Gross Carrying Amount	6,280,906	5,436,825
Net Carrying Amount	4,766,820	4,332,737
Trade Names
Indefinite-lived intangibles
Indefinite-lived trade names	$ 17,000	667,932
Customer relationships
Finite-lived
Weighted Average Remaining Useful Life	14 years
Gross Carrying Amount	$ 5,004,525	4,226,547
Accumulated Amortization	(1,160,384)	(931,961)
Net Carrying Amount	$ 3,844,141	3,294,586
Trade names and other
Finite-lived
Weighted Average Remaining Useful Life	4 years
Gross Carrying Amount	$ 1,259,381	542,346
Accumulated Amortization	(353,702)	(172,127)
Net Carrying Amount	$ 905,679	$ 370,219

Goodwill and Other Intangible Assets - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Goodwill [Line Items]
Intangible assets reclassified			$ 651,000
Amortization expense	$ 169,768	$ 74,925	382,951	$ 234,061
2023	550,900		550,900
2024	657,700		657,700
2025	539,600		539,600
2026	362,600		362,600
2027	302,900		302,900
Thereafter	$ 2,719,000		$ 2,719,000
Trade names and other
Goodwill [Line Items]
Trade names	4 years		4 years
Minimum \| Trade names and other
Goodwill [Line Items]
Trade names	1 year		1 year
Maximum \| Trade names and other
Goodwill [Line Items]
Trade names	3 years		3 years

Debt - Debt Instruments (Details)	Jun. 30, 2023 USD ($)	Jun. 30, 2023 GBP (£)	Mar. 31, 2023 USD ($)	Sep. 30, 2022 USD ($)
Debt Instrument [Line Items]
Total debt	$ 5,020,714,000			$ 5,702,833,000
Total, net of current portion	4,159,853,000			4,632,360,000
AmerisourceBergen Corporation
Debt Instrument [Line Items]
Less current portion	499,557,000			672,736,000
Multi-currency revolving credit facility due 2027
Debt Instrument [Line Items]
Maximum borrowing capacity	2,400,000,000
Long-term debt	0			0
Receivables securitization facility due 2025
Debt Instrument [Line Items]
Maximum borrowing capacity	1,450,000,000
Long-term debt	350,000,000			350,000,000
Revolving credit note
Debt Instrument [Line Items]
Maximum borrowing capacity	75,000,000
Long-term debt	0			0
Overdraft facility due 2024 (£10,000)
Debt Instrument [Line Items]
Maximum borrowing capacity \| £		£ 10,000,000
Long-term debt	0			0
Money market facility
Debt Instrument [Line Items]
Maximum borrowing capacity	100,000,000
Long-term debt	$ 0			0
0.737% senior notes due 2023
Debt Instrument [Line Items]
Interest rate	0.737%	0.737%	0.737%
Principal amount			$ 1,500,000,000
Long-term debt	$ 0			672,736,000
$500,000, 3.400% senior notes due 2024
Debt Instrument [Line Items]
Interest rate	3.40%	3.40%
Principal amount	$ 500,000,000
Long-term debt	$ 499,557,000			499,195,000
$500,000, 3.250% senior notes due 2025
Debt Instrument [Line Items]
Interest rate	3.25%	3.25%
Principal amount	$ 500,000,000
Long-term debt	$ 498,857,000			498,347,000
$750,000, 3.450% senior notes due 2027
Debt Instrument [Line Items]
Interest rate	3.45%	3.45%
Principal amount	$ 750,000,000
Long-term debt	$ 746,254,000			745,622,000
$500,000, 2.800% senior notes due 2030
Debt Instrument [Line Items]
Interest rate	2.80%	2.80%
Principal amount	$ 500,000,000
Long-term debt	$ 495,806,000			495,348,000
$1,000,000, 2.700% senior notes due 2031
Debt Instrument [Line Items]
Interest rate	2.70%	2.70%
Principal amount	$ 1,000,000,000
Long-term debt	$ 991,320,000			990,480,000
$500,000, 4.250% senior notes due 2045
Debt Instrument [Line Items]
Interest rate	4.25%	4.25%
Principal amount	$ 500,000,000
Long-term debt	$ 495,324,000			495,162,000
$500,000, 4.300% senior notes due 2047
Debt Instrument [Line Items]
Interest rate	4.30%	4.30%
Principal amount	$ 500,000,000
Long-term debt	493,487,000			493,288,000
Alliance Healthcare debt
Debt Instrument [Line Items]
Short-term debt	236,725,000			336,886,000
Nonrecourse debt
Debt Instrument [Line Items]
Long-term debt	213,384,000			125,769,000
Less current portion	$ 124,579,000			$ 60,851,000

Debt - Additional information (Details)	1 Months Ended	9 Months Ended
Debt - Additional information (Details)	Mar. 31, 2023 USD ($)	Jun. 30, 2023 USD ($)	Jun. 30, 2022 USD ($)	Jun. 30, 2023 GBP (£)
Debt Instrument [Line Items]
Repayment of long-term debt		$ 759,593,000	$ 827,894,000
Alliance Healthcare Egypt
Debt Instrument [Line Items]
Ownership percentage		50.00%		50.00%
Multi-currency revolving credit facility due 2027
Debt Instrument [Line Items]
Maximum borrowing capacity		$ 2,400,000,000
Facility fee		0.10%
Multi-currency revolving credit facility due 2027 \| Minimum
Debt Instrument [Line Items]
Facility fee		0.07%
Multi-currency revolving credit facility due 2027 \| Maximum
Debt Instrument [Line Items]
Facility fee		0.15%
Multi-currency revolving credit facility due 2027 \| SOFR/EURIBOR/CDOR/RFR
Debt Instrument [Line Items]
Variable rate spread(in percentage)		1.025%
Multi-currency revolving credit facility due 2027 \| SOFR/EURIBOR/CDOR/RFR \| Minimum
Debt Instrument [Line Items]
Variable rate spread(in percentage)		0.805%
Multi-currency revolving credit facility due 2027 \| SOFR/EURIBOR/CDOR/RFR \| Maximum
Debt Instrument [Line Items]
Variable rate spread(in percentage)		1.225%
Multi-currency revolving credit facility due 2027 \| Alternate Base Rate And Canadian Prime Rate \| Minimum
Debt Instrument [Line Items]
Variable rate spread(in percentage)		0.00%
Multi-currency revolving credit facility due 2027 \| Alternate Base Rate And Canadian Prime Rate \| Maximum
Debt Instrument [Line Items]
Variable rate spread(in percentage)		0.225%
Commercial paper
Debt Instrument [Line Items]
Maximum borrowing capacity		$ 2,400,000,000
Debt instrument, term		365 days
Amount outstanding		$ 0
Receivables securitization facility due 2025
Debt Instrument [Line Items]
Maximum borrowing capacity		1,450,000,000
Potential increase in receivables securitization facility		250,000,000
Revolving credit note
Debt Instrument [Line Items]
Maximum borrowing capacity		75,000,000
Overdraft facility due 2024 (£10,000)
Debt Instrument [Line Items]
Maximum borrowing capacity \| £				£ 10,000,000
Money market facility
Debt Instrument [Line Items]
Maximum borrowing capacity		$ 100,000,000
0.737% senior notes due 2023
Debt Instrument [Line Items]
Repayment of long-term debt	$ 675,000,000
Principal amount	$ 1,500,000,000
Interest rate	0.737%	0.737%		0.737%

Stockholders' Equity and Earnings per Share - Additional Information (Details) - USD ($)	1 Months Ended	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022	Mar. 31, 2023	May 31, 2022
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Repurchase of common stock		$ 100,000,000	$ 248,729,000	$ 878,827,000	$ 260,125,000
Antidilutive securities excluded from earnings per share computation (shares)		0	0	125,000	134,000
May 2022 Share Repurchase Program
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Authorized amount under share repurchase program							$ 1,000,000,000
Repurchase of common stock (shares)				5,600,000
Repurchase of common stock				$ 878,800,000
Shares repurchased, cash settled	$ 28,400,000
Availability remaining under program		$ 82,500,000		$ 82,500,000
May 2022 Share Repurchase Program \| WBA
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Repurchase of common stock (shares)				5,000,000
Repurchase of common stock				$ 800,000,000
March 2023 Share Repurchase Program
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Authorized amount under share repurchase program						$ 1,000,000,000
Repurchase of common stock (shares)				0

Stockholders' Equity and Earnings per Share - Weighted Average Number of Common Shares Outstanding (Details) - shares shares in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Equity [Abstract]
Weighted average common shares outstanding - basic (shares)	202,349	208,885	202,908	208,895
Dilutive effect of stock options and restricted stock units (shares)	2,026	2,853	2,087	2,738
Weighted average common shares outstanding - diluted (shares)	204,375	211,738	204,995	211,633

Related Party Transactions (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022	Sep. 30, 2022
Related Party Transaction [Line Items]
Revenues	$ 66,947,043	$ 60,064,601	$ 193,251,080	$ 177,412,857
Receivable from related party	20,796,648		20,796,648		$ 18,452,675
Principal Owner \| WBA
Related Party Transaction [Line Items]
Revenues	17,400,000	$ 16,200,000	50,400,000	$ 47,800,000
Receivable from related party	$ 7,400,000		$ 7,400,000		$ 7,000,000
Principal Owner \| AmerisourceBergen \| WBA
Related Party Transaction [Line Items]
Ownership percentage (more than)	10.00%		10.00%

Restructuring and Other Expenses - Schedule of Employee Severance, Litigation, and Other Charge (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Restructuring and Related Activities [Abstract]
Restructuring and employee severance costs	$ 38,209	$ 4,475	$ 85,060	$ 19,696
Business transformation efforts	23,384	3,190	52,007	11,468
Other expenses	2,331	193	40,541	193
Total restructuring and other expenses	$ 63,924	$ 7,858	$ 177,608	$ 31,357

Restructuring and Other Expenses - Narrative (Details) - Cybersecurity Event	1 Months Ended
	Mar. 31, 2023 businessUnit country
Loss Contingencies [Line Items]
Number of business unit \| businessUnit	1
Operating countries (over) \| country	1
Operating period	two

Legal Matters and Contingencies (Details) $ in Thousands	Jun. 30, 2023 USD ($) state	Apr. 02, 2022 USD ($)	Sep. 30, 2022 USD ($)	Jan. 31, 2020 claim
Loss Contingencies [Line Items]
Accrued litigation liability	$ 5,455,000		$ 5,461,758
MDL and Other Related State Court Litigation \| Pending litigation
Loss Contingencies [Line Items]
Number of pending claims \| claim				4
MDL and Other Related State Court Litigation \| Settled Litigation
Loss Contingencies [Line Items]
Settlement		$ 6,400,000
Legal settlement term (in years)		18 years
MDL and Other Related State Court Litigation \| Settled Litigation \| Three Largest National Distributors
Loss Contingencies [Line Items]
Settling states \| state	48
Settlement percent of population		99.00%
Opioid Lawsuits and Investigations
Loss Contingencies [Line Items]
Total liability accrual	$ 5,900,000		$ 6,000,000
Current estimate recorded in accrued expenses and other	427,300
Accrued litigation liability	$ 5,500,000

Litigation Settlements (Details) - USD ($) $ in Millions	3 Months Ended	9 Months Ended
Litigation Settlements (Details) - USD ($) $ in Millions	Jun. 30, 2023	Jun. 30, 2023	Jun. 30, 2022
Commitments and Contingencies Disclosure [Abstract]
Gains from antitrust litigation settlements	$ 118.6	$ 168.5	$ 1.8

Fair Value of Financial Instruments (Details) - USD ($) $ in Millions	Jun. 30, 2023	Sep. 30, 2022
Fair Value \| Level 1 Inputs \| Money Market
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Cash and cash equivalents	$ 0.0	$ 1,602.0
Fair Value \| Level 2 Inputs
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Long-term debt	3,729.1	4,130.3
Recorded Amount
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Long-term debt	$ 4,159.9	$ 4,632.4

Business Segment Information - Additional Information (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023 USD ($)	Jun. 30, 2022 USD ($)	Jun. 30, 2023 USD ($) segment	Jun. 30, 2022 USD ($)
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Reportable segments \| segment			2
Litigation and opioid-related (credit) expenses	$ (67,102)	$ 23,442	$ (38,583)	$ 108,167
Gain on sale of businesses		60,000	0	59,973
Segment Reconciling Items
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Litigation and opioid-related (credit) expenses	(67,102)	$ 23,442	(38,583)	$ 108,167
Segment Reconciling Items \| H.D. Smith Opioid Litigation Indemnity Escrow
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Litigation and opioid-related (credit) expenses	$ (83,400)		$ (83,400)

Business Segment Information - Segment Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	$ 66,947,043	$ 60,064,601	$ 193,251,080	$ 177,412,857
Operating Segments \| U.S. Healthcare Solutions
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	59,900,199	53,389,345	172,830,234	157,311,755
Operating Segments \| U.S. Healthcare Solutions \| Human Health
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	58,583,385	52,168,130	169,113,962	153,721,040
Operating Segments \| U.S. Healthcare Solutions \| Animal Health
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	1,316,814	1,221,215	3,716,272	3,590,715
Operating Segments \| International Healthcare Solutions
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	7,047,777	6,676,726	20,423,990	20,104,199
Operating Segments \| International Healthcare Solutions \| Alliance Healthcare
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	5,698,635	5,492,656	16,720,262	16,658,799
Operating Segments \| International Healthcare Solutions \| Other Healthcare Solutions
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	1,349,142	1,184,070	3,703,728	3,445,400
Intersegment eliminations
Segment Reporting, Revenue Reconciling Item [Line Items]
Revenue	$ (933)	$ (1,470)	$ (3,144)	$ (3,097)

Business Segment Information - Segment Operating Income (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Segment Reporting Information [Line Items]
Total segment operating income	$ 670,128	$ 487,297	$ 1,863,790	$ 1,911,859
Operating Segments
Segment Reporting Information [Line Items]
Total segment operating income	822,308	756,199	2,488,134	2,421,956
Operating Segments \| U. S. Healthcare Solutions
Segment Reporting Information [Line Items]
Total segment operating income	635,176	579,927	1,963,729	1,878,556
Operating Segments \| International Healthcare Solutions
Segment Reporting Information [Line Items]
Total segment operating income	$ 187,132	$ 176,272	$ 524,405	$ 543,400

Business Segment Information - Reconciliation of Segment Operating Income to Income (Loss) from Operations before Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Total segment operating income	$ 670,128	$ 487,297	$ 1,863,790	$ 1,911,859
Gains from antitrust litigation settlements	118,600		168,500	1,800
LIFO (expense) credit			(114,272)	37,669
Litigation and opioid-related credit (expenses)	67,102	(23,442)	38,583	(108,167)
Acquisition-related deal and integration expenses	(19,283)	(36,570)	(99,392)	(69,710)
Restructuring and other expenses	(63,924)	(7,858)	(177,608)	(31,357)
Impairment of assets			0	(80,882)
Goodwill impairment	0	(75,936)	0	(75,936)
Other loss (income), net	3,436	(41,888)	(18,612)	(48,008)
Interest expense, net	57,864	52,862	167,989	159,150
Income before income taxes	608,828	476,323	1,714,413	1,800,717
Operating Segments
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Total segment operating income	822,308	756,199	2,488,134	2,421,956
Segment Reconciling Items
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
Gains from antitrust litigation settlements	118,611	0	168,510	1,835
LIFO (expense) credit	(34,952)	(23,070)	(114,272)	37,668
Turkey highly inflationary impact	(50,580)	(27,618)	(59,019)	(27,618)
Acquisition-related intangibles amortization	(169,154)	(74,408)	(381,146)	(231,866)
Litigation and opioid-related credit (expenses)	67,102	(23,442)	38,583	(108,167)
Acquisition-related deal and integration expenses	(19,283)	(36,570)	(99,392)	(69,710)
Restructuring and other expenses	(63,924)	(7,858)	(177,608)	(31,357)
Impairment of assets	0	0	0	(4,946)
Goodwill impairment	$ 0	$ (75,936)	$ 0	$ (75,936)