00015930342019-01-012019-09-30

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
____________________________________________________________________________________________ 
FORM 10-Q
____________________________________________________________________________________________ 
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE QUARTERLY PERIOD ENDED MARCH 31,SEPTEMBER 30, 2020
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE TRANSITION PERIOD FROM                          TO
Commission File Number: 001-36326

Endo International plc
(Exact name of registrant as specified in its charter)


Ireland68-0683755
(State or other jurisdiction of incorporation or organization)(I.R.S. Employer Identification No.)
First Floor, Minerva House, Simmonscourt Road
Ballsbridge, Dublin 4,IrelandNot Applicable
(Address of Principal Executive Offices)(Zip Code)
011-353-1-268-2000011-353-1-268-2000
(Registrant’s telephone number, including area code)
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
No
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).Yes
No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).Yes
No
Securities registered pursuant to Section 12(b) of the Exchange Act:
Title of each classTrading symbol(s)Name of each exchange on which registered
Ordinary shares, nominal value $0.0001 per shareENDPThe NasdaqNASDAQ Global Select Market
The number of Ordinary shares, nominal value $0.0001 per share outstanding as of AprilOctober 30, 2020 was 229,704,840.230,292,329.




ENDO INTERNATIONAL PLC
INDEX
 





FORWARD-LOOKING STATEMENTS
Statements contained or incorporated by reference in this document contain information that includes or is based on “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (Securities Act) and Section 21E of the Securities Exchange Act of 1934, as amended (Exchange Act). Forward-looking statements include, without limitation, estimatedany future financial results, of operations, estimates of future revenues, future expenses, future net incomecost savings and future net income per share,litigation relating to the Offer, the Merger (each, as well as statements regardingdefined below) and the ability to successfully complete such transactions, future financing activities, the impact of the novel strain of coronavirus referred to as COVID-19 on the health and welfare of our employees and on our business including(including any response to COVID-19 such as anticipated return to historical purchasing decisions by customers, the economic impact of COVID-19, changes in consumer spending, decisions to engage in certain medical procedures, future governmental orders that could impact our operations and the ability of our manufacturing facilities and suppliers to fulfill their obligations to us,us), and any other statements that refer to Endo’s expected, estimated or anticipated future results. We have tried, whenever possible, to identify such statements by words such as “believe,” “expect,” “anticipate,” “intend,” “estimate,” “plan,” “project,” “forecast,” “will,” “may” or similar expressions. We have based these forward-looking statements on our current expectations, assumptions and projections about the growth of our business, our financial performance and the development of our industry. Because these statements reflect our current views concerning future events, these forward-looking statements involve risks and uncertainties including, without limitation, the risks and uncertainties inherent in the Offer and the Merger, including, among other things, regarding how many of BioSpecifics’ (as defined below) stockholders will tender their shares in the Offer, the possibility that competing offers will be made, the ability to obtain requisite regulatory approvals relating to the acquisition, the ability to satisfy the conditions to the closing of the Offer and the Merger, the expected timing of the Offer and the Merger, the risk of litigation relating to the transaction, including resulting expense or delay, difficulties or unanticipated expenses in connection with integrating BioSpecifics’ operations into the Company’s and the possibility that anticipated synergies and other benefits of the transaction will not be realized in the amounts anticipated within the expected timeframe or at all, the risks related to the impact of COVID-19 (such as, without limitation, the scope and duration of the pandemic and the resulting economic crisis and levels of unemployment, governmental actions and restrictive measures implemented in response, material delays and cancellations of certain medical procedures, potential manufacturing and supply chain disruptions and other potential impacts to theour business as a result of COVID-19) and the other risks and uncertainties more fully described under the caption “Risk Factors” in Part II, Item 1A of this documentour annual, quarterly and in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2019 filedother reports that we file with the Securities and Exchange Commission (SEC) on February 26, 2020 (the Annual Report)., including this report. These risks and uncertainties, many of which are outside of our control, and any other risks and uncertainties that we are not currently able to predict or identify, individually or in the aggregate, could have a material adverse effect on our business, financial condition, results of operations and cash flows and could cause our actual results to differ materially and adversely from those expressed in forward-looking statements contained or incorporated by referencereferenced in this document. Additionally, the prolonged impact of COVID-19 could heighten the impact of one or more of such risk factors.
We do not undertake any obligation to update our forward-looking statements after the date of this document for any reason, even if new information becomes available or other events occur in the future, except as may be required under applicable securities laws. You are advised to consult any further disclosures we make on related subjects in our reports filed with the SEC and with securities regulators in Canada on the System for Electronic Document Analysis and Retrieval. Also note that, in Part II, Item 1A of this document and in Part I, Item 1A of the Annual Report on Form 10-K for the year ended December 31, 2019 filed with the SEC on February 26, 2020 (the Annual Report); in Part II, Item 1A of the Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2020 filed with the SEC on May 7, 2020 (the First Quarter 2020 Form 10-Q) and this report; and as otherwise enumerated herein or therein, we provide a cautionary discussion of the risks, uncertainties and possibly inaccurate assumptions relevant to our business. These are factors that, individually or in the aggregate, we think could cause our actual results to differ materially from expected and historical results. We note these factors for investors as permitted by Section 27A of the Securities Act and Section 21E of the Exchange Act. You should understand that it is not possible to predict or identify all such factors. Consequently, you should not consider this to be a complete discussion of all potential risks or uncertainties.

i


PART I. FINANCIAL INFORMATION
Item 1.    Financial Statements
ENDO INTERNATIONAL PLC
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
(Dollars in thousands, except share and per share data)
March 31, 2020 December 31, 2019September 30, 2020December 31, 2019
ASSETS   ASSETS
CURRENT ASSETS:   CURRENT ASSETS:
Cash and cash equivalents$1,531,538
 $1,454,531
Cash and cash equivalents$1,679,738 $1,454,531 
Restricted cash and cash equivalents200,666
 247,457
Restricted cash and cash equivalents162,648 247,457 
Accounts receivable, net536,903
 467,953
Accounts receivable, net473,368 467,953 
Inventories, net324,962
 327,865
Inventories, net354,903 327,865 
Prepaid expenses and other current assets46,537
 40,845
Prepaid expenses and other current assets66,206 40,845 
Income taxes receivable94,729
 47,567
Income taxes receivable65,957 47,567 
Total current assets$2,735,335
 $2,586,218
Total current assets$2,802,820 $2,586,218 
PROPERTY, PLANT AND EQUIPMENT, NET492,346
 504,865
PROPERTY, PLANT AND EQUIPMENT, NET487,691 504,865 
OPERATING LEASE ASSETS49,349
 51,700
OPERATING LEASE ASSETS38,927 51,700 
GOODWILL3,560,011
 3,595,184
GOODWILL3,560,011 3,595,184 
OTHER INTANGIBLES, NET2,382,374
 2,571,267
OTHER INTANGIBLES, NET2,178,862 2,571,267 
DEFERRED INCOME TAXES114
 2,192
DEFERRED INCOME TAXES2,192 2,192 
OTHER ASSETS86,351
 78,101
OTHER ASSETS94,740 78,101 
TOTAL ASSETS$9,305,880
 $9,389,527
TOTAL ASSETS$9,165,243 $9,389,527 
LIABILITIES AND SHAREHOLDERS' DEFICIT   LIABILITIES AND SHAREHOLDERS' DEFICIT
CURRENT LIABILITIES:   CURRENT LIABILITIES:
Accounts payable and accrued expenses$854,958
 $899,949
Accounts payable and accrued expenses$868,404 $899,949 
Current portion of legal settlement accrual442,233
 513,005
Current portion of legal settlement accrual374,754 513,005 
Current portion of operating lease liabilities11,512
 10,763
Current portion of operating lease liabilities11,449 10,763 
Current portion of long-term debt34,150
 34,150
Current portion of long-term debt34,150 34,150 
Income taxes payable4,138
 2,422
Income taxes payable2,241 2,422 
Total current liabilities$1,346,991
 $1,460,289
Total current liabilities$1,290,998 $1,460,289 
DEFERRED INCOME TAXES27,024
 31,703
DEFERRED INCOME TAXES26,930 31,703 
LONG-TERM DEBT, LESS CURRENT PORTION, NET8,354,920
 8,359,899
LONG-TERM DEBT, LESS CURRENT PORTION, NET8,286,351 8,359,899 
OPERATING LEASE LIABILITIES, LESS CURRENT PORTION45,057
 48,299
OPERATING LEASE LIABILITIES, LESS CURRENT PORTION40,222 48,299 
OTHER LIABILITIES269,705
 355,881
OTHER LIABILITIES303,224 355,881 
COMMITMENTS AND CONTINGENCIES (NOTE 12)


 


COMMITMENTS AND CONTINGENCIES (NOTE 13)COMMITMENTS AND CONTINGENCIES (NOTE 13)
SHAREHOLDERS' DEFICIT:   SHAREHOLDERS' DEFICIT:
Euro deferred shares, $0.01 par value; 4,000,000 shares authorized and issued at both March 31, 2020 and December 31, 201944
 45
Ordinary shares, $0.0001 par value; 1,000,000,000 shares authorized; 228,442,736 and 226,802,609 shares issued and outstanding at March 31, 2020 and December 31, 2019, respectively23
 23
Euro deferred shares, $0.01 par value; 4,000,000 shares authorized and issued at both September 30, 2020 and December 31, 2019Euro deferred shares, $0.01 par value; 4,000,000 shares authorized and issued at both September 30, 2020 and December 31, 201947 45 
Ordinary shares, $0.0001 par value; 1,000,000,000 shares authorized; 230,288,796 and 226,802,609 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectivelyOrdinary shares, $0.0001 par value; 1,000,000,000 shares authorized; 230,288,796 and 226,802,609 shares issued and outstanding at September 30, 2020 and December 31, 2019, respectively23 23 
Additional paid-in capital8,917,927
 8,904,692
Additional paid-in capital8,930,209 8,904,692 
Accumulated deficit(9,422,284) (9,552,214)Accumulated deficit(9,487,613)(9,552,214)
Accumulated other comprehensive loss(233,527) (219,090)Accumulated other comprehensive loss(225,148)(219,090)
Total shareholders' deficit$(737,817) $(866,544)Total shareholders' deficit$(782,482)$(866,544)
TOTAL LIABILITIES AND SHAREHOLDERS' DEFICIT$9,305,880
 $9,389,527
TOTAL LIABILITIES AND SHAREHOLDERS' DEFICIT$9,165,243 $9,389,527 
See accompanying Notes to Condensed Consolidated Financial Statements.

1

ENDO INTERNATIONAL PLC
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
(Dollars and shares in thousands, except per share data)
Three Months Ended March 31,Three Months Ended September 30,Nine Months Ended September 30,
2020 20192020201920202019
TOTAL REVENUES, NET$820,405
 $720,411
TOTAL REVENUES, NET$634,860 $729,426 $2,142,853 $2,149,564 
COSTS AND EXPENSES:   COSTS AND EXPENSES:
Cost of revenues388,799
 391,909
Cost of revenues348,077 389,165 1,072,972 1,169,282 
Selling, general and administrative166,768
 151,123
Selling, general and administrative182,259 168,329 522,285 471,749 
Research and development31,615
 33,486
Research and development32,055 36,519 94,165 96,353 
Litigation-related and other contingencies, net(17,176) 6
Litigation-related and other contingencies, net1,810 (14,414)(23,938)(4,093)
Asset impairment charges97,785
 165,448
Asset impairment charges8,412 4,766 106,197 258,652 
Acquisition-related and integration items, net12,462
 (37,501)Acquisition-related and integration items, net(1,407)16,025 17,100 (26,983)
Interest expense, net132,877
 132,675
Interest expense, net135,648 136,903 397,689 404,387 
Gain on extinguishment of debt
 (119,828)Gain on extinguishment of debt(119,828)
Other (income) expense, net(13,974) 4,802
Other (income) expense, net(7,194)16,203 (25,318)20,408 
INCOME (LOSS) FROM CONTINUING OPERATIONS BEFORE INCOME TAX$21,249
 $(1,709)
INCOME TAX (BENEFIT) EXPENSE(136,332) 10,903
INCOME (LOSS) FROM CONTINUING OPERATIONS$157,581
 $(12,612)
LOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAXLOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAX$(64,800)$(24,070)$(18,299)$(120,363)
INCOME TAX EXPENSE (BENEFIT)INCOME TAX EXPENSE (BENEFIT)4,174 17,361 (124,516)31,732 
(LOSS) INCOME FROM CONTINUING OPERATIONS(LOSS) INCOME FROM CONTINUING OPERATIONS$(68,974)$(41,431)$106,217 $(152,095)
DISCONTINUED OPERATIONS, NET OF TAX (NOTE 3)(27,651) (5,961)DISCONTINUED OPERATIONS, NET OF TAX (NOTE 3)(6,913)(37,984)(41,616)(51,898)
NET INCOME (LOSS)$129,930
 $(18,573)
NET INCOME (LOSS) PER SHARE—BASIC:   
NET (LOSS) INCOMENET (LOSS) INCOME$(75,887)$(79,415)$64,601 $(203,993)
NET (LOSS) INCOME PER SHARE—BASIC:NET (LOSS) INCOME PER SHARE—BASIC:
Continuing operations$0.69
 $(0.06)Continuing operations$(0.30)$(0.18)$0.46 $(0.67)
Discontinued operations(0.12) (0.02)Discontinued operations(0.03)(0.17)(0.18)(0.23)
Basic$0.57
 $(0.08)Basic$(0.33)$(0.35)$0.28 $(0.90)
NET INCOME (LOSS) PER SHARE—DILUTED:   
NET (LOSS) INCOME PER SHARE—DILUTED:NET (LOSS) INCOME PER SHARE—DILUTED:
Continuing operations$0.68
 $(0.06)Continuing operations$(0.30)$(0.18)$0.46 $(0.67)
Discontinued operations(0.12) (0.02)Discontinued operations(0.03)(0.17)(0.18)(0.23)
Diluted$0.56
 $(0.08)Diluted$(0.33)$(0.35)$0.28 $(0.90)
WEIGHTED AVERAGE SHARES:   WEIGHTED AVERAGE SHARES:
Basic227,198
 224,594
Basic230,040 226,598 228,985 225,804 
Diluted233,014
 224,594
Diluted230,040 226,598 233,379 225,804 
See accompanying Notes to Condensed Consolidated Financial Statements.

2

Table of Contents
ENDO INTERNATIONAL PLC
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE (LOSS) INCOME (LOSS) (UNAUDITED)
(Dollars in thousands)
 Three Months Ended March 31,
 2020 2019
NET INCOME (LOSS)$129,930
 $(18,573)
OTHER COMPREHENSIVE (LOSS) INCOME:   
Net unrealized (loss) gain on foreign currency$(14,437) $4,730
Total other comprehensive (loss) income$(14,437) $4,730
COMPREHENSIVE INCOME (LOSS)$115,493
 $(13,843)
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
NET (LOSS) INCOME$(75,887)$(79,415)$64,601 $(203,993)
OTHER COMPREHENSIVE INCOME (LOSS):
Net unrealized gain (loss) on foreign currency$2,755 $(2,515)$(6,058)$6,610 
Total other comprehensive income (loss)$2,755 $(2,515)$(6,058)$6,610 
COMPREHENSIVE (LOSS) INCOME$(73,132)$(81,930)$58,543 $(197,383)
See accompanying Notes to Condensed Consolidated Financial Statements.

3

Table of Contents
ENDO INTERNATIONAL PLC
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
(Dollars in thousands)
Nine Months Ended September 30,
20202019
OPERATING ACTIVITIES:
Net income (loss)$64,601 $(203,993)
Adjustments to reconcile Net income (loss) to Net cash provided by operating activities:
Depreciation and amortization391,463 468,409 
Share-based compensation33,452 48,909 
Amortization of debt issuance costs and discount12,058 13,799 
Deferred income taxes(4,147)(2,452)
Change in fair value of contingent consideration17,100 (26,983)
Gain on extinguishment of debt(119,828)
Asset impairment charges106,197 258,652 
Gain on sale of business and other assets(16,730)(3,101)
Changes in assets and liabilities which (used) provided cash:
Accounts receivable(8,631)58,630 
Inventories(33,062)(32,761)
Prepaid and other assets(18,455)15,577 
Accounts payable, accrued expenses and other liabilities(147,176)(378,547)
Income taxes payable/receivable, net(107,227)22,933 
Net cash provided by operating activities$289,443 $119,244 
INVESTING ACTIVITIES:
Purchases of property, plant and equipment, excluding capitalized interest(52,692)(47,812)
Capitalized interest payments(1,915)(3,207)
Product acquisition costs and license fees(2,000)
Proceeds from sale of business and other assets, net6,377 4,780 
Other investing activities912 
Net cash used in investing activities$(50,230)$(45,327)
4

Table of Contents
 Three Months Ended March 31,
 2020 2019
OPERATING ACTIVITIES:   
Net income (loss)$129,930
 $(18,573)
Adjustments to reconcile Net income (loss) to Net cash provided by (used in) operating activities:




Depreciation and amortization141,588

162,733
Share-based compensation17,645

24,733
Amortization of debt issuance costs and discount4,339

5,586
Deferred income taxes(911)
(785)
Change in fair value of contingent consideration12,462

(37,501)
Gain on extinguishment of debt

(119,828)
Asset impairment charges97,785

165,448
(Gain) loss on sale of business and other assets(8,192)
1,294
Changes in assets and liabilities which (used) provided cash:




Accounts receivable(72,833)
(14,389)
Inventories(324)
(11,928)
Prepaid and other assets(3,581)
5,059
Accounts payable, accrued expenses and other liabilities(112,625) (258,202)
Income taxes payable/receivable, net(142,727)
5,770
Net cash provided by (used in) operating activities$62,556

$(90,583)
INVESTING ACTIVITIES:   
Purchases of property, plant and equipment, excluding capitalized interest(19,638) (15,386)
Capitalized interest payments(492) (1,094)
Proceeds from sale of business and other assets, net4,167
 103
Net cash used in investing activities$(15,963) $(16,377)
FINANCING ACTIVITIES:   
Proceeds from issuance of notes, net
 1,483,125
Repayments of notes
 (1,499,998)
Repayments of term loans(8,537) (8,538)
Repayments of other indebtedness(1,184) (1,174)
Payments for debt issuance and extinguishment costs
 (211)
Payments for contingent consideration(364) (4,565)
Payments of tax withholding for restricted shares(4,398) (2,414)
Proceeds from exercise of options
 4
Net cash used in financing activities$(14,483) $(33,771)
Effect of foreign exchange rate(1,894) 537
NET INCREASE (DECREASE) IN CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS$30,216
 $(140,194)
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, BEGINNING OF PERIOD1,720,388
 1,476,837
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, END OF PERIOD$1,750,604
 $1,336,643
SUPPLEMENTAL INFORMATION:   
Cash paid into Qualified Settlement Funds for mesh legal settlements$
 $81,582
Cash paid out of Qualified Settlement Funds for mesh legal settlements$47,801
 $54,984
Other cash distributions for mesh legal settlements$17,819
 $10,239
Nine Months Ended September 30,
20202019
FINANCING ACTIVITIES:
Proceeds from issuance of notes, net1,483,125 
Repayments of notes(57,649)(1,501,788)
Repayments of term loans(25,612)(25,614)
Proceeds from draw of revolving debt300,000 
Repayments of other indebtedness(3,626)(7,826)
Payments for debt issuance and extinguishment costs(6,414)
Payments for contingent consideration(3,535)(11,846)
Payments of tax withholding for restricted shares(7,935)(10,077)
Proceeds from exercise of options
Net cash (used in) provided by financing activities$(98,357)$219,564 
Effect of foreign exchange rate(458)780 
NET INCREASE IN CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS$140,398 $294,261 
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, BEGINNING OF PERIOD1,720,388 1,476,837 
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, END OF PERIOD$1,860,786 $1,771,098 
SUPPLEMENTAL INFORMATION:
Cash paid into Qualified Settlement Funds for mesh legal settlements$$185,745 
Cash paid out of Qualified Settlement Funds for mesh legal settlements$107,225 $266,958 
Other cash distributions for mesh legal settlements$26,559 $13,334 
See accompanying Notes to Condensed Consolidated Financial Statements.

5

ENDO INTERNATIONAL PLC
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
FOR THE THREE AND NINE MONTHS ENDED MARCH 31,SEPTEMBER 30, 2020
NOTE 1. BASIS OF PRESENTATION
Endo International plc is an Ireland-domiciled specialty branded and generics pharmaceutical company that conducts business through its operating subsidiaries. Unless otherwise indicated or required by the context, references throughout to “Endo,” the “Company,” “we,” “our” or “us” refer to Endo International plc and its subsidiaries.
The accompanying unaudited Condensed Consolidated Financial Statements of Endo International plc and its subsidiaries have been prepared in accordance with United States (U.S.) generally accepted accounting principles (U.S. GAAP) for interim financial information and the instructions to Form 10-Q and Article 10 of Regulation S-X of the SEC for interim financial information. Accordingly, they do not include all of the information and footnotes required by U.S. GAAP for complete financial statements. In the opinion of management, the accompanying Condensed Consolidated Financial Statements of Endo International plc and its subsidiaries, which are unaudited, include all normal and recurring adjustments necessary for a fair statement of the Company’s financial position as of March 31,September 30, 2020 and the results of its operations and its cash flows for the periods presented. Operating results for the three and nine months ended March 31,September 30, 2020 are not necessarily indicative of the results that may be expected for the year ending December 31, 2020. The year-end Condensed Consolidated Balance Sheet data as of December 31, 2019 was derived from audited financial statements but does not include all disclosures required by U.S. GAAP.
The information included in this Quarterly Report on Form 10-Q should be read in conjunction with our Consolidated Financial Statements and accompanying notes included in the Annual Report.
Certain prior period amounts have been reclassified to conform to the current period presentation.
NOTE 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Use of Estimates
The preparation of our Condensed Consolidated Financial Statements in conformity with U.S. GAAP requires us to make estimates that affect the amounts and disclosures in the Condensed Consolidated Financial Statements, including the notes thereto, and elsewhere in this report. Uncertainties related to the continued magnitude and duration of the COVID-19 pandemic, the extent to which it will impact our estimated future financial results, worldwide macroeconomic conditions including interest rates, employment rates, consumer spending, and health insurance coverage, the speed of the anticipated recovery and governmental and business reactions to the pandemic, including any possible re-initiation of shutdowns or renewed restrictions, have increased the complexity of developing these estimates, including the allowance for expected credit losses and the carrying amounts of long-lived assets, goodwill and other intangible assets. Actual results may differ significantly from our estimates, including as a result of COVID-19.
Significant Accounting Policies Added or Updated since December 31, 2019
Significant changes to our significant accounting policies since December 31, 2019 are detailed below. For additional discussion of the Company’s significant accounting policies, see Note 2. Summary of Significant Accounting Policies in the Consolidated Financial Statements, included in Part IV, Item 15 of the Annual Report.
Accounts Receivable. The Company adopted Accounting Standards Codification (ASC) Topic 326, Financial Instruments-Credit Losses (ASC 326) on January 1, 2020. For further discussion of the adoption, refer to the Recent“Recent Accounting Pronouncements Adopted or Otherwise Effective as of March 31,September 30, 2020” section below. Subsequent to the adoption of ASC 326, our accounts receivable balance is stated at amortized cost less an allowance for expected credit losses. In addition, our accounts receivable balance is reduced by certain sales deduction reserves where we have the right of offset with the customer. We generally do not require collateral.
Concentrations of Credit Risk and Credit Losses. Financial instruments that potentially subject us to significant concentrations of credit risk consist primarily of cash equivalents, restricted cash equivalents and accounts receivable. From time to time, we invest our excess cash in high-quality, liquid money market instruments maintained by major banks and financial institutions. We have not experienced any losses on our cash equivalents.
With respect to our accounts receivable, we have no history of significant losses. Approximately 89%90% and 88% of our gross trade accounts receivable balances represent amounts due from 3three customers (Cardinal Health, Inc., McKesson Corporation and AmerisourceBergen Corporation) at March 31,September 30, 2020 and December 31, 2019, respectively. We perform ongoing credit evaluations of these and our other customers based on information available to us. We consider these and other factors, including changes in the composition and aging of our accounts receivable, in developing our allowance for expected credit losses. The estimated allowance was not material to the Company’s Condensed Consolidated Financial Statements at March 31,September 30, 2020 or December 31, 2019, nor were the changes to the allowance during any of the periods presented.

6

We do not currently expect our current or future exposures to credit losses to have a significant impact on us. However, our customers’ ability to pay us on a timely basis, or at all, could be affected by factors specific to their respective businesses and/or by economic conditions, including those related to the COVID-19 pandemic, the extent of which cannot be fully predicted.
Recent Accounting Pronouncements Adopted or Otherwise Effective as of March 31,September 30, 2020
In June 2016, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) No. 2016-13, Measurement of Credit Losses on Financial Instruments (ASU 2016-13). ASU 2016-13, together with a series of subsequently-issued related ASUs, has been codified in ASC 326. ASC 326 establishes new requirements for companies to estimate expected credit losses when measuring certain financial assets, including accounts receivables.receivable. The Company adopted ASC 326 using a modified retrospective approach with an effective date of January 1, 2020. The adoption of ASC 326 did not have a material impact on the Company’s Condensed Consolidated Financial Statements.
NOTE 3. DISCONTINUED OPERATIONS
Astora
The operating results of the Company’s Astora business, which the Company’s board of directors (the Board) resolved to wind-down in 2016, are reported as Discontinued operations, net of tax in the Condensed Consolidated Statements of Operations for all periods presented. The following table provides the operating results of Astora Discontinued operations, net of tax, for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
 Three Months Ended March 31,
 2020 2019
Litigation-related and other contingencies, net$30,454
 $
Loss from discontinued operations before income taxes$(33,517) $(5,961)
Income tax benefit$(5,866) $
Discontinued operations, net of tax$(27,651) $(5,961)

Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Litigation-related and other contingencies, net$$30,000 $28,351 $30,400 
Loss from discontinued operations before income taxes$(7,134)$(37,984)$(47,158)$(51,898)
Income tax benefit$(221)$$(5,542)$
Discontinued operations, net of tax$(6,913)$(37,984)$(41,616)$(51,898)
Loss from discontinued operations before income taxes includes Litigation-related and other contingencies, net, mesh-related legal defense costs and certain other items.
The cash flows from discontinued operating activities related to Astora included the impact of net losses of $27.7$41.6 million and $6.0$51.9 million for the threenine months ended March 31,September 30, 2020 and 2019, respectively, and the impact of cash activity related to vaginal mesh cases. There were 0 material net cash flows related to Astora discontinued investing activities during the threenine months ended March 31,September 30, 2020 andor 2019. There was 0 depreciation or amortization during the threenine months ended March 31,September 30, 2020 andor 2019 related to Astora.
NOTE 4. RESTRUCTURING
Restructuring charges related to nonretirement postemployment benefits that fall under Accounting Standards Codification Topic 712, Compensation—Nonretirement Postemployment Benefits (ASC 712) are recognized when the severance liability is determined to be probable of being paid and reasonably estimable. One-time benefits related to restructurings, if any, are recognized in accordance with Accounting Standards Codification Topic 420, Exit or Disposal Cost Obligations (ASC 420) when the programs are approved, the affected employees are identified, the terms of the arrangement are established, it is determined changes to the plan are unlikely to occur and the arrangements are communicated to employees. Other restructuring costs are generally expensed as incurred.
Set forth below are disclosures relating to restructuring initiatives that resulted in material expenses or cash expenditures during the three- or nine-month periods ended September 30, 2020 and 2019 or had material restructuring liabilities at either September 30, 2020 or December 31, 2019.
2020 Restructuring Initiative
On November 5, 2020, the Company announced the initiation of several strategic actions to further optimize the Company’s operations and increase overall efficiency (the 2020 Restructuring Initiative). These actions are expected to generate significant cost savings that will be reinvested, among other things, to support the Company’s key strategic priority to expand and enhance its product portfolio. These actions include the following:
Optimizing the Company’s generic retail business cost structure by exiting manufacturing sites in Irvine, California and Chestnut Ridge, New York, as well as active pharmaceutical ingredient manufacturing and bioequivalence study sites in India. The sites will be exited in a phased approach that is expected to be completed in the second half of 2022. Certain products currently manufactured at the Irvine and Chestnut Ridge sites are expected to be transferred to other internal and external sites within the Company’s manufacturing network.
7

Improving operating flexibility and reducing general and administrative costs by transferring certain transaction processing activities to third-party global business process service providers.
Increasing organizational effectiveness by further integrating the Company’s commercial, operations and research and development functions, respectively, to support the Company’s key strategic priorities.
As a result of the 2020 Restructuring Initiative, the Company’s global workforce is expected to be reduced by approximately 560 net full-time positions. The Company expects to realize annualized pre-tax cash savings (without giving effect to the costs described below) of approximately $85 million to $95 million by the first half of 2023, primarily related to reductions in Cost of revenues of approximately $65 million to $70 million and other expenses, including Selling, general and administrative and Research and development expenses, of approximately $20 million to $25 million.
As a result of the 2020 Restructuring Initiative, the Company expects to incur total pre-tax restructuring-related expenses of approximately $163 million to $183 million, of which approximately $125 million to $140 million relates to the Generic Pharmaceuticals segment, with the remaining amounts relating to our other segments and certain corporate unallocated costs. These estimated restructuring charges consist of accelerated depreciation charges of approximately $56 million to $66 million, asset impairment charges of approximately $7 million, employee separation, continuity and other benefit-related costs of approximately $85 million to $90 million and certain other restructuring costs of approximately $15 million to $20 million. Cash outlays associated with the 2020 Restructuring Initiative are expected to be approximately $100 million to $110 million and consist primarily of employee separation, continuity and other benefit-related costs and certain other restructuring costs. The Company anticipates these actions will be substantially completed by the end of 2022, with substantially all cash payments made by then.
As a result of the 2020 Restructuring Initiative, the Company incurred the following pre-tax net charges during the three and nine months ended September 30, 2020 (in thousands):
Three Months Ended September 30, 2020Nine Months Ended September 30, 2020
Accelerated depreciation charges$6,291 $14,676 
Asset impairment charges7,391 7,391 
Employee separation, continuity and other benefit-related costs (1)53,647 53,647 
Total$67,329 $75,714 
__________
(1)As of September 30, 2020, all employee-related costs have been recognized in accordance with ASC 712.
During the three and nine months ended September 30, 2020, these pre-tax net charges were primarily attributable to our Generic Pharmaceuticals segment, including $57.8 million and $66.2 million during the three and nine months ended September 30, 2020, respectively. The remaining amounts related to our other segments and certain corporate unallocated costs.
As of September 30, 2020, cumulative amounts incurred to date include accelerated depreciation charges of approximately $14.7 million, asset impairment charges related to identifiable intangible assets and certain operating lease assets of approximately $7.4 million and employee separation, continuity and other benefit-related costs of approximately $53.6 million. Of these amounts, approximately $66.2 million were attributable to the Generic Pharmaceuticals segment, with the remaining amounts relating to our other segments and certain corporate unallocated costs.
During the three and nine months ended September 30, 2020, the pre-tax net charges related to the 2020 Restructuring Initiative were included in our Condensed Consolidated Statements of Operations as follows (in thousands):
Three Months Ended September 30, 2020Nine Months Ended September 30, 2020
Cost of revenues$36,172 $42,198 
Selling, general and administrative20,185 22,130 
Research and development3,581 3,995 
Asset impairment charges7,391 7,391 
Total$67,329 $75,714 
8

Changes to the liability for the 2020 Restructuring Initiative during the nine months ended September 30, 2020 were as follows (in thousands):
Employee Separation, Continuity and Other Benefit-Related CostsTotal
Liability balance as of December 31, 2019$$
Net charges53,647 53,647 
Liability balance as of September 30, 2020$53,647 $53,647 
Of the liability at September 30, 2020, $29.5 million is classified as current and is included in Accounts payable and accrued expenses in the Condensed Consolidated Balance Sheets, with the remaining amount classified as noncurrent and included in Other liabilities.
NOTE 5. SEGMENT RESULTS
The Company’s 4 reportable business segments are Branded Pharmaceuticals, Sterile Injectables, Generic Pharmaceuticals and International Pharmaceuticals. These segments reflect the level at which the chief operating decision maker (CODM) regularly reviews financial information to assess performance and to make decisions about resources to be allocated. Each segment derives revenue from the sales or licensing of its respective products and is discussed in more detail below.
We evaluate segment performance based on segmentSegment adjusted income (loss) from continuing operations before income tax, which we define as Income (loss)Loss from continuing operations before income tax and before certain upfront and milestone payments to partners; acquisition-related and integration items, including transaction costs and changes in the fair value of contingent consideration; cost reduction and integration-related initiatives such as separation benefits, continuity payments, other exit costs and certain costs associated with integrating an acquired company’scompany's operations; asset impairment charges; amortization of intangible assets; inventory step-up recorded as part of our acquisitions; litigation-related and other contingent matters; certain legal costs; gains or losses from early termination of debt; debt modification costs; gains or losses from the sales of businesses and other assets; foreign currency gains or losses on intercompany financing arrangements; and certain other items. Effective January 1, 2020, the Company revised its definition of segmentSegment adjusted income (loss) from continuing operations before income tax to exclude certain legal costs in order to reflect changes in how the CODM reviews segment performance. The Company believes that such costs are not indicative of business performance and that excluding them more accurately reflects each segment’s results and better enables management to compare financial results between periods. Prior period results have been adjusted to reflect this change. Specifically, for the three months ended March 31,September 30, 2019, certain legal costs of $16.3$14.4 million and $0.4$0.1 million have been excluded from our Branded Pharmaceuticals and Generic Pharmaceuticals segments, respectively, and for the nine months ended September 30, 2019, certain legal costs of $49.3 million and $1.0 million have been excluded from our Branded Pharmaceuticals and Generic Pharmaceuticals segments, respectively, resulting in increases to the segmentSegment adjusted income (loss) from continuing operations before income tax for these segments. This change had no impact on our Total consolidated income (loss)loss from continuing operations before income tax.

Certain of the corporate expenses incurred by the Company are not directly attributable to any specific segment. Accordingly, these costs are not allocated to any of the Company’s segments and are included in the results below as “Corporate unallocated costs.” Interest income and expense are also considered corporate items and not allocated to any of the Company’s segments. The Company’s totalTotal segment adjusted income (loss) from continuing operations before income tax is equal to the combined results of each of its segments.
Branded Pharmaceuticals
Our Branded Pharmaceuticals segment includes a variety of branded prescription products to treat and manage conditions in urology, urologic oncology, endocrinology, pain and orthopedics. The products in this segment include XIAFLEX®, SUPPRELIN® LA, NASCOBAL® Nasal Spray, AVEED®, PERCOCET®, TESTOPEL®, EDEX®, LIDODERM® and TESTOPELLIDODERM®, among others.
Sterile Injectables
Our Sterile Injectables segment consists primarily of branded sterile injectable products such as VASOSTRICT®, ADRENALIN® and APLISOL®, among others, and certain generic sterile injectable products, including ertapenem for injection the(the authorized generic of Merck Sharp & Dohme Corp.’s (Merck) Invanz®,) and ephedrine sulfate injection, among others.
Generic Pharmaceuticals
Our Generic Pharmaceuticals segment consists of a differentiated product portfolio including solid oral extended-release, solid oral immediate-release, liquids, semi-solids, patches, powders, ophthalmics and sprays and includes products in the pain management, urology, central nervous system disorders, immunosuppression, oncology, women’s health and cardiovascular disease markets, among others.
9

International Pharmaceuticals
Our International Pharmaceuticals segment includes a variety of specialty pharmaceutical products sold outside the U.S., primarily in Canada through our operating company Paladin Labs Inc. (Paladin). The key products of this segment serve various therapeutic areas, including attention deficit hyperactivity disorder, pain, women’s health and oncology.
The following represents selected information for the Company’s reportable segments for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
Three Months Ended March 31,Three Months Ended September 30,Nine Months Ended September 30,
2020 20192020201920202019
Net revenues from external customers:   Net revenues from external customers:
Branded Pharmaceuticals$204,073
 $203,525
Branded Pharmaceuticals$223,682 $217,313 $557,276 $629,851 
Sterile Injectables336,390
 270,048
Sterile Injectables251,393 263,635 906,997 777,963 
Generic Pharmaceuticals251,283
 218,526
Generic Pharmaceuticals135,508 218,012 602,670 654,322 
International Pharmaceuticals (1)28,659
 28,312
International Pharmaceuticals (1)24,277 30,466 75,910 87,428 
Total net revenues from external customers$820,405
 $720,411
Total net revenues from external customers$634,860 $729,426 $2,142,853 $2,149,564 
Segment adjusted income from continuing operations before income tax:   
Segment adjusted income (loss) from continuing operations before income tax:Segment adjusted income (loss) from continuing operations before income tax:
Branded Pharmaceuticals$98,422

$95,283
Branded Pharmaceuticals$120,368 $105,864 $267,964 $302,682 
Sterile Injectables263,896

196,183
Sterile Injectables190,498 197,974 696,147 566,345 
Generic Pharmaceuticals57,327

50,411
Generic Pharmaceuticals(13,428)29,569 91,293 129,702 
International Pharmaceuticals14,197

12,095
International Pharmaceuticals10,679 11,511 34,180 35,053 
Total segment adjusted income from continuing operations before income tax$433,842

$353,972
Total segment adjusted income (loss) from continuing operations before income taxTotal segment adjusted income (loss) from continuing operations before income tax$308,117 $344,918 $1,089,584 $1,033,782 
__________
(1)Revenues generated by our International Pharmaceuticals segment are primarily attributable to external customers located in Canada.
(1)Revenues generated by our International Pharmaceuticals segment are primarily attributable to external customers located in Canada.
There were no material revenues from external customers attributed to an individual country outside of the U.S. during any of the periods presented.

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The table below provides reconciliations of our Total consolidated income (loss)loss from continuing operations before income tax, which is determined in accordance with U.S. GAAP, to our totalTotal segment adjusted income (loss) from continuing operations before income tax for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
Three Months Ended March 31,2020201920202019
2020 2019
Total consolidated income (loss) from continuing operations before income tax$21,249
 $(1,709)
Total consolidated loss from continuing operations before income taxTotal consolidated loss from continuing operations before income tax$(64,800)$(24,070)$(18,299)$(120,363)
Interest expense, net132,877
 132,675
Interest expense, net135,648 136,903 397,689 404,387 
Corporate unallocated costs (1)43,322
 48,095
Corporate unallocated costs (1)39,976 37,891 116,888 124,351 
Amortization of intangible assets117,237
 145,599
Amortization of intangible assets104,066 131,932 325,801 417,949 
Upfront and milestone payments to partners1,750
 939
Upfront and milestone payments to partners275 1,672 2,469 4,055 
Continuity and separation benefits and other cost reduction initiatives (2)23,220
 2,025
Continuity and separation benefits and other cost reduction initiatives (2)67,692 11,023 100,356 15,172 
Certain litigation-related and other contingencies, net (3)(17,176) 6
Certain litigation-related and other contingencies, net (3)1,810 (14,414)(23,938)(4,093)
Certain legal costs (4)15,536
 16,689
Certain legal costs (4)18,343 14,556 51,884 50,229 
Asset impairment charges (5)97,785
 165,448
Asset impairment charges (5)8,412 4,766 106,197 258,652 
Acquisition-related and integration items, net (6)12,462
 (37,501)Acquisition-related and integration items, net (6)(1,407)16,025 17,100 (26,983)
Gain on extinguishment of debt
 (119,828)Gain on extinguishment of debt(119,828)
Foreign currency impact related to the remeasurement of intercompany debt instruments(7,094) 1,534
Foreign currency impact related to the remeasurement of intercompany debt instruments1,663 (922)(2,426)2,874 
Other, net (7)(7,326) 
Other, net (7)(3,561)29,556 15,863 27,380 
Total segment adjusted income from continuing operations before income tax$433,842
 $353,972
Total segment adjusted income (loss) from continuing operations before income taxTotal segment adjusted income (loss) from continuing operations before income tax$308,117 $344,918 $1,089,584 $1,033,782 
__________
(1)Amounts include certain corporate overhead costs, such as headcount, facility and corporate litigation expenses and certain other income and expenses.
(2)Amounts for the three months ended March 31, 2020 include $13.7 million of costs associated with certain continuity and transitional compensation arrangements for certain senior management of the Company. Other amounts in 2020 related primarily to certain cost reduction initiatives. Such amounts included accelerated depreciation of $6.6 million, employee separation costs of $0.1 million and other charges of $2.8 million. Amounts for the three months ended March 31, 2019 primarily relate to employee separation costs of $1.8 million and other charges of $0.2 million.
(3)
Amounts include adjustments to our accruals for litigation-related settlement charges and certain settlement proceeds related to suits filed by our subsidiaries. Our material legal proceedings and other contingent matters are described in more detail in Note 12.
(1)Amounts include certain corporate overhead costs, such as headcount, facility and corporate litigation expenses and certain other income and expenses.
(2)Included within this line are costs associated with certain continuity and transitional compensation arrangements for certain senior management of the Company, including $4.3 million and $22.2 million during the three and nine months ended September 30, 2020, respectively, and $6.7 million during both the three and nine months ended September 30, 2019. Other amounts primarily relate to the 2020 Restructuring Initiative and certain other cost reduction initiatives, including employee separation, continuity and other benefit-related costs of $53.6 million, accelerated depreciation of $6.3 million and miscellaneous charges of $3.4 million during the three months ended September 30, 2020; employee separation, continuity and other benefit-related costs of $53.6 million, accelerated depreciation of $14.7 million and miscellaneous charges of $9.8 million during the nine months ended September 30, 2020; miscellaneous charges of $4.3 million during the three months ended September 30, 2019; and employee separation, continuity and other benefit-related costs of $2.2 million and miscellaneous charges of $6.3 million during the nine months ended September 30, 2019. Refer to Note 4. Restructuring for further discussion of the 2020 Restructuring Initiative.
(3)Amounts include adjustments to our accruals for litigation-related settlement charges and certain settlement proceeds related to suits filed by our subsidiaries. Our material legal proceedings and other contingent matters are described in more detail in Note 13. Commitments and Contingencies.
(4)Amounts relate to opioid-related legal expenses.
(5)Amounts primarily relate to charges to impair goodwill and intangible assets and operating lease right-of-use assets as further described in Note 9. Goodwill and Other Intangibles and Note 8. Leases, respectively.
(6)Amounts primarily relate to changes in the fair value of contingent consideration.
(7)The amount during the nine months ended September 30, 2020 includes $31.1 million of third-party fees incurred in connection with the June 2020 Refinancing Transactions, which were accounted for as debt modifications. Refer to Note 12. Debt for additional information. Amounts during the three and nine months ended September 30, 2019 include $17.5 million for contract termination costs incurred as a result of certain product discontinuation activities in our International Pharmaceuticals segment and $14.1 million for a premium associated with an extended reporting period endorsement on an expiring insurance program. Remaining amounts in this line primarily relate to gains on sales of businesses and other assets, as further described in Note 16. Other (Income) Expense, Net.
(4)Amounts relate to opioid-related legal expenses.
(5)
Amounts primarily relate to charges to impair goodwill and intangible assets as further described in Note 8. Goodwill and Other Intangibles.
(6)Amounts primarily relate to changes in the fair value of contingent consideration.
(7)Amounts primarily relate to gains on sales of businesses and other assets, as further described in Note 15. Other (Income) Expense, Net.
Asset information is not reviewed or included within our internal management reporting. Therefore, the Company has not disclosed asset information for each reportable segment.

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During the three and nine months ended March 31,September 30, 2020 and 2019, the Company disaggregated its revenue from contracts with customers into the categories included in the table below (in thousands). The Company believes these categories depict how the nature, timing and uncertainty of revenue and cash flows are affected by economic factors.

Three Months Ended March 31,Three Months Ended September 30,Nine Months Ended September 30,

2020
20192020201920202019
Branded Pharmaceuticals:   Branded Pharmaceuticals:
Specialty Products:   Specialty Products:
XIAFLEX®$89,072
 $68,507
XIAFLEX®$88,167 $82,756 $211,022 $226,118 
SUPPRELIN® LA19,720
 22,056
SUPPRELIN® LA28,229 20,772 63,344 66,542 
Other Specialty (1)25,505
 24,403
Other Specialty (1)23,724 28,470 68,795 78,397 
Total Specialty Products$134,297
 $114,966
Total Specialty Products$140,120 $131,998 $343,161 $371,057 
Established Products:   Established Products:
PERCOCET®$27,703
 $30,760
PERCOCET®$27,508 $28,561 $82,789 $88,199 
EDEX®8,568
 5,971
TESTOPEL®TESTOPEL®18,068 13,236 26,877 40,830 
Other Established (2)33,505
 51,828
Other Established (2)37,986 43,518 104,449 129,765 
Total Established Products$69,776
 $88,559
Total Established Products$83,562 $85,315 $214,115 $258,794 
Total Branded Pharmaceuticals (3)$204,073
 $203,525
Total Branded Pharmaceuticals (3)$223,682 $217,313 $557,276 $629,851 
Sterile Injectables:   Sterile Injectables:
VASOSTRICT®$202,904

$139,137
VASOSTRICT®$155,412 $129,691 $572,530 $384,854 
ADRENALIN®56,512

47,322
ADRENALIN®30,662 40,311 120,335 133,468 
Ertapenem for injection17,874
 32,219
Ertapenem for injection16,784 21,853 46,648 79,619 
APLISOL®9,867
 12,381
APLISOL®9,443 28,085 25,821 55,996 
Other Sterile Injectables (4)49,233

38,989
Other Sterile Injectables (4)39,092 43,695 141,663 124,026 
Total Sterile Injectables (3)$336,390

$270,048
Total Sterile Injectables (3)$251,393 $263,635 $906,997 $777,963 
Total Generic Pharmaceuticals (5)$251,283
 $218,526
Total Generic Pharmaceuticals (5)$135,508 $218,012 $602,670 $654,322 
Total International Pharmaceuticals (6)$28,659
 $28,312
Total International Pharmaceuticals (6)$24,277 $30,466 $75,910 $87,428 
Total revenues, net$820,405
 $720,411
Total revenues, net$634,860 $729,426 $2,142,853 $2,149,564 
__________
(1)
(1)Products included within Other Specialty are NASCOBAL® Nasal Spray and AVEED®Nasal Spray and AVEED®.
(2)Products included within Other Established include, but are not limited to, EDEX® and LIDODERM®.
(3)Individual products presented above represent the top two performing products in each product category for either the three or nine months ended September 30, 2020 and/or any product having revenues in excess of $25 million during any quarterly period in 2020 or 2019.
(4)Products included within Other Sterile Injectables include ephedrine sulfate injection and others.
(5)The Generic Pharmaceuticals segment is comprised of a portfolio of products that are generic versions of branded products, are distributed primarily through the same wholesalers, generally have no intellectual property protection and are sold within the U.S. During the three and nine months ended September 30, 2019, colchicine tablets (the authorized generic of Takeda Pharmaceuticals U.S.A., Inc.’s (Takeda) Colcrys®), which launched in July 2018, made up 7% and 6% of consolidated total revenues, respectively. No other individual product within this segment has exceeded 5% of consolidated total revenues for the periods presented.
(6)The International Pharmaceuticals segment, which accounted for less than 5% of consolidated total revenues for each of the periods presented, includes a variety of specialty pharmaceutical products sold outside the U.S., primarily in Canada through our operating company Paladin.
(2)
Products included within Other Established include, but are not limited to, LIDODERM® and TESTOPEL®.
(3)Individual products presented above represent the top two performing products in each product category for the three months ended March 31, 2020 and/or any product having revenues in excess of $25 million during any quarterly period in 2020 or 2019.
(4)Products included within Other Sterile Injectables include ephedrine sulfate injection and others.
(5)
The Generic Pharmaceuticals segment is comprised of a portfolio of products that are generic versions of branded products, are distributed primarily through the same wholesalers, generally have no intellectual property protection and are sold within the U.S. During the three months ended March 31, 2019, colchicine tablets, the authorized generic of Takeda Pharmaceuticals U.S.A., Inc.’s (Takeda) Colcrys®, which launched in July 2018, made up 6% of consolidated total revenue. No other individual product within this segment has exceeded 5% of consolidated total revenues for the periods presented.
(6)The International Pharmaceuticals segment, which accounted for 3% and 4% of consolidated total revenues during the three months ended March 31, 2020 and 2019, respectively, includes a variety of specialty pharmaceutical products sold outside the U.S., primarily in Canada through our operating company Paladin.
NOTE 5.6. FAIR VALUE MEASUREMENTS
Fair value guidance establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. These tiers include:
Level 1—Quoted prices in active markets for identical assets or liabilities.
Level 2—Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
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Financial Instruments
The financial instruments recorded in our Condensed Consolidated Balance Sheets include cash and cash equivalents, (including money market funds), restricted cash and cash equivalents, accounts receivable, equity method investments, accounts payable and accrued expenses, acquisition-related contingent consideration and debt obligations. Included in cash and cash equivalents and restricted cash and cash equivalents are money market funds representing a type of mutual fund required by law to invest in low-risk securities (for example, U.S. government bonds, U.S. Treasury Bills and commercial paper). Money market funds pay dividends that generally reflect short-term interest rates. Due to their short-term maturity, the carrying amounts of non-restricted and restricted cash and cash equivalents (including money market funds), accounts receivable, accounts payable and accrued expenses approximate their fair values.

Restricted Cash and Cash Equivalents
The following table presents current and noncurrent restricted cash and cash equivalent balances at March 31,September 30, 2020 and December 31, 2019 (in thousands):
Condensed Consolidated Balance Sheets Line ItemsSeptember 30, 2020December 31, 2019
Restricted cash and cash equivalents—currentRestricted cash and cash equivalents$162,648 $247,457 
Restricted cash and cash equivalents—noncurrentOther assets18,400 18,400 
Total restricted cash and cash equivalents$181,048 $265,857 
 March 31, 2020 December 31, 2019
Restricted cash and cash equivalents—current portion (1)$200,666
 $247,457
Restricted cash and cash equivalents—noncurrent portion (2)18,400
 18,400
Restricted cash and cash equivalents—total (3)$219,066
 $265,857
__________
(1)These amounts are reported in our Condensed Consolidated Balance Sheets as RestrictedThe restricted cash and cash equivalents amounts primarily relate to litigation-related matters, including approximately $136.3 million and $242.8 million held in Qualified Settlement Funds (QSFs) for mesh-related matters at September 30, 2020 and December 31, 2019, respectively. See Note 13. Commitments and Contingencies for further information about mesh-related and cash equivalents.
(2)These amounts are reported in our Condensed Consolidated Balance Sheets as Other assets.
(3)Approximately $195.7 million and $242.8 million of our restricted cash and cash equivalents are held in Qualified Settlement Funds (QSFs) for mesh-related matters at March 31, 2020 and December 31, 2019, respectively. The remaining restricted cash and cash equivalents primarily relates to other litigation-related matters. Additionally, at September 30, 2020, approximately $25.0 million of restricted cash and cash equivalents related to certain insurance-related matters. See Note 12. Commitments and Contingencies for further information.
Fair value guidance establishes a three-tier fair value hierarchy, which prioritizes the inputs used in measuring fair value. These tiers include:
Level 1—Quoted prices in active markets for identical assets or liabilities.
Level 2—Inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices for similar assets or liabilities; quoted prices in markets that are not active; or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities.
Level 3—Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities.
Acquisition-Related Contingent Consideration
The fair value of contingent consideration liabilities is determined using unobservable inputs; hence, these instruments represent Level 3 measurements within the above-defined fair value hierarchy. These inputs include the estimated amount and timing of projected cash flows, the probability of success (achievement of the contingent event) and the risk-adjusted discount rate used to present value the probability-weighted cash flows. Subsequent to the acquisition date, at each reporting period, the contingent consideration liability is remeasured at current fair value with changes recorded in earnings. The estimates of fair value are uncertain and changes in any of the estimated inputs used as of the date of this report could have resulted in significant adjustments to fair value. See the Recurring“Recurring Fair Value MeasurementsMeasurements” section below for additional information on acquisition-related contingent consideration.
Recurring Fair Value Measurements
The Company’s financial assets and liabilities measured at fair value on a recurring basis at March 31,September 30, 2020 and December 31, 2019 were as follows (in thousands):
Fair Value Measurements at September 30, 2020 using:
Level 1 InputsLevel 2 InputsLevel 3 InputsTotal
Assets:
Money market funds$628,875 $$$628,875 
Liabilities:
Acquisition-related contingent consideration—current$$$9,665 $9,665 
Acquisition-related contingent consideration—noncurrent$$$28,044 $28,044 
Fair Value Measurements at December 31, 2019 using:
Level 1 InputsLevel 2 InputsLevel 3 InputsTotal
Assets:
Money market funds$427,033 $$$427,033 
Liabilities:
Acquisition-related contingent consideration—current$$$6,534 $6,534 
Acquisition-related contingent consideration—noncurrent$$$23,123 $23,123 
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 Fair Value Measurements at March 31, 2020 using:
 Level 1 Inputs Level 2 Inputs Level 3 Inputs Total
Assets:       
Money market funds$635,365
 $
 $
 $635,365
Liabilities:       
Acquisition-related contingent consideration—current$
 $
 $8,459
 $8,459
Acquisition-related contingent consideration—noncurrent$
 $
 $30,480
 $30,480
 Fair Value Measurements at December 31, 2019 using:
 Level 1 Inputs Level 2 Inputs Level 3 Inputs Total
Assets:       
Money market funds$427,033
 $
 $
 $427,033
Liabilities:       
Acquisition-related contingent consideration—current$
 $
 $6,534
 $6,534
Acquisition-related contingent consideration—noncurrent$
 $
 $23,123
 $23,123

At March 31,September 30, 2020 and December 31, 2019, money market funds include $37.4$30.2 million and $70.2 million, respectively, in QSFs to be disbursed to mesh-related or other product liability claimants. Amounts in QSFs are considered restricted cash equivalents. See Note 12.13. Commitments and Contingencies for further discussion of our product liability cases. At March 31,September 30, 2020 and December 31, 2019, the differences between the amortized cost and the fair value of our money market funds were not material, individually or in the aggregate.

Fair Value Measurements Using Significant Unobservable Inputs
The following table presents changes to the Company’s liability for acquisition-related contingent consideration, which is measured at fair value on a recurring basis using significant unobservable inputs (Level 3), for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
 Three Months Ended March 31,
 2020 2019
Beginning of period$29,657
 $116,703
Amounts settled(2,461) (11,591)
Changes in fair value recorded in earnings12,462
 (37,501)
Effect of currency translation(719) 231
End of period$38,939
 $67,842

Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Beginning of period$42,057 $52,930 $29,657 $116,703 
Amounts settled(3,103)(9,376)(8,785)(30,541)
Changes in fair value recorded in earnings(1,407)16,025 17,100 (26,983)
Effect of currency translation162 (85)(263)315 
End of period$37,709 $59,494 $37,709 $59,494 
At March 31,September 30, 2020, the fair value measurements of the contingent consideration obligations were determined using risk-adjusted discount rates ranging from approximately 10.0% to 15.0% (weighted average rate of approximately 12.3%11.8%, weighted based on relative fair value). Changes in fair value recorded in earnings related to acquisition-related contingent consideration are included in our Condensed Consolidated Statements of Operations as Acquisition-related and integration items, net. Amounts recorded for the current and noncurrent portions of acquisition-related contingent consideration are included in Accounts payable and accrued expenses and Other liabilities, respectively, in our Condensed Consolidated Balance Sheets.
The following table presents changes to the Company’s liability for acquisition-related contingent consideration during the threenine months ended March 31,September 30, 2020 by acquisition (in thousands):
 Balance as of December 31, 2019 Changes in Fair Value Recorded in Earnings Amounts Settled and Other Balance as of March 31, 2020
Auxilium acquisition$13,207
 $(54) $
 $13,153
Lehigh Valley Technologies, Inc. acquisitions6,800
 12,897
 (2,097) 17,600
Other9,650
 (381) (1,083) 8,186
Total$29,657
 $12,462
 $(3,180) $38,939

Balance as of December 31, 2019Changes in Fair Value Recorded in EarningsAmounts Settled and OtherBalance as of September 30, 2020
Auxilium acquisition$13,207 $4,223 $(1,644)$15,786 
Lehigh Valley Technologies, Inc. acquisitions6,800 11,950 (5,250)13,500 
Other9,650 927 (2,154)8,423 
Total$29,657 $17,100 $(9,048)$37,709 
Nonrecurring Fair Value Measurements
The Company’s financial assets and liabilities measured at fair value on a nonrecurring basis during the threenine months ended March 31,September 30, 2020 were as follows (in thousands):
 Fair Value Measurements during the Three Months Ended March 31, 2020 (1) using: Total Expense for the Three Months Ended March 31, 2020
 Level 1 Inputs Level 2 Inputs Level 3 Inputs 
Intangible assets, excluding goodwill (2)$
 $
 $24,377
 $(63,751)
Certain property, plant and equipment
 
 
 (1,248)
Total$
 $
 $24,377
 $(64,999)

Fair Value Measurements during the Nine Months Ended September 30, 2020 (1) using:Total Expense for the Nine Months Ended September 30, 2020
Level 1 InputsLevel 2 InputsLevel 3 Inputs
Intangible assets, excluding goodwill (2)$$$24,377 $(65,771)
Certain property, plant and equipment(1,248)
Operating lease right-of-use assets(6,392)
Total$$$24,377 $(73,411)
__________
(1)The fair value amounts are presented as of the date of the fair value measurement as these assets are not measured at fair value on a recurring basis. Such measurements generally occur in connection with our quarter-end financial reporting close procedures.
(2)These fair value measurements were determined using risk-adjusted discount rates ranging from approximately 10.0% to 12.0% (weighted average rate of approximately 11.1%, weighted based on relative fair value). The Company also performed fair value measurements in connection with its goodwill impairment tests. Refer to Note 8. Goodwill and Other Intangibles for additional information on goodwill and other intangible asset impairment tests, including information about the valuation methodologies utilized.

(1)The fair value amounts are presented as of the date of the fair value measurement as these assets are not measured at fair value on a recurring basis. Such measurements generally occur in connection with our quarter-end financial reporting close procedures.
(2)These fair value measurements were determined using risk-adjusted discount rates ranging from approximately 10.0% to 15.0% (weighted average rate of approximately 12.2%, weighted based on relative fair value). The Company also performed fair value measurements in connection with its goodwill impairment tests. Refer to Note 9. Goodwill and Other Intangibles for additional information on goodwill and other intangible asset impairment tests, including information about the valuation methodologies utilized.
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NOTE 6.7. INVENTORIES
Inventories consist of the following at March 31,September 30, 2020 and December 31, 2019 (in thousands):
 March 31, 2020 December 31, 2019
Raw materials (1)$115,436
 $124,171
Work-in-process (1)67,983
 65,392
Finished goods (1)141,543
 138,302
Total$324,962
 $327,865

September 30, 2020December 31, 2019
Raw materials (1)$108,961 $124,171 
Work-in-process (1)75,913 65,392 
Finished goods (1)170,029 138,302 
Total$354,903 $327,865 
__________
(1)The components of inventory shown in the table above are net of allowance for obsolescence.
Inventory that is in excess of the amount expected to be sold within one year is classified as noncurrent inventory and is not included in the table above. At March 31,September 30, 2020 and December 31, 2019, $31.1$34.6 million and $29.0 million, respectively, of noncurrent inventory was included in Other assets in the Condensed Consolidated Balance Sheets. As of March 31,September 30, 2020 and December 31, 2019, the Company’s Condensed Consolidated Balance Sheets included approximately $23.3$39.0 million and $17.6 million, respectively, of capitalized pre-launch inventories related to products that were not yet available to be sold.
NOTE 7.8. LEASES
The following table presents information about the Company's right-of-use (ROU) assets and lease liabilities at March 31,September 30, 2020 and December 31, 2019 (in thousands):
Condensed Consolidated Balance Sheets Line ItemsSeptember 30, 2020December 31, 2019
ROU assets:
Operating lease ROU assetsOperating lease assets$38,927 $51,700 
Finance lease ROU assetsProperty, plant and equipment, net49,860 56,793 
Total ROU assets$88,787 $108,493 
Operating lease liabilities:
Current operating lease liabilitiesCurrent portion of operating lease liabilities$11,449 $10,763 
Noncurrent operating lease liabilitiesOperating lease liabilities, less current portion40,222 48,299 
Total operating lease liabilities$51,671 $59,062 
Finance lease liabilities:
Current finance lease liabilitiesAccounts payable and accrued expenses$6,081 $5,672 
Noncurrent finance lease liabilitiesOther liabilities26,617 31,312 
Total finance lease liabilities$32,698 $36,984 
 Condensed Consolidated Balance Sheets Line Items March 31, 2020 December 31, 2019
ROU assets:     
Operating lease ROU assetsOperating lease assets $49,349
 $51,700
Finance lease ROU assetsProperty, plant and equipment, net 54,482
 56,793
Total ROU assets $103,831
 $108,493
Operating lease liabilities:     
Current operating lease liabilitiesCurrent portion of operating lease liabilities $11,512
 $10,763
Noncurrent operating lease liabilitiesOperating lease liabilities, less current portion 45,057
 48,299
Total operating lease liabilities $56,569
 $59,062
Finance lease liabilities:     
Current finance lease liabilitiesAccounts payable and accrued expenses $5,799
 $5,672
Noncurrent finance lease liabilitiesOther liabilities 29,706
 31,312
Total finance lease liabilities $35,505
 $36,984
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The following table presents information about lease costs and expenses and sublease income for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
 Three Months Ended March 31,Condensed Consolidated Statements of Operations Line ItemsThree Months Ended September 30,Nine Months Ended September 30,
Condensed Consolidated Statements of Operations Line Items 2020 20192020201920202019
Operating lease costVarious (1) $3,992
 $3,499
Operating lease costVarious (1)$3,339 $3,510 $10,443 $10,269 
Finance lease cost:    Finance lease cost:
Amortization of ROU assetsVarious (1) $2,311
 $2,296
Amortization of ROU assetsVarious (1)$2,311 $2,311 $6,933 $7,096 
Interest on lease liabilitiesInterest expense, net $466
 $500
Interest on lease liabilitiesInterest expense, net$416 $271 $1,323 $1,256 
Other lease costs and income:    Other lease costs and income:
Variable lease costs (2)Various (1) $2,658
 $2,089
Variable lease costs (2)Various (1)$2,601 $2,318 $7,443 $7,185 
Operating lease ROU asset impairment chargesOperating lease ROU asset impairment chargesAsset impairment charges$6,392 $$6,392 $
Sublease incomeVarious (1) $(861) $(964)Sublease incomeVarious (1)$(1,077)$(932)$(2,870)$(2,828)
__________
(1)Amounts are included in the Condensed Consolidated Statements of Operations based on the function that the underlying leased asset supports. The following table presents the components of such aggregate amounts for the three months ended March 31, 2020 and 2019 (in thousands):
(1)Amounts are included in the Condensed Consolidated Statements of Operations based on the function that the underlying leased asset supports. The following table presents the components of such aggregate amounts for the three and nine months ended September 30, 2020 and 2019 (in thousands):
Three Months Ended March 31,Three Months Ended September 30,Nine Months Ended September 30,
2020 20192020201920202019
Cost of revenues$3,328
 $2,700
Cost of revenues$2,815 $2,793 $8,589 $8,425 
Selling, general and administrative$4,721
 $4,169
Selling, general and administrative$4,309 $4,347 $13,209 $13,145 
Research and development$51
 $51
Research and development$50 $67 $151 $152 
(2)Amounts represent variable lease costs incurred that were not included in the initial measurement of the lease liability such as common area maintenance and utilities costs associated with leased real estate and certain costs associated with our automobile leases.
(2)Amounts represent variable lease costs incurred that were not included in the initial measurement of the lease liability such as common area maintenance and utilities costs associated with leased real estate and certain costs associated with our automobile leases.
The following table provides certain cash flow and supplemental noncash information related to our lease liabilities for the threenine months ended March 31,September 30, 2020 and 2019 (in thousands):
 Three Months Ended March 31,
 2020 2019
Cash paid for amounts included in the measurement of lease liabilities:   
Operating cash payments for operating leases$2,981
 $3,692
Operating cash payments for finance leases$648
 $473
Financing cash payments for finance leases$1,184
 $1,174

Nine Months Ended September 30,
20202019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash payments for operating leases$10,819 $11,200 
Operating cash payments for finance leases$1,982 $1,535 
Financing cash payments for finance leases$3,626 $7,826 
Lease liabilities arising from obtaining right-of-use assets:
Operating leases$$623 
Finance leases$$5,901 
NOTE 8.9. GOODWILL AND OTHER INTANGIBLES
Goodwill
Changes in the carrying amount of our goodwill for the threenine months ended March 31,September 30, 2020 were as follows (in thousands):
Branded PharmaceuticalsSterile InjectablesGeneric PharmaceuticalsInternational PharmaceuticalsTotal
Goodwill as of December 31, 2019$828,818 $2,731,193 $$35,173 $3,595,184 
Effect of currency translation(2,387)(2,387)
Goodwill impairment charges(32,786)(32,786)
Goodwill as of September 30, 2020$828,818 $2,731,193 $$$3,560,011 
 Branded Pharmaceuticals Sterile Injectables Generic Pharmaceuticals International Pharmaceuticals Total
Goodwill as of December 31, 2019$828,818
 $2,731,193
 $
 $35,173
 $3,595,184
Effect of currency translation
 
 
 (2,387) (2,387)
Goodwill impairment charges
 
 
 (32,786) (32,786)
Goodwill as of March 31, 2020$828,818
 $2,731,193
 $
 $
 $3,560,011
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The carrying amounts of goodwill at March 31,September 30, 2020 and December 31, 2019 are net of the following accumulated impairments (in thousands):
 Branded Pharmaceuticals Sterile Injectables Generic Pharmaceuticals International Pharmaceuticals Total
Accumulated impairment losses as of December 31, 2019$855,810
 $
 $3,142,657
 $500,417
 $4,498,884
Accumulated impairment losses as of March 31, 2020$855,810
 $
 $3,142,657
 $494,499
 $4,492,966


Branded PharmaceuticalsSterile InjectablesGeneric PharmaceuticalsInternational PharmaceuticalsTotal
Accumulated impairment losses as of December 31, 2019$855,810 $$3,142,657 $500,417 $4,498,884 
Accumulated impairment losses as of September 30, 2020$855,810 $$3,142,657 $522,184 $4,520,651 
Other Intangible Assets
Changes in the amount of other intangible assets for the threenine months ended March 31,September 30, 2020 were as follows (in thousands):
Cost basis:Balance as of December 31, 2019AcquisitionsImpairmentsOther (1)Effect of Currency TranslationBalance as of September 30, 2020
Indefinite-lived intangibles:
In-process research and development$93,900 $$$(90,900)$$3,000 
Total indefinite-lived intangibles$93,900 $$$(90,900)$$3,000 
Finite-lived intangibles:
Licenses (weighted average life of 14 years)$457,402 $$(8,700)$$$448,702 
Tradenames6,409 6,409 
Developed technology (weighted average life of 11 years)5,844,439 (57,071)(15,428)(6,633)5,765,307 
Total finite-lived intangibles (weighted average life of 11 years)$6,308,250 $$(65,771)$(15,428)$(6,633)$6,220,418 
Total other intangibles$6,402,150 $$(65,771)$(106,328)$(6,633)$6,223,418 
Accumulated amortization:Balance as of December 31, 2019AmortizationImpairmentsOther (1)Effect of Currency TranslationBalance as of September 30, 2020
Finite-lived intangibles:
Licenses$(410,336)$(6,162)$$$$(416,498)
Tradenames(6,409)(6,409)
Developed technology(3,414,138)(319,639)108,328 3,800 (3,621,649)
Total other intangibles$(3,830,883)$(325,801)$$108,328 $3,800 $(4,044,556)
Net other intangibles$2,571,267 $2,178,862 
Cost basis:Balance as of December 31, 2019 Acquisitions Impairments Effect of Currency Translation Balance as of March 31, 2020
Indefinite-lived intangibles:         
In-process research and development$93,900
 $
 $
 $
 $93,900
Total indefinite-lived intangibles$93,900
 $
 $
 $
 $93,900
Finite-lived intangibles:         
Licenses (weighted average life of 14 years)$457,402
 $
 $(8,700) $
 $448,702
Tradenames6,409
 
 
 
 6,409
Developed technology (weighted average life of 11 years)5,844,439
 
 (55,051) (19,839) 5,769,549
Total finite-lived intangibles (weighted average life of 11 years)$6,308,250
 $
 $(63,751) $(19,839) $6,224,660
Total other intangibles$6,402,150
 $
 $(63,751) $(19,839) $6,318,560
          
Accumulated amortization:Balance as of December 31, 2019 Amortization Impairments Effect of Currency Translation Balance as of March 31, 2020
Finite-lived intangibles:         
Licenses$(410,336) $(2,429) $
 $
 $(412,765)
Tradenames(6,409) 
 
 
 (6,409)
Developed technology(3,414,138) (114,808) 
 11,934
 (3,517,012)
Total other intangibles$(3,830,883) $(117,237) $
 $11,934
 $(3,936,186)
Net other intangibles$2,571,267
       $2,382,374
__________

(1)
Amounts include reclassification adjustments of $90.9 million from In-process research and development to Developed technology for certain assets that were placed in service during the nine months ended September 30, 2020. The remaining amounts primarily relate to the removal of certain fully amortized Developed technology intangible assets.
Amortization expense for the three and nine months ended March 31,September 30, 2020 totaled $104.1 million and $325.8 million, respectively. Amortization expense for the three and nine months ended September 30, 2019 totaled $117.2$131.9 million and $145.6$417.9 million, respectively. Amortization expense is included in Cost of revenues in the Condensed Consolidated Statements of Operations. EstimatedFor intangible assets subject to amortization, of intangiblesestimated amortization expense for the five fiscal years subsequent to December 31, 2019 is as follows (in thousands):
2020$428,828 
2021$394,331 
2022$379,640 
2023$336,465 
2024$298,198 
2020$427,824
2021$389,418
2022$373,293
2023$331,379
2024$292,903
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Impairments
Goodwill and indefinite-lived intangible assets are tested for impairment annually and when events or changes in circumstances indicate that the asset might be impaired. Our annual assessment is performed as of October 1.
As part of our goodwill and intangible asset impairment assessments, we estimate the fair values of our reporting units and our intangible assets using an income approach that utilizes a discounted cash flow model or, where appropriate, a market approach.
The discounted cash flow models are dependent upon our estimates of future cash flows and other factors including estimates of (i) future operating performance, including future sales, long-term growth rates, operating margins, discount rates, variations in the amount and timing of cash flows and the probability of achieving the estimated cash flows and (ii) future economic conditions. These assumptions are based on significant inputs not observable in the market and thus represent Level 3 measurements within the fair value hierarchy. The discount rates applied to the estimated cash flows are based on the overall risk associated with the particular assets and other market factors. We believe the discount rates and other inputs and assumptions are consistent with those that a market participant would use. Any impairment charges resulting from annual or interim goodwill and intangible asset impairment assessments are recorded to Asset impairment charges in our Condensed Consolidated Statements of Operations.

During the three and nine months ended March 31,September 30, 2020 and 2019, the Company incurred the following goodwill and other intangible asset impairment charges (in thousands):
 Three Months Ended March 31,
 2020 2019
Goodwill impairment charges$32,786
 $86,000
Other intangible asset impairment charges$63,751
 $78,700

Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Goodwill impairment charges$$$32,786 $151,108 
Other intangible asset impairment charges$2,020 $4,261 $65,771 $104,660 
Except as described below, pre-tax non-cash asset impairment charges related primarily to certain in-process research and development and/or developed technology intangible assets that were tested for impairment following changes in market conditions and certain other factors impacting recoverability.
As a result of certain business decisions that occurred during the first quarter of 2020, we tested the goodwill of our Paladin reporting unit for impairment as of March 31, 2020. The fair value of the reporting unit was estimated using an income approach that utilized a discounted cash flow model. The discount rate utilized in this test was 9.5%. This goodwill impairment test resulted in a pre-tax non-cash goodwill impairment charge of $32.8 million during the three months ended March 31, 2020, representing the remaining carrying amount. This impairment was primarily attributable to portfolio decisions and updated market expectations during the quarter.
As a result of certain competitive events that occurred during the first quarter of 2019, we tested the goodwill of our Generic Pharmaceuticals reporting unit for impairment as of March 31, 2019. The fair value of the reporting unit was estimated using an income approach that utilized a discounted cash flow model. The discount rate utilized in this test was 10.5%. This goodwill impairment test resulted in a pre-tax non-cash goodwill impairment charge of $86.0 million during the three months ended March 31, 2019, representing the excess of this reporting unit’s carrying amount over its estimated fair value. This Generic Pharmaceuticals impairment can be primarily attributed to the impact of the competitive events referenced above and an increase in the discount rate used in the determination of fair value.
During the second quarter of 2019, unfavorable competitive and pricing events occurred that caused us to update certain assumptions from those used in our first-quarter 2019 Generic Pharmaceuticals goodwill impairment test. We considered these events, together with the fact that this reporting unit’s carrying amount equaled its fair value immediately subsequent to the first-quarter 2019 goodwill impairment charge, as part of our qualitative assessment of goodwill triggering events for the second quarter of 2019. As a result, we concluded that it was more likely than not that the fair value of this reporting unit was below its carrying amount as of June 30, 2019 and a goodwill impairment test was required. After performing this quantitative test, we determined that this reporting unit’s carrying amount exceeded its estimated fair value. The fair value of the reporting unit was estimated using an income approach that utilized a discounted cash flow model. The discount rate utilized in this test was 10.5%. Based on the excess of this reporting unit’s carrying amount over its estimated fair value, we recorded a pre-tax non-cash goodwill impairment charge of $65.1 million during the three months ended June 30, 2019, representing the entire remaining amount of this reporting unit’s goodwill.
We are closely monitoring the impact of COVID-19 on our business. It is possible that COVID-19 could result in reductions to the estimated fair values of our goodwill and other intangible assets, which could ultimately result in asset impairment charges that may be material.
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NOTE 9.10. CONTRACT ASSETS AND LIABILITIES
Our revenue consists almost entirely of sales of our pharmaceutical products to customers, whereby we ship products to a customer pursuant to a purchase order. Revenue contracts such as these do not generally give rise to contract assets or contract liabilities because: (i) the underlying contracts generally have only a single performance obligation and (ii) we do not generally receive consideration until the performance obligation is fully satisfied. At March 31,September 30, 2020, the unfulfilled performance obligations for these types of contracts relate to ordered but undelivered products. We generally expect to fulfill the performance obligations and recognize revenue within one week of entering into the underlying contract. Based on the short-term initial contract duration, additional disclosure about the remaining performance obligations is not required.
Certain of our other revenue-generating contracts, including license and collaboration agreements, may result in contract assets and/or contract liabilities. For example, we may recognize contract liabilities upon receipt of certain upfront and milestone payments from customers when there are remaining performance obligations.
The following table shows the opening and closing balances of contract assets and contract liabilities from contracts with customers (dollars in thousands):
March 31, 2020 December 31, 2019 $ Change % ChangeSeptember 30, 2020December 31, 2019$ Change% Change
Contract assets, net (1)$7,325
 $
 $7,325
 NM
Contract assets, net (1)$13,625 $$13,625 NM
Contract liabilities, net (2)$6,451
 $6,592
 $(141) (2)%Contract liabilities, net (2)$7,725 $6,592 $1,133 17 %
__________
NM indicates that the percentage change is not meaningful or is greater than 100%.
(1)At March 31, 2020, the entire contract asset amount is classified as a noncurrent asset and is included in Other assets. The net increase in contract assets during the three months ended March 31, 2020 was primarily due to the Company’s estimated consideration for the sale of certain intellectual property rights.
(2)At both March 31, 2020 and December 31, 2019, approximately $1.4 million of these contract liability amounts are classified as current liabilities and are included in Accounts payable and accrued expenses in the Company’s Condensed Consolidated Balance Sheets. The remaining amounts are classified as noncurrent and are included in Other liabilities. The decrease to contract liabilities was due to approximately $0.1 million in revenue recognized during the period.
(1)At September 30, 2020, approximately $2.6 million of this contract asset amount is classified as current and is included in Prepaid expenses and other current assets in the Company’s Condensed Consolidated Balance Sheets. The remaining amount is classified as noncurrent and is included in Other assets. The net increase in contract assets during the nine months ended September 30, 2020 was primarily due to the Company’s estimated consideration for the sale of certain intellectual property rights.
(2)At September 30, 2020 and December 31, 2019, approximately $2.9 million and $1.4 million, respectively, of these contract liability amounts are classified as current and are included in Accounts payable and accrued expenses in the Company’s Condensed Consolidated Balance Sheets. The remaining amounts are classified as noncurrent and are included in Other liabilities. The increase in contract liabilities during the nine months ended September 30, 2020 was primarily due to a new agreement entered into during the nine months ended September 30, 2020, partially offset by approximately $0.4 million in revenue recognized during the period.
During the threenine months ended March 31,September 30, 2020, we recognized revenue of $3.9$14.0 million relating to performance obligations satisfied, or partially satisfied, in prior periods. Such revenue generally relates to changes in estimates with respect to our variable consideration.

NOTE 10.11. ACCOUNTS PAYABLE AND ACCRUED EXPENSES
Accounts payable and accrued expenses include the following at March 31,September 30, 2020 and December 31, 2019 (in thousands):
September 30, 2020December 31, 2019
Trade accounts payable$104,621 $101,532 
Returns and allowances205,962 206,248 
Rebates119,265 129,056 
Chargebacks2,589 1,594 
Accrued interest135,199 112,860 
Accrued payroll and related benefits112,256 79,869 
Accrued royalties and other distribution partner payables61,355 115,816 
Acquisition-related contingent consideration—current9,665 6,534 
Other117,492 146,440 
Total$868,404 $899,949 
 March 31, 2020 December 31, 2019
Trade accounts payable$88,211
 $101,532
Returns and allowances213,756
 206,248
Rebates115,763
 129,056
Chargebacks1,630
 1,594
Accrued interest100,249
 112,860
Accrued payroll and related benefits59,777
 79,869
Accrued royalties and other distribution partner payables116,702
 115,816
Acquisition-related contingent consideration—current8,459
 6,534
Other150,411
 146,440
Total$854,958

$899,949
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NOTE 11.12. DEBT
The following table presents information about the Company’s total indebtedness at March 31,September 30, 2020 and December 31, 2019 (dollars in thousands):
 March 31, 2020 December 31, 2019
 Effective Interest Rate Principal Amount Carrying Amount Effective Interest Rate Principal Amount Carrying Amount
7.25% Senior Notes due 20227.25% $8,294
 $8,294
 7.25% $8,294
 $8,294
5.75% Senior Notes due 20225.75% 182,479
 182,479
 5.75% 182,479
 182,479
5.375% Senior Notes due 20235.62% 210,440
 209,126
 5.62% 210,440
 209,018
6.00% Senior Notes due 20236.28% 1,439,840
 1,427,814
 6.28% 1,439,840
 1,426,998
5.875% Senior Secured Notes due 20246.14% 300,000
 296,798
 6.14% 300,000
 296,647
6.00% Senior Notes due 20256.27% 1,200,000
 1,186,326
 6.27% 1,200,000
 1,185,726
7.50% Senior Secured Notes due 20277.71% 1,500,000
 1,482,675
 7.71% 1,500,000
 1,482,212
Term Loan Facility6.09% 3,321,088
 3,295,558
 6.21% 3,329,625
 3,302,675
Revolving Credit Facility4.13% 300,000
 300,000
 4.25% 300,000
 300,000
Total long-term debt, net  $8,462,141
 $8,389,070
   $8,470,678
 $8,394,049
Less current portion, net  34,150
 34,150
   34,150
 34,150
Total long-term debt, less current portion, net  $8,427,991
 $8,354,920
   $8,436,528
 $8,359,899

September 30, 2020December 31, 2019
Effective Interest RatePrincipal AmountCarrying AmountEffective Interest RatePrincipal AmountCarrying Amount
7.25% Senior Notes due 20227.25 %$8,294 $8,294 7.25 %$8,294 $8,294 
5.75% Senior Notes due 20225.75 %172,048 172,048 5.75 %182,479 182,479 
5.375% Senior Notes due 20235.62 %6,127 6,095 5.62 %210,440 209,018 
6.00% Senior Notes due 20236.28 %56,436 56,029 6.28 %1,439,840 1,426,998 
5.875% Senior Secured Notes due 20246.14 %300,000 297,109 6.14 %300,000 296,647 
6.00% Senior Notes due 20256.27 %21,578 21,354 6.27 %1,200,000 1,185,726 
7.50% Senior Secured Notes due 20277.70 %2,015,479 1,994,514 7.71 %1,500,000 1,482,212 
9.50% Senior Secured Second Lien Notes due 20279.68 %940,590 932,175 
6.00% Senior Notes due 20286.11 %1,260,416 1,251,498 
Term Loan Facility5.21 %3,304,013 3,281,385 6.21 %3,329,625 3,302,675 
Revolving Credit Facility2.69 %300,000 300,000 4.25 %300,000 300,000 
Total long-term debt, net$8,384,981 $8,320,501 $8,470,678 $8,394,049 
Less current portion, net34,150 34,150 34,150 34,150 
Total long-term debt, less current portion, net$8,350,831 $8,286,351 $8,436,528 $8,359,899 
The Company and its subsidiaries, with certain customary exceptions, guarantee or serve as issuers or borrowers of the debt instruments representing substantially all of the Company’s indebtedness at March 31,September 30, 2020. The obligations under (i) all of the senior secured notes5.875% Senior Secured Notes due 2024, (ii) the 7.50% Senior Secured Notes due 2027 and (ii)(iii) the Credit Agreement (as defined below) and related loan documents are secured on a pari passubasis by a perfected first priority lien (subject to certain permitted liens) lien on the collateral securing such instruments, which collateral represents substantially all of the assets of the issuers or borrowers and the guarantors party thereto (subject to customary exceptions). The obligations under the 9.50% Senior Secured Second Lien Notes due 2027 are secured by a second priority lien (subject to certain permitted liens) on, and on a junior basis with respect to, the collateral securing the obligations under the Credit Agreement, the 5.875% Senior Secured Notes due 2024 and the 7.50% Senior Secured Notes due 2027 and the related guarantees. Our senior unsecured notes are unsecured and effectively subordinated in right of priority to the Credit Agreement, the 5.875% Senior Secured Notes due 2024, the 7.50% Senior Secured Notes due 2027 and our senior secured notes,the 9.50% Senior Secured Second Lien Notes due 2027, in each case to the extent of the value of the collateral securing such instruments.
The aggregate estimated fair value of the Company’s long-term debt, which was estimated using inputs based on quoted market prices for the same or similar debt issuances, was $7.2$8.1 billion and $7.4 billion at March 31,September 30, 2020 and December 31, 2019, respectively. Based on this valuation methodology, we determined these debt instruments represent Level 2 measurements within the fair value hierarchy.

Credit Facilities
The Company and certain of its subsidiaries are party to a credit agreement (the (as amended from time to time, the Credit Agreement)Agreement), which provides for (i) a $1,000.0 million senior secured revolving credit facility (the Revolving Credit Facility) and (ii) a senior secured term loan facility in an initial principal amount of $3,415.0 million (the Term Loan Facility and, together with the Revolving Credit Facility, the Credit Facilities). Current amounts outstanding under the Credit Facilities are set forth in the table above. After giving effect to borrowings under the Revolving Credit Facility and previously issued and outstanding letters of credit, approximately $696.8$696.2 million of remaining credit is available under the Revolving Credit Facility as of March 31,September 30, 2020. The Company’s outstanding debt agreements contain a number of restrictive covenants, including certain limitations on the Company’s ability to incur additional indebtedness.
At March 31,September 30, 2020 and December 31, 2019, we were in compliance with all covenants contained in the Credit Agreement.
Senior Notes and Senior Secured Notes
The June 2020 Refinancing Transactions (as defined below) resulted in certain changes to our senior notes and senior secured notes that are further described under the heading “Debt Financing Transactions” below.
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Following the June 2020 Refinancing Transactions, our various senior notes and senior secured notes mature between 2022 and 2028. The indentures governing these notes generally allow for redemption prior to maturity, in whole or in part, subject to certain restrictions and limitations described therein, in the following ways:
Until a date specified in each indenture (the Non-Call Period), the notes may be redeemed, in whole or in part, by paying the sum of: (i) 100% of the principal amount being redeemed, (ii) an applicable make-whole premium as described in each indenture and (iii) accrued and unpaid interest to, but excluding, the redemption date. As of September 30, 2020, the Non-Call Period has expired for each of our notes except for the 7.50% Senior Secured Notes due 2027, the 9.50% Senior Secured Second Lien Notes due 2027 and the 6.00% Senior Notes due 2028.
After the Non-Call Period specified in each indenture, the notes may be redeemed, in whole or in part, at redemption prices set forth in each indenture, plus accrued and unpaid interest to, but excluding, the redemption date. The redemption prices for each of our notes vary over time. The redemption prices pursuant to this clause range from 100.000% to 107.125% of principal at September 30, 2020; however, these redemption prices generally decrease to 100% of the principal amount of the applicable notes over time as the notes approach maturity pursuant to a step-down schedule set forth in each of the indentures.
Until a date specified in each indenture, the notes may be redeemed, in part (up to 35% or 40% of the principal amount outstanding as specified in each indenture), with the net cash proceeds from specified equity offerings at redemption prices set forth in each indenture, plus accrued and unpaid interest to, but excluding, the redemption date. As of September 30, 2020, this clause has expired for each of our notes except for the 7.50% Senior Secured Notes due 2027, the 9.50% Senior Secured Second Lien Notes due 2027 and the 6.00% Senior Notes due 2028, for which the specified redemption premiums are 107.500%, 109.500% and 106.000%, respectively.
Following the June 2020 Refinancing Transactions, the indentures governing our various senior secured notes and the 6.00% Senior Notes due 2028 contain affirmative and negative covenants that the Company believes to be customary for similar indentures. Under the senior secured notes indentures, the negative covenants, among other things, restrict the Company’s ability and the ability of its restricted subsidiaries (as defined in the indentures) to incur certain additional indebtedness and issue preferred stock; make certain dividends, distributions, investments and other restricted payments; sell certain assets; enter into sale and leaseback transactions; agree to certain restrictions on the ability of restricted subsidiaries to make certain payments to the Company or any of its restricted subsidiaries; create certain liens; merge, consolidate or sell all or substantially all of the Company’s assets; enter into certain transactions with affiliates or designate subsidiaries as unrestricted subsidiaries. These covenants are subject to a number of exceptions and qualifications, including the fall away or revision of certain of these covenants and release of collateral in the case of the senior secured notes, upon the notes receiving investment grade credit ratings. At March 31,September 30, 2020 and December 31, 2019, we were in compliance with all covenants contained in the indentures governing our various senior notes and senior secured notes. As further described under the heading “Debt Financing Transactions” below, we have eliminated substantially all of the restrictive covenants and certain events of default in the indentures governing our senior unsecured notes, except for those in the 6.00% Senior Notes due 2028 indenture.
There have been no other significant changes to our senior notes and senior secured notes since December 31, 2019.
Debt Financing Transactions
Set forth below are certain disclosures relating to debt financing transactions that occurred during the threenine months ended March 31,September 30, 2020 or the year ended December 31, 2019.
March 2019 Refinancing
In March 2019, the Company executed certain transactions (the March 2019 Refinancing Transactions) that included:
entry into an amendment (the Revolving Credit Facility Amendment) to the Company’s existing credit agreement, which was originally dated April 27, 2017 (the amended credit agreement is described above under the heading “Credit Facilities”);Credit Agreement;
issuance of $1,500.0 million of 7.50% Senior Secured Notes due 2027 (the 2027 Notes);2027;
repurchase of $1,642.2 million aggregate principal amount ($1,624.0 million aggregate carrying amount) of certain of the Company’s senior unsecured notes for $1,500.0 million in cash, excluding accrued interest (the Notes Repurchases); and
solicitation of consents from the holders of the existing 7.25% Senior Notes due 2022 and 5.75% Senior Notes due 2022 to certain amendments to the indentures governing such notes, which eliminated substantially all of the restrictive covenants, certain events of default and other provisions contained in each such indenture.
The difference between the cash paid and the carrying amount of notes repurchased in the Notes Repurchases resulted in a $124.0 million gain. In connection with the March 2019 Refinancing Transactions, we also incurred costs and fees totaling $26.2 million, of which $4.2 million related to the Notes Repurchases, $19.1 million related to the 7.50% Senior Secured Notes due 2027 Notes issuance and $2.9 million related to the Revolving Credit Facility Amendment. The costs incurred in connection with the Notes Repurchases were charged to expense in the first quarter of 2019 and recorded as a partial offset to the gain. The costs incurred in connection with the 7.50% Senior Secured Notes due 2027 Notes issuance and the Revolving Credit Facility Amendment, together with previously deferred debt issuance costs associated with the Revolving Credit Facility, have been deferred to be amortized as interest expense over the terms of the respective instruments. The net gain resulting from the March 2019 Refinancing Transactions was included in the Gain on extinguishment of debt line item in the Condensed Consolidated Statements of Operations.
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June 2019 Revolving Credit Facility Borrowing
In June 2019, the Company borrowed $300.0 million under the Revolving Credit Facility to be used for purposes consistent with the Company’s capital allocation priorities, including for general corporate purposes.
June 2020 Refinancing
In June 2020, the Company executed certain transactions (the June 2020 Refinancing Transactions) that included: (i) the solicitation of consents from the holders of the Old Notes (defined below) to certain amendments to the indentures governing such notes, which, pursuant to a supplemental indenture to each such indenture executed by the respective issuers and guarantors, eliminated substantially all of the restrictive covenants, certain events of default and other provisions contained in each such indenture and (ii) the exchanges (collectively, the Exchange Offers), by certain of the Company’s wholly-owned subsidiaries, of the following:
$204.3 million aggregate principal amount of outstanding 5.375% Senior Notes due 2023, issued by Endo Finance LLC (Endo Finance) and Endo Finco Inc. (Endo Finco) (the Old 5.375% 2023 Notes);
$1,383.4 million aggregate principal amount of outstanding 6.00% Senior Notes due 2023, co-issued by Endo Designated Activity Company (Endo DAC), Endo Finance and Endo Finco (the Old 6.00% 2023 Notes); and
$1,178.4 million aggregate principal amount of outstanding 6.00% Senior Notes due 2025, co-issued by Endo DAC, Endo Finance and Endo Finco (the Old 6.00% 2025 Notes, and collectively with the Old 5.375% 2023 Notes and Old 6.00% 2023 Notes, the Old Notes)
for:
$515.5 million aggregate principal amount of additional 7.50% Senior Secured Notes due 2027 issued by Par Pharmaceutical, Inc. (PPI) (the Additional 7.50% Senior Secured Notes due 2027);
$940.6 million aggregate principal amount of new 9.50% Senior Secured Second Lien Notes due 2027 co-issued by Endo DAC, Endo Finance and Endo Finco (together with the Additional 7.50% Senior Secured Notes due 2027, the New Secured Notes);
$1,260.4 million aggregate principal amount of new 6.00% Senior Notes due 2028 co-issued by Endo DAC, Endo Finance and Endo Finco (collectively with the Additional 7.50% Senior Secured Notes due 2027 and the 9.50% Senior Secured Second Lien Notes due 2027, the New Senior Notes); and
$47.2 million in cash.
The New Senior Notes were issued in a private offering to “qualified institutional buyers” (as defined in Rule 144A under the Securities Act) and outside the U.S. to non-U.S. persons in compliance with Regulation S under the Securities Act.
The Additional 7.50% Senior Secured Notes due 2027 are an additional issuance of our existing $1,500.0 million aggregate principal amount of 7.50% Senior Secured Notes due 2027 issued on March 28, 2019, which we refer to collectively as the 7.50% Senior Secured Notes due 2027. The 7.50% Senior Secured Notes due 2027 are guaranteed on a senior secured basis by the Company and its subsidiaries that also guarantee the Credit Agreement (collectively, the Guarantors). The 7.50% Senior Secured Notes due 2027 are senior secured obligations of PPI and the Guarantors and are secured by the same collateral that secures the Credit Agreement and the Company’s existing senior secured notes. Interest on the Additional 7.50% Senior Secured Notes due 2027 is payable semiannually in arrears on April 1 and October 1 of each year, beginning on October 1, 2020.
The 7.50% Senior Secured Notes due 2027 will mature on April 1, 2027; however, the indenture governing these notes generally allows for redemption prior to maturity, in whole or in part, subject to certain restrictions and limitations described therein, in the following ways:
Before April 1, 2022, the 7.50% Senior Secured Notes due 2027 may be redeemed, in whole or in part, by paying the sum of: (i) 100% of the principal amount being redeemed, (ii) an applicable make-whole premium as described in the indenture and (iii) accrued and unpaid interest to, but excluding, the redemption date.
On or after April 1, 2022, the 7.50% Senior Secured Notes due 2027 may be redeemed, in whole or in part, at redemption prices set forth in the indenture, plus accrued and unpaid interest to, but excluding, the redemption date. The redemption prices for the 7.50% Senior Secured Notes due 2027 vary over time pursuant to a step-down schedule set forth in the indenture, beginning at 105.625% of the principal amount redeemed and decreasing to 100% by April 1, 2025.
Before April 1, 2022, the 7.50% Senior Secured Notes due 2027 may be redeemed, in part (up to 35% of the principal amount outstanding) with the net cash proceeds from specified equity offerings at 107.500% of the principal amount redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.
The 9.50% Senior Secured Second Lien Notes due 2027 are guaranteed on a senior secured second lien basis by the Company and the Guarantors. The 9.50% Senior Secured Second Lien Notes due 2027 are senior secured second lien obligations of Endo DAC, Endo Finance, Endo Finco and the Guarantors and are secured by a second priority lien on, and on a junior basis with respect to, the same collateral that secures the Credit Agreement and the Company’s existing senior secured notes. Interest on the 9.50% Senior Secured Second Lien Notes due 2027 is payable semiannually in arrears on January 31 and July 31 of each year, beginning on January 31, 2021.
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The 9.50% Senior Secured Second Lien Notes due 2027 will mature on July 31, 2027; however, the indenture governing these notes generally allows for redemption prior to maturity, in whole or in part, subject to certain restrictions and limitations described therein, in the following ways:
Before July 31, 2023, the 9.50% Senior Secured Second Lien Notes due 2027 may be redeemed, in whole or in part, by paying the sum of: (i) 100% of the principal amount being redeemed, (ii) an applicable make-whole premium as described in the indenture and (iii) accrued and unpaid interest to, but excluding, the redemption date.
On or after July 31, 2023, the 9.50% Senior Secured Second Lien Notes due 2027 may be redeemed, in whole or in part, at redemption prices set forth in the indenture, plus accrued and unpaid interest to, but excluding, the redemption date. The redemption prices for the 9.50% Senior Secured Second Lien Notes due 2027 vary over time pursuant to a step-down schedule set forth in the indenture, beginning at 107.125% of the principal amount redeemed and decreasing to 100% by July 31, 2026.
Before July 31, 2023, the 9.50% Senior Secured Second Lien Notes due 2027 may be redeemed, in part (up to 40% of the principal amount outstanding) with the net cash proceeds from specified equity offerings at 109.500% of the principal amount redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.
The 6.00% Senior Notes due 2028 are unsecured and effectively subordinated to all of our existing and future secured indebtedness (including the obligations under the Credit Agreement, the existing secured notes and the New Secured Notes) to the extent of the value of the collateral securing such instruments. Interest on the 6.00% Senior Notes due 2028 is payable semiannually in arrears on June 30 and December 30 of each year, beginning on December 30, 2020.
The 6.00% Senior Notes due 2028 will mature on June 30, 2028; however, the indenture governing these notes generally allows for redemption prior to maturity, in whole or in part, subject to certain restrictions and limitations described therein, in the following ways:
Before June 30, 2023, the 6.00% Senior Notes due 2028 may be redeemed, in whole or in part, by paying the sum of: (i) 100% of the principal amount being redeemed, (ii) an applicable make-whole premium as described in the indenture and (iii) accrued and unpaid interest to, but excluding, the redemption date.
On or after June 30, 2023, the 6.00% Senior Notes due 2028 may be redeemed, in whole or in part, at redemption prices set forth in the indenture, plus accrued and unpaid interest to, but excluding, the redemption date. The redemption prices for the 6.00% Senior Notes due 2028 vary over time pursuant to a step-down schedule set forth in the indenture, beginning at 104.500% of the principal amount redeemed and decreasing to 100% by June 30, 2026.
Before June 30, 2023, the 6.00% Senior Notes due 2028 may be redeemed, in part (up to 40% of the principal amount outstanding) with the net cash proceeds from specified equity offerings at 106.000% of the principal amount redeemed, plus accrued and unpaid interest to, but excluding, the redemption date.
The June 2020 Refinancing Transactions were accounted for as debt modifications. Previously deferred and unamortized amounts associated with the Old Notes exchanged will be amortized over the respective terms of the New Senior Notes. In connection with the June 2020 Refinancing Transactions, we incurred fees to third parties of approximately $31.1 million, which were charged to expense and included in Selling, general and administrative expenses in the Condensed Consolidated Statements of Operations.
August 2020 Tender Offer
In August 2020, Endo Finance repurchased and retired approximately $10 million aggregate principal of 5.75% Senior Notes due 2022 pursuant to a tender offer (the August 2020 Tender Offer).
Maturities
The following table presents, as of March 31,September 30, 2020, the maturities on our long-term debt for each of the five fiscal years subsequent to December 31, 2019 (in thousands):
  Maturities (1)
2020 $34,150
2021 $34,150
2022 (2) $247,723
2023 $1,684,430
2024 (2) $3,770,225
Maturities (1)(2)
2020 (3)$34,150 
2021$34,150 
2022 (4)$237,292 
2023$96,713 
2024 (4)$3,770,225 
__________
(1)
Certain amounts borrowed pursuant to the Credit Facilities will immediately mature if certain of our senior notes are not refinanced or repaid in full prior to the date that is 91Certain amounts borrowed pursuant to the Credit Facilities will immediately mature if certain of our senior notes are not refinanced or repaid in full prior to the date that is 91 days prior to the respective stated maturity dates thereof. Accordingly, we may seek to repay or refinance certain senior notes prior to their stated maturity dates. The amounts in this maturities table do not reflect any such early repayment or refinancing; rather, they reflect stated maturity dates.
(2)With respect to the notes impacted by the Exchange Offers and the August 2020 Tender Offer, amounts included in the table above represent maturities as of September 30, 2020 after giving effect to such transactions.
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(3)With respect to the Term Loan Facility, amounts in 2020 include both payments made through September 30, 2020 and expected payments for the remainder of 2020.
(4)Based on the Company’s borrowings under the Revolving Credit Facility that were outstanding at September 30, 2020, $22.8 million will mature in 2022, with the remainder maturing in 2024.

(2)Based on the Company’s borrowings under the Revolving Credit Facility that were outstanding at March 31, 2020, $22.8 million will mature in 2022, with the remainder maturing in 2024.
NOTE 12.13. COMMITMENTS AND CONTINGENCIES
Legal Proceedings and Investigations
We and certain of our subsidiaries are involved in various claims, legal proceedings and internal and governmental investigations (collectively, proceedings) that arisearising from time to time, including, among others, those relating to product liability, intellectual property, regulatory compliance, consumer protection, tax and commercial matters. While we cannot predict the outcome of these proceedings and we intend to vigorously prosecute or defend our position as appropriate, there can be no assurance that we will be successful or obtain any requested relief. An adverse outcome in any of these proceedings could have a material adverse effect on our business, financial condition, results of operations and cash flows. MattersWe are subject to a number of matters that are not being disclosed herein are,because, in the opinion of our management, these matters are immaterial both individually and in the aggregate with respect to our financial position, results of operations and cash flows. If and when such matters, in the opinion of our management, become material, either individually or in the aggregate, we will disclose them.
We believe that certain settlements and judgments, as well as legal defense costs, relating to certain product liability or other matters are or may be covered in whole or in part under our insurance policies with a number of insurance carriers. In certain circumstances, insurance carriers reserve their rights to contest or deny coverage. We intend to contest vigorously any disputes with our insurance carriers and to enforce our rights under the terms of our insurance policies. Accordingly, we will record receivables with respect to amounts due under these policies only when the realization of the potential claim for recovery is considered probable. Amounts recovered under our insurance policies could be materially less than stated coverage limits and may not be adequate to cover damages, other relief and/or costs relating to claims. In addition, there is no guarantee that insurers will pay claims in the amounts that we expect or that coverage will otherwise be available. See the risk factor “We may not have and may be unable to obtain or maintain insurance adequate to cover potential liabilities” in the Annual Report for more information.
As of March 31,September 30, 2020, our accrual for loss contingencies totaled $442.2$374.8 million, the most significant components of which relate to product liability and related matters associated with transvaginal surgical mesh products, which we have not sold since March 2016. Although we believe there is a reasonable possibility that a loss in excess of the amount recognized exists, we are unable to estimate the possible loss or range of loss in excess of the amount recognized at this time. While the timing of the resolution of certain of the matters accrued for as loss contingencies remains uncertain and could extend beyond 12 months, as of March 31,September 30, 2020, the entire liability accrual amount is classified in the Current portion of legal settlement accrual in the Condensed Consolidated Balance Sheets.
Product Liability and RelatedVaginal Mesh Matters
We and certain of our subsidiaries have been named as defendants in numerous lawsuits in various U.S. federal and state courts, and in Canada, Australia and other countries, alleging personal injury resulting from the use of certain products of our subsidiaries, including the product liability and other related matters described below in more detail.
Vaginal Mesh.Since 2008, we and certain of our subsidiaries, including American Medical Systems Holdings, Inc. (AMS) (subsequently converted to Astora Women’s Health Holding LLC and merged into Astora Women’s Health LLC and referred to herein as AMS and/or Astora), have been named as defendants in multiple lawsuits in various state and federal courts in the U.S. (including a federal multidistrict litigation (MDL) in the U.S. District Court for the Southern District of West Virginia), and in Canada, Australia and other countries, alleging personal injury resulting from the use of transvaginal surgical mesh products designed to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Our subsidiariesWe have not sold such products since March 2016. Plaintiffs claim a variety of personal injuries, including chronic pain, incontinence, inability to control bowel function and permanent deformities, and seek compensatory and punitive damages, where available.
Various Master Settlement Agreements (MSAs) and other agreements have resolved up to approximately 71,000 filed and unfiled U.S. mesh claims.claims as of September 30, 2020. These MSAs and other agreements were entered into at various times between June 2013 and the present, were solely by way of compromise and settlement and were not in any way an admission of liability or fault by us or any of our subsidiaries. All MSAs are subject to a process that includes guidelines and procedures for administering the settlements and the release of funds. In certain cases, the MSAs provide for the creation of QSFs into which the settlement funds will be deposited, establish participation requirements and allow for a reduction of the total settlement payment in the event participation thresholds are not met. Funds deposited in QSFs are considered restricted cash and/or restricted cash equivalents. Distribution of funds to any individual claimant is conditioned upon the receipt of documentation substantiating product use, the dismissal of any lawsuit and the release of the claim as to us and all affiliates. Prior to receiving funds, an individual claimant must represent and warrant that liens, assignment rights or other claims identified in the claims administration process have been or will be satisfied by the individual claimant. Confidentiality provisions apply to the settlement funds, amounts allocated to individual claimants and other terms of the agreement.

agreements.
In October 2019, the Ontario Superior Court of Justice approved a class action settlement covering unresolved claims by Canadian women implanted with an AMS vaginal mesh device. Astora funded the settlement in February 2020.
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The following table presents the changes in the QSFs and mesh liability accrual balances during the threenine months ended March 31,September 30, 2020 (in thousands):
Qualified Settlement Funds Mesh Liability AccrualQualified Settlement FundsMesh Liability Accrual
Balance as of December 31, 2019$242,842
 $454,031
Balance as of December 31, 2019$242,842 $454,031 
Additional charges
 30,454
Additional charges— 30,454 
Cash distributions to settle disputes from Qualified Settlement Funds(47,801) (47,801)Cash distributions to settle disputes from Qualified Settlement Funds(107,225)(107,225)
Cash distributions to settle disputes
 (17,819)Cash distributions to settle disputes— (26,559)
Other (1)694
 (2,180)Other (1)726 616 
Balance as of March 31, 2020$195,735
 $416,685
Balance as of September 30, 2020Balance as of September 30, 2020$136,343 $351,317 
__________
(1)Amounts deposited in the QSFs may earn interest, which is generally used to pay administrative costs of the fund and is reflected in the table above as an increase to the QSF and Mesh Liability Accrual balances. Any interest remaining after all claims have been paid will generally be distributed to the claimants who participated in that settlement. Also included within this line are foreign currency adjustments for settlements not denominated in U.S. dollars.
(1)Amounts deposited in the QSFs may earn interest, which is generally used to pay administrative costs of the fund and is reflected in the table above as an increase to the QSF and Mesh Liability Accrual balances. Any interest remaining after all claims have been paid will generally be distributed to the claimants who participated in that settlement. Also included within this line are foreign currency adjustments for settlements not denominated in U.S. dollars.
Charges related to vaginal mesh liability and associated legal fees and other expenses for all periods presented are reported in Discontinued operations, net of tax in our Condensed Consolidated Statements of Operations.
As of March 31,September 30, 2020, the Company has made total cumulative mesh liability payments of approximately $3.6$3.6 billion,, $195.7 $136.3 million of which remains in the QSFs as of March 31,September 30, 2020. We currently expect to fund substantially all of the remaining payments under all previously executed settlement agreements into the QSFs during 2020.2020 and 2021. As the funds are disbursed out of the QSFs from time to time, the liability accrual will be reduced accordingly with a corresponding reduction to restricted cash and cash equivalents. In addition, we may pay cash distributions to settle disputes separate from the QSFs, which will also decrease the liability accrual and decrease cash and cash equivalents.
We were contacted in October 2012 regarding a civil investigation initiated by various U.S. state attorneys general into mesh products, including transvaginal surgical mesh products designed to treat POP and SUI. In November 2013, we received a subpoena relating to this investigation from the state of California, and we have subsequently received additional subpoenas from California and other states. We are cooperating with the investigations.
The MDL court has been remanding MDL cases to their districts of origin for further proceedings. Other cases are proceeding in various state and federal courts. The earliest trial is currently scheduled for August 2020; however, trials may occur earlier or later as timing remains uncertain due to the impact of COVID-19 and other factors. We will continue to vigorously defend any unresolved claims and to explore other options as appropriate in our best interests. The earliest trial is currently scheduled for February 2021; however, the timing of trials is uncertain due to the impact of COVID-19 and other factors.
Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any additional losses that could be incurred.
Although the Company believes it has appropriately estimated the probable total amount of loss associated with all mesh-related matters as of the date of this report, litigation is ongoing in certain cases that have not settled, and it is reasonably possible that further claims may be filed or asserted and that adjustments to our overall liability accrual may be required. This could have a material adverse effect on our business, financial condition, results of operations and cash flows.
Opioid-Related Matters
Since 2014, multiple U.S. states as well as other governmental persons or entities and private plaintiffs in the U.S. and Canada have filed suit against us and/or certain of our subsidiaries, including Endo Health Solutions Inc. (EHSI), Endo Pharmaceuticals Inc. (EPI), Par Pharmaceutical, Inc. (PPI),PPI, Par Pharmaceutical Companies, Inc. (PPCI), Endo Generics Holdings, Inc. (EGHI), Vintage Pharmaceuticals, LLC, Generics Bidco I, LLC, and DAVA Pharmaceuticals, LLC, Par Sterile Products, LLC (PSP LLC) and in Canada, Paladin, as well as various other manufacturers, distributors, pharmacies and/or others, asserting claims relating to defendants’ alleged sales, marketing and/or distribution practices with respect to prescription opioid medications, including certain of our products. As of AprilOctober 30, 2020, filed cases in the U.S. of which we were aware include, but are not limited to, approximately 20 cases filed by or on behalf of states; approximately 2,7802,870 cases filed by counties, cities, Native American tribes and/or other government-related persons or entities; approximately 280295 cases filed by hospitals, health systems, unions, health and welfare funds or other third-party payers and approximately 160175 cases filed by individuals. Certain of the cases have been filed as putative class actions. The Canadian cases include an action filed by British Columbia on behalf of a proposed class of all federal, provincial and territorial governments and agencies in Canada that paid healthcare, pharmaceutical and treatment costs related to opioids, an action filed by the City of Grand Prairie, Alberta on behalf of a proposed class of all local or municipal governments in Canada, as well as 3 additional putative class actions, filed in Ontario, Quebec and British Columbia, seeking relief on behalf of Canadian residents who were prescribed and/or consumed opioid medications.

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Many of the U.S. cases have been coordinated in a federal MDLmultidistrict litigation (MDL) pending in the U.S. District Court for the Northern District of Ohio. Other cases are pending in various federal or state courts. The cases are at various stages.stages in the litigation process. The first MDL trial, relating to the claims of 2 Ohio counties (Track One plaintiffs), was set for October 2019 but did not go forward after most defendants settled. EPI, EHSI, PPI and PPCI executed a settlement agreement with the Track One plaintiffs in September 2019 which provided for payments totaling $10$10 million and up to $1$1 million of VASOSTRICT® and/or ADRENALIN®. Under the settlement agreement, the Track One plaintiffs may be entitled to additional payments in the event of a comprehensive resolution of government-related opioid claims. The settlement agreement was solely by way of compromise and settlement and was not in any way an admission of liability or fault by us or any of our subsidiaries. The earliest trial is currently scheduled for August 2020;2021; however, trials may occur earlier or later as timing remains uncertain due to the impact of COVID-19 and other factors. Most cases remain at the pleading and/or discovery stage.
The complaints in the cases assert a variety of claims, including but not limited to statutory claims asserting violations of public nuisance, consumer protection, unfair trade practices, racketeering, Medicaid fraud and/or drug dealer liability laws and/or common law claims for public nuisance, fraud/misrepresentation, strict liability, negligence and/or unjust enrichment. The claims are generally based on alleged misrepresentations and/or omissions in connection with the sale and marketing of prescription opioid medications and/or alleged failures to take adequate steps to identify and report suspicious orders and to prevent abuse and diversion. Plaintiffs have generally sought various remedies including, without limitation, declaratory and/or injunctive relief; compensatory, punitive and/or treble damages; restitution, disgorgement, civil penalties, abatement, attorneys’ fees, costs and/or other relief.
We will continue to vigorously defend the foregoing matters and to explore other options as appropriate in our best interests. Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
In September 2019, EPI, EHSI, PPI and PPCI received subpoenas from the New York State Department of Financial Services (DFS) seeking documents and information regarding the marketing, sale and distribution of opioid medications in New York. In June 2020, DFS commenced an administrative action against the Company, EPI, EHSI, PPI and PPCI alleging violations of the New York Insurance Law and New York Financial Services Law. The statement of charges alleges that fraudulent or otherwise wrongful conduct in the marketing, sale and/or distribution of opioid medications caused false claims to be submitted to insurers and seeks civil penalties for each allegedly fraudulent prescription as well as injunctive relief. The action is currently set for hearing in January 2021.
In addition to the lawsuits and administrative matters described above, the Company and/or its subsidiaries have received certain subpoenas, civil investigative demands (CIDs) and informal requests for information concerning the sale, marketing and/or distribution of prescription opioid medications, including the following:
Various state attorneys general have served subpoenas and/or CIDs on EHSI and/or EPI. We are cooperating with the investigations.
In January 2018, EPI received a federal grand jury subpoena from the U.S. District Court for the Southern District of Florida seeking documents and information related to OPANA® ER, other oxymorphone products and marketing of opioid medications. We are cooperating with the investigation.
In September 2019, EPI, EHSI, PPI and PPCI received subpoenas from the New York State Department of Financial Services seeking documents and information regarding the marketing, sale and distribution of opioid medications in New York. We are providing information responsive to these subpoenas.
Similar investigations may be brought by others or the foregoing matters may be expanded or result in litigation. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
In January 2020, EPI and PPI executed a settlement agreement with the state of Oklahoma providing for a payment of approximately $8.75 million in resolution of potential opioid-related claims. The settlement agreement was solely by way of compromise and settlement and was not in any way an admission of liability or fault by us or any of our subsidiaries.
Ranitidine Matters
In June 2020, an MDL pending in the U.S. District Court for the Southern District of Florida, In re Zantac (Ranitidine) Products Liability Litigation, was expanded to add PPI and numerous other manufacturers and distributors of generic ranitidine as defendants. The claims are generally based on allegations that under certain conditions the active ingredient in Zantac® and generic ranitidine medications can break down to form an alleged carcinogen known as N-Nitrosodimethylamine (NDMA). PPI and its subsidiaries have not manufactured or sold ranitidine since 2016.
The MDL includes individual plaintiffs as well as putative classes of consumers and third-party payers. The complaints assert a variety of claims, including but not limited to various product liability, breach of warranty, fraud, negligence, statutory and unjust enrichment claims. Plaintiffs generally seek various remedies including, without limitation, compensatory, punitive and/or treble damages; restitution, disgorgement, civil penalties, abatement, attorneys’ fees and costs as well as injunctive and/or other relief.
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The MDL court has issued various case management orders, including a scheduling order for briefing of defendants’ motions to dismiss and orders allowing certain discovery to commence.
We will continue to vigorously defend the foregoing matters and to explore other options as appropriate in our best interests. Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
Generic Drug Pricing Matters
Since March 2016, various private plaintiffs, and state attorneys general and other governmental entities have filed cases against our subsidiary PPI and/or, in some instances, the Company, Generics Bidco I, LLC, DAVA Pharmaceuticals, LLC, EPI, EHSI and/or PPCI, as well as other pharmaceutical manufacturers and, in some instances, other corporate and/or individual defendants, alleging price-fixing and other anticompetitive conduct with respect to generic pharmaceutical products. These cases, which include proposed class actions filed on behalf of direct purchasers, end-payers and indirect purchaser resellers, as well as non-class action suits, have generally been consolidated and/or coordinated for pretrial proceedings in a federal MDL pending in the U.S. District Court for the Eastern District of Pennsylvania. There is also a proposed class action filed in the Federal Court of Canada on behalf of a proposed class of Canadian purchasers.
The various complaints and amended complaints generally assert claims under federal and/or state antitrust law, state consumer protection statutes and/or state common law, and seek damages, treble damages, civil penalties, disgorgement, declaratory and injunctive relief, costs and attorneys’ fees. Some claims are based on alleged product-specific conspiracies and other claims allege broader, multiple-product conspiracies. Under these overarching conspiracy theories, plaintiffs generally seek to hold all alleged participants in a particular conspiracy jointly and severally liable for all harms caused by the alleged conspiracy, not just harms related to the products manufactured and/or sold by a particular defendant.

The MDL court has issued various case management and substantive orders, including orders denying certain motions to dismiss, and discovery is ongoing.
We will continue to vigorously defend the foregoing matters and to explore other options as appropriate in our best interests. Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
In December 2014, our subsidiary PPI received from the Antitrust Division of the U.S. Department of Justice (DOJ) a federal grand jury subpoena issued by the U.S. District Court for the Eastern District of Pennsylvania addressed to “Par Pharmaceuticals.” The subpoena requested documents and information focused primarily on product and pricing information relating to the authorized generic version of Lanoxin® (digoxin) oral tablets and generic doxycycline products, and on communications with competitors and others regarding those products. We are cooperating with the investigation.
In May 2018, we and our subsidiary PPCI each received a CID from the DOJ in relation to a False Claims Act investigation concerning whether generic pharmaceutical manufacturers engaged in price-fixing and market allocation agreements, paid illegal remuneration and caused the submission of false claims. We are cooperating with the investigation.
Similar investigations may be brought by others or the foregoing matters may be expanded or result in litigation. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
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Other Antitrust Matters
Beginning in November 2013, multiple alleged purchasers of LIDODERM® sued our subsidiary EPI and other pharmaceutical companies alleging violations of antitrust law arising out of theirthe defendants’ settlement of certain patent infringement litigation. The various complaints asserted claims under Sections 1 and 2 of the Sherman Act, state antitrust and consumer protection statutes and/or state common law and sought damages, treble damages, disgorgement of profits, restitution, injunctive relief and attorneys’ fees. These cases were consolidated and/or coordinated in a federal MDL in the U.S. District Court for the Northern District of California. The last cases remaining in the MDL were dismissed with prejudice in September 2018, when the court approved EPI’s settlements with direct and indirect purchaser classes. Those settlement agreements provided for aggregate payments of approximately $100 million.$100 million. Of this total, EPI paid approximately $60$60 million in 2018, $30$30 million in the first quarter of 2019 and $10 million in the first quarter of 2020. In September 2019, Blue Cross Blue Shield of Michigan and Blue Care Network of Michigan filed a complaint against EPI and other pharmaceutical companies in the Third Judicial Circuit Court, Wayne County, Michigan, asserting claims substantially similar to those asserted in the MDL. In October 2019, certain defendants removed the case to federal court; in April 2020, the case was remanded back to state court. In June 2020, defendants filed a motion for summary disposition, which was granted in part and denied in part in October 2020.
Beginning in June 2014, multiple alleged purchasers of OPANA® ER sued our subsidiaries EHSI and EPI and other pharmaceutical companies including Impax Laboratories, LLC (formerly Impax Laboratories, Inc. and referred to herein as Impax) and Penwest Pharmaceuticals Co., which our subsidiary EPI had acquired, alleging violations of antitrust law arising out of an agreement reached by EPI and Impax to settle certain patent infringement litigation and EPI’s introduction of reformulated OPANA® ER. Some cases were filed on behalf of putative classes of direct and indirect purchasers, while others were filed on behalf of individual retailers or health care benefit plans. The cases have been consolidated and/or coordinated for pretrial proceedings in a federal MDL pending in the U.S. District Court for the Northern District of Illinois. The various complaints assert claims under Sections 1 and 2 of the Sherman Act, state antitrust and consumer protection statutes and/or state common law. Plaintiffs generally seek damages, treble damages, disgorgement of profits, restitution, injunctive relief and attorneys’ fees. In March 2019, direct and indirect purchaser plaintiffs filed motions for class certification, which remain pending. In April 2020, defendants filed motions for summary judgment.judgment, which remain pending.

Beginning in February 2009, the Federal Trade Commission (FTC) and certain private plaintiffs sued our subsidiaries PPCI (since June 2016, EGHI) and/or PPI as well as other pharmaceutical companies alleging violations of antitrust law arising out of the settlement of certain patent litigation concerning the generic version of AndroGel® and seeking damages, treble damages, equitable relief and attorneys’ fees and costs. The cases were consolidated and/or coordinated for pretrial proceedings in a federal MDL pending in the U.S. District Court for the Northern District of Georgia. In May 2016, plaintiffs representing a putative class of indirect purchasers voluntarily dismissed their claims with prejudice. In February 2017, the FTC voluntarily dismissed its claims against EGHI with prejudice. In June 2018, the MDL court granted in part and denied in part various summary judgment and evidentiary motions filed by defendants. In particular, among other things, the court rejected two of the remaining plaintiffs’ causation theories and rejected damages claims related to AndroGel® 1.62%. In July 2018, the court denied certain plaintiffs’ motion for certification of a direct purchaser class. In November 2019, PPI and PPCI entered into settlement agreements with all but one of the remaining plaintiffs in the MDL. The settlement agreements were solely by way of compromise and settlement and were not in any way an admission of liability or fault. Separately, in August 2019, several alleged direct purchasers filed suit in the U.S. District Court for the Eastern District of Pennsylvania asserting claims substantially similar to those asserted in the MDL, as well as additional claims against other defendants relating to other alleged conduct. In January 2020, the U.S. District Court for the Eastern District of Pennsylvania denied defendants’ motion to transfer venue to the Northern District of Georgia.
Beginning in February 2018, several alleged indirect purchasers filed proposed class actions against our subsidiary PPI and other pharmaceutical companies alleging violations of antitrust law arising out of the settlement of certain patent litigation concerning the generic version of Zetia® (ezetimibe). The various complaints asserted claims under Sections 1 and 2 of the Sherman Act, state antitrust and consumer protection statutes and/or state common law and sought injunctive relief, damages, treble damages, attorneys’ fees and costs. In June 2018, these and other related cases, including proposed direct purchaser class actions in which PPI was not named as a defendant, were consolidated and/or coordinated for pretrial proceedings in a federal MDL in the U.S. District Court for the Eastern District of Virginia. In September 2018, the indirect purchaser plaintiffs dismissed their claims against PPI without prejudice. In June and July 2019, the MDL court granted the direct purchaser plaintiffs and certain retailer plaintiffs leave to file amended complaints adding PPI as a defendant. In July 2019, PPI entered into settlement agreements with both the direct purchaser plaintiffs and the retailer plaintiffs. In September 2020, United Health Care Services, Inc. (UHC) filed a separate complaint against various defendants, including PPI; this complaint was also transferred to the MDL for pretrial proceedings. In October 2020, PPI entered into a settlement agreement with UHC. The direct purchaser settlement was subject to court approval, which was granted in March 2020. The various settlement agreements were solely by way of compromise and settlement, were not in any way an admission of liability or fault and involved no monetary payment.
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Beginning in May 2018, multiple complaints were filed in the U.S. District Court for the Southern District of New York against PPI, EPI and/or us, as well as other pharmaceutical companies, alleging violations of antitrust law arising out of the settlement of certain patent litigation concerning the generic version of Exforge® (amlodipine/valsartan). Some cases were filed on behalf of putative classes of direct and indirect purchasers; others are non-class action suits. The various complaints assert claims under Sections 1 and 2 of the Sherman Act, state antitrust and consumer protection statutes and/or state common law. Plaintiffs generally seek damages, treble damages, equitable relief and attorneys’ fees and costs. In September 2018, the putative class plaintiffs stipulated to the dismissal without prejudice of their claims against EPI and us, and the retailer plaintiffs later did the same. PPI filed a partial motion to dismiss certain claims in September 2018, which was granted in August 2019. The cases are currently in discovery.
Beginning in August 2019, multiple complaints were filed in the U.S. District Court for the Southern District of New York against PPI and other pharmaceutical companies alleging violations of antitrust law arising out the settlement of certain patent litigation concerning generic versions of Seroquel XR® (extended release quetiapine fumarate). The claims against PPI are based on allegations that PPI entered into an exclusive acquisition and license agreement with Handa Pharmaceuticals, LLC (Handa) in 2012 pursuant to which Handa assigned to PPI certain rights under a prior settlement agreement between Handa and AstraZeneca resolving certain patent litigation. Some cases were filed on behalf of putative classes of direct and indirect purchasers; others are non-class action suits. The various complaints assert claims under Sections 1 and 2 of the Sherman Act, state antitrust and consumer protection statutes and/or state common law. Plaintiffs generally seek damages, treble damages, equitable relief and attorneys’ fees and costs. In October 2019, the defendants filed various motions to dismiss and, in the alternative, moved to transfer the litigation to the U.S. District Court for the District of Delaware. In August 2020, the Southern District of New York granted the motion to transfer without ruling on the motions to dismiss. The cases are now pending in the District of Delaware.
Beginning in June 2020, several alleged indirect purchasers filed proposed class actions against Jazz Pharmaceuticals and other pharmaceutical companies, including PPI, alleging violations of state and federal antitrust laws in connection with the settlement of certain patent litigations concerning generic versions of Xyrem® (sodium oxybate). Certain complaints were filed in the U.S. District Court for the Northern District of Illinois; others were filed in the U.S. District Court for the Northern District of California or the U.S. District Court for the Southern District of New York. The various complaints allege that Jazz entered into a series of “reverse-payment” settlements, including with PPI, to delay generic competition for Xyrem® and assert claims under Sections 1 and 2 of the Sherman Act, Section 16 of the Clayton Act, state antitrust and consumer protection statutes and/or state common law. Plaintiffs generally seek damages, treble damages, equitable relief and attorneys’ fees and costs. In July 2020, certain plaintiffs who had filed in the Northern District of Illinois voluntarily dismissed their cases and re-filed them in the Northern District of California. In August 2020, a plaintiff petitioned the Judicial Panel on Multidistrict Litigation (the JPML) to consolidate all related actions in the Southern District of New York. In October 2020, the actions filed in the Northern District of California were stayed pending a decision by the JPML.
To the extent unresolved, we will continue to vigorously defend the foregoing matters and to explore other options as appropriate in our best interests. Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
In February 2015, EGHI and affiliates received a CID from the Office of the Attorney General for the state of Alaska seeking documents and information regarding EGHI’s settlement of AndroGel® patent litigation as well as documents produced in the aforementioned litigation filed by the FTC. Also in February 2015, EHSI received a CID from Alaska’s Office of the Attorney General seeking production of certain documents and information concerning agreements with Actavis and Impax settling OPANA® ER patent litigation. We are cooperating with the investigations.
In July 2019, EPI received a CID from the FTC seeking documents and information regarding oxymorphone ER and EPI’s settlement of a contract dispute with Impax (now Amneal) in August 2017. We are cooperating with the investigation.

Similar investigations may be brought by others or the foregoing matters may be expanded or result in litigation. We are unable to predict the outcome of these matters or to estimate the possible range of any additional losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
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Securities Litigation
In February 2017, a putative class action entitled Public Employees’ Retirement System of Mississippi v. Endo International plc was filed in the Court of Common Pleas of Chester County, Pennsylvania by an institutional purchaser of shares in our June 2, 2015 public offering. The complaint alleged violations of Sections 11, 12(a)(2) and 15 of the Securities Act of 1933 against us, certain of our current and former directors and officers, and the underwriters who participated in the offering, based on certain disclosures about Endo’s generics business. In June 2019, the parties entered into a settlement providing for, among other things, a $50 million payment to the investor class in exchange for a release of their claims. In December 2019, the court denied a petition to intervene filed by the lead plaintiff in the Pelletier litigation described below, and granted final approval of the settlement. In December 2019, the putative intervenor appealed the denial of its petition to intervene and the final approval order to Pennsylvania Superior Court. That appeal remains pending. As a result of the settlement, during the first quarter of 2019, the Company recorded an increase of approximately $50 million to its accrual for loss contingencies. As the Company’s insurers agreed to fund the settlement, the Company also recorded a corresponding insurance receivable of approximately $50 million during the first quarter of 2019, which was recorded as Prepaid expenses and other current assets in the Condensed Consolidated Balance Sheets. The Company’s insurers funded the settlement during the third quarter of 2019, resulting in corresponding decreases to the Company’s accrual for loss contingencies and insurance receivable.
In April 2017, a putative class action entitled Phaedra A. Makris v. Endo International plc, Rajiv Kanishka Liyanaarchchie de Silva and Suketu P. Upadhyay was filed in the Superior Court of Justice in Ontario, Canada by an individual shareholder on behalf of herself and similarly-situated Canadian-based investors who purchased Endo’s securities between January 11 and May 5, 2016. The statement of claim sought class certification, declaratory relief, damages, interest and costs based on alleged violations of the Ontario Securities Act arising out of alleged negligent misrepresentations concerning the Company’s revenues, profit margins and earnings per share; its receipt of a subpoena from the state of Connecticut regarding doxycycline hyclate, amitriptyline hydrochloride, doxazosin mesylate, methotrexate sodium and oxybutynin chloride; and the erosion of the Company’s U.S. generic pharmaceuticals business. In January 2019, plaintiff amended her statement of claim to add a claim on behalf of herself and similarly-situated Canadian investors who purchased Endo’s securities between January 11, 2016 and June 8, 2017, based on our decision to voluntarily remove reformulated OPANA® ER from the market. In AprilJune 2020, the parties reachedentered into a settlement agreement resolving the case. The court approved the settlement in principle, which will be subject to court approval.October 2020. The amount of the settlement is not material to the Company and is expected to behas been funded by the Company’s insurers.
In November 2017, a putative class action entitled Pelletier v. Endo International plc, Rajiv Kanishka Liyanaarchchie De Silva, Suketu P. Upadhyay and Paul V. Campanelli was filed in the U.S. District Court for the Eastern District of Pennsylvania by an individual shareholder on behalf of himself and all similarly situated shareholders. The lawsuit alleges violations of Section 10(b) and 20(a) of the Exchange Act and Rule 10b-5 promulgated thereunder relating to the pricing of various generic pharmaceutical products. In June 2018, the court appointed Park Employees’ and Retirement Board Employees’ Annuity Benefit Fund of Chicago lead plaintiff in the action. In September 2018, the defendants filed a motion to dismiss, which the court granted in part and denied in part in February 2020. In particular, the court granted the motion and dismissed the claims with prejudice insofar as they were based on an alleged price-fixing conspiracy; the court otherwise denied the motion to dismiss, allowing other aspects of lead plaintiff’s claims to proceed. In June 2020, the lead plaintiff moved for class certification; that motion remains pending.
In June 2020, a putative class action entitled Benoit Albiges v. Endo International plc, Paul V. Campanelli, Blaise Coleman, and Mark T. Bradley was filed in the U.S. District Court for the District of New Jersey by an individual shareholder on behalf of himself and all similarly situated shareholders. The lawsuit alleges violations of Section 10(b) and 20(a) of the Exchange Act and Rule 10b-5 promulgated thereunder, relating to the marketing and sale of opioid medications and the New York Department of Financial Services’ administrative action against the Company, EPI, EHSI, PPI and PPCI. In September 2020, the court appointed Curtis Laakso lead plaintiff in the action.
To the extent unresolved, we will continue to vigorously defend the foregoing matters and to explore other options as appropriate in our best interests. Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
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VASOSTRICT® Related Matters
In July 2016, Fresenius Kabi USA, LLC (Fresenius) sued our subsidiaries PPCI and Par Sterile Products,PSP LLC (PSP LLC) in the U.S. District Court for the District of New Jersey alleging an anticompetitive scheme to exclude competition for PPCI’s VASOSTRICT®, a vasopressin-based cardiopulmonary drug. In particular, Fresenius alleged violations of Sections 1 and 2 of the Sherman Antitrust Act, as well as state antitrust and common law, based on assertions that our subsidiaries entered into exclusive supply agreements with one or more active pharmaceutical ingredient (API) manufacturers and that, as a result, Fresenius could not obtain vasopressin API in order to file an Abbreviated New Drug Application (ANDA) to obtain U.S. Food and Drug Administration (FDA) approval for its own vasopressin product. Fresenius sought actual, treble and punitive damages, attorneys’ fees and costs and injunctive relief. In February 2020, the court granted our subsidiaries’ motion for summary judgment on all claims and denied Fresenius’s cross-motion for partial summary judgment. In March 2020, Fresenius filed a notice of appealhas appealed to the U.S. Court of Appeals for the Third Circuit.Circuit; the appeal remains pending.

In August 2017, our subsidiaries PPI and PSP LLC filed a complaint for actual, exemplary and punitive damages, injunctive relief and other relief against QuVa Pharma, Inc. (QuVa), Stuart Hinchen, Peter Jenkins and Mike Rutkowski in the U.S. District Court for the District of New Jersey. The complaint alleges misappropriation in violation of the federal Defend Trade Secrets Act, New Jersey’s Trade Secrets Act and New Jersey common law, as well as unfair competition, breach of contract, breach of fiduciary duty, breach of the duty of loyalty, tortious interference with contractual relations and breach of the duty of confidence in connection with VASOSTRICT®. In November 2017, we filed a motion for preliminary injunction seeking various forms of relief. In March 2018, the court granted in part our motion for preliminary injunction and enjoined QuVa from marketing and releasing its planned vasopressin product through the conclusion of trial. We subsequently deposited a bond to the court’s interest-bearing account to secure the preliminary injunction. In May 2018, defendants filed a notice of appeal to the Third Circuit Court of Appeals indicating intent to appeal the court’s preliminary injunction. In February 2019, the defendants filed counterclaims for defamation, tortious interference with contract, tortious interference with prospective business relations and witness interference. The counterclaims seek actual, exemplary and punitive damages and other relief. In March 2019, we filed a motion to dismiss all of the defendants’ counterclaims. In April 2019, the Third Circuit Court of Appeals affirmed the court’s preliminary injunction but remanded for additional fact-finding concerning the duration of the preliminary injunction and, if needed, consideration of the additional trade secrets raised in our motion for preliminary injunction but not addressed by the preliminary injunction order. In September 2019, following the decision in Athenex Inc. v. Azar, No. 19-cv-00603, 2019 WL 3501811 (D.D.C. Aug. 1, 2019), which upheld the FDA’s determination that there is no clinical need for outsourcing facilities to compound drugs using bulk vasopressin, the parties submitted a proposed consent order to the district court agreeing to a lifting of the preliminary injunction against QuVa but reserving PPI and PSP LLC’s right to seek return or reduction of the bond. In January 2020, the court granted our motion to dismiss the defendants’ counterclaims and ordered the preliminary injunction lifted while the bond remains in place pending an adjudication on the merits. In March 2020, we filed a motion for partial summary judgment on the merits of PPI and PSP LLC’s breach of contract claims. That motion was denied in October 2020.
Beginning in April 2018, PSP LLC and PPI received notice letters from Eagle Pharmaceuticals, Inc., Sandoz, Inc., Amphastar Pharmaceuticals, Inc., Amneal Pharmaceuticals LLC, American Regent, Fresenius, Dr. Reddy’s Laboratories, Inc. and Aurobindo Pharma Limited advising of the filing by such companies of ANDAs/New Drug Applications (NDAs) for generic versions of VASOSTRICT® (vasopressin IV solution (infusion)) 20 units/ml and/or 200 units/10 ml. Beginning in May 2018, PSP LLC, PPI and Endo Par Innovation Company, LLC filed lawsuits against Eagle Pharmaceuticals, Inc., Sandoz, Inc., Amphastar Pharmaceuticals, Inc., Amneal Pharmaceuticals LLC, American Regent and Fresenius in the U.S. District Court for the District of Delaware or New Jersey within the 45-day deadline to invoke a 30-month stay of FDA approval pursuant to the Hatch-Waxman legislative scheme. In May 2020 we reached a settlement with American Regent. In June 2020 we reached a settlement with Sandoz. In August 2020, we reached a settlement with Amphastar Pharmaceuticals and in September 2020, we reached a settlement with Fresenius. As a result of settling the Sandoz case, all remaining cases are pending in the U.S. District Court for the District of Delaware. The earliestremaining cases against Eagle Pharmaceuticals, Inc. and Amneal Pharmaceuticals LLC have been consolidated and trial is presently scheduled for January 2021; however, a trial may occur earlier or later as timing remains uncertain due to the impact of COVID-19 and other factors.
We will continue to vigorously defend or prosecute the foregoing matters as appropriate, to protect our intellectual property rights, to pursue all available legal and regulatory avenues and to explore other options as appropriate in our best interests. Similar matters may be brought by others or the foregoing matters may be expanded. We are unable to predict the outcome of these matters or to estimate the possible range of any additional losses that could be incurred. Adjustments to our overall liability accrual may be required in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
Other Proceedings and Investigations
Proceedings similar to those described above may also be brought in the future. Additionally, we are involved in, or have been involved in, arbitrations or various other proceedings that arise from the normal course of our business. We cannot predict the timing or outcome of these other proceedings. Currently, neither we nor our subsidiaries are involved in any other proceedings that we expect to have a material effect on our business, financial condition, results of operations and cash flows.
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NOTE 13.14. OTHER COMPREHENSIVE INCOME (LOSS) INCOME
During the three and nine months ended March 31,September 30, 2020 and 2019, there were 0 tax effects allocated to any component of Other comprehensive income (loss) income and there were 0 reclassifications out of Accumulated other comprehensive loss. Substantially all of the Company’s Accumulated other comprehensive loss balances at March 31,September 30, 2020 and December 31, 2019 consist of Foreign currency translation loss.

NOTE 14.15. SHAREHOLDERS' DEFICIT
The following table presents a reconciliation of the beginning and ending balances in Total shareholders' deficit for the three and nine months ended March 31,September 30, 2020 (in thousands):
Euro Deferred SharesOrdinary SharesAdditional Paid-in CapitalAccumulated DeficitAccumulated Other Comprehensive LossTotal Shareholders' Deficit
BALANCE, DECEMBER 31, 2019$45 $23 $8,904,692 $(9,552,214)$(219,090)$(866,544)
Net income— — — 129,930 — 129,930 
Other comprehensive loss— — — — (14,437)(14,437)
Compensation related to share-based awards— — 17,645 — — 17,645 
Tax withholding for restricted shares— — (4,398)— — (4,398)
Other(1)— (12)— — (13)
BALANCE, MARCH 31, 2020$44 $23 $8,917,927 $(9,422,284)$(233,527)$(737,817)
Net income— — — 10,558 — 10,558 
Other comprehensive income— — — — 5,624 5,624 
Compensation related to share-based awards— — 9,222 — — 9,222 
Tax withholding for restricted shares— — (2,467)— — (2,467)
Other— 12 — — 13 
BALANCE, JUNE 30, 2020$45 $23 $8,924,694 $(9,411,726)$(227,903)$(714,867)
Net loss— — — (75,887)— (75,887)
Other comprehensive income— — — — 2,755 2,755 
Compensation related to share-based awards— — 6,585 — — 6,585 
Tax withholding for restricted shares— — (1,070)— — (1,070)
Other— — — — 
BALANCE, SEPTEMBER 30, 2020$47 $23 $8,930,209 $(9,487,613)$(225,148)$(782,482)
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 Euro Deferred Shares Ordinary Shares Additional Paid-in Capital Accumulated Deficit Accumulated Other Comprehensive Loss Total Shareholders' Deficit
BALANCE, DECEMBER 31, 2019$45
 $23
 $8,904,692
 $(9,552,214) $(219,090) $(866,544)
Net income
 
 
 129,930
 
 129,930
Other comprehensive loss
 
 
 
 (14,437) (14,437)
Compensation related to share-based awards
 
 17,645
 
 
 17,645
Tax withholding for restricted shares
 
 (4,398) 
 
 (4,398)
Other(1) 
 (12) 
 
 (13)
BALANCE, MARCH 31, 2020$44
 $23
 $8,917,927
 $(9,422,284) $(233,527) $(737,817)
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The following table presents a reconciliation of the beginning and ending balances in Total shareholders' deficit for the three and nine months ended March 31,September 30, 2019 (in thousands):
 Euro Deferred Shares Ordinary Shares Additional Paid-in Capital Accumulated Deficit Accumulated Other Comprehensive Loss Total Shareholders' Deficit
BALANCE, DECEMBER 31, 2018, PRIOR TO THE ADOPTION OF ASC 842, LEASES$46
 $22
 $8,855,810
 $(9,124,932) $(229,229) $(498,283)
Effect of adopting ASC 842, Leases
 
 
 (4,646) 
 (4,646)
BALANCE, JANUARY 1, 2019$46
 $22
 $8,855,810
 $(9,129,578) $(229,229) $(502,929)
Net loss
 
 
 (18,573) 
 (18,573)
Other comprehensive income
 
 
 
 4,730
 4,730
Compensation related to share-based awards
 
 24,733
 
 
 24,733
Exercise of options
 
 4
 
 
 4
Tax withholding for restricted shares
 
 (2,414) 
 
 (2,414)
Other(1) 
 
 
 
 (1)
BALANCE, MARCH 31, 2019$45
 $22
 $8,878,133
 $(9,148,151) $(224,499) $(494,450)

Euro Deferred SharesOrdinary SharesAdditional Paid-in CapitalAccumulated DeficitAccumulated Other Comprehensive LossTotal Shareholders' Deficit
BALANCE, DECEMBER 31, 2018, PRIOR TO THE ADOPTION OF ASC 842, LEASES
$46 $22 $8,855,810 $(9,124,932)$(229,229)$(498,283)
Effect of adopting ASC 842, Leases
— — — (4,646)— (4,646)
BALANCE, JANUARY 1, 2019$46 $22 $8,855,810 $(9,129,578)$(229,229)$(502,929)
Net loss— — — (18,573)— (18,573)
Other comprehensive income— — — — 4,730 4,730 
Compensation related to share-based awards— — 24,733 — — 24,733 
Exercise of options— — — — 
Tax withholding for restricted shares— — (2,414)— — (2,414)
Other(1)— — — — (1)
BALANCE, MARCH 31, 2019$45 $22 $8,878,133 $(9,148,151)$(224,499)$(494,450)
Net loss— — — (106,005)— (106,005)
Other comprehensive income— — — — 4,395 4,395 
Compensation related to share-based awards— — 12,600 — — 12,600 
Tax withholding for restricted shares— — (7,013)— — (7,013)
Other— — — — 
BALANCE, JUNE 30, 2019$45 $23 $8,883,720 $(9,254,156)$(220,104)$(590,472)
Net loss— — — (79,415)— (79,415)
Other comprehensive loss— — — — (2,515)(2,515)
Compensation related to share-based awards— — 11,576 — — 11,576 
Tax withholding for restricted shares— — (650)— — (650)
Other(1)— — — (1)
BALANCE, SEPTEMBER 30, 2019$44 $23 $8,894,646 $(9,333,571)$(222,619)$(661,477)
Share-Based Compensation
The Company recognized share-based compensation expense of $17.6$6.6 million and $24.7$11.6 million during the three months ended March 31,September 30, 2020 and 2019, respectively, and $33.5 million and $48.9 million during the nine months ended September 30, 2020 and 2019, respectively. As of March 31,September 30, 2020,, the total remaining unrecognized compensation cost related to non-vested share-based compensation awards amounted to $49.3$30.7 million.
As of March 31,September 30, 2020,, the weighted average remaining requisite service period for non-vested stock options was 0.60.4 years and for non-vested restricted stock units was 1.81.5 years.
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NOTE 15.16. OTHER (INCOME) EXPENSE, NET
The components of Other (income) expense, net for the three and nine months ended March 31,September 30, 2020 and 2019 are as follows (in thousands):
 Three Months Ended March 31,
 2020 2019
Net (gain) loss on sale of business and other assets (1)$(8,192) $1,294
Foreign currency (gain) loss, net (2)(5,639)
1,716
Net loss from our investments in the equity of other companies (3)249

2,086
Other miscellaneous, net(392)
(294)
Other (income) expense, net$(13,974)
$4,802

Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Net gain on sale of business and other assets (1)$(1,888)$(1,933)$(16,730)$(3,101)
Foreign currency loss (gain), net (2)1,332 579 (1,491)4,336 
Net (gain) loss from our investments in the equity of other companies (3)(2,609)191 (2,373)2,546 
Other miscellaneous, net (4)(4,029)17,366 (4,724)16,627 
Other (income) expense, net$(7,194)$16,203 $(25,318)$20,408 
__________
(1)Amounts primarily relate to the sales of various ANDAs.
(2)Amounts relate to the remeasurement of the Company’s foreign currency denominated assets and liabilities.
(3)Amounts relate to the income statement impacts of our investments in the equity of other companies, including investments accounted for under the equity method.
(1)Amounts primarily relate to the sales of certain intellectual property rights.
(2)Amounts relate to the remeasurement of the Company’s foreign currency denominated assets and liabilities.
(3)Amounts relate to the income statement impacts of our investments in the equity of other companies, including investments accounted for under the equity method.
(4)Amounts during the three and nine months ended September 30, 2019 primarily relate to $17.5 million of contract termination costs incurred as a result of certain product discontinuation activities in our International Pharmaceuticals segment.
NOTE 16.17. INCOME TAXES
The following table displays our Income (loss)Loss from continuing operations before income tax,, Income tax expense (benefit) expense and Effective tax rate for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
 Three Months Ended March 31,
 2020 2019
Income (loss) from continuing operations before income tax$21,249
 $(1,709)
Income tax (benefit) expense$(136,332) $10,903
Effective tax rate(641.6)% (638.0)%

Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Loss from continuing operations before income tax$(64,800)$(24,070)$(18,299)$(120,363)
Income tax expense (benefit)$4,174 $17,361 $(124,516)$31,732 
Effective tax rate(6.4)%(72.1)%680.5 %(26.4)%
The incomechange in Income tax benefitexpense (benefit) for the three months ended March 31,September 30, 2020 primarily relates to changes in the geographic mix of pre-tax earnings.
The change in Income tax expense (benefit) for the nine months ended September 30, 2020 primarily relates to the 2020 discrete tax benefit arising from the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), as discussed below. Asbelow, and changes in the geographic mix of March 31, 2020, we hadpre-tax earnings.
We have valuation allowances established against our deferred tax assets in most jurisdictions in which we operate, with the exception of Canada and India. The income tax expense for the comparable 2019 period primarily relates to a taxable gain arising from the extinguishment of debt in the March 2019 Refinancing Transactions.
On March 27, 2020, the CARES Act was enacted by the U.S. government in response to the COVID-19 pandemic. The CARES Act, among other things, permits net operating loss (NOL) carryovers and carrybacks to offset 100% of taxable income for taxable years beginning before 2021. In addition, the CARES Act allows NOLs incurred in 2018, 2019 and 2020 to be carried back to each of the five preceding taxable years to generate a refund of previously paid income taxes. InDuring the first quarter ofnine months ended September 30, 2020, the Company has recorded a discrete tax benefit in continuing operations of $137.3$129.0 million as a result of the change in the NOL carryback period.
On June 3, 2020, in connection with the Internal Revenue Service's (IRS) examination of our U.S. income tax return for the fiscal year ended December 31, 2015 (2015 Return), we received an acknowledgement of facts (AoF) from the IRS related to transfer pricing positions taken by Endo U.S., Inc. and its subsidiaries (Endo U.S.). The AoF asserted that Endo U.S. overpaid for certain pharmaceutical products that it purchased from certain non-U.S. related parties and proposed a specific adjustment to our 2015 U.S. income tax return position. On September 4, 2020, we received a Form 5701 Notice of Proposed Adjustment (NOPA) that is consistent with the previously disclosed AoF. We believe that the terms of the subject transactions are consistent with comparable transactions for similarly situated unrelated parties, and we intend to contest the proposed adjustment. While the NOPA is not material to our business, financial condition, results of operations or cash flows, the IRS could seek to apply its position to subsequent tax periods and propose similar adjustments. The aggregate impact of these adjustments, if sustained, could have a material adverse effect on our business, financial condition, results of operations and cash flows. Although the timing of the outcome of this matter is uncertain, it is possible any final resolution of the matter could take a number of years.
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In connection with the IRS’s examination of the 2015 Return, we understand that the IRS intends to issue a Technical Advice Memorandum (TAM) regarding the portion of our 2015 NOL relating to our worthless stock deduction that we believe qualifies as a specified product liability loss. Based on our discussions with the IRS, we expect the views expressed in the TAM to be contrary to the positions taken on our 2015 Return. If the IRS’s position is in whole or in part sustained, we could be required to repay a portion of the $760 million tax refund we disclosed in our 2016 Annual Report on Form 10-K, exclusive of interest. This result could have a material adverse effect on our business, financial condition, results of operations and cash flows. We disagree with the IRS’s expected position in the TAM and, if necessary, intend to contest any proposed adjustment. Although the timing of the outcome of this matter is uncertain, it is possible any final resolution of the matter could take a number of years.
NOTE 17.18. NET (LOSS) INCOME (LOSS) PER SHARE
The following is a reconciliation of the numerator and denominator of basic and diluted net (loss) income (loss) per share for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
 Three Months Ended March 31,
 2020 2019
Numerator:   
Income (loss) from continuing operations$157,581
 $(12,612)
Loss from discontinued operations, net of tax(27,651) (5,961)
Net income (loss)$129,930
 $(18,573)
Denominator:   
For basic per share data—weighted average shares227,198
 224,594
Dilutive effect of ordinary share equivalents5,816
 
For diluted per share data—weighted average shares233,014
 224,594


Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Numerator:
(Loss) income from continuing operations$(68,974)$(41,431)$106,217 $(152,095)
Loss from discontinued operations, net of tax(6,913)(37,984)(41,616)(51,898)
Net (loss) income$(75,887)$(79,415)$64,601 $(203,993)
Denominator:
For basic per share data—weighted average shares230,040 226,598 228,985 225,804 
Dilutive effect of ordinary share equivalents4,394 
For diluted per share data—weighted average shares230,040 226,598 233,379 225,804 
Basic net income (loss) per share amounts are computed based on the weighted average number of ordinary shares outstanding during the period. Diluted net income (loss) per share amounts are computed based on the weighted average number of ordinary shares outstanding and, if there is net income from continuing operations during the period, the dilutive effect of ordinary share equivalents outstanding during the period.
The dilutive effect of ordinary share equivalents is measured using the treasury stock method. Stock options and awards that have been issued but for which a grant date has not yet been established are not considered in the calculation of basic or diluted weighted average shares.
ForAll potentially dilutive items were excluded from the diluted share calculation for the three months ended March 31,September 30, 2020 because their effect would have been anti-dilutive as the Company was in a loss position. For the nine months ended September 30, 2020, aggregate stock options and stock awards of 7.27.1 million and 3.36.4 million, respectively, were excluded from the diluted share calculation because their effect would have been anti-dilutive. All potentially dilutive items were excluded from the diluted share calculation for the three and nine months ended March 31,September 30, 2019 because their effect would have been anti-dilutive as the Company was in a loss position.
NOTE 19. SUBSEQUENT EVENTS
Plan to Acquire BioSpecifics Technologies Corp.
On October 19, 2020, the Company entered into an Agreement and Plan of Merger (the Merger Agreement) with Beta Acquisition Corp., a Delaware corporation and wholly-owned indirect subsidiary of the Company (Purchaser) and BioSpecifics Technologies Corp., a Delaware corporation and a commercial-stage biopharmaceutical company (BioSpecifics). Pursuant to the Merger Agreement, and on the terms and subject to the conditions thereof, Purchaser commenced a tender offer (the Offer) on November 2, 2020 to acquire all of BioSpecifics’ issued and outstanding shares of common stock (BioSpecifics Shares) at a purchase price of $88.50 per BioSpecifics Share (Offer Price), net to the holder thereof in cash, subject to reduction for any applicable withholding taxes and without interest.
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Following the consummation of the Offer and subject to the satisfaction or waiver of certain conditions set forth in the Merger Agreement, Purchaser will merge with and into BioSpecifics, with BioSpecifics surviving as a wholly owned subsidiary of the Company, pursuant to Section 251(h) of the General Corporation Law of the State of Delaware without a vote of BioSpecifics’ stockholders (Merger). At the effective time of the Merger (Effective Time), and without any action on the part of the holders of BioSpecifics Shares, each BioSpecifics Share, other than any BioSpecifics Shares (i) owned at the commencement of the Offer and immediately prior to the Effective Time by the Company, Purchaser or BioSpecifics or any direct or indirect wholly-owned subsidiary thereof, (ii) irrevocably accepted for purchase pursuant to the Offer or (iii) owned by BioSpecifics stockholders who are entitled to demand and have properly and validly demanded their appraisal rights under Delaware law, will be automatically converted into the right to receive an amount in cash equal to the Offer Price, subject to reduction for any applicable withholding taxes and without interest.
The Company has had a strategic relationship with BioSpecifics since 2004. Under the terms of the relationship, BioSpecifics receives a royalty stream from the Company related to the Company’s collagenase-based therapies, which currently include XIAFLEX®, currently marketed by the Company for the treatment of Dupuytren’s contracture and Peyronie’s disease, and Qwo™ (collagenase clostridium histolyticum-aaes), the first FDA-approved injectable treatment for cellulite, which is expected to be launched in spring 2021.
In connection with the Merger Agreement, the Marital Trust U/W/O Edwin H. Wegman Dated 8-10-06 (Stockholder) entered into a support agreement with the Company and Purchaser (Support Agreement). The Support Agreement generally requires that the Stockholder validly tender all of its shares after commencement of the Offer and to vote against any action, agreement or transaction involving BioSpecifics that can impede, interfere with or prevent the consummation of the transaction. The Stockholder beneficially owned, in the aggregate, 935,073 BioSpecifics Shares, which represented approximately 12.7% of BioSpecifics’ total outstanding shares based on 7,344,955 outstanding shares as of October 28, 2020.
The transaction is expected to close in late 2020, subject to customary closing conditions, and the Company expects to fund the transaction with cash on hand. The estimated value of the transaction is approximately $540 million (net of approximately $120 million in estimated cash, cash equivalents and investments acquired) at the anticipated time of deal closure.
Item 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations
The following Management’s Discussion and Analysis of Financial Condition and Results of Operations describes the principal factors affecting the results of operations, liquidity and capital resources and critical accounting estimates of Endo International plc. This discussion should be read in conjunction with the accompanying quarterly unaudited Condensed Consolidated Financial Statements and related notes thereto and the Annual Report. The Annual Report includes additional information about our significant accounting policies, practices and the transactions that underlie our financial results, as well as a detailed discussion of the most significant risks and uncertainties associated with our financial and operating results. Except for the historical information contained in this report, including the following discussion, this report contains forward-looking statements that involve risks and uncertainties. See “Forward-Looking Statements” beginning on page i of this report.
Unless otherwise indicated or required by the context, references throughout to “Endo,” the “Company,” “we,” “our” or “us” refer to Endo International plc and its subsidiaries.
RESULTS OF OPERATIONS
Our quarterly results have fluctuated in the past and may continue to fluctuate. These fluctuations are primarily due to (1) the timing of new product launches, (2) purchasing patterns of our customers, (3) market acceptance of our products, (4) the impact of competitive products and products we recently acquired, (5) pricing of our products, (6) the timing of mergers, acquisitions, divestitures and other related activity, and (7) other actions taken by the Company which may impact the availability of our products.products and (8) more recently, the impact of COVID-19. These fluctuations are also attributable to charges incurred for compensation related to share-based payments, amortization of intangible assets, asset impairment charges, litigation-related charges related to litigation, restructuring charges and certain upfront, milestone and other payments made or accrued pursuant to acquisition or licensing agreements. The following are examples of recent developments that could result in fluctuations in our quarterly results:
Additionally, asIn December 2019, COVID-19 was reported to have surfaced in Wuhan, China. In March 2020, the World Health Organization declared the COVID-19 outbreak a global pandemic. Many countries and localities announced aggressive actions to reduce the spread of the disease, including limiting non-essential gatherings of people, suspending all non-essential travel, ordering certain businesses and government agencies to cease non-essential operations at physical locations and issuing shelter-in-place orders (subject to limited exceptions). Since then, developments have evolved rapidly and are likely to continue to do so. While there has been some loosening of restrictions, an increase in diagnosed cases may lead to the reinstatement of various restrictions.
On July 6, 2020, we announced that we had received FDA approval of QWO for the treatment of moderate to severe cellulite in the buttocks of adult women. As further described below, the anticipated launch of QWO is in spring 2021. We have incurred and expect to continue to incur costs associated with the planned commercial launch of QWO.
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On October 19, 2020, we announced we had agreed to acquire all of the outstanding shares of BioSpecifics in a transaction valued at approximately $540 million (net of approximately $120 million in estimated cash acquired) at the anticipated time of deal closure, which is expected to occur in late 2020. BioSpecifics currently receives a royalty stream from us related to our collagenase-based therapies, which currently include XIAFLEX® and QWO. We expect to incur certain expenses, including transaction costs, associated with the completion of this transaction.
On November 5, 2020, we announced the initiation of several strategic actions, collectively referred to as the 2020 Restructuring Initiative, to further optimize the Company’s operations and increase overall efficiency. We have recorded and expect to record certain charges to complete these activities in anticipation of realizing annualized cost savings. For further discussion of this initiative, including a discussion of related charges and expected future charges, refer to Note 4. Restructuring of the Condensed Consolidated Financial Statements included in Part I, Item 1.
The impact on our results of COVID-19 and related changes in economic conditions, including changes to consumer spending resulting from the rapid rise in local and national unemployment rates, are highly uncertain and, in many instances, outside of our control. The duration and severity of the direct and indirect effects of COVID-19 are evolving rapidly and in ways that are difficult to anticipate. There are numerous uncertainties related to the COVID-19 pandemic that have impacted our ability to forecast our future operations. The extent to which COVID-19 will affect our business, financial position and operating results in the future cannot be predicted with certainty; however, any such impact could be material. In addition, because COVID-19 did not begin to affect our financial results until late in the first quarter of 2020, its impact on our consolidated results and the results of our business segments in the first quarter of 2020to date may not be directly comparable to any historical period and are not necessarily indicative of its impact on our results for the remainder of 2020 or any subsequent periods. COVID-19 could also increase the degree to which our quarterly results, including the results of our business segments, fluctuate in the future. Refer to “Risk Factors” in Part II, Item 1A of this report for further details.

COVID-19 Update and Other Key Trends
In December 2019, COVID-19 was reported to have surfaced in Wuhan, China. In March 2020, the World Health Organization declared the COVID-19 outbreak a global pandemic. Many countries and localities have announced aggressive actions to reduce the spread of the disease, including limiting non-essential gatherings of people, suspending all non-essential travel, ordering certain businesses and government agencies to cease non-essential operations at physical locations and issuing shelter-in-place orders (subject to limited exceptions). We are closely monitoring the impact of COVID-19 on all aspects of our business, the pharmaceutical industry and the economy as a whole, including how it has and will continue to impact our workforce, our customers and the patients they serve, our manufacturing and supply chain operations, our research and development (R&D) programs and regulatory approval processes and our liquidity and access to capital. In addition to our existing business continuity plans, we have established a team, led by our President and Chief Executive Officer and our executive leadership team which has developed and implemented a range of proactive measures to address the risks, uncertainties and operational challenges associated with COVID-19. This team isWe continue to closely monitoringmonitor the rapidly evolving situation and is implementingimplement plans intended to limit the impact of COVID-19 on our business so that we can continue to produce the critical care medicines that hospitals and healthcare providers need to treat patients, including those with COVID-19. Actions we have taken to date and expected key trends are further described below.
Workforce. We have taken, and will continue to take, proactive measures to provide for the well-being of our workforce around the globe while continuing to safely produce products upon which patients and their healthcare providers rely. In addition to employing and paying full wages to our workforce, we are providing additional compensation to certain of our on-site operations employees for the hours worked during the COVID-19 pandemic. We have implemented alternative working practices and mandatory work-from-home requirements for appropriate employees, inclusive of our executive leadership team.team, and are continuing to pay full wages to our workforce. We have suspendedlimited international and domestic travel, increased our already-thorough cleaning protocols throughout our facilities and prohibited non-essential visitors from our sites. We have also implemented varioustemperature screenings, health questionnaires, social distancing, modified schedules, shift rotation and other similar policies at our manufacturing facilities. We launched a hybrid approach selling model as of June 1, 2020 for our field employees, which allows virtual and/or live engagement with healthcare providers and other customers. Certain of these measures have resulted in increased and unexpected costs and, as further described below, resulted in the prioritization of certain products in our production plans.
Customers and the Patients They Serve. We have experienced, and expect to continue to experience, changes in customer demand as the COVID-19 pandemic evolves.continues to evolve, which are difficult to predict. Beginning in late in the first quarter offirst-quarter 2020 and into early second-quarter 2020, we experienced a significantan increase in sales volumes for certainsome of our critical care products, administered to patients infected with COVID-19, such asincluding VASOSTRICT®, ADRENALIN® and albuterol sulfate HFA inhaler, the authorized generic of Merck’s Proventil®. These higher volumes resulted from increased utilization andsignificant channel inventory stocking of these products primarily to treatin anticipation of treating certain patients infected with COVID-19. Other products not used to treat COVID-19, such as everolimus tablets, a generic versionThis increase in sales volume was followed by significant inventory destocking for the remainder of Novartis Pharmaceuticals Corporation’s Afinitor®, have also experienced increased demand due to accelerated prescription fulfillment that we believe is a resultthe second quarter of concerns2020. Sales volumes returned toward pre-COVID-19 levels during the third quarter of healthcare providers and consumers regarding their ability to access medications because of shelter-in-place and similar measures taken by governments. At the same time, certain products that are physician administered, including XIAFLEX® and SUPPRELIN® LA, began experiencing decreased demand2020. Additionally, beginning during the last two weeks of the first quarter of 2020 and continuing into the second quarter of 2020, certain of our products that are physician administered, including XIAFLEX® and SUPPRELIN® LA, began experiencing significantly decreased sales volumes due to a reduction inreduced physician office activity and a slowing of patient office visits resulting from shelter-in-place orders. Additionally,compared to prior year because of the COVID-19 pandemic. During the second and third quarters of 2020, sales volumes began to recover toward pre-COVID-19 levels as a resultcertain physician offices reopened. A resurgence in the cases of our work-from-home requirements, we have transitioned to a “virtual” engagement model to continue supporting healthcare professionals, patient careCOVID-19 and access to medicines.new lockdowns could further impact future demand for these products.
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Manufacturing and Supply Chain Operations. As of the date of this report, our business has not experienced any material supply issues related to COVID-19 and our manufacturing and quality assurance facilities across the globe have continued to operate. We have taken, and plan to continue to take, commercially practical measures to keep these facilities open as they are critical to our ability to reliably supply required critical care and medically necessary products. These measures, including the implementation of temperature screenings, health questionnaires, social distancing, modified schedules, shift rotation and other similar policies at our manufacturing facilities, as well as changes in our workforce availability have impacted our manufacturing and supply chain productivity at certain of our facilities and resulted in the prioritization of certain products, such as VASOSTRICT®, in our production plans to provide for their continued availability during and after the pandemic. We believe that our diversified manufacturing footprint, which includes a combination of Endo owned and leased facilities located in the U.S. and India, supply agreements and strong business relationships with numerous contract manufacturing organizations throughout the world, including in the U.S., Canada, Europe and India, and our proven ability to be a preferred partner of choice to large pharmaceutical companies seeking authorized generic distributors for their branded products, is a critical factor to mitigate significant risks related to manufacturing and supply chain disruption. This footprint, overseen by our global quality and supply chain teams in Ireland, combined with a skilled management team with significant experience in manufacturing and supply chain operations, has enabled us to respond quickly and effectively to the evolving COVID-19 pandemic to date.

Clinical and Development Programs. We have a number of ongoing clinical trials. We are committed to the safety of our patients, employees and others involved in these trials. We are monitoring COVID-19 closely and continue to partner with the FDA on our ongoing clinical trials, regulatory applications and other R&D activities. Based on an assessment of our R&D programs, including our clinical trials, we have developed a plan and timeline for each study in order to enhance communication with patients, sites and vendors. However, we may experienceTo date, the impacts of COVID-19 have resulted in modest delays in someand could continue to cause delays to certain of our clinical trials and product development and commercialization programs, including obtaining adequate patient enrollment, receiving regulatory approvals and successfully bringing product candidates to market. For example,Additionally, as a result of COVID-19 and its impact on medical aesthetics physician office closures and consumer spending, we are planning on changinghave moved the anticipated product launch of collagenase clostridium histolyticum (CCH) for the treatment of cellulite in the buttocks, if approved,QWO to spring 2021.
Key Trends.Trends. Although we did not experience significant disruptions to our business duringSince the three months ended March 31,first quarter of 2020, from COVID-19, we have since experienced and expect that we, and our industry as a whole, will continue tohave been impacted by COVID-19 and may experience a greater impact going forward. The most significant trends we face as a result of the COVID-19 pandemic include: (i) decreases in demand for certain of our physician administered products due to physician office closures and a decline in patients electing to be treated because of the COVID-19 pandemic, (ii) potential temporary decreases to the supply of certain of our products due to modified production schedules to safely maintain operations in response to COVID-19 and other factors including, without limitation, workforce availability, (iii) potential idle capacity charges based on implementation of social distancing, modified schedules, shift rotation and other similarcertain of the policies described above at our manufacturing facilities and (iv) potential delays in our ability to launch some new products due to production prioritization and economic conditions and other factors outside of our control. For further information regarding the impact of COVID-19 on the Company, please refer to “Risk Factors” in Part II, Item 1A.1A of this report.
Our estimated revenue trends for the full year 2020 compared to the full year 2019 are set forth below. These estimated revenue trends reflect the current expectations of our management team based on information currently available to them. Our estimates are subject to significant risks and uncertainties that could cause our actual results to differ materially from those indicated below, including our assumptions about the duration and severity of COVID-19 and the impact of any related governmental, business or other actions, any of which could cause the impact of COVID-19 to be more significant than our current expectations.
For the full year 2020, we expect increased revenues from our Sterile Injectables segment as compared to be above 2019, primarily driven by increased sales of VASOSTRICT®. Beginning in late first-quarter 2020 and into early second-quarter 2020, we experienced an increase in sales volumes for VASOSTRICT® compared to pre-COVID-19 levels resulting from significant channel inventory stocking of this product in anticipation of treating vasodilatory shock in patients infected with COVID-19. This increase in sales volume was followed by significant inventory destocking for the remainder of the second quarter of 2020. Sales volumes returned toward pre-COVID-19 levels during the third quarter of 2020, which we expect to continue for the remainder of 2020. Additionally, we expect the anticipated full-year 2020 increase in VASOSTRICT® to be partially offset by decreases in certain other Sterile Injectables, primarily due to competitive pressures not related to COVID-19.
For the full year 2020, we expect a decline in revenues from the Specialty Products portfolio of our Branded Pharmaceuticals segment as compared to 2019. Beginning during the last two weeks of the first quarter of 2020 and continuing into the second quarter of 2020, certain of our products that are physician administered, including XIAFLEX® and SUPPRELIN® LA, began experiencing significantly decreased sales volumes as compared to pre-COVID-19 levels due to physician office closures and a decline in patients electing to be treated because of the COVID-19 pandemic. During the second and third quarters of 2020, sales volumes began to recover toward pre-COVID-19 levels as certain physician offices reopened. We expect XIAFLEX® sales volumes to continue to recover in the fourth quarter of 2020 if and to the extent physician and patient activities continue to return toward pre-COVID-19 levels.
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®. Beginning late in the first quarter of 2020, we experienced a significant increase in sales volumes for VASOSTRICT® compared to pre-COVID-19 levels resulting from increased utilization and channel inventory stocking of this product, primarily to treat patients infected with COVID-19. We expect that there will be an increase in revenues in the second quarter of 2020 compared to the first quarter, primarily due to higher utilization and channel inventory stocking. During the second half of 2020, we anticipate a period of destocking with a subsequent return toward pre-COVID-19 purchasing levels. Additionally, we expect the increase in VASOSTRICT® in 2020 to be partially offset by decreases in certain other Sterile Injectables, primarily due to assumed competitive pressures not related to COVID-19.
For the full year 2020, we expect a decline in revenues from the Specialty Products portfolio of our Branded Pharmaceuticals segment as compared to 2019. During the last two weeks of the first quarter of 2020, we began to experience decreased demand as compared to pre-COVID-19 levels for physician administered products, including XIAFLEX®, SUPPRELIN® LA and AVEED®, due to physician office closures and a decline in patients electing to be treated. We expect to see a continuation of the decline in demand for these products during the second quarter of 2020, followed by a gradual increase in volumes beginning in the second half of the year to the extent that physician and patient activities return toward pre-COVID-19 levels.
For the full year 2020, we expect a decline in revenues from our Generic Pharmaceuticals segment as compared to 2019, driven primarily by modified production schedules to safely maintain operations in response to COVID-19, which could result in potential temporary supply decreases and potential launch delays for certain medications in this segment, as well as continued competitive pressures on certain commoditized generic products not related to COVID-19.products. We expect this declinethese declines to be partially offset by sales resulting from certain 2019 and 2020 product launches, as further described below, and increased demand compared to pre-COVID-19 levels resulting from the utilization of certain of our generic products used to treat patients infected with COVID-19.launches.
For the full year 2020, we expect declines in revenues from the Established Products portfolio of our Branded Pharmaceuticals segment and the International Pharmaceuticals segment as compared to 2019, primarily driven by competitive pressures impacting these product portfolios.

Consolidated Results Review
The following table displays our revenue, gross margin, gross margin percentage and other pre-tax expense or income for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
Three Months Ended March 31, % ChangeThree Months Ended September 30,% ChangeNine Months Ended September 30,% Change
2020 2019 2020 vs. 2019202020192020 vs. 2019202020192020 vs. 2019
Total revenues, net$820,405
 $720,411
 14 %Total revenues, net$634,860 $729,426 (13)%$2,142,853 $2,149,564 — %
Cost of revenues388,799
 391,909
 (1)%Cost of revenues348,077 389,165 (11)%1,072,972 1,169,282 (8)%
Gross margin$431,606
 $328,502
 31 %Gross margin$286,783 $340,261 (16)%$1,069,881 $980,282 %
Gross margin percentage52.6% 45.6%  Gross margin percentage45.2 %46.6 %49.9 %45.6 %
Selling, general and administrative$166,768
 $151,123
 10 %Selling, general and administrative$182,259 $168,329 %$522,285 $471,749 11 %
Research and development31,615
 33,486
 (6)%Research and development32,055 36,519 (12)%94,165 96,353 (2)%
Litigation-related and other contingencies, net(17,176) 6
 NM
Litigation-related and other contingencies, net1,810 (14,414)NM(23,938)(4,093)NM
Asset impairment charges97,785
 165,448
 (41)%Asset impairment charges8,412 4,766 77 %106,197 258,652 (59)%
Acquisition-related and integration items, net12,462
 (37,501) NM
Acquisition-related and integration items, net(1,407)16,025 NM17,100 (26,983)NM
Interest expense, net132,877
 132,675
  %Interest expense, net135,648 136,903 (1)%397,689 404,387 (2)%
Gain on extinguishment of debt
 (119,828) (100)%Gain on extinguishment of debt— — NM— (119,828)(100)%
Other (income) expense, net(13,974) 4,802
 NM
Other (income) expense, net(7,194)16,203 NM(25,318)20,408 NM
Income (loss) from continuing operations before income tax$21,249
 $(1,709) NM
Loss from continuing operations before income taxLoss from continuing operations before income tax$(64,800)$(24,070)NM$(18,299)$(120,363)(85)%
__________
NM indicates that the percentage change is not meaningful or is greater than 100%.
Total revenues, net. The increasedecrease in revenue for the three months ended March 31,September 30, 2020 was primarily due to increasesdecreased revenues from our Generic Pharmaceuticals, Sterile Injectables and International Pharmaceuticals segments, partially offset by increased revenues from the Specialty Products portfolio of our Branded Pharmaceuticals segment. The decrease in revenue for the nine months ended September 30, 2020 was primarily driven by decreased revenues from our Branded Pharmaceuticals, Generic Pharmaceuticals and International Pharmaceuticals segments, partially offset by increased revenues from our Sterile Injectables segment, including VASOSTRICT® and ADRENALIN®, our Branded Pharmaceuticals segment’s Specialty Products portfolio, led by XIAFLEX®, and recent product launches in our Generic Pharmaceuticals segment as further discussed below. Revenue also increased as a result of higher patient demand and increased customer inventory purchasing for certain of our products due to the COVID-19 pandemic. These increases were partially offset by the impact of competitive pressures on our Branded Pharmaceuticals segment’s Established Products portfolio.segment. Our revenues are further disaggregated and described below under the heading Business“Business Segment Results Review.Review.
Cost of revenues and gross margin percentage. During the three and nine months ended March 31,September 30, 2020 and 2019, we incurred certain charges that impact the comparability of total Cost of revenues, including those related to amortization expense and continuity and separation benefits and other cost reduction initiatives. The following table summarizes such amounts (in thousands):
Three Months Ended March 31,Three Months Ended September 30,Nine Months Ended September 30,
2020 20192020201920202019
Amortization of intangible assets (1)$117,237
 $145,599
Amortization of intangible assets (1)$104,066 $131,932 $325,801 $417,949 
Continuity and separation benefits and other cost reduction initiatives (2)$6,238
 $
Continuity and separation benefits and other cost reduction initiatives (2)$36,551 $1,004 $43,692 $1,004 
__________
(1)
(1)Amortization expense fluctuates based on changes in the total amount of amortizable intangible assets and the rate of amortization in effect for each intangible asset, both of which can vary based on factors such as the amount and timing of acquisitions, dispositions, asset impairment charges, transfers between indefinite- and finite-lived intangibles assets, changes in foreign currency rates and changes in the composition of our intangible assets impacting the weighted average useful lives and amortization methodologies being utilized. The decrease during the three months ended March 31, 2020 was primarily driven by asset impairment charges and decreases in the rate of amortization expense for certain assets.
(2)Amounts primarily relate to certain accelerated depreciation charges and employee continuity and separation benefits.
The decrease in amortization expense during the three and nine months ended March 31,September 30, 2020 resultedwere primarily driven by asset impairment charges and decreases in decreased Costthe rate of revenuesamortization expense for certain assets.
(2)Amounts primarily relate to certain accelerated depreciation charges and increased gross margin percentage. employee separation, continuity and other benefit-related costs. For further discussion of our restructuring initiatives, including a discussion of related charges and expected future charges, refer to Note 4. Restructuring of the Condensed Consolidated Financial Statements included in Part I, Item 1.
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The decrease in Cost of revenues for the three months ended September 30, 2020 was primarily due to decreased amortization expense and decreased revenues, partially offset by increased costs related to continuity and separation benefits and other cost reduction initiatives. The decrease in Cost of revenues for the nine months ended September 30, 2020 was primarily due to decreased amortization expense and favorable changes in product mix as described above andbelow, partially offset by increased expenses related to continuity and separation benefits and other cost reduction initiatives. In addition,
Gross margin percentage decreased for the three months ended September 30, 2020 as a result of increased costs related to continuity and separation benefits and other cost reduction initiatives, partially offset by decreased amortization expense. Gross margin percentage increased for the nine months ended September 30, 2020 as a result of decreased amortization expense and favorable changes in product mix, resultingpartially offset by increased expenses related to continuity and separation benefits and other cost reduction initiatives. The favorable change in product mix for the nine months ended September 30, 2020 primarily resulted from increased revenues of VASOSTRICT® and ADRENALIN® contributed to the overall increase in gross, partially offset by increased revenues of certain lower margin percentage.authorized generic products.
Selling, general and administrative expenses. The increase for the three months ended March 31,September 30, 2020 was primarily due to costs associated with the 2020 Restructuring Initiative and increased costs associated with preparing for our planned spring 2021 commercial launch of QWO, partially offset by a third-quarter 2019 premium associated with an extended reporting period endorsement on an expiring insurance program that did not reoccur during the three months ended September 30, 2020.
The increase for the nine months ended September 30, 2020 was primarily due to costs of $31.1 million associated with the June 2020 Refinancing Transactions, costs associated with the 2020 Restructuring Initiative, a higher branded prescription drug fee, increased long-term incentive compensation costs and increased costs associated with continuity bonuses for certain senior management of the Company. Additionally, we incurred increased costs associated with preparing for our planned commercial launch of CCHQWO, partially offset by a third-quarter 2019 premium associated with an extended reporting period endorsement on an expiring insurance program that did not reoccur during the nine months ended September 30, 2020 as well as reduced legal costs associated with certain matters.
For further discussion of the 2020 Restructuring Initiative, including a discussion of related charges and expected future charges, refer to Note 4. Restructuring of the Condensed Consolidated Financial Statements included in Part I, Item 1.
We expect costs associated with preparing for the treatmentand executing on our planned commercial launch of cellulite in the buttocks, if approved, and expect such costsQWO to continue to increase in 2020 as comparedincrease. Additionally, we expect costs associated with our continued investment and promotional efforts behind XIAFLEX® to 2019.increase.

R&D expenses. The amount of R&D expense we record in any period varies depending on the nature and stage of development of our R&D programs and can also vary in periods in which we incur significant upfront or milestone charges related to agreements with third parties.
In recent years, our R&D efforts have focused primarily on developing a balanced, diversified portfolio of innovative and clinically differentiated product candidates. We have been progressing and expect to continue to progress our cellulite treatment development program.programs for QWO, which was approved by the FDA for the treatment of moderate to severe cellulite in the buttocks of adult women in July 2020. In early 2020, we announced that we had initiated our XIAFLEX® development programs for the treatment of plantar fibromatosis and adhesive capsulitis.capsulitis, which are continuing to progress. We also expect to continue to focus investments in our Sterile Injectables segment, potentially including license and commercialization agreements such as our Nevakar, Inc. agreement. In addition, we are conducting an open-label Phase 1 pharmacokinetic (PK) study of VASOSTRICT® in healthy volunteers, studying plasma clearance with TT genotype versus AA/AT genotype. As these and certain other programs progress, it is possible that our R&D expenses could increase.
The decreasedecreases in R&D expense for the three and nine months ended March 31,September 30, 2020 waswere driven by decreased costs associated with certain post-marketing R&D commitments, partially offset in part by increased costs associated with our Sterile Injectables segment.segment and costs associated with the 2020 Restructuring Initiative. For further discussion of the 2020 Restructuring Initiative, including a discussion of related charges and expected future charges, refer to Note 4. Restructuring of the Condensed Consolidated Financial Statements included in Part I, Item 1.
Litigation-related and other contingencies, net. Included within Litigation-related and other contingencies, net are changes to our accruals for litigation-related settlement charges and certain settlement proceeds related to suits filed by our subsidiaries. Our material legal proceedings and other contingent matters are described in more detail in Note 12.13. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1.1. As further described therein, adjustments to the corresponding liability accruals may be required in the future. This could have a material adverse effect on our business, financial condition, results of operations and cash flows.
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Asset impairment charges. The following table presents the components of our total Asset impairment charges for the three and nine months ended March 31,September 30, 2020 and 2019 (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Goodwill impairment charges$— $— $32,786 $151,108 
Other intangible asset impairment charges2,020 4,261 65,771 104,660 
Property, plant and equipment impairment charges— 505 1,248 2,884 
Operating lease right-of-use asset impairment charges6,392 — 6,392 — 
Total asset impairment charges$8,412 $4,766 $106,197 $258,652 
 Three Months Ended March 31,
 2020 2019
Goodwill impairment charges$32,786
 $86,000
Other intangible asset impairment charges63,751
 78,700
Property, plant and equipment impairment charges1,248
 748
Total asset impairment charges$97,785
 $165,448
The factors leading to our material goodwill and intangible asset impairment tests, as well as the results of these tests, are further described in Note 8.9. Goodwill and Other Intangibles of the Condensed Consolidated Financial Statements included in Part I, Item 1.1. A discussion of critical accounting estimates made in connection with certain of our impairment tests is included below under the caption CRITICAL“CRITICAL ACCOUNTING ESTIMATES.ESTIMATES.
Acquisition-related and integration items, net. Acquisition-related and integration items, net for the three and nine months ended March 31,September 30, 2020 and 2019 primarily consist of the net (benefit) expense (benefit) from changes in the fair value of acquisition-related contingent consideration liabilities resulting from changes to our estimates regarding the timing and amount of the future revenues of the underlying products and changes in other assumptions impacting the probability of incurring, and extent to which we could incur, related contingent obligations. See Note 5.6. Fair Value Measurements of the Condensed Consolidated Financial Statements included in Part I, Item 1 for further discussion of our acquisition-related contingent consideration.
Interest expense, net. The components of Interest expense, net for the three and nine months ended March 31,September 30, 2020 and 2019 are as follows (in thousands):
Three Months Ended March 31,Three Months Ended September 30,Nine Months Ended September 30,
2020 20192020201920202019
Interest expense$136,373
 $137,106
Interest expense$135,829 $143,013 $401,764 $419,962 
Interest income(3,496) (4,431)Interest income(181)(6,110)(4,075)(15,575)
Interest expense, net$132,877
 $132,675
Interest expense, net$135,648 $136,903 $397,689 $404,387 
The decrease in interest expense for the three months ended March 31,September 30, 2020 was primarily attributable to decreases to the London Interbank Offered Rate (LIBOR) that impacted our variable-rate debt and the reduction to the amount of our indebtedness associated with the June 2020 Refinancing Transactions, partially offset by the increase to the weighted average interest rate applicable to our notes following the June 2020 Refinancing Transactions. The decrease in interest expense for the nine months ended September 30, 2020 was primarily attributable to decreases to LIBOR that impacted our variable-rate debt and the reductions to the amount of our indebtedness associated with the March 2019 Refinancing Transactions and June 2020 Refinancing Transactions, partially offset by the increases to the weighted average interest rate applicable to our senior notes and senior secured notes following the March 2019 Refinancing Transactions and June 2020 Refinancing Transactions, as well as interest expense associated with our June 2019 Revolving Credit Facility draw of $300.0 million. Refer to Note 11.12. Debt of the Condensed Consolidated Financial Statements included in Part I, Item 1 for further discussion of these transactions.
Changes in interest rates could increase our interest expense in the future, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.

Interest income varies primarily based on the amounts of our interest-bearing investments, such as money market funds, as well as changes in the corresponding interest rates.
Gain on extinguishment of debt. The gain on extinguishment of debt recognizedamount during the threenine months ended March 31,September 30, 2019 relates to the March 2019 Refinancing Transactions. Refer to Note 11.12. Debt of the Condensed Consolidated Financial Statements included in Part I, Item 1 for further discussion.
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Other (income) expense, net. The components of Other (income) expense, net for the three and nine months ended March 31,September 30, 2020 and 2019 are as follows (in thousands):
 Three Months Ended March 31,
 2020 2019
Net (gain) loss on sale of business and other assets$(8,192) $1,294
Foreign currency (gain) loss, net(5,639) 1,716
Net loss from our investments in the equity of other companies249
 2,086
Other miscellaneous, net(392) (294)
Other (income) expense, net$(13,974) $4,802
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Net gain on sale of business and other assets$(1,888)$(1,933)$(16,730)$(3,101)
Foreign currency loss (gain), net1,332 579 (1,491)4,336 
Net (gain) loss from our investments in the equity of other companies(2,609)191 (2,373)2,546 
Other miscellaneous, net(4,029)17,366 (4,724)16,627 
Other (income) expense, net$(7,194)$16,203 $(25,318)$20,408 
For additional information on the components of Other (income) expense, net, refer to Note 15.16. Other (Income) Expense, Net of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
Income tax expense (benefit) expense. The following table displays our Income (loss)Loss from continuing operations before income tax,, Income tax expense (benefit) expense and Effective tax rate for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
 Three Months Ended March 31,
 2020 2019
Income (loss) from continuing operations before income tax$21,249
 $(1,709)
Income tax (benefit) expense$(136,332) $10,903
Effective tax rate(641.6)% (638.0)%
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Loss from continuing operations before income tax$(64,800)$(24,070)$(18,299)$(120,363)
Income tax expense (benefit)$4,174 $17,361 $(124,516)$31,732 
Effective tax rate(6.4)%(72.1)%680.5 %(26.4)%
Our tax rate is affected by recurring items, such as tax rates in non-U.S. jurisdictions as compared to the notional U.S. federal statutory tax rate, and the relative amount of income or loss in those various jurisdictions. It is also impacted by certain items that may occur in any given period, but are not consistent from period to period.
The incomechange in Income tax benefitexpense (benefit) for the three months ended March 31,September 30, 2020 primarily relates to changes in the geographic mix of pre-tax earnings.
The change in Income tax expense (benefit) for the nine months ended September 30, 2020 primarily relates to the 2020 discrete tax benefit arising from the CARES Act. The income tax expense for the comparable 2019 period primarily relates to a taxable gain arising from the extinguishment of debtAct and changes in the March 2019 Refinancing Transactions.geographic mix of pre-tax earnings.
We have valuation allowances established against our deferred tax assets in most jurisdictions in which we operate, with the exception of Canada and India. Accordingly, it would be unlikely for future pre-tax losses to create a tax benefit that would be more likely than not to be realized. Although the Company has valuation allowances established against deferred tax assets in most major jurisdictions as of March 31,September 30, 2020, it is possible that there could be material reversals, particularly if certain proposed law changes were to be enacted.
The Internal Revenue Service (IRS)IRS presently is examining certain of our subsidiaries’ U.S. income tax returns for fiscal years ended between December 31, 2011 and December 31, 2015 and, in connection with those examinations, is reviewing our tax positions related to, among other things, certain intercompany arrangements, including the level of profit earned by our U.S. subsidiaries pursuant to such arrangements, and a worthless stock deduction directly attributable to product liability losses. For additional information, including a discussion of related recent developments and their potential impact on us, refer to Note 17. Income Taxes of the Condensed Consolidated Financial Statements included in Part I, Item 1.
During the third quarter of 2020, the IRS opened an examination into certain of our subsidiaries’ U.S. income tax returns for fiscal years ended between December 31, 2016 and December 31, 2018. The IRS maywill likely examine our tax returns for other fiscal years and/or for other tax positions. Similarly, other tax authorities, including the Canada Revenue Agency, are currently examining our non-U.S. tax returns. Additionally, other jurisdictions where we are not currently under audit remain subject to potential future examinations. Such examinations may lead to proposed or actual adjustments to our taxes that may be material, individually or in the aggregate. An adverse outcome of these tax examinations could have a material adverse effect on our business, financial condition, results of operations and cash flows.
For additional information on our income taxes, including information about the impact of the CARES Act, see Note 16.17. Income Taxes of the Condensed Consolidated Financial Statements included in Part I, Item 11.
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Discontinued operations, net of tax. The operating results of the Company’s Astora business, which the Board resolved to wind-down in 2016, are reported as Discontinued operations, net of tax in the Condensed Consolidated Statements of Operations for all periods presented. The following table provides the operating results of our discontinuedAstora Discontinued operations, net of tax, were losses of $27.7 million and $6.0 million duringfor the three and nine months ended March 31,September 30, 2020 and 2019 respectively. During(in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2020201920202019
Litigation-related and other contingencies, net$— $30,000 $28,351 $30,400 
Loss from discontinued operations before income taxes$(7,134)$(37,984)$(47,158)$(51,898)
Income tax benefit$(221)$— $(5,542)$— 
Discontinued operations, net of tax$(6,913)$(37,984)$(41,616)$(51,898)
Amounts included in the three months ended March 31, 2020, we recorded a $30.5 million chargeLitigation-related and other contingencies, net line of the table above are for mesh-related litigation. The remaining pre-tax amounts during the three and nine months ended March 31,September 30, 2020 and 2019 were primarily related to mesh-related legal defense costs and certain other items. Additionally, we recorded an income tax benefit of $5.9 million related to discontinued operations during the three months ended March 31, 2020. For additional discussion of mesh-related matters, refer to Note 12.13. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1.1.
Business Segment Results Review
Refer to Note 4.5. Segment Results of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for further details regarding our reportable segments and segmentSegment adjusted income (loss) from continuing operations before income tax (the measure we use to evaluate segment performance), as well as reconciliations of Total consolidated income (loss)loss from continuing operations before income tax, which is determined in accordance with U.S. GAAP, to our totalTotal segment adjusted income (loss) from continuing operations before income tax.
We refer to segmentSegment adjusted income (loss) from continuing operations before income tax, a financial measure not defined by U.S. GAAP, in making operating decisions because we believe it provides meaningful supplemental information regarding our operational performance. For instance, we believe that this measure facilitates internal comparisons to our historical operating results and comparisons to competitors’ results. We believe this measure is useful to investors in allowing for greater transparency related to supplemental information used in our financial and operational decision-making. Further, we believe that segmentSegment adjusted income (loss) from continuing operations before income tax may be useful to investors as we are aware that certain of our significant shareholders utilize segmentSegment adjusted income (loss) from continuing operations before income tax to evaluate our financial performance. Finally, segmentSegment adjusted income (loss) from continuing operations before income tax is utilized in the calculation of other financial measures not determined in accordance with U.S. GAAP that are used by the Compensation Committee of the Company’s Board in assessing the performance and compensation of substantially all of our employees, including our executive officers. Effective January 1, 2020, the Company revised its definition of segmentSegment adjusted income (loss) from continuing operations before income tax to exclude certain legal costs in order to reflect changes in how the CODM reviews segment performance. Refer to Note 4.5. Segment Results of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report for further details regarding this revision.
There are limitations to using financial measures such as segmentSegment adjusted income (loss) from continuing operations before income tax. Other companies in our industry may define segmentSegment adjusted income (loss) from continuing operations before income tax differently than we do. As a result, it may be difficult to use segmentSegment adjusted income (loss) from continuing operations before income tax or similarly named adjusted financial measures that other companies may use to compare the performance of those companies to our performance. Because of these limitations, segmentSegment adjusted income (loss) from continuing operations before income tax is not intended to represent cash flow from operations as defined by U.S. GAAP and should not be used as an indicator of operating performance, a measure of liquidity or as alternative to net income, cash flows or any other financial measure determined in accordance with U.S. GAAP. We compensate for these limitations by providing, in Note 4.5. Segment Results of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report, reconciliations of Total consolidated income (loss)loss from continuing operations before income tax, which is determined in accordance with U.S. GAAP, to our totalTotal segment adjusted income (loss) from continuing operations before income tax.
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Revenues, net. The following table displays our revenue by reportable segment for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
Three Months Ended March 31, % ChangeThree Months Ended September 30,% ChangeNine Months Ended September 30,% Change
2020 2019 2020 vs. 2019202020192020 vs. 2019202020192020 vs. 2019
Branded Pharmaceuticals$204,073
 $203,525
 %Branded Pharmaceuticals$223,682 $217,313 %$557,276 $629,851 (12)%
Sterile Injectables336,390
 270,048
 25%Sterile Injectables251,393 263,635 (5)%906,997 777,963 17 %
Generic Pharmaceuticals251,283
 218,526
 15%Generic Pharmaceuticals135,508 218,012 (38)%602,670 654,322 (8)%
International Pharmaceuticals (1)28,659
 28,312
 1%International Pharmaceuticals (1)24,277 30,466 (20)%75,910 87,428 (13)%
Total net revenues from external customers$820,405
 $720,411
 14%Total net revenues from external customers$634,860 $729,426 (13)%$2,142,853 $2,149,564 — %
__________
(1)Revenues generated by our International Pharmaceuticals segment are primarily attributable to external customers located in Canada.

(1)Revenues generated by our International Pharmaceuticals segment are primarily attributable to external customers located in Canada.
Branded Pharmaceuticals. The following table displays the significant components of our Branded Pharmaceuticals revenues from external customers for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
Three Months Ended March 31, % ChangeThree Months Ended September 30,% ChangeNine Months Ended September 30,% Change
2020 2019 2020 vs. 2019202020192020 vs. 2019202020192020 vs. 2019
Specialty Products:     Specialty Products:
XIAFLEX®$89,072
 $68,507
 30 %XIAFLEX®$88,167 $82,756 %$211,022 $226,118 (7)%
SUPPRELIN® LA19,720
 22,056
 (11)%SUPPRELIN® LA28,229 20,772 36 %63,344 66,542 (5)%
Other Specialty (1)25,505
 24,403
 5 %Other Specialty (1)23,724 28,470 (17)%68,795 78,397 (12)%
Total Specialty Products$134,297
 $114,966
 17 %Total Specialty Products$140,120 $131,998 %$343,161 $371,057 (8)%
Established Products:     Established Products:
PERCOCET®$27,703
 $30,760
 (10)%PERCOCET®$27,508 $28,561 (4)%$82,789 $88,199 (6)%
EDEX®8,568
 5,971
 43 %
TESTOPEL®TESTOPEL®18,068 13,236 37 %26,877 40,830 (34)%
Other Established (2)33,505
 51,828
 (35)%Other Established (2)37,986 43,518 (13)%104,449 129,765 (20)%
Total Established Products$69,776
 $88,559
 (21)%Total Established Products$83,562 $85,315 (2)%$214,115 $258,794 (17)%
Total Branded Pharmaceuticals (3)$204,073
 $203,525
  %Total Branded Pharmaceuticals (3)$223,682 $217,313 %$557,276 $629,851 (12)%
__________
(1)
(1)Products included within Other Specialty are NASCOBAL® Nasal Spray and AVEED®Nasal Spray and AVEED®.
(2)Products included within Other Established include, but are not limited to, EDEX® and LIDODERM®.
(3)Individual products presented above represent the top two performing products in each product category for either the three or nine months ended September 30, 2020 and/or any product having revenues in excess of $25 million during any quarterly period in 2020 or 2019.
(2)
Products included within Other Established include, but are not limited to, LIDODERM® and TESTOPEL®.
(3)Individual products presented above represent the top two performing products in each product category for the three months ended March 31, 2020 and/or any product having revenues in excess of $25 million during any quarterly period in 2020 or 2019.
Specialty Products
The increase in XIAFLEX® for the three months ended March 31, 2020 was primarily attributable to demand growth driven by the continued investment and promotional efforts behind XIAFLEX® and increases in inventory stocking due to future access concerns during the COVID-19 pandemic, as well as price.
The decrease in SUPPRELIN® LA, a physician administered product, for the three months ended March 31, 2020 was primarily due to a reduction in physician activity and a slowing of patient office visits resulting from shelter-in-place orders, which led to decreased demand for SUPPRELIN® LA.
The increase in Other Specialty Products for the three months ended March 31, 2020 was primarily attributable to increased sales of AVEED® as a result of price and volume increases.
XIAFLEX®, SUPPRELIN® LA and certain of our Other Specialty Products are physician administered products. DuringBeginning during the last two weeks of the first quarter of 2020 these products began to experience decreased demand due to a reduction in physician activity and a slowing of patient office visits resulting from shelter-in-place orders. We expect to see a continuation of the decline in demand for these products duringcontinuing into the second quarter of 2020, followedcertain of our products that are physician administered, including XIAFLEX® and SUPPRELIN® LA, began experiencing significantly decreased sales volumes due to reduced physician office activity and patient office visits compared to prior year because of the COVID-19 pandemic. During the second and third quarters of 2020, sales volumes began to recover toward pre-COVID-19 levels as certain physician offices reopened. However, for the nine months ended September 30, 2020, overall sales volumes for these products decreased, resulting in decreased revenues. The decrease in XIAFLEX® revenues for the nine months ended September 30, 2020 was partially offset by a gradualprice.
The increase in XIAFLEX® revenues for the three months ended September 30, 2020 compared to the prior year period was primarily driven by price. The increase in SUPPRELIN® LA revenues for the three months ended September 30, 2020 compared to the prior year period was primarily driven by volume.
We expect XIAFLEX® sales volumes beginningto continue to recover in the second halffourth quarter of the year2020 if and to the extent that physician and patient activities continue to return toward pre-COVID-19 levels.
Established Products
The decrease in PERCOCET®Other Specialty Products for the three months ended March 31,September 30, 2020 was primarily driven by decreased price and volume. The decrease in Other Specialty Products for the nine months ended September 30, 2020 was primarily driven by decreased volume.
Established Products
The decreases in PERCOCET® revenues for the three and nine months ended September 30, 2020 were primarily attributable to volume decreases, partially offset by price increases.
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The increase in EDEXTESTOPEL® revenues for the three months ended March 31,September 30, 2020 was primarily attributable to volume increases.increased sales following the third-quarter 2020 resolution of a temporary supply disruption. The decrease in TESTOPEL® revenues for the nine months ended September 30, 2020 was primarily attributable to a temporary supply disruption, which was subsequently resolved in the third quarter of 2020.
The decreasedecreases in Other Established Products revenues for the three and nine months ended March 31,September 30, 2020 waswere primarily attributable to volume decreases as a result of ongoing competitive pressures.

Sterile Injectables. The following table displays the significant components of our Sterile Injectables revenues from external customers for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
Three Months Ended September 30,% ChangeNine Months Ended September 30,% Change
Three Months Ended March 31, % Change202020192020 vs. 2019202020192020 vs. 2019
2020 2019 2020 vs. 2019
VASOSTRICT®$202,904
 $139,137
 46 %
ADRENALIN®56,512
 47,322
 19 %
VASOSTRICT®
VASOSTRICT®
$155,412 $129,691 20 %$572,530 $384,854 49 %
ADRENALIN®
ADRENALIN®
30,662 40,311 (24)%120,335 133,468 (10)%
Ertapenem for injection17,874
 32,219
 (45)%Ertapenem for injection16,784 21,853 (23)%46,648 79,619 (41)%
APLISOL®9,867
 12,381
 (20)%
APLISOL®
APLISOL®
9,443 28,085 (66)%25,821 55,996 (54)%
Other Sterile Injectables (1)49,233
 38,989
 26 %Other Sterile Injectables (1)39,092 43,695 (11)%141,663 124,026 14 %
Total Sterile Injectables (2)$336,390
 $270,048
 25 %Total Sterile Injectables (2)$251,393 $263,635 (5)%$906,997 $777,963 17 %
__________
(1)Products included within Other Sterile Injectables include ephedrine sulfate injection and others.
(2)Individual products presented above represent the top two performing products within the Sterile Injectables segment for the three months ended March 31, 2020 and/or any product having revenues in excess of $25 million during any quarterly period in 2020 or 2019.
(1)Products included within Other Sterile Injectables include ephedrine sulfate injection and others.
(2)Individual products presented above represent the top two performing products within the Sterile Injectables segment for either the three or nine months ended September 30, 2020 and/or any product having revenues in excess of $25 million during any quarterly period in 2020 or 2019.
The increaseincreases in VASOSTRICT® revenues for the three and nine months ended March 31,September 30, 2020 waswere primarily attributable to increases in botha combination of increased volume and price. Beginning late in the first quarter of 2020, we experienced a significant increase in sales volumes for VASOSTRICT® resulting from increased utilization and channel inventory stockingthe impacts of this product, primarily to treat patients infected with COVID-19. We expect that there will be an increase in revenues in the second quarter of 2020 compared to the first quarter, primarily due to higher utilization and channel inventory stocking. During the second half of 2020, we anticipate a period of destocking with a subsequent return toward pre-COVID-19 purchasing levels.COVID-19 described above, as well as price.
As of March 31,September 30, 2020, we have six14 patents forcovering VASOSTRICT® listed in the Orange Book, including with respect to presentations that have not yet been commercialized, and additional patents pending with the U.S. Patent and Trademark Office. The FDA requires any applicant seeking FDA approval for vasopressin prior to patent expiry and relying on VASOSTRICT® as the reference-listed drug to notify us of its filing before the FDA will issue an approval. As further discussed in Note 12.13. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1 under the heading “VASOSTRICTVASOSTRICT® Related Matters,,” we have received notice letters from certain other pharmaceutical companies advising of the filing by such companies of ANDAs for generic versions of VASOSTRICT®. We have taken and plan to continue to take actions in our best interest to protect our rights with respect to VASOSTRICT®. The introduction of any competing versions of VASOSTRICT® could result in reductions to our market share revenues, profitabilityand could have a material adverse effect on our business, financial condition, results of operations and cash flows.
The increasedecreases in ADRENALIN® revenues for the three and nine months ended March 31,September 30, 2020 waswere primarily attributabledriven by the impact of a competitive entry. The introduction of one or more additional competing versions of ADRENALIN® could result in further reductions to increases in both volumeour market share and price. Beginning late in the first quartercould have a material adverse effect on our business, financial condition, results of 2020, we experienced a significant increase in sales volumes for ADRENALIN® resulting from increased utilizationoperations and channel inventory stocking of this product, primarily to treat patients infected with COVID-19.cash flows.
The decreasedecreases in Ertapenemrevenues of ertapenem for injection the(the authorized generic of Merck’s Invanz®, was) for the three and nine months ended September 30, 2020 were primarily attributable to decreased volume and price as a result of increased competition.
The decreasedecreases in APLISOL® revenues for the three and nine months ended September 30, 2020 were driven in part by decreased volumes resulting from competition. Additionally, during the third quarter of 2019, APLISOL® revenues benefited from wholesalers restocking after a temporary supply shortage. This benefit did not reoccur during the three and nine months ended September 30, 2020.
The decrease in Other Sterile Injectables revenues for the three months ended March 31,September 30, 2020 was primarily driven by destocking as wholesalers continued to normalize inventory levels followingdecreased prices, partially offset by increased purchasing involumes across multiple products within the third quarter of 2019 subsequent to a temporary supply shortage.
product portfolio. The increase in Other Sterile Injectables revenues for the threenine months ended March 31,September 30, 2020 was primarily driven by increased volumevolumes, partially offset by decreased prices across multiple products within the product portfolio.
Generic Pharmaceuticals. RevenueThe decreases in Generic Pharmaceuticalsrevenues for the Generic Pharmaceuticals segment increased during the three and nine months ended March 31,September 30, 2020 were primarily dueattributable to certain recent product launches including, among others, the fourth-quarter 2019 launchdecreased sales of everolimuscolchicine tablets a generic version of Novartis Pharmaceuticals Corporation’s Afinitor®, the second-quarter 2019 launch of albuterol sulfate HFA inhaler, the(the authorized generic of Merck’s ProventilTakeda’s Colcrys®, and the third-quarter 2019 launch of posaconazole tablets, the authorized generic of Merck’s Noxafil®. Additionally, certain of these and other products in our Generic Pharmaceuticals segment experienced increased demand during the three months ended March 31, 2020,) resulting from their utilization to treat patients infected with COVID-19 and from the impact of accelerated prescription fulfillment that we believe is a result of concerns of healthcare providers and consumers regarding their ability to access medications because of shelter-in-place and similar measures taken by governments. Partially offsetting the increase were the impacts of continuedcompetition, as well as competitive pressures on certain commoditizedother generic products.
In the second quarter of 2020, we expect to see a decline in revenue for this segment compared to the first quarter drivenproducts, partially offset by lower prescription trends following accelerated first-quarter prescription fulfillment, modified production schedules to safely maintain operations in response to COVID-19, which could result in potential temporary supply decreases and potential launch delays forincreased revenues from certain medications in this segment, and continued competitive pressures on certain commoditized generic products.recent product launches.
International Pharmaceuticals. Revenue for theThe decreases in International Pharmaceuticals segmentrevenues for the three and nine months ended March 31,September 30, 2020 waswere primarily attributable to competitive pressures in line with prior year.certain international markets and the impact of certain product discontinuation activities.

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Segment adjusted income (loss) from continuing operations before income tax. The following table displays our segmentSegment adjusted income (loss) from continuing operations before income tax by reportable segment for the three and nine months ended March 31,September 30, 2020 and 2019 (dollars in thousands):
Three Months Ended September 30,% ChangeNine Months Ended September 30,% Change
202020192020 vs. 2019202020192020 vs. 2019
Branded Pharmaceuticals$120,368 $105,864 14 %$267,964 $302,682 (11)%
Sterile Injectables$190,498 $197,974 (4)%$696,147 $566,345 23 %
Generic Pharmaceuticals$(13,428)$29,569 NM$91,293 $129,702 (30)%
International Pharmaceuticals$10,679 $11,511 (7)%$34,180 $35,053 (2)%
 Three Months Ended March 31, % Change
 2020 2019 2020 vs. 2019
Branded Pharmaceuticals$98,422
 $95,283
 3%
Sterile Injectables$263,896
 $196,183
 35%
Generic Pharmaceuticals$57,327
 $50,411
 14%
International Pharmaceuticals$14,197
 $12,095
 17%
__________
NM indicates that the percentage change is not meaningful or is greater than 100%.
Branded Pharmaceuticals. The increase in Segment adjusted income (loss) from continuing operations before income tax for the three months ended March 31,September 30, 2020 was primarily attributable to the gross margin effect of the increased gross margins resultingrevenues from changes in product mixthe Specialty Products portfolio of our Branded Pharmaceuticals segment described above and lowerreduced R&D expense resulting from lower costs associated with certain post-marketing R&D commitments. This wascommitments, partially offset by increased costs associated with preparing for our planned commercial launch of CCHQWO. The decrease in Segment adjusted income (loss) from continuing operations before income tax for the treatmentnine months ended September 30, 2020 was primarily attributable to the gross margin effect of cellulite indecreased revenues, including from physician administered products resulting from the buttocks, if approvedimpacts of COVID-19 as further described above, a higher branded prescription drug fee and increased costs associated with preparing for our planned commercial launch of QWO, partially offset by the FDA.reduced R&D expense resulting from lower costs associated with certain post-marketing R&D commitments and reduced legal costs associated with certain matters.
Sterile Injectables. The increasedecrease in Segment adjusted income (loss) from continuing operations before income tax for the three months ended March 31,September 30, 2020 was primarily driven byattributable to the gross margin effect of the decreased revenues further described above. The increase in Segment adjusted income (loss) from continuing operations before income tax for the nine months ended September 30, 2020 was primarily attributable to the gross margin effect of the increased revenues and gross margins resulting from strong performance across several products in this segment, including increases in revenues related to COVID-19, as further described above.
Generic Pharmaceuticals. The increaseunfavorable changes in Segment adjusted income (loss) from continuing operations before income tax for the three and nine months ended March 31,September 30, 2020 waswere primarily attributable to increased revenues as described above and the resulting increases to gross margin. This increase was partially offset by negative impacts to gross margin due to changes in product mix resulting from increased saleseffects of certain lower margin authorized generic products.the decreased revenues further described above.
International Pharmaceuticals. The increasedecreases in Segment adjusted income (loss) from continuing operations before income tax for the three and nine months ended March 31,September 30, 2020 waswere primarily attributable to increasedthe gross margin as a resulteffects of favorable changes in product mix.the decreased revenues further described above.
LIQUIDITY AND CAPITAL RESOURCES
Our principal source of liquidity is cash generated from operations. Our principal liquidity requirements are primarily for working capital for operations, licenses, milestone payments, capital expenditures, mergers and acquisitions (including the pending acquisition of the common stock of BioSpecifics), contingent liabilities, debt service payments, income taxes and litigation-related matters, including in connection with vaginal mesh liability payments.matters and other matters. The Company’s working capital was $1,388.3$1,511.8 million at March 31,September 30, 2020 compared to working capital of $1,125.9 million at December 31, 2019. The amounts at March 31,September 30, 2020 and December 31, 2019 include restricted cash and cash equivalents of $195.7$136.3 million and $242.8 million, respectively, held in QSFs for mesh-related matters. Although these amounts in QSFs are included in working capital, they are required to be used for mesh product liability settlement agreements.
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Cash and cash equivalents, which primarily consisted of bank deposits and money market accounts, totaled $1,531.5$1,679.7 million at March 31,September 30, 2020 compared to $1,454.5 million at December 31, 2019. While we currently expect our operating cash flows, together with our cash, cash equivalents, restricted cash and restricted cash equivalents, to be sufficient to cover our principal liquidity requirements over the next year, the extent to which COVID-19 could impact our business, financial condition, results of operations and cash flows in the short- and medium-term cannot be predicted with certainty, but such impact could be material.Although we did not experience significant disruptions to our business during the three months ended March 31, 2020 from COVID-19, we have since experienced and expect that we, and our industry as a whole, will continue to experience a greater impact going forward. To the extent COVID-19 has resulted in any increase to our Cash and cash equivalents, including as a result of any increase in revenues as described above, such increase could be temporary. Additionally, on a longer term basis, we may not be able to accurately predict the effect of certain developments on our sales and gross margins, such as the degree of market acceptance, patent protection and exclusivity of our products, pricing pressures (including those due to the impact of competition), the effectiveness of our sales and marketing efforts and the outcome of our current efforts to develop, receive approval for and successfully launch our product candidates. We may also face unexpected costs in connection with our business operations, our ongoing and future legal proceedings, governmental investigations and other contingent liabilities, including potential costs related to settlements and judgments, as well as legal defense costs, and the implementation of our COVID-19 related policies and procedures. Furthermore, we may not be successful in implementing, or may face unexpected changes or expenses in connection with, our strategic direction, including the potential for opportunistic corporate development transactions. Any of the above could have a material adverse effect on our business, financial condition, results of operations and cash flows and require us to seek additional sources of liquidity and capital resources as described below. For information regarding the impact of COVID-19 on the Company, including on our liquidity and capital resources, please refer to “Risk Factors” in Part II, Item 1A.

1A of this report.
To the extent our operating cash flows, together with our cash, cash equivalents, restricted cash and restricted cash equivalents, become insufficient to cover our liquidity and capital requirements, including funds for any future acquisitions and other corporate transactions, we may be required to seek third-party financing, including additional draws on our Revolving Credit Facility or additional credit facilities, and/or engage in one or more capital marketsmarket transactions. The COVID-19 pandemic has resulted in significant disruptions to and volatility in the local, national and global financial markets and thereThere can be no assurance that we would be able to obtain any required financing on a timely basis or at all. Further, lenders and other financial institutions could require us to agree to more restrictive covenants, grant liens on our assets as collateral (resulting in an increase in our total outstanding secured indebtedness) and/or accept other terms that are not commercially beneficial to us in order to obtain financing, as a result of the actual or perceived impact that financial institutions believe the pandemic will have on our business.financing. Such terms could further restrict our operations and exacerbate any impact on our results of operations and liquidity that may result from COVID-19.
We may also, from time to time, seek to enter into certain transactions to reduce our leverage and/or interest expense and/or to extend the maturities of our outstanding indebtedness. Such transactions could include, for example, transactions to exchange existing indebtedness for our ordinary shares or other debt (including exchanges of unsecured debt for secured debt), to issue equity (including convertible securities) or to repurchase, redeem, exchange or refinance our existing indebtedness (including the Credit Agreement) as well as our outstanding senior notes. Any of these transactions could impact our liquidity or results of operations. Our ability to obtain any third-party financing needed for such transactions is subject to the same uncertainties relating to the disruptions to and volatility in the financial markets described above. Further, the terms of any such transactions, including the amount of any exchange consideration and terms of any refinanced debt, could also be less favorable than we have been able to obtain in the past, including a requirement that we grant liens on our assets as collateral (resulting in an increase in our total outstanding secured indebtedness), as a result of changing market conditions and investment interest from the pandemic and its impact on our business and the financial markets.past.
Indebtedness.Indebtedness. The Company and/orand certain of its subsidiaries are party to the Credit Agreement governing the Credit Facilities and the indentures governing our various senior secured and senior unsecured notes. As of March 31,September 30, 2020, approximately $3.3 billion was outstanding under the Term Loan Facility, approximately $0.3 billion was outstanding under the Revolving Credit Facility and approximately $4.8 billion was outstanding under the senior secured and senior unsecured notes.
After giving effect to previous borrowings and issued and outstanding letters of credit, approximately $0.7 billion of remaining credit was available under the Revolving Credit Facility at March 31,September 30, 2020. The Company’s outstanding debt agreements contain a number of restrictive covenants, including certain limitations on the Company’s ability to incur additional indebtedness.
The Credit Agreement and the indentures governing our various senior secured notes containsand the 6.00% Senior Notes due 2028 contain certain covenants. As of March 31,September 30, 2020 and December 31, 2019, the Company was in compliance with all such covenants. Following the March 2019 Refinancing Transactions and June 2020 Refinancing Transactions, we have eliminated substantially all of the restrictive covenants and certain events of default in the indentures governing our senior unsecured notes, except for those in the indenture governing the 6.00% Senior Notes due 2028.
Refer to Note 11.12. Debt of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report and Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of the Annual Report for additional information about our indebtedness, including our debt refinancing transactions and information about covenants, maturities, interest rates, security and priority.
Credit ratings. The Company’s corporate credit ratings assigned by Moody’s Investors Service and Standard & Poor’s are B3 with a stable outlook and B with a negative outlook, respectively. No report of any rating agency is being incorporated by reference herein.
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Working capital. The components of our working capital and our liquidity at March 31,September 30, 2020 and December 31, 2019 are below (dollars in thousands):
September 30, 2020December 31, 2019
Total current assets$2,802,820 $2,586,218 
Less: total current liabilities1,290,998 1,460,289 
Working capital$1,511,822 $1,125,929 
Current ratio (total current assets divided by total current liabilities)2.2:11.8:1
 March 31, 2020 December 31, 2019
Total current assets$2,735,335
 $2,586,218
Less: total current liabilities1,346,991
 1,460,289
Working capital$1,388,344
 $1,125,929
Current ratio (total current assets divided by total current liabilities)2.0:1
 1.8:1
Net working capital increased by $262.4$385.9 million from December 31, 2019 to March 31,September 30, 2020. This increase primarily reflects the favorable impact to net current assets resulting from operations during the threenine months ended March 31,September 30, 2020. This activityincrease was partially offset by purchasesthe impact of the June 2020 Refinancing Transactions that, during nine months ended September 30, 2020, resulted in the incurrence of approximately $31.1 million of fees to third parties and cash expenditures of $47.2 million to settle noncurrent debt obligations, as well as the impact of the August 2020 Tender Offer, which resulted in cash expenditures of approximately $10 million to settle noncurrent debt obligations. Additionally, working capital decreased as a result of Purchases of property, plant and equipment, excluding capitalized interest, of $19.6$52.7 million during threenine months ended March 31,September 30, 2020.

The following table summarizes our Condensed Consolidated Statements of Cash Flows for the threenine months ended March 31,September 30, 2020 and 2019 (in thousands):
Three Months Ended March 31,Nine Months Ended September 30,
2020 201920202019
Net cash flow provided by (used in):   Net cash flow provided by (used in):
Operating activities$62,556
 $(90,583)Operating activities$289,443 $119,244 
Investing activities(15,963) (16,377)Investing activities(50,230)(45,327)
Financing activities(14,483) (33,771)Financing activities(98,357)219,564 
Effect of foreign exchange rate(1,894) 537
Effect of foreign exchange rate(458)780 
Net increase (decrease) in cash, cash equivalents, restricted cash and restricted cash equivalents$30,216
 $(140,194)
Net increase in cash, cash equivalents, restricted cash and restricted cash equivalentsNet increase in cash, cash equivalents, restricted cash and restricted cash equivalents$140,398 $294,261 
Operating activities. Net cash provided by (used in) operating activities represents the cash receipts and cash disbursements from all of our activities other than investing activities and financing activities. Changes in cash from operating activities reflect, among other things, the timing of cash collections from customers, payments to suppliers, managed care organizations, government agencies, collaborative partners and employees as well as tax payments and refunds in the ordinary course of business.business, as well as the timing and amount of cash payments and/or receipts related to interest, litigation-related matters, restructurings, income taxes and certain other items.
The $153.1$170.2 million changeincrease in Net cash provided by (used in) operating activities during the threenine months ended March 31,September 30, 2020 compared to the prior year period was primarily due to a decrease of $146.5 million in cash outflows for certain mesh-related matters. The amounts of Net cash provided by operating activities for the nine months ended September 30, 2020 and 2019 were also impacted by our results of operations as described above and the timing of cash collections and cash payments related to our operations. Additionally, cash paid for interest decreased by approximately $72.4 million during the three months ended March 31, 2020 as a resultWe currently expect to fund substantially all of the timingremaining payments under all previously executed mesh-related settlement agreements into the related QSFs during 2020 and amounts of interest payments related2021, which could result in reductions to our indebtedness.operating cash flows. For additional information about mesh-related matters, refer to Note 13. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
Investing activities. The $4.9 million increase in Net cash used in investing activities during the threenine months ended March 31,September 30, 2020 was in line withcompared to the prior year period.period was primarily due to an increase in Purchases of property, plant and equipment, excluding capitalized interest of $4.9 million and an increase in Product acquisition costs and license fees of $2.0 million, partially offset by an increase in Proceeds from sale of business and other assets, net of $1.6 million.
Financing activities. During the threenine months ended March 31,September 30, 2020, Net cash used in financing activities related primarily to Repayments of notes of $57.6 million associated with the June 2020 Refinancing Transactions and August 2020 Tender Offer, Repayments of term loans of $8.5$25.6 million and Payments of tax withholding for restricted shares of $4.4$7.9 million.
During the threenine months ended March 31,September 30, 2019, Net cash used inprovided by financing activities related primarily to the $300.0 million June 2019 borrowing under the Revolving Credit Facility. The proceeds from this transaction were offset by Repayments of term loans of $8.5$25.6 million, Payments for contingent consideration of $4.6$11.8 million, Payments of tax withholding for restricted shares of $10.1 million, Repayments of other indebtedness of $7.8 million and the net effect of the March 2019 Refinancing Transactions, which resulted in Repayments of notes totaling $1,500.0 million and Payments for debt issuance and extinguishment costs of $0.2$6.4 million,, partially offset by Proceeds from issuance of notes, net of $1,483.1 million.
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Contractual Obligations. As of March 31,September 30, 2020, there were no material changes in our contractual obligations from those disclosed in the Annual Report.Report except for those related to the financing transactions described in Note 12. Debt of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
Fluctuations. Our quarterly results have fluctuated in the past and may continue to fluctuate. These fluctuations may be due to the timing of new product launches, purchasing patterns of our customers, market acceptance of our products, the impact of competitive products and pricing, certain actions taken by us which may impact the availability of our products, asset impairment charges, litigation-related charges related to litigation, restructuring costs including separation benefits, business combination transaction costs, the impact of financing transactions, upfront, milestone and certain other payments made or accrued pursuant to licensing agreements and changes in the fair value of financial instruments and contingent assets and liabilities recorded as part of business combinations. Further, a substantial portion of our total revenues are through three wholesale drug distributors who in turn supply our products to pharmacies, hospitals and physicians. Accordingly, we are potentially subject to a concentration of credit risk with respect to our trade receivables. The impact of COVID-19 may heighten these fluctuations in our operating results.
Additionally, the current economic crisis and risingincreased unemployment rates resulting from COVID-19 have significantly reduced individual disposable income and depressed consumer confidence, which could limit the ability of some consumers to purchase certain pharmaceutical products and reduce consumer spend on certain medical procedures in both the short- and medium-term. Additionally, as part of the measures to address COVID-19, certain healthcare providers are not currently performing various medical procedures.
Inflation. We do not believe that inflation had a material adverse effect on our financial statements for the periods presented.
Off-balance sheet arrangements. We have no off-balance sheet arrangements as defined in Item 303(a)(4) of Regulation S-K.
CRITICAL ACCOUNTING ESTIMATES
Significant changes to our critical accounting estimates since December 31, 2019 are detailed below. For additional discussion of the Company’s critical accounting estimates, see “Critical Accounting Estimates” in Item 7 of the Annual Report.
Goodwill and indefinite-lived intangible assets
As further described in Note 8.9. Goodwill and Other Intangibles of the Condensed Consolidated Financial Statements included in Part I, Item 1,, we recorded a pre-tax, non-cash goodwill impairment charge relating to our Paladin reporting unit of $32.8 million during the first quarter of 2020. Following this impairment, there was no remaining goodwill associated with this reporting unit.

We have not made any substantial changes to our methodology used in our impairment tests since our previous assessment. Determination of the fair value of a reporting unit is a matter of judgment and involves the use of estimates and assumptions, which are based on management’s best estimates at the time. The use of different assumptions would increase or decrease our estimated discounted future cash flows and the resulting estimated fair value of our reporting units, which could result in the fair value of a reporting unit being less than its carrying amount in an impairment test.
We are closely monitoring the impact of COVID-19 on our business. It is possible that COVID-19 could result in reductions to the estimated fair values of our goodwill and other intangible assets, which could ultimately result in asset impairment charges that may be material. For further information regarding the impact of COVID-19 on the Company, please refer to “Risk Factors” in Part II, Item 1A.1A of this report.
Additionally, as further discussed above under the heading “RESULTS OF OPERATIONS,” our Generic Pharmaceuticals segment and certain of the products in our Sterile Injectables segment, including VASOSTRICT®, are subject to risks and uncertainties related to future competition. If actual results for these segments differ from our expectations, as a result of competition or otherwise, and/or if we make changes to our assumptions for these segments relating to competition or any other risks or uncertainties, the estimated future cash flows could be reduced, which could ultimately result in asset impairment charges that may be material. As of September 30, 2020, the carrying amount of goodwill associated with our Sterile Injectables segment was approximately $2.7 billion.
RECENT ACCOUNTING PRONOUNCEMENTS
For a discussion of recent accounting pronouncements, refer to Note 2. Summary of Significant Accounting Policies of the Condensed Consolidated Financial Statements included in Part I, Item 1.1.
Item 3.    Quantitative and Qualitative Disclosures About Market Risk
Market risk is the potential loss arising from adverse changes in the financial markets, including interest rates and foreign currency exchange rates.
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Interest Rate Risk
Our exposure to interest rate risk relates primarily to our variable-rate indebtedness associated with our Credit Facilities. At March 31,September 30, 2020 and December 31, 2019, the aggregate principal amounts of such variable-rate indebtedness were $3,621.1$3,604.0 million and $3,629.6 million, respectively. Borrowings under the Credit Facilities may from time to time bear interest at variable rates, as further described in Note 11. Debt of the Condensed Consolidated Financial Statements included in Part I, Item 1, in certain cases subject to a floor. At March 31,September 30, 2020 and December 31, 2019, a hypothetical 1% increase in the applicable rate over the floor would have resulted in $36.2$36.0 million and $36.3 million, respectively, of incremental interest expense (representing the annual rate of expense) related to our variable-rate debt borrowings.
To the extent that we utilize additional amounts under the Revolving Credit Facility or otherwise increase the amount of our variable-rate indebtedness, we will be exposed to additional interest rate risk.
As of March 31,September 30, 2020 and December 31, 2019, we had no other assets or liabilities with significant interest rate sensitivity.
Foreign Currency Exchange Rate Risk
We operate and transact business in various foreign countries and are therefore subject to risks associated with foreign currency exchange rate fluctuations. The Company manages this foreign currency risk, in part, through operational means including managing foreign currency revenues in relation to same-currency costs and foreign currency assets in relation to same-currency liabilities. The Company is also exposed to potential earnings effects from intercompany foreign currency assets and liabilities that arise from normal trade receivables and payables and other intercompany loans. Additionally, certain of the Company’s subsidiaries maintain their books of record in currencies other than their respective functional currencies. These subsidiaries’ financial statements are remeasured into their respective functional currencies. Such remeasurement adjustments could have a material adverse effect on our business, financial condition, results of operations and cash flows.
AllThe assets and liabilities of certain of our international subsidiaries which maintain their financial statements in local currency, are also translated to U.S. dollars at period-end exchange rates. Translation adjustments arising from the use of differing exchange rates are included in Accumulated other comprehensive loss. Gains and losses on foreign currency transactions and short-term intercompany receivables from foreign subsidiaries are included in Other (income) expense, net in the Condensed Consolidated Statements of Operations. Refer to Note 15.16. Other (Income) Expense, Net of the Condensed Consolidated Financial Statements included in Part I, Item 1 for the amountamounts of Foreign currency (gain) loss (gain), net.
Based on the Company’s significant foreign currency denominated intercompany loans, we separately considered the hypothetical impact of a 10% change in the underlying currencies of our foreign currency denominated intercompany loans, relative to the U.S. dollar, at March 31,September 30, 2020 and December 31, 2019. A 10% change at March 31,September 30, 2020 would have resulted in approximately $9$10 million in incremental foreign currency losses on such date. A 10% change at December 31, 2019 would have resulted in approximately $11 million in incremental foreign currency losses on such date.

Item 4.    Controls and Procedures
Evaluation of Disclosure Controls and Procedures
The Company’s management, with the participation of the Company’s Chief Executive Officer and Principal Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as of March 31,September 30, 2020. Based on that evaluation, the Company’s Chief Executive Officer and Principal Financial Officer concluded that the Company’s disclosure controls and procedures were effective as of March 31,September 30, 2020.
Changes in Internal Control over Financial Reporting
ThereDuring the fiscal quarter ended September 30, 2020, the Company changed the enterprise resource planning (ERP) system used by certain of its subsidiaries. Where appropriate, the Company made changes to its internal controls to address these system changes.
With the exception of the ERP system migration noted above, there have been no other changes in the Company’s internal control over financial reporting during the fiscal quarter ended March 31,September 30, 2020 that have materially affected, or are 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
The disclosures under Note 12.13. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1 are incorporated into this Part II, Item 1 by reference.
Item 1A. Risk Factors
For a discussion of our risk factors, see the information in Part I, Item 1A. “Risk Factors” in the Annual Report. ThereReport and in Part II, Item 1A. “Risk Factors” of our First Quarter 2020 Form 10-Q. Except as set forth below, there have been no material changes to our risk factors from those described in the Annual Report, except as supplemented and amended by our First Quarter 2020 Form 10-Q.
We may not complete the acquisition of BioSpecifics within the time frame we anticipate or at all. If it is completed, it may not be accretive, which may negatively affect the market price of our shares.
The completion of the acquisition of BioSpecifics is subject to a number of conditions, including, among others: (i) that, immediately prior to the expiration of the Offer, there be validly tendered and not withdrawn in accordance with the terms of the Offer a number of BioSpecifics Shares that, together with the BioSpecifics Shares then-owned by the Company, Purchaser and their respective affiliates (if any), represents at least a majority of all then-outstanding BioSpecifics Shares on a fully diluted basis; (ii) the expiration or termination of any waiting period (and extensions thereof) applicable to the transactions contemplated by the Merger Agreement under the Hart-Scott-Rodino Antitrust Improvements Act of 1976; (iii) the absence of any law or order prohibiting or otherwise preventing the consummation of the Offer or the Merger and (iv) other customary conditions set forth below.in the Merger Agreement.
No assurance can be given that a sufficient number of shares will be tendered, that the required regulatory approvals will be obtained or that the required conditions to closing will be satisfied and, even if all such approvals are obtained and the conditions are satisfied, no assurance can be given as to the terms, conditions and timing of the approvals. The failure to satisfy all of the required conditions could delay the completion of the acquisition for a significant period of time or prevent it from occurring at all. Any delay in completing the acquisition could cause the Company not to realize some or all of the benefits, or realize them on a different timeline than expected. In addition, if the acquisition is not consummated on the current terms or at all, the market price of our ordinary shares could be adversely affected and the value of your investment could decline.
Although we currently anticipate that the acquisition of BioSpecifics will occur and will be accretive to earnings per share, this expectation is based on assumptions about our business and preliminary estimates, which may change materially.
We may not realize all or some of the anticipated benefits from our strategic actions.
We continuously seek to optimize our operations and increase our overall efficiency through strategic actions. These actions may involve decisions to exit manufacturing or research sites, transfer the manufacture of products to other internal and external sites within our manufacturing network and simplify business process activities. For example, we announced plans on November 5, 2020 to optimize our generic retail business cost structure, transfer certain transaction processing activities to third-party global business process service providers and further integrate the Company’s commercial, operations and research and development functions, respectively. There can be no assurance that we will achieve the benefits and savings of such actions in the amounts and expected timing, if at all. We will also incur certain charges in connection with such actions and future costs could also be incurred. It is also possible that charges and cash expenditures associated with such actions could be higher than estimated. Any of these risks could ultimately have a material adverse effect on our business, financial condition, results of operations and cash flows.
Widespread health problems, including the recent global coronavirus, could materially and adversely affect our business.business.
Public health outbreaks, epidemics or pandemics, such as the coronavirus, could materially and adversely impact our business. For example, in December 2019, COVID-19 was reported to have surfaced in Wuhan, China. In March 2020, the World Health Organization declared the COVID-19 outbreak a global pandemic. COVID-19pandemic has resulted in global business and economic disruption and extreme volatility in the financial markets as many jurisdictions have placed restrictions on travel and non-essential business operations and implemented social distancing, shelter-in-place, quarantine and other similar measures for their residents to contain the spread of the virus. In response to these public health directives and orders, we have implemented alternative working practices and mandatory work-from-home requirements for appropriate employees, as well as temperature screenings, health questionnaires, social distancing, modified schedules, shift rotation and other similar policies at our manufacturing facilities,facilities. We launched a hybrid approach selling model as of June 1, 2020 for our field employees, which allows virtual and/or live engagement with healthcare providers and have transitioned to a “virtual” engagement model to continue supporting healthcare professionals, patient care and access to medicines.other customers. We have also suspended international and domestic travel. The effects of COVID-19, including these public health directives and orders and our policies, have had an impact on our business and may in the future materially disrupt our business including(including our manufacturing and supply chain operations by significantly reducing our output,output), negatively impact our productivity and delay our product development programs.
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The global pandemic may have significant impacts on third-party arrangements, including those with our manufacturing, supply chain and distribution partners, information technology and other vendors and other service providers and business partners. For example, there may be significant disruptions in the ability of any or all of these third-party providers to meet their obligations to us on a timely basis, or at all, which may be caused by their own financial or operational difficulties, including any closures of their facilities pursuant to a governmental order or otherwise. As a result ofDue to these disruptions and other factors, including changes in our workforce availability and increased demand for certainsome of our critical care products during this pandemic, our ability to meet our obligations to third-party distribution partners may be negatively impacted. As a result, we have recently delivered, and in the future we or our third-party providers may deliver, notices of the occurrence of a force majeure or similar eventevents under certain of our third-party contracts, which could result in prolonged commercial disputes and ultimately legal proceedings to enforce contractual performance and/or recover losses. Any such occurrences could result in significant management distraction and use of resources and, in the event of an adverse judgment, could result in significant cash payments. Further, the publicity of any such dispute could harm our reputation and make the negotiation of any replacement contracts more difficult and costly, thereby prolonging the effects of any resulting disruption in our operations. Such disruptions could be acute with respect to certain of our raw material suppliers where we may not have readily accessible alternatives or alternatives may take longer to source than usual. While we attempt, when possible, to mitigate our raw material supply risks through stock management and alternative sourcing strategies, some raw materials are only available from one source. Any of these disruptions could harm our ability to meet consumer demand, including any increase in demand for any of our products, including our critical care products used during a pandemic.
We have experienced, and mayexpect to continue to experience, changes in customer demand as the COVID-19 pandemic evolves.continues to evolve, which are difficult to predict. The current economic crisis and risingincreased unemployment rates resulting from COVID-19 have the potential to significantly reduce individual disposable income and depress consumer confidence, which could limit the ability of some consumers to purchase certain pharmaceutical products and reduce consumer spend on certain medical procedures in both the short- and medium-term. Additionally, as part of the measures to address COVID-19, certain healthcare providers are not currently performing various medical procedures, including those that use certain of our products. For example, duringbeginning in the last two weeks of the first quarter of 2020, we experienced decreased demand for certain of our products that are physician administered, including XIAFLEX® and SUPPRELIN® LA.LA, experienced significantly decreased sales volumes due to reduced physician office activity and patient office visits compared to prior year because of the COVID-19 pandemic. Furthermore, we are unable to predict the impact that COVID-19 may have going forward on the business, results of operations or financial position of any of our major customers, which could impact each customer to varying degrees and at different times and could ultimately impact our own financial performance. Certain of our competitors may also be better equipped to weather the impact of COVID-19 both domestically and abroad and better able to address changes in customer demand.

Additionally, our product development programs have been, and may continue to be, adversely affected by the global pandemic and the prioritization of production during this pandemic. The public health directives in response to COVID-19 requiring social distancing and restricting non-essential business operations have in certain cases caused and may continue to cause delays, increased costs and additional challenges in our product development programs, including obtaining adequate patient enrollment and successfully bringing product candidates to market. In addition, we may face additional challenges receiving regulatory approvals as previously scheduled dates or anticipated deadlines for action by the FDA on our applications and products in development, including dates scheduled for 2020, could be subject to delays beyond our control as regulators, such as the FDA, focus on COVID-19. For example, as a result of COVID-19 and its impact on medical aesthetics physician office closures and consumer spending, we are planning on changinghave moved the anticipated product launch of CCH for the treatment of cellulite in the buttocks, if approved,QWO to spring 2021. In addition, we have assessed, and expect to continue to assess, the timeline for commercialization of other products.
To the extent our operating cash flows, together with our cash, cash equivalents, restricted cash and restricted cash equivalents, become insufficient to cover our liquidity and capital requirements, including funds for any future acquisitions and other corporate transactions, we may be required to seek third-party financing, including additional draws on our Revolving Credit Facility or additional credit facilities, and/or engage in one or more capital marketsmarket transactions. The COVID-19 pandemic has resulted in significant disruptions to and volatility in the local, national and global financial markets and thereThere can be no assurance that we would be able to obtain any required financing on a timely basis or at all. Further, lenders and other financial institutions could require us to agree to more restrictive covenants, grant liens on our assets as collateral (resulting in an increase in our total outstanding secured indebtedness) and/or accept other terms that are not commercially beneficial to us in order to obtain financing, as a result of the actual or perceived impact that financial institutions believe the pandemic will have on our business.financing. Such terms could further restrict our operations and exacerbate any impact on our results of operations and liquidity that may result from COVID-19. In addition, a recession or market correction resulting from the spread of COVID-19 could materially affect our business and the value of our ordinary shares.
Additionally, COVID-19 could increase the magnitude of many of the other risks described herein and in the Annual Report, as subsequently supplemented and amended, and have other adverse effects on our operations that we are not currently able to predict. For example, the global economic disruptions and volatility in the financial markets could further depress our ability to obtain or renew insurance on satisfactory terms or at all. Additionally, we may also be required to delay or limit our internal strategies in the short- and medium-term by, for example, redirecting significant resources and management attention away from implementing our strategic priorities or executing opportunistic corporate development transactions.
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The magnitude of the effect of COVID-19 on our business will depend, in part, on the length and severity of the restrictions (including the effects of recently announcedany “re-opening” plans following a recent slowdown of the virus infection rate in certain countriesactions and localities)plans) and other limitations on our ability to conduct our business in the ordinary course. The longer the pandemic continues or resurges, the more severe the impacts described above will be on both our domestic and international business. The extent, length and consequences of the pandemic are uncertain and impossible to predict, but could be material. COVID-19 and other similar outbreaks, epidemics or pandemics could have a material adverse effect on our business, financial condition, results of operations and cash flows and could cause significant volatility in the trading prices of our securities.
We have been and expect to continue to be the subject of lawsuits, product liability claims, other significant legal proceedings, governmental investigations or product recalls, any of which could have a material adverse effect on our company.
Our business exposes us to significant potential risks from lawsuits, product liability claims, other significant legal proceedings, governmental investigations and/or product recalls, including, but not limited to, matters associated with the testing, manufacturing, marketing, sale and use of our products. Some plaintiffs have received substantial damage awards against or entered into significant settlements with healthcare companies based upon various legal theories, including without limitation, claims for injuries allegedly caused by the use of their products. We have been, and expect to continue to be subject to various lawsuits, product liability claims, other significant legal proceedings and governmental investigations or product recalls, any of which could have a material adverse effect on our company or cause us to take significant corporate transactions and remedial measures.

For example, we, along with other manufacturers of prescription opioid medications, as well as distributors and other sellers of such medications, are the subject of lawsuits and have received subpoenas and other requests for information from various federal, state and local government agencies regarding the sale, marketing and/or distribution of prescription opioid medications. Numerous claims against opioid manufacturers, including us, have been and may continue to be filed by or on behalf of various plaintiffs, including states, counties, cities, Native American tribes, other government-related persons or entities, hospitals, health systems, unions, health and welfare funds, other third-party payers and/or individuals. See Note 12. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1 for more information. In these cases, plaintiffs have sought various remedies, including without limitation, declaratory and/or injunctive relief; compensatory, punitive and/or treble damages; restitution, disgorgement, civil penalties, abatement, attorneys’ fees, costs and/or other relief. In these cases, settlement demands and discussions often seek significant monetary and other remedies, and we have received some settlement offers that are on terms that we do not consider reasonable under the circumstances or indicative of the merits or potential outcome of any court proceeding with respect to the underlying claims. Additionally, while we have made the decision to settle some claims, there can be no assurance that settlement opportunities will continue to be available generally, or be consistent with our historic experience. We may not be able to settle all of our opioid claims successfully, and as a result, we may go to trial in certain of these cases. Awards against and settlements by us or our competitors could also incentivize parties to bring additional claims against us. In addition to the risks of direct expenditures for defense costs, settlements and/or judgments in connection with these claims, proceedings and investigations, there is a possibility of loss of revenues, injunctions and disruption of business. Additionally, we have, and may continue to receive, claims or requests for indemnification from certain of our customers. Furthermore, we and other manufacturers of prescription opioid medications have been, and will likely continue to be, subject to negative publicity and press, which could harm our brand and the demand for our products. Certain other manufacturers of prescription opioid medications have publicly commenced, or announced their intention to commence, cases to seek the protections under Chapter 11 of the Bankruptcy Code to address the claims being asserted against such manufacturers in these opioid lawsuits.
Our current and former products may cause or appear to cause serious adverse side effects or potentially dangerous drug interactions if misused or improperly prescribed or as a result of faulty surgical technique. For example, we and certain other manufacturers have been named as defendants in multiple lawsuits in various federal and state courts alleging personal injury resulting from use of transvaginal surgical mesh products designed to treat POP and SUI. The FDA held a public advisory committee meeting in February 2019 during which the members of the Obstetrics and Gynecology Devices Panel of the Medical Devices Advisory Committee discussed and made recommendations regarding the safety and effectiveness of surgical mesh to treat POP. In April 2019, following the meeting, the FDA ordered that the manufacturers of all remaining surgical mesh products indicated for the transvaginal repair of POP cease selling and distributing their products in the U.S. effective immediately. Although we have not sold transvaginal surgical mesh products since March 2016, it is possible that the FDA’s order and any additional FDA actions based on the outcome of the advisory committee meeting could result in additional litigation against the Company. See Note 12. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1 for more information.
Any failure to effectively identify, analyze, report and protect adverse event data and/or to fully comply with relevant laws, rules and regulations around adverse event reporting could expose the Company to legal proceedings, penalties, fines and/or reputational damage.
In addition, in the age of social media, plaintiffs’ attorneys have a wide variety of tools to advertise their services and solicit new clients for litigation, including using judgments and settlements obtained in litigation against us or other pharmaceutical companies as an advertising tool. For these or other reasons, any product liability or other litigation in which we are a defendant could have a larger number of plaintiffs than such actions have seen historically and we could also see an increase in the number of cases filed against us because of the increasing use of widespread and media-varied advertising. Furthermore, a ruling against other pharmaceutical companies in product liability or other litigation in which we are not a defendant could have a negative impact on pending litigation where we are a defendant.
In addition, in certain circumstances, such as in the case of products that do not meet approved specifications or which subsequent data demonstrate may be unsafe, ineffective or misused, it may be necessary for us to initiate voluntary or mandatory recalls or withdraw such products from the market. Any such recall or withdrawal could result in adverse publicity, costs connected to the recall and loss of revenue. Adverse publicity could also result in an increased number of additional product liability claims, whether or not these claims have a basis in scientific fact. See the risk factor “Public concern around the abuse of opioids or other products, including without limitation law enforcement concerns over diversion or marketing practices, regulatory efforts to combat abuse, and litigation could result in costs to our business” in the Annual Report for more information.

If we are found liable in any lawsuits, including product liability claims or actions related to our sales, marketing or pricing practices or the sale, marketing and/or distribution of prescription opioid medications, or if we are subject to governmental investigations or product recalls, it could result in the imposition of material damages, including punitive damages, fines, reputational harm, civil lawsuits, criminal penalties, interruptions of business, modification of business practices, equitable remedies and other sanctions against us or our personnel as well as significant legal and other costs. We may also voluntarily settle cases even if we believe that we have meritorious defenses because of the significant legal and other costs that may be required to defend such actions. Any judgments, claims, settlements and related costs could be well in excess of any applicable insurance. As a result, we may experience significant negative impacts on our operations or financial position. To satisfy judgments or settlements, we also may need to seek financing or bonding, which may not be available on terms acceptable to us, or at all, when required, particularly given the extreme volatility in the capital markets. Judgments also could cause defaults under our debt agreements and/or restrictions on product use or business practices and we could incur losses as a result. Any of the risks above could have a material adverse effect on our business, financial condition, results of operations and cash flows and could be further exacerbated by the impact of COVID-19.
The occurrence or possibility of any such result may cause us to engage in a strategic review that ultimately results in us pursuing one or more significant corporate transactions or remedial measures. Any such actions or measures could include reorganization or restructuring activities, asset sales or other divestitures, cost-saving initiatives or other corporate realignments, seeking strategic partnerships and exiting certain product or geographic markets. See the risk factor “Our ability to fund our operations, maintain adequate liquidity and meet our financing obligations is reliant on our operations, which are subject to significant risks and uncertainties” for more information. Any of such actions may be complex, could entail significant costs and charges or could otherwise negatively impact shareholder value and there can be no assurance that we will be able to accomplish any of these alternatives on terms acceptable to us, or at all, or that they will result in their intended benefits.
See Note 12. Commitments and Contingencies of the Condensed Consolidated Financial Statements included in Part I, Item 1 for further discussion of the foregoing and other material legal proceedings.
Our ability to fund our operations, maintain adequate liquidity and meet our financing obligations is reliant on our operations, which are subject to significant risks and uncertainties.
We rely on cash from operations as well as access to the financial markets to fund our operations, maintain liquidity and meet our financial obligations. Our operations are subject to many significant risks and uncertainties described in this “Risk Factors” section and in Part I, Item 1A. “Risk Factors” in the Annual Report, including those related to generic competition and legal challenges that could impact our key products, including VASOSTRICT®, outstanding and future legal proceedings and governmental investigations, including those related to our sale, marketing and/or distribution of prescription opioid medications, and others. Any negative development or outcome in connection with any or all of these risks and uncertainties could result in significant consequences, including one or more of the following:
causing a substantial portion of our cash flows from operations to be dedicated to the payment of legal or related expenses and therefore unavailable for other purposes, including the payment of principal and interest on our indebtedness, our operations, capital expenditures and future business opportunities;
limiting our ability to adjust to changing market conditions, causing us to be more vulnerable to periods of negative or slow growth in the general economy or in our business, causing us to be unable to carry out capital spending that is important to our growth and placing us at a competitive disadvantage;
limiting our ability to attract and retain key personnel;
causing us to be unable to maintain compliance with or making it more difficult for us to satisfy our financial obligations under certain of our outstanding debt obligations, causing a downgrade of our debt and long-term corporate ratings (which could increase our cost of capital) and exposing us to potential events of default (if not cured or waived) under financial and operating covenants contained in our or our subsidiaries’ outstanding indebtedness;
limiting our ability to incur additional borrowings under the covenants in our then-existing facilities or to obtain additional debt or equity financing for working capital, capital expenditures, business development, debt service requirements, acquisitions or general corporate or other purposes, or to refinance our indebtedness; and/or
otherwise causing us to be unable to fund our operations and liquidity needs, such as future capital expenditures and payment of our indebtedness.

The occurrence or possibility of any such result may cause us to engage in a strategic review that ultimately results in us pursuing one or more significant corporate transactions or remedial measures. Any such actions or measures could include reorganization or restructuring activities, asset sales or other divestitures, cost-saving initiatives or other corporate realignments, seeking strategic partnerships and exiting certain product or geographic markets. Additionally, we may need to refinance all or part of our then-existing indebtedness, reduce or delay capital expenditures or seek to raise additional capital. Any refinancing of our substantial indebtedness could be at significantly higher interest rates, which will depend on the conditions of the markets (particularly given the disruptions to and extreme volatility in the capital markets from COVID-19) and our financial condition at such time, and may require us to comply with more onerous covenants, which could further restrict our business operations. Any refinancing may also increase the amount of our secured indebtedness. In addition, the terms of existing or future debt agreements may restrict us from consummating any of these alternatives. Likewise, any reorganizations or restructuring activities, corporate realignments, asset sales or divestitures, strategic partnerships or other actions that we take may be complex, could entail significant costs and charges or could otherwise negatively impact shareholder value and there can be no assurance that we will be able to accomplish any of these alternatives on terms acceptable to us, or at all, or that they will result in their intended benefits. COVID-19 has had a significant impact on the financial markets, which could make it more difficult to consummate any refinancing or result in in more onerous or expensive terms.
Decreases in the degree to which individuals are covered by healthcare insurance could result in decreased use of our products.
Employers may seek to reduce costs by reducing or eliminating employer group healthcare plans or transferring a greater portion of healthcare costs to their employees. Job losses or other economic hardships may also result in reduced levels of coverage for some individuals, potentially resulting in lower levels of healthcare coverage for themselves or their families. Further, in addition to the fact that the Tax Cuts and Jobs Act of 2017 eliminated the Patient Protection and Affordable Care Act (PPACA)’s requirement that individuals maintain insurance or face a penalty, additional steps by the Trump Administration or other parties to limit or end cost-sharing subsidies to lower-income Americans may increase instability in the insurance marketplace and the number of uninsured Americans. These economic conditions may affect patients’ ability to afford healthcare as a result of increased co-pay or deductible obligations, greater cost sensitivity to existing co-pay or deductible obligations and lost healthcare insurance coverage or for other reasons. We believe such conditions could lead to changes in patient behavior and spending patterns that negatively affect usage of certain of our products, including some patients delaying treatment, rationing prescription medications, leaving prescriptions unfilled, reducing the frequency of visits to healthcare facilities, utilizing alternative therapies or foregoing healthcare insurance coverage. Such changes may result in reduced demand for our products, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.
In December 2018, the U.S. District Court for the Northern District of Texas held in Texas v. Azar that, because the provisions of the PPACA requiring certain individuals to either obtain health insurance or pay a shared responsibility payment (known as the individual mandate) are no longer permissible under the U.S. Congress’ taxing power, the entire PPACA is no longer constitutional. The decision was appealed to the U.S. Court of Appeals for the Fifth Circuit. In December 2019, the Fifth Circuit issued an opinion holding that, while the individual mandate was no longer constitutional, the case must be remanded to the district court to further evaluate whether the mandate can be severed from the PPACA or the entire PPACA must be stricken down. In January 2020, petitions for certiorari were filed requesting that the U.S. Supreme Court review the Fifth Circuit’s decision and ultimately decide the constitutionality of the PPACA. In March 2020, the U.S. Supreme Court granted certiorari in the consolidated cases of Texas v. California and California v. Texas, both of which address the Fifth Circuit’s decision to strike down the individual mandate, while sending back to the district court the question of the overall law’s constitutionality. Changes in law resulting from this ongoing lawsuit or other court challenges to the PPACA could have a material adverse effect on our business, financial condition, results of operations and cash flows.
We have a substantial amount of indebtedness which could adversely affect our financial position and prevent us from fulfilling our obligations under such indebtedness, which may require us to refinance all or part of our then-outstanding indebtedness. Any refinancing of this substantial indebtedness could be at significantly higher interest rates. Additionally, we have a significant amount of floating rate indebtedness and an increase in interest rates would increase the cost of servicing our indebtedness. Despite our current level of indebtedness, we may still be able to incur substantially more indebtedness. This could increase the risks associated with our substantial indebtedness.
We currently have a substantial amount of indebtedness. As of March 31, 2020, we have total debt of approximately $8.46 billion in aggregate principal amount. Our substantial indebtedness may:
make it difficult for us to satisfy our financial obligations, including making scheduled principal and interest payments on our indebtedness;
limit our ability to borrow additional funds for working capital, capital expenditures, acquisitions or other general business purposes;
limit our ability to use our cash flow or obtain additional financing for future working capital, capital expenditures, acquisitions or other general business purposes;
expose us to the risk of rising interest rates with respect to the borrowings under our variable rate indebtedness;
require us to use a substantial portion of our cash on hand and/or from future operations to make debt service payments;

limit our flexibility to plan for, or react to, changes in our business and industry;
place us at a competitive disadvantage compared to our less leveraged competitors; and
increase our vulnerability to the impact of adverse economic and industry conditions, such as those resulting from the COVID-19 pandemic, which may further limit our ability to satisfy our financial obligations.
If we are unable to pay amounts due under our outstanding indebtedness or to fund other liquidity needs, such as future capital expenditures or contingent liabilities as a result of adverse business developments, including expenses related to our ongoing and future legal proceedings and governmental investigations, decreased revenues or increased costs and expenses related to the impact of COVID-19 on our business, as well as increased pricing pressures or otherwise, we may be required to refinance all or part of our then-existing indebtedness, sell assets, reduce or delay capital expenditures or seek to raise additional capital, any of which could have a material adverse effect on our business, financial condition, results of operations and cash flows. There can be no assurance that we will be able to accomplish any of these alternatives on terms acceptable to us, or at all. Any refinancing of this substantial indebtedness could be at significantly higher interest rates, which will depend on the conditions of the markets (particularly given the extreme volatility in the capital markets) and our financial condition at such time. In addition, we may be able to incur substantial additional indebtedness in the future, including secured indebtedness. If new indebtedness is added to our current debt levels, the related risks that we and our subsidiaries now face could intensify. At any time and from time to time, we may also be pursuing activities to extend our debt maturities, lower principal balances, reduce interest expense or obtain covenant flexibility. Activities could include, without limitation, one or more tender offers, exchange offers, debt-for-equity exchanges or consent solicitations. The terms of any such transactions, including the amount of any exchange consideration and terms of any refinanced debt, could potentially be negatively impacted by a downgrade of our debt ratings and could also be less favorable than we have been able to obtain in the past, including a requirement that we grant liens on our assets as collateral (resulting in an increase in our total outstanding secured indebtedness), as a result of changing market conditions and investment interest from the pandemic and its impact on our business and the financial markets, including requiring us to incur additional secured indebtedness. We cannot predict if or when we would conduct any such activity, whether any such activities will achieve their intended results or whether any such activity could impact our financial results or be dilutive.
While interest rates have been at record low levels in recent years (most recently as a result of economic conditions resulting from the COVID-19 pandemic), this low interest rate environment likely will not continue indefinitely. At March 31, 2020, approximately $3.3 billion and $0.3 billion of principal amounts outstanding under the Term Loan Facility and the Revolving Credit Facility (each as defined in Note 11. Debt of the Condensed Consolidated Financial Statements included in Part I, Item 1), respectively, bear interest at variable rates. Any future borrowings by the Company could also have variable interest rates. As a result, to the extent we have not hedged against rising interest rates, an increase in the applicable benchmark interest rates would increase our cost of servicing our indebtedness and could have a material adverse effect on our business, financial condition, results of operations and cash flows.
Item 2.    Unregistered Sales of Equity Securities and Use of Proceeds
There were no purchases or sales of equity securities by the Company during the three months ended March 31,September 30, 2020.
Item 3.    Defaults Upon Senior Securities
None.
Item 4.    Mine Safety Disclosures
Not applicable.
Item 5.    Other Information
None.2020 Restructuring Initiative

On November 5, 2020, the Company announced the initiation of several strategic actions to further optimize the Company’s operations and increase overall efficiency (the 2020 Restructuring Initiative). The Board of Directors approved the 2020 Restructuring Initiative on November 4, 2020. These actions are expected to generate significant cost savings that will be reinvested, among other things, to support the Company’s key strategic priority to expand and enhance its product portfolio. These actions include the following:
Optimizing the Company’s generic retail business cost structure by exiting manufacturing sites in Irvine, California and Chestnut Ridge, New York, as well as active pharmaceutical ingredient manufacturing and bioequivalence study sites in India. The sites will be exited in a phased approach that is expected to be completed in the second half of 2022. Certain products currently manufactured at the Irvine and Chestnut Ridge sites are expected to be transferred to other internal and external sites within the Company’s manufacturing network.
Improving operating flexibility and reducing general and administrative costs by transferring certain transaction processing activities to third-party global business process service providers.
Increasing organizational effectiveness by further integrating the Company’s commercial, operations and research and development functions, respectively, to support the Company’s key strategic priorities.
As a result of the 2020 Restructuring Initiative, the Company’s global workforce is expected to be reduced by approximately 560 net full-time positions.
For further details of the 2020 Restructuring Initiative, including the costs expected to be incurred, see Note 4. Restructuring of the Condensed Consolidated Financial Statements included in Part I, Item 1 of this report.
Chief Operating Officer Separation
Mr. Terrance J. Coughlin will cease serving in his role as Chief Operating Officer of the Company, effective November 4, 2020, and will continue to provide transition services as an employee of the Company until March 1, 2021 (the Separation Date). Following the Separation Date, Mr. Coughlin will be eligible to receive, subject to the timely execution of a release of claims, the following payments and benefits to which he is entitled under his employment agreement with EHSI, an indirect, wholly-owned subsidiary of the Company, dated December 9, 2019 (the Coughlin Employment Agreement): (i) cash severance in an amount equal to $2,235,500, payable in a lump sum no later than sixty (60) days after the Separation Date, (ii) continued medical and life insurance benefits at active employee rates for twenty-four (24) months following the Separation Date and (iii) a pro-rata cash bonus based on actual performance and payable in a lump sum at the time such bonuses are payable to other participants in the Company’s annual bonus program. Mr. Coughlin will also receive twelve (12) months of outplacement services, up to a maximum cost of $9,000. In addition to the foregoing payments and benefits, 107,750 restricted stock units and $228,625 in long-term cash awards held by Mr. Coughlin will vest on the Separation Date and, in accordance with the underlying award agreements, be settled as soon as practicable after vesting. Outstanding unvested performance share units held by Mr. Coughlin will be eligible to vest based on actual Company performance as of the Separation Date in accordance with the underlying award agreements, pro-rated based on the portion of the applicable service period elapsing prior to the Separation Date and will be settled in shares of Company stock as soon as practicable after vesting. All other equity- and cash-based awards held by Mr. Coughlin will be forfeited for no consideration as of the Separation Date.
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Upon separation from service, Mr. Coughlin will continue to be subject to certain restrictive covenants provided in the Coughlin Employment Agreement, including non-competition and non-solicitation covenants for eighteen (18) months after the Separation Date, a non-disparagement covenant and a covenant providing for cooperation in connection with any investigations and/or litigation.
Chief Legal Officer Employment Agreement
EHSI entered into a new executive employment agreement with Mr. Matthew J. Maletta, the Company’s Executive Vice President, Chief Legal Officer and Company Secretary, dated as of November 4, 2020 (the Maletta Employment Agreement), effective as of February 13, 2021 immediately following the expiration of Mr. Maletta’s current employment agreement with EHSI. The Maletta Employment Agreement has a term of three years ending on February 13, 2024, unless earlier terminated. Under the Maletta Employment Agreement, Mr. Maletta is entitled to an annual base salary of $650,000 and he is eligible to receive a target annual cash bonus of 60% of his base salary.
During the term of the Maletta Employment Agreement, Mr. Maletta is also eligible to receive long-term incentive compensation, which may be subject to the achievement of certain performance targets set by the Compensation Committee of the Company’s Board of Directors. Beginning with grants made in 2021, Mr. Maletta is eligible to receive long-term incentive compensation awards with a targeted grant date fair market value equal to 300% of his base salary.
The Maletta Employment Agreement also provides that in the event of a termination of Mr. Maletta’s employment by the Company without Cause or by Mr. Maletta for Good Reason (as these terms are defined in the Maletta Employment Agreement), Mr. Maletta will be entitled to the following benefits, subject to his execution of a release of claims: (i) a prorated bonus for the year of termination (based on actual performance results), (ii) cash severance in an amount equal to two times the sum of his base salary and target bonus and (iii) continued medical and life insurance benefits for twenty-four (24) months following termination. Mr. Maletta may elect to reduce his severance payments to the extent these payments would constitute “excess parachute payments” under Sections 280G and 4999 of the Internal Revenue Code. Payments upon termination due to death or disability include a prorated bonus for the year of termination (based on actual performance results), continued medical and life insurance benefits for Mr. Maletta and/or his dependents for twenty-four (24) months following such termination and, in the event of disability, twenty-four (24) months of salary continuation offset by disability benefits.
The Maletta Employment Agreement also contains a twelve (12) month non-competition covenant, a twelve (12) month non-solicitation covenant, a non-disparagement covenant and a covenant providing for cooperation by Mr. Maletta in connection with any investigations and/or litigation.
The foregoing description of the Maletta Employment Agreement does not purport to be complete and is qualified in its entirety by the full text of the Maletta Employment Agreement, a copy of which is filed herewith as Exhibit 10.2 and is incorporated herein by reference.
2020 Continuity Compensation Arrangements
On November 4, 2020, the Company’s Compensation Committee approved cash continuity arrangements (the Continuity Compensation) for certain senior management of the Company, including the following recipients: Mr. Blaise Coleman, President and Chief Executive Officer; Mr. Mark Bradley, Executive Vice President and Chief Financial Officer; Mr. Matthew Maletta, Executive Vice President, Chief Legal Officer and Company Secretary; and Mr. Patrick Barry, Executive Vice President and President, Global Commercial Operations. The Continuity Compensation was authorized for each recipient based on the critical nature of the recipient’s leadership and to advance the Company’s management continuity priorities.
The Continuity Compensation approved for the above-named recipients will be equal to one-times the recipient’s base salary: $850,000 for Mr. Coleman; $575,000 for Mr. Bradley; $650,000 for Mr. Maletta; and $550,000 for Mr. Barry, and will be paid in three equal installments within sixty (60) days after each of the following vesting dates: (1) June 15, 2021; (2) September 15, 2021; and (3) December 15, 2021. Payment of any unpaid portion of the Continuity Compensation will be accelerated if a recipient’s employment is terminated by the Company without cause before December 15, 2021 and will be paid within sixty (60) days of the termination date. Any unearned Continuity Compensation will be forfeited if a recipient is terminated for cause or if a recipient resigns before December 15, 2021.
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Item 6. Exhibits
Incorporated by Reference from:
NumberDescriptionFile NumberFiling TypeFiling Date
2.1†001-36326Current Report on Form 8-KOctober 19, 2020
Incorporated by Reference from:
NumberDescriptionFile NumberFiling TypeFiling Date
10.1Not applicable; filed herewith001-36326Current Report on Form 8-KOctober 19, 2020
10.2Not applicable; filed herewith
10.3Not applicable; filed herewith
10.431.1Not applicable; filed herewith
31.1Not applicable; filed herewith
31.2Not applicable; filed herewith
32.1Not applicable; furnished herewith
32.2Not applicable; furnished herewith
101.INSiXBRL Instance Document - the instance document does not appear in the interactive data file because its XBRL tags are embedded within the inline XBRL document.Not applicable; submitted herewith
101.SCHiXBRL Taxonomy Extension Schema DocumentNot applicable; submitted herewith
101.CALiXBRL Taxonomy Extension Calculation Linkbase DocumentNot applicable; submitted herewith
101.DEFiXBRL Taxonomy Extension Definition Linkbase DocumentNot applicable; submitted herewith
101.LABiXBRL Taxonomy Extension Label Linkbase DocumentNot applicable; submitted herewith
101.PREiXBRL Taxonomy Extension Presentation Linkbase DocumentNot applicable; submitted herewith
104Cover Page Interactive Data File, formatted in iXBRL and contained in Exhibit 101Not applicable; submitted herewith
Schedules and exhibits have been omitted pursuant to Item 601(a)(5) of Regulation S-K.

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SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
ENDO INTERNATIONAL PLC
(Registrant)
ENDO INTERNATIONAL PLC
(Registrant)
/S/ BLAISE COLEMAN
Name:Blaise Coleman
Title:President and Chief Executive Officer
(Principal Executive Officer)
/S/ MARK T. BRADLEY
Name:Mark T. Bradley
Title:Executive Vice President, Chief Financial Officer
(Principal Financial Officer)
Date: May 7,November 6, 2020

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