Quarterlytics / Healthcare / Drug Manufacturers - Specialty & Generic / Endo International

Endo International

endp · NASDAQ Healthcare
Claim this profile
Ticker endp
Exchange NASDAQ
Sector Healthcare
Industry Drug Manufacturers - Specialty & Generic
Employees 5001-10,000
← All annual reports
FY2019 Annual Report · Endo International
Sign in to download
Loading PDF…
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

____________________________________________________________________________________________

FORM 10-K 

____________________________________________________________________________________________

(Mark One)

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

For the fiscal year ended December 31, 2019 

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)

____________________________________________________________________________________________

State or other jurisdiction of incorporation or organization

(I.R.S. Employer Identification No.)

Ireland

68-0683755

First Floor, Minerva House, Simmonscourt Road

Ballsbridge, Dublin 4,

Ireland

(Address of principal executive offices)

Not Applicable

(Zip Code)

011-353-1-268-2000 
Registrant’s telephone number, including area code

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Ordinary shares, nominal value $0.0001 per share

ENDP

The Nasdaq Global Select Market

Securities registered pursuant to section 12(g) of the Act:

None

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.

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

Yes

Yes

No

No

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 filer

Non-accelerated filer

Accelerated filer

Smaller reporting company

Emerging growth company

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

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).

Yes

No

The aggregate market value of the voting common equity (ordinary shares) held by non-affiliates as of June 28, 2019 (the last business day of the registrant’s most
recently completed second fiscal quarter) was $670,135,609 based on a closing sale price of $4.12 per share as reported on the Nasdaq Global Select Market on that
date. Ordinary shares held by each officer and director and each beneficial owner of 10% or more (as calculated on June 28, 2019) of the outstanding ordinary shares
of the registrant have been excluded since such persons and beneficial owners may be deemed to be affiliates. This determination of affiliate status is not necessarily a
conclusive determination for other purposes. The registrant has no non-voting ordinary shares authorized or outstanding.

The number of Ordinary shares, nominal value $0.0001 per share outstanding as of February 18, 2020 was 226,833,617.

Documents Incorporated by Reference

Portions of the registrant’s proxy statement pursuant to Regulation 14A relating to its 2020 Annual General Meeting, to be filed with the Securities and Exchange
Commission subsequent to the date hereof, are incorporated by reference into Part III of this Form 10-K. Such proxy statement will be filed with the Securities and
Exchange Commission not later than 120 days after the conclusion of the registrant’s fiscal year ended December 31, 2019.

ENDO INTERNATIONAL PLC
INDEX TO FORM 10-K
FOR THE YEAR ENDED DECEMBER 31, 2019

Forward-Looking Statements

Item 1.

Business

Item 1A. Risk Factors

Item 1B. Unresolved Staff Comments

Item 2.

Item 3.

Properties

Legal Proceedings

Item 4. Mine Safety Disclosures

PART I

PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Item 6.

Selected Financial Data

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Item 8.

Item 9.

Financial Statements and Supplementary Data

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Item 9A. Controls and Procedures

Item 9B. Other Information

Item 10. Directors, Executive Officers and Corporate Governance

Item 11. Executive Compensation

PART III

Item 12.

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Item 13. Certain Relationships and Related Transactions, and Director Independence

Item 14.

Principal Accounting Fees and Services

Item 15. Exhibits, Financial Statement Schedules

Item 16.

Form 10-K Summary

PART IV

Signature

Page
i

1

17

46

47

47

47

48

50

51

68

69

69

69

69

70

70

70

70

70

71

74

75

 
Table of Contents

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). These statements, including estimates of future revenues, future 
expenses, future net income and future net income per share contained in the “Management’s Discussion and Analysis of Financial 
Condition and Results of Operations” section of this document, as well as statements regarding future financing activities, are subject 
to risks and uncertainties. Forward-looking statements include the information concerning our possible or assumed results of 
operations. 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 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. Investors should note that many factors, as more fully described in Part I, Item 1A of this report under the caption “Risk 
Factors,” and as otherwise enumerated herein, could affect our future financial results and could cause our actual results to differ 
materially from those expressed in forward-looking statements contained or incorporated by reference in this document.

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 Securities and 
Exchange Commission (SEC) and with securities regulators in Canada on the System for Electronic Document Analysis and Retrieval 
(SEDAR). Also note that in Part I, Item 1A, 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

Table of Contents

Item 1.   

Business

Overview

PART I

Unless otherwise indicated or required by the context, references throughout to “Endo,” the “Company,” “we,” “our” or “us” 

refer to financial information and transactions of Endo International plc and its subsidiaries.

Endo International plc is an Ireland-domiciled specialty branded and generics pharmaceutical company. Endo International plc 

was incorporated in Ireland in 2013 as a private limited company and re-registered effective February 18, 2014 as a public limited 
company. Endo International plc is a holding company that conducts its operations through its subsidiaries.

Our ordinary shares are traded on the Nasdaq Global Select Market (NASDAQ) under the ticker symbol “ENDP.” References 
throughout to “ordinary shares” refer to Endo International plc’s ordinary shares (1,000,000,000 authorized, par value of $0.0001 per 
share). In addition, we have 4,000,000 euro deferred shares outstanding (par value of $0.01 per share).

The address of Endo International plc’s headquarters is Minerva House, Simmonscourt Road, Ballsbridge, Dublin 4, Ireland 

(telephone number: 011-353-1-268-2000).

Our focus is on pharmaceutical products and we target areas where we believe we can build leading positions. We use a 
differentiated operating model based on a lean and nimble structure, the rational allocation of capital and an emphasis on high-value 
research and development (R&D) targets. While our primary focus is on organic growth, we evaluate and, where appropriate, execute 
on opportunities to expand through the acquisition of products and companies in areas that we believe serve patients and customers 
while offering attractive growth characteristics and margins. We believe our operating model and the execution of our corporate 
strategy will enable us to create shareholder value over the long-term.

For branded products, we seek to invest in products or product candidates that have inherent scientific, regulatory, legal and 

technical complexities and market such products under recognizable brand names that are trademarked. For products we develop for 
the United States (U.S.) market, after the completion of required clinical trials and testing, we seek approvals from regulatory bodies 
such as through the submission of New Drug Applications (NDAs) or Biologics License Applications (BLAs) to the U.S. Food and 
Drug Administration (FDA). Upon U.S. approval, patents included in such NDAs are listed in a publication referred to as the Orange 
Book. We believe that our patents, the protection of discoveries in connection with our development activities, our proprietary 
products, technologies, processes, trade secrets, know-how, innovations and all of our intellectual property are important to our 
business and achieving a competitive position. However, there can be no assurance that any of our patents, licenses or other 
intellectual property rights will afford us any protection from competition. Additional information is included throughout this Part I, 
Item 1.

For generic products, which are the pharmaceutical and therapeutic equivalents of branded products and are generally marketed 

under their generic (chemical) names rather than their brand names, our focus is on high-barrier-to-entry products, including first-to-
file or first-to-market opportunities that are difficult to formulate or manufacture or face complex legal and regulatory challenges. In 
the U.S., a first-to-file product refers to a generic product for which the Abbreviated New Drug Application (ANDA) containing a 
patent challenge (or Paragraph IV certification) to the corresponding branded product’s FDA Orange Book-listed patents was the first 
to be filed with the FDA. In the U.S., manufacturers that launch first-to-file products, after success in litigating or otherwise resolving 
related patent challenges, and receive final FDA approval have the opportunity for 180 days of generic marketing exclusivity from 
competing generic products other than authorized generics. A first-to-market product refers to a product that is the first marketed 
generic equivalent of a branded product for reasons apart from statutory marketing exclusivity. This can occur, for example, when a 
generic product is difficult to formulate or manufacture. First-to-market products allow manufacturers to mitigate risks from 
competitive pressures commonly associated with commoditized generic products. Additional information is included throughout this 
Part I, Item 1.

The four reportable business segments in which we operate are: (1) Branded Pharmaceuticals, (2) Sterile Injectables, (3) 

Generic Pharmaceuticals and (4) International Pharmaceuticals. Additional information about our reportable business segments is 
included throughout this Part I. The results of operations of our reportable business segments are discussed in Part II, Item 7 of this 
report “Management’s Discussion and Analysis of Financial Condition and Results of Operations” under the heading “RESULTS OF 
OPERATIONS.” Across all of our reportable business segments, we generated total revenues of $2.91 billion, $2.95 billion and $3.47 
billion in 2019, 2018 and 2017, respectively.

1

Table of Contents

Our Strategy

Endo International plc is a highly focused specialty branded and generics pharmaceutical company that, through its operating 

subsidiaries, seeks to deliver quality medicines to patients in need through excellence in development, manufacturing and 
commercialization. Our strategic priorities include reshaping our organization for success, building our portfolio and capabilities for 
the future and driving margin expansion and, over the longer term, de-levering. Specific areas of management’s focus include:

•  Branded Pharmaceuticals: Accelerating performance of organic growth drivers in our Specialty Products portfolio and 

expanding margin in our Established Products portfolio. As further described below under the heading “Select 
Development Projects,” management is also focused on investing in key pipeline life cycle management and other 
development opportunities, including in the areas of medical therapeutics and medical aesthetics.

•  Sterile Injectables: Focusing on developing branded injectable products with inherent scientific, regulatory, legal and 
technical complexities, expanding the product portfolio to include other dosages and technologies and developing or 
acquiring high-barrier-to-entry, generic injectable products that are difficult to manufacture.

•  Generic Pharmaceuticals: Focusing on developing or acquiring high-barrier-to-entry products, including first-to-file or 

first-to-market opportunities that are difficult to formulate or manufacture or face complex legal and regulatory 
challenges.
International Pharmaceuticals: Operating in regulated markets where physicians play a significant role in choosing the 
course of therapy and seeking to expand distribution of certain of our products outside of the U.S.

• 

Going forward, our primary focus will be on organic growth. However, we will evaluate and, where appropriate, execute on 

opportunities to expand through acquisitions of products and companies. There can be no assurance that we will be successful in 
executing on our strategy.

Our Competitive Strengths

To successfully execute our strategy, we must continue to capitalize on our following core strengths:

Experienced and dedicated management team. We have a highly skilled and customer-focused management team in critical 

leadership positions across Endo. Our senior management team has extensive experience in the pharmaceutical industry and a proven 
track record of developing businesses and creating value. This experience includes improving business performance through organic 
revenue growth, operational excellence and through the identification, consummation and integration of licensing and acquisition 
opportunities.

Operational excellence. We have efficient, effective and high-quality manufacturing capabilities across a diversified array of 

dosage forms in the U.S. and India. We believe our comprehensive suite of technology, manufacturing and development competencies 
increases the likelihood of success in commercializing high-barrier-to-entry products and obtaining first-to-file and first-to-market 
status on future products, yielding more sustainable market share and profitability. For example, our capabilities in the rapidly 
growing U.S. market for sterile products afford us with a broader and more diversified product portfolio and a greater selection of 
targets for potential development.

We believe that our competitive advantages include our integrated team-based approach to product development that combines 

our formulation, regulatory, legal, manufacturing and commercial capabilities; our ability to introduce new generic equivalents for 
brand-name products; our quality and cost-effective production; our ability to meet customer and/or patient expectations and the 
breadth of our existing sterile injectables and generic product portfolio offerings.

Growth of our branded Specialty Products portfolio while leveraging the strength of our Established Products portfolio. We 

have assembled a portfolio of branded prescription products offered by our Branded Pharmaceuticals segment to treat and manage 
conditions in urology, urologic oncology, endocrinology, pain, bariatrics and orthopedics. Additional information on these product 
portfolios is included below under the heading “Products Overview.”

Focus on the differentiated products of our sterile injectables and generics portfolios. By leveraging operational efficiency, 

our Sterile Injectables and Generic Pharmaceuticals segments aim to be low-cost producers of high-barrier-to-entry products, 
including first-to-file and first-to-market opportunities that are difficult to formulate or manufacture or face complex legal and 
regulatory challenges. We believe products with these characteristics will provide longer product life cycles and higher profitability 
than products without these characteristics. These segments also aim to manufacture products that meet the evolving needs of hospitals 
and health systems, including ready-to-use sterile injectable products, in a cost efficient manner. 

Continuing proactive diversification of our business. Our primary focus is on organic growth. However, we will evaluate and, 
where appropriate, execute on opportunities to expand through acquisitions of products and companies in areas that will serve patients 
and customers and that we believe will offer attractive growth characteristics and margins. In particular, we will look to continue to 
enhance our product lines by acquiring or licensing rights to additional products and regularly evaluating selective acquisition 
opportunities.

2

Table of Contents

R&D expertise. Our R&D efforts are focused on the development of a balanced, diversified portfolio of innovative and 
clinically differentiated product candidates. Through our Sterile Injectables and Generic Pharmaceuticals businesses, we seek out and 
develop high-barrier-to-entry products, including first-to-file or first-to-market opportunities. We periodically review our R&D 
pipeline in order to better direct investment toward those opportunities that we expect will deliver the greatest returns. We will 
continue to evaluate strategic R&D opportunities, with an aim to develop assets with inherently lower risk profiles and clearly defined 
regulatory pathways. Our current R&D pipeline consists of products in various stages of development. For additional detail, see 
“Select Development Projects.” Our R&D and regulatory affairs staff is based primarily in India and Pennsylvania.

Targeted sales and marketing infrastructure. Our sales and marketing activities are based in the U.S. and Canada and 
primarily focus on the promotion of our Specialty Products portfolio and Sterile Injectables segment. We market our Specialty 
Products directly to specialty physicians, including those specializing in urology, orthopedics, pediatric endocrinology and bariatric 
surgery. Our sales force also directs its marketing efforts on retail pharmacies and other healthcare professionals. We distribute our 
Specialty Products through independent wholesale distributors, but we also sell directly to retailers, clinics, government agencies, 
doctors, independent retail and specialty pharmacies and independent specialty distributors. Our marketing policy is designed to 
provide physicians, pharmacies, hospitals, public and private payers and appropriate healthcare professionals with products and 
appropriate medical information. We work to gain access to various formularies (lists of recommended or approved medicines and 
other products) and reimbursement lists by demonstrating the qualities and treatment benefits of our products within their approved 
indications.

Our dedicated Sterile Injectables sales and marketing team is focused on health systems and national group purchasing 
organizations (GPOs). Our customers’ growing complexity requires us to engage directly with key stakeholders and decision makers. 
Our experienced sales and marketing team is key to growing our existing portfolio and executing on new product launches.

Products Overview

Branded Pharmaceuticals

The following table displays the revenues from external customers of our Branded Pharmaceuticals segment for the years ended 

December 31, 2019, 2018 and 2017 (in thousands):

Specialty Products:

XIAFLEX®

SUPPRELIN® LA

Other Specialty (1)

Total Specialty Products
Established Products:

PERCOCET®

TESTOPEL®

Other Established (2)

Total Established Products

Total Branded Pharmaceuticals (3)
__________

2019

2018

2017

$

$

$

$

$

327,638

$

264,638

$

213,378

86,797

105,241

519,676

116,012

55,244

164,470

335,726

855,402

$

$

$

$

81,707

98,230

444,575

122,901

58,377

236,979

418,257

862,832

$

$

$

$

86,211

84,161

383,750

125,231

69,223

379,321

573,775

957,525

(1)  Products included within Other Specialty are NASCOBAL® Nasal Spray and AVEED®. Beginning with our first-quarter 2019 reporting, TESTOPEL®, which 

was previously included in Other Specialty, has been reclassified and is now included in the Established Products portfolio for all periods presented.

(2)  Products included within Other Established include, but are not limited to, LIDODERM®, EDEX® and VOLTAREN® Gel.
(3) 

Individual products presented above represent the top two performing products in each product category for the year ended December 31, 2019 and/or any 
product having revenues in excess of $100 million during any of the years ended December 31, 2019, 2018 or 2017 or $25 million during any quarterly period 
in 2019 or 2018.

Specialty Products Portfolio

Endo commercializes a number of products within the market served by specialty distributors and specialty pharmacies and in 
which healthcare practitioners can purchase and bill payers directly (the buy and bill market). Our current offerings primarily relate to 
two distinct areas: (i) urology treatments, which focus mainly on Peyronie’s disease (PD) and testosterone replacement therapies 
(TRT) for hypogonadism and (ii) orthopedics/pediatric endocrinology treatments, which focus on Dupuytren’s contracture (DC) and 
central precocious puberty (CPP). Key product offerings in this portfolio include the following:

•  XIAFLEX®, which is the first and currently the only FDA-approved non-surgical treatment for DC (for adult patients with 
an abnormal buildup of collagen in the fingers that limits or disables hand function). It is also the first and currently the 
only FDA-approved non-surgical treatment for PD (for adult men with a collagen plaque and a penile curvature deformity 
of thirty degrees or greater at the start of therapy).

3

Table of Contents

•  SUPPRELIN® LA, which is a soft, flexible 12-month hydrogel implant based on our hydrogel polymer technology that 

delivers histrelin acetate, a gonadotropin-releasing hormone agonist, and is indicated for the treatment of CPP in children.
•  NASCOBAL® Nasal Spray, which is a prescription medicine used as a supplement to treat vitamin B12 deficiency and is 

the only FDA-approved B12 nasal spray.

•  AVEED®, which is a novel, long-acting testosterone undecanoate for injection for the treatment of hypogonadism that is 

dosed only five times per year after the first month of therapy.

Established Products Portfolio

This portfolio’s current treatment offerings primarily relate to two distinct areas: (i) pain management, including products in the 

opioid analgesics and osteoarthritis pain segments and for the treatment of pain associated with post-herpetic neuralgia and (ii) 
urology, which focuses mainly on the treatment of hypogonadism. Key product offerings in this portfolio include, among others, the 
following:

•  PERCOCET®, which is an opioid analgesic approved for the treatment of moderate-to-moderately-severe pain.
•  TESTOPEL®, which is a unique, long-acting implantable pellet indicated for TRT in conditions associated with a 

deficiency or absence of endogenous testosterone.

•  LIDODERM®, which is a topical patch product containing lidocaine that is approved for the relief of pain associated with 

post-herpetic neuralgia, a condition thought to result after nerve fibers are damaged during a case of herpes zoster 
(commonly known as shingles).

•  EDEX®, which is a penile injection used to treat erectile dysfunction caused by conditions affecting nerves, blood vessels, 

emotions and/or a combination of factors.

•  VOLTAREN® Gel, which is a topical prescription treatment for the relief of joint pain associated with osteoarthritis in the 

knees, ankles, feet, elbows, wrists and hands.

The Company’s pain products, including opioid products, are managed as mature brands and are not and have not been actively 

promoted for years. In December 2016, the Company announced the elimination of its entire U.S. pain product field sales force.

Sterile Injectables

The following table displays the revenues from external customers of our Sterile Injectables segment for the years ended 

December 31, 2019, 2018 and 2017 (in thousands):

VASOSTRICT®

ADRENALIN®
Ertapenem for injection

APLISOL®

Other Sterile Injectables (1)

Total Sterile Injectables (2)

__________

2019

2018

2017

$

531,737

$

453,767

$

399,909

179,295

104,679

61,826

185,594

143,489

57,668

64,913

209,729

$

1,063,131

$

929,566

$

76,523

—

66,286

207,753

750,471

(1)  Products included within Other Sterile Injectables include ephedrine sulfate injection, treprostinil for injection and others.
(2) 

Individual products presented above represent the top two performing products within the Sterile Injectables segment for the year ended December 31, 2019 
and/or any product having revenues in excess of $100 million during any of the years ended December 31, 2019, 2018 or 2017 or $25 million during any 
quarterly period in 2019 or 2018.

The Sterile Injectables segment includes a product portfolio of approximately 30 product families, including branded sterile 

injectable products that are protected by certain patent rights and have inherent scientific, regulatory, legal and technical complexities 
and generic injectable products that are difficult to formulate or manufacture or face complex legal and regulatory challenges. Our 
sterile injectables products are manufactured in sterile facilities in vial dosages and are administered at hospitals, clinics and long-term 
care facilities. The product offerings in this segment include, among others, the following:

•  VASOSTRICT®, which is indicated to increase blood pressure in adults with vasodilatory shock who remain hypotensive 
despite fluids and catecholamines. VASOSTRICT® is the first and currently the only vasopressin injection with an NDA 
approved by the FDA.

•  ADRENALIN®, which is a non-selective alpha and beta adrenergic agonist indicated for emergency treatment of certain 

allergic reactions, including anaphylaxis.

•  Ertapenem for injection, the authorized generic of Merck Sharp & Dohme Corp.’s (Merck) Invanz®, which is indicated for 

the treatment of certain moderate-to-severe infections.

•  APLISOL®, which is a sterile aqueous solution of a purified protein derivative for intradermal administration as an aid in 

the diagnosis of tuberculosis.

4

Table of Contents

•  Ephedrine sulfate injection, which is an alpha and beta adrenergic agonist and a norepinephrine-releasing agent indicated 

for the treatment of clinically important hypotension occurring in the setting of anesthesia.
•  Treprostinil for injection, which is used for the treatment of pulmonary arterial hypertension.

Generic Pharmaceuticals

The Generic Pharmaceuticals segment includes a product portfolio of approximately 150 generic prescription product families 

including solid oral extended-release, solid oral immediate-release, liquids, semi-solids, patches (which are medicated adhesive 
patches designed to deliver the pharmaceutical through the skin), powders, ophthalmics (which are sterile pharmaceutical preparations 
administered for ocular conditions) 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.

Generic products are the pharmaceutical and therapeutic equivalents of branded products and are generally marketed under 
their generic (chemical) names rather than their brand names. Generic products are substantially the same as branded products in 
dosage form, safety, efficacy, route of administration, quality, performance characteristics and intended use, but are generally sold at 
prices below those of the corresponding branded products and thus represent cost-effective alternatives for consumers.

Typically, a generic product may not be marketed until the expiration of applicable patent(s) on the corresponding branded 

product unless a resolution of patent litigation results in an earlier opportunity to enter the market. For additional detail, see 
“Governmental Regulation.” However, our generics portfolio also contains certain authorized generics, which are generic versions of 
branded products licensed by brand drug companies under an NDA and marketed as generics. Authorized generics do not face the 
same regulatory barriers to introduction and are not prohibited from sale during the 180-day marketing exclusivity period granted to 
the first-to-file ANDA applicant. Our authorized generics include generic versions of our branded products including, for example, 
lidocaine patch 5% (LIDODERM®). We also aim to be a partner of choice to large companies seeking authorized generic distributors 
for their branded products. For example, in April 2019, we launched albuterol sulfate HFA inhalation aerosol (the authorized generic 
of Merck’s Proventil®) and, in July 2018, we launched colchicine tablets (the authorized generic of Takeda Pharmaceuticals U.S.A., 
Inc.’s (Takeda) Colcrys®).

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 growing 
therapeutic areas, including attention deficit hyperactivity disorder, pain, women’s health and oncology.

This segment also included: (i) our South African business, which was sold in July 2017 and consisted of Litha Healthcare 

Group Limited and certain assets acquired from Aspen Holdings in October 2015 (Litha) and (ii) our Latin American business, which 
was sold in October 2017 and consisted of Grupo Farmacéutico Somar, S.A.P.I. de C.V. (Somar).

Select Development Projects

XIAFLEX®

XIAFLEX®, which contains the enzyme collagenase clostridium histolyticum (CCH), is currently approved by the FDA and 

marketed in the U.S. for the treatment of both DC and PD (two separate medical therapeutic indications). As further described in Note 
11. License and Collaboration Agreements in the Consolidated Financial Statements included in Part IV, Item 15 of this report, we in-
licensed certain rights related to CCH pursuant to which we may, among other things, develop our XIAFLEX® product or other 
product candidates containing CCH for potential additional medical therapeutics indications.

In early 2020, we announced that we had initiated our XIAFLEX® development programs for the treatment of plantar 

fibromatosis and adhesive capsulitis.

Collagenase Clostridium Histolyticum - Medical Aesthetics

Our license rights relating to CCH also permit us to develop product candidates containing CCH for certain medical aesthetics 

indications. For example, we have rights to develop and globally market CCH for the treatment of cellulite. We are currently 
progressing our cellulite treatment development program. While based on the same enzyme, CCH for the treatment of cellulite is a 
different formulation and presentation with a different treatment regimen. In November 2019, we announced the FDA’s acceptance for 
review of the original BLA for CCH for the treatment of cellulite in the buttocks. The BLA is supported by the results of the 
RELEASE-1 and RELEASE-2 Phase 3 studies, as well as a clinical program. Trial subjects receiving CCH for the treatment of 
cellulite showed highly statistically significant levels of improvement in the appearance of cellulite with treatment, as measured by the 
trials’ primary endpoint. In addition, the RELEASE-1 trial passed 8 out of 8 key secondary endpoints and the RELEASE-2 trial passed 
7 out of 8 key secondary endpoints. Finally, CCH for the treatment of cellulite was well-tolerated in the actively-treated subjects with 
most adverse events being mild to moderate in severity and primarily limited to the local injection area. The Prescription Drug User 
Fee Act (PDUFA) date, or target action date, for the BLA has been set for July 6, 2020.

5

Table of Contents

Subject to certain limitations, we have the right to further develop this same and/or other product candidates containing CCH 

for additional medical aesthetics indications.

Other

Our remaining pipeline consists mainly of a variety of product candidates in our Sterile Injectables and Generic 

Pharmaceuticals segments. Our primary approach to developing generic products, including injectables, is to target high-barrier-to-
entry generic product opportunities, including first-to-file or first-to-market opportunities that are difficult to formulate or manufacture 
or face complex legal and regulatory challenges as well as products that meet the evolving needs of hospitals and health systems. We 
expect such product opportunities to result in products that are either the exclusive generic or have two or fewer generic competitors 
when launched, which we believe tends to lead to more sustainable market share and profitability for our product portfolio. In our 
Sterile Injectables business, we also focus on developing branded injectable products with inherent scientific, regulatory, legal and 
technical complexities, as well as developing other dosage forms and technologies.

As of December 31, 2019, these two segments were actively pursuing approximately 120 product candidates, which included 
approximately 65 ANDAs pending with the FDA. Of the 65 ANDAs, approximately half represent first-to-file opportunities or first-
to-market opportunities. These numbers do not include five sterile injectable product candidates relating to a second-quarter 2018 
development, license and commercialization agreement with Nevakar, Inc.

We periodically review our development projects in order to better direct investment toward those opportunities that we expect 
will deliver the greatest returns. This process can lead to decisions to discontinue certain R&D projects that may reduce the number of 
products in our previously reported pipeline.

Major Customers

We primarily sell our branded and generic products to wholesalers, retail drug store chains, supermarket chains, mass 

merchandisers, distributors, mail order accounts, hospitals and government agencies. Our wholesalers and distributors purchase 
products from us and, in turn, supply products to retail drug store chains, independent pharmacies and managed care organizations 
(MCOs). Customers in the managed care market include health maintenance organizations, nursing homes, hospitals, clinics, 
pharmacy benefit management companies and mail order customers. Our current customer group reflects significant consolidation in 
recent years, marked by mergers and acquisitions and other alliances. Total revenues from direct customers that accounted for 10% or 
more of our total consolidated revenues during the years ended December 31, 2019, 2018 and 2017 are as follows:

AmerisourceBergen Corporation
McKesson Corporation
Cardinal Health, Inc.

2019

2018

2017

34%
26%
25%

32%
27%
26%

25%
25%
25%

Revenues from these customers are included within each of our segments.

Some wholesale distributors have demanded that pharmaceutical manufacturers, including us, enter into distribution service 
agreements (DSAs) pursuant to which the wholesale distributors provide the pharmaceutical manufacturers with specific services, 
including the provision of periodic retail demand information and current inventory levels and other information. We have entered into 
certain of these agreements.

Competition

Branded Products

Our branded products compete with products manufactured by many other companies in highly competitive markets throughout 

the U.S. and internationally.

We compete principally through targeted product development and through our acquisition and in-licensing strategies, where 

we face intense competition as a result of the limited number of assets available and the number of competitors bidding on such assets. 
In addition to product development and acquisitions, other competitive factors with respect to branded products include product 
efficacy, safety, ease of use, price, demonstrated cost-effectiveness, marketing effectiveness, service, reputation and access to technical 
information.

Branded products often must compete with therapeutically similar branded or generic products or with generic equivalents. 

Such competition frequently increases over time. For example, if competitors introduce new products, delivery systems or processes 
with therapeutic or cost advantages, our products could be subject to progressive price reductions and/or decreased volume of sales. To 
successfully compete for business, we must often demonstrate that our products offer not only medical benefits, but also cost 
advantages as compared with other forms of care. Accordingly, we face pressure to continually seek out technological innovations and 
to market our products effectively.

6

Table of Contents

Manufacturers of generic products typically invest far less in R&D than research-based companies and can therefore price their 

products significantly lower than branded products. Accordingly, when a branded product loses its market exclusivity, it normally 
faces intense price competition from generic forms of the product. Due to lower prices, generic versions, where available, may be 
substituted by pharmacies or required in preference to branded versions under third-party reimbursement programs.

Branded Pharmaceuticals

This segment’s major competitors, including Mylan N.V. (Mylan), Allergan plc, Jazz Pharmaceuticals plc, Takeda 

Pharmaceutical Company Limited, Horizon Therapeutics plc and Mallinckrodt plc, among others, vary depending on therapeutic and 
product category, dosage strength and drug-delivery systems, among other factors.

Several of this segment’s products, such as PERCOCET®, TESTOPEL® and LIDODERM®, face generic and/or other forms of 

competition. The degree of generic and/or other competition facing this segment could increase in the future. 

Sterile Injectables

This segment’s major competitors, including Hospira, Inc. (a subsidiary of Pfizer Inc.), Fresenius Kabi USA, LLC (Fresenius), 

Mylan and Hikma Pharmaceuticals PLC, vary by product. A significant portion of our sales, including sales to hospitals, clinics and 
long-term care facilities in the U.S., are controlled by a relatively small number of GPOs, including HealthTrust Purchasing Group, 
L.P., Premier Inc. and Vizient, Inc. Accordingly, it is important for us to have strong relationships with these GPOs and achieve on-
time product launches in order to secure new bid opportunities.

Generic Products

Generic products generally face intense competition from branded equivalents, other generic equivalents (including authorized 

generics) and therapeutically similar branded or generic products. Our major competitors, including Teva Pharmaceutical Industries 
Limited, Mylan, Sandoz (a division of Novartis) and Amneal Pharmaceuticals, Inc. (Amneal), among others, vary by product.

Consolidations of our customer base described above under the heading “Major Customers” have resulted in increased pricing 

and other competitive pressures on pharmaceutical companies, including us. Additionally, the emergence of large buying groups 
representing independent retail pharmacies and other distributors and the prevalence and influence of MCOs and similar institutions 
have increased the negotiating power of these groups, enabling them to attempt to extract various demands, including without 
limitation price discounts, rebates and other restrictive pricing terms. These competitive trends could continue in the future and could 
have a material adverse effect on our business, financial condition, results of operations and cash flows.

Newly introduced generic products with limited or no other generic competition typically garner higher prices relative to 
commoditized generic products. As such, our primary strategy is to compete with a focus on high-value, first-to-file or first-to-market 
opportunities, regardless of therapeutic category, and products that present significant barriers to entry for reasons such as complex 
formulation or regulatory or legal challenges. For additional detail, see “Our Competitive Strengths - Focus on the differentiated 
products of our sterile injectables and generics portfolios.”

Even if we are successful in launching generic products with statutory generic exclusivity, competitors may enter the market 

when such exclusivity periods expire, resulting in significant price declines. Consequently, maintaining profitable operations depends, 
in part, on our continuing ability to select, develop, procure regulatory approvals of, overcome legal challenges to, launch and 
commercialize new generic products in a timely and cost efficient manner and to maintain efficient, high quality manufacturing 
capabilities. For additional detail, see “Our Competitive Strengths - Operational excellence.”

Seasonality

Although our business is affected by the purchasing patterns and concentration of our customers, our business is not materially 

impacted by seasonality.

Patents, Trademarks, Licenses and Proprietary Property

We regard the protection of patents and other enforceable intellectual property rights that we own or license as critical to our 
business and competitive position. Accordingly, we rely on patent, trade secret and copyright law, as well as nondisclosure and other 
contractual arrangements, to protect our intellectual property. We have a portfolio of patents and patent applications owned or licensed 
by us that cover aspects of our products. These patents and applications generally include claims directed to the compounds and/or 
methods of using the compounds, formulations of the compounds, pharmaceutical salt forms of the compounds or methods of 
manufacturing the compounds. Our policy is to pursue patent applications on inventions that we believe are commercially important to 
the development and growth of our business. Certain patents relating to products that are the subject of approved NDAs are listed in 
the U.S. FDA publication, “Approved Drug Products with Therapeutic Equivalence Evaluations” (Orange Book). The table below 
contains a list from the Orange Book of patent expiration dates for certain products we market.

7

Table of Contents

The Orange Book does not include a listing of patents related to biological products. Included in the table are certain products 
for which we own or license a BLA along with the date of expiration of certain relevant patents or regulatory exclusivity. In addition, 
we may have other relevant regulatory protection or patents that may extend beyond the expiration date listed in the table below. We 
may also obtain further patents or additional regulatory or patent exclusivity for one or more indications for a product in the future.

As of February 18, 2020, we held approximately: 234 U.S. issued patents, 36 U.S. patent applications pending, 454 foreign 

issued patents and 71 foreign patent applications pending. In addition, as of February 18, 2020, we had licenses for approximately 46 
U.S. issued patents, 11 U.S. patent applications pending, 171 foreign issued patents and 64 foreign patent applications pending. The 
following table sets forth, as of February 18, 2020, the year of expiration relating to certain of our products:

Relevant Product
VASOSTRICT®
XIAFLEX®
ADRENALIN®
NASCOBAL® Nasal Spray
AVEED®
__________

Patent
Expiration (1)(2)
2035
2028
2035
2024
2027

(1)  Our license agreements for the patents in the table above extend to or beyond the patent expiration dates. See Note 11. License and Collaboration Agreements 

in the Consolidated Financial Statements included in Part IV, Item 15 of this report for additional discussion about certain license agreements.

(2)  The expiration of a basic product patent or loss of patent protection resulting from a legal challenge normally results in significant competition from generic 
products or biosimilars against the originally patented product and can result in a significant reduction in revenues for that product in a very short period of 
time. In some cases, however, we can continue to obtain commercial benefits from product manufacturing trade secrets, patents on uses for products, patents 
on processes and intermediates for the economical manufacture of the active ingredients or patents for special formulations of the product or delivery 
mechanisms.

The effect of these issued patents is that they provide us with protection by virtue of our ability to exclude others from making, 
using, selling, offering for sale and importing that which is covered by their claims. To achieve a competitive position, we also rely on 
trade secrets, non-patented proprietary know-how and continuing technological innovation, where patent protection is not believed to 
be appropriate or attainable. Many of our products are sold under trademarks. We also rely on confidentiality agreements with our 
employees, consultants and other parties to protect, among other things, trade secrets and other proprietary information.

There can be no assurance that any of our patents, licenses or other intellectual property rights will afford us any protection 
from competition or that our confidentiality agreements will not be breached, that we will have adequate remedies for any breach, that 
others will not independently develop equivalent proprietary information or that other third parties will not otherwise gain access to 
our trade secrets and other intellectual property.

Additionally, any pending or future patent applications made by us or our subsidiaries, our license partners or entities we may 

acquire in the future are subject to risks and uncertainties. The coverage claimed in any such patent applications could be significantly 
reduced before the patent is issued and there can be no assurance that any such applications will result in the issuance of patents or, if 
any patents are issued, whether they will provide significant proprietary protection or will be challenged, circumvented or invalidated. 
Because unissued U.S. patent applications are maintained in secrecy for a period of eighteen months and U.S. patent applications filed 
prior to November 29, 2000 are not disclosed until such patents are issued, and since publication of discoveries in the scientific or 
patent literature often lags behind actual discoveries, we cannot be certain of the priority of inventions covered by pending patent 
applications. Moreover, we may have to participate in interference and other inter-parties proceedings declared by the U.S. Patent and 
Trademark Office (PTO) to determine priority of invention, or in opposition proceedings in a foreign patent office, either of which 
could result in substantial cost to us, even if the eventual outcome is favorable to us. There can be no assurance that any patents, if 
issued, will be held valid by a court of competent jurisdiction. An adverse outcome could subject us to significant liabilities to third 
parties, require disputed rights to be licensed from third parties or require us to cease using such technology. See Item 1A. Risk 
Factors - “Our ability to protect and maintain our proprietary and licensed third party technology, which is vital to our business, is 
uncertain.”

We may find it necessary to initiate litigation to enforce our patent rights, to protect our intellectual property or trade secrets or 

to determine the scope and validity of the proprietary rights of others. Litigation is costly and time-consuming and there can be no 
assurance that our litigation expenses will not be significant in the future or that we will prevail in any such litigation. See Note 15. 
Commitments and Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report.

8

Table of Contents

Governmental Regulation

U.S. FDA and Drug Enforcement Administration (DEA)

The pharmaceutical industry in the U.S. is subject to extensive and rigorous government regulation. The Federal Food, Drug, 

and Cosmetic Act (FFDCA), the Controlled Substances Act (CSA) and other federal and state statutes and regulations govern or 
influence the testing, manufacturing, packaging, labeling, storage, recordkeeping, approval, advertising, promotion, sale and 
distribution of pharmaceutical products. Noncompliance with applicable requirements can result in criminal prosecution, fines, civil 
penalties, recall or seizure of products, total or partial suspension of production and/or distribution, injunctions and refusal of the 
government to enter into supply contracts or to approve NDAs, ANDAs, BLAs and/or other similar applications.

FDA approval is typically required before any new pharmaceutical or biologic product can be marketed. An NDA or BLA is a 
filing submitted to the FDA to obtain approval of new chemical entities and other innovations for which thorough applied research is 
required to demonstrate safety and effectiveness in use. The process generally involves, among other things:

•  completion of preclinical laboratory and animal testing and formulation studies in compliance with the FDA’s Good 

Laboratory Practice regulations;

•  submission to the FDA of an Investigational New Drug application for human clinical testing, which must become 

effective before human clinical trials may begin in the U.S.;

•  approval by an independent institutional review board before each trial may be initiated and continuing review during the 

trial;

•  performance of human clinical trials, including adequate and well-controlled clinical trials in accordance with good 

clinical practices to establish the safety and efficacy of the proposed product for each intended use;

•  submission to the FDA of an NDA or BLA for marketing approval, which must include data from preclinical testing and 

clinical trials;

•  satisfactory completion of an FDA pre-approval inspection of the product’s manufacturing processes and facility or 

facilities to assess compliance with the FDA’s current Good Manufacturing Practice (cGMP) regulations and/or review of 
the Chemistry, Manufacturing and Controls section of the NDA or BLA to assess whether the facilities, methods and 
controls are adequate to preserve the proposed product’s identity, strength, quality, purity and potency;

•  satisfactory completion of an FDA advisory committee review, if applicable; and
•  approval by the FDA of the NDA or BLA.

Clinical trials are typically conducted in three sequential phases, although the phases may overlap. Those phases include:

•  Phase 1 trials generally involve testing the product for safety, adverse effects, dosage, tolerance, absorption, distribution, 

metabolism, excretion and other elements of clinical pharmacology.

•  Phase 2 trials typically involve a small sample of the intended patient population to assess the efficacy of the compound 
for a specific indication, to determine dose tolerance and the optimal dose range and to gather additional information 
relating to safety and potential adverse effects.

•  Phase 3 trials are undertaken in an expanded patient population, typically at dispersed study sites, in order to determine 

the overall risk-benefit ratio of the compound and to provide an adequate basis for product labeling.

Each trial is conducted in accordance with certain standards under protocols that detail the objectives of the study, the 
parameters to be used to monitor safety and the efficacy criteria to be evaluated. Each protocol must be submitted to the FDA as part 
of the Investigational New Drug application. Clinical trials are also subject to regulatory inspections by the FDA and other regulatory 
authorities to confirm compliance with applicable regulatory standards. The process of completing clinical trials for a new product 
may take many years and require the expenditures of substantial resources. See Item 1A. Risk Factors - “The pharmaceutical industry 
is heavily regulated, which creates uncertainty about our ability to bring new products to market and imposes substantial compliance 
costs on our business, including withdrawal or suspension of existing products.” 

As a condition of approval of an NDA or BLA, the FDA may require further studies, including Phase 4 post-marketing studies 
or post-marketing data reporting, such as evaluating known or signaled safety risks. Results of post-marketing programs may limit or 
expand the future marketing of the products and result in the FDA requiring labeling changes, including the addition of risk 
information.

For some products, the FDA may require a Risk Evaluation and Mitigation Strategy (REMS) to confirm that a drug’s benefits 

outweigh its risks. REMS could include medication guides, physician communication plans or other elements. See Item 1A. Risk 
Factors - “The pharmaceutical industry is heavily regulated, which creates uncertainty about our ability to bring new products to 
market and imposes substantial compliance costs on our business, including withdrawal or suspension of existing products.”

9

Table of Contents

In most instances, FDA approval of an ANDA is required before a generic equivalent of an existing or reference-listed drug can 

be marketed. The ANDA process is abbreviated in that the FDA waives the requirement of conducting complete preclinical and 
clinical studies and generally instead relies principally on bioequivalence studies. Bioequivalence generally involves a comparison of 
the rate of absorption and levels of concentration of a generic product in the body with those of the previously approved product. 
When the rate and extent of absorption of systemically acting test and reference drugs are considered the same under the 
bioequivalence requirement, the two products are considered bioequivalent and are generally regarded as therapeutically equivalent, 
meaning that a pharmacist can substitute the generic product for the reference-listed drug. Under certain circumstances, an ANDA may 
also be submitted for a product authorized by approval of an ANDA suitability petition. Such petitions may be submitted to secure 
authorization to file an ANDA for a product that differs from a previously approved product in active ingredient, route of 
administration, dosage form or strength. In September 2007 and July 2012, Congress re-authorized pediatric testing legislation, which 
now requires ANDAs approved via the suitability petition route to conduct pediatric testing. The timing of final FDA approval of an 
ANDA application depends on a variety of factors, including whether the applicant challenges any listed patents for the reference-
listed drug and whether the manufacturer of the reference-listed drug is entitled to one or more statutory exclusivity periods during 
which the FDA is prohibited from approving generic products. In certain circumstances, a regulatory exclusivity period can extend 
beyond the life of a patent, thus blocking ANDAs from being approved even after the patent expiration date.

Certain of our products are or could become regulated and marketed as biologic products pursuant to BLAs. Our BLA-licensed 
products were licensed based on a determination by the FDA of safety, purity and potency as required under the Public Health Service 
Act (PHSA). Although the ANDA framework referenced above does not apply to generics of BLA-licensed biologics, there is an 
abbreviated licensure pathway for products deemed to be biosimilar to, or interchangeable with, FDA-licensed reference biological 
products pursuant to the Biologics Price Competition and Innovation Act of 2009 (BPCIA). The BPCIA framework was enacted as 
part of the Patient Protection and Affordable Care Act (PPACA) and could be impacted by ongoing litigation regarding the legality of 
the PPACA. Under the BPCIA, following the expiration of a 12-year reference exclusivity period, the FDA may license, under section 
351(k) of the PHSA, a biological product that it determines is biosimilar to, or interchangeable with, a reference product licensed 
under section 351(a) of the PHSA. Although licensure of biosimilar or interchangeable products is generally expected to require less 
than the full complement of product-specific preclinical and clinical data required for innovator products, the FDA has considerable 
discretion over the kind and amount of scientific evidence required to demonstrate biosimilarity and interchangeability.

Some pharmaceutical products are available in the U.S. that are not the subject of an FDA-approved NDA. In 2011, the FDA’s 

Center for Drug Evaluation and Research (CDER) Office of Compliance modified its enforcement policy with regard to the marketing 
of such “unapproved” marketed products. Under CDER’s revised guidance, the FDA encourages manufacturers to obtain NDA 
approvals for such products by requiring unapproved versions to be removed from the market after an approved version has been 
introduced, subject to a grace period at the FDA’s discretion. This grace period is intended to allow an orderly transition of supply to 
the market and to mitigate any potential related product shortage. Depending on the length of the grace period and the time it takes for 
subsequent applications to be approved, this may result in a period of de facto market exclusivity to the first manufacturer that has 
obtained an approved NDA for the previously unapproved marketed product.

Over-the-counter (OTC) products may, depending on ingredients and proposed label claims, be marketed pursuant to the OTC 
monograph process or could require NDA or ANDA approval. The OTC monograph process allows for OTC products to be marketed 
without pre-market approval and generally does not require clinical studies.

Laws and regulations impacting the pharmaceutical industry are constantly evolving. For example, the 21st Century Cures Act 

(Cures Act), which was signed into law on December 13, 2016, includes various provisions to accelerate the development and delivery 
of new treatments, such as those intended to expand the types of evidence manufacturers may submit to support FDA approval, to 
encourage patient-centered product development, to liberalize the communication of healthcare economic information to payers and to 
create greater transparency with regard to manufacturer expanded access programs. Central to the Cures Act are provisions that 
enhance and accelerate the FDA’s processes for reviewing and approving new products and supplements to approved NDAs. The 
Cures Act also included $1 billion in new funding to states to supplement opioid abuse prevention and treatment activities.

More recently, in December 2019, the Further Consolidated Appropriations Act, 2020 (FCAA 2020) became law. Section 610, 

titled “Actions for Delays of Generic Drugs and Biological Products,” provides generic (ANDA and 505(b)(2)) and biosimilar 
developers with a private right of action to obtain sufficient quantities of reference product from the brand manufacturer, or a generic 
or biosimilar manufacturer, necessary for approval of the developers’ generic or biosimilar product. If a generic or biosimilar 
developer is successful in its suit, the defendant manufacturer would be required to provide sufficient quantities of product on 
commercially-reasonable, market-based terms and may be required to pay the developer’s reasonable attorney’s fees and costs as well 
as financial compensation under certain circumstances. The purpose of section 610 is to promote competition by facilitating the timely 
entry of lower-cost generic and biosimilar products.

10

Table of Contents

A sponsor of an NDA is required to identify, in its application, any patent that claims the drug or a use of the drug subject to the 
application. Upon NDA approval, the FDA lists these patents in a publication referred to as the Orange Book. Any person that files an 
ANDA or NDA under Section 505(b)(2) of the FFDCA must make a certification in respect to any listed patents for the reference 
drug. The FDA may not approve such an ANDA or 505(b)(2) application until expiration of the reference drug’s listed patents unless 
(i) the applicant certifies that the listed patents are invalid, unenforceable and/or not infringed by the proposed generic drug and gives 
notice to the holder of the NDA for the listed drug of the basis upon which the patents are challenged and (ii) the holder of the listed 
drug does not sue the later applicant for patent infringement within 45 days of receipt of notice. Under the current law, if an 
infringement suit is filed, the FDA may not approve the later application until the earliest of: (i) 30 months after submission, (ii) entry 
of an appellate court judgment holding the patent invalid, unenforceable or not infringed, (iii) such time as a court may order or (iv) 
expiration of the patent.

One of the key motivators for challenging patents is the 180-day marketing exclusivity period granted to the developer of a 

generic version of a product that is the first to have its ANDA accepted for filing by the FDA and whose filing includes a certification 
that the applicable patent(s) are invalid, unenforceable and/or not infringed (a Paragraph IV certification) and that otherwise does not 
forfeit eligibility for the exclusivity. Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, with 
accompanying amendments to the Drug Price Competition and Patent Term Restoration Act (the Hatch-Waxman Act), this marketing 
exclusivity would begin to run upon the earlier of the commercial launch of the generic product or upon an appellate court decision in 
the generic company’s favor or in favor of another ANDA applicant who had filed with a Paragraph IV certification and has tentative 
approval. In addition, the holder of the NDA for the listed drug may be entitled to certain non-patent exclusivity during which, 
depending on the type of exclusivity, the FDA either cannot accept or approve an application for a competing ANDA generic product 
or 505(b)(2) NDA product with the same active moiety for a protected condition of use.

The FDA also regulates pharmacies and outsourcing facilities that prepare “compounded” drugs pursuant to section 503A and 

503B of the FFDCA, respectively. For instance, under section 503A of the FFDCA, pharmacies may compound drugs for an identified 
individual based on the receipt of a valid prescription order, or notation approved by the prescribing practitioner, that a compounded 
product is necessary for the identified patient. Similarly, under section 503B of the FFDCA, outsourcing facilities may compound 
drugs and sell them to healthcare providers, but not wholesalers or distributors. Although section 503A pharmacies and section 503B 
outsourcing facilities are subject to many regulatory requirements, compounded drugs are not subject to premarket review by the FDA 
and, therefore, may not have the same level of safety and efficacy as products subject to premarket review and approval by the FDA. 
Because they are not subject to premarket review, compounded drugs are frequently lower cost than either branded or generic 
products.

The FDA enforces regulations to require that the methods used in, and the facilities and controls used for, the manufacture, 

processing, packing and holding of drugs conform to cGMPs. The cGMP regulations the FDA enforces are comprehensive and cover 
all aspects of manufacturing operations. Compliance with the regulations requires a continuous commitment of time, money and effort 
in all operational areas.

The FDA conducts pre-approval inspections of facilities engaged in the development, manufacture, processing, packing, testing 

and holding of the products subject to NDAs and ANDAs and pre-license inspections of facilities engaged in similar activities for 
biologic products subject to BLAs. In addition, manufacturers of both pharmaceutical products and active pharmaceutical ingredients 
(APIs) used to formulate such products also ordinarily undergo pre-approval inspections. Failure of any facility to pass a pre-approval 
inspection will result in delayed approval.

Facilities that manufacture pharmaceutical or biological products must be registered with the FDA and all such products made 

in such facilities must be manufactured in accordance with the latest cGMP regulations. The FDA conducts periodic inspections of 
facilities to assess the cGMP status of marketed products. Following such inspections, the FDA could issue a Form 483 Notice of 
Inspectional Observations, which could require modification to certain activities identified during the inspection. If the FDA were to 
find serious cGMP non-compliance during such an inspection, it could take regulatory actions. The FDA also may issue an untitled 
letter as an initial correspondence that cites violations that do not meet the threshold of regulatory significance for a Warning Letter. 
FDA guidelines also provide for the issuance of Warning Letters for violations of “regulatory significance” for which the failure to 
adequately and promptly achieve correction may be expected to result in an enforcement action.

Imported API and other components needed to manufacture our products could be rejected by U.S. Customs. In respect to 

domestic establishments, the FDA could initiate product seizures or request, or in some instances require, product recalls and seek to 
enjoin or otherwise limit a product’s manufacture and distribution. In certain circumstances, violations could support civil penalties 
and criminal prosecutions. In addition, if the FDA concludes that a company is not in compliance with cGMP requirements, sanctions 
may be imposed that include preventing that company from receiving the necessary licenses to export its products and classifying that 
company as an unacceptable supplier, thereby disqualifying that company from selling products to federal agencies.

11

Table of Contents

Certain of our subsidiaries sell products that are “controlled substances” as defined in the CSA and implementing regulations, 
which establish certain security and recordkeeping requirements administered by the DEA. The DEA regulates chemical compounds 
as Schedule I, II, III, IV or V substances, with Schedule I substances considered to present the highest risk of substance abuse and 
Schedule V substances the lowest risk. The active ingredients in some of our products are listed by the DEA as Schedule II or III 
substances under the CSA. Consequently, their manufacture, shipment, storage, sale and use are subject to a high degree of regulation. 

The DEA limits the availability of the active ingredients that are subject to the CSA used in several of our products as well as 
the production of these products. We or our contract manufacturing organizations must annually apply to the DEA for procurement 
and production quotas in order to obtain and produce these substances. As a result, our quotas may not be sufficient to meet 
commercial demand or complete clinical trials. Moreover, the DEA may adjust these quotas from time to time during the year, 
although the DEA has substantial discretion in whether or not to make such adjustments. See Item 1A. Risk Factors - “The DEA limits 
the availability of the active ingredients used in many of our products as well as the production of these products, and, as a result, our 
procurement and production quotas may not be sufficient to meet commercial demand or complete clinical trials.”

To meet its responsibilities, the DEA conducts periodic inspections of registered establishments that handle controlled 

substances. Annual registration is required for any facility that manufactures, tests, distributes, dispenses, imports or exports any 
controlled substance. The facilities must have the security, control, accounting mechanisms and monitoring systems required by the 
DEA to prevent loss and diversion of controlled substances and to comply with reporting obligations. Failure to maintain compliance 
can result in enforcement action. The DEA may seek civil penalties, refuse to renew necessary registrations or initiate proceedings to 
revoke or restrict those registrations or, with the U.S. Department of Justice (DOJ), seek to impose civil penalties. In certain 
circumstances, violations could result in criminal proceedings.

In October 2018, the U.S. Congress enacted the Substance Use-Disorder Prevention that Promotes Opioid Recovery and 
Treatment for Patients and Communities Act (H.R. 6). Intended to achieve sweeping reform to combat opioid abuse, H.R. 6, among 
other provisions, amends related laws administered by the FDA, DEA and the Centers for Medicare and Medicaid Services (CMS). 
Among other things, the law: (i) amends requirements related to the FDA’s authority to include packaging requirements in REMS 
requirements; (ii) increases civil and criminal penalties for manufacturers and distributors for failing to maintain effective controls 
against diversion of opioids or for failing to report suspicious opioid orders; (iii) requires the DEA to estimate the amount of opioid 
diversion when establishing manufacturing and procurement quotas; (iv) implements expanded anti-kickback and financial disclosure 
provisions; and (v) authorizes the Department of Health and Human Services to implement a demonstration program which would 
award grants to hospitals and emergency departments to develop, implement, enhance or study alternative pain management protocols 
and treatments that limit the use and prescription of opioids in emergency departments.

Individual states also regulate controlled substances and we, as well as our third-party API suppliers and manufacturers, are 

subject to such regulation by several states with respect to the manufacture and distribution of these products.

Government Benefit Programs

As described further in Item 1A. Risk Factors, statutory and regulatory requirements for government healthcare programs such 

as Medicaid, Medicare and TRICARE govern access and provider reimbursement levels, and provide for other cost-containment 
measures such as requiring pharmaceutical companies to pay rebates or refunds for certain sales of products reimbursed by such 
programs, or subjecting products to certain price ceilings. In addition to the cost-containment measures described in Item 1A. Risk 
Factors, sales to retail pharmacies under the TRICARE Retail Pharmacy Program are subject to certain price ceilings which require 
manufacturers to, among other things, pay refunds for prescriptions filled based on the applicable ceiling price limits. Beginning in the 
first quarter of 2017, pursuant to the Bipartisan Budget Act of 2015, manufacturers are required to pay additional rebates to state 
Medicaid programs if the prices of their non-innovator products rise at a rate faster than inflation (as continues to be the case for 
innovator products); this requirement previously existed only as to branded or innovator products and the change in law may impact 
our business.

The federal government may continue to pursue legislation aimed at containing or reducing payment levels for prescription 

pharmaceuticals paid for in whole or in part with government funds. State governments also may continue to enact similar cost 
containment or transparency legislation. These efforts could have material consequences for the pharmaceutical industry and the 
Company.

From time to time, legislative changes are made to government healthcare programs that impact our business. Congress 
continues to examine various Medicare and Medicaid policy proposals that may result in a downward pressure on the prices of 
prescription products in these programs. See Item 1A. Risk Factors - “The availability of third party reimbursement for our products is 
uncertain, and we may find it difficult to maintain current price levels. Additionally, the market may not accept those products for 
which third party reimbursement is not adequately provided.”

12

Table of Contents

Under the PPACA, pharmaceutical manufacturers of branded prescription products must pay an annual fee to the federal 
government. Each individual pharmaceutical manufacturer must pay a prorated share of the total industry fee based on the dollar value 
of its branded prescription product sales to specified federal programs. The total industry fee was $4 billion for 2017, $4.1 billion for 
2018 and $2.8 billion for 2019. The 2019 rate is expected to continue for future years. 

Uncertainty continues to exist about the future of federal subsidies and of insurance coverage expansion as the current 
administration and congressional leaders continue to express interest in repealing these PPACA provisions and replacing them with 
alternatives that may be less costly and provide state Medicaid programs and private health plans more flexibility. The Tax Cuts and 
Jobs Act of 2017 (TCJA) repealed the requirement that individuals maintain health insurance coverage or face a penalty (known as the 
individual mandate). The removal of this provision, coupled with the threat of the repeal of other PPACA provisions, as well as the 
outcome of court challenges to the PPACA (including petitions for certiorari before the U.S. Supreme Court to review a December 
2019 ruling in the U.S. Court of Appeals for the Fifth Circuit finding the individual mandate of the PPACA to be unconstitutional), 
threaten the stability of the insurance marketplace and may have consequences for the coverage and accessibility of prescription drugs.

Healthcare Fraud and Abuse Laws

We are subject to various federal, state and local laws targeting fraud and abuse in the healthcare industry, violations of which 

can lead to civil and criminal penalties, including fines, imprisonment and exclusion from participation in federal healthcare programs. 
These laws are potentially applicable to us as both a manufacturer and a supplier of products reimbursed by federal healthcare 
programs, and they also apply to hospitals, physicians and other potential purchasers of our products.

The federal Anti-Kickback Statute (42 U.S.C. § 1320a-7b) prohibits persons from knowingly and willfully soliciting, receiving, 

offering or providing remuneration, directly or indirectly, to induce either the referral of an individual, or the furnishing, 
recommending or arranging for a good or service, for which payment may be made under a federal healthcare program such as the 
Medicare and Medicaid programs. Remuneration is not defined in the federal Anti-Kickback Statute and has been broadly interpreted 
to include anything of value, including for example, gifts, discounts, coupons, the furnishing of supplies or equipment, credit 
arrangements, payments of cash, waivers of payments, ownership interests and providing anything at less than its fair market value. 
Under the federal Anti-Kickback Statute and the applicable criminal healthcare fraud statutes contained within 42 U.S.C. § 1320a-7b, 
a person or entity need not have actual knowledge of this statute or specific intent to violate it in order to have committed a violation. 
In addition, the government may assert that a claim, including items or services resulting from a violation of 42 U.S.C. § 1320a-7b, 
constitutes a false or fraudulent claim for purposes of the civil False Claims Act (discussed below) or the civil monetary penalties 
statute, which imposes fines against any person who is determined to have presented or caused to be presented claims to a federal 
healthcare program that the person knows or should know is for an item or service that was not provided as claimed or is false or 
fraudulent. The federal Anti-Kickback Statute and implementing regulations provide for certain exceptions for “safe harbors” for 
certain discounting, rebating or personal services arrangements, among other things. However, the lack of uniform court interpretation 
of the Anti-Kickback Statute, coupled with novel enforcement theories by government authorities, make compliance with the law 
difficult. Violations of the federal Anti-Kickback Statute can result in significant criminal fines, exclusion from participation in 
Medicare and Medicaid and follow-on civil litigation, among other things, for both entities and individuals.

In October 2019, the Office of the Inspector General of the Department of Health and Human Services issued a Proposed Rule: 

Revisions to Safe Harbors under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements 
(October Proposed Rule) to, among other things, add new safe harbors for certain value-based arrangements. Although the value-based 
proposals would not include pharmaceutical manufacturers among the entities that could permissibly enter into such contracting 
arrangements, the general trend toward outcomes and value-based contracts in the healthcare industry may continue. It is possible that 
payers, among other customers, could push manufacturers for novel contracting approaches, including those that would incorporate 
value-based principles, and these efforts could affect our business.

The civil False Claims Act and similar state laws impose liability on any person or entity who, among other things, knowingly 
presents, or causes to be presented, a false or fraudulent claim for payment by a federal healthcare program. The qui tam provisions of 
the False Claims Act and similar state laws allow a private individual to bring civil actions on behalf of the federal or state government 
and to share in any monetary recovery. The Federal Physician Payments Sunshine Act and similar state laws impose reporting 
requirements for various types of payments to physicians and teaching hospitals. Failure to comply with reporting requirements under 
these laws could subject manufacturers and others to substantial civil money penalties. In addition, government entities and private 
litigants have asserted claims under state consumer protection statutes against pharmaceutical and medical device companies for 
alleged false or misleading statements in connection with the marketing, promotion and/or sale of pharmaceutical and medical device 
products, including state investigations of the Company regarding vaginal mesh devices previously sold by certain of our operating 
subsidiaries and investigations and litigation by certain government entities regarding the prior promotional practices of certain of our 
operating subsidiaries with respect to opioid products.

13

Table of Contents

International Regulations

Through our international operations, the Company is subject to laws and regulations that differ from those under which the 
Company operates in the U.S. In most cases, non-U.S. regulatory agencies evaluate and monitor the safety, efficacy and quality of 
pharmaceutical products, govern the approval of clinical trials and product registrations and regulate pricing and reimbursement. 
Certain international markets have differing product preferences and requirements and operate in an environment of government-
mandated, cost-containment programs, including price controls, such as the Patented Medicine Prices Review Board (PMPRB) in 
Canada.

In Canada, amendments to the Patented Medicines Regulations (Regulations Amending the Patented Medicines Regulations 

(Additional Factors and Information Reporting Requirements)) (the Amendments) will come into force on July 1, 2020 and will 
introduce a number of changes to the regulation of Canadian drug prices by the PMPRB. The PMPRB is an administrative board 
established by the Patent Act, RSC 1985, c P-4, with a mandate to protect Canadians from excessive pricing. Pharmaceutical 
manufacturers that are “patentees” are required to report applicable patents and file sales information so the PMPRB can monitor for 
excessive pricing as long as the product is considered to be a patented medicine. If it is determined the average price for a patented 
medicine is too high based on pricing tests developed by the PMPRB, a payment must be made to the PMPRB to offset the excessive 
revenues that were generated, and/or the price of the medicine must be reduced. The PMPRB’s authority to regulate the price of a 
product is linked to patent protection, specifically when there is a patent to an invention that is “intended or capable of being used for 
medicine or for the preparation or production of medicine” (Patent Act, Section 79(2)). 

For patented medicines approved by Health Canada after August 21, 2019 (the date of publication of the Amendments), the 

Amendments will allow PMPRB to consider additional factors when assessing whether a price is excessive: pharmacoeconomic value 
of the medicine in Canada, the size of the market for the medicine in Canada and the gross domestic product (GDP) and GDP per 
capita of Canada. For all patented medicines (regardless of the date of marketing authorization), the Amendments change the set of 
countries that the PMPRB uses for international price comparisons when assessing whether the Canadian price is excessive. Under the 
current regulations, the price of a Canadian medicine is compared to the price of that medicine in seven other counties, including the 
U.S. and Switzerland. The Amendments define a new set of eleven comparator countries, and the U.S. and Switzerland are no longer 
part of this basket. The implementation of the new set of comparator counties is expected to cause a decrease to permissible ceiling 
prices in Canada. Based on draft guidelines published by the PMPRB in November 2019 (currently under consultation), the ceiling 
price for a medicine is expected to be established as the median international list price of the eleven comparator countries for most 
patented medicines. According to the Regulatory Impact Analysis Statement that accompanied the publication of the Amendments in 
the Canada Gazette Part II, the Canadian government anticipates that Amendments will result in lower prices for patented medicines 
and an estimated benefit to Canadians of 8.8 billion Canadian dollars (present value) over 10 years.

Certain governments have placed restrictions on physician prescription levels and patient reimbursements, emphasized greater 

use of generic products and enacted across-the-board price cuts as methods of cost control.

Whether or not FDA approval has been obtained for a product, approval of the product by comparable regulatory authorities of 

other governments must be obtained prior to marketing the product in those jurisdictions. The approval process may be more or less 
rigorous than the U.S. process and the time required for approval may be longer or shorter than in the U.S.

Service Agreements

We contract with various third parties to provide certain critical services including manufacturing, supply, warehousing, 

distribution, customer service, certain financial functions, certain R&D activities and medical affairs, among others.

Refer to Note 11. License and Collaboration Agreements and Note 15. Commitments and Contingencies in the Consolidated 

Financial Statements included in Part IV, Item 15 of this report for additional information.

We primarily purchase our raw materials for the production and development of our products in the open market from third 

party suppliers. We attempt, when possible, to mitigate our raw material supply risks through inventory management and alternative 
sourcing strategies. However, some raw materials are only available from one source. We are required to identify the suppliers of all 
raw materials for our products in the drug applications that we file with the FDA. If the raw materials from an approved supplier for a 
particular product become unavailable, we would be required to qualify a substitute supplier with the FDA, which would likely 
interrupt manufacturing of the affected product. See Item 1A. Risk Factors for further discussion on the risks associated with the 
sourcing of our raw materials.

14

Table of Contents

License & Collaboration Agreements and Acquisitions

We continue to seek to enhance our product line and develop a balanced portfolio of differentiated products through product 
acquisitions and in-licensing or acquiring licenses to products, compounds and technologies from third parties. The Company enters 
into strategic alliances and collaborative arrangements with third parties, which give the Company rights to develop, manufacture, 
market and/or sell pharmaceutical products, the rights to which are primarily owned by these third parties. These alliances and 
arrangements can take many forms, including licensing arrangements, co-development and co-marketing agreements, co-promotion 
arrangements, research collaborations and joint ventures. Such alliances and arrangements enable us to share the risk of incurring all 
R&D expenses that do not lead to revenue-generating products; however, because profits from alliance products are shared with the 
counter-parties to the collaborative arrangement, the gross margins on alliance products are generally lower, sometimes substantially 
so, than the gross margins that could be achieved had the Company not opted for a development partner. Refer to Note 11. License and 
Collaboration Agreements in the Consolidated Financial Statements included in Part IV, Item 15 of this report for additional 
information.

Environmental Matters

Our operations are subject to substantial federal, state and local environmental laws and regulations concerning, among other 

matters, the generation, handling, storage, transportation, treatment and disposal of, and exposure to, hazardous substances. Violation 
of these laws and regulations, which may change, can lead to substantial fines and penalties. Many of our operations require 
environmental permits and controls to prevent and limit pollution of the environment. We believe that our facilities and the facilities of 
our third party service providers are in substantial compliance with applicable environmental laws and regulations and we do not 
believe that future compliance will have a material adverse effect on our business, financial condition, results of operations or cash 
flows.

Employees

As of February 18, 2020, we have 3,172 employees, of which 365 are engaged in R&D and regulatory work, 400 in sales and 
marketing, 1,243 in manufacturing, 636 in quality assurance and 528 in general and administrative capacities. With the exception of 
certain production personnel in our Rochester, Michigan manufacturing facility, our employees are generally not represented by 
unions. We believe that our relations with our employees are good.

Information about our Executive Officers

The following table sets forth, as of February 26, 2020, information about our executive officers:

Name
Paul V. Campanelli (1)

Patrick Barry

Domenico Ciarico

Blaise Coleman (1)

Terrance J. Coughlin

Rahul Garella

Matthew J. Maletta

__________

Age

Position and Offices

57
52

47

46
54

50
48

President, Chief Executive Officer and Chairman of the Board

Executive Vice President and Chief Commercial Officer, U.S. Branded Business

Executive Vice President and Chief Commercial Officer, Sterile and Generics

Executive Vice President and Chief Financial Officer

Executive Vice President and Chief Operating Officer

Executive Vice President, International Pharmaceuticals

Executive Vice President and Chief Legal Officer

(1)  On November 4, 2019, Mr. Paul V. Campanelli notified the board of directors (the Board) of his intention to retire as the Company’s President and Chief 

Executive Officer. The Board appointed Mr. Campanelli as the Chairman of the Board on November 4, 2019. On February 19, 2020, the Board appointed Mr. 
Blaise Coleman as the Company’s President and Chief Executive Officer and Mr. Mark Bradley, Senior Vice President, Corporate Development & Treasurer, 
as the Company’s Executive Vice President and Chief Financial Officer. Both appointments are effective March 6, 2020 and Mr. Campanelli and Mr. Coleman 
will continue to serve in their current roles until such date.

Paul V. Campanelli was appointed Chairman of the Board of Endo in November 2019 and has served as Director, Chief 
Executive Officer and President since September 2016. Mr. Campanelli joined Endo in 2015 as the President of Par Pharmaceutical, 
leading Endo’s fully integrated U.S. Generics business, following Endo’s acquisition of Par Pharmaceutical. Prior to joining Endo, he 
served as Chief Executive Officer of Par Pharmaceutical Companies, Inc. following the company’s September 2012 acquisition by 
TPG. Prior to the TPG acquisition, Mr. Campanelli served as Chief Operating Officer and President of Par Pharmaceutical, Inc. from 
2010 to 2012. At Par Pharmaceutical, Inc., Mr. Campanelli had also served as Senior Vice President, Business Development & 
Licensing; Executive Vice President and President; and was named a Corporate Officer by its board of directors. He also served on the 
board of directors of Sky Growth Holdings Corporation from 2012 until 2015. Prior to joining Par Pharmaceutical Companies, Inc., 
Mr. Campanelli served as Vice President, Business Development at Dr. Reddy’s Laboratories Ltd., where he was employed from 1992 
to 2001. Mr. Campanelli earned his Bachelor of Science degree from Springfield College.

15

Table of Contents

Patrick Barry was appointed Executive Vice President and Chief Commercial Officer, U.S. Branded Business, effective 
February 2018. In this role, he has responsibility for all commercial activities for U.S. Branded Pharmaceuticals, including strategy, 
new product planning, marketing, sales as well as managed care and patient access responsibilities. Mr. Barry joined Endo in 
December 2016 as Senior Vice President, U.S. Branded Pharmaceuticals. Prior to joining Endo, Mr. Barry worked at Sanofi S.A. from 
1992 until December 2016, holding roles of increasing responsibility in areas such as Sales Leadership, Commercial Operations, 
Marketing, Launch Planning and Training and Leadership Development. Most recently, he served at Sanofi S.A. as its General 
Manager and Head of North America General Medicines starting in September 2015 and as Vice President and Head of U.S. Specialty 
from April 2014 until August 2015. During this time, Mr. Barry oversaw three complex and diverse businesses with responsibility for 
leading sales and marketing activities for branded and generic products across the U.S. and Canada. He has a diverse therapeutic 
experience including aesthetics and dermatology, oncology, urology, orthopedics and medical device and surgical experience. He has 
an M.B.A. from Cornell University, Johnson School of Management and a B.A. in Public Relations and Marketing from McKendree 
University.

Domenico Ciarico was appointed Executive Vice President and Chief Commercial Officer, Sterile and Generics, effective 

August 2019. In this role, Mr. Ciarico leads Endo’s U.S. Generics business including responsibility and oversight of Par Generic and 
Par Sterile sales teams, commercial operations, marketing and business analytics group. Mr. Ciarico joined Par in July 2018 as SVP 
and General Manager of Par Sterile Products, responsible for all sales, marketing, pricing and portfolio management for Par Sterile 
Products. Prior to joining Endo in 2018, Mr. Ciarico was with AmerisourceBergen Corporation (ABC) for over 20 years from May 
1996 to July 2017 where he held several roles of increasing responsibility, including SVP of Health Systems, leading health systems 
sales and commercial strategy. Prior to that, Mr. Ciarico was Group Vice President, managing three of ABC’s service businesses: 
American Health Packaging, Pharmacy Healthcare Solutions and AmerisourceBergen Technology Group, as well as other key 
leadership positions in operations and sales. Mr. Ciarico holds an M.B.A. and a B.S. degree from The Ohio State University.

Blaise Coleman was appointed Executive Vice President and Chief Financial Officer, effective December 2016. Mr. Coleman 
had been serving as Endo’s Interim Chief Financial Officer since November 2016. He joined Endo in January 2015 as Vice President 
of Corporate Financial Planning & Analysis, and was then promoted to Senior Vice President, Global Finance Operations in 
November 2015. Prior to joining Endo, Mr. Coleman held numerous finance leadership roles with AstraZeneca, most recently having 
served as the Chief Financial Officer of the AstraZeneca/Bristol-Myers Squibb US Diabetes Alliance from January 2013 until January 
2015. Prior to that, he was the Head of Finance for the AstraZeneca Global Medicines Development organization based in Mölndal, 
Sweden. Mr. Coleman joined AstraZeneca in 2007 as Senior Director Commercial Finance for the US Cardiovascular Business. He 
joined AstraZeneca from Centocor, a wholly-owned subsidiary of Johnson & Johnson, where he held positions in both the Licenses & 
Acquisitions and Commercial Finance organizations. Mr. Coleman’s move to Centocor in early 2003 followed 7 years’ experience 
with the global public accounting firm, PricewaterhouseCoopers LLP. Mr. Coleman is a Certified Public Accountant; he holds a 
Bachelor of Science degree in accounting from Widener University and an M.B.A. from the Fuqua School of Business at Duke 
University.

Terrance J. Coughlin was appointed Executive Vice President and Chief Operating Officer, effective November 2016. In this 

role, Mr. Coughlin has responsibility for Manufacturing and Technical Operations and R&D across the enterprise. Most recently, Mr. 
Coughlin served as Vice President, Operations of Par Pharmaceutical Companies, Inc., a subsidiary of Endo. Prior to Endo’s 
acquisition of Par in September 2015, Mr. Coughlin was the Chief Operating Officer of Par Pharmaceutical Companies, Inc. Prior to 
joining Par, Mr. Coughlin held numerous leadership roles with Glenmark Generics, Inc. USA/Glenmark Generics Limited, most 
recently having served as the President and Chief Executive Officer of Glenmark Generics, Inc. USA/Glenmark Generics Limited. 
Prior to this, Mr. Coughlin had the overall responsibility for Glenmark’s North American, Western European and Eastern European 
generics businesses, as well as its global active pharmaceutical ingredient business and generics operations in India. Prior to joining 
Glenmark, Mr. Coughlin served as Senior Vice President at Dr. Reddy’s Laboratories, Inc. Mr. Coughlin began his career in 1988 with 
Wyckoff Chemical Company, Inc. Mr. Coughlin earned a B.S. in chemistry from Central Michigan University.

Rahul Garella was appointed Executive Vice President, International Pharmaceuticals, effective August 2019. In this role, he 
has responsibility for the overall strategic management, operations and commercial leadership of the International Pharmaceuticals 
business, which includes Paladin Labs, Canada and Global partnerships in the international markets. Mr. Garella joined Endo in 2014 
as Senior Vice President. Mr. Garella has over 23 years’ experience in the pharmaceutical industry across branded and generic 
pharmaceuticals and APIs with international experience across the European, Asian and Latin America markets. Prior to joining Endo, 
Mr. Garella served as the Senior Vice President for Glenmark Pharmaceuticals Europe Limited responsible for building and managing 
their Western European business from 2008 until 2014 and their European and Latin American API business from 2005 until 2008. 
Previously, he worked with Ranbaxy in their Asia-Pacific division and Orchid Chemicals & Pharmaceuticals. He holds a Master of 
Business Administration (PGDBM) from the Institute of Management Technology, India as well as a Bachelor degree in Electrical 
Engineering from the Faculty of Engineering, Jamia Millia, New Delhi, India.

16

Table of Contents

Matthew J. Maletta was appointed Executive Vice President and Chief Legal Officer, effective May 2015, and has global 

responsibility for all legal matters affecting the Company. Prior to joining Endo in 2015, Mr. Maletta served as Vice President, 
Associate General Counsel and Corporate Secretary of Allergan. In this position, he served as an advisor to the Chief Executive 
Officer and Board of Directors and supervised several large transactions, including the $70 billion acquisition of Allergan by Actavis 
in 2015. Mr. Maletta also played a key role defending Allergan from an unsolicited takeover bid by Valeant Pharmaceuticals and 
Pershing Square Capital Management in 2014. Mr. Maletta joined Allergan in 2002 and during his tenure, held roles of increased 
responsibility, including serving as the lead commercial attorney for Allergan’s aesthetics businesses for several years and as Head of 
Human Resources in 2010. Prior to joining Allergan, Mr. Maletta was in private practice, focusing on general corporate matters, 
finance, governance, securities and transactions. He holds a B.A. degree in political science from the University of Minnesota, summa 
cum laude and Phi Beta Kappa, and a J.D. degree, cum laude, from the University of Minnesota Law School.

We have employment agreements with each of our executive officers.

Available Information

Our internet address is www.endo.com. The contents of our website are not part of this Annual Report on Form 10-K and our 

internet address is included in this document as an inactive textual reference only. We make our Annual Reports on Form 10-K, 
Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, proxy reports and all amendments to those reports available free of 
charge on our website as soon as reasonably practicable after we file such reports with, or furnish such reports to, the SEC.

You can access our filings through the SEC’s internet site: www.sec.gov (intended to be an inactive textual reference only).

You may also access copies of the Company’s filings with the Canadian Securities Administrators on SEDAR through their 

internet site: www.sedar.com (intended to be an inactive textual reference only).

Item 1A. 

Risk Factors

We operate in a highly competitive industry.

The pharmaceutical industry is intensely competitive and we face competition in both our U.S. and international branded 

and generic pharmaceutical business. Competitive factors include, without limitation, product development, technological 
innovation, safety, efficacy, commercialization, marketing, promotion, product quality, price, cost-effectiveness, reputation, 
service, patient convenience and access to scientific and technical information. Many of our competitors have, and future 
competitors may have, greater resources than we do and we cannot predict with certainty the timing or impact of competitors’ 
products and commercialization strategies. Furthermore, recent trends in this industry include market consolidation, which may 
further concentrate financial, technical and market strength and increase competitive pressure in the industry. It is possible that our 
competitors may make greater R&D investments and have more efficient or superior processes and systems and more experience 
in the development of new products that permit them to respond more quickly to new or emerging technologies and changes in 
customer demand which may make our products or technologies uncompetitive or obsolete. Furthermore, academic institutions, 
government agencies and other public and private organizations conducting research may seek patent protection and may establish 
collaborative arrangements for competitive products or programs. If we fail to compete successfully, it could have a material 
adverse effect on our business, financial condition, results of operations and cash flows.

Many of our branded products do not currently compete with on-market generic products but are likely to face generic 
competition in the future. While the entrance of generic competitors could occur at any time and cannot be predicted with certainty, 
generic competition often follows shortly after the loss of patent protection. See “Patents, Trademarks, Licenses and Proprietary 
Property” in Part 1, Item 1 of this report “Business” for additional information. Similarly, generic products we currently sell with 
generic exclusivity could in the future be subject to competition from other generic competitors. Some of our other products, 
including both branded and generic products, already face generic competition. For these products, we face the risk of additional 
generic competitors entering the market. Manufacturers of generic products typically invest far less in R&D than research-based 
companies. Additionally, generic competitors, including Asian or other overseas generic competitors, may be able to produce 
products at costs lower than us. For these reasons, competitors may be able to price their products lower than we can, and such 
differences could be material. Due to lower prices, generic versions, where available, may be substituted by pharmacies or required 
in preference to branded versions under third-party reimbursement programs. As a result, generic competition could have a 
material adverse effect on our business, financial condition, results of operations and cash flows. Legislation encouraging early and 
rapid approval of generic drugs could also increase the degree of generic competition we face. See the risk factor “If other 
pharmaceutical companies use litigation and regulatory means to obtain approval for generic, over-the-counter or other competing 
versions of our drugs, our sales may suffer” for more information.

17

Table of Contents

In addition, our generics business faces competition from brand-name pharmaceutical companies, which have taken and 

may continue to take aggressive steps to thwart or delay competition from generic equivalents of their brand-name products, 
including bringing litigation alleging patent infringement or other violations of intellectual property rights. The actions taken by 
competing brand-name pharmaceutical companies may increase the costs and risks associated with our efforts to introduce generic 
products and may delay or prevent such introduction altogether. For example, if a brand-name pharmaceutical company’s patent 
was held to be valid and infringed by our generic products in a particular jurisdiction, we would be required to either obtain a 
license from the patent holder or delay or cease the manufacture and sale of such generic product. Any of these factors could have a 
material adverse effect on our business, financial condition, results of operations and cash flows.

Our sales may also suffer as a result of changes in consumer demand for our products, including as a result of fluctuations in 

consumer buying patterns, changes in market conditions or actions taken by our competitors, including the introduction of new 
products or price reductions for existing products. Any of these factors could have a material adverse effect on our business, 
financial condition, results of operations and cash flows.

If other pharmaceutical companies use litigation and regulatory means to obtain approval for generic, over-the-counter or 
other competing versions of our drugs, our sales may suffer.

Various manufacturers have filed ANDAs seeking FDA approval for generic versions of certain of our key pharmaceutical 

products including, but not limited to, LIDODERM®, VASOSTRICT®, ADRENALIN® and AVEED®. In connection with such 
filings, these manufacturers have challenged the validity and/or enforceability of one or more of the underlying patents protecting 
our products. In the case of LIDODERM®, we no longer have patent protection in the markets where we sell these products. Our 
revenues from LIDODERM® have been negatively affected by multiple competing generic versions of LIDODERM®. We 
anticipate that these revenues could decrease further should one or more additional generic versions of LIDODERM® launch.

Additionally, in early 2019, we received notice from a competing pharmaceutical company that manufactures one of our 

products of its intent to seek approval to launch a competing OTC version of such product. We cannot predict whether this, or any 
other manufacturer, will take similar actions with respect to other products. Any launch of competing OTC versions of any of our 
products could decrease the revenue of such products, which could have a material adverse effect on our business, financial 
condition, results of operations and cash flows.

Our practice is to vigorously defend and pursue all available legal and regulatory avenues in defense of the intellectual 

property rights protecting our products. Despite our efforts, litigation is inherently uncertain, and we cannot predict the timing or 
outcome of our efforts. If we are not successful in defending our intellectual property rights or opt to settle, or if a product’s 
marketing or data exclusivity rights expire or become otherwise unenforceable, our competitors could ultimately launch generic, 
biosimilar, OTC or other competing versions of our products. Upon the loss or expiration of patent protection for one of our 
products, or upon the “at-risk” launch (despite pending patent infringement litigation against the generic product) by a generic 
manufacturer of a generic version of one of our patented products, our sales and revenues of the affected products would likely 
decline rapidly and materially, which could require us to write off a portion or all of the intangible assets associated with the 
affected product and could have a material adverse effect on our business, financial condition, results of operations and cash flows.

In the case of VASOSTRICT®, beginning in April 2018, Par Sterile Products, LLC (PSP LLC) and Par Pharmaceutical, Inc. 

(PPI) received notice letters from Eagle Pharmaceuticals, Inc. (Eagle), Sandoz, Inc., Amphastar Pharmaceuticals, Inc., Amneal 
Pharmaceuticals, LLC, American Regent and Fresenius advising of the filing by such companies of ANDAs for generic versions of 
VASOSTRICT® (vasopressin IV solution (infusion)). The Paragraph IV notices refer to patents that we have listed in the Orange 
Book covering either vasopressin-containing pharmaceutical compositions or methods of using a vasopressin-containing dosage 
form to increase blood pressure in humans. Beginning in May 2018, PPI, PSP LLC and Endo Par Innovation Company, LLC 
(EPIC) filed lawsuits against the companies in the U.S. District Court for the District of Delaware and New Jersey within the 45-
day deadline to invoke a 30-month stay of FDA approval pursuant to the Hatch-Waxman legislative framework. We intend to 
pursue all available legal, business and regulatory avenues in defense of VASOSTRICT®, including enforcement of our intellectual 
property rights. However, there can be no assurance that we will be successful. If a generic version of VASOSTRICT® were 
introduced to the market, our revenues from VASOSTRICT® would decrease significantly and, depending on the timing of such 
introduction and its effect on VASOSTRICT® pricing, could have a material adverse effect on our business, financial condition, 
results of operations and cash flows.

There are currently ongoing legal proceedings brought by us and/or our subsidiaries and, in certain cases, our third party 
partners, against manufacturers seeking FDA approval for generic versions of our products. For a description of the material related 
legal proceedings, see Note 15. Commitments and Contingencies in the Consolidated Financial Statements included in Part IV, 
Item 15 of this report.

We also believe it is likely that manufacturers may seek FDA approvals for generic, OTC or other competing versions of 

other of our key pharmaceutical products, either through the filing of ANDAs, through the OTC monograph process or through the 
use of other means. We cannot determine what effect section 610 of the FCAA 2020 may have on manufacturers developing 
generic, OTC or other competing versions of our products.

18

Table of Contents

If pharmacies or outsourcing facilities produce compounded versions of our products, our sales may suffer.

Compounded drugs do not typically require the same R&D investments as either branded or generic drugs and, therefore, 
can compete favorably on price with both branded and generic versions of a drug. See “Governmental Regulation” in Part I, Item 
1. While we have successfully challenged an FDA interim policy that would have permitted the compounding of vasopressin, the 
active ingredient in VASOSTRICT®, the introduction of compounded versions of our products by pharmacies or outsourcing 
facilities could have a material adverse effect on our business, financial condition, results of operations and cash flows.

If we fail to successfully identify and develop additional branded and generic pharmaceutical products, obtain and 
maintain exclusive marketing rights for our branded and generic products or fail to introduce branded and generic 
products on a timely basis, our revenues, gross margin and operating results may decline.

Our financial results depend, to a significant extent, upon our ability, and the ability of our partners, to identify, develop, 
obtain regulatory approval for, launch and commercialize a pipeline of commercially successful branded and generic products, 
including first-to-file or first-to-market opportunities. Due to the significant competition we face and the importance of being the 
first (or one of the first) to market, no assurances can be given that we will be able to develop, introduce and maintain 
commercially successful products in the future. For example, in the case of colchicine tablets, the authorized generic of Takeda’s 
Colcrys®, we could face competition from Mylan and other manufacturers. In November 2019, Mylan launched its generic version 
of Colcrys® but agreed to temporarily suspend its sales pending the outcome of preliminary injunction proceedings in the litigation 
by Takeda against Mylan. If Mylan or other manufacturers enter the market, our revenues from colchicine tablets could decrease 
significantly, which could have a material adverse effect on our business, financial condition, results of operations and cash flows.

Identifying and developing additional product candidates are prone to risks of failure inherent in product development. We 

conduct R&D to enable us to manufacture and market pharmaceutical products in accordance with specific government 
regulations. Much of our product development effort is focused on technically difficult-to-formulate products and/or products that 
require advanced manufacturing technology. Typically, expenses related to research, development and regulatory approval of 
compounds for our branded products are significantly greater than those expenses associated with generic products. Should we 
expand our R&D efforts, our research expenses are likely to increase. Because of the inherent risk associated with R&D efforts in 
the healthcare industry, particularly with respect to new products, our R&D expenditures may not result in the successful 
regulatory approval and introduction of new products and failure in the development of any new product can occur at any point in 
the process, including late in the process after substantial investment. Also, after we submit a regulatory application, the relevant 
governmental health authority may require that we conduct additional studies, including, for example, studies to assess the 
product’s interaction with alcohol. As a result, we may be unable to reasonably predict the total R&D costs to develop a particular 
product and there is a significant risk that the funds we invest in R&D will not generate financial returns. In addition, our operating 
results and financial condition may fluctuate as the amount we spend to research and develop, commercialize, acquire or license 
new products, technologies and businesses changes.

The process of developing and obtaining regulatory approvals for new products is time-consuming, costly and inherently 

unpredictable. Even if we are able to identify and develop additional product candidates, we may fail to obtain exclusive marketing 
rights, such as the 180-day ANDA first-filer marketing exclusivity period provided for in the Hatch-Waxman amendments to the 
FFDCA or the 180-day exclusivity for competitive generic therapies (CGTs) established by the FDA Reauthorization Act of 2017, 
for such product candidates. Even if we were to secure such exclusivities, risks associated with securing timely approval, as well as 
risks of unfavorable litigation dispositions, put such exclusivities at risk of being forfeited. The approval of our ANDAs may also 
be stayed by the FDA for up to 30 months if such ANDAs become the subject of patent litigation. Even where we are awarded 
marketing exclusivity, we may be required to share our exclusivity period with other ANDA applicants or with authorized generics 
that are not prohibited from sale during the 180-day marketing exclusivity period. Our revenues have historically included sales of 
generic products with limited competition resulting from marketing exclusivity or other factors, and the failure to timely and 
effectively file any NDA, ANDA, BLA or Supplemental Biologics License Application (sBLA) with the FDA or similar filings 
with other regulatory agencies, or to partner with parties that have obtained marketing exclusivity, could have a material adverse 
effect on our business, financial condition, results of operations and cash flows.

Furthermore, the successful commercialization of a product is subject to a number of factors, including:

the effectiveness, ease of use and safety of our products as compared to existing products;

• 
•  customer demand and the willingness of physicians and customers to adopt our products over products with which 
they may have more loyalty or familiarity and overcoming any biases towards competitors’ products or against our 
products;
the cost of our products compared to alternative products and the pricing and commercialization strategies of our 
competitors;
the success of our launch and marketing efforts;

• 
•  adverse publicity about us, our products, our competitors and their products or the industry as a whole or favorable 

• 

publicity about competitors or their products;
the advent of new and innovative alternative products; 

• 

19

Table of Contents

•  any unforeseen issues or adverse developments in connection with our products and any resulting litigation, regulatory 

scrutiny and/or harm to our reputation; and

•  other risks that may be out of our control, including the decision by a collaboration partner to make substantial changes 

to a product’s formulation or design, or a collaboration partner refusing to perform its obligations under our 
collaboration agreement, which may cause delays and additional costs in developing and marketing a product.

We have been, continue to be and may be the subject of lawsuits, product liability claims, other significant legal 
proceedings, government investigations or product recalls.

Our business exposes us to significant potential risks from lawsuits, product liability claims, other significant legal 
proceedings, government investigations or product recalls, including, but not limited to, such matters associated with the testing, 
manufacturing, marketing and sale of our products. Some plaintiffs have received substantial damage awards or settlements against 
healthcare companies based upon various legal theories, including without limitation claims for injuries allegedly caused by the 
use of their products. We have been, continue to be and may be subject to various product liability cases, as well as other 
significant legal proceedings and government investigations.

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 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 15. Commitments and Contingencies in the Consolidated 
Financial Statements included in Part IV, Item 15 of this report for more information. In these cases, plaintiffs seek 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. Settlement demands may seek 
significant monetary and other remedies, or otherwise be on terms that we do not consider reasonable under the circumstances. 
Awards against and settlements by 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. 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. In addition, current or future regulatory and legislative proposals 
could impact us and other manufacturers of prescription opioid medications. See the risk factor “Our business and financial 
condition may be adversely affected by legislation” for more information.

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 pelvic organ prolapse (POP) and stress urinary 
incontinence (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 15. Commitments and Contingencies in the Consolidated Financial 
Statements included in Part IV, Item 15 of this report 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 significant product liability or mass tort 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 mass tort litigation in which we are not a defendant could 
have a negative impact on pending litigation where we are a defendant.

20

Table of Contents

In addition, in certain circumstances, such as in the case of products that do not meet approved specifications or for which 
subsequent data demonstrate such products 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” 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 government 
investigations or product recalls, it could result in the imposition of 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. To satisfy judgments or settlements, we also may need to seek 
financing, which may not be available on terms acceptable to us, or at all, when required. Judgments also could cause defaults 
under our debt agreements and/or restrictions on our product use 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.

The occurrence or possibility of any such result may cause us to pursue one or more significant corporate transactions as 
well as other remedial measures, including internal reorganizations, restructuring activities, strategic corporate alignments, cost-
saving initiatives or asset sales. See the risk factor “Our ability to fund our operations, maintain liquidity and meet our financing 
obligations is reliant on our operations, which are subject to significant risks and uncertainties” for more information. Likewise, 
any internal reorganizations, restructuring activities, strategic corporate alignments, cost-saving initiatives or asset sales 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 15. Commitments and Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this 

report for further discussion of the foregoing and other material legal proceedings.

We may not have and may be unable to obtain or maintain insurance adequate to cover potential liabilities.

We may not have and may be unable to obtain or maintain in the future insurance on acceptable terms or with adequate 

coverage against potential liabilities or other losses, such as the cost of a recall, if any claim is brought against us, regardless of the 
success or failure of the claim. For example, we generally no longer have product liability insurance to cover the claims in 
connection with the mesh-related litigation described above. Additionally, we may be limited by the surviving insurance policies of 
our acquired subsidiaries, which may not be adequate to cover against potential liabilities or other losses. Even where claims are 
submitted to insurance carriers for defense and indemnity, there can be no assurance that the claims will be fully covered by 
insurance or that the indemnitors or insurers will remain financially viable. The failure to generate sufficient cash flow or to obtain 
other financing could affect our ability to pay the amounts due under those liabilities not covered by insurance.

Our ability to fund our operations, maintain 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, 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;

• 

• 

21

Table of Contents

•  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 one or more of these or similar events may cause us to pursue one or more significant 
corporate transactions as well as other remedial measures, including refinancing all or part of our then-existing indebtedness, 
selling assets, reducing or delaying capital expenditures, seeking to raise additional capital or pursuing one or more internal 
reorganizations, restructuring activities, strategic corporate alignments, cost-saving initiatives or asset sales. Any refinancing of our 
substantial indebtedness could be at significantly higher interest rates, which will depend on the conditions of the markets 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 adopting any of these alternatives. Likewise, any internal reorganizations, 
restructuring activities, strategic corporate alignments, cost-saving initiatives or asset sales 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.

Our ability to protect and maintain our proprietary and licensed third party technology, which is vital to our business, is 
uncertain.

Our success, competitive position and future income will depend in part on our ability, and the ability of our partners and 

suppliers, to obtain and protect patent and other intellectual property rights relating to our current and future technologies, 
processes and products. The degree of protection any patents will afford is uncertain, including whether the protection obtained 
will be of sufficient breadth and degree to protect our commercial interests in all the jurisdictions where we conduct business. That 
is, the issuance of a patent is not conclusive as to its claimed scope, validity or enforceability. Patent rights may be challenged, 
revoked, invalidated, infringed or circumvented by third parties. For example, if an invention qualifies as a joint invention, the 
joint inventor may have intellectual property rights in the invention, which it might not protect. A third party may also infringe 
upon, design around or develop uses not covered by any patent issued or licensed to us and our patents may not otherwise be 
commercially viable. In this regard, the patent position of pharmaceutical compounds and compositions is particularly uncertain 
and involves complex legal and factual questions. Even issued patents may later be modified or revoked by the PTO, by 
comparable foreign patent offices or by a court following legal proceedings. Laws relating to such rights may in the future also be 
changed or withdrawn.

There is no assurance that any of our patent claims in our pending non-provisional and provisional patent applications 
relating to our technologies, processes or products will be issued or, if issued, that any of our existing and future patent claims will 
be held valid and enforceable against third-party infringement. It is possible that we could incur significant costs and management 
distraction if we are required to initiate litigation against others to protect or enforce our intellectual property rights. Such patent 
disputes may be lengthy and a potential violator of our patents may bring a potentially infringing product to market during the 
dispute, subjecting us to competition and damages due to infringement of the competitor product. Upon the expiration or loss of 
intellectual property protection for a product, others may manufacture and distribute such patented product, which may result in the 
loss of a significant portion of our sales of that product.

We also rely on trade secrets and other unpatented proprietary information, which we generally seek to protect by 
confidentiality and nondisclosure agreements with our employees, consultants, advisors and partners. These agreements may not 
effectively prevent disclosure of confidential information and may not provide us with an adequate remedy in the event of 
unauthorized disclosure. For example, in August 2017, we filed a complaint against QuVa Pharma, Inc. (QuVa) and certain 
individual defendants in the U.S. District Court for the District of New Jersey alleging misappropriation in violation of the federal 
Defend Trade Secrets Act, New Jersey 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®. For more information regarding this litigation, see Note 15. Commitments 
and Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report. Even if third parties 
misappropriate or infringe upon our proprietary rights, we may not be able to discover or determine the extent of any such 
unauthorized use and we may not be able to prevent third parties from misappropriating or infringing upon our proprietary rights. 
In addition, if our employees, scientific consultants or partners develop inventions or processes that may be applicable to our 
existing products or products under development, such inventions and processes will not necessarily become our property and may 
remain the property of those persons or their employers.

22

Table of Contents

Any failure by us to adequately protect our technology, trade secrets or proprietary know-how or to enforce our intellectual 

property rights could have a material adverse effect on our business, financial condition, results of operations and cash flows.

Our competitors or other third parties may allege that we are infringing their intellectual property, forcing us to expend 
substantial resources in litigation, the outcome of which is uncertain. Any unfavorable outcome of such litigation, including 
losses related to “at-risk” product launches, could have a material adverse effect on our business, financial condition, 
results of operations and cash flows.

Companies that produce branded pharmaceutical products routinely bring litigation against ANDA or similar applicants that 

seek regulatory approval to manufacture and market generic forms of branded products, alleging patent infringement or other 
violations of intellectual property rights. Patent holders may also bring patent infringement suits against companies that are 
currently marketing and selling approved generic products. Litigation often involves significant expense. Additionally, if the 
patents of others are held valid, enforceable and infringed by our current products or future product candidates, we would, unless 
we could obtain a license from the patent holder, need to delay selling our corresponding generic product and, if we are already 
selling our product, cease selling and potentially destroy existing product stock. Additionally, we could be required to pay 
monetary damages or royalties to license proprietary rights from third parties and we may not be able to obtain such licenses on 
commercially reasonable terms or at all.

There may be situations in which we may make business and legal judgments to market and sell products that are subject to 
claims of alleged patent infringement prior to final resolution of those claims by the courts based upon our belief that such patents 
are invalid, unenforceable or are not infringed by our marketing and sale of such products. This is commonly referred to in the 
pharmaceutical industry as an “at-risk” launch. The risk involved in an at-risk launch can be substantial because, if a patent holder 
ultimately prevails against us, the remedies available to such holder may include, among other things, damages calculated based on 
the profits lost by the patent holder, which can be significantly higher than the profits we make from selling the generic version of 
the product. Moreover, if a court determines that such infringement is willful, the damages could be subject to trebling. We could 
face substantial damages from adverse court decisions in such matters. We could also be at risk for the value of such inventory that 
we are unable to market or sell.

Agreements between branded pharmaceutical companies and generic pharmaceutical companies are facing increased 
government scrutiny and private litigation in the U.S. and abroad.

We are and may in the future be involved in patent litigations in which generic companies challenge the validity or 
enforceability of our products’ listed patents and/or the applicability of these patents to the generic applicant’s products. Likewise, 
we are and may in the future be involved in patent litigations in which we challenge the validity or enforceability of innovator 
companies’ listed patents and/or their applicability to our generic products. Therefore, settling patent litigations has been and is 
likely to continue to be part of our business. Parties to such settlement agreements in the U.S., including us, are required by law to 
file them with the U.S. Federal Trade Commission (FTC) and the Antitrust Division of the DOJ for review. In some instances, the 
FTC has brought actions against brand and generic companies that have entered into such agreements, alleging that they violate 
antitrust laws. Even in the absence of an FTC challenge, other governmental or private litigants may assert antitrust or other claims 
relating to such agreements. Accordingly, we may receive formal or informal requests from the FTC or other governmental entities 
for information about any such settlement agreement we enter into, and there is a risk that the FTC or other governmental or 
private litigants may commence an action against us alleging violation of antitrust laws or other claims.

The U.S. Supreme Court, in FTC v. Actavis, determined that patent settlement agreements between generic and brand 
companies should be evaluated under the rule of reason, but provided limited guidance beyond the selection of this standard. 
Because the Supreme Court did not articulate the full range of criteria upon which a determination of the legality of such 
settlements would be based, or provide guidance on the precise circumstances under which such settlements would qualify as legal, 
there may be extensive litigation over what constitutes a reasonable and lawful patent settlement between a brand and generic 
company. For example, certain of our subsidiaries are subject to multiple lawsuits, including proposed class actions, brought by 
direct and indirect purchasers alleging that a patent settlement agreement with Impax Laboratories, LLC (now Amneal) regarding 
OPANA® ER was unlawful in violation of federal antitrust laws and various state laws.

There have been federal and state legislative efforts to overturn the FTC v. Actavis decision and make certain terms in patent 

settlement agreements per se unlawful. For example, some members of the U.S. Congress have proposed legislation that would 
limit the types of settlement agreements generic manufacturers and brand companies can enter into. The state of California recently 
enacted legislation, effective January 1, 2020, that deems a settlement of a patent infringement claim to be presumptively 
anticompetitive and allows the California Attorney General to seek monetary penalties if a generic company receives anything of 
value from the branded company and the generic company agrees to delay research and development, manufacturing, marketing or 
sales of the generic product for any period of time. The California law carves out from the definition of “anything of value” certain 
types of settlement terms and it allows the settling parties to rebut the presumption of anticompetitive harm.

23

Table of Contents

We have significant goodwill and other intangible assets. Consequently, potential impairments of goodwill and other 
intangibles may significantly impact our profitability.

Goodwill and other intangibles represent a significant portion of our assets. As of December 31, 2019 and 2018, goodwill 

and other intangibles comprised approximately 66% and 71%, respectively, of our total assets. Goodwill and other indefinite-lived 
intangible assets are subject to impairment tests at least annually. Additionally, impairment tests must be performed for certain 
assets whenever events or changes in circumstances indicate such assets’ carrying amounts may not be recoverable.

For the years ended December 31, 2019, 2018 and 2017, we recorded asset impairment charges of $0.5 billion, $0.9 billion 

and $1.2 billion, respectively, which related primarily to goodwill and other intangible assets. Refer to Note 10. Goodwill and 
Other Intangibles in the Consolidated Financial Statements included in Part IV, Item 15 of this report for examples and a discussion 
of material impairment tests and impairment charges during the years ended years ended December 31, 2019, 2018 and 2017. The 
procedures and assumptions used in our goodwill and other intangible assets impairment testing are discussed in Part II, Item 7 of 
this report “Management’s Discussion and Analysis of Financial Condition and Results of Operations” under the caption 
“CRITICAL ACCOUNTING ESTIMATES” and in Note 10. Goodwill and Other Intangibles in the Consolidated Financial 
Statements included in Part IV, Item 15 of this report.

Events giving rise to asset impairments are an inherent risk in the pharmaceutical industry and often cannot be predicted. As 
a result of the significance of goodwill and other intangible assets, our results of operations and financial position in future periods 
could be negatively impacted should additional impairments of our goodwill or other intangible assets occur.

We are subject to various laws and regulations pertaining to the marketing of our products and services.

The marketing and pricing of our products and services, including product promotion, educational activities, support of 
continuing medical education programs and other interactions with healthcare professionals, are governed by various laws and 
regulations, including FDA regulations and the Anti-Kickback Statute. Additionally, many states have adopted laws similar to the 
Anti-Kickback Statute, without identical exceptions or exemptions. Some of these state prohibitions apply to referral of patients for 
healthcare items or services reimbursed by any third-party payer, not only the Medicare and Medicaid programs. Any such 
regulations or requirements could be difficult and expensive for us to comply with, could delay our introduction of new products 
and could have a material adverse effect on our business, financial condition, results of operations and cash flows. In addition, it is 
unclear at this time whether the October Proposed Rule revising safe harbors to the federal Anti-Kickback Statute to, among other 
things, add new safe harbors for certain value-based arrangements, will be adopted or, if adopted, what effect, if any, it would have 
on the cost of complying with and our ability to comply with the federal Anti-Kickback Statute or on our business. See 
“Governmental Regulation” in Part I, Item 1. 

Sanctions for violating these laws include criminal penalties and civil sanctions and possible exclusion from federally 
funded healthcare programs such as Medicare and Medicaid as well as potential liability under the False Claims Act and applicable 
state false claims acts. There can be no assurance that our practices will not be challenged under these laws in the future, that 
changes in these laws or interpretation of these laws would not give rise to new challenges of our practices or that any such 
challenge would not have a material adverse effect on our business, financial condition, results of operations and cash flows. Law 
enforcement agencies sometimes initiate investigations into sales, marketing and/or pricing practices based on preliminary 
information or evidence, and such investigations can be and often are closed without any enforcement action. Nevertheless, these 
types of investigations and any related litigation can result in: (i) large expenditures of cash for legal fees, payment of penalties and 
compliance activities; (ii) limitations on operations; (iii) diversion of management resources; (iv) injury to our reputation; and (v) 
decreased demand for our products.

The FFDCA and FDA regulations and guidance restrict the ability of healthcare companies, such as our company, to 
communicate with patients, physicians and other third-parties about uses of prescription pharmaceuticals or devices that are not 
cleared or approved by the FDA, which are commonly referred to as “off-label” uses. Prohibitions on the promotion of off-label 
uses and against promotional practices deemed false or misleading are actively enforced by various parties at both the federal and 
state level. A company that is found to have improperly promoted its products under these laws may be subject to significant 
liability, including significant administrative, civil and criminal sanctions including, but not limited to, significant civil damages, 
criminal fines and exclusion from participation in Medicare, Medicaid and other federal healthcare programs. Applicable laws 
governing product promotion also provide for administrative, civil and criminal liability for individuals, including, in some 
circumstances, potential strict vicarious liability. Conduct giving rise to such liability could also form the basis for private civil 
litigation by third-party payers or other persons allegedly harmed by such conduct.

We have established and implemented a corporate compliance program designed to prevent, detect and correct violations of 

state and federal healthcare laws, including laws related to advertising and promotion of our products. Nonetheless, enforcement 
agencies or private plaintiffs may take the position that we are not in compliance with such requirements and, if such non-
compliance is proven, the Company and, in some cases, individual employees, may be subject to significant liability, including the 
aforementioned administrative, civil and criminal sanctions.

24

Table of Contents

In February 2014, Endo Pharmaceuticals Inc. (EPI) entered into a Deferred Prosecution Agreement and a Corporate 
Integrity Agreement (CIA) with the U.S. Department of Health and Human Services to resolve allegations regarding the promotion 
of LIDODERM®. In March 2013, our subsidiary Par Pharmaceutical Companies, Inc. (PPCI) entered into a CIA and plea 
agreement with the DOJ to resolve allegations regarding the promotion of MEGACE® ES, which was subsequently subsumed by 
EPI’s CIA. Those agreements placed certain obligations on us related to the marketing of our pharmaceutical products and our 
healthcare regulatory compliance program, including reporting requirements to the U.S. government, detailed requirements for our 
compliance program, code of conduct and policies and procedures and the requirement to engage an Independent Review 
Organization. We have implemented procedures and practices to comply with the CIAs, including the engagement of an 
Independent Review Organization. In February 2020, Endo was notified that it had satisfied its CIA requirements and the 5-year 
term of Endo’s CIA has now concluded.

The pharmaceutical industry is heavily regulated, which creates uncertainty about our ability to bring new products to 
market and imposes substantial compliance costs on our business, including withdrawal or suspension of existing products.

Governmental authorities including without limitation the FDA impose substantial requirements on the development, 

manufacture, holding, labeling, marketing, advertising, promotion, distribution and sale of therapeutic pharmaceutical products. 
See “Governmental Regulation” in Part I, Item 1.

Regulatory approvals for the sale of any new product candidate may require preclinical studies and clinical trials that such 
product candidate is safe and effective for its intended use. Preclinical and clinical studies may fail to demonstrate the safety and 
effectiveness of a product candidate. Likewise, we may not be able to demonstrate through clinical trials that a product candidate’s 
therapeutic benefits outweigh its risks. Even promising results from preclinical and early clinical studies do not always accurately 
predict results in later, large-scale trials. A failure to demonstrate safety and efficacy would result in our failure to obtain regulatory 
approvals. Clinical trials can be delayed for reasons outside of our control, which can lead to increased development costs and 
delays in regulatory approval. For example, there is substantial competition to enroll patients in clinical trials, and such 
competition has delayed clinical development of our products in the past. For example, patients could enroll in clinical trials more 
slowly than expected or could drop out before or during clinical trials. In addition, we may rely on collaboration partners that may 
control or make changes in trial protocol and design enhancements, or encounter clinical trial compliance-related issues, which 
may also delay clinical trials. Product supplies may be delayed or be insufficient to treat the patients participating in the clinical 
trials and manufacturers or suppliers may not meet the requirements of the FDA or foreign regulatory authorities, such as those 
relating to cGMP. We also may experience delays in obtaining, or we may not obtain, required initial and continuing approval of 
our clinical trials from institutional review boards. We may experience delays or undesired results in any of our clinical trials.

Compliance with clinical trial requirements and cGMP regulations requires significant expenditures and the dedication of 

substantial resources. The FDA may place a hold on a clinical trial and may cause a suspension or withdrawal of product approvals 
if regulatory standards are not maintained. In the event an approved manufacturing facility for a particular drug is required by the 
FDA to curtail or cease operations, or otherwise becomes inoperable, or a third party contract manufacturing facility faces 
manufacturing problems, obtaining the required FDA authorization to manufacture at the same or a different manufacturing site 
could result in production delays, which could have a material adverse effect on our business, financial condition, results of 
operations and cash flows.

Additional delays may result if an FDA advisory committee or other regulatory authority recommends non-approval or 

restrictions on approval. Although the FDA is not required to follow the recommendations of its advisory committees, it usually 
does. A negative advisory committee meeting could signal a lower likelihood of approval, although the FDA may still end up 
approving our application. Regardless of an advisory committee meeting outcome or the FDA’s final approval decision, public 
presentation of our data may shed positive or negative light on our application.

We may seek FDA approval for certain unapproved marketed products through the 505(b)(2) regulatory pathway. See 
“Governmental Regulation” in Part I, Item 1. Even if we receive approval for an NDA under section 505(b)(2) of the FFDCA, the 
FDA may not take timely enforcement action against companies marketing unapproved versions of the product; therefore, we 
cannot be sure that that we will receive the benefit of any de facto exclusive marketing period or that we will fully recoup the 
expenses incurred to obtain an approval. In addition, certain competitors and others have objected to the FDA’s interpretation of 
Section 505(b)(2). If the FDA’s interpretation of Section 505(b)(2) is successfully challenged, this could delay or even prevent the 
FDA from approving any NDA that we submit under Section 505(b)(2).

The ANDA approval process for a new product varies in time, generally requiring a minimum of 10 months following 

submission of the ANDA to FDA, but could also take several years from the date of application. The timing for the ANDA 
approval process for generic products is difficult to estimate and can vary significantly. ANDA approvals, if granted, may not 
include all uses (known as indications) for which a company may seek to market a product.

25

Table of Contents

The submission of an NDA, Supplemental New Drug Application (sNDA), ANDA, BLA or sBLA to the FDA with 
supporting clinical safety and efficacy data does not guarantee that the FDA will grant approval to market the product. Meeting the 
FDA’s regulatory requirements to obtain approval to market a drug product, which vary substantially based on the type, complexity 
and novelty of the product candidate, typically takes years, if approved at all, and is subject to uncertainty. The FDA or foreign 
regulatory authorities may not agree with our assessment of the clinical data or they may interpret it differently. Such regulatory 
authorities may require additional or expanded clinical trials. Any approval by regulatory agencies may subject the marketing of 
our products to certain limits on indicated use. For example, regulatory authorities may approve any of our product candidates for 
fewer or more limited indications than we may request, may grant approval contingent on conditions such as the performance and 
results of costly post-marketing clinical trials or REMS or may approve a product candidate with a label that does not include the 
labeling claims necessary or desirable for the successful commercialization of that product candidate. Additionally, reimbursement 
by government payers or other payers may not be approved at the price we intend to charge for our products. Any limitation on use 
imposed by the FDA or delay in or failure to obtain FDA approvals or clearances of products developed by us would adversely 
affect the marketing of these products and our ability to generate product revenue. We could also be at risk for the value of any 
capitalized pre-launch inventories related to products under development. The factors could have a material adverse effect on our 
business, financial condition, results of operations and cash flows.

Once a product is approved or cleared for marketing, failure to comply with applicable regulatory requirements can result 
in, among other things, suspensions or withdrawals of approvals or clearances; seizures or recalls of products; injunctions against 
the manufacture, holding, distribution, marketing and sale of a product; and civil and criminal sanctions. For example, 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 reputational 
damage. Furthermore, changes in existing regulations or the adoption of new regulations could prevent us from obtaining, or affect 
the timing of, future regulatory approvals or clearances. Meeting regulatory requirements and evolving government standards may 
delay marketing of our new products for a considerable period of time, impose costly procedures upon our activities and result in a 
competitive advantage to other companies that compete against us.

In addition, after a product is approved or cleared for marketing, new data and information, including information about 
product misuse or abuse at the user level, may lead government agencies, professional societies, practice management groups or 
patient or trade organizations to recommend or publish guidance or guidelines related to the use of our products, which may lead to 
reduced sales of our products. For example, in May 2016, an FDA advisory panel recommended mandatory training of all 
physicians who prescribe opioids on the risks of prescription opioids. In 2016, the Centers for Disease Control and Prevention also 
issued a guideline for prescribing opioids for chronic pain that provides recommendations for primary care clinicians prescribing 
opioids for chronic pain outside of active cancer treatment, palliative care and end-of-life care. In addition, state health departments 
and boards of pharmacy have authority to regulate distribution and may modify their regulations with respect to prescription opioid 
medications in an attempt to curb abuse. These or any new regulations or requirements could be difficult and expensive for us to 
comply with and could have a material adverse effect on our business, financial condition, results of operations and cash flows.

The FDA scheduled a Joint Meeting of the Drug Safety and Risk Management Advisory Committee and the Anesthetic and 
Analgesic Drug Products Advisory Committee in March 2017 to discuss pre- and post-marketing data about the abuse of OPANA® 
ER and the overall risk-benefit of this product. The advisory committees were also scheduled to discuss abuse of generic 
oxymorphone ER and oxymorphone immediate-release products. In March 2017, the advisory committees voted 18 to eight, with 
one abstention, that the benefits of reformulated OPANA® ER no longer outweigh its risks. While several of the advisory 
committee members acknowledged the role of OPANA® ER in clinical practice, others believed its benefits were overshadowed by 
the continuing public health concerns around the product’s misuse, abuse and diversion. In June 2017, the FDA requested that we 
voluntarily withdraw OPANA® ER from the market and, in July 2017, after careful consideration and consultation with the FDA, 
we decided to voluntarily remove OPANA® ER from the market to the Company’s financial detriment. During the second quarter 
of 2017, we began to work with the FDA to coordinate an orderly withdrawal of the product from the market. By September 1, 
2017, we ceased shipments of OPANA® ER to customers and we expect the NDA will be withdrawn. These actions had an adverse 
effect on our revenues and, as a result of these actions, we incurred certain charges. Actions similar to these, such as recalls or 
withdrawals, could divert management time and attention, reduce market acceptance of all of our products, harm our reputation, 
reduce our revenues, lead to additional charges or expenses or result in product liability claims, any of which could have a material 
adverse effect on our business, financial condition, results of operations and cash flows.

Based on scientific developments, post-market experience, legislative or regulatory changes or other factors, the current 

FDA standards of review for approving new pharmaceutical products, or new indications or uses for approved or cleared products, 
are sometimes more stringent than those that were applied in the past.

26

Table of Contents

Some new or evolving FDA review standards or conditions for approval or clearance were not applied to many established 

products currently on the market, including certain opioid products. As a result, the FDA does not have safety databases on these 
products that are as extensive as some products developed more recently. Accordingly, we believe the FDA has expressed an 
intention to develop such databases for certain of these products, including many opioids. In particular, the FDA has expressed 
interest in specific chemical structures that may be present as impurities in a number of opioid narcotic APIs, such as oxycodone, 
which, based on certain structural characteristics and laboratory tests, may indicate the potential for having mutagenic effects. The 
FDA has required, and may continue to require, more stringent controls of the levels of these or other impurities in products.

Also, the FDA may require labeling revisions, formulation or manufacturing changes and/or product modifications for new 
or existing products containing impurities. More stringent requirements, together with any additional testing or remedial measures 
that may be necessary, could result in increased costs for, or delays in, obtaining approvals. Although we do not believe that the 
FDA would seek to remove a currently marketed product from the market unless the effects of alleged impurities are believed to 
indicate a significant risk to patient health, we cannot make any such assurance.

The FDA’s exercise of its authority under the FFDCA could result in delays or increased costs during product development, 
clinical trials and regulatory review, increased costs to comply with additional post-approval regulatory requirements and potential 
restrictions on sales of approved products. For example, in 2015, the FDA sent letters to a number of manufacturers, including 
Endo, requiring that a randomized, double-blind, placebo-controlled clinical trial be conducted to evaluate the effect of TRT on the 
incidence of major adverse cardiovascular events in men. The letter received by Endo required that we include new safety 
information in the labeling and Medication Guide for certain prescription medications containing testosterone, such as TESTIM®.

Post-marketing studies and other emerging data about marketed products, such as adverse event reports, may adversely 

affect sales of our products. Furthermore, the discovery of significant safety or efficacy concerns or problems with a product in the 
same therapeutic class as one of our products that implicate or appear to implicate the entire class of products could have an 
adverse effect on sales of our product or, in some cases, result in product withdrawals. The FDA has continuing authority over the 
approval of an NDA, ANDA or BLA and may withdraw approval if, among other reasons, post-marketing clinical or other 
experience, tests or data show that a product is unsafe for use under the conditions upon which it was approved or licensed, or if 
FDA determines that there is a lack of substantial evidence of the product’s efficacy under the conditions described in its labeling.

In addition to the FDA and other U.S. regulatory agencies, non-U.S. regulatory agencies may have authority over various 
aspects of our business and may impose additional requirements and costs. Similar to other healthcare companies, our facilities in 
multiple countries across the full range of our business units are subject to routine and new-product related inspections by 
regulatory authorities including the FDA, the Medicines and Healthcare products Regulatory Agency, the Health Products 
Regulatory Authority and Health Canada. In the past, some of these inspections have resulted in inspection observations (including 
FDA Form 483 observations). We have responded to all inspection observations within the required timeframe and have 
implemented, or are continuing to implement, the corrective action plans as agreed with the relevant regulatory agencies. Future 
inspections may result in additional inspection observations or other corrective actions, which could have a material adverse effect 
on our business, financial condition, results of operations and cash flows.

Several of our core products contain controlled substances. Stringent DEA and other governmental regulations on our use of 

controlled substances include restrictions on their use in research, manufacture, distribution and storage. A breach of these 
regulations could result in imposition of civil penalties, refusal to renew or action to revoke necessary registrations, or other 
restrictions on operations involving controlled substances. In addition, failure to comply with applicable legal requirements could 
subject the manufacturing facilities of our subsidiaries and manufacturing partners to possible legal or regulatory action, including 
shutdown. Any such shutdown may adversely affect their ability to manufacture or supply product and thus, our ability to market 
affected products. This could have a material adverse effect on our business, financial condition, results of operations and cash 
flows. See also the risk described under the caption “The DEA limits the availability of the active ingredients used in many of our 
products as well as the production of these products, and, as a result, our procurement and production quotas may not be sufficient 
to meet commercial demand or complete clinical trials.”

In addition, we are subject to the Federal Drug Supply Chain Security Act (DSCSA) enacted by the U.S. government, which 

requires development of an electronic pedigree to track and trace each prescription product at the salable unit level through the 
distribution system. The DSCSA will be effective incrementally over a 10-year period from its enactment on November 27, 2013. 
Compliance with DSCSA and future U.S. federal or state electronic pedigree requirements could require significant capital 
expenditures, increase our operating costs and impose significant administrative burdens.

27

Table of Contents

We cannot determine what effect changes in laws, regulations or legal interpretations or requirements by the FDA, the 
courts or others, when and if promulgated or issued, or advisory committee meetings may have on our business in the future. 
Changes could, among other things, require expanded or different labeling, additional testing, monitoring of patients, interaction 
with physicians, education programs for patients or physicians, curtailment of necessary supplies, limitations on product 
distribution, the recall or discontinuance of certain products and additional recordkeeping. Any such changes could result in 
additional litigation and may have a material adverse effect on our business, financial condition, results of operations and cash 
flows. The evolving and complex nature of regulatory science and regulatory requirements, the broad authority and discretion of 
the FDA and the generally high level of regulatory oversight results in a continuing possibility that, from time to time, we will be 
adversely affected by regulatory actions despite our ongoing efforts and commitment to achieve and maintain full compliance with 
all regulatory requirements.

The success of our acquisition and licensing strategy is subject to uncertainty and acquisitions or licenses may reduce our 
earnings, be difficult to integrate, not perform as expected or require us to obtain additional financing.

We regularly evaluate selective acquisitions and look to continue to enhance our product line by acquiring rights to 

additional products and compounds. Such acquisitions may be carried out through corporate acquisitions, asset acquisitions, 
licensing or joint venture arrangements. However, we may not be able to complete acquisitions, obtain licenses or enter into 
arrangements that meet our target criteria on satisfactory terms, if at all. For example, we may not be able to identify suitable 
acquisition candidates. In addition, any acquisition of assets and rights to products and compounds may fail to accomplish our 
strategic objective and may not perform as expected. Further, if we are unable to maintain, on commercially reasonable terms, 
product, compound or other licenses that we have acquired, our ability to develop or commercialize our products may be inhibited. 
In order to continue to develop and broaden our product range, we must compete to acquire assets. Our competitors may have 
greater resources than us and therefore be better able to complete acquisitions or licenses, which could cause us to be unable to 
consummate acquisitions, licensing agreements or cause the ultimate price we pay to increase. If we fail to achieve our acquisition 
or licensing goals, our growth may be limited.

Acquisitions of companies may expose us to additional risks, which may be beyond our control and may have a material 

adverse effect on our business, financial condition, results of operations and cash flows. The combination of two independent 
businesses is a complex, costly and time-consuming process. As a result, we may be required to devote significant management 
attention and resources to the integration of an acquired business into our practices and operations. Any integration process may be 
disruptive and may not achieve realization of expected benefits. The difficulties of combining operations of companies include, 
among others:

•  diversion of management’s attention to integration matters;
•  difficulties in achieving anticipated cost or tax savings, synergies, business opportunities and growth prospects from 

the combination of the businesses;

•  difficulties in the integration of operations and systems;
• 
the impact of pre-existing legal and/or regulatory issues;
•  difficulties in conforming standards, controls, procedures and accounting and other policies, business cultures and 

compensation structures between the companies;

•  difficulties in the assimilation of employees and retention of key personnel;
•  difficulties in managing the expanded operations of a larger and more complex company;
•  challenges in retaining existing customers and obtaining new customers;
•  potential unknown liabilities or larger liabilities than projected;
•  unforeseen increases to expenses or other adverse consequences associated with the transaction; and
•  difficulties in coordinating a geographically dispersed organization.

In addition, any acquisitions may result in material unanticipated problems, expenses, liabilities, competitive responses and 
loss or disruption of relationships with customers, suppliers, partners, regulators and others with whom we have business or other 
dealings.

The benefits of mergers and acquisitions are also subject to a variety of other factors, many of which are beyond our ability 

to control, such as changes in the rate of economic growth in jurisdictions in which the combined company will do business, the 
financial performance of the combined business in various jurisdictions, currency exchange rate fluctuations and significant 
changes in trade, monetary or fiscal policies, including changes in interest rates and tax law of the jurisdictions in which the 
combined company will do business. The impact of these factors, individually and in the aggregate, is difficult to predict, in part 
because the occurrence of the events or circumstances relating to such factors may be interrelated, and the impact to the combined 
company of the occurrence of any one of these events or circumstances could be compounded or, alternatively, reduced, offset or 
more than offset by the occurrence of one or more of the other events or circumstances relating to such factors.

28

Table of Contents

In addition, based on current acquisition prices in the pharmaceutical industry, acquisitions could decrease our net income 

per share and add significant intangible assets and related amortization or impairment charges. Our acquisition strategy may 
require us to obtain additional debt or equity financing, resulting in additional debt obligations, increased interest expense or 
dilution of equity ownership. We may not be able to finance acquisitions on terms satisfactory to us, or at all.

We may decide to sell assets, which could adversely affect our prospects and opportunities for growth.

We may from time to time consider selling certain assets if we determine that such assets are not critical to our strategy or 

we believe the opportunity to monetize the asset is attractive or for various other reasons, including for the reduction of 
indebtedness. For example, we divested both Litha and Somar in 2017 and various ANDAs throughout 2018 and 2019. We will 
continue to explore the sale of certain non-core assets. Although our expectation is to engage in asset sales only if they advance or 
otherwise support our overall strategy, we may be forced to sell assets in response to liquidation or other claims described herein, 
and any such sale could reduce the size or scope of our business, our market share in particular markets or our opportunities with 
respect to certain markets, products or therapeutic categories. As a result, any such sale could have a material adverse effect on our 
business, financial condition, results of operations and cash flows.

The availability of third party reimbursement for our products is uncertain, and we may find it difficult to maintain 
current price levels. Additionally, the market may not accept those products for which third party reimbursement is not 
adequately provided.

Our ability to commercialize our products depends, in part, on the extent to which reimbursement for the costs of these 
products is available from government healthcare programs, such as Medicaid and Medicare, private health insurers and others. We 
cannot be certain that, over time, third party reimbursements for our products will be adequate for us to maintain price levels 
sufficient for realization of an appropriate return on our investment. Government payers, private insurers and other third party 
payers are increasingly attempting to contain healthcare costs by: (i) limiting both coverage and the level of reimbursement 
(including adjusting co-pays) for products, (ii) refusing, in some cases, to provide any coverage for off-label uses for products and 
(iii) requiring or encouraging, through more favorable reimbursement levels or otherwise, the substitution of generic alternatives to 
branded products.

The Trump Administration also has been targeting pharmaceutical prices in ways that could affect reimbursement for our 
products. For example, beginning in January 2020, Medicare Advantage Plans are permitted to apply “step therapy” to products 
covered under Part B, which could impact our ability to negotiate for favorable product access in this sector. Additionally, in 
October 2018, President Trump announced a new initiative to contain costs by establishing an “international pricing index” that 
would be used as a benchmark in deciding how much to pay for Medicare Part B products. CMS issued an Advance Notice of 
Proposed Rulemaking for the Medicare Program that would reduce Part B spending and reimbursement in part based on the prices 
that manufacturers charge to customers in foreign countries (also referred to as reference pricing). This proposal targets physician-
administered products. It is possible that any final rule could adversely affect reimbursement for certain products that we sell, and 
we cannot anticipate the adverse impact of this or similar developments on our business. Additionally, the Congress is considering 
multiple proposals impacting healthcare. There can be no assurance as to which proposals, if any, will be adopted, the final terms 
of any such proposals and the ultimate impact that such proposals would have on our business, results of operations, financial 
condition and cash flows. The U.S. presidential election is also leading to significant policy proposals regarding healthcare and we 
cannot predict which policies will ultimately be adopted and how they would impact us.

New tariffs and evolving trade policy between the U.S. and other countries, including China, could have a material adverse 
effect on our business, financial condition, results of operations and cash flows.

We conduct business globally and our operations, including third party suppliers, span numerous countries outside the U.S. 

There is currently significant uncertainty about the future relationship between the U.S. and various other countries, including 
China, with respect to trade policies, treaties, government regulations and tariffs.

29

Table of Contents

The Trump Administration has called for substantial changes to U.S. foreign trade policy, including the possibility of 
imposing greater restrictions on international trade and significant increases in tariffs on goods imported into the U.S. Such tariffs 
could potentially disrupt our existing supply chains and impose additional costs on our business, including costs with respect to 
raw materials upon which our business depends. Furthermore, if tariffs, trade restrictions or trade barriers are placed on products 
such as ours by foreign governments, it could cause us to raise prices for our products, which may result in the loss of customers. If 
we are unable to pass along increased costs to our customers, our margins could be adversely affected. Additionally, it is possible 
further tariffs may be imposed that could affect imports of APIs and other materials used in our products, or our business may be 
adversely impacted by retaliatory trade measures taken by other countries, including restricted access to APIs or other materials 
used in our products, causing us to raise prices or make changes to our products. Further, the continued threats of tariffs, trade 
restrictions and trade barriers could have a generally disruptive impact on the global economy and, therefore, negatively impact our 
sales. For example, the Trump Administration has placed tariffs on certain goods imported from China. In January 2020, the U.S. 
and China agreed to roll back certain tariffs, expand trade purchases and renew commitments on intellectual property, technology 
transfer and currency practices. Nevertheless, given the volatility and uncertainty regarding the scope and duration of these tariffs 
and other aspects of U.S. foreign trade policy, the impact on our operations and results is uncertain and could be significant. 
Further governmental action related to tariffs, additional taxes, regulatory changes or other retaliatory trade measures could occur 
in the future. Any of these factors could have a material adverse effect on our business, financial condition, results of operations 
and cash flows.

We may experience pricing pressure on our products due to social or political pressure, which would reduce our revenue 
and future profitability.

We may experience downward pricing pressure on our products due to social or political pressure, which would reduce our 

revenue and future profitability. Price increases have resulted in increased public and governmental scrutiny of the cost of 
pharmaceutical products. For example, U.S. federal prosecutors have issued subpoenas to pharmaceutical companies in connection 
with an investigation into pricing practices conducted by the DOJ. Several state attorneys general also have commenced drug 
pricing investigations and filed lawsuits against pharmaceutical companies, including PPI, and the U.S. Senate has investigated a 
number of pharmaceutical companies relating to price increases and pricing practices. Our revenue and future profitability could be 
negatively affected if these or other inquiries were to result in legislative or regulatory proposals limiting our ability to increase or 
maintain the prices of our products.

In addition, the Trump Administration and a number of federal legislators continue to scrutinize pharmaceutical prices and 

are seeking ways to lower prices. For example, the Trump Administration’s “Blueprint” on pharmaceutical prices describes a 
number of mechanisms for lowering manufacturer list prices and reducing patient out-of-pocket costs. Although the Blueprint 
contains a number of policy objectives, we cannot know the form that any new requirements will take or the effect that they may 
have on our business. In December 2019, the Trump Administration, through the FDA, released a proposed rule and draft guidance 
that set forth two pathways for the legal importation of certain pharmaceutical products in an effort to control costs. Since these 
pathways are not yet effective and are subject to revision pending receipt of public comments, we cannot determine what effect 
these pathways may have on our business, financial condition, results of operations and cash flows. In addition, Congress has held 
a number of hearings related to pharmaceutical prices and a bipartisan group of U.S. Senators introduced legislation that would 
require pharmaceutical manufacturers to justify certain price increases. A large number of individual states also have introduced 
legislation aimed at pharmaceutical pricing regulation, transparency or both. For example, California, Oregon, Vermont and 
Nevada have enacted such laws. Our revenue and future profitability could be negatively affected by the passage of these laws or 
similar federal or state legislation. Pressure from social activist groups and future government regulations may also put downward 
pressure on the prices of pharmaceutical products in the future.

Our business is highly dependent upon market perceptions of us, our brands, and the safety and quality of our products 
and similar products, and may be adversely impacted by negative publicity or findings.

We are dependent on market perceptions, and negative publicity or findings associated with product quality, patient illness 

or other adverse effects resulting from, or perceived to be resulting from, our products, or similar products, or our partners’ and 
suppliers’ manufacturing facilities, could have a material adverse effect on our business, financial condition, results of operations 
and cash flows.

Market perceptions are very important to our business, especially market perceptions of our company and brands and the 

safety and quality of our products. If we, our partners and suppliers or our brands suffer negative publicity, or if any of our 
products or similar products are subject to market withdrawal or recall or are proven to be, or are claimed to be, ineffective or 
harmful to consumers, it could have a material adverse effect on our business, financial condition, results of operations and cash 
flows.

30

Table of Contents

For example, the pharmaceutical supply chain has been increasingly challenged by the vulnerability of distribution channels 

to illegal counterfeiting and the presence of counterfeit products in a growing number of markets and over the internet. Third 
parties may illegally distribute and sell counterfeit versions of our products that do not meet the rigorous manufacturing and testing 
standards that our products undergo. Counterfeit products are frequently unsafe or ineffective and can be potentially life-
threatening. Counterfeit medicines may contain harmful substances, the wrong dose of API or no API at all. However, to 
distributors and users, counterfeit products may be visually indistinguishable from the authentic version.

In addition, negative posts or comments about us on any social networking website could seriously damage our reputation. 

The inappropriate use of certain social media vehicles could cause brand damage or information leakage or could lead to legal 
implications from the improper collection and/or dissemination of personally identifiable information or the improper 
dissemination of material non-public information.

Furthermore, unfavorable media coverage about opioid abuse could negatively affect our business, financial condition and 

results of operations. In recent years, opioid abuse has received a high degree of media coverage. Unfavorable publicity regarding, 
for example, the use or misuse of oxycodone or other prescription opioid medications, the limitations of abuse-deterrent forms, 
public inquiries and investigations into drug abuse, including the abuse of prescription products, litigation or regulatory activity 
could adversely affect our reputation. Additionally, increased scrutiny of opioids generally, whether focused on our products or 
otherwise, could negatively impact our relationship with healthcare providers and other members of the healthcare community. 
Such negative publicity could have an adverse effect on the potential size of the market for new or existing products and could 
decrease revenues and royalties, any of which could have a material adverse effect on our business, financial condition, results of 
operations and cash flows.

Our business and financial condition may be adversely affected by legislation.

We cannot predict with any certainty how existing laws may be applied or how laws or legal standards may change in the 

future. Current or future legislation, whether state or federal, or in any of the non-U.S. jurisdictions with authority over our 
operations, may have a material adverse effect on our business, financial condition, results of operations and cash flows. For 
example, the effect of H.R. 6, enacted in October 2018, is still uncertain.

In addition, in April 2018, New York enacted a statute called the Opioid Stewardship Act (the Stewardship Act), which, 

among other things, provided for certain manufacturers and distributors of certain opioids in the state of New York (the 
Contributing Parties) to make payments to a newly created Opioid Stewardship Fund (the Fund). By its terms, the Stewardship Act 
required Contributing Parties to pay a combined total of up to $100 million annually into the Fund, with each Contributing Party’s 
share based on the total amount of morphine milligram equivalents (MME) of certain opioids sold or distributed by the 
Contributing Party in the state of New York during the preceding calendar year, subject to potential adjustments by the New York 
State Department of Health. Failure of a Contributing Party to make required reports or pay its ratable share, or a Contributing 
Party passing on the cost of its ratable share to a purchaser, could subject the Contributing Party to penalties. In December 2018, 
the U.S. District Court for the Southern District of New York held the Stewardship Act unconstitutional. This ruling is on appeal as 
of February 18, 2020. If the decision is reversed, we may be deemed to be a Contributing Party under the Stewardship Act and 
even if we are not considered to be a Contributing Party, or such a determination is never made, other entities may attempt to seek 
reimbursement from Endo for payments made related to products manufactured by Endo and distributed in New York. 
Furthermore, the application of the Stewardship Act may require additional regulatory guidance, which could be substantially 
delayed, increasing the uncertainty as to the ultimate effect of the Stewardship Act on us. If we are ultimately deemed to be a 
Contributing Party under the Stewardship Act, or similar legislation that could be enacted by New York or other jurisdictions, 
compliance with those laws could have a material adverse effect on our business, financial condition, results of operations and cash 
flows.

In the meantime, in April 2019, New York enacted an excise tax on the first sale of every opioid unit in New York at the rate 
of one quarter of a cent per MME where wholesale acquisition cost (WAC) is less than $0.50 and one and one half cents per MME 
where WAC is equal to or greater than $0.50. For purposes of this statute, “opioid” does not include buprenorphine, methadone or 
morphine and “sale” does not include transfers of title from a manufacturer in New York to a purchaser outside New York when the 
opioid unit will be used or consumed outside New York.

31

Table of Contents

In October 2018, the Canadian province of British Columbia enacted a statute called the Opioid Damages and Health Care 

Costs Recovery Act, which allows the British Columbia government to file a direct action against opioid manufacturers and 
wholesalers to recover the health care costs it has incurred, and will incur, resulting from an “opioid-related wrong.” The statute 
defines “opioid-related wrong” to include any breach of a common law, equitable or statutory duty or obligation owed to persons in 
British Columbia who have been or might be exposed to an opioid product. The statute, among other effects, erases limitation 
periods for certain claims, reverses certain burdens of proof as to causation, allows the use of population-based evidence and 
restricts discovery of certain documents. The provinces of Alberta, Ontario and Newfoundland enacted similar legislation in 2019 
and the province of Saskatchewan has announced that it expects to pass similar legislation in 2020. It is possible that these statutes, 
or similar statutes enacted by other jurisdictions, and resultant litigation, could have a material adverse effect on our business, 
financial condition, results of operations and cash flows.

In Canada, the prices of patented pharmaceutical products are subject to regulation by the PMPRB. Under the Canadian 
Patent Act and Patented Medicines Regulations, patentees of inventions that pertain to pharmaceutical products sold in Canada are 
required to file price and sales information about their patented pharmaceutical products with the PMPRB. The PMPRB reviews 
this information on an ongoing basis to ensure that the prices of patented pharmaceuticals sold in Canada are not excessive, based 
upon price tests established by the PMPRB. There is a risk that the price of our pharmaceutical products could be found to be 
excessive because the price as set at launch is non-compliant with the PMPRB’s guidelines, or because our average sale prices over 
time are not compliant with the guidelines. Furthermore, amendments expected to come into force on July 1, 2020 will introduce a 
number of changes to the regulation of Canadian drug prices by the PMPRB. The PMPRB guidelines will be updated to introduce 
new price tests to account for changes introduced by the amendments. The application of the new price tests under the guidelines 
could result in the current prices of our pharmaceutical products being deemed to be excessive. Failure by us to comply with the 
current or future guidelines could ultimately result in us reducing the prices of the pharmaceutical products we sell in Canada and/
or making a payment to the Canadian government to offset revenues deemed by the PMPRB to be excessive, which could 
ultimately reduce the revenues and cash flows of our International Pharmaceuticals segment and could have a material adverse 
effect on our business, financial condition, results of operations and cash flows.

It is possible that these or other changes in law could have a material adverse effect on our business, financial condition, 

results of operations and cash flows. See “Governmental Regulation” in Part I, Item 1.

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.

Media stories regarding drug abuse and diversion, including the abuse and diversion of prescription opioid medications and 
other controlled substances, are commonplace. Aggressive enforcement and unfavorable publicity regarding, for example, the use 
or misuse of opioids, the limitations of abuse-deterrent formulations, the ability of abusers to discover previously unknown ways to 
abuse our products, public inquiries and investigations into drug abuse or litigation or regulatory or enforcement activity regarding 
sales, marketing, distribution or storage of opioids could have a material adverse effect on our reputation, on the results of 
litigation and on our ability to attract or maintain relationships with third-party partners, including suppliers, vendors, advisors, 
distributors, manufacturers, collaboration partners, administrators and agents.

Manufacturers of prescription opioid medications have been the subject of significant civil and criminal investigatory and 
enforcement actions even in cases where such medications have received approval from the FDA or similar regulatory authorities. 
Numerous governmental and private persons and entities are pursuing litigation against opioid manufacturers, including us, as well 
as distributors and others, asserting alleged violations of various laws and regulations relating to opioids and/or other prescription 
medicines, relying on common law theories, and seeking to hold the defendants accountable for, among other things, societal costs 
associated with the misuse and abuse of prescription opioid medications as well as non-prescription opioids. There is a risk we will 
be subject to similar investigations, enforcement actions or litigations in the future, that we will suffer adverse decisions or verdicts 
of substantial amounts or that we will enter into monetary settlements. Any unfavorable outcomes as a result of such proceedings 
could have a material adverse effect on our business, financial condition, results of operations and cash flows. In 2019, several 
manufacturers of prescription opioid medications commenced cases under Title 11 of the U.S. Code in order to address the large 
volume of claims asserted against them in such litigation. See Note 15. Commitments and Contingencies in the Consolidated 
Financial Statements included in Part IV, Item 15 of this report for more information.

Regulatory actions at the federal, state and local level may seek to limit or restrict the manufacturing, distribution or sale of 

opioids, both directly and indirectly, and/or to impose novel policy or regulatory mechanisms regarding the manufacturing, 
distribution or sales of opioids. For example, in April 2019, New York enacted an excise tax on opioids. See the risk factor “Our 
business and financial condition may be adversely affected by legislation” for more information. Many state legislatures are 
considering various bills intended to reduce opioid abuse such as by, for example, establishing prescription drug monitoring 
programs and mandating prescriber education.

32

Table of Contents

Various government entities, including the U.S. Congress, state legislatures or other policy-making bodies in the U.S. or 
elsewhere may hold hearings, conduct investigations and/or issue reports calling attention to opioid misuse and abuse, and may 
mention or criticize the role of manufacturers, including us, in supplying or marketing opioid medications or failing to take 
adequate steps to detect or report suspicious orders or to prevent abuse and diversion. Press organizations have reported and likely 
will continue to report on these issues, and such reporting has and may further result in adverse publicity which could have a 
material adverse effect on our business, financial condition, results of operations and cash flows.

Our reporting and payment obligations under the Medicaid Drug Rebate Program and other governmental drug pricing 
programs are complex and may involve subjective decisions. Any failure to comply with those obligations could subject us 
to penalties and sanctions.

We are subject to federal and state laws prohibiting the presentation (or the causing to be presented) of claims for payment 
(by Medicare, Medicaid or other third-party payers) that are determined to be false or fraudulent, including presenting a claim for 
an item or service that was not provided. These false claims statutes include the federal civil False Claims Act, which permits 
private persons to bring suit in the name of the government alleging false or fraudulent claims presented to or paid by the 
government (or other violations of the statutes) and to share in any amounts paid by the entity to the government in fines or 
settlement. Such suits, known as qui tam actions, have increased significantly in the healthcare industry in recent years. These 
actions against pharmaceutical companies, which do not require proof of a specific intent to defraud the government, may result in 
payment of fines to and/or administrative exclusion from the Medicare, Medicaid and/or other government healthcare programs.

We are subject to laws that require us to enter into a Medicaid Drug Rebate Agreement, a 340B Pharmaceutical Pricing 

Agreement and agreements with the Department of Veterans Affairs as a condition for having our products eligible for payment 
under Medicare Part B and Medicaid. We have entered into such agreements. In addition, we are required to report certain pricing 
information to CMS, the Health Resources and Services Administration and the Department of Veterans Affairs on a periodic basis 
to facilitate rebate payments to the State Medicaid Programs, to set Medicare Part B reimbursement levels and to establish the 
prices that can be charged to certain purchasers, including 340B-covered entities and certain government entities. Any failure to 
comply with these laws and agreements could have a material adverse effect on our business, financial condition, results of 
operations and cash flows.

With regard to the Medicaid Drug Rebate Program, on February 1, 2016, CMS issued a Final Rule implementing the 
Medicaid Drug Rebate provisions incorporated into the PPACA, effective April 1, 2016 in most instances. Implementation of the 
Final Rule required operational adjustments by us in order to maintain compliance with applicable law. Ongoing compliance with 
these program rules, including the requirement that we adopt reasonable assumptions where law, regulation and guidance do not 
address specific participation issues, may impact the level of rebates that we owe under the program. The Final Rule also expanded 
the scope of the Medicaid Drug Rebate program to apply to U.S. territories and, pursuant to further rulemaking, that requirement is 
now effective April 1, 2022, which will require operational adjustments and may result in additional rebate liability. Finally, despite 
an initial proposal, CMS has not defined the term “line extension” for the Medicaid Drug Rebate Program. CMS has indicated that 
manufacturers should rely on the statutory definition of that term and reasonable assumptions in determining which products 
should be subject to an alternative rebate calculation. In light of the lack of clear guidance on this issue, it is possible that CMS 
could in the future disagree with a manufacturer’s determination of which products should be subject to higher rebates under the 
“line extension” rebate calculation. 

We and other pharmaceutical companies have been named as defendants in a number of lawsuits filed by various 

government entities, alleging generally that we and numerous other pharmaceutical companies reported false pricing information in 
connection with certain products that are reimbursable by state Medicaid programs, which are partially funded by the federal 
government. There is a risk we will be subject to similar investigations or litigations in the future, that we will suffer adverse 
decisions or verdicts of substantial amounts or that we will enter into monetary settlements. Any unfavorable outcomes as a result 
of such proceedings could have a material adverse effect on our business, financial condition, results of operations and cash flows.

33

Table of Contents

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 TCJA eliminated the 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. The U.S. Supreme Court has not yet decided whether to grant the petitions. 
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.

Our customer concentration may adversely affect our financial condition and results of operations.

We primarily sell our branded and generic products to wholesalers, retail drug store chains, supermarket chains, mass 

merchandisers, distributors, mail order accounts, hospitals and government agencies. Our wholesalers and distributors purchase 
products from us and, in turn, supply products to retail drug store chains, independent pharmacies and MCOs. Our current 
customer group reflects significant consolidation in recent years, marked by mergers and acquisitions and other alliances. For 
example, we understand that McKesson Corporation and Wal-Mart Stores, Inc. are party to an agreement to jointly source generic 
pharmaceuticals and Express Scripts, through a wholly-owned subsidiary, Innovative Product Alignment, LLC, participates in the 
Walgreens Boots Alliance Development GmbH GPO. Consolidations and joint purchasing arrangements such as these have 
resulted in increased pricing and other competitive pressures on pharmaceutical companies, including us. Additionally, the 
emergence of large buying groups representing independent retail pharmacies and other distributors and the prevalence and 
influence of MCOs and similar institutions have increased the negotiating power of these groups, enabling them to attempt to 
extract various demands, including without limitation price discounts, rebates and other restrictive pricing terms. These 
competitive trends could continue in the future and could have a material adverse effect on our business, financial condition, 
results of operations and cash flows.

Total revenues from direct customers that accounted for 10% or more of our total consolidated revenues during the years 

ended December 31, 2019, 2018 and 2017 are as follows:

AmerisourceBergen Corporation

McKesson Corporation

Cardinal Health, Inc.

2019

2018

2017

34%

26%

25%

32%

27%

26%

25%

25%

25%

Revenues from these customers are included within each of our segments. Accordingly, our revenues, financial condition or 

results of operations may also be unduly affected by fluctuations in the buying or distribution patterns of these customers. These 
fluctuations may result from seasonality, pricing, wholesaler inventory objectives or other factors. In addition, if we were to lose 
the business of any of these customers, or if any were to fail to pay us on a timely basis, it could have a material adverse effect on 
our business, financial condition, results of operations and cash flows.

34

Table of Contents

We are currently dependent on outside manufacturers for the manufacture of a significant amount of our products; 
therefore, we have and will continue to have limited control of the manufacturing process and related costs. Certain of our 
manufacturers currently constitute the sole source of one or more of our products.

Third party manufacturers currently manufacture a significant amount of our products pursuant to contractual arrangements. 

Certain of our manufacturers currently constitute the sole source of our products. For example, Teikoku Seiyaku Co., Ltd. is our 
sole source of LIDODERM® and GlaxoSmithKline plc is our sole source of VOLTAREN® Gel. Because of contractual restraints 
and the lead-time necessary to obtain FDA approval and/or DEA registration of a new manufacturer, there are no readily accessible 
alternatives to these manufacturers and replacement of any of these manufacturers may be expensive and time consuming and may 
cause interruptions in our supply of products to customers. Our business and financial viability are dependent on these third party 
manufacturers for continued manufacture of our products, the continued regulatory compliance of these manufacturers and the 
strength, validity and terms of our various contracts with these manufacturers. Any interruption or failure by these manufacturers to 
meet their obligations pursuant to various agreements with us on schedule or in accordance with our expectations, or any 
termination by these manufacturers of our supply arrangements, which, in each case, could be the result of one or many factors 
outside of our control, could delay or prevent our ability to achieve sales expectations, cause interruptions in our supply of 
products to customers, cause us to incur failure-to-supply penalties, disrupt our operations or cause reputational harm to our 
company, any or all of which could have a material adverse effect on our business, financial condition, results of operations and 
cash flows.

We are dependent on third parties to supply raw materials used in our products and to provide services for certain core 
aspects of our business. Any interruption or failure by these suppliers, distributors and collaboration partners to meet their 
obligations pursuant to various agreements with us could have a material adverse effect on our business, financial 
condition, results of operations and cash flows.

We rely on third parties to supply raw materials used in our products. In addition, we rely on third party suppliers, 

distributors and collaboration partners to provide services for certain core aspects of our business, including manufacturing, 
warehousing, distribution, customer service support, medical affairs services, clinical studies, sales and other technical and 
financial services. All third party suppliers and contractors are subject to FDA and very often DEA requirements. Our business and 
financial viability are dependent on the continued supply of goods and services by these third parties, the regulatory compliance of 
these third parties and on the strength, validity and terms of our various contracts with these third parties. Any interruption or 
failure by our suppliers, distributors and collaboration partners to meet their obligations pursuant to various agreements with us on 
schedule or in accordance with our expectations, or any termination by these third parties of their arrangements with us, which, in 
each case, could be the result of one or many factors outside of our control, could delay or prevent the development, approval, 
manufacture or commercialization of our products, result in non-compliance with applicable laws and regulations, cause us to incur 
failure-to-supply penalties, disrupt our operations or cause reputational harm to our company, any or all of which could have a 
material adverse effect on our business, financial condition, results of operations and cash flows. We may also be unsuccessful in 
resolving any underlying issues with such suppliers, distributors and partners or replacing them within a reasonable time and on 
commercially reasonable terms.

APIs imported into the European Union (EU) must be certified as complying with the good manufacturing practice 

standards established by the EU, as stipulated by the International Conference for Harmonization. These regulations place the 
certification requirement on the regulatory bodies of the exporting countries. Accordingly, the national regulatory authorities of 
each exporting country must: (i) ensure that all manufacturing plants within their borders that export API into the EU comply with 
EU manufacturing standards and (ii) for each API exported, present a written document confirming that the exporting plant 
conforms to EU manufacturing standards. The imposition of this responsibility on the governments of the nations exporting API 
may cause a shortage of API necessary to manufacture our products, as certain governments may not be willing or able to comply 
with the regulation in a timely fashion, or at all. A shortage in API may cause us to cease manufacturing of certain products or to 
incur costs and delays to qualify other suppliers to substitute for those API manufacturers unable to export. This could have a 
material adverse effect on our business, financial condition, results of operations and cash flows.

We are dependent on third parties to provide us with various estimates as a basis for our financial reporting. While we 
undertake certain procedures to review the reasonableness of this information, we cannot obtain absolute assurance over the 
accounting methods and controls over the information provided to us by third parties. As a result, we are at risk of them providing 
us with erroneous data which could impact our reporting. Refer to “CRITICAL ACCOUNTING ESTIMATES” in Part II, Item 7 of 
this report “Management’s Discussion and Analysis of Financial Condition and Results of Operations” for information about our 
most significant accounting estimates.

35

Table of Contents

If our manufacturing facilities are unable to manufacture our products or the manufacturing process is interrupted due to 
failure to comply with regulations or for other reasons, it could have a material adverse effect on our business, financial 
condition, results of operations and cash flows.

If any of our or our third party manufacturing facilities fail to comply with regulatory requirements or encounter other 
manufacturing difficulties, it could adversely affect our ability to supply products. All facilities and manufacturing processes used 
for the manufacture of pharmaceutical products are subject to inspection by regulatory agencies at any time and must be operated 
in conformity with cGMP and, in the case of controlled substances, DEA regulations. Compliance with the FDA’s cGMP and DEA 
requirements applies to both products for which regulatory approval is being sought and to approved products. In complying with 
cGMP requirements, pharmaceutical manufacturing facilities must continually expend significant time, money and effort in 
production, recordkeeping, quality assurance and quality control so that their products meet applicable specifications and other 
requirements for product safety, efficacy and quality. Failure to comply with applicable legal requirements subjects our or our third 
party manufacturing facilities to possible legal or regulatory action, including shutdown, which may adversely affect our ability to 
supply our products. Additionally, our or our third party manufacturing facilities may face other significant disruptions due to labor 
strikes, failure to reach acceptable agreement with labor unions, infringement of intellectual property rights, vandalism, natural 
disaster, outbreak and spread of viral or other diseases, storm or other environmental damage, civil or political unrest, export or 
import restrictions or other events. Were we not able to manufacture products at our or our third party manufacturing facilities 
because of regulatory, business or any other reasons, the manufacture and marketing of these products could be interrupted. This 
could have a material adverse effect on our business, financial condition, results of operations and cash flows.

For example, the manufacturing facilities qualified to manufacture the enzyme CCH, which is included in our current 

XIAFLEX® product and in certain product candidates under development, including for the treatment of cellulite, are subject to 
such regulatory requirements and oversight. If such facilities fail to comply with cGMP requirements, we may not be permitted to 
sell our products or may be limited in the jurisdictions in which we are permitted to sell them. Further, if an inspection by 
regulatory authorities indicates that there are deficiencies, including non-compliance with regulatory requirements, we could be 
required to take remedial actions, stop production or close our facilities, which could disrupt the manufacturing processes and 
could limit the supply of CCH and/or delay clinical trials and subsequent licensure and/or limit the sale of commercial supplies. In 
addition, future noncompliance with any applicable regulatory requirements may result in refusal by regulatory authorities to allow 
use of CCH in clinical trials, refusal by the government to allow distribution of CCH within the U.S. or other jurisdictions, criminal 
prosecution, fines, recall or seizure of products, total or partial suspension of production, prohibitions or limitations on the 
commercial sale of products, refusal to allow the entering into of federal and state supply contracts and civil litigation.

We purchase certain API and other materials used in our manufacturing operations from foreign and U.S. suppliers. The 

price and availability of API and other materials is subject to volatility for a number of reasons, many of which may be outside of 
our control. There is no guarantee that we will always have timely, sufficient or affordable access to critical raw materials or 
supplies from third parties. An increase in the price, or an interruption in the supply, of any API or raw material could have a 
material adverse effect on our business, financial condition, results of operations and cash flows.

We have limited experience in manufacturing biologic products and may encounter difficulties in our manufacturing 
processes, which could materially adversely affect our results of operations or delay or disrupt manufacture of those 
products reliant upon our manufacturing operations.

The manufacture of biologic products requires significant expertise and capital investment. Although we manufacture CCH, 

which is included in our current XIAFLEX® product and in certain product candidates under development, including for the 
treatment of cellulite, in our Horsham, Pennsylvania facility, we have limited experience in manufacturing CCH or any other 
biologic products. Biologics such as CCH require processing steps that are highly complex and generally more difficult than those 
required for most chemical pharmaceuticals. In addition, TESTOPEL® is manufactured using a unique, proprietary process. If the 
manufacturing processes are disrupted at the facilities where our biologic products are manufactured, it may be difficult to find 
alternate manufacturing sites. We may encounter difficulties with the manufacture of CCH and the active ingredient of 
TESTOPEL®, which could delay, disrupt or halt our manufacture of such products and/or product candidates, result in product 
recalls or product liability claims, require write-offs or otherwise have a material adverse effect on our business, financial 
condition, results of operations and cash flows.

36

Table of Contents

The DEA limits the availability of the active ingredients used in many of our products as well as the production of these 
products, and, as a result, our procurement and production quotas may not be sufficient to meet commercial demand or 
complete clinical trials.

The DEA limits the availability of the active ingredients used in many of our products and sets a quota on the production of 
these products. We, or our contract manufacturing organizations, must annually apply to the DEA for procurement and production 
quotas in order to obtain these substances and produce our products. In addition, H.R. 6 amends the CSA with respect to quotas by 
requiring the DEA to estimate the amount and impact of diversion (including overdose deaths and abuse and overall public health 
impact) of fentanyl, oxycodone, hydrocodone, oxymorphone or hydromorphone and to make appropriate quota reductions. As a 
result, our procurement and production quotas may not be sufficient to meet commercial demand or to complete clinical trials. 
Moreover, the DEA may adjust these quotas from time to time during the year. Any delay or refusal by the DEA in establishing our 
quotas, or modification of our quotas, for controlled substances could delay or result in the stoppage of clinical trials or product 
launches, or could cause trade inventory disruptions for those products that have already been launched, which could have a 
material adverse effect on our business, financial condition, results of operations and cash flows.

If we are unable to retain our key personnel and continue to attract additional professional staff, we may be unable to 
maintain or expand our business.

Because of the specialized scientific nature of our business, our ability to develop products and to compete with our current 

and future competitors will remain highly dependent, in large part, upon our ability to attract and retain qualified scientific, 
technical and commercial personnel. The loss of key scientific, technical and commercial personnel or the failure to recruit 
additional key scientific, technical and commercial personnel could have a material adverse effect on our business, financial 
condition, results of operations and cash flows. While we have consulting agreements with certain key individuals and institutions 
and have employment agreements with our key executives, we may be unsuccessful in retaining personnel or their services under 
existing agreements. There is intense competition for qualified personnel in the areas of our activities and we may be unable to 
continue to attract and retain the qualified personnel necessary for the development of our business.

The trading prices of our securities may be volatile, and investments in our securities could decline in value.

The market prices for securities of Endo, and of pharmaceutical companies in general, have been highly volatile and may 
continue to be highly volatile in the future. For example, in 2019, our ordinary shares traded between $1.97 and $12.49 per share 
on the NASDAQ. The following factors, in addition to other risk factors described in this section, may cause the market value of 
our securities to fluctuate:

•  FDA approval or disapproval of any of the drug applications we have submitted;
• 
•  new data or new analyses of older data that raise potential safety or effectiveness issues concerning our approved 

the success or failure of our clinical trials;

products;

•  product recalls or withdrawals;
•  competitors announcing technological innovations or new commercial products;
• 

introduction of generic or compounded substitutes for our products, including the filing of ANDAs with respect to 
generic versions of our branded products;

•  developments concerning our or others’ proprietary rights, including patents;
•  competitors’ publicity regarding actual or potential products under development or other activities affecting our 

competitors or the industry in general;
regulatory developments in the U.S. and foreign countries, or announcements relating to these matters;

• 
•  period-to-period fluctuations in our financial results;
•  new legislation, regulation, administrative guidance or executive orders, or changes in interpretation of existing 

legislation, regulation, administrative guidance or executive orders, including by virtue of new judicial decisions, that 
could affect the development, sale or pricing of pharmaceutical products, the number of individuals with access to 
affordable healthcare, the taxes we pay and/or other factors;

•  a determination by a regulatory agency that we are engaging or have engaged in inappropriate sales or marketing 

activities, including promoting off-label uses of our products;

•  social and political pressure to lower the cost of pharmaceutical products;
•  social and political scrutiny over increases in prices of shares of pharmaceutical companies that are perceived to be 

caused by a strategy of growth through acquisitions;
litigation against us or others;
reports of security analysts and rating agencies;

• 
• 

37

Table of Contents

• 

judgments or settlements or reports of settlement negotiations concerning opioid-related litigation or claims, and/or 
other companies commencing cases under Title 11 of the U.S. Code to address opioid-related litigation liabilities; and
•  changes in the political and regulatory environment and international relations as a result of events such as the exit of 

the United Kingdom from the EU (Brexit) and full or partial shutdowns of the U.S. federal government that may occur 
from time to time, the current U.S. administration and other external factors, including market speculation or disasters 
and other crises.

We have no plans to pay regular dividends on our ordinary shares or to conduct ordinary share repurchases.

We currently do not intend to pay any cash dividends in the foreseeable future on our ordinary shares. Additionally, while 

the Board has approved a share buyback program (the 2015 Share Buyback Program), of which there is approximately $2.3 billion 
available as of December 31, 2019, we currently do not intend to conduct ordinary share repurchases in the foreseeable future. Any 
declaration and payment of future dividends to holders of ordinary shares as well as any repurchase of our ordinary shares under 
the 2015 Share Buyback Program will be at the sole discretion of the Board and will depend on many factors, including our 
financial condition, earnings, capital requirements, level of indebtedness, statutory and contractual restrictions applying to the 
payment of both cash and property dividends or share repurchases and other considerations that the Board deems relevant. In 
addition, our existing debt instruments restrict or prevent us from paying dividends on our ordinary shares and conducting ordinary 
share repurchases. Agreements governing any future indebtedness, in addition to those governing our current indebtedness, may 
not permit us to pay dividends on our ordinary shares or conduct ordinary share repurchases.

Our business and operations could be negatively affected by shareholder activism, which could cause us to incur significant 
expenses, hinder execution of our business strategy and impact our share price.

In recent years, shareholder activism involving corporate governance, strategic direction and operations has become 
increasingly prevalent. If we become the subject of such shareholder activism, their demands may disrupt our business and divert 
the attention of our management, employees and Board. Also, we may incur substantial costs, including legal fees and other 
expenses, related to such activist shareholder matters. Perceived uncertainties resulting from such activist shareholder matters may 
result in loss of potential business opportunities with our current and potential customers and business partners, be exploited by our 
competitors and make attracting and retaining qualified personnel more difficult. In addition, such shareholder activism may cause 
significant fluctuations in our share price based on temporary or speculative market perceptions, uncertainties or other factors that 
do not necessarily reflect the underlying fundamentals and prospects of our business.

Our operations could be disrupted if our information systems fail, if we are unsuccessful in implementing necessary 
upgrades or if we are subject to cyber-attacks.

Our business depends on the efficient and uninterrupted operation of our computer and communications systems and 

networks, hardware and software systems and our other information technology. As such, we continuously invest financial and 
other resources to maintain, enhance, further develop, replace or add to our information technology infrastructure. Such efforts 
carry risks such as cost overruns, project delays and business interruptions, which could have a material adverse effect on our 
business, financial condition, results of operations and cash flows. Additionally, these measures are not guaranteed to protect 
against all cybersecurity incidents. 

In the ordinary course of our business, we collect and maintain information, which includes confidential, proprietary and 

personal information regarding our customers and employees, in digital form. Data maintained in digital form is subject to risk of 
cyber-attacks, which are increasing in frequency and sophistication and are made by groups and individuals with a wide range of 
motives and expertise, including criminal groups, “hackers” and others. Cyber-attacks could include the deployment of harmful 
malware, viruses, worms, denial-of-service attacks, ransomware, social engineering and other means to affect service reliability 
and threaten data confidentiality, integrity and availability. Despite our efforts to monitor and safeguard our systems to prevent data 
compromise, the possibility of a future data compromise cannot be eliminated entirely, and risks associated with intrusion, 
tampering and theft remain. In addition, we do not have insurance coverage with respect to system failures or cyber-attacks. If our 
systems were to fail or we are unable to successfully expand the capacity of these systems, or we are unable to integrate new 
technologies into our existing systems, our operations and financial results could suffer.

We also have outsourced certain elements and functions of our operations, including elements of our information technology 

infrastructure, to third parties, some of which are outside the U.S. As a result, we are managing many independent vendor 
relationships with third parties who may or could have access to our confidential information. The size and complexity of our and 
our vendors’ systems make such systems potentially vulnerable to service interruptions. The size and complexity of our and our 
vendors’ systems and the large amounts of confidential information that is present on them also makes them potentially vulnerable 
to security breaches from inadvertent or intentional actions by our employees, our partners, our vendors or other third parties, or 
from attacks by malicious third parties.

38

Table of Contents

The Company and its vendors’ information technology operations are spread across multiple, sometimes inconsistent 

platforms, which pose difficulties in maintaining data integrity across systems. The ever-increasing use and evolution of 
technology, including cloud-based computing, creates opportunities for the unintentional or improper dissemination or destruction 
of confidential information stored in the Company’s systems.

Any breach of our security measures or the accidental loss, inadvertent disclosure, unapproved dissemination, 

misappropriation or misuse of trade secrets, proprietary information or other confidential information, whether as a result of theft, 
hacking, fraud, trickery or other forms of deception, or for any other cause, could enable others to produce competing products, use 
our proprietary technology or information and/or adversely affect our business position. Further, any such interruption, security 
breach, loss or disclosure of confidential information could result in financial, legal, business and reputational harm to our 
company and could have a material adverse effect on our business, financial condition, results of operations and cash flows.

Non-U.S. regulatory requirements vary, including with respect to the regulatory approval process, and failure to obtain 
regulatory approval or maintain compliance with requirements in non-U.S. jurisdictions would prevent or impact the 
marketing of our products in those jurisdictions.

We have worldwide intellectual property rights to market many of our products and product candidates and intend to seek 
approval to market certain of our existing or potential future products outside of the U.S. Approval of a product by the regulatory 
authorities of a particular country is generally required prior to manufacturing or marketing that product in that country. The 
approval procedure varies among countries and can involve additional testing and the time required to obtain such approval may 
differ from that required to obtain FDA approval. Non-U.S. regulatory approval processes generally include risks similar to those 
associated with obtaining FDA approval, as further described herein. Approval by the FDA does not guarantee approval by the 
regulatory authorities of any other country, nor does the approval by foreign regulatory authorities in one country guarantee 
approval by regulatory authorities in other foreign countries or by the FDA.

Outside of the U.S., regulatory agencies generally evaluate and monitor the safety, efficacy and quality of pharmaceutical 
products and devices and impose regulatory requirements applicable to manufacturing processes, stability testing, recordkeeping 
and quality standards, among others. These requirements vary by jurisdiction. In certain countries, including emerging and 
developing markets, the applicable healthcare and drug regulatory regimes are continuing to evolve and new requirements may be 
implemented. Ensuring and maintaining compliance with these varying and evolving requirements is and will continue to be 
difficult, time-consuming and costly. In seeking regulatory approvals in non-U.S. jurisdictions, we must also continue to comply 
with U.S. laws and regulations, including those imposed by the U.S. Foreign Corrupt Practices Act (FCPA). See the risk factor 
“The risks related to our global operations may adversely impact our revenues, results of operations and financial condition.” If we 
fail to comply with these various regulatory requirements or fail to obtain and maintain required approvals, our target market will 
be reduced and our ability to generate non-U.S. revenue will be adversely affected.

We could be adversely affected by the risks associated with having operated a medical device manufacturing business.

We are subject to various risks associated with having operated a medical device manufacturing business, which risks could 
have adverse effects, including potential and actual product liability claims for any defective or allegedly defective goods that were 
distributed and increased government scrutiny and/or potential claims regarding the marketing of medical devices.

We are subject to health information privacy and data protection laws that include penalties for noncompliance. Our 
failure to comply with various laws protecting the confidentiality of certain patient health information could result in 
penalties and reputational damage.

We are subject to a number of privacy and data protection laws and regulations globally. The legislative and regulatory 

landscape for privacy and data security continues to evolve. Certain countries in which we operate have, or are developing, laws 
protecting the confidentiality of individually identifiable personal information, including patient health information. This includes 
federal and state laws and regulations in the U.S. as well as in Europe and other markets.

For example, California recently adopted the California Consumer Privacy Act of 2018 (CCPA), which provides new data 

privacy rights for consumers and new operational requirements for businesses. The CCPA went into effect on January 1, 2020 and 
establishes a new privacy framework for covered businesses by creating an expanded definition of personal information, 
establishing new data privacy rights for consumers in the state of California and creating a new and potentially severe statutory 
damages framework for violations of the CCPA and for businesses that fail to implement reasonable security procedures and 
practices to prevent data breaches. Because the CCPA only recently went into effect, many of its requirements have not yet been 
interpreted by courts and best practices are still being developed, all of which increase the risk of compliance failure and related 
adverse impacts.

39

Table of Contents

In addition, the EU’s General Data Protection Regulation (GDPR), which replaced the pre-existing EU Data Protection 

Directive and became enforceable as of May 25, 2018, imposes strict restrictions on our authority to collect, analyze and transfer 
personal data regarding persons in the EU, including health data from clinical trials and adverse event reporting. The GDPR, which 
has extra-territorial scope and substantial fines for breaches (up to 4% of global annual revenue or €20 million , whichever is 
greater) grants individuals whose personal data (which is very broadly defined) is collected or otherwise processed the right to 
access the data, request its deletion and control its use and disclosure. The GDPR also requires notification of a breach in the 
security of such data to be provided within 72 hours of discovering the breach. Although the GDPR itself is self-executing across 
all EU member states, data protection authorities from different EU member states may interpret and apply the regulation 
somewhat differently, which adds to the complexity of processing personal data in the EU. To date, there has been very little 
interpretation of the regulation by the EU member states’ different data protection authorities and little time for enforcement, which 
makes predicting future enforcement very difficult. That uncertainty contributes to liability exposure risk.

As did the pre-existing Data Protection Directive, the GDPR prohibits the transfer of personal data to countries outside of 

the EU that are not considered by the European Commission to provide an adequate level of data protection, and transfers of 
personal data to such countries may be made only in certain circumstances, such as where the transfer is necessary for important 
reasons of public interest or the individual to whom the personal data relates has given his or her explicit consent to the transfer 
after being informed of the risks involved.

We have policies and practices that we believe make us compliant with applicable privacy regulations, including the GDPR. 

Nevertheless, there remains a risk of failure to comply with the rules arising from the GDPR or privacy laws in other countries in 
which we operate. Should a transgression be deemed to have occurred, it could lead to government enforcement actions and 
significant sanctions or penalties against us, adversely impact our results of operations and subject us to negative publicity. Such 
liabilities could materially affect our operations.

There has also been increased enforcement activity in the U.S. particularly related to data security breaches. A violation of 

these laws or regulations by us or our third party vendors could subject us to penalties, fines, liability and/or possible exclusion 
from Medicare or Medicaid. Such sanctions could have a material adverse effect on our business, financial condition, results of 
operations and cash flows.

We face risks relating to the exit of the United Kingdom from the EU.

On June 23, 2016, the United Kingdom held a remain-or-leave referendum on the United Kingdom’s membership within the 

EU, the result of which favored the Brexit. On March 29, 2017, the Prime Minister of the United Kingdom delivered a formal 
notice of withdrawal to the EU. On May 22, 2017, the Council of the EU (the Council), adopted a decision authorizing the opening 
of Brexit negotiations with the United Kingdom and formally nominated the European Commission as the EU negotiator. The 
Council also adopted negotiating directives for the talks. On January 9, 2020, a Withdrawal Agreement Bill was passed by the 
United Kingdom House of Commons and, subject to scrutiny by the United Kingdom House of Lords, the Withdrawal Agreement 
Bill approves an eleven-month transition period starting on January 31, 2020 in which the United Kingdom will cease to be a 
member of the EU, but will continue to follow the EU’s rules and contribute to its budget. In the event a full trade deal is not 
reached between the United Kingdom and EU by the December 31, 2020 deadline and there is no further extension, trade relations 
between the United Kingdom and the EU will be governed by any terms agreed within this period or by the World Trade 
Organization Rules. The impact on our business as a result of Brexit will depend, in part, on the outcome of tariff, trade, regulatory 
and other negotiations and on the ultimate manner and timing of the United Kingdom’s withdrawal from the EU. As a result, we 
face risks associated with the potential uncertainty and consequences that may follow Brexit, including with respect to volatility in 
financial markets, exchange rates and interest rates. These uncertainties could increase the volatility of, or reduce, our investment 
results in particular periods or over time. Brexit could adversely affect political, regulatory, economic or market conditions in the 
United Kingdom and in Europe and it could contribute to instability in global political institutions and regulatory agencies.

Similarly, if the United Kingdom were to significantly alter its regulations affecting the pharmaceutical industry, we could 
face significant new costs. It may also be time-consuming and expensive for us to alter our internal operations in order to comply 
with new regulations. In addition, since a significant proportion of the regulatory framework in the United Kingdom is derived 
from EU directives and regulations, the referendum could materially impact the regulatory regime with respect to the approval of 
our product candidates in the United Kingdom or the EU. Any delay in obtaining, or an inability to obtain, any regulatory 
approvals, as a result of Brexit or otherwise, would prevent us from commercializing our product candidates in the United 
Kingdom and/or the EU and restrict our ability to generate revenue and achieve and sustain profitability. If any of these outcomes 
occur, we may be forced to restrict or delay efforts to seek regulatory approval in the United Kingdom and/or EU for our product 
candidates, which could significantly and materially harm our business. Similarly, it is unclear at this time what Brexit’s impact 
will have on our intellectual property rights and the process for obtaining and defending such rights. It is possible that certain 
intellectual property rights, such as trademarks, granted by the EU will cease being enforceable in the United Kingdom absent 
special arrangements to the contrary. Any of these factors could have a material adverse effect on our business, financial condition, 
results of operations and cash flows.

40

Table of Contents

The risks related to our global operations may adversely impact our revenues, results of operations and financial condition.

In 2019, approximately 4% of our total revenues were from customers outside the U.S. Some of these sales were to 
governmental entities and other organizations with extended payment terms. Conducting business internationally, including the 
sourcing, manufacturing, development, sale and distribution of our products and services across international borders, subjects us 
to extensive U.S. and foreign governmental trade regulations, such as various anti-bribery laws, including the FCPA, export control 
laws, customs and import laws, and anti-boycott laws. The FCPA and similar anti-corruption laws in other jurisdictions generally 
prohibit companies and their intermediaries from making improper payments to government officials for the purpose of obtaining 
or retaining business. We cannot provide assurance that our internal controls and procedures will always protect us from criminal 
acts committed by our employees or third parties with whom we work. If we are found liable for violations of the FCPA or other 
applicable laws and regulations, either due to our own acts or out of inadvertence, or due to the acts or inadvertence of others, we 
could suffer significant criminal, civil and administrative penalties, including, but not limited to, imprisonment of individuals, 
fines, denial of export privileges, seizure of shipments, restrictions on certain business activities and exclusion or debarment from 
government contracting, as well as reputational harm. Also, the failure to comply with applicable legal and regulatory obligations 
could result in the disruption of our shipping and sales activities.

In addition, some countries where we source, develop, manufacture or sell products are subject to political, economic and/or 

social instability. Our non-U.S. R&D, manufacturing and sales operations expose us and our employees, representatives, agents 
and distributors to risks inherent in operating in non-U.S. jurisdictions. For example, we perform certain of our R&D functions in 
India. We also manufacture certain of our products in India and expect that our Indian manufacturing operations could expand in 
the future. A disruption in our Indian operations could have a material adverse effect on our business, financial condition, results of 
operations and cash flows. These risks include:

• 
• 
• 

the imposition of additional U.S. and non-U.S. governmental controls or regulations;
the imposition of costly and lengthy new export licensing requirements;
the imposition of U.S. and/or international sanctions against a country, company, person or entity with whom we do 
business that would restrict or prohibit continued business with the sanctioned country, company, person or entity;
•  economic and political instability or disruptions, including local and regional instability, or disruptions due to natural 
disasters, such as severe weather and geological events, disruptions due to civil unrest and hostilities, rioting, military 
activity, terror attacks or armed hostilities;

the imposition of new trade restrictions including foreign exchange controls;

the imposition of restrictions on the activities of foreign agents, representatives and distributors;

•  changes in duties and tariffs, license obligations and other non-tariff barriers to trade;
• 
•  supply disruptions and increases in energy and transportation costs;
• 
•  changes in global tax laws and/or the imposition by tax authorities of significant fines, penalties and additional taxes;
•  pricing pressure that we may experience internationally;
• 
•  competition from local, regional and international competitors;
•  difficulties and costs of staffing and managing foreign operations, including cultural differences and additional 

fluctuations in foreign currency exchange rates;

employment regulations, union workforce negotiations and potential disputes in the jurisdictions in which we operate;
laws and business practices favoring local companies;

• 
•  difficulties in enforcing or defending intellectual property rights; and
•  exposure to different legal and political standards due to our conducting business in foreign countries.

We also face the risk that some of our competitors have more experience with operations in such countries or with 
international operations generally and may be able to manage unexpected crises more easily. Furthermore, whether due to 
language, cultural or other differences, public and other statements that we make may be misinterpreted, misconstrued or taken out 
of context in different jurisdictions. Moreover, the internal political stability of, or the relationship between, any country or 
countries where we conduct business operations may deteriorate, including relationships between the U.S. and other countries. 
Changes in other countries’ economic conditions, product pricing, political stability or the state of relations between any such 
countries are difficult to predict and could adversely affect our operations, payment and credit terms and our ability to collect 
foreign receivables. Any such changes could lead to a decline in our profitability and/or adversely impact our ability to do 
business. Any meaningful deterioration of the political or social stability in and/or diplomatic relations between any countries in 
which we or our partners and suppliers do business could have a material adverse effect on our business, financial condition, 
results of operations and cash flows. A substantial slowdown of the global economy, or major national economies, could negatively 
affect growth in the markets in which we operate. Such a slowdown could result in national governments making significant cuts to 
their public spending, including national healthcare budgets, or reducing the level of reimbursement they are willing and able to 
provide to us for our products and, as a result, adversely affect our revenues, financial condition or results of operations. We have 
little influence over these factors and changes could have a material adverse effect on our business, financial condition, results of 
operations and cash flows. 

41

Table of Contents

We cannot provide assurance that one or more of these factors will not harm our business. Any material decrease in our non-

U.S. R&D, manufacturing or sales 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 December 31, 2019, we have total debt of approximately 

$8.47 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.
• 

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 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 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. 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, this low interest rate environment likely will not continue 

indefinitely. At December 31, 2019, 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 14. Debt in the Consolidated Financial Statements 
included in Part IV, Item 15 of this report), 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.

42

Table of Contents

Changes in the method of determining the London Interbank Offered Rate (LIBOR), or the replacement of LIBOR with an 
alternative reference rate, may materially adversely affect our interest expense related to our outstanding debt.

A significant portion of our outstanding indebtedness, including, at December 31, 2019, $3.3 billion outstanding under the 

Term Loan Facility and $0.3 billion outstanding under the Revolving Credit Facility, bears interest rates in relation to LIBOR. Any 
future amounts borrowed under the Term Loan Facility or Revolving Credit Facility would also bear interest rates in relation to 
LIBOR, depending on our interest election. On July 27, 2017, the Financial Conduct Authority in the United Kingdom announced 
that it would phase out LIBOR as a benchmark by the end of 2021. The Alternative Reference Rates Committee (ARRC), a 
steering committee comprised of large U.S. financial institutions, has proposed replacing LIBOR with a new index calculated by 
short-term repurchase agreements (the Secured Overnight Financing Rate (SOFR)). At this time, no consensus exists as to what 
rate or rates may become accepted alternatives to LIBOR, and it is impossible to predict whether and to what extent banks will 
continue to provide LIBOR submissions to the administrator of LIBOR, whether LIBOR rates will cease to be published or 
supported before or after 2021 or whether any additional reforms to LIBOR may be enacted in the United Kingdom or elsewhere. 
Such developments and any other legal or regulatory changes in the method by which LIBOR is determined or the transition from 
LIBOR to a successor benchmark may result in, among other things, a sudden or prolonged increase or decrease in LIBOR, a delay 
in the publication of LIBOR and changes in the rules or methodologies in LIBOR, which may discourage market participants from 
continuing to administer or to participate in LIBOR’s determination and, in certain situations, could result in LIBOR no longer 
being determined and published. If LIBOR ceases to exist, we may need to renegotiate the Credit Agreement (as defined in Note 
14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report) and we may not be able to do so on 
terms that are favorable to us. The overall financial market may be disrupted and there could be significant increases in benchmark 
rates or borrowing costs to borrowers as a result of the phase-out or replacement of LIBOR. Disruption in the financial market, 
significant increases in benchmark rates or borrowing costs or our inability to refinance the Credit Agreement with favorable terms 
could have a material adverse effect on our business, financial condition, results of operations and cash flows.

Covenants in our debt agreements restrict our business in many ways, a default of which may result in acceleration of 
certain of our indebtedness.

We are subject to various covenants in the instruments governing our debt that limit our and/or our subsidiaries’ ability to, 

incur or assume liens or additional debt or provide guarantees in respect of obligations of other persons;
issue redeemable stock and preferred stock;

among other things:
• 
• 
•  pay dividends or distributions or redeem or repurchase capital stock;
•  prepay, redeem or repurchase debt;
•  make loans, investments and capital expenditures;
•  enter into agreements that restrict distributions from our subsidiaries;
•  sell assets and capital stock of our subsidiaries;
•  enter into certain transactions with affiliates; and
•  consolidate or merge with or into, or sell substantially all of our assets to, another person.

A breach of any of these covenants could result in a default under our indebtedness. If there were an event of default under 

any of the agreements relating to our outstanding indebtedness, the holders of the defaulted debt could cause all amounts 
outstanding with respect to that debt to be due and payable immediately, terminate all commitments to extend further credit, 
foreclose against all the assets comprising the collateral securing or otherwise supporting the debt and pursue other legal remedies. 
The instruments governing our debt may contain cross-default or cross-acceleration provisions that may cause all of the debt issued 
under such instruments to become immediately due and payable as a result of a default under an unrelated debt instrument. Our 
assets and cash flows may be insufficient to fully repay borrowings under our outstanding debt instruments if the obligations 
thereunder were accelerated upon an event of default. We may need to conduct asset sales or pursue other alternatives, including 
proceedings under applicable insolvency laws relating to some or all of our business. The covenants are also subject to a number of 
exceptions, including the ability to incur certain additional amounts of secured and unsecured indebtedness, which could 
exacerbate any of these risks. Any or all of the above could have a material adverse effect on our business, financial condition, 
results of operations and cash flows. For a description of our indebtedness, see Note 14. Debt in the Consolidated Financial 
Statements included in Part IV, Item 15 of this report.

U.S. federal income tax reform could adversely affect us.

On December 22, 2017, U.S. federal tax legislation, commonly referred to as the TCJA, was signed into law, significantly 
altering the U.S. Internal Revenue Code (the Code) effective, in substantial part, January 1, 2018. The TCJA, among other things, 
includes:

•  changes to U.S. federal tax rates;
•  expanded limitations on the deductibility of interest;
• 
• 

immediate expensing of capital expenditures;
the migration from a “worldwide” system of taxation to a “territorial” system;

43

Table of Contents

• 
• 

the creation of an anti-base erosion minimum tax system; and
the modification or repeal of many business deductions and credits. 

Additionally, the TCJA eliminates the ability to carry back any future net operating losses and only allows for 
carryforwards, the utilization of which is limited to 80% of taxable income in a given carryforward year. This could affect the 
timing of our ability to utilize net operating losses in the future.

The aforementioned changes could, individually or in aggregate, increase our future effective tax rate and have a material 

adverse effect on our business, financial condition, results of operations and cash flows. In addition, prospective or retroactive 
regulatory and administrative guidance relating to the TCJA could adversely impact our businesses and our current and future 
projections of U.S. cash taxes.

Further future changes to tax laws could materially adversely affect us.

Under current law, we expect Endo International plc to be treated as a non-U.S. corporation for U.S. federal income tax 
purposes. However, changes to the rules in Section 7874 of the Code or regulations promulgated thereunder or other guidance 
issued by the Treasury or the U.S. Internal Revenue Service (IRS) could adversely affect our status as a non-U.S. corporation for 
U.S. federal income tax purposes, and any such changes could have prospective or retroactive application to us, Endo Health 
Solutions Inc. (EHSI) and/or their respective shareholders and affiliates. Consequently, there can be no assurance that there will not 
exist in the future a change in law that might cause us to be treated as a U.S. corporation for U.S. federal income tax purposes, 
including with retroactive effect.

In addition, Ireland’s Department of Finance, Luxembourg’s Ministry of Finance, the Organization for Economic Co-
operation and Development, the European Commission and other government agencies in jurisdictions where we and our affiliates 
do business have had an extended focus on issues related to the taxation of multinational corporations and there are several current 
proposals that, if enacted, would substantially change the taxation of multinational corporations. As a result, the tax laws in the 
jurisdictions in which we operate could change on a prospective or retroactive basis, and any such changes could affect recorded 
deferred tax assets and liabilities and increase our effective tax rate, which could have a material adverse effect on our business, 
financial condition, results of operations and cash flows. The potential impact of changes in tax laws in such jurisdictions could 
have a material impact on the Company.

The IRS may not agree with the conclusion that we should be treated as a non-U.S. corporation for U.S. federal income tax 
purposes.

Although Endo International plc is incorporated in Ireland, the IRS may assert that it should be treated as a U.S. corporation 

(and, therefore, a U.S. tax resident) for U.S. federal income tax purposes pursuant to Section 7874 of the Code. A corporation is 
generally considered a tax resident in the jurisdiction of its organization or incorporation for U.S. federal income tax purposes. 
Because we are an Irish incorporated entity, we would generally be classified as a non-U.S. corporation (and, therefore, a non-U.S. 
tax resident) under these rules. Section 7874 provides an exception pursuant to which a non-U.S. incorporated entity may, in 
certain circumstances, be treated as a U.S. corporation for U.S. federal income tax purposes.

Under Section 7874, we would be treated as a non-U.S. corporation for U.S. federal income tax purposes if the former 

shareholders of EHSI owned, immediately after the Paladin transactions (within the meaning of Section 7874), less than 80% (by 
both vote and value) of Endo shares by reason of holding shares in EHSI (the ownership test). The former EHSI shareholders 
owned less than 80% (by both vote and value) of the shares in Endo after the Paladin merger by reason of their ownership of shares 
in EHSI. As a result, under current law, we expect Endo International plc to be treated as a non-U.S. corporation for U.S. federal 
income tax purposes. There is limited guidance regarding the application of Section 7874, including with respect to the provisions 
regarding the application of the ownership test. Our obligation to complete the Paladin transactions was conditional upon its receipt 
of a Section 7874 opinion from our counsel, Skadden, Arps, Slate, Meagher & Flom LLP (Skadden), dated as of the closing date of 
the Paladin transactions and subject to certain qualifications and limitations set forth therein, to the effect that Section 7874 and the 
regulations promulgated thereunder should not apply in such a manner so as to cause Endo to be treated as a U.S. corporation for 
U.S. federal income tax purposes from and after the closing date. However, an opinion of tax counsel is not binding on the IRS or a 
court. Therefore, there can be no assurance that the IRS will not take a position contrary to Skadden’s Section 7874 opinion or that 
a court will not agree with the IRS in the event of litigation.

44

Table of Contents

The effective rate of taxation upon our results of operations is dependent on multi-national tax considerations.

We earn a portion of our income outside the U.S. That portion of our earnings is generally taxed at the rates applicable to the 
activities undertaken by our subsidiaries outside of the U.S. Our effective income tax rate in the future could be adversely affected 
by a number of factors, including changes in the mix of earnings in countries with differing statutory tax rates, changes in the 
valuation of deferred tax assets and liabilities, changes in tax laws, the outcome of income tax audits and the repatriation of 
earnings from our subsidiaries for which we have not provided for taxes. Cash repatriations are subject to restrictions in certain 
jurisdictions and may be subject to withholding and other taxes. We periodically assess our tax positions to determine the adequacy 
of our tax provisions, which are subject to significant discretion. Although we believe our tax provisions are adequate, the final 
determination of tax audits and any related disputes could be materially different from our historical income tax provisions and 
accruals. The results of audits and disputes could have a material adverse effect on our business, financial condition, results of 
operations and cash flows for the period or periods for which the applicable final determinations are made.

We may not be able to successfully maintain our low tax rates or other tax positions, which could adversely affect our 
businesses and financial condition, results of operations and growth prospects.

We are incorporated in Ireland and also maintain subsidiaries in, among other jurisdictions, the U.S., Canada, India, the 
United Kingdom and Luxembourg. The IRS and other taxing authorities may continue to challenge our tax positions. The 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. The IRS may 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.

Responding to or defending any challenge or proposed adjustment to our tax positions is expensive, consumes time and 
other resources and diverts management’s attention. We cannot predict whether taxing authorities will conduct an audit challenging 
any of our tax positions, the cost involved in responding to and defending any such audit and resulting litigation, or the outcome. If 
we are unsuccessful in any of these matters, we may be required to pay taxes for prior periods, interest, fines or penalties, and may 
be obligated to pay increased taxes in the future or repay certain tax refunds, any of which could require us to reduce our operating 
costs, decrease efforts in support of our products or seek to raise additional funds, all of which could have a material adverse effect 
on our business, financial condition, results of operations and cash flows.

Our ability to use U.S. tax attributes to offset U.S. taxable income may be limited.

Existing and future tax laws and regulations may limit our ability to use U.S. tax attributes including, but not limited to, net 

operating losses and excess interest expense, to offset U.S. taxable income. For a period of time following the 2014 Paladin 
transactions, Section 7874 of the Code precludes our U.S. affiliates from utilizing U.S. tax attributes to offset taxable income if we 
complete certain transactions with related non-U.S. subsidiaries. In addition, the U.S. Treasury Department has issued temporary 
and proposed regulations related to corporate inversions and earnings stripping. The limitations on the use of certain tax attributes 
and deductions in these regulations are in addition to existing rules that could impose more restrictive limitations in the event that 
cumulative changes in our stock ownership within a three-year period exceeded certain thresholds. Such changes or the adoption of 
additional limitations could impact our overall utilization of deferred tax assets, potentially resulting in a material adverse effect on 
our business, financial condition, results of operations and cash flows.

If pharmaceutical companies are successful in limiting the use of generics through their legislative, regulatory and other 
efforts, our sales of generic products may suffer.

Many pharmaceutical companies increasingly have used state and federal legislative and regulatory means to delay generic 

competition. These efforts have included:

•  pursuing new patents for existing products which may be granted just before the expiration of earlier patents, which 

could extend patent protection for additional years;

•  using the Citizen Petition process (for example, under 21 C.F.R. § 10.30) to request amendments to FDA standards;
•  attempting to use the legislative and regulatory process to have products reclassified or rescheduled or to set 

definitions of abuse-deterrent formulations to protect patents and profits; and

•  engaging in state-by-state initiatives to enact legislation that restricts the substitution of some generic products.

45

Table of Contents

If pharmaceutical companies or other third parties are successful in limiting the use of generic products through these or 
other means, our sales of generic products and our growth prospects may decline, which could have a material adverse effect on 
our business, financial condition, results of operations and cash flows. We cannot determine what effect Section 610 of the FCAA 
2020 may have on limiting or preventing the success of pharmaceutical companies or other third parties in delaying generic 
competition.

We are incorporated in Ireland and Irish law differs from the laws in effect in the U.S. and may afford less protection to, or 
otherwise adversely affect, our shareholders.

Our shareholders may have more difficulty protecting their interests than would shareholders of a corporation incorporated 

in a jurisdiction of the U.S. As an Irish company, we are governed by Irish Companies Act 2014 (the Companies Act). The 
Companies Act and other relevant aspects of Irish law differ in some material respects from laws generally applicable to U.S. 
corporations and shareholders, including, among others, the provisions relating to interested director and officer transactions, 
acquisitions, takeovers, shareholder lawsuits and indemnification of directors. For example, under Irish law, the duties of directors 
and officers of a company are generally owed to the company only. As a result, shareholders of Irish companies generally do not 
have a personal right of action against the directors or officers of a company and may pursue a right of action on behalf of the 
company only in limited circumstances. In addition, depending on the circumstances, the acquisition, ownership and/or disposition 
of our ordinary shares may subject individuals to different or additional tax consequences under Irish law including, but not limited 
to, Irish stamp duty, dividend withholding tax and capital acquisitions tax.

Any attempts to take us over will be subject to Irish Takeover Rules and subject to review by the Irish Takeover Panel.

We are subject to Irish Takeover Rules, under which the Board will not be permitted to take any action which might frustrate 

an offer for our ordinary shares once it has received an approach which may lead to an offer or has reason to believe an offer is 
imminent.

We are an Irish company and it may be difficult to enforce judgments against us or certain of our officers and directors.

We are incorporated in Ireland and a substantial portion of our assets are located in jurisdictions outside the U.S. In addition, 

some of our officers and directors reside outside the U.S., and some or all of their respective assets are or may be located in 
jurisdictions outside of the U.S. It may be difficult for investors to effect service of process against us or such officers or directors 
or to enforce against us or them judgments of U.S. courts predicated upon civil liability provisions of the U.S. federal securities 
laws.

There is no treaty between Ireland and the U.S. providing for the reciprocal enforcement of foreign judgments. The 

following requirements must be met before a foreign judgment will be deemed to be enforceable in Ireland:

• 
• 
• 

 the judgment must be for a definite sum;
 the judgment must be final and conclusive; and
 the judgment must be provided by a court of competent jurisdiction.

An Irish court will also exercise its right to refuse judgment if the foreign judgment was obtained by fraud, if the judgment 
violated Irish public policy, if the judgment is in breach of natural justice or if it is irreconcilable with an earlier judgment. Further, 
an Irish court may stay proceedings if concurrent proceedings are being brought elsewhere. Judgments of U.S. courts of liabilities 
predicated upon U.S. federal securities laws may not be enforced by Irish courts if deemed to be contrary to public policy in 
Ireland.

Item 1B. 

Unresolved Staff Comments

None.

46

Table of Contents

Item 2.   

Properties

This section provides information about the location and general character of the Company’s principal physical properties at 

December 31, 2019.

The Company’s global headquarters is located in Dublin, Ireland. The Company also conducts certain corporate functions at its 

Malvern, Pennsylvania location. Both properties are leased. The Malvern lease is described in more detail in Note 8. Leases in the 
Consolidated Financial Statements included in Part IV, Item 15 of this report. These locations support each of our reportable segments. 
For example, our global quality and supply chain functions are run from our global headquarters. The Company’s segments conduct 
certain additional business functions, including manufacturing, distribution, quality assurance, R&D and administration, at locations 
throughout the U.S. and select global markets. Additional information about the properties of the Company’s reportable segments is 
set forth below:

•  Branded Pharmaceuticals: This segment also conducts certain operations in the U.S. through leased and owned 

manufacturing properties in Pennsylvania, New York and New Jersey, as well as certain administrative and R&D 
functions through leased properties in Pennsylvania.

•  Sterile Injectables: This segment also conducts certain manufacturing, quality assurance, R&D and administration 
functions in the U.S. through owned and leased properties in Michigan, as well as certain R&D and administration 
functions in New York and in India in the same facilities as our Generic Pharmaceuticals segment, as discussed below.

•  Generic Pharmaceuticals: This segment also conducts certain manufacturing, distribution, quality assurance and 

administration functions, as well as certain R&D functions, through owned and leased properties throughout the U.S., 
including in New York and California. It also conducts significant R&D operations, as well as certain manufacturing and 
administrative functions, in India through owned and leased facilities in Chennai and Mumbai.
International Pharmaceuticals: This segment’s operations are currently conducted through Paladin’s leased headquarters in 
Montreal, Canada.

• 

As of December 31, 2019, our owned and leased properties consist of approximately 1.1 million and 1.2 million square feet, 

respectively. We believe our properties are suitable and adequate to support our current and projected operations in all material 
respects.

Item 3.   

Legal Proceedings

The disclosures under Note 15. Commitments and Contingencies in the Consolidated Financial Statements included in Part IV, 

Item 15 of this report are incorporated into this Part I, Item 3 by reference.

Item 4.   

Mine Safety Disclosures

Not applicable.

47

Table of Contents

PART II 

Item 5.   

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Market Information. Our ordinary shares are traded on the NASDAQ under the ticker symbol “ENDP.”

Holders. As of February 18, 2020, we estimate that there were approximately 75 holders of record of our ordinary shares.

Dividends. We have never declared or paid any cash dividends on our ordinary shares and we currently have no plans to declare 

a dividend. We are permitted to pay dividends subject to limitations imposed by Irish law, the various agreements and indentures 
governing our indebtedness and the existence of sufficient distributable reserves. For example, the Companies Act requires Irish 
companies to have distributable reserves equal to or greater than the amount of any proposed dividend. Unless we are able to generate 
sufficient distributable reserves or create distributable reserves by reducing our share premium account, we will not be able to pay 
dividends.

Performance Graph. The following graph provides a comparison of the cumulative total shareholder return on the Company’s 

ordinary shares with that of the cumulative total shareholder return on the (i) NASDAQ Composite Index and (ii) the NASDAQ 
Pharmaceutical Index, commencing on December 31, 2014 and ending December 31, 2019. The graph assumes $100 invested on 
December 31, 2014 in the Company’s ordinary shares and in each of the comparative indices. Our historic share price performance is 
not necessarily indicative of future share price performance.

2014

2015

2016

2017

2018

2019

Endo International plc

NASDAQ Composite Index

NASDAQ Pharmaceutical Index

$

$

$

100.00

100.00

100.00

$

$

$

84.89

106.96

103.06

$

$

$

22.84

116.45

81.93

$

$

$

10.75

150.96

98.23

$

$

$

10.12

146.67

92.83

$

$

$

6.50

200.49

109.06

December 31,

Recent sales of unregistered securities; Use of proceeds from registered securities. There were no unregistered sales of equity 

securities by the Company during the three years ended December 31, 2019.

48

Table of Contents

Purchase of Equity Securities by the issuer and affiliated purchasers. The following table reflects purchases of Endo 

International plc ordinary shares by the Company during the three months ended December 31, 2019:

Period

October 1, 2019 to October 31, 2019

November 1, 2019 to November 30, 2019

December 1, 2019 to December 31, 2019

Three months ended December 31, 2019

__________

Total Number of
Shares Purchased

Average Price Paid
per Share

Total Number of
Shares Purchased as
Part of Publicly
Announced Plan

Approximate Dollar
Value of Shares that
May Yet be
Purchased Under the
Plan (1)

—

—

—

—

—

—

—

—

— $

2,250,000,000

— $

2,250,000,000

— $

2,250,000,000

—

(1)  Pursuant to Article 11 of the Company’s Articles of Association, the Company has broad shareholder authority to conduct ordinary share repurchases by way 

of redemptions. As permitted by Irish Law and the Company’s Articles of Association, any ordinary shares redeemed shall be cancelled upon redemption. The 
Board has approved the 2015 Share Buyback Program that authorizes the Company to redeem, in the aggregate, $2.5 billion of its outstanding ordinary shares. 
Redemptions under this program may be made from time to time in open market or negotiated transactions or otherwise, as determined by the Board. This 
program does not obligate the Company to redeem any particular amount of ordinary shares. To date, the Company has redeemed and cancelled approximately 
4.4 million of its ordinary shares under the 2015 Share Buyback Program for $250.0 million, not including related fees. We currently do not intend to conduct 
ordinary share repurchases in the foreseeable future. Future redemptions, if any, will depend on factors such as levels of cash generation from operations, cash 
requirements for investment in the Company’s business, repayment of future debt, if any, the then current share price, market conditions, legal limitations, 
sufficient distributable reserves and other factors. For example, the Companies Act requires Irish companies to have distributable reserves equal to or greater 
than the amount of any proposed ordinary share repurchase amount. Unless we are able to generate sufficient distributable reserves or create distributable 
reserves by reducing our share premium account, we will not be able to repurchase our ordinary shares. The 2015 Share Buyback Program may be suspended, 
modified or discontinued at any time.

49

Table of Contents

Item 6.   

Selected Financial Data

The following tables present selected consolidated financial data for the periods indicated below (in thousands, except per share 

data). This data has been derived from our financial statements and should be read in conjunction with Part II, Item 7 of this report 
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” and Part II, Item 8 of this report 
“Financial Statements and Supplementary Data”. The selected data in this section is not intended to replace the Consolidated Financial 
Statements and is not necessarily indicative of the results of our future operations.

Consolidated Statement of Operations Data:

Total revenues

Loss from continuing operations
Net loss per share—continuing operations:

Basic

Diluted

Shares used for net loss per share—basic

Shares used for net loss per share—diluted

Cash dividends declared per share

Consolidated Balance Sheet Data:

Cash and cash equivalents

Total assets

Long-term debt, less current portion, net

Other long-term obligations

2019

2018

2017

2016

2015

Year Ended December 31,

$
2,914,364
(360,584) $

$
2,947,078
(961,767) $

$
3,468,858
(1,232,711) $

$
4,010,274
(3,223,772) $

3,268,718

(300,399)

(1.60) $
(1.60) $

(4.29) $
(4.29) $

(5.52) $
(5.52) $

(14.48) $
(14.48) $

226,050

226,050

223,960

223,960

223,198

223,198

222,651

222,651

— $

— $

— $

— $

(1.52)

(1.52)

197,100

197,100

—

2019

2018

2017

2016

2015

As of December 31,

1,454,531

$

1,149,113

$

986,605

$

517,250

$

272,348

9,389,527

$ 10,132,393

$ 11,635,580

$ 14,275,109

$ 19,350,336

8,359,899

435,883

$

$

8,224,269

456,311

$

$

8,242,032

687,759

$

$

8,141,378

797,397

$

$

8,251,657

1,656,391

$

$

$

$

$

$

$

$

$

Based on the Company’s adoption of certain accounting principles, including, for example, its modified retrospective adoptions 

of Accounting Standards Codification Topic 606, Revenue from Contracts with Customers (ASC 606) and Accounting Standards 
Codification Topic 842, Leases (ASC 842) on January 1, 2018 and January 1, 2019, respectively, the accounting principles in effect 
differ among the periods presented above.

The Company has recorded certain charges for asset impairments and litigation-related and other matters during each year 

presented, portions of which are reported as Discontinued operations, net of tax in the Consolidated Statements of Operations. The 
Company has completed certain business combinations during or after 2015, certain of which resulted in significant financing 
activities. These business combinations had a significant impact on the Company’s financial statements in their respective years of 
acquisition and in subsequent years. These impacts result from the consideration transferred by the Company for the acquisitions, the 
initial and subsequent purchase accounting for the acquired entities’ assets and liabilities and the post-acquisition results of operations. 
The Company has also ceased operations and/or divested of certain businesses during or after 2015.

Through the dates of: (i) the sale of the Men’s Health and Prostate Health units of the American Medical Systems Holdings, Inc. 

(AMS) business in August 2015 and (ii) the wind down of the Women’s Health unit of the AMS business (Astora) in March 2016, the 
assets and liabilities of all of these aforementioned businesses were classified as held for sale in the Consolidated Balance Sheets, 
except in the case of certain assets and liabilities that were to remain with the Company after sale including, among others, the mesh-
related product liability accrual, related Qualified Settlement Funds (QSFs) and certain intangible and fixed assets. Additionally, the 
assets and liabilities of Litha, which was sold in July 2017, are classified as held for sale in the Consolidated Balance Sheet as of 
December 31, 2016. The operating results of the entire AMS business, which includes the Men’s Health, Prostate Health and Astora 
businesses, are reported as Discontinued operations, net of tax in the Consolidated Statements of Operations for all periods presented. 
For additional information, see Note 3. Discontinued Operations and Divestitures in the Consolidated Financial Statements included in 
Part IV, Item 15 of this report.

For further information regarding the comparability of the financial data presented in the tables above and factors that may 
impact comparability of future results, see Item 7. Management’s Discussion and Analysis of Financial Condition and Results of 
Operations as well as the Consolidated Financial Statements and related notes included in this Annual Report and previously filed 
Annual Reports on Form 10-K.

50

Table of Contents

Item 7.   

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 section omits discussions about 2017 items and comparisons between 2018 and 2017. Such discussions can be found in Item 7. 
Management’s Discussion and Analysis of Financial Condition and Results of Operations in our Annual Report on Form 10-K for the 
year ended December 31, 2018. These discussions should be read in conjunction with our audited Consolidated Financial Statements 
and related notes thereto. 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 financial information and transactions of Endo International plc and its subsidiaries.

The operating results of Astora are reported as Discontinued operations, net of tax in the Consolidated Statements of Operations 

for all periods presented. For additional information, see Note 3. Discontinued Operations and Divestitures in the Consolidated 
Financial Statements included in Part IV, Item 15 of this report.

EXECUTIVE SUMMARY

This executive summary provides 2019 highlights from the results of operations that follow:

•  Total revenues in 2019 decreased 1% to $2,914.4 million compared to $2,947.1 million in 2018 as strong performance 

from our Sterile Injectables segment and our Branded Pharmaceuticals segment’s Specialty Products portfolio was more 
than offset by declines in our Branded Pharmaceuticals segment’s Established Products portfolio and both our Generic 
Pharmaceuticals and International Pharmaceuticals segments.

•  Gross margin percentage in 2019 increased to 46.2% from 44.6% in 2018, reflecting the impact of changes in product mix 
to higher margin Sterile Injectables and Specialty Products from lower margin Generic Pharmaceuticals and Established 
Products, as well as reductions to amortization expense and expenses related to retention and separation benefits and other 
cost reduction initiatives, partially offset by the unfavorable impact of increased sales of certain lower margin authorized 
generic products launched in the third quarter of 2018.

•  Asset impairment charges in 2019 decreased to $526.1 million from $916.9 million in 2018.
•  Loss from continuing operations in 2019 was $360.6 million, compared to $961.8 million in 2018.

Additionally, the following summary highlights certain key events that occurred during 2019:

• 

• 

In November 2019, we announced the FDA’s acceptance for review of the original BLA for CCH for the treatment of 
cellulite in the buttocks. The BLA is supported by the results of the RELEASE-1 and RELEASE-2 Phase 3 studies, as 
well as a clinical program. The PDUFA date, or target action date, for the BLA has been set for July 6, 2020.
In March 2019, we completed a series of refinancing transactions that were intended to extend our debt maturity profile 
and provide greater covenant flexibility, which resulted in a net gain on extinguishment of debt of $119.8 million. These 
transactions are collectively referred to herein as the March 2019 Refinancing Transactions and are further described in 
Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report.

•  As a result of the Company’s lawsuit against the FDA challenging its interim policy authorizing bulk compounding of 

pharmaceuticals, the FDA evaluated whether there is a clinical need to compound vasopressin under Section 503B of the 
FFDCA. In March 2019, the FDA determined that there is no such clinical need. As a result, the bulk compounding of 
vasopressin is impermissible under Section 503B of the FFDCA unless the FDA were to add vasopressin to its drug 
shortage list. The FDA’s decision was upheld by the U.S. District Court for the District of Columbia in August 2019. 
VASOSTRICT® remains the only vasopressin injection product with an NDA approved by the FDA.

CRITICAL ACCOUNTING ESTIMATES

The preparation of our Consolidated Financial Statements in conformity with accounting principles generally accepted in 

the U.S. (U.S. GAAP) requires us to make estimates and assumptions that affect the amounts and disclosures in our Consolidated 
Financial Statements, including the notes thereto, and elsewhere in this report. For example, we are required to make significant 
estimates and assumptions related to revenue recognition, including sales deductions, long-lived assets, goodwill, other intangible 
assets, income taxes, contingencies, financial instruments and share-based compensation, among others. Some of these estimates 
can be subjective and complex. Although we believe that our estimates and assumptions are reasonable, there may be other 
reasonable estimates or assumptions that differ significantly from ours. Further, our estimates and assumptions are based upon 
information available at the time they were made. Actual results may differ significantly from our estimates.

51

Table of Contents

Accordingly, in order to understand our Consolidated Financial Statements, it is important to understand our critical 

accounting estimates. We consider an accounting estimate to be critical if both: (i) the accounting estimate requires us to make 
assumptions about matters that were highly uncertain at the time the accounting estimate was made and (ii) changes in the estimate 
that are reasonably likely to occur from period to period, or use of different estimates that we reasonably could have used in the 
current period, would have a material impact on our financial condition, results of operations or cash flows. Our most critical 
accounting estimates are described below.

Revenue recognition

The Company adopted ASC 606 on January 1, 2018 using the modified retrospective method for all revenue-generating 

contracts, including modifications thereto, that were not completed contracts at the date of adoption. ASC 606 applies to contracts 
with commercial substance that establish the payment terms and each party’s rights regarding the goods or services to be 
transferred, to the extent collection of substantially all of the related consideration is probable. Under ASC 606, we recognize 
revenue for contracts meeting these criteria when (or as) we satisfy our performance obligations for such contracts by transferring 
control of the underlying promised goods or services to our customers. The amount of revenue we recognize reflects our estimate 
of the consideration we expect to be entitled to receive, subject to certain constraints, in exchange for such goods or services. This 
amount is referred to as the transaction price.

Our revenue consists almost entirely of sales of our products to customers, whereby we ship products to a customer pursuant 

to a purchase order. For contracts such as these, revenue is recognized when our contractual performance obligations have been 
fulfilled and control has been transferred to the customer pursuant to the contract’s terms, which is generally upon delivery to the 
customer. The amount of revenue we recognize is equal to the fixed amount of the transaction price, adjusted for our estimates of a 
number of significant variable components including, but not limited to, estimates for chargebacks, rebates, sales incentives and 
allowances, DSA and other fees for services, returns and allowances, which we collectively refer to as sales deductions.

The Company utilizes the expected value method when estimating the amount of variable consideration to include in the 
transaction price with respect to each of the foregoing variable components and the most likely amount method when estimating 
the amount of variable consideration to include in the transaction price with respect to future potential milestone payments that do 
not qualify for the sales- and usage-based royalty exception. Variable consideration is included in the transaction price only to the 
extent that it is probable that a significant revenue reversal will not occur when the uncertainty associated with the variable 
consideration is resolved. The variable component of the transaction price is estimated based on factors such as our direct and 
indirect customers’ buying patterns and the estimated resulting contractual deduction rates, historical experience, specific known 
market events and estimated future trends, current contractual and statutory requirements, industry data, estimated customer 
inventory levels, current contract sales terms with our direct and indirect customers and other competitive factors. We subsequently 
review our estimates for sales deductions based on new or revised information that becomes available to us and make revisions to 
our estimates if and when appropriate. Refer to “Sales deductions” section below for additional information.

We believe that speculative buying of product, particularly in anticipation of possible price increases, has been the historical 

practice of certain of our customers. The timing of purchasing decisions made by wholesaler and large retail chain customers can 
materially affect the level of our sales in any particular period. Accordingly, our sales may not correlate to the number of 
prescriptions written for our products based on external third-party data.

We have entered into DSAs with certain of our significant wholesaler customers that obligate the wholesalers, in exchange 
for fees paid by us, to: (i) manage the variability of their purchases and inventory levels within specified limits based on product 
demand and (ii) provide us with specific services, including the provision of periodic retail demand information and current 
inventory levels for our pharmaceutical products held at their warehouse locations.

52

Table of Contents

Sales deductions

As described above, the amount of revenue we recognize is equal to the fixed amount of the transaction price, adjusted for 
our estimates of variable consideration, including sales deductions. If the assumptions we use to calculate our estimates for sales 
deductions do not appropriately reflect future activity, our financial position, results of operations and cash flows could be 
materially impacted. The following table presents the activity and ending balances, excluding Discontinued operations, for our 
product sales provisions for the years ended December 31, 2019 and 2018 (in thousands):

Balance, January 1, 2018
Current year provision

Prior year provision

Payments or credits
Balance, December 31, 2018

Current year provision

Prior year provision

Payments or credits
Balance, December 31, 2019

Returns and Allowances

Returns and
Allowances

Rebates

Chargebacks

Other Sales
Deductions

$

$

$

291,034
78,767

3,693
(136,548)
236,946

90,876

(4,029)
(117,545)
206,248

$

$

$

354,687
912,885
(1,053)
(986,803)
279,716

792,389
(5,952)
(850,363)
215,790

$

$

$

256,708
2,268,212

785
(2,307,339)
218,366

2,144,534

1,233
(2,158,965)
205,168

$

$

$

40,348
161,788
(664)
(164,169)
37,303

148,156
(2,060)
(150,268)
33,131

$

$

$

Total

942,777
3,421,652

2,761
(3,594,859)
772,331

3,175,955

(10,808)
(3,277,141)
660,337

Consistent with industry practice, we maintain a return policy that allows our customers to return products within a specified 

period of time both subsequent to and, in certain cases, prior to the products’ expiration dates. Our return policy generally allows 
customers to receive credit for expired products within six months prior to expiration and within one year after expiration. Our 
provision for returns and allowances consists of our estimates for future product returns, pricing adjustments and delivery errors. 
The primary factors we consider in estimating our potential product returns include:

the shelf life or expiration date of each product;

• 
•  historical levels of expired product returns;
•  external data with respect to inventory levels in the wholesale distribution channel;
•  external data with respect to prescription demand for our products; and
• 

the estimated returns liability to be processed by year of sale based on analysis of lot information related to actual 
historical returns.

In determining our estimates for returns and allowances, we are required to make certain assumptions regarding the timing 

of the introduction of new products and the potential of these products to capture market share. In addition, we make certain 
assumptions with respect to the extent and pattern of decline associated with generic competition. To make these assessments, we 
utilize market data for similar products as analogs for our estimations. We use our best judgment to formulate these assumptions 
based on past experience and information available to us at the time. We continually reassess and make appropriate changes to our 
estimates and assumptions as new information becomes available to us.

Our estimate for returns and allowances may be impacted by a number of factors, but the principal factor relates to the level 
of inventory in the distribution channel. Where available, we utilize information received from our wholesaler customers about the 
quantities of inventory held, including the information received pursuant to DSAs, which we have not independently verified. For 
other customers, we have estimated inventory held based on buying patterns. In addition, we evaluate market conditions for 
products primarily through the analysis of wholesaler and other third party sell-through data, as well as internally-generated 
information, to assess factors that could impact expected product demand at the estimate date. As of December 31, 2019, we 
believe that our estimates of the level of inventory held by our customers is within a reasonable range as compared to both 
historical amounts and expected demand for each respective product.

When we are aware of an increase in the level of inventory of our products in the distribution channel, we consider the 
reasons for the increase to determine whether we believe the increase is temporary or other-than-temporary. Increases in inventory 
levels assessed as temporary will not result in an adjustment to our provision for returns and allowances. Some of the factors that 
may be an indication that an increase in inventory levels will be temporary include:

recently implemented or announced price increases for our products; and
• 
•  new product launches or expanded indications for our existing products.

53

Table of Contents

Conversely, other-than-temporary increases in inventory levels may be an indication that future product returns could be 

higher than originally anticipated and, accordingly, we may need to adjust our provision for returns and allowances. Some of the 
factors that may be an indication that an increase in inventory levels will be other-than-temporary include:

•  declining sales trends based on prescription demand;
• 

recent regulatory approvals to shorten the shelf life of our products, which could result in a period of higher returns 
related to older product still in the distribution channel;
introduction of new product or generic competition;
increasing price competition from generic competitors; and

• 
• 
•  changes to the National Drug Codes (NDCs) of our products, which could result in a period of higher returns related to 
product with the old NDC, as our customers generally permit only one NDC per product for identification and tracking 
within their inventory systems.

Rebates

Our provision for rebates, sales incentives and other allowances can generally be categorized into the following four types:

indirect rebates;

•  direct rebates;
• 
•  governmental rebates, including those for Medicaid, Medicare and TRICARE, among others; and
•  managed-care rebates.

We establish contracts with wholesalers, chain stores and indirect customers that provide for rebates, sales incentives, DSA 
fees and other allowances. Some customers receive rebates upon attaining established sales volumes. Direct rebates are generally 
rebates paid to direct purchasing customers based on a percentage applied to a direct customer’s purchases from us, including fees 
paid to wholesalers under our DSAs, as described above. Indirect rebates are rebates paid to indirect customers that have purchased 
our products from a wholesaler under a contract with us.

We are subject to rebates on sales made under governmental and managed-care pricing programs based on relevant statutes 
with respect to governmental pricing programs and contractual sales terms with respect to managed-care providers and GPOs. For 
example, we are required to provide a discount on our brand-name products to patients who fall within the Medicare Part D 
coverage gap, also referred to as the donut hole.

We participate in various federal and state government-managed programs whereby discounts and rebates are provided to 
participating government entities. For example, Medicaid rebates are amounts owed based upon contractual agreements or legal 
requirements with public sector (Medicaid) benefit providers after the final dispensing of the product by a pharmacy to a benefit 
plan participant. Medicaid reserves are based on expected payments, which are driven by patient usage, contract performance and 
field inventory that will be subject to a Medicaid rebate. Medicaid rebates are typically billed up to 180 days after the product is 
shipped, but can be as much as 270 days after the quarter in which the product is dispensed to the Medicaid participant. 
Periodically, we adjust the Medicaid rebate provision based on actual claims paid. Due to the delay in billing, adjustments to actual 
claims paid may incorporate revisions of this provision for several periods. Because Medicaid pricing programs involve 
particularly difficult interpretations of complex statutes and regulatory guidance, our estimates could differ from actual experience.

In determining our estimates for rebates, we consider the terms of our contracts and relevant statutes, together with 

information about sales mix (to determine which sales are subject to rebates and the amount of such rebates), historical 
relationships of rebates to revenues, past payment experience, estimated inventory levels of our customers and estimated future 
trends. Our provisions for rebates include estimates for both unbilled claims for end-customer sales that have already occurred and 
future claims that will be made when inventory in the distribution channel is sold through to end-customer plan participants. 
Changes in the level of utilization of our products through private or public benefit plans and GPOs will affect the amount of 
rebates that we owe.

Chargebacks

We market and sell products to both: (i) direct customers including wholesalers, distributors, warehousing pharmacy chains 
and other direct purchasing groups and (ii) indirect customers including independent pharmacies, non-warehousing chains, MCOs, 
GPOs and government entities. We enter into agreements with certain of our indirect customers to establish contract pricing for 
certain products. These indirect customers then independently select a wholesaler from which to purchase the products at these 
contracted prices. Alternatively, we may pre-authorize wholesalers to offer specified contract pricing to other indirect customers. 
Under either arrangement, we provide credit to the wholesaler for any difference between the contracted price with the indirect 
customer and the wholesaler’s invoice price. Such credit is called a chargeback.

Our provision for chargebacks consists of our estimates for the credits described above. The primary factors we consider in 

developing and evaluating our provision for chargebacks include:
the average historical chargeback credits;

• 
•  estimated future sales trends; and

54

Table of Contents

•  an estimate of the inventory held by our wholesalers, based on internal analysis of a wholesaler’s historical purchases 

and contract sales.

Other sales deductions

We offer prompt-pay cash discounts to certain of our customers. Provisions for such discounts are estimated and recorded at 

the time of sale. We estimate provisions for cash discounts based on contractual sales terms with customers, an analysis of unpaid 
invoices and historical payment experience. Estimated cash discounts have historically been predictable and less subjective due to 
the limited number of assumptions involved, the consistency of historical experience and the fact that we generally settle these 
amounts within 30 to 60 days.

Shelf-stock adjustments are credits issued to our customers to reflect decreases in the selling prices of our products. These 
credits are customary in the industry and are intended to reduce a customer’s inventory cost to better reflect current market prices. 
The determination to grant a shelf-stock credit to a customer following a price decrease is generally at our discretion, rather than 
contractually required. The primary factors we consider when deciding whether to record a reserve for a shelf-stock adjustment 
include:

• 

• 

• 

the estimated number of competing products being launched as well as the expected launch date, which we determine 
based on market intelligence;
the estimated decline in the market price of our product, which we determine based on historical experience and 
customer input; and
the estimated levels of inventory held by our customers at the time of the anticipated decrease in market price, which 
we determine based upon historical experience and customer input.

Valuation of long-lived assets

As of December 31, 2019, our combined long-lived assets balance, including property, plant and equipment and finite-lived 

intangible assets, is approximately $3.0 billion. Our finite-lived intangible assets consist of license rights and developed 
technology.

Long-lived assets are generally initially recorded at fair value if acquired in a business combination, or at cost if otherwise. 

To the extent any such asset is deemed to have a finite life, it is then amortized over its estimated useful life using either the 
straight-line method or, in the case of certain developed technology assets, an accelerated amortization model. The values of these 
various assets are subject to continuing scientific, medical and marketplace uncertainty. Factors giving rise to our initial estimate of 
useful lives are subject to change. Significant changes to any of these factors may result in a reduction in the useful life of the asset 
and an acceleration of related amortization expense, which could cause our net income and net income per share to decrease. 
Amortization expense is not recorded on assets held for sale.

Long-lived assets are assessed for impairment whenever events or changes in circumstances indicate the carrying amounts 

of the assets may not be recoverable. Recoverability of an asset that will continue to be used in our operations is measured by 
comparing the carrying amount of the asset to the forecasted undiscounted future cash flows related to the asset. In the event the 
carrying amount of the asset exceeds its undiscounted future cash flows and the carrying amount is not considered recoverable, 
impairment may exist. An impairment loss, if any, is measured as the excess of the asset’s carrying amount over its fair value, 
generally based on a discounted future cash flow method, independent appraisals or offers from prospective buyers. An impairment 
loss would be recognized in the Consolidated Statements of Operations in the period that the impairment occurs. As a result of the 
significance of our long-lived assets, any recognized impairment loss could have a material adverse impact on our financial 
position and results of operations.

Our reviews of long-lived assets during the two years ended December 31, 2019 resulted in certain impairment charges. The 

majority of these charges related to finite-lived intangible assets, which are described in Note 10. Goodwill and Other Intangibles 
in the Consolidated Financial Statements included in Part IV, Item 15 of this report. Our impairment charges relating to long-lived 
assets were generally based on fair value estimates determined using either discounted cash flow models or offers from prospective 
buyers. When testing a long-lived asset using a discounted cash flow model, we utilize assumptions related to the future operating 
performance of the corresponding product based on management’s annual and ongoing budgeting, forecasting and planning 
processes, which represent our best estimate of future cash flows. These estimates are subject to many assumptions, such as the 
economic environment in which our segments operate, demand for our products, competitor actions and factors which could affect 
our tax rate. Estimated future pre-tax cash flows are adjusted for taxes using a market participant tax rate and discounted to present 
value using a market participant, weighted average cost of capital. Financial and credit market volatility directly impacts certain 
inputs and assumptions used to develop the weighted average cost of capital such as the risk-free interest rate, industry beta, debt 
interest rate and our market capital structure. These assumptions are based on significant inputs not observable in the market and 
thus represent Level 3 measurements within the fair value hierarchy. The use of different inputs and assumptions would increase or 
decrease our estimated discounted future cash flows, the resulting estimated fair values and the amounts of our related 
impairments, if any. The discount rates applied to intangible long-lived assets impaired in 2019 ranged from 9.5% to 12.0%.

55

Table of Contents

Events giving rise to impairment are an inherent risk in the pharmaceutical industry and cannot be predicted. Factors that we 

consider in deciding when to perform an impairment review include significant under-performance of a product line in relation to 
expectations, competitive events affecting the expected future performance of a product line, significant negative industry or 
economic trends and significant changes or planned changes in our use of the assets.

Each category of long-lived intangible assets is described further below.

Developed Technology. Our developed technology assets subject to amortization have useful lives ranging from 4 years to 

20 years, with a weighted average useful life of approximately 11 years. We determine amortization periods and methods of 
amortization for developed technology assets based on our assessment of various factors impacting estimated useful lives and the 
timing and extent of estimated cash flows of the acquired assets, including the strength of the intellectual property protection of the 
product (if applicable), contractual terms and various other competitive and regulatory issues. 

License Rights. Our license rights subject to amortization have useful lives ranging from 12 years to 15 years, with a 
weighted average useful life of approximately 14 years. We determine amortization periods for licenses based on our assessment of 
various factors including the expected launch date of the product, the strength of the intellectual property protection of the product 
(if applicable), contractual terms and various other competitive, developmental and regulatory issues. 

Goodwill and indefinite-lived intangible assets

As of December 31, 2019, our combined goodwill and indefinite-lived intangible assets balance is approximately $3.7 

billion.

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.

We perform the goodwill impairment test by comparing the fair value and carrying amount of each reporting unit. Any 

goodwill impairment charge we recognize for a reporting unit is equal to the lesser of (i) the total goodwill allocated to that 
reporting unit and (ii) the amount by which that reporting unit’s carrying amount exceeds its fair value. 

Similarly, we perform our indefinite-lived intangible asset impairment tests by comparing the fair value of each intangible 
asset with its carrying amount. If the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment 
loss is recognized in an amount equal to that excess.

We estimate the fair values of our reporting units and of identified indefinite-lived 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, all of which may differ from actual 
future cash flows.

Assumptions related to future operating performance are based on management’s annual and ongoing budgeting, forecasting 

and planning processes, which represent our best estimate of future cash flows. These estimates are subject to many assumptions, 
such as the economic environment in which our segments operate, demand for our products, competitor actions and factors which 
could affect our tax rate. Estimated future pre-tax cash flows are adjusted for taxes using a market participant tax rate and 
discounted to present value using a market participant, weighted average cost of capital. Financial and credit market volatility 
directly impacts certain inputs and assumptions used to develop the weighted average cost of capital such as the risk-free interest 
rate, industry beta, debt interest rate and our market capital structure. These assumptions are based on significant inputs not 
observable in the market and thus represent Level 3 measurements within the fair value hierarchy. The use of different inputs and 
assumptions would increase or decrease our estimated discounted future cash flows, the resulting estimated fair values and the 
amounts of our related impairments, if any.

In order to assess the reasonableness of the calculated fair values of our reporting units, we also compare the sum of the 

reporting units’ fair values to Endo’s market capitalization and calculate an implied control premium (the excess sum of the 
reporting units’ fair values over the market capitalization) or an implied control discount (the excess sum of total invested capital 
over the sum of the reporting units’ fair values). The Company evaluates the implied control premium or discount by comparing it 
to control premiums or discounts of recent comparable market transactions, as applicable. If the control premium or discount is not 
reasonable in light of comparable recent transactions, or recent movements in the Company’s share price, we reevaluate the fair 
value estimates of the reporting units by adjusting discount rates and/or other assumptions. This re-evaluation could correlate to 
different implied fair values for certain or all of the Company’s reporting units.

As further described in Note 10. Goodwill and Other Intangibles in the Consolidated Financial Statements included in Part 

IV, Item 15 of this report, we recorded pre-tax, non-cash goodwill impairment charges relating to our Generic Pharmaceuticals 
reporting unit of $86.0 million and $65.1 million during the first and second quarters of 2019, respectively. Following the second-
quarter 2019 impairment, there was no remaining goodwill associated with this reporting unit.

56

Table of Contents

Endo subsequently performed its annual goodwill and indefinite-lived intangible assets impairment tests as of October 1, 
2019. For the purpose of the 2019 annual tests, the Company had three reporting units with goodwill: Branded Pharmaceuticals, 
Sterile Injectables and Paladin. The fair values of each of our reporting units and of our indefinite-lived intangible assets were 
determined using an income approach with discount rates ranging from 9.5% to 13.5%, depending 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. As a result of the 2019 annual test, the Company recorded a pre-tax non-cash 
goodwill impairment charge of $20.8 million during the fourth quarter of 2019 related to its Paladin reporting unit. No other 
goodwill or indefinite-lived intangible asset impairment charges were recorded as a result of the 2019 annual test. A 50 basis point 
increase in the assumed discount rate utilized in each test would have increased our Paladin reporting unit goodwill impairment 
charge by approximately $5 million and would not have changed the outcomes of our Branded Pharmaceuticals and Sterile 
Injectables goodwill impairment tests or our indefinite-lived intangible asset impairment tests.

Additional information about the impairment tests is provided in Note 10. Goodwill and Other Intangibles in the 

Consolidated Financial Statements included in Part IV, Item 15 of this report.

Income taxes

Our income tax expense, deferred tax assets and liabilities, income tax payable and reserves for unrecognized tax benefits 

reflect our best assessment of estimated current and future taxes to be paid. We are subject to income taxes in the U.S. and 
numerous other jurisdictions in which we operate. Significant judgments and estimates are required in determining the 
consolidated income tax expense or benefit for financial statement purposes. Deferred income taxes arise from temporary 
differences, which result in future taxable or deductible amounts, between the tax basis of assets and liabilities and the 
corresponding amounts reported in our Consolidated Financial Statements. In assessing the ability to realize deferred tax assets, we 
consider, when appropriate, future taxable income by tax jurisdiction and tax planning strategies. Where appropriate, we record a 
valuation allowance to reduce our net deferred tax assets to equal an amount that is more likely than not to be realized. In 
projecting future taxable income, we consider historical results, adjusted in certain cases for the results of discontinued operations, 
changes in tax laws or nonrecurring transactions. We incorporate assumptions about the amount of future earnings within a specific 
jurisdiction’s pretax income, adjusted for material changes included in business operations. The assumptions about future taxable 
income require significant judgment and, while these assumptions rely heavily on estimates, such estimates are consistent with the 
plans we are using to manage the underlying businesses. Future changes in tax laws and rates, including further administrative or 
regulatory guidance related to the TCJA, could affect recorded deferred tax assets and liabilities. Any adjustments to these 
estimates will generally be recorded as an income tax expense or benefit in the period the adjustment is determined.

The calculation of our tax liabilities often involves dealing with uncertainties in the application of complex tax laws and 

regulations in a multitude of jurisdictions across our global operations. A benefit from an uncertain tax position may be recognized 
when it is more likely than not that the position will be sustained on the basis of the technical merits upon examination, including 
resolutions of any related appeals or litigation processes. We first record unrecognized tax benefits as liabilities and then adjust 
these liabilities when our judgment changes as a result of the evaluation of new information not previously available at the time of 
establishing the liability. Because of the complexity of some of these uncertainties, the ultimate resolution may result in a payment, 
potentially including interest and penalties, that is materially different from our current estimate of the unrecognized tax benefit 
liabilities. These differences, along with any related interest and penalties, will generally be reflected as increases or decreases to 
income tax expense in the period in which new information becomes available.

We make an evaluation at the end of each reporting period as to whether or not some or all of the undistributed earnings of 
our subsidiaries are indefinitely reinvested. While we may have concluded in the past that some of such undistributed earnings are 
indefinitely reinvested, facts and circumstances may change in the future. Changes in facts and circumstances may include changes 
in the estimated capital needs of our subsidiaries or in our corporate liquidity requirements. Such changes could result in our 
management determining that some or all of such undistributed earnings are no longer indefinitely reinvested. In that event, we 
would be required to adjust our income tax provision in the period we determined that the earnings will no longer be indefinitely 
reinvested outside the relevant tax jurisdiction.

Contingencies

The Company is subject to various patent challenges, product liability claims, government investigations and other legal 

proceedings in the ordinary course of business. Material legal proceedings are discussed in Note 15. Commitments and 
Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report. Contingent accruals and legal 
settlements are recorded in the Consolidated Statements of Operations as Litigation-related and other contingencies, net (or as 
Discontinued operations, net of tax in the case of vaginal mesh matters) when the Company determines that a loss is both probable 
and reasonably estimable. Legal fees and other expenses related to litigation are expensed as incurred and included in Selling, 
general and administrative expenses in the Consolidated Statements of Operations (or as Discontinued operations, net of tax in the 
case of vaginal mesh matters).

57

Table of Contents

Due to the fact that legal proceedings and other contingencies are inherently unpredictable, our estimates of the probability 
and amount of any such liabilities involve significant judgment regarding future events. The factors we consider in developing our 
liabilities for legal proceedings include the merits and jurisdiction of the proceeding, the nature and the number of other similar 
current and past proceedings, the nature of the product and the current assessment of the science subject to the proceeding, if 
applicable, and the likelihood of the conditions of settlement being met.

In order to evaluate whether a claim is probable of loss, we may rely on certain information about the claim. Without access 

to and review of such information, we may not be in a position to determine whether a loss is probable. Further, the timing and 
extent to which we obtain any such information, and our evaluation thereof, is often impacted by items outside of our control 
including, without limitation, the normal cadence of the litigation process and the provision of claim information to us by 
plaintiff’s counsel. The amount of our liabilities for legal proceedings may change as we receive additional information and/or 
become aware of additional asserted or unasserted claims. Additionally, there is a possibility that we will suffer adverse decisions 
or verdicts of substantial amounts or that we will enter into additional monetary settlements, either of which could be in excess of 
amounts previously accrued for. Any changes to our liabilities for legal proceedings could have a material adverse effect on our 
business, financial condition, results of operations and cash flows.

As of December 31, 2019, our accrual for loss contingencies totaled $513.0 million, the most significant components of 

which relate to product liability and related matters associated with vaginal mesh. 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.

RESULTS OF OPERATIONS

Consolidated Results Review

The following table displays our revenue, gross margin, gross margin percentage and other pre-tax expense or income for the 

years ended December 31, 2019 and 2018 (dollars in thousands):

Total revenues, net

Cost of revenues

Gross margin
Gross margin percentage

Selling, general and administrative

Research and development

Litigation-related and other contingencies, net

Asset impairment charges

Acquisition-related and integration items, net

Interest expense, net

Gain on extinguishment of debt
Other expense (income), net

2019

2018

$ 2,914,364

$ 2,947,078

1,569,338

1,631,682

$ 1,345,026

$ 1,315,396

46.2%

44.6%

632,420

130,732

11,211

526,082
(46,098)
538,734
(119,828)
16,677
(344,904)

646,037

185,826

13,809

916,939

21,914

521,656

—
(51,953)
(938,832)

$

% Change

2019 vs. 2018

(1)%
(4)%
2 %

(2)%
(30)%
(19)%
(43)%
NM

3 %

NM
NM
(63)%

Loss from continuing operations before income tax

$

__________

NM indicates that the percentage change is not meaningful or is greater than 100%.

Total revenues, net. 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, as further described 
below, increased during 2019. Revenues from our Branded Pharmaceuticals segment’s Established Products portfolio and both our 
Generic Pharmaceuticals and International Pharmaceuticals segments decreased during 2019. Our revenues are further disaggregated 
and described below under the heading “Business Segment Results Review.”

58

Table of Contents

Cost of revenues and gross margin percentage. During the years ended December 31, 2019 and 2018, we incurred certain 
charges that impact the comparability of total Cost of revenues, including those related to amortization expense and retention and 
separation benefits and other cost reduction initiatives, including restructurings. The following table summarizes such amounts (in 
thousands):

Amortization of intangible assets (1)

Retention and separation benefits and other cost reduction initiatives (2)

__________

2019

2018

$

$

543,862

5,693

$

$

622,339

60,434

(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 in 2019 was primarily driven by asset impairment charges and decreases in 
the rate of amortization expense for certain assets, partially offset by the impact of certain in-process research and development assets put into service. 

(2)  Amounts primarily relate to certain accelerated depreciation charges, employee separation costs, charges to increase excess inventory reserves related to 

restructurings and other cost reduction and restructuring charges. See Note 4. Restructuring in the Consolidated Financial Statements included in Part IV, Item 
15 of this report for discussion of our material restructuring initiatives.

Reductions to amortization expense and expenses related to retention and separation benefits and other cost reduction initiatives 

resulted in decreased Cost of revenues and increased gross margin percentage. The overall decrease in revenues described above also 
contributed to the decrease in Cost of revenues. Changes in product mix partially offset these items. These changes in mix included 
both the favorable impact of overall shifts to higher margin Sterile Injectables and Specialty Products from lower margin Generic 
Pharmaceuticals and Established Products, as well as the unfavorable impact of increased sales of certain lower margin authorized 
generic products launched since the third quarter of 2018.

Selling, general and administrative expenses. The decrease in 2019 was primarily driven by decreases in long-term incentive 
compensation costs related primarily to the timing of certain 2018 awards, the impact of certain separations, restructurings and other 
cost reduction initiatives and a lower branded prescription drug fee. These decreases were partially offset by increased costs related to 
our continued investment and promotional efforts behind XIAFLEX®, costs associated with our planned commercial launch of CCH 
for the treatment of cellulite in the buttocks, a third-quarter 2019 premium associated with an extended reporting period endorsement 
on an expiring insurance program, increased legal costs related to certain litigation matters and costs related to retention bonuses 
awarded to certain senior management of the Company in 2019. Our material restructuring initiatives and legal proceedings and other 
contingent matters are described more fully in Note 4. Restructuring and Note 15. Commitments and Contingencies, respectively, in 
the Consolidated Financial Statements included in Part IV, Item 15 of this report.

We expect Selling, general and administrative expense in 2020 to increase compared to 2019, primarily due to costs associated 

with our planned commercial launch of CCH for the treatment of cellulite in the buttocks, if approved.

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. In early 2020, we announced that we had initiated our XIAFLEX® development programs for the treatment of 
plantar fibromatosis and adhesive capsulitis. 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, which is further described in 
Note 11. License and Collaboration Agreements in the Consolidated Financial Statements included in Part IV, Item 15 of this report. 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.

In 2019, R&D expense decreased, primarily due to reduced costs associated with our clinical trials of CCH for the treatment of 

cellulite, the impact of a 2018 upfront payment of $35.0 million related to the Nevakar, Inc. agreement and the impact of certain 
separations, restructurings and other cost reduction initiatives. Partially offsetting these decreases was the impact of costs associated 
with certain post-marketing commitments. Our material restructuring initiatives are described more fully in Note 4. Restructuring in 
the Consolidated Financial Statements included in Part IV, Item 15 of this report. 

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 15. Commitments and Contingencies in 
the Consolidated Financial Statements included in Part IV, Item 15 of this report. 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.

59

Table of Contents

Asset impairment charges. The following table presents the components of our total Asset impairment charges for the years 

ended December 31, 2019 and 2018 (in thousands):

Goodwill impairment charges

Other intangible asset impairment charges

Property, plant and equipment impairment charges

Total asset impairment charges

2019

2018

171,908

$

347,706

6,468

680,000

230,418

6,521

526,082

$

916,939

$

$

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 10. Goodwill and Other Intangibles in the Consolidated Financial Statements included in Part IV, Item 15 of 
this report. A discussion of critical accounting estimates made in connection with certain of our impairment tests is included above 
under the caption “CRITICAL ACCOUNTING ESTIMATES.”

Acquisition-related and integration items, net. Acquisition-related and integration items, net in 2019 and 2018 primarily 

consist of the net (benefit) expense 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 6. 
Fair Value Measurements in the Consolidated Financial Statements included in Part IV, Item 15 of this report for further discussion of 
our acquisition-related contingent consideration.

Interest expense, net. The components of Interest expense, net for the years ended December 31, 2019 and 2018 are as follows 

(in thousands):

Interest expense

Interest income

Interest expense, net

2019

2018

$

$

558,680
(19,946)
538,734

$

$

534,850

(13,194)

521,656

The increase in interest expense in 2019 was primarily attributable to changes to LIBOR that impacted our variable-rate debt, 

increases to the weighted average interest rate applicable to our senior notes and senior secured notes following the March 2019 
Refinancing Transactions and interest expense associated with our June 2019 Revolving Credit Facility draw of $300.0 million. These 
increases were partially offset by the reductions to the amount of our indebtedness associated with the March 2019 Refinancing 
Transactions. Refer to Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report for further 
discussion of these transactions. Changes in interest rates could increase our interest expense in the future, which could have 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) loss on extinguishment of debt. The gain on extinguishment of debt recognized in 2019 relates to the March 2019 
Refinancing Transactions. Refer to Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report 
for further discussion.

Other expense (income), net. The components of Other expense (income), net for the years ended December 31, 2019 and 

2018 are as follows (in thousands):

Net gain on sale of business and other assets

Foreign currency loss (gain), net

Net loss from our investments in the equity of other companies

Other miscellaneous, net

Other expense (income), net

2019

2018

(6,367) $
5,247

2,346

15,451

(45,155)

(3,762)

3,444

(6,480)

16,677

$

(51,953)

$

$

For additional information on the components of Other expense (income), net, refer to Note 19. Other Expense (Income), Net in 

the Consolidated Financial Statements included in Part IV, Item 15 of this report.

60

Table of Contents

Income tax expense (benefit). The following table displays our Loss from continuing operations before income tax, Income tax 

expense and Effective tax rate for the years ended December 31, 2019 and 2018 (dollars in thousands):

Loss from continuing operations before income tax

Income tax expense
Effective tax rate

2019

2018

$ (344,904)

$ (938,832)

$

15,680

$

22,935

(4.5)%

(2.4)%

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 income tax expense in 2019 primarily related to accrued interest on uncertain tax positions. The income tax expense in 

2018 primarily related to the establishment of a valuation allowance against certain U.S. deferred tax assets.

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 December 31, 2019, it is possible that there could be material reversals, particularly if certain proposed law changes 
were to be enacted.

The 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. The IRS may 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. See the risk factor “We may not be able to successfully maintain our low tax rates or other tax 
positions, which could adversely affect our businesses and financial condition, results of operations and growth prospects” in Part I, 
Item 1A of this document for more information.

For additional information on our income taxes, see Note 20. Income Taxes in the Consolidated Financial Statements included 

in Part IV, Item 15 of this report.

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 Consolidated Statements of Operations for all periods 
presented. The results of our discontinued operations, net of tax, were losses of $62.1 million and $69.7 million in 2019 and 2018, 
respectively. These amounts consist of Litigation-related and other contingencies, net of $30.4 million and $34.0 million, respectively, 
mesh-related legal defense costs and certain other items. For additional discussion of mesh-related matters, refer to Note 15. 
Commitments and Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report.

Key Trends. We estimate that the following factors will impact our 2020 total revenues as compared to 2019:

•  growth in the Specialty Products portfolio of our Branded Pharmaceuticals segment, primarily driven by increased 

revenues following continued investments in XIAFLEX®;

•  growth in the Sterile Injectables segment, driven by continued performance of VASOSTRICT®, partially offset by 

declines in certain other Sterile Injectables due to assumed competitive pressures; and

•  declines in the Generic Pharmaceuticals segment, the Established Products portfolio of the Branded Pharmaceuticals 
segment and the International Pharmaceuticals segment, primarily driven by competitive pressures impacting these 
product portfolios. The expected decline in the Generic Pharmaceuticals segment primarily relates to assumed competition 
for colchicine tablets, the authorized generic of Colcrys®. For more information, see the risk factor “If we fail to 
successfully identify and develop additional branded and generic pharmaceutical products, obtain and maintain exclusive 
marketing rights for our branded and generic products or fail to introduce branded and generic products on a timely basis, 
our revenues, gross margin and operating results may decline.”

These estimated trends reflect the current expectations of the Company’s management team based on information currently 
known to them. These estimates are subject to risks and uncertainties that could cause our actual results to differ materially from those 
indicated by such estimated trends.

61

Table of Contents

Business Segment Results Review

During the first quarter of 2019, the Company changed the names of its reportable segments. This change, which was intended 

to simplify the segments’ names, had no impact on the Company’s Consolidated Financial Statements or segment results for any of the 
periods presented. Refer to Note 5. Segment Results in the Consolidated Financial Statements included in Part IV, Item 15 of this 
report for further details regarding this change, our reportable segments in general and segment adjusted income from continuing 
operations before income tax (the measure we use to evaluate segment performance), as well as reconciliations of Total consolidated 
loss from continuing operations before income tax, which is determined in accordance with U.S. GAAP, to our total segment adjusted 
income from continuing operations before income tax.

We refer to segment adjusted income 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 segment adjusted income 
from continuing operations before income tax may be useful to investors as we are aware that certain of our significant shareholders 
utilize segment adjusted income from continuing operations before income tax to evaluate our financial performance. Finally, segment 
adjusted income 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.

There are limitations to using financial measures such as segment adjusted income from continuing operations before income 
tax. Other companies in our industry may define segment adjusted income from continuing operations before income tax differently 
than we do. As a result, it may be difficult to use segment adjusted income 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, segment adjusted income 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 5. Segment Results in the Consolidated Financial Statements included in Part 
IV, Item 15 of this report, reconciliations of Total consolidated loss from continuing operations before income tax, which is determined 
in accordance with U.S. GAAP, to our total segment adjusted income from continuing operations before income tax.

Revenues, net. The following table displays our revenue by reportable segment for the years ended December 31, 2019 and 

2018 (dollars in thousands):

Branded Pharmaceuticals

Sterile Injectables

Generic Pharmaceuticals

International Pharmaceuticals (1)

Total net revenues from external customers

__________

2019

$

855,402

$

1,063,131

879,882

115,949

2018

862,832

929,566

1,012,215

142,465

$

2,914,364

$

2,947,078

% Change

2019 vs. 2018

(1)%
14 %
(13)%
(19)%
(1)%

(1)  Revenues generated by our International Pharmaceuticals segment are primarily attributable to external customers located in Canada. 

62

Table of Contents

Branded Pharmaceuticals. The following table displays the significant components of our Branded Pharmaceuticals revenues 

from external customers for the years ended December 31, 2019 and 2018 (dollars in thousands):

Specialty Products:

XIAFLEX®

SUPPRELIN® LA

Other Specialty (1)

Total Specialty Products
Established Products:

PERCOCET®

TESTOPEL®

Other Established (2)

Total Established Products

Total Branded Pharmaceuticals (3)

__________

2019

2018

2019 vs. 2018

% Change

$

$

$

$

$

327,638

$

264,638

86,797

105,241

519,676

116,012

55,244

164,470

335,726

855,402

$

$

$

$

81,707

98,230

444,575

122,901

58,377

236,979

418,257

862,832

24 %

6 %

7 %

17 %

(6)%
(5)%
(31)%
(20)%
(1)%

(1)  Products included within Other Specialty are NASCOBAL® Nasal Spray and AVEED®. Beginning with our first-quarter 2019 reporting, TESTOPEL®, which 

was previously included in Other Specialty, has been reclassified and is now included in the Established Products portfolio for all periods presented.

(2)  Products included within Other Established include, but are not limited to, LIDODERM®, EDEX® and VOLTAREN® Gel.
(3) 

Individual products presented above represent the top two performing products in each product category for the year ended December 31, 2019 and/or any 
product having revenues in excess of $100 million during any of the years ended December 31, 2019, 2018 or 2017 or $25 million during any quarterly period 
in 2019 or 2018.

Specialty Products

The increase in XIAFLEX® in 2019 was primarily attributable to demand growth driven by the continued investment and 

promotional efforts behind XIAFLEX®, as well as price.

The increase in SUPPRELIN® LA in 2019 was primarily attributable to increases in both volume and price.

The increase in Other Specialty Products in 2019 was primarily attributable to increased volume of both NASCOBAL® Nasal 

Spray and AVEED®.

Established Products

The decrease in PERCOCET® in 2019 was primarily attributable to decreased volume, partially offset by increased price.

The decrease in TESTOPEL® in 2019 was primarily attributable to both price and volume decreases.

The decrease in Other Established Products in 2019 was 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 years ended December 31, 2019 and 2018 (dollars in thousands):

VASOSTRICT®

ADRENALIN®
Ertapenem for injection

APLISOL®

Other Sterile Injectables (1)

Total Sterile Injectables (2)

__________

2019

2018

% Change

2019 vs. 2018

$

531,737

$

179,295

104,679

61,826

185,594

$

1,063,131

$

453,767

143,489

57,668

64,913

209,729

929,566

17 %

25 %

82 %
(5)%
(12)%
14 %

(1)  Products included within Other Sterile Injectables include ephedrine sulfate injection, treprostinil for injection and others.
(2) 

Individual products presented above represent the top two performing products within the Sterile Injectables segment for the year ended December 31, 2019 
and/or any product having revenues in excess of $100 million during any of the years ended December 31, 2019, 2018 or 2017 or $25 million during any 
quarterly period in 2019 or 2018.

63

Table of Contents

The increase in VASOSTRICT® in 2019 was primarily attributable to changes in price, volume and mix of business. As of 
December 31, 2019, we have six patents for VASOSTRICT® listed in the Orange Book and additional patents pending with the PTO. 
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 15. Commitments 
and Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report under the heading 
“VASOSTRICT® Related Matters,” we are aware of certain competitive actions taken by other pharmaceutical companies related to 
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, profitability and cash flows.

The increase in ADRENALIN® in 2019 was primarily attributable to increased price and volume.

Ertapenem for injection, the authorized generic of Invanz®, launched during the third quarter of 2018. The increase in 2019 was 

driven by the timing of this product’s launch.

The decrease in APLISOL® in 2019 was primarily attributable to decreased volume, partially offset by increased price.

The decrease in Other Sterile Injectables in 2019 was primarily driven by certain competitive pressures impacting multiple 

products in this portfolio.

Generic Pharmaceuticals. The decrease for the Generic Pharmaceuticals segment in 2019 was primarily attributable to 
continued competitive pressure on commoditized generic products. Partially offsetting the decrease were the impacts of certain recent 
product launches including, among others, the second-quarter 2019 launch of albuterol sulfate HFA inhalation aerosol, the authorized 
generic of Proventil®, and the third-quarter 2018 launch of colchicine tablets.

International Pharmaceuticals. The decrease for the International Pharmaceuticals segment in 2019 was primarily attributable 

to competitive pressures in certain international markets and the impact of certain product discontinuation activities.

Segment adjusted income from continuing operations before income tax. The following table displays our segment adjusted 

income from continuing operations before income tax by reportable segment for the years ended December 31, 2019 and 2018 (dollars 
in thousands):

Branded Pharmaceuticals

Sterile Injectables

Generic Pharmaceuticals

International Pharmaceuticals

2019

2018

362,711

780,799

158,400

44,758

$

$

$

$

368,790

695,363

317,892

59,094

$

$

$

$

% Change

2019 vs. 2018

(2)%
12 %
(50)%
(24)%

Branded Pharmaceuticals. The decrease in 2019 was primarily attributable to increased costs related to our continued 
investment and promotional efforts behind XIAFLEX® and costs associated with our planned commercial launch of CCH for the 
treatment of cellulite in the buttocks. This was offset by increased gross margins resulting from changes in product mix and lower 
R&D expense resulting from reduced costs associated with our clinical trials of CCH, partially offset by increased costs associated 
with certain post-marketing commitments.

Sterile Injectables. The increase in 2019 was primarily driven by increased revenues and gross margins resulting from strong 

performance across several products in this segment.

Generic Pharmaceuticals. The decrease in 2019 was primarily attributable to decreased revenues as described above and the 
resulting reduction to gross margin. Additionally, gross margin was negatively impacted by changes in product mix resulting from 
increased sales of certain lower margin authorized generic products. These decreases were partially offset by reduced expenses 
including the impact of certain restructuring and other cost saving initiatives and a lower branded prescription drug fee. Our material 
restructuring initiatives are described in Note 4. Restructuring in the Consolidated Financial Statements included in Part IV, Item 15 of 
this report.

International Pharmaceuticals. The decrease in 2019 was primarily attributable to decreased revenues as described above and 

the resulting reduction to gross margin.

64

Table of Contents

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, acquisitions, contingent liabilities, debt service 
payments and litigation-related matters, including vaginal mesh liability payments. The Company’s working capital was $1,125.9 
million at December 31, 2019 compared to working capital of $393.1 million at December 31, 2018. The amounts at December 31, 
2019 and December 31, 2018 include restricted cash and cash equivalents of $242.8 million and $299.7 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.

Cash and cash equivalents, which primarily consisted of bank deposits and money market accounts, totaled $1,454.5 million at 
December 31, 2019 compared to $1,149.1 million at December 31, 2018. We 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. However, 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 expenses in 
connection with our business operations, including expenses related to our ongoing and future legal proceedings and governmental 
investigations and other contingent liabilities. 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.

From time to time, we may 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, to issue equity (including convertible securities) or to repurchase, redeem, exchange or refinance 
our existing indebtedness (including the Credit Agreement). In order to finance any such transactions, we may need to obtain 
additional funding and in certain circumstances we may issue additional secured indebtedness. Any of these transactions could impact 
our liquidity or results of operations.

We may also require additional financing to fund our future operational needs or for future corporate transactions, including 
acquisitions. We have historically had broad access to financial markets that provide liquidity; however, we cannot be certain that 
funding will be available to us in the future on terms acceptable to us, or at all. Any issuances of equity securities or convertible 
securities, in connection with an acquisition or otherwise, could have a dilutive effect on the ownership interest of our current 
shareholders and may adversely impact net income per share in future periods. An acquisition may be accretive or dilutive and, by its 
nature, involves numerous risks and uncertainties. As a result of acquisition efforts, if any, we are likely to experience significant 
charges to earnings for merger and related expenses (whether or not the acquisitions are consummated) that may include transaction 
costs, closure costs or costs of restructuring activities.

We consider the undistributed earnings from the majority of our subsidiaries as of December 31, 2019 to be indefinitely 

reinvested outside of Ireland and, accordingly, neither income tax nor withholding taxes have been provided thereon. As of 
December 31, 2019, indefinitely reinvested earnings were approximately $1,092.0 million. We do not anticipate incurring tax in 
deploying funds to satisfy liquidity needs arising in the ordinary course of business.

Indebtedness. The Company and/or certain of its subsidiaries are party to the Credit Agreement governing the Credit Facilities 

(as defined in Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report) and the indentures 
governing our various senior secured and senior unsecured notes. As of December 31, 2019, 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 December 31, 2019. 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 notes contains certain covenants. As of December 31, 2019 and 

December 31, 2018, the Company was in compliance with all such covenants. In addition, after each fiscal year-end, the Company is 
required to perform a calculation of Excess Cash Flow (as defined in the Credit Agreement), which could result in certain pre-
payments of the principal relating to the Term Loan Facility in accordance with the terms of the Credit Agreement. No such payment 
is required at December 31, 2019.

Refer to Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report for additional 

information about our indebtedness, including information about covenants, maturities, interest rates, security and priority.

65

Table of Contents

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.

Working capital. The components of our working capital and our liquidity at December 31, 2019 and December 31, 2018 are 

below (dollars in thousands):

Total current assets

Less: total current liabilities

Working capital

Current ratio (total current assets divided by total current liabilities)

December 31,
2019

December 31,
2018

$

$

2,586,218

1,460,289

1,125,929

$

$

1.8:1

2,343,150

1,950,096

393,054

1.2:1

Net working capital increased by $732.9 million from December 31, 2018 to December 31, 2019. This increase primarily 
reflects the increase to cash of $300.0 million as a result of the June 2019 borrowing under the Revolving Credit Facility and the 
favorable impact to net current assets resulting from operations during the year ended December 31, 2019. This activity was partially 
offset by certain items that occurred during the year ended December 31, 2019 including, but not limited to, the impact of adopting 
ASC 842, which resulted in a net decrease to working capital of approximately $10.7 million, purchases of property, plant and 
equipment, excluding capitalized interest, of $63.9 million and our incurrence of financing fees in connection with the March 2019 
Refinancing Transactions.

The following table summarizes our Consolidated Statements of Cash Flows for the years ended December 31, 2019 and 2018 

(in thousands):

Net cash flow provided by (used in):

Operating activities

Investing activities

Financing activities

Effect of foreign exchange rate

2019

2018

$

98,052
(60,198)
204,601

1,096

$

267,270

(17,900)

(81,572)

(1,975)

Net increase in cash, cash equivalents, restricted cash and restricted cash equivalents

$

243,551

$

165,823

Operating activities. Net cash provided by 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, MCOs, government agencies, collaborative partners and 
employees, as well as tax payments and refunds in the ordinary course of business.

The $169.2 million decrease in Net cash provided by operating activities in 2019 compared to the prior year was primarily due 

to our results of operations as described above and the timing of cash collections and cash payments related to our operations. Cash 
paid for interest increased by $44.5 million as a result of the timing and amounts of interest payments related to our indebtedness. 
Additionally, we increased inventory levels during the year ended December 31, 2019 in advance of certain recent and planned future 
product launches, which utilized cash. We expect that payments for previously accrued legal matters, which are further discussed in 
Note 15. Commitments and Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report will 
continue to impact our Net cash provided by operating activities in future periods.

Investing activities. The $42.3 million increase in Net cash used in investing activities in 2019 compared to the prior year 
reflects a decrease in Proceeds from sale of business and other assets, net of $63.8 million, offset in part by a decrease in Purchases of 
property, plant and equipment, excluding capitalized interest of $19.5 million.

Financing activities. During 2019, Net cash provided 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 $34.2 
million, Payments for contingent consideration of $16.8 million, Payments of tax withholding for restricted shares of $10.2 million, 
Repayments of other indebtedness of $9.2 million and the net effect of the March 2019 Refinancing Transactions, which resulted in 
Proceeds from issuance of notes, net of $1,483.1 million, cash used for Repayments of notes totaling $1,500.0 million and Payments 
for debt issuance and extinguishment costs of $6.4 million.

During 2018, Net cash used in financing activities related primarily to Payments for contingent consideration of $37.8 million, 

Repayments of term loans of $34.2 million and Payments of tax withholding for restricted shares of $5.4 million.

R&D. Over the past few years, we have incurred significant expenditures related to conducting clinical studies to develop new 

products and expand the value of our existing products beyond their currently approved indications.

66

Table of Contents

For example, as further described above under the heading “RESULTS OF OPERATIONS,” the Company has recently incurred 

R&D expense for certain indications of CCH in various stages of development.

We expect to incur R&D expenditures related to the development and advancement of our current product pipeline and any 
additional product candidates we may add via license, acquisition or organically. There can be no assurance that the results of any 
ongoing or future nonclinical or clinical trials related to these projects will be successful, that additional trials will not be required, that 
any compound, product or indication under development will receive regulatory approval in a timely manner or at all or that such 
compound, product or indication could be successfully manufactured in accordance with local current good manufacturing practices or 
marketed successfully, or that we will have sufficient funds to develop or commercialize any of our products.

Manufacturing, supply and other service agreements. We contract with various third party manufacturers, suppliers and 

service providers to supply our products, or materials used in the manufacturing of our products, and to provide additional services 
such as packaging, processing, labeling, warehousing, distribution and customer service support. Any interruption to the goods or 
services provided for by these and similar contracts could have a material adverse effect on our business, financial condition, results of 
operations and cash flows.

License and collaboration agreements. We could become obligated to make certain contingent payments pursuant to our 
license, collaboration and other agreements. Payments under these agreements generally become due and payable only upon the 
achievement of certain developmental, regulatory, commercial and/or other milestones. Due to the fact that it is uncertain whether and 
when certain of these milestones will be achieved, they have not been recorded in our Consolidated Balance Sheets. In addition, we 
may be required to make sales-based royalty or similar payments under certain arrangements.

Acquisitions. Going forward, our primary focus will be on organic growth. However, we may consider and, as appropriate, 

make acquisitions of other businesses, products, product rights or technologies. Our cash reserves and other liquid assets may be 
inadequate to consummate such acquisitions and it may be necessary for us to issue ordinary shares or raise substantial additional 
funds in the future to complete future transactions. In addition, as a result of any acquisition efforts, we are likely to experience 
significant charges to earnings for merger and related expenses (whether or not our efforts are successful) that may include transaction 
costs, closure costs, integration costs and/or costs of restructuring activities.

Legal proceedings. We are subject to various patent challenges, product liability claims, government investigations and other 

legal proceedings in the ordinary course of business. Contingent accruals are recorded when we determine that a loss is both probable 
and reasonably estimable. Due to the fact that legal proceedings and other contingencies are inherently unpredictable, our assessments 
involve significant judgments regarding future events. For additional discussion of legal proceedings, see Note 15. Commitments and 
Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report.

Contractual Obligations. The following table lists our enforceable and legally binding noncancelable obligations as of 

December 31, 2019.

Total

2020

2021

2022

2023

2024

Thereafter

Payment Due by Period (in thousands)

Long-term debt obligations (1) $ 8,470,678
Interest expense (2)
2,542,549
Finance lease obligations (3)

52,216

Operating lease obligations (3)

Purchase obligations (4)
Mesh-related product liability
settlements (5)

Other obligations and
commitments (6)

Total (7)

$

34,150

$

34,150

$

247,723

$ 1,684,430

$ 3,770,225

$ 2,700,000

525,976

523,927

510,591

457,330

265,400

259,325

70,578
37,471

7,446

14,103
20,319

54,769

54,769

1,602

1,602

7,593

13,262
11,927

—

—

7,743

12,688
818

—

—

7,897

10,017
941

—

—

8,054

5,176
632

—

—

13,483

15,332
2,834

—

—

$11,229,863

$

658,365

$

590,859

$

779,563

$ 2,160,615

$ 4,049,487

$ 2,990,974

__________
(1) 

Includes minimum cash payments related to principal associated with our indebtedness as of December 31, 2019. A discussion of such indebtedness is 
included above under the caption “Indebtedness.” The amounts in this table do not reflect any potential early or accelerated principal payments such as the 
potential payments described in Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report.

(2)  These amounts represent future cash interest payments related to our indebtedness as of December 31, 2019 based on interest rates specified in the associated 
debt agreements. Payments related to variable-rate debt are based on applicable market rates, estimated at December 31, 2019, plus the specified margin in the 
associated debt agreements for each period presented.

(3)  Refer to Note 8. Leases in the Consolidated Financial Statements included in Part IV, Item 15 of this report for additional information about our leases. We 
have entered into agreements to sublease certain properties. Most significantly, we sublease 140,000 square feet of our Malvern, Pennsylvania facility and 
substantially all of our Chesterbrook, Pennsylvania facility. As of December 31, 2019, we expect to receive approximately $24.7 million in future minimum 
rental payments over the remaining terms of the Malvern and Chesterbrook subleases from 2020 to 2024. Amounts of expected sublease income are not 
reflected in the table above.

(4)  Purchase obligations are enforceable and legally binding obligations for purchases of goods and services, including minimum inventory contracts.

67

Table of Contents

(5)  The amounts included above represent contractual payments for mesh-related product liability settlements and reflect the earliest date that a settlement 
payment could be due and the largest amount that could be due on that date. These matters are described in more detail in Note 15. Commitments and 
Contingencies in the Consolidated Financial Statements included in Part IV, Item 15 of this report.

(6)  Other obligations and commitments relate to any agreements to purchase third-party assets, products and services and other minimum royalty obligations.
(7)  Total generally does not include contractual obligations already included in current liabilities on our Consolidated Balance Sheets, except for amounts related 
to the current portion of long-term debt, accrued interest, current lease obligations, mesh-related product liabilities and certain purchase obligations, which are 
discussed below.

For purposes of the table above, obligations for the purchase of goods or services are included only for significant 
noncancelable purchase orders at least one year in length that are enforceable, legally binding and specify all significant terms, 
including fixed or minimum quantities to be purchased, fixed, minimum or variable price provisions and the timing of the obligation. 
In cases where our minimum obligations are variable based on future contingent events or circumstances, we estimate the minimum 
obligations based on information available to us at the time of disclosure. Our purchase orders are based on our current manufacturing 
needs and are typically fulfilled by our suppliers within a relatively short period. At December 31, 2019, we have open purchase 
orders that represent authorizations to purchase, rather than binding agreements, that are not included in the table above. In addition, 
we do not include collaboration agreements and potential payments under those agreements or potential payments related to 
contingent consideration.

Information about our liability for unrecognized tax benefits is included in Note 20. Income Taxes in the Consolidated Financial 
Statements included in Part IV, Item 15 of this report under the caption “Uncertain Tax Positions.” Due to the nature and timing of the 
ultimate outcome of these uncertain tax positions, we cannot make a reliable estimate of the amount and period of related future 
payments, if any. Therefore, our liability has been excluded from the above contractual obligations table.

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, 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.

Growth opportunities. We continue to evaluate growth opportunities including investments, licensing arrangements, 
acquisitions of product rights or technologies, businesses and strategic alliances and promotional arrangements, any of which could 
require significant capital resources. We continue to focus our business development activities on further diversifying our revenue base 
through product licensing and company acquisitions, as well as other opportunities to enhance shareholder value. Through execution 
of our business strategy, we focus on developing new products both internally and with contract and collaborative partners; expanding 
our product lines by acquiring new products and technologies, increasing revenues and earnings through sales and marketing programs 
for our innovative product offerings and effectively using our resources; and providing additional resources to support our businesses.

Non-U.S. operations. Fluctuations in foreign currency rates resulted in a net loss of $5.2 million in 2019 and a net gain of $3.8 

million in 2018.

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.

Item 7A. 

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.

Interest Rate Risk

Our exposure to interest rate risk relates primarily to our variable-rate indebtedness associated with our Credit Facilities. At 

December 31, 2019 and 2018, the aggregate principal amounts of such variable-rate indebtedness were $3,629.6 million and $3,363.8 
million, respectively. Borrowings under the Credit Facilities may from time to time bear interest at variable rates, as further described 
in Note 14. Debt in the Consolidated Financial Statements included in Part IV, Item 15 of this report, in certain cases subject to a floor. 
At December 31, 2019 and 2018, a hypothetical 1% increase in the applicable rate over the floor would have resulted in $36.3 million 
and $33.6 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 December 31, 2019 and 2018, we had no other assets or liabilities with significant interest rate sensitivity.

68

Table of Contents

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 the Company’s 
financial position and results of operations.

All assets and liabilities of our international subsidiaries, which maintain their financial statements in local currency, are 

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 expense (income), net in the Consolidated Statements of Operations. Refer 
to Note 19. Other Expense (Income), Net in the Consolidated Financial Statements included in Part IV, Item 15 of this report for the 
amount of Foreign currency 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 December 31, 2019 and 2018. A 10% change at December 31, 2019 would have resulted in approximately $11 
million in incremental foreign currency losses on such date. A 10% change at December 31, 2018 would have resulted in 
approximately $9 million in incremental foreign currency losses on such date.

Item 8.   

Financial Statements and Supplementary Data

The information required by this item is contained in the financial statements set forth in Item 15. under the caption 

“Consolidated Financial Statements” as part of this Annual Report on Form 10-K.

Item 9.   

Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Not applicable.

Item 9A. 

Controls and Procedures

(a) 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 Exchange Act, as of December 31, 2019. 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 December 31, 2019.

(b) Management’s Report on Internal Control over Financial Reporting

The report of management of the Company regarding internal control over financial reporting is set forth in Item 15. of this 
Annual Report on Form 10-K under the caption “MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL 
REPORTING” and incorporated herein by reference.

(c) Attestation Report of Independent Registered Public Accounting Firm

The attestation report of the Company’s independent registered public accounting firm regarding internal control over financial 

reporting is set forth in Item 15. of this Annual Report on Form 10-K under the caption “REPORT OF INDEPENDENT 
REGISTERED PUBLIC ACCOUNTING FIRM” and incorporated herein by reference.

(d) Changes in Internal Control over Financial Reporting

There have been no changes in the Company’s internal control over financial reporting during the fiscal quarter ended 
December 31, 2019 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over 
financial reporting.

Item 9B. 

Other Information

None.

69

Table of Contents

Item 10.  

Directors, Executive Officers and Corporate Governance

PART III 

Directors

The information concerning our directors required under this item is incorporated herein by reference from our proxy statement, 

which will be filed with the SEC, relating to our 2020 Annual General Meeting (2020 Proxy Statement).

Executive Officers

For information concerning Endo’s executive officers, see Part 1, Item 1 of this report “Business” under the caption 

“Information about our Executive Officers” and our 2020 Proxy Statement.

Code of Ethics

The information concerning our Code of Conduct is incorporated herein by reference from our 2020 Proxy Statement and can 

be viewed on our website, the internet address for which is www.endo.com (intended to be an inactive textual reference only).

Audit Committee

The information concerning our Audit Committee is incorporated herein by reference from our 2020 Proxy Statement.

Audit Committee Financial Experts

The information concerning our Audit Committee Financial Experts is incorporated herein by reference from our 2020 Proxy 

Statement.

Item 11.  

Executive Compensation

The information required under this item is incorporated herein by reference from our 2020 Proxy Statement.

Item 12.  

Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

Equity Compensation Plan Information. The following table sets forth aggregate information for the fiscal year ended 

December 31, 2019 regarding the Company’s compensation plans, under which equity securities of Endo may be issued to employees 
and directors.

Plan Category
Equity compensation plans approved by security holders

Equity compensation plans not approved by security holders

Total

__________

Column A

Column B

Column C

Number of securities
to be issued upon
exercise of
outstanding options,
warrants and rights

Weighted-average
exercise price of
outstanding options,
warrants and rights
(1)

20,639,884

—

20,639,884

$

$

18.93

—

18.93

Number of securities
remaining available
for future issuance
under equity
compensation plans
(excluding securities
reflected in Column
A)

7,675,680

—

7,675,680

(1) Excludes shares of restricted stock units, performance share units and long-term cash incentive awards which will be settled in the Company’s ordinary shares.

The other information required under this item is incorporated herein by reference from our 2020 Proxy Statement.

Item 13.  

Certain Relationships and Related Transactions, and Director Independence

The information required under this item is incorporated herein by reference from our 2020 Proxy Statement.

Item 14.  

Principal Accounting Fees and Services

Information about the fees for 2019 and 2018 for professional services rendered by our independent registered public 

accounting firm is incorporated herein by reference from our 2020 Proxy Statement. Our Audit Committee’s policy on pre-approval of 
audit and permissible non-audit services of our independent registered public accounting firm is incorporated by reference from our 
2020 Proxy Statement.

The information required under this item is incorporated herein by reference from our 2020 Proxy Statement.

70

Table of Contents

Item 15.  

Exhibits, Financial Statement Schedules

(a) The following documents are filed as part of this report:

1.  The Consolidated Financial Statements:

PART IV

Management’s Report on Internal Control Over Financial Reporting
Report of Independent Registered Public Accounting Firm
Consolidated Balance Sheets as of December 31, 2019 and 2018
Consolidated Statements of Operations for the years ended December 31, 2019, 2018 and 2017 
Consolidated Statements of Comprehensive Loss for the years ended December 31, 2019, 2018 and 2017
Consolidated Statements of Shareholders' Equity (Deficit) for the years ended December 31, 2019, 2018 and 2017
Consolidated Statements of Cash Flows for the years ended December 31, 2019, 2018 and 2017
Notes to Consolidated Financial Statements

2.  Financial Statement Schedules

SCHEDULE II—VALUATION AND QUALIFYING ACCOUNTS
(in thousands)

Valuation Allowance For Deferred Tax Assets:

Year Ended December 31, 2017

Year Ended December 31, 2018

Year Ended December 31, 2019

__________

Balance at
Beginning of
Period

Additions, Costs
and Expenses

Deductions,
Write-offs

Other (1)

Balance at End
of Period

$

$

$

4,841,209

8,062,975

9,877,617

$

$

$

3,811,982

2,569,175

299,372

$

$

$

— $
(2,259) $
(9,078) $

(590,216) $
(752,274) $
(338,952) $

8,062,975

9,877,617

9,828,959

(1)  Represents the remeasurement of net deferred tax assets due to changes in statutory tax rates.

All other financial statement schedules have been omitted because they are not applicable or the required information is 

included in the Consolidated Financial Statements or notes thereto.

3.  Exhibits:

Number
3.1

Description
Certificate of Incorporation on re-registration as a public 
limited company of Endo International plc

File Number
001-36326 Current Report on

Filing Type

Filing Date
February 28, 2014

Form 8-K12B

Incorporated by Reference from:

3.2

4.1
4.2

4.3

4.4

Memorandum and Articles of Association of Endo 
International plc, dated as of October 31, 2013 and as amended 
as of June 8, 2017

001-36326 Quarterly Report on

August 8, 2017

Form 10-Q

Description of Registrant’s Securities
Specimen Share Certificate of Endo International plc

Not applicable; filed herewith
333-194253 Form S-8

February 28, 2014

Indenture, dated January 27, 2015, among Endo Designated 
Activity Company (formerly, Endo Limited), Endo Finance 
LLC, Endo Finco Inc., the guarantors named therein and Wells 
Fargo Bank, National Association, as trustee, relating to the 
6.00% Senior Notes due 2025 (including Form of 6.00% 
Senior Notes due 2025 and Form of Supplemental Indenture 
relating to the 6.00% Senior Notes due 2025)

Supplemental Indenture, dated March 27, 2015, among Endo 
Designated Activity Company (formerly, Endo Limited), Endo 
Finance LLC, Endo Finco Inc., the guarantors named therein 
and Wells Fargo Bank, National Association, as trustee, to the 
Indenture, dated January 27, 2015

001-36326 Current Report on

January 27, 2015

Form 8-K

001-36326 Annual Report on

February 29, 2016

Form 10-K

71

Table of Contents

Number
4.5

4.6

4.7

10.1

10.2

10.3

10.4

10.5

10.5.1

10.6*

10.6.1*

10.6.2

10.7*

10.8

10.9

10.10

Description
Registration Rights Agreement, dated January 27, 2015, by 
and among Endo Designated Activity Company (formerly, 
Endo Limited), Endo Finance LLC, Endo Finco Inc., the 
guarantors named therein and RBC Capital Markets, LLC and 
Citigroup Global Markets Inc., relating to the 6.00% Senior 
Notes due 2025 (including Form of Counterpart to the 
Registration Rights Agreement relating to the 6.00% Senior 
Notes due 2025)

Indenture, dated July 9, 2015, among Endo Designated 
Activity Company (formerly, Endo Limited), Endo Finance 
LLC, Endo Finco Inc., the guarantors named therein and Wells 
Fargo Bank, National Association, as trustee, relating to the 
6.000% Senior Notes due 2023 (including Form of 6.000% 
Notes due 2023 and Form of Supplemental Indenture relating 
to the 6.000% Notes due 2023)

Indenture, dated as of March 28, 2019, among Par 
Pharmaceutical, Inc., the guarantors named therein and Wells 
Fargo Bank, National Association, as trustee, relating to the 
7.500% Senior Secured Notes due 2027 (including Form of 
7.500% Senior Secured Notes due 2027)

Amended and Restated Executive Deferred Compensation 
Plan

Incorporated by Reference from:

File Number
001-36326 Current Report on

Filing Type

Filing Date
January 27, 2015

Form 8-K

001-36326 Current Report on

July 9, 2015

Form 8-K

001-36326 Current Report on 

March 28, 2019

Form 8-K

001-36326 Quarterly Report on

August 8, 2018

Form 10-Q

Amended and Restated 401(k) Restoration Plan

001-15989 Annual Report on

March 1, 2013

Form 10-K

Directors Deferred Compensation Plan

001-15989 Annual Report on

March 1, 2013

Endo International plc Amended and Restated Employee Stock 
Purchase Plan

Credit Agreement, dated as of April 27, 2017, among Endo 
International, plc, as parent, Endo Luxembourg Finance 
Company I S.à.r.l. and Endo LLC, as borrowers, the lenders 
party thereto and JPMorgan Chase Bank, N.A., as 
administrative agent, issuing bank and swingline lender

First Amendment, dated as of March 28, 2019 (to the Credit 
Agreement, dated as of April 27, 2017), by and among Endo 
International plc, Endo Luxembourg Finance Company I Sarl 
and Endo LLC, as borrowers, the lenders and other parties 
party thereto and JPMorgan Chase Bank, N.A. as 
administrative agent, issuing bank and swingline lender

Second Amended and Restated Development and License 
Agreement, dated August 31, 2011, by and between 
BioSpecifics Technologies Corp. and Auxilium

First Amendment to Second Amended and Restated 
Development and License Agreement, dated February 1, 2016, 
by and between BioSpecifics Technologies Corp. and Endo 
Global Ventures

Second Amendment to Second Amended and Restated 
Development and License Agreement, dated February 26, 
2019, by and between BioSpecifics Technologies Corp. and 
Endo Global Ventures

Supply Agreement, dated June 26, 2008, between Auxilium 
and Hollister-Stier Laboratories LLC

Endo International plc Amended and Restated 2015 Stock 
Incentive Plan
Form of Stock Option Agreement under the Endo International 
plc Amended and Restated 2015 Stock Incentive Plan

Form of Stock Award Agreement under the Endo International 
plc Amended and Restated 2015 Stock Incentive Plan

Form 10-K

333-194253 Form S-8

February 28, 2014

001-36326 Current Report on

April 28, 2017

Form 8-K

001-36326 Current Report on

March 28, 2019

Form 8-K

000-50855 Current Report on

September 1, 2011

Form 8-K

001-36326 Annual Report on

February 29, 2016

Form 10-K

001-36326 Quarterly Report on

May 9, 2019

Form 10-Q

000-50855 Quarterly Report on

August 8, 2008

Form 10-Q

001-36326 Current Report on

June 11, 2019

Form 8-K

001-36326 Quarterly Report on

November 8, 2018

Form 10-Q

001-36326 Quarterly Report on

November 8, 2018

Form 10-Q

72

Table of Contents

Number
10.11

10.12

10.13

10.14

Description
Form of Performance Award Agreement under the Endo 
International plc Amended and Restated 2015 Stock Incentive 
Plan

Form of Long-Term Cash Incentive Award Agreement under 
the Amended and Restated 2015 Stock Incentive Plan

Form of Indemnification Agreement with Endo Health 
Solutions Inc.

Incorporated by Reference from:

File Number
001-36326 Quarterly Report on

Filing Type

Filing Date
May 9, 2019

Form 10-Q

001-36326 Quarterly Report on

August 8, 2018

Form 10-Q

001-36326 Annual Report on

February 29, 2016

Form 10-K

Form of Indemnification Agreement with Endo International 
plc

001-36326 Quarterly Report on

May 6, 2016

Form 10-Q

10.15* Master Supply Agreement by and between Endo Ventures 

001-36326 Quarterly Report on

August 9, 2016

Limited and Jubilant HollisterStier LLC

Form 10-Q

10.16

10.17

10.18

10.18.1

10.19

10.20

10.21

10.22

10.23

10.24

10.25

10.26

14.1

21.1

23.1

24.1

31.1

31.2

32.1

Executive Employment Agreement between Endo Health 
Solutions Inc. and Paul Campanelli, dated as of April 24, 2019

Executive Employment Agreement between Endo Health 
Solutions Inc. and Terrance J. Coughlin, dated December 9, 
2019

Executive Employment Agreement between Endo Health 
Solutions Inc. and Blaise Coleman, as Executive Vice 
President and Chief Financial Officer, dated December 19, 
2019

Executive Employment Agreement between Endo Health 
Solutions Inc. and Blaise Coleman, as President and Chief 
Executive Officer, dated February 19, 2020 and effective 
March 6, 2020

Executive Employment Agreement between Endo Health 
Solutions Inc. and Mark Bradley, dated February 19, 2020 and 
effective March 6, 2020

Executive Employment Agreement between Endo Health 
Solutions Inc. and Matthew J. Maletta, dated as of February 
13, 2018

Cash Contribution Bonus Agreement between Endo and Blaise 
Coleman, dated August 1, 2019

Cash Contribution Bonus Agreement between Endo and 
Terrance J. Coughlin, dated August 1, 2019

Cash Contribution Bonus Agreement between Endo and Mark 
Bradley, dated August 1, 2019

001-36326 Current Report on

April 26, 2019

Form 8-K

001-36326 Current Report on

December 12, 2019

Form 8-K

001-36326 Current Report on

December 19, 2019

Form 8-K

Not applicable; filed herewith

Not applicable; filed herewith

001-36326 Current Report on

February 15, 2018

Form 8-K

001-36326 Quarterly Report on

August 5, 2019

Form 10-Q

001-36326 Quarterly Report on

August 5, 2019

Form 10-Q

Not applicable; filed herewith

Letter Agreement between Endo and Mark Bradley, dated May 
17, 2018

Not applicable; filed herewith

Cash Contribution Bonus Agreement between Endo and 
Matthew J. Maletta, dated August 1, 2019

001-36326 Quarterly Report on

August 5, 2019

Form 10-Q

Succession Planning and Transition Compensation Agreement 
between Endo and Paul V. Campanelli, dated December 12, 
2019

001-36326 Current Report on

December 12, 2019

Form 8-K

Our Code of Conduct

001-36326 Annual Report on

February 28, 2019

Subsidiaries of the Registrant

Consent of PricewaterhouseCoopers LLP

Power of Attorney

Certification of the President and Chief Executive Officer of 
Endo pursuant to Section 302 of the Sarbanes-Oxley Act of 
2002

Certification of the Chief Financial Officer of Endo pursuant 
to Section 302 of the Sarbanes-Oxley Act of 2002

Certification of the President and Chief Executive Officer of 
Endo pursuant to 18 U.S.C. Section 1350, as adopted pursuant 
to Section 906 of the Sarbanes-Oxley Act of 2002

Form 10-K

Not applicable; filed herewith

Not applicable; filed herewith

Not applicable; filed herewith

Not applicable; filed herewith

Not applicable; filed herewith

Not applicable; furnished herewith

73

Table of Contents

Number
32.2

Description
Certification of the Chief Financial Officer of Endo pursuant 
to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 
of the Sarbanes-Oxley Act of 2002

101.INS iXBRL Instance Document - the instance document does not
appear in the interactive data file because its XBRL tags are
embedded within the inline XBRL document.

Incorporated by Reference from:

File Number
Filing Type
Not applicable; furnished herewith

Filing Date

Not applicable; submitted herewith

101.SCH iXBRL Taxonomy Extension Schema Document

Not applicable; submitted herewith

101.CAL iXBRL Taxonomy Extension Calculation Linkbase Document Not applicable; submitted herewith

101.DEF iXBRL Taxonomy Extension Definition Linkbase Document

Not applicable; submitted herewith

101.LAB iXBRL Taxonomy Extension Label Linkbase Document

Not applicable; submitted herewith

101.PRE iXBRL Taxonomy Extension Presentation Linkbase Document Not applicable; submitted herewith

104

Cover Page Interactive Data File, formatted in iXBRL and
contained in Exhibit 101

Not applicable; submitted herewith

__________

*   Confidential portions of this exhibit (indicated by asterisks) have been redacted and filed separately with the Securities and 

Exchange Commission pursuant to a confidential treatment request in accordance with Rule 24b-2 of the Securities Exchange 
Act of 1934, as amended.

Item 16.  

Form 10-K Summary

None.

74

Table of Contents

SIGNATURE

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)

/S/ PAUL V. CAMPANELLI

Name: Paul V. Campanelli

Title:

President and Chief Executive Officer

(Principal Executive Officer)

Date: February 26, 2020

75

Table of Contents

Pursuant to the requirements of the Securities Exchange of 1934, this report has been signed below by the following persons on 

behalf of the Registrant and in the capacities and on the dates indicated.

Signature
/S/ PAUL V. CAMPANELLI

Paul V. Campanelli

Title
Chairman, Director, President and Chief Executive Officer
(Principal Executive Officer)

/S/ BLAISE COLEMAN

Blaise Coleman

Executive Vice President, Chief Financial Officer
(Principal Financial Officer)

Senior Vice President, Controller, Chief Accounting Officer
(Principal Accounting Officer)

Date
February 26, 2020

February 26, 2020

February 26, 2020

/S/ JACK BOYLE

Jack Boyle

   *

Roger H. Kimmel

   *

Shane M. Cooke

   *

Nancy J. Hutson, Ph.D.

   *

Michael Hyatt

   *

William P. Montague

Senior Independent Director

February 26, 2020

Director

Director

Director

Director

February 26, 2020

February 26, 2020

February 26, 2020

February 26, 2020

*By:

/S/ MATTHEW J. MALETTA

Attorney-in-fact pursuant to a Power of Attorney filed with this Report as Exhibit 24

February 26, 2020

Matthew J. Maletta

76

Table of Contents

INDEX TO FINANCIAL STATEMENTS

Management’s Report on Internal Control Over Financial Reporting

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets

Consolidated Statements of Operations

Consolidated Statements of Comprehensive Loss

Consolidated Statements of Shareholders’ Equity (Deficit)

Consolidated Statements of Cash Flows

Notes to Consolidated Financial Statements

Page

F-2

F-3

F-7

F-8

F-9

F-10

F-11

F-12

F-1

Table of Contents

MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING

The management of Endo International plc is responsible for establishing and maintaining adequate internal control over 
financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act, as amended. Endo International plc’s internal 
control over financial reporting was designed to provide reasonable assurance regarding the reliability of financial reporting and the 
preparation of financial statements for external purposes in accordance with generally accepted accounting principles.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of 
changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Endo International plc’s management assessed the effectiveness of the Company’s internal control over financial reporting as of 
December 31, 2019. In making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations 
of the Treadway Commission (COSO) in Internal Control-Integrated Framework (2013). Based on management’s assessment, as of 
December 31, 2019, the Company’s internal control over financial reporting is effective based on those criteria.

Endo International plc’s independent registered public accounting firm has issued its report on the effectiveness of the 

Company’s internal control over financial reporting as of December 31, 2019. This report appears on page F-3.

/S/ PAUL V. CAMPANELLI

Paul V. Campanelli

Chairman, Director, President and Chief Executive Officer 
(Principal Executive Officer)

/S/ BLAISE COLEMAN

Blaise Coleman

Executive Vice President, Chief Financial Officer 
(Principal Financial Officer)

February 26, 2020

F-2

Table of Contents

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Shareholders of Endo International plc

Opinions on the Financial Statements and Internal Control over Financial Reporting

We have audited the accompanying consolidated balance sheets of Endo International plc and its subsidiaries (the “Company”) as of 
December 31, 2019 and 2018, and the related consolidated statements of operations, comprehensive loss, shareholders’ equity (deficit) 
and cash flows for each of the three years in the period ended December 31, 2019, including the related notes and schedule of 
valuation and qualifying accounts for each of the three years in the period ended December 31, 2019 appearing under Item 15(a)(2) 
(collectively referred to as the “consolidated financial statements”). We also have audited the Company's internal control over 
financial reporting as of December 31, 2019 based on criteria established in Internal Control - Integrated Framework (2013) issued by 
the Committee of Sponsoring Organizations of the Treadway Commission (COSO).

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of 
the Company as of December 31, 2019 and 2018, and the results of its operations and its cash flows for each of the three years in the 
period ended December 31, 2019 in conformity with accounting principles generally accepted in the United States of America. Also in 
our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 
2019, based on criteria established in Internal Control - Integrated Framework (2013) issued by the COSO.

Change in Accounting Principle

As discussed in Note 2 to the consolidated financial statements, the Company changed the manner in which it accounts for leases in 
2019.

Basis for Opinions

The Company's management is responsible for these consolidated financial statements, for maintaining effective internal control over 
financial reporting, and for its assessment of the effectiveness of internal control over financial reporting, included in the 
accompanying Management's Report on Internal Control Over Financial Reporting. Our responsibility is to express opinions on the 
Company’s consolidated financial statements and on the Company's internal control over financial reporting based on our audits. We 
are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (PCAOB) and are 
required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules 
and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audits 
to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether due to 
error or fraud, and whether effective internal control over financial reporting was maintained in all material respects.

Our audits of the consolidated financial statements included performing procedures to assess the risks of material misstatement of the 
consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such 
procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial 
statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well 
as evaluating the overall presentation of the consolidated financial statements. Our audit of internal control over financial reporting 
included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and 
testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included 
performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable 
basis for our opinions.

Definition and Limitations of Internal Control over Financial Reporting

A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of 
financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting 
principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the 
maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the 
company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in 
accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in 
accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding 
prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect 
on the financial statements.

F-3

Table of Contents

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections 
of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in 
conditions, or that the degree of compliance with the policies or procedures may deteriorate.

Critical Audit Matters

The critical audit matters communicated below are matters arising from the current period audit of the consolidated financial 
statements that were communicated or required to be communicated to the audit committee and that (i) relate to accounts or 
disclosures that are material to the consolidated financial statements and (ii) involved our especially challenging, subjective, or 
complex judgments. The communication of critical audit matters does not alter in any way our opinion on the consolidated financial 
statements, taken as a whole, and we are not, by communicating the critical audit matters below, providing separate opinions on the 
critical audit matters or on the accounts or disclosures to which they relate.

Reserves for Sales Deductions

As described in Note 2 to the consolidated financial statements, the amount of revenue recognized by the Company is equal to the 
fixed amount of the transaction price, adjusted for management’s estimates of a number of significant variable components including, 
but not limited to, estimates for chargebacks, rebates, sales incentives and allowances, DSA and other fees for services, returns and 
allowances, which management collectively refer to as sales deductions. As of December 31, 2019, reserves for sales deductions 
totaled $660.3 million. These amounts relate primarily to management’s estimates of unsettled obligations for returns and allowances, 
rebates and chargebacks. The most significant sales deductions relate to rebates paid under Medicaid and Medicare for the Branded 
Pharmaceuticals segment, wholesaler chargebacks and rebates for the Sterile Injectables and Generic Pharmaceuticals segments and 
sales returns for each of these three segments. Management estimates the reserves for sales deductions based on factors such as direct 
and indirect customers’ buying patterns and the estimated resulting contractual deduction rates, historical experience, specific known 
market events and estimated future trends, current contractual and statutory requirements, industry data, estimated customer inventory 
levels, current contract sales terms with direct and indirect customers and other competitive factors.

The principal considerations for our determination that performing procedures relating to reserves for sales deductions is a critical 
audit matter are there was significant judgment by management due to the significant measurement uncertainty in developing these 
reserves which in turn led to significant audit effort and a high degree of auditor judgment and subjectivity in performing procedures 
related to those estimates, as the reserves are based on estimates of future claims, including assumptions related to customers’ buying 
patterns and the estimated resulting contractual deduction rates, estimated customer inventory levels, and other competitive factors.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion 
on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to sales deductions, 
including the Company’s controls over the assumptions used to estimate the corresponding reserves for sales deductions. These 
procedures also included, among others, (i) developing an independent estimate of the reserves for sales deductions utilizing historical 
payment information, third party data as well as evaluating pricing changes, other competitive factors, and terms of the specific sales 
deduction programs, (ii) comparing the independent estimates to the sales deduction reserves recorded by management, (iii) evaluating 
management's estimates in previous years by comparing historical reserves to rebate payments and credits processed in subsequent 
periods, and (iv) testing actual payments made and amounts credited to both direct and indirect customers to evaluate whether the 
payments and credits were made in accordance with the contractual and mandated terms of the Company’s rebate programs and 
returns policy.

Intangible Assets Impairment Assessments - Developed Technology and In-Process Research and Development

As described in Notes 2 and 10 to the consolidated financial statements, the Company’s consolidated balance for developed 
technology finite-lived intangible assets was $2,430.3 million and for in-process research and development indefinite-lived intangible 
assets was $93.9 million as of December 31, 2019. Finite-lived intangible assets are assessed for impairment whenever events or 
changes in circumstances indicate the carrying amounts of the assets may not be recoverable. Indefinite-lived intangible assets are 
tested for impairment annually and when events or changes in circumstances indicate that the asset might be impaired. Recoverability 
of a finite-lived intangible asset that will continue to be used in the Company’s operations is measured by comparing the carrying 
amount of the asset to the forecasted undiscounted future cash flows related to the asset. As part of intangible asset impairment 
assessments, management estimates the fair values of the Company’s indefinite-lived 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 
management’s 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. The Company recognized total impairment 
charges of $347.7 million during the year ended December 31, 2019.

F-4

Table of Contents

The principal considerations for our determination that performing procedures relating to the impairment assessments for the 
developed technology and in-process research and development intangible assets is a critical audit matter are there was significant 
judgment and estimation by management when developing the fair value measurement of developed technology and in-process 
research and development intangible assets. This in turn led to significant audit effort and a high degree of auditor judgment and 
subjectivity in performing procedures to evaluate management’s estimated cash flows, including significant assumptions related to 
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 future economic conditions in determining the fair value of each intangible 
asset. In addition, the audit effort included the use of professionals with specialized skill and knowledge to assist in performing these 
procedures and evaluating the audit evidence obtained from these procedures.

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion 
on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to the valuation of 
intangible assets, including controls over the identification of triggering events, and the development of assumptions used to estimate 
fair value. These procedures also included, among others, evaluating whether there were any events or circumstances indicating that 
intangible assets may be impaired and testing management’s process for developing the estimate, which included evaluating the 
appropriateness of the cash flow projections and discounted cash flow model; testing the completeness, accuracy, and relevance of 
underlying data used in the model; and evaluating the reasonableness of significant assumptions, 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 future economic conditions. These procedures also included the involvement of professionals with 
specialized skill and knowledge to assist in evaluating the reasonableness of significant assumptions, including the discount rate used 
by management. Evaluating the assumptions related to 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 future economic conditions, involved evaluating whether the assumptions used were reasonable considering (i) 
historical performance, (ii) industry and economic forecasts and (iii) whether the assumptions were consistent with evidence obtained 
in other areas of the audit.

Goodwill Impairment Assessment - Generic Pharmaceuticals and International Pharmaceuticals Segments

As described in Notes 2 and 10 to the consolidated financial statements, the Company’s consolidated goodwill balance for the Generic 
Pharmaceuticals and International Pharmaceuticals segments was $35.2 million as of December 31, 2019 and $171.9 million of 
impairment charges were recorded during the year ended December 31, 2019. An impairment assessment is conducted as of October 
1, or more frequently whenever events or changes in circumstances indicate that the asset might be impaired. Management performs 
the goodwill impairment test by comparing the fair value and carrying amount of each reporting unit. Management estimated the fair 
values of its reporting units using an income approach that utilizes a discounted cash flow model. The discounted cash flow models 
are dependent upon management’s 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, and variations in the amount and 
timing of cash flows and the probability of achieving the estimated cash flows, and (ii) future economic conditions.

The principal considerations for our determination that performing procedures relating to the goodwill impairment assessment - 
Generic Pharmaceuticals and International Pharmaceuticals segments is a critical audit matter are there was significant judgment and 
estimation by management when determining the fair value of the reporting units. This in turn led to significant audit effort and a high 
degree of auditor judgment and subjectivity in performing procedures related to management’s cash flows, including significant 
assumptions related to 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 future economic conditions. In addition, the audit effort 
involved the use of professionals with specialized skill and knowledge to assist in performing these procedures and evaluating the 
audit evidence obtained from these procedures.

F-5

Table of Contents

Addressing the matter involved performing procedures and evaluating audit evidence in connection with forming our overall opinion 
on the consolidated financial statements. These procedures included testing the effectiveness of controls relating to goodwill 
impairment assessment, including controls over the identification of triggering events, determination of reporting units and the 
estimation of each reporting units’ fair value, and the development of assumptions used to estimate fair value. These procedures also 
included, among others, (i) evaluating whether there were any events or circumstances indicating that goodwill may not be 
recoverable and therefore required goodwill impairment tests in addition to the annual test, (ii) testing management’s process for 
developing the fair value estimate, which included evaluating the appropriateness of the discounted cash flow model, (iii) testing the 
completeness, accuracy, and relevance of underlying data used in the model, and evaluating the reasonableness of assumptions 
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 future economic conditions. The procedures also included evaluating 
management’s determination of reporting units and testing the assignment of assets and liabilities to each of the respective reporting 
units. The procedures included the involvement of professionals with specialized skill and knowledge to assist in evaluating the 
reasonableness of significant assumptions, including the discount rate and long-term growth rate calculations used by management. 
Evaluating the assumptions used to estimate fair value, 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 future 
economic conditions, involved evaluating whether the assumptions used were reasonable considering (i) historical performance, (ii) 
industry and economic forecasts and (iii) whether the assumptions were consistent with evidence obtained in other areas of the audit.

/s/ PricewaterhouseCoopers LLP

Philadelphia, Pennsylvania

February 26, 2020

We have served as the Company’s auditor since 2014.

F-6

Table of Contents

ENDO INTERNATIONAL PLC
CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2019 AND 2018
(Dollars in thousands, except share and per share data)

ASSETS

CURRENT ASSETS:

Cash and cash equivalents

Restricted cash and cash equivalents

Accounts receivable, net

Inventories, net

Prepaid expenses and other current assets

Income taxes receivable

Total current assets

PROPERTY, PLANT AND EQUIPMENT, NET

OPERATING LEASE ASSETS

GOODWILL
OTHER INTANGIBLES, NET

DEFERRED INCOME TAXES

OTHER ASSETS

TOTAL ASSETS

LIABILITIES AND SHAREHOLDERS' DEFICIT

CURRENT LIABILITIES:

Accounts payable and accrued expenses

Current portion of legal settlement accrual

Current portion of operating lease liabilities

Current portion of long-term debt

Income taxes payable

Total current liabilities

DEFERRED INCOME TAXES

LONG-TERM DEBT, LESS CURRENT PORTION, NET

OPERATING LEASE LIABILITIES, LESS CURRENT PORTION

OTHER LIABILITIES

COMMITMENTS AND CONTINGENCIES (NOTE 15)

SHAREHOLDERS' DEFICIT:

December 31,
2019

December 31,
2018

$

1,454,531

$

1,149,113

247,457

467,953

327,865

40,845

47,567

305,368

470,570

322,179

56,139

39,781

$

2,586,218

$

2,343,150

504,865

51,700

3,595,184
2,571,267

2,192

78,101

498,892

—

3,764,636
3,457,306

678

67,731

$

9,389,527

$ 10,132,393

$

899,949

$

1,009,200

513,005

10,763

34,150

2,422

905,085

—

34,150

1,661

$

1,460,289

$

1,950,096

31,703

34,487

8,359,899

8,224,269

48,299

355,881

—

421,824

Euro deferred shares, $0.01 par value; 4,000,000 shares authorized and issued at both December
31, 2019 and December 31, 2018

Ordinary shares, $0.0001 par value; 1,000,000,000 shares authorized; 226,802,609 and
224,382,791 shares issued and outstanding at December 31, 2019 and December 31, 2018,
respectively

45

23

Additional paid-in capital

Accumulated deficit

Accumulated other comprehensive loss

Total shareholders' deficit

TOTAL LIABILITIES AND SHAREHOLDERS' DEFICIT

$

$

See accompanying Notes to Consolidated Financial Statements.

F-7

46

22

8,855,810

(9,124,932)

(229,229)

(498,283)

$ 10,132,393

8,904,692
(9,552,214)
(219,090)
(866,544) $
9,389,527

Table of Contents

ENDO INTERNATIONAL PLC
CONSOLIDATED STATEMENTS OF OPERATIONS
YEARS ENDED DECEMBER 31, 2019, 2018 AND 2017
(Dollars and shares in thousands, except per share data)

TOTAL REVENUES, NET

COSTS AND EXPENSES:

Cost of revenues

Selling, general and administrative

Research and development

Litigation-related and other contingencies, net

Asset impairment charges

Acquisition-related and integration items, net

Interest expense, net

(Gain) loss on extinguishment of debt

Other expense (income), net

LOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAX

INCOME TAX EXPENSE (BENEFIT)

LOSS FROM CONTINUING OPERATIONS

DISCONTINUED OPERATIONS, NET OF TAX (NOTE 3)

NET LOSS

NET LOSS PER SHARE—BASIC:

Continuing operations

Discontinued operations

Basic

NET LOSS PER SHARE—DILUTED:

Continuing operations

Discontinued operations

Diluted

WEIGHTED AVERAGE SHARES:

Basic

Diluted

2019

2018

2017

$

2,914,364

$

2,947,078

$

3,468,858

1,569,338

1,631,682

2,228,530

632,420

130,732

11,211

526,082
(46,098)
538,734
(119,828)
16,677
(344,904) $
15,680
(360,584) $
(62,052)
(422,636) $

646,037

185,826

13,809

916,939

21,914

521,656

—
(51,953)
(938,832) $
22,935
(961,767) $
(69,702)
(1,031,469) $

629,874

172,067

185,990

1,154,376

58,086

488,228

51,734

(17,023)

(1,483,004)

(250,293)

(1,232,711)

(802,722)

(2,035,433)

(1.60) $
(0.27)
(1.87) $

(1.60) $
(0.27)
(1.87) $

(4.29) $
(0.32)
(4.61) $

(4.29) $
(0.32)
(4.61) $

(5.52)

(3.60)

(9.12)

(5.52)

(3.60)

(9.12)

226,050

226,050

223,960

223,960

223,198

223,198

$

$

$

$

$

$

$

See accompanying Notes to Consolidated Financial Statements.

F-8

Table of Contents

NET LOSS

OTHER COMPREHENSIVE
INCOME (LOSS):

Net unrealized loss on
securities:

Unrealized loss arising
during the period

Less: reclassification
adjustments for gain
realized in net loss

Net unrealized gain (loss) on
foreign currency:

Foreign currency
translation gain (loss)
arising during the period
Less: reclassification
adjustments for loss
realized in net loss

OTHER COMPREHENSIVE
INCOME (LOSS)

COMPREHENSIVE LOSS

ENDO INTERNATIONAL PLC
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
YEARS ENDED DECEMBER 31, 2019, 2018 AND 2017
(Dollars in thousands)

2019

2018

2017

$

(422,636)

$

(1,031,469)

$

(2,035,433)

$

—

—

$

—

—

—

$

(515)

—

—

(515)

$

10,139

$

(19,408)

$

31,202

—

10,139

—

(19,408)

112,926

144,128

$

$

10,139
(412,497)

$

$

(19,408)
(1,050,877)

$

$

143,613

(1,891,820)

See accompanying Notes to Consolidated Financial Statements.

F-9

Table of Contents

ENDO INTERNATIONAL PLC
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (DEFICIT)
YEARS ENDED DECEMBER 31, 2019, 2018 AND 2017
(In thousands, except share data)

Ordinary Shares

Euro Deferred Shares

Number of
Shares

Amount

Number of
Shares

Amount

Additional Paid-
in Capital

Accumulated
Deficit

Accumulated
Other
Comprehensive
Loss

Total
Shareholders'
Equity (Deficit)

BALANCE, DECEMBER 31, 2016, prior to the adoption of ASU
2016-16
Effect of adopting ASU 2016-16 (NOTE 17)
BALANCE, JANUARY 1, 2017
Net loss
Other comprehensive income
Compensation related to share-based awards
Ordinary shares issued
Tax withholding for restricted shares
Other
BALANCE, DECEMBER 31, 2017, prior to the adoption of ASC
606
Effect of adopting ASC 606 (NOTE 17)
BALANCE, JANUARY 1, 2018
Net loss
Other comprehensive loss
Compensation related to share-based awards
Exercise of options
Ordinary shares issued
LTCI modification (NOTE 18)
Tax withholding for restricted shares
Other
BALANCE, DECEMBER 31, 2018, prior to the adoption of ASC
842
Effect of adopting ASC 842 (NOTE 17)
BALANCE, JANUARY 1, 2019
Net loss
Other comprehensive income
Compensation related to share-based awards
Exercise of options
Ordinary shares issued
Tax withholding for restricted shares
Other
BALANCE, DECEMBER 31, 2019

222,954,175
—
222,954,175
—
—
—
377,531
—
—

223,331,706
—
223,331,706
—
—
—
94,392
956,693
—
—
—

224,382,791
—
224,382,791
—
—
—
557
2,419,261
—
—
226,802,609

$

$

$

$

$

$

$

22
—
22
—
—
—
—
—
—

22
—
22
—
—
—
—
—
—
—
—

22
—
22
—
—
—
—
—
—
1
23

4,000,000
—
4,000,000
—
—
—
—
—
—

4,000,000
—
4,000,000
—
—
—
—
—
—
—
—

4,000,000
—
4,000,000
—
—
—
—
—
—
—
4,000,000

$

$

$

$

$

$

$

42
—
42
—
—
—
—
—
6

48
—
48
—
—
—
—
—
—
—
(2)

46
—
46
—
—
—
—
—
—
(1)
45

$

$

$

$

$

$

$

8,743,240
—
8,743,240
—
—
50,149
—
(2,078)
(141)

8,791,170
—
8,791,170
—
—
54,071
933
—
14,936
(5,375)
75

8,855,810
—
8,855,810
—
—
59,142
4
—
(10,156)
(108)
8,904,692

$

$

$

$

$

$

(5,688,281) $
(372,825)
(6,061,106) $
(2,035,433)
—
—
—
—
—

(8,096,539) $
3,076
(8,093,463) $
(1,031,469)
—
—
—
—
—
—
—

(9,124,932) $
(4,646)
(9,129,578) $
(422,636)
—
—
—
—
—
—

$

(9,552,214) $

(353,434) $
—
(353,434) $
—
143,613
—
—
—
—

(209,821) $
—
(209,821) $
—
(19,408)
—
—
—
—
—
—

(229,229) $
—
(229,229) $
—
10,139
—
—
—
—
—
(219,090) $

2,701,589
(372,825)
2,328,764
(2,035,433)
143,613
50,149
—
(2,078)
(135)

484,880
3,076
487,956
(1,031,469)
(19,408)
54,071
933
—
14,936
(5,375)
73

(498,283)
(4,646)
(502,929)
(422,636)
10,139
59,142
4
—
(10,156)
(108)
(866,544)

See accompanying Notes to Consolidated Financial Statements.

F-10

Table of Contents

ENDO INTERNATIONAL PLC
CONSOLIDATED STATEMENTS OF CASH FLOWS
YEARS ENDED DECEMBER 31, 2019, 2018 AND 2017
(Dollars in thousands)

OPERATING ACTIVITIES:

Net loss
Adjustments to reconcile Net loss to Net cash provided by operating activities:

2019

2018

2017

$

(422,636) $

(1,031,469) $

(2,035,433)

Depreciation and amortization
Inventory step-up
Share-based compensation
Amortization of debt issuance costs and discount
Deferred income taxes
Change in fair value of contingent consideration
(Gain) loss on extinguishment of debt
Asset impairment charges
Gain on sale of business and other assets

Changes in assets and liabilities which provided (used) cash:

Accounts receivable
Inventories
Prepaid and other assets
Accounts payable, accrued expenses and other liabilities
Income taxes payable/receivable, net

Net cash provided by operating activities

INVESTING ACTIVITIES:

Purchases of property, plant and equipment, excluding capitalized interest
Capitalized interest payments
Decrease in notes receivable
Product acquisition costs and license fees
Proceeds from sale of business and other assets, net
Other investing activities

Net cash (used in) provided by investing activities

FINANCING ACTIVITIES:

Proceeds from issuance of notes, net
Proceeds from issuance of term loans
Repayments of notes
Repayments of term loans
Proceeds from draw of revolving debt
Repayments of other indebtedness
Payments for debt issuance and extinguishment costs
Payments for contingent consideration
Payments of tax withholding for restricted shares
Proceeds from exercise of options

Net cash provided by (used in) financing activities

Effect of foreign exchange rate
Movement in cash held for sale
NET INCREASE IN CASH, CASH EQUIVALENTS, RESTRICTED CASH AND
RESTRICTED CASH EQUIVALENTS
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH
EQUIVALENTS, BEGINNING OF PERIOD
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH
EQUIVALENTS, END OF PERIOD
SUPPLEMENTAL INFORMATION:

Cash paid for interest, excluding capitalized interest
Cash paid for income taxes
Cash paid into Qualified Settlement Funds for mesh legal settlements
Cash paid out of Qualified Settlement Funds for mesh legal settlements
Other cash distributions for mesh legal settlements

612,862
—
59,142
18,107
(5,561)
(46,098)
(119,828)
526,082
(6,367)

19,158
(27,139)
11,370
(525,746)
4,706
98,052

723,707
261
54,071
20,514
5,557
19,910
—
916,939
(45,155)

17,090
67,269
(12,797)
(425,336)
(43,291)
267,270

$

$

(63,854)
(3,833)
—
—
6,577
912
(60,198) $

1,483,125
—
(1,501,788)
(34,152)
300,000
(9,196)
(6,414)
(16,822)
(10,156)
4
204,601
1,096
—

$

(83,398)
(3,549)
—
(3,000)
70,369
1,678
(17,900) $

—
—
—
(34,150)
—
(5,222)
—
(37,758)
(5,375)
933
(81,572) $
(1,975)
—

983,765
390
50,149
22,694
(156,129)
49,949
51,734
1,154,376
(13,809)

484,710
147,189
5,345
(87,944)
(103,001)
553,985

(125,654)
—
7,000
—
223,237
—
104,583

300,000
3,415,000
—
(3,730,951)
—
(6,154)
(57,773)
(85,037)
(2,078)
—
(166,993)
2,515
11,744

243,551

$

165,823

$

505,834

1,476,837

1,311,014

805,180

1,720,388

559,528
14,875
253,520
314,266
15,330

$

$
$
$
$
$

1,476,837

515,042
17,639
336,648
353,032
25,222

$

$
$
$
$
$

1,311,014

467,017
28,675
668,306
632,176
19,243

$

$

$

$

$

$
$
$
$
$

See accompanying Notes to Consolidated Financial Statements.

F-11

Table of Contents

ENDO INTERNATIONAL PLC
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
FOR THE YEARS ENDED DECEMBER 31, 2019, 2018 AND 2017

NOTE 1. DESCRIPTION OF BUSINESS

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 financial information and transactions of Endo International plc and its subsidiaries. The 
accompanying Consolidated Financial Statements of Endo International plc and its subsidiaries have been prepared in accordance with 
U.S. GAAP.

NOTE 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Significant Accounting Policies

Consolidation and Basis of Presentation. The Consolidated Financial Statements include the accounts of wholly-owned 

subsidiaries after the elimination of intercompany accounts and transactions.

Reclassifications. Certain prior period amounts have been reclassified to conform to the current period presentation.

Use of Estimates. The preparation of our Consolidated Financial Statements in conformity with U.S. GAAP requires us to 
make estimates and assumptions that affect the amounts and disclosures in our Consolidated Financial Statements, including the notes 
thereto, and elsewhere in this report. For example, we are required to make significant estimates and assumptions related to revenue 
recognition, including sales deductions, long-lived assets, goodwill, other intangible assets, income taxes, contingencies, financial 
instruments and share-based compensation, among others. Some of these estimates can be subjective and complex. Although we 
believe that our estimates and assumptions are reasonable, there may be other reasonable estimates or assumptions that differ 
significantly from ours. Further, our estimates and assumptions are based upon information available at the time they were made. 
Actual results may differ significantly from our estimates.

We regularly evaluate our estimates and assumptions using historical experience and other factors, including the economic 

environment. As future events and their effects cannot be determined with precision, our estimates and assumptions may prove to be 
incomplete or inaccurate, or unanticipated events and circumstances may occur that might cause us to change those estimates and 
assumptions. Market conditions, such as illiquid credit markets, volatile equity markets, dramatic fluctuations in foreign currency rates 
and economic downturn, can increase the uncertainty already inherent in our estimates and assumptions. We also are subject to other 
risks and uncertainties that may cause actual results to differ from estimated amounts, such as changes in the healthcare environment, 
competition, litigation, legislation and regulations. We adjust our estimates and assumptions when facts and circumstances indicate the 
need for change. Those changes generally will be reflected in our Consolidated Financial Statements on a prospective basis.

Customer, Product and Supplier Concentration. We primarily sell our branded and generic products to wholesalers, retail drug 

store chains, supermarket chains, mass merchandisers, distributors, mail order accounts, hospitals and government agencies. Our 
wholesalers and distributors purchase products from us and, in turn, supply products to retail drug store chains, independent 
pharmacies and MCOs. Customers in the managed care market include health maintenance organizations, nursing homes, hospitals, 
clinics, pharmacy benefit management companies and mail order customers. Total revenues from direct customers that accounted for 
10% or more of our total consolidated revenues during the years ended December 31, 2019, 2018 and 2017 are as follows:

AmerisourceBergen Corporation
McKesson Corporation
Cardinal Health, Inc.

2019

2018

2017

34%
26%
25%

32%
27%
26%

25%
25%
25%

Revenues from these customers are included within each of our segments.

VASOSTRICT® accounted for 18%, 15% and 12% of our 2019, 2018 and 2017 total revenues, respectively. XIAFLEX® 

accounted for 11% of our 2019 total revenues. No other products accounted for 10% or more of our total revenues during the years 
ended December 31, 2019, 2018 or 2017.

We have agreements with certain third parties for the manufacture, supply and processing of certain of our existing 

pharmaceutical products. See Note 15. Commitments and Contingencies for information on material manufacturing, supply and other 
service agreements.

We are subject to risks and uncertainties associated with these concentrations that could have a material adverse effect on our 

business, financial condition, results of operations and cash flows in future periods, including in the near term. 

F-12

Table of Contents

Revenue Recognition and Sales Deductions. The Company adopted ASC 606 on January 1, 2018 using the modified 
retrospective method for all revenue-generating contracts, including modifications thereto, that were not completed contracts at the 
date of adoption. ASC 606 applies to contracts with commercial substance that establish the payment terms and each party’s rights 
regarding the goods or services to be transferred, to the extent collection of substantially all of the related consideration is probable. 
Under ASC 606, we recognize revenue for contracts meeting these criteria when (or as) we satisfy our performance obligations for 
such contracts by transferring control of the underlying promised goods or services to our customers. The amount of revenue we 
recognize reflects our estimate of the consideration we expect to be entitled to receive, subject to certain constraints, in exchange for 
such goods or services. This amount is referred to as the transaction price.

Our revenue consists almost entirely of sales of our products to customers, whereby we ship products to a customer pursuant to 
a purchase order. For contracts such as these, revenue is recognized when our contractual performance obligations have been fulfilled 
and control has been transferred to the customer pursuant to the contract’s terms, which is generally upon delivery to the customer. 
The amount of revenue we recognize is equal to the fixed amount of the transaction price, adjusted for our estimates of a number of 
significant variable components including, but not limited to, estimates for chargebacks, rebates, sales incentives and allowances, DSA 
and other fees for services, returns and allowances, which we collectively refer to as sales deductions. The Company utilizes the 
expected value method when estimating the amount of variable consideration to include in the transaction price with respect to each of 
the foregoing variable components and the most likely amount method when estimating the amount of variable consideration to 
include in the transaction price with respect to future potential milestone payments that do not qualify for the sales- and usage-based 
royalty exception. Variable consideration is included in the transaction price only to the extent that it is probable that a significant 
revenue reversal will not occur when the uncertainty associated with the variable consideration is resolved. Payment terms for these 
types of contracts generally fall within 30 to 90 days of invoicing.

At December 31, 2019 and 2018, our reserves for sales deductions totaled $660.3 million and $772.3 million, respectively. 
These amounts relate primarily to our estimates of unsettled obligations for returns and allowances, rebates and chargebacks. The most 
significant sales deductions relate to rebates paid under Medicaid and Medicare for the Branded Pharmaceuticals segment, wholesaler 
chargebacks and rebates for the Sterile Injectables and Generic Pharmaceuticals segments and sales returns for each of these three 
segments. Our estimates are based on factors such as our direct and indirect customers’ buying patterns and the estimated resulting 
contractual deduction rates, historical experience, specific known market events and estimated future trends, current contractual and 
statutory requirements, industry data, estimated customer inventory levels, current contract sales terms with our direct and indirect 
customers and other competitive factors. Significant judgment and estimation is required in developing the foregoing and other 
relevant assumptions. The most significant sales deductions are further described below. 

Returns and Allowances—Consistent with industry practice, we maintain a return policy that allows our customers to return 

products within a specified period of time both subsequent to and, in certain cases, prior to the products’ expiration dates. Our return 
policy generally allows customers to receive credit for expired products within six months prior to expiration and within one year after 
expiration. Our provision for returns and allowances consists of our estimates for future product returns, pricing adjustments and 
delivery errors.

Rebates—Our provision for rebates, sales incentives and other allowances can generally be categorized into the following four 

types:

indirect rebates;

•  direct rebates;
• 
•  governmental rebates, including those for Medicaid, Medicare and TRICARE, among others; and
•  managed-care rebates.

We establish contracts with wholesalers, chain stores and indirect customers that provide for rebates, sales incentives, DSA fees 

and other allowances. Some customers receive rebates upon attaining established sales volumes. Direct rebates are generally rebates 
paid to direct purchasing customers based on a percentage applied to a direct customer’s purchases from us, including fees paid to 
wholesalers under our DSAs, as described above. Indirect rebates are rebates paid to indirect customers that have purchased our 
products from a wholesaler under a contract with us.

We are subject to rebates on sales made under governmental and managed-care pricing programs based on relevant statutes with 
respect to governmental pricing programs and contractual sales terms with respect to managed-care providers and GPOs. For example, 
we are required to provide a discount on our brand-name products to patients who fall within the Medicare Part D coverage gap, also 
referred to as the donut hole.

We participate in various federal and state government-managed programs whereby discounts and rebates are provided to 
participating government entities. For example, Medicaid rebates are amounts owed based upon contractual agreements or legal 
requirements with public sector (Medicaid) benefit providers after the final dispensing of the product by a pharmacy to a benefit plan 
participant.

F-13

Table of Contents

Chargebacks—We market and sell products to both: (i) direct customers including wholesalers, distributors, warehousing 
pharmacy chains and other direct purchasing groups and (ii) indirect customers including independent pharmacies, non-warehousing 
chains, MCOs, GPOs and government entities. We enter into agreements with certain of our indirect customers to establish contract 
pricing for certain products. These indirect customers then independently select a wholesaler from which to purchase the products at 
these contracted prices. Alternatively, we may pre-authorize wholesalers to offer specified contract pricing to other indirect customers. 
Under either arrangement, we provide credit to the wholesaler for any difference between the contracted price with the indirect 
customer and the wholesaler’s invoice price. Such credit is called a chargeback.

Prior to the adoption of ASC 606, the Company accounted for revenue recognition and sales deductions under Accounting 

Standards Codification Topic 605, Revenue Recognition (ASC 605).

Contract Assets and Contract Liabilities. Contract assets represent the Company’s right to consideration in exchange for goods 

or services that the Company has transferred when that right is conditioned on something other than the passage of time. The 
Company records revenue and a corresponding contract asset when it fulfills a contractual performance obligation, but must also 
fulfill one or more additional performance obligations before being entitled to payment. Once the Company’s right to consideration 
becomes unconditional, the contract asset amount is reclassified as Accounts receivable.

Contract liabilities represent the Company’s obligation to transfer goods or services to a customer. The Company records a 

contract liability generally upon receipt of consideration in advance of fulfilling one or more of its contractual performance 
obligations. Upon completing each performance obligation, the corresponding contract liability amount is reversed and revenue is 
recognized.

Contract assets and liabilities related to rights and obligations arising from a single contract, or a series of contracts combined and 
accounted for as a single contract, are generally presented on a net basis. Contract assets and liabilities are further described in Note 12. 
Contract Assets and Liabilities.

R&D. Expenditures for R&D are expensed as incurred. Total R&D expenses include, among other things, the costs of discovery 
research, preclinical development, early- and late-clinical development and drug formulation, clinical trials, materials, medical support 
of marketed products and certain upfront and milestone payments. R&D spending also includes enterprise-wide costs which support 
our overall R&D infrastructure. Property, plant and equipment that are acquired or constructed for R&D activities and that have 
alternate future uses are capitalized and depreciated over their estimated useful lives on a straight-line basis. Contractual upfront and 
milestone payments made to third parties are generally: (i) expensed as incurred up to the point of regulatory approval and (ii) 
capitalized and amortized over the related product’s remaining useful life subsequent to regulatory approval. Amounts capitalized for 
such payments are included in Other intangibles, net in the Consolidated Balance Sheets.

Cash and Cash Equivalents. The Company considers all highly liquid money market instruments with an original maturity of 

three months or less when purchased to be cash equivalents. At December 31, 2019 and 2018, cash equivalents were deposited in 
financial institutions and consisted almost entirely of immediately available fund balances. The Company maintains its cash deposits 
and cash equivalents with financial institutions it believes to be well-known and stable.

Restricted Cash and Cash Equivalents. Cash and cash equivalents that are restricted as to withdrawal or use under the terms of 

certain contractual agreements are excluded from Cash and cash equivalents in the Consolidated Balance Sheets. For additional 
information see Note 6. Fair Value Measurements.

Accounts Receivable. Accounts receivable are stated at their net realizable value and the Company maintains an allowance for 

doubtful accounts against gross accounts receivable. The allowance is not material to the Company’s Consolidated Financial 
Statements at December 31, 2019 or 2018. In addition, our accounts receivable balance is reduced by certain sales deduction reserves 
where we have the right of offset with the customer.

Concentrations of Credit Risk. Financial instruments that potentially subject the Company 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.

We perform ongoing credit evaluations of our customers and generally do not require collateral. We have no history of 
significant losses from uncollectible accounts. Approximately 88% and 87% of our gross trade accounts receivable balances represent 
amounts due from three customers (Cardinal Health, Inc., McKesson Corporation and AmerisourceBergen Corporation) at 
December 31, 2019 and 2018, respectively.

We do not expect our current or future exposures to credit risk to have a significant impact on our operations. However, there 

can be no assurance that any of these risks will not have an adverse effect on our business.

F-14

Table of Contents

Inventories. Inventories consist of raw materials, work-in-process and finished goods. Inventory that is in excess of the amount 

expected to be sold within one year is classified as long-term inventory and is recorded in Other assets in the Consolidated Balance 
Sheets. The Company capitalizes inventory costs associated with certain products prior to regulatory approval and product launch 
when it is reasonably certain, based on management’s judgment of future commercial use and net realizable value, that the pre-launch 
inventories will be saleable. The determination to capitalize is made on a product-by-product basis. The Company could be required to 
write down previously capitalized costs related to pre-launch inventories upon a change in such judgment, a denial or delay of 
approval by regulatory bodies, a delay in commercialization or other potential factors. Our inventories are stated at the lower of cost or 
net realizable value.

Cost is determined by the first-in, first-out method. It includes materials, direct labor and an allocation of overhead, but 
excludes certain period charges and unallocated overheads that are charged to expense in the period in which they are incurred. 
Unallocated overheads can occur as a consequence of abnormally low production or idle facilities.

Net realizable value is determined by the estimated selling prices in the ordinary course of business, less reasonably predictable 

costs of completion, disposal and transportation. When necessary, we write-down inventories to net realizable value based on 
forecasted demand and market and regulatory conditions, which may differ from actual results. 

Property, Plant and Equipment. Property, plant and equipment is generally stated at cost less accumulated depreciation. Major 
improvements are capitalized, while routine maintenance and repairs are expensed as incurred. Costs incurred during the construction 
or development of property, plant and equipment are capitalized as assets under construction. Once an asset has been placed into 
service, depreciation expense is taken on a straight-line basis over the estimated useful life of the related assets or, in the case of 
leasehold improvements and finance lease assets, over the shorter of the estimated useful life and the lease term. Depreciation is based 
on the following estimated useful lives, as of December 31, 2019:

Buildings

Machinery and equipment

Computer equipment and software

Furniture and fixtures

Range of Useful Lives, from:

10 years to 30 years

1 year to 15 years

1 year to 10 years

1 year to 10 years

Depreciation expense is not recorded on assets held for sale. Gains and losses on disposals are included in Other expense 

(income), net in the Consolidated Statements of Operations. As further described below under the heading “Long-Lived Asset 
Impairment Testing,” our property plant and equipment assets are also subject to impairment reviews.

Computer Software. The Company capitalizes certain costs incurred in connection with obtaining or developing internal-use 

software, including external direct costs of material and services, and payroll costs for employees directly involved with the software 
development. Capitalized software costs are included in Property, plant and equipment, net in the Consolidated Balance Sheets and 
depreciated beginning when the software project is substantially complete and the asset is ready for its intended use. Costs incurred 
during the preliminary project stage and post-implementation stage, as well as maintenance and training costs, are expensed as 
incurred.

Lease Accounting. The Company adopted ASC 842 on January 1, 2019. For further discussion of the adoption, refer to the 

“Recent Accounting Pronouncements Adopted or Otherwise Effective as of December 31, 2019” section below. ASC 842 applies to a 
number of arrangements to which the Company is party.

Whenever the Company enters into a new arrangement, it must determine, at the inception date, whether the arrangement is or 

contains a lease. This determination generally depends on whether the arrangement conveys to the Company the right to control the 
use of an explicitly or implicitly identified asset for a period of time in exchange for consideration. Control of an underlying asset is 
conveyed to the Company if the Company obtains the rights to direct the use of and to obtain substantially all of the economic benefits 
from using the underlying asset.

If a lease exists, the Company must then determine the separate lease and nonlease components of the arrangement. Each right 
to use an underlying asset conveyed by a lease arrangement should generally be considered a separate lease component if it both: (i) 
can benefit the Company without depending on other resources not readily available to the Company and (ii) does not significantly 
affect and is not significantly affected by other rights of use conveyed by the lease. Aspects of a lease arrangement that transfer other 
goods or services to the Company but do not meet the definition of lease components are considered nonlease components. The 
consideration owed by the Company pursuant to a lease arrangement is generally allocated to each lease and nonlease component for 
accounting purposes. However, the Company has elected, for all of its leases, to not separate lease and nonlease components. Each 
lease component is accounted for separately from other lease components, but together with the associated nonlease components.

For each lease, the Company must then determine the lease term, the present value of lease payments and the classification of 

the lease as either an operating or finance lease.

F-15

Table of Contents

The lease term is the period of the lease not cancellable by the Company, together with periods covered by: (i) renewal options 

the Company is reasonably certain to exercise, (ii) termination options the Company is reasonably certain not to exercise and (iii) 
renewal or termination options that are controlled by the lessor.

The present value of lease payments is calculated based on:

•  Lease payments—Lease payments include fixed and certain variable payments, less lease incentives, together with 

amounts probable of being owed by the Company under residual value guarantees and, if reasonably certain of being paid, 
the cost of certain renewal options and early termination penalties set forth in the lease arrangement. Lease payments 
exclude consideration that is not related to the transfer of goods and services to the Company.

•  Discount rate—The discount rate must be determined based on information available to the Company upon the 

commencement of a lease. Lessees are required to use the rate implicit in the lease whenever such rate is readily available; 
however, as the implicit rate in the Company’s leases is generally not readily determinable, the Company generally uses 
the hypothetical incremental borrowing rate it would have to pay to borrow an amount equal to the lease payments, on a 
collateralized basis, over a timeframe similar to the lease term.

In making the determination of whether a lease is an operating lease or a finance lease, the Company considers the lease term in 
relation to the economic life of the leased asset, the present value of lease payments in relation to the fair value of the leased asset and 
certain other factors, including the lessee's and lessor's rights, obligations and economic incentives over the term of the lease.

Generally, upon the commencement of a lease, the Company will record a lease liability and a right-of-use (ROU) asset. 

However, the Company has elected, for all underlying assets with initial lease terms of twelve months or less (known as short-term 
leases), to not recognize a lease liability or ROU asset. Lease liabilities are initially recorded at lease commencement as the present 
value of future lease payments. ROU assets are initially recorded at lease commencement as the initial amount of the lease liability, 
together with the following, if applicable: (i) initial direct costs incurred by the lessee and (ii) lease payments made by the lessor, net 
of lease incentives received, prior to lease commencement.

Over the lease term, the Company generally increases its lease liabilities using the effective interest method and decreases its 
lease liabilities for lease payments made. For finance leases, amortization expense and interest expense are recognized separately in 
the Consolidated Statements of Operations, with amortization expense generally recorded on a straight-line basis over the lease term 
and interest expense recorded using the effective interest method. For operating leases, a single lease cost is generally recognized in 
the Consolidated Statements of Operations on a straight-line basis over the lease term unless an impairment has been recorded with 
respect to a leased asset. Lease costs for short-term leases not recognized in the Consolidated Balance Sheets are recognized in the 
Consolidated Statements of Operations on a straight-line basis over the lease term. Variable lease costs not initially included in the 
lease liability and ROU asset impairment charges are expensed as incurred. ROU assets are assessed for impairment, similar to other 
long-lived assets.

Prior to the adoption of ASC 842, the Company accounted for leases under Accounting Standards Codification Topic 840, 

Leases (ASC 840).

Cloud Computing Arrangements. The Company may from time to time incur costs in connection with hosting arrangements 

that are service contracts. Subsequent to the Company’s January 1, 2019 adoption of Accounting Standards Update (ASU) No. 
2018-15, Customer’s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract 
(ASU 2018-15), which is further described below, the Company capitalizes any such implementation costs, expenses them over the 
terms of the respective hosting arrangements and subjects them to impairment testing consistent with other long-lived assets.

Finite-Lived Intangible Assets. Our finite-lived intangible assets consist of license rights and developed technology. Upon 
acquisition, intangible assets are generally initially recorded at fair value if acquired in a business combination, or at cost if otherwise. 
There are several methods that can be used to determine fair value. For intangible assets, we typically use an income approach. This 
approach starts with our forecast of all of the expected future net cash flows. Revenues are estimated based on relevant market size 
and growth factors, expected industry trends, individual project life cycles and, if applicable, the life of any estimated period of 
marketing exclusivity, such as that granted by a patent. The pricing, margins and expense levels of similar products are considered if 
available. For certain licensed assets, our estimates of future cash flows consider periods covered by renewal options to the extent we 
have the intent and ability, at the date of the estimate, to renew the underlying license agreements. These cash flows are then adjusted 
to present value by applying an appropriate discount rate that reflects the risk factors associated with the cash flow streams. 

To the extent an intangible asset is deemed to have a finite life, it is then amortized over its estimated useful life using either the 

straight-line method or, in the case of certain developed technology assets, an accelerated amortization model. The values of these 
various assets are subject to continuing scientific, medical and marketplace uncertainty. Factors giving rise to our initial estimate of 
useful lives are subject to change. Significant changes to any of these factors may result in a reduction in the useful life of the asset 
and an acceleration of related amortization expense, which could cause our net income and net income per share to decrease. 
Amortization expense is not recorded on assets held for sale.

F-16

Table of Contents

As further described below under the heading “Long-Lived Asset Impairment Testing,” our finite-lived intangible assets are 

also subject to impairment reviews.

Developed Technology. Our developed technology assets subject to amortization have useful lives ranging from 4 years to 20 

years, with a weighted average useful life of approximately 11 years. We determine amortization periods and methods of amortization 
for developed technology assets based on our assessment of various factors impacting estimated useful lives and the timing and extent 
of estimated cash flows of the acquired assets, including the strength of the intellectual property protection of the product (if 
applicable), contractual terms and various other competitive and regulatory issues.

License Rights. Our license rights subject to amortization have useful lives ranging from 12 years to 15 years, with a weighted 

average useful life of approximately 14 years. We determine amortization periods for licenses based on our assessment of various 
factors including the expected launch date of the product, the strength of the intellectual property protection of the product (if 
applicable), contractual terms and various other competitive, developmental and regulatory issues.

Long-Lived Asset Impairment Testing. Long-lived assets, including property, plant and equipment and finite-lived intangible 
assets, are assessed for impairment whenever events or changes in circumstances indicate the carrying amounts of the assets may not 
be recoverable. Recoverability of an asset that will continue to be used in our operations is measured by comparing the carrying 
amount of the asset to the forecasted undiscounted future cash flows related to the asset. In the event the carrying amount of the asset 
exceeds its undiscounted future cash flows and the carrying amount is not considered recoverable, impairment may exist. An 
impairment loss, if any, is measured as the excess of the asset’s carrying amount over its fair value, generally based on a discounted 
future cash flow method, independent appraisals or offers from prospective buyers. An impairment loss would be recognized in the 
Consolidated Statements of Operations in the period that the impairment occurs.

In-Process Research and Development Assets. In-process research and development acquired in an asset acquisition is 

expensed in the period it is acquired, assuming the assets have no alternative future use to the Company. Otherwise, acquired in-
process research and development is generally recognized as an indefinite-lived intangible asset. Such assets are generally initially 
recorded at fair value if acquired in a business combination, or at cost if otherwise. Indefinite-lived intangible assets are not subject to 
amortization. Instead, they 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. If the fair value of the intangible assets is less than its 
carrying amount, an impairment loss is recognized for the difference. For those assets that reach commercialization, the assets are 
reclassified and accounted for as finite-lived intangible assets.

Goodwill. Acquisitions meeting the definition of business combinations are accounted for using the acquisition method of 
accounting, which requires that the purchase price be allocated to the net assets acquired at their respective fair values. Any excess of 
the purchase price over the estimated fair values of the net assets acquired is recorded as goodwill. While amortization expense is not 
recorded on goodwill, goodwill is subject to impairment reviews. An impairment assessment is conducted as of October 1, or more 
frequently whenever events or changes in circumstances indicate that the asset might be impaired.

We perform the goodwill impairment test by comparing the fair value and carrying amount of each reporting unit. Any goodwill 

impairment charge we recognize for a reporting unit is equal to the lesser of (i) the total goodwill allocated to that reporting unit and 
(ii) the amount by which that reporting unit’s carrying amount exceeds its fair value. 

Contingencies. The Company is subject to various patent challenges, product liability claims, government investigations and 

other legal proceedings in the ordinary course of business. Contingent accruals and legal settlements are recorded in the Consolidated 
Statements of Operations as Litigation-related and other contingencies, net (or as Discontinued operations, net of tax in the case of 
vaginal mesh matters) when the Company determines that a loss is both probable and reasonably estimable. Legal fees and other 
expenses related to litigation are expensed as incurred and included in Selling, general and administrative expenses in the 
Consolidated Statements of Operations (or as Discontinued operations, net of tax in the case of vaginal mesh matters).

Due to the fact that legal proceedings and other contingencies are inherently unpredictable, our estimates of the probability and 

amount of any such liabilities involve significant judgment regarding future events. The Company records receivables from its 
insurance carriers only when the realization of the potential claim for recovery is considered probable.

F-17

Table of Contents

Contingent Consideration. Certain of the Company’s acquisitions involve the potential for future payment of consideration that 
is contingent upon the occurrence of a future event, such as (i) the achievement of specified regulatory, operational and/or commercial 
milestones or (ii) royalty payments, such as those relating to future product sales. Contingent consideration liabilities related to an 
asset acquisition are initially recorded when considered probable and reasonably estimable, which may occur subsequent to the 
acquisition date. Subsequent changes in the recorded amounts are recorded as adjustments to the cost of the acquired assets. 
Contingent consideration liabilities related to a business combination are initially recorded at fair value on the acquisition date using 
unobservable inputs. 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 Company remeasures its contingent consideration liabilities to their 
current estimated fair values, with changes recorded in earnings. Changes to any of the inputs used in determining fair value may 
result in fair value adjustments that differ significantly from the actual remeasurement adjustments recognized.

Share Repurchases. The Company accounts for the repurchase of ordinary shares, if any, at par value. Under applicable Irish 

law, ordinary shares repurchased are retired and not displayed separately as treasury stock. Upon retirement of the ordinary shares, the 
Company records the difference between the weighted average cost of such ordinary shares and the par value of the ordinary shares as 
an adjustment to Accumulated deficit in the Consolidated Balance Sheets.

Advertising Costs. Advertising costs are expensed as incurred and included in Selling, general and administrative expenses in 

the Consolidated Statements of Operations. Advertising costs amounted to $63.1 million, $49.6 million and $42.0 million for the years 
ended December 31, 2019, 2018 and 2017, respectively.

Cost of Revenues. Cost of revenues includes all costs directly related to bringing both purchased and manufactured products to 

their final selling destination. Amounts include purchasing and receiving costs, direct and indirect costs to manufacture products 
including direct materials, direct labor and direct overhead expenses necessary to acquire and convert purchased materials and 
supplies into finished goods, royalties paid or owed by Endo on certain in-licensed products, inspection costs, depreciation of certain 
property, plant and equipment, amortization of intangible assets, lease costs, warehousing costs, freight charges, costs to operate our 
equipment and other shipping and handling costs, among others.

Share-Based Compensation. The Company grants share-based compensation awards to certain employees and non-employee 

directors. Generally, the grant-date fair value of each award is recognized as expense over the requisite service period. However, 
expense recognition differs in the case of certain performance share units where the ultimate payout is performance-based. For these 
awards, at each reporting period, the Company estimates the ultimate payout and adjusts the cumulative expense based on its estimate 
and the percent of the requisite service period that has elapsed. Share-based compensation expense is reduced for estimated future 
forfeitures. These estimates are revised in future periods if actual forfeitures differ from the estimates. Changes in forfeiture estimates 
impact compensation expense in the period in which the change in estimate occurs. New ordinary shares are generally issued upon the 
exercise of stock options or vesting of stock awards by employees and non-employee directors. Refer to Note 18. Share-based 
Compensation for additional discussion, including the accounting treatment for long-term cash incentive awards that will be settled in 
ordinary shares.

Foreign Currency. The Company operates in various jurisdictions both inside and outside of the U.S. While the Company’s 

reporting currency is the U.S. dollar, the Company has concluded that certain of its distinct and separable operations have functional 
currencies other than the U.S. dollar. Further, certain of the Company’s operations hold assets and liabilities and recognize income and 
expenses denominated in various local currencies, which may differ from their functional currencies.

Assets and liabilities are first remeasured from local currency to functional currency, generally using end-of-period exchange 
rates. Foreign currency income and expenses are generally remeasured using average exchange rates in effect during the year. In the 
case of nonmonetary assets and liabilities such as inventories, prepaid expenses, property, plant and equipment, goodwill and other 
intangible assets, and related income statement amounts, such as depreciation expense, historical exchange rates are used for 
remeasurement. The net effect of remeasurement is included in Other expense (income), net in the Consolidated Statements of 
Operations.

As part of the Company’s consolidation process, assets and liabilities of entities with functional currencies other than the U.S. 

dollar are translated into U.S. dollars at end-of-period exchange rates. Income and expenses are translated using average exchange 
rates in effect during the year. The net effect of translation, as well as any foreign currency gains or losses on intercompany 
transactions considered to be of a long-term investment nature, are recognized as foreign currency translation, a component of Other 
comprehensive income (loss). Upon the sale or liquidation of an investment in a foreign operation, the Company records a 
reclassification adjustment out of Other comprehensive income (loss) for the corresponding accumulated amount of foreign currency 
translation gain or loss.

F-18

Table of Contents

Income Taxes. The Company accounts for income taxes under the asset and liability method, which requires the recognition of 

deferred tax assets and liabilities for the expected future tax consequences of events that have been included in the financial 
statements. Under this method, deferred tax assets and liabilities are determined based on the differences between the financial 
statement and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to 
reverse. The effect of a change in tax rates on deferred tax assets and liabilities is recognized in income in the period that includes the 
enactment date. The Company records net deferred tax assets to the extent it believes these assets will more likely than not be realized. 
In making such a determination, the Company considers all available positive and negative evidence, including projected future 
taxable income, tax-planning strategies and results of recent operations. In the event that the Company were to determine that it would 
be able to realize its deferred tax assets in the future in excess of their net recorded amount, the Company would make an adjustment 
to the deferred tax asset valuation allowance, which would reduce the provision for income tax.

The Company records uncertain tax positions on the basis of a two-step process whereby the Company first determines whether 

it is more likely than not that the tax positions will be sustained based on the technical merits of the position and then measures those 
tax positions that meet the more-likely-than-not recognition threshold. The Company recognizes the largest amount of tax benefit that 
is greater than 50% likely to be realized upon ultimate settlement with the tax authority. The Company recognizes interest and 
penalties related to unrecognized tax benefits within the Income tax expense (benefit) line in the Consolidated Statements of 
Operations. Accrued interest and penalties are included within the related tax liability line in the Consolidated Balance Sheets.

Comprehensive Income. Comprehensive income or loss includes all changes in equity during a period except those that 

resulted from investments by or distributions to a company’s shareholders. Other comprehensive income or loss refers to revenues, 
expenses, gains and losses that are included in comprehensive income, but excluded from net income as these amounts are recorded 
directly as an adjustment to shareholders’ equity.

Recent Accounting Pronouncements

Recently Issued Accounting Pronouncements Not Yet Adopted at December 31, 2019

In June 2016, the Financial Accounting Standards Board (FASB) issued 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, establishes new 
requirements for companies to estimate expected credit losses when measuring certain assets, including accounts receivables. This 
guidance is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2019. With certain 
exceptions, this guidance requires adoption using a modified retrospective approach. This guidance is not expected to have a material 
impact on the Company’s consolidated results of operations, financial position or disclosures.

In November 2018, the FASB issued ASU No. 2018-18, Clarifying the Interaction Between Topic 808 and Topic 606 (ASU 
2018-18). The main provisions of ASU 2018-18 include: (i) clarifying that certain transactions between collaborative arrangement 
participants should be accounted for as revenue when the collaborative arrangement participant is a customer in the context of a unit 
of account and (ii) precluding the presentation of transactions with collaborative arrangement participants that are not directly related 
to sales to third parties together with revenue. ASU 2018-18 is effective for fiscal years beginning after December 15, 2019, and 
interim periods within those fiscal years. ASU 2018-18 should be applied retrospectively to the date of initial application of ASC 606, 
which was January 1, 2018 for the Company. Early adoption is permitted. ASU 2018-18 is not expected to have a material impact on 
the Company’s consolidated results of operations, financial position or disclosures.

Recent Accounting Pronouncements Adopted or Otherwise Effective as of December 31, 2019

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (ASU 2016-02) to establish a comprehensive new 
accounting standard for leases. ASU 2016-02, together with a series of subsequently-issued related ASUs, has been codified in ASC 
842. ASC 842 supersedes the lease accounting requirements in ASC 840 and requires lessees to, among other things, recognize on the 
balance sheet ROU assets and ROU lease liabilities, representing the present value of future minimum lease payments, for most leases.

The Company adopted ASC 842 using the modified retrospective approach with an effective date of January 1, 2019 for leases 

that existed on that date.

The Company has elected to apply certain practical expedients permitted under the transition guidance within ASC 842 to 

leases that commenced before January 1, 2019, including the package of practical expedients, as well as the practical expedient 
permitting the Company to not assess whether certain land easements contain leases. Due to the Company's election of these practical 
expedients, the Company has carried forward certain historical conclusions for existing contracts, including conclusions relating to 
initial direct costs and to the existence and classification of leases.

F-19

Table of Contents

On January 1, 2019, as a result of adopting ASC 842, the Company recognized new ROU assets, current lease liabilities and 

noncurrent lease liabilities associated with operating leases of $59.4 million, $11.0 million and $57.3 million, respectively, which were 
recorded in the Consolidated Balance Sheets as Operating lease assets, Current portion of operating lease liabilities and Operating 
lease liabilities, less current portion, respectively. The Company also derecognized certain assets and liabilities related to existing 
build-to-suit lease arrangements for which construction was completed prior to the date of transition and recognized new finance lease 
ROU assets and lease liabilities related to those lease arrangements. The net effect of the Company’s adoption of ASC 842 resulted in 
a net increase to Accumulated deficit of $4.6 million.

In August 2018, the FASB issued ASU 2018-15. ASU 2018-15 aligns the requirements for capitalizing implementation costs 
incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to 
develop or obtain internal-use software (including hosting arrangements where a software license is deemed to exist). ASU 2018-15 
also requires the customer to expense any such capitalized implementation costs over the term of the hosting arrangement and to apply 
the existing impairment guidance for long-lived assets to such capitalized costs. Additionally, ASU 2018-15 sets forth required 
disclosures and guidance on financial statement classification for expenses, cash flows and balances related to implementation costs 
within the scope of ASU 2018-15. The Company early adopted this guidance during the first quarter of 2019 on a prospective basis.

NOTE 3. DISCONTINUED OPERATIONS AND DIVESTITURES

Astora

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 Consolidated Statements of Operations for all periods presented.

The following table provides the operating results of Astora Discontinued operations, net of tax, for the years ended December 

31, 2019, 2018 and 2017 (in thousands):

Litigation-related and other contingencies, net

Loss from discontinued operations before income taxes

Income tax benefit

Discontinued operations, net of tax

2019

2018

2017

$

$

$

$

30,400
$
(62,052) $
— $
(62,052) $

34,000
$
(69,702) $
— $
(69,702) $

775,474

(816,426)

(13,704)

(802,722)

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 $62.1 million, $69.7 

million and $802.7 million for the years ended December 31, 2019, 2018 and 2017, respectively, and the impact of cash activity 
related to vaginal mesh cases. There were no material net cash flows related to Astora discontinued investing activities during the 
years ended December 31, 2019, 2018 and 2017. There was no depreciation or amortization during the years ended December 31, 
2019, 2018 and 2017 related to Astora.

Litha

During the fourth quarter of 2016, the Company initiated a process to sell Litha and, on February 27, 2017, the Company 
entered into a definitive agreement to sell Litha to Acino Pharma AG. The sale closed on July 3, 2017 and the Company received net 
cash proceeds of approximately $94.2 million, after giving effect to cash and net working capital purchase price adjustments, as well 
as a short-term receivable of $4.4 million, which was subsequently collected in October 2017. No additional gain or loss was 
recognized upon sale. However, in December 2017, Acino Pharma AG became obligated to pay $10.1 million of additional 
consideration to the Company related to the settlement of certain contingencies set forth in the purchase agreement, which was 
subsequently paid to the Company in January 2018. In December 2017, the Company recorded a short-term receivable and a gain on 
the sale of Litha for this amount. The gain was recorded in Other expense (income), net in the Consolidated Statements of Operations. 
Litha was part of the Company’s International Pharmaceuticals segment. Litha did not meet the requirements for treatment as a 
discontinued operation.

Somar

On June 30, 2017, the Company entered into a definitive agreement to sell Somar and all of the securities thereof, to AI Global 
Investments (Netherlands) PCC Limited acting for and on behalf of the Soar Cell (the purchaser). The sale closed on October 25, 2017 
and the Soar Cell paid an aggregate purchase price of approximately $124 million in cash, after giving effect to estimated cash, debt 
and net working capital purchase price adjustments. The Company recognized a $1.3 million loss upon sale. Somar was part of the 
Company’s International Pharmaceuticals segment. Somar did not meet the requirements for treatment as a discontinued operation.

F-20

Table of Contents

NOTE 4. RESTRUCTURING

Set forth below are disclosures relating to restructuring initiatives that resulted in material expenses or cash expenditures during 

any of the years ended December 31, 2019, 2018 or 2017 or had material restructuring liabilities at either December 31, 2019 or 
December 31, 2018. Employee separation benefits provided under an established severance plan are expensed when a liability is 
considered both probable and estimable. One-time employee separation benefits, retention and certain other employee benefit-related 
costs are expensed ratably over the requisite service period. Other restructuring costs are generally expensed as incurred.

2016 Generic Pharmaceuticals Restructuring Initiative

As part of the Generic Pharmaceuticals integration efforts initiated in connection with the acquisition of Par Pharmaceutical 

Companies, Inc. in September 2015, the Company announced a restructuring initiative in May 2016 to optimize its product portfolio 
and rationalize its manufacturing sites to expand product margins (the 2016 Generic Pharmaceuticals Restructuring Initiative). This 
initiative included certain cost savings measures, including a reduction in headcount and the disposal of our Charlotte, North Carolina 
manufacturing facility. On October 31, 2016, we entered into a definitive agreement to sell the Charlotte facility for cash proceeds of 
$14 million. The transaction closed in January 2017.

The Company did not incur any material pre-tax charges as a result of the 2016 Generic Pharmaceuticals Restructuring 
Initiative during any of the years ended December 31, 2019, 2018 or 2017 and does not expect to incur additional material pre-tax 
restructuring-related expenses related to this initiative. Substantially all related cash payments were made by the end of 2017. 
Payments made in 2017 included $10.7 million for previously-accrued employee separation and other benefit-related costs.

2016 Branded Pharmaceuticals Restructuring Initiative

In December 2016, the Company announced that it was terminating its worldwide license and development agreement with 
BioDelivery Sciences International, Inc. (BDSI) for BELBUCA™ and returning the product to BDSI. This termination was completed 
on January 6, 2017. As a result of this announcement and a comprehensive assessment of its product portfolio, the Company 
restructured its Branded Pharmaceuticals segment sales organization during the fourth quarter of 2016 (the 2016 Branded 
Pharmaceuticals Restructuring Initiative), which included the elimination of an approximate 375-member Branded Pharmaceuticals 
pain field sales force and the termination of certain contracts.

The Company did not incur any material pre-tax charges as a result of the 2016 Branded Pharmaceuticals Restructuring 

Initiative during any of the years ended December 31, 2019, 2018 or 2017 and does not expect to incur additional material pre-tax 
restructuring-related expenses related to this initiative. Substantially all related cash payments were made by the end of 2017. 
Payments made in 2017 included $16.5 million for previously-accrued employee separation and other benefit-related costs and $5.2 
million for previously-accrued contract termination charges.

January 2017 Restructuring Initiative

On January 26, 2017, the Company announced a restructuring initiative implemented as part of an organizational review (the 
January 2017 Restructuring Initiative). This restructuring was intended to further integrate, streamline and optimize the Company’s 
operations by aligning certain corporate and R&D functions with its recently restructured U.S. generics and U.S. branded business 
units in order to create efficiencies and cost savings. As part of this restructuring, the Company undertook certain cost reduction 
initiatives, including a reduction of approximately 90 positions of its workforce, primarily related to corporate and branded R&D 
functions in Malvern, Pennsylvania and Chestnut Ridge, New York, a streamlining of general and administrative expenses, an 
optimization of commercial spend and a refocusing of R&D efforts.

During the year ended December 31, 2017, the Company incurred total pre-tax charges of approximately $15.1 million related 

to employee separation and other benefit-related costs. Of the total charges incurred, $6.9 million was included in the Branded 
Pharmaceuticals segment, $4.9 million was included in Corporate unallocated costs and $3.3 million was included in the Generic 
Pharmaceuticals segment. These charges were included in Selling, general and administrative expenses in the Consolidated Statements 
of Operations. Of these amounts, $12.4 million was paid in 2017 and $2.7 million was paid in 2018.

The Company did not incur any other material pre-tax charges as a result of the January 2017 Restructuring Initiative and does 

not expect to incur additional material pre-tax restructuring-related expenses related to this initiative.

2017 Generic Pharmaceuticals Restructuring Initiative

On July 21, 2017, the Company announced that, after completing a comprehensive review of its manufacturing network, it 

would be ceasing operations and closing its manufacturing and distribution facilities in Huntsville, Alabama (the 2017 Generic 
Pharmaceuticals Restructuring Initiative). The closure of the facilities was completed in June 2018 and the facilities were sold in the 
fourth quarter of 2018 for net cash proceeds of $23.1 million, resulting in a net gain on disposal of $12.5 million, which is included in 
Other expense (income), net in the Consolidated Statements of Operations.

As a result of the 2017 Generic Pharmaceuticals Restructuring Initiative, the Company incurred pre-tax charges of $61.6 
million and $286.7 million during the years ended December 31, 2018 and 2017, respectively. The 2018 amount does not include the 
$12.5 million gain on sale of the Huntsville facilities described above.

F-21

Table of Contents

During the year ended December 31, 2018, the expenses consisted of charges relating to accelerated depreciation of $35.2 

million, employee separation, retention and other benefit-related costs of $9.1 million, asset impairment charges of $2.6 million and 
certain other charges of $14.7 million.

During the year ended December 31, 2017, the expenses included accelerated depreciation charges of $123.3 million, employee 

separation, retention and other benefit-related costs of $29.6 million, certain intangible asset and property, plant and equipment 
impairment charges of $104.7 million, charges to increase excess inventory reserves of $12.1 million and certain other charges of 
$17.0 million.

These charges are included in the Generic Pharmaceuticals segment. Accelerated depreciation, employee separation, retention 

and other benefit-related costs and charges to increase excess inventory reserves are primarily included in Cost of revenues in the 
Consolidated Statements of Operations. Impairment charges are included in Asset impairment charges. Certain other charges are 
included in both Cost of revenues and Selling, general and administrative expenses.

The Company did not incur any other material pre-tax charges as a result of the 2017 Generic Pharmaceuticals Restructuring 

Initiative and does not expect to incur additional material pre-tax restructuring-related expenses related to this initiative.

The liability related to the 2017 Generic Pharmaceuticals Restructuring Initiative is primarily included in Accounts payable and 

accrued expenses in the Consolidated Balance Sheets. Changes to this liability during the years ended December 31, 2019 and 2018 
were as follows (in thousands):

Liability balance as of January 1, 2018

Expenses

Cash distributions

Liability balance as of December 31, 2018

Cash distributions

Liability balance as of December 31, 2019

January 2018 Restructuring Initiative 

Employee
Separation and
Other Benefit-
Related Costs

Other
Restructuring
Costs

$

$

$

22,975

$

1,610

$

9,090
(27,826)
4,239
(4,239)

$

— $

11,294
(12,856)
48
(48)
— $

$

Total

24,585

20,384

(40,682)

4,287

(4,287)

—

In January 2018, the Company initiated a restructuring initiative that included a reorganization of its Generic Pharmaceuticals 

segment’s R&D network, a further simplification of the Company’s manufacturing networks and a company-wide unification of 
certain corporate functions (the January 2018 Restructuring Initiative).

As a result of the January 2018 Restructuring Initiative, the Company incurred pre-tax charges of $23.5 million and $2.6 

million during the years ended December 31, 2018 and 2017, respectively.

The expenses in 2018 consisted primarily of employee separation, retention and other benefit-related costs of $21.7 million and 

certain other charges of $1.8 million. Of the total charges incurred, $10.6 million are included in the Generic Pharmaceuticals 
segment, $5.2 million are included in Corporate unallocated costs, $3.9 million are included in the Sterile Injectables segment, $3.1 
million are included in the International Pharmaceuticals segment and $0.7 million are included in the Branded Pharmaceuticals 
segment.

The expenses in 2017 consisted of certain property, plant and equipment impairment charges of $2.0 million and certain other 

charges of $0.6 million. These charges are primarily included in the Generic Pharmaceuticals segment.

Employee separation, retention and other benefit-related costs are included in Cost of revenues, Selling, general and 
administrative and R&D expenses in the Consolidated Statements of Operations. Certain other charges are primarily included in 
Selling, general and administrative expenses. Impairment charges are included in Asset impairment charges. 

The Company did not incur any other material pre-tax charges as a result of the January 2018 Restructuring Initiative and does 

not expect to incur additional material pre-tax restructuring-related expenses related to this initiative. 

F-22

Table of Contents

The liability related to the January 2018 Restructuring Initiative is primarily included in Accounts payable and accrued 
expenses in the Consolidated Balance Sheets. Changes to this liability during the years ended December 31, 2019 and 2018 were as 
follows (in thousands):

Liability balance as of January 1, 2018

Expenses

Cash distributions

Liability balance as of December 31, 2018

Cash distributions

Liability balance as of December 31, 2019

NOTE 5. SEGMENT RESULTS

Employee
Separation and
Other Benefit-
Related Costs

Other
Restructuring
Costs

$

$

$

— $

650

$

21,754
(20,925)
829
(829)

$

1,764
(2,094)
320
(320)

$

— $

— $

Total

650

23,518

(23,019)

1,149

(1,149)

—

During the first quarter of 2019, the Company changed the names of its reportable segments. This change, which was intended 

to simplify the segments’ names, had no impact on the Company’s Consolidated Financial Statements or segment results for any of the 
periods presented. Following this change, the Company’s four 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 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 segment adjusted income from continuing operations before income tax, which we 

define as 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, retention payments, other exit costs and certain costs 
associated with integrating an acquired company’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; gains or losses from the sales of businesses and other assets; foreign currency gains or losses on 
intercompany financing arrangements; and certain other items.

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 
total segment adjusted income 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®, LIDODERM®, EDEX® and VOLTAREN® Gel, 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 
authorized generic of Merck’s Invanz®, ephedrine sulfate injection and treprostinil for 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.

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. The key products of this segment serve growing therapeutic areas, 
including attention deficit hyperactivity disorder, pain, women’s health and oncology. This segment also included Litha and Somar, 
which were sold in the second half of 2017.

F-23

Table of Contents

The following represents selected information for the Company’s reportable segments for the years ended December 31, 2019, 

2018 and 2017 (in thousands):

Net revenues from external customers:

Branded Pharmaceuticals

Sterile Injectables

Generic Pharmaceuticals

International Pharmaceuticals (1)

Total net revenues from external customers

Segment adjusted income from continuing operations before income tax:

Branded Pharmaceuticals

Sterile Injectables

Generic Pharmaceuticals

International Pharmaceuticals

2019

2018

2017

$

855,402

$

862,832

$

$

$

1,063,131

879,882

115,949

2,914,364

362,711

780,799

158,400

44,758

$

$

929,566

1,012,215

142,465

2,947,078

368,790

695,363

317,892

59,094

$

$

957,525

750,471

1,530,530

230,332

3,468,858

485,515

563,103

501,249

58,308

Total segment adjusted income from continuing operations before income tax

$

1,346,668

$

1,441,139

$

1,608,175

__________

(1)  Revenues generated by our International Pharmaceuticals segment are primarily attributable to external customers located in Canada and, prior to the sale of 

Litha in July 2017 and Somar in October 2017, South Africa and Latin America.

There were no material revenues from external customers attributed to an individual country outside of the U.S. during any of 

the periods presented. There were no material tangible long-lived assets in an individual country other than the U.S. as of 
December 31, 2019 or December 31, 2018.

The table below provides reconciliations of our Total consolidated loss from continuing operations before income tax, which is 
determined in accordance with U.S. GAAP, to our total segment adjusted income from continuing operations before income tax for the 
years ended December 31, 2019, 2018 and 2017 (in thousands):

2019
(344,904) $
538,734

2018
(938,832) $
521,656

Total consolidated loss from continuing operations before income tax

$

Interest expense, net

Corporate unallocated costs (1)

Amortization of intangible assets

Inventory step-up

Upfront and milestone payments to partners

Retention and separation benefits and other cost reduction initiatives (2)

Certain litigation-related and other contingencies, net (3)

Asset impairment charges (4)

Acquisition-related and integration items, net (5)

(Gain) loss on extinguishment of debt

Foreign currency impact related to the remeasurement of intercompany debt
instruments

Other, net (6)

168,136

543,862

—

6,623

34,598

11,211

526,082
(46,098)
(119,828)

4,362

23,890

Total segment adjusted income from continuing operations before income tax
__________

$

1,346,668

$

2017

(1,483,004)

488,228

165,298

773,766

390

9,483

212,448

185,990

1,154,376

58,086

51,734

200,592

622,339

261

45,108

86,295

13,809

916,939

21,914

—

(5,486)
(43,456)
1,441,139

(1,403)

(7,217)

$

1,608,175

(1)  Amounts include certain corporate overhead costs, such as headcount, facility and corporate litigation expenses and certain other income and expenses.
(2)  Amounts in 2019 include $14.7 million of costs associated with retention bonuses awarded to certain senior management of the Company. Other amounts in 

2019 related primarily to our restructuring and other cost reduction initiatives. Such amounts included employee separation costs of $8.9 million and other 
charges of $11.0 million. Amounts in 2018 primarily relate to employee separation costs of $31.7 million, accelerated depreciation of $35.2 million, charges to 
increase excess inventory reserves of $2.9 million and other charges of $16.5 million, each of which related primarily to our restructuring initiatives. Amounts 
in 2017 primarily relate to employee separation costs of $53.0 million, accelerated depreciation of $123.7 million, charges to increase excess inventory 
reserves of $13.7 million and other charges of $22.0 million. These charges were related primarily to the 2017 Generic Pharmaceuticals Restructuring 
Initiative. See Note 4. Restructuring for discussion of our material restructuring initiatives.

(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 15. Commitments and Contingencies.

(4)  Amounts primarily relate to charges to impair goodwill and intangible assets as further described in Note 10. Goodwill and Other Intangibles as well as 
charges to write down certain property, plant and equipment as further described in Note 4. Restructuring, Note 6. Fair Value Measurements and Note 9. 
Property, Plant and Equipment.

F-24

Table of Contents

(5)  Amounts primarily relate to changes in the fair value of contingent consideration.
(6)  Amounts in 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. The 
remaining amounts in 2019 and 2018 primarily relate to gains on sales of businesses and other assets, as further described in Note 19. Other Expense 
(Income), Net.

During the years ended December 31, 2019, 2018 and 2017, 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.

Branded Pharmaceuticals:

Specialty Products:

XIAFLEX®

SUPPRELIN® LA

Other Specialty (1)

Total Specialty Products
Established Products:

PERCOCET®

TESTOPEL®

Other Established (2)

Total Established Products

Total Branded Pharmaceuticals (3)
Sterile Injectables:

VASOSTRICT®

ADRENALIN®

Ertapenem for injection

APLISOL®

Other Sterile Injectables (4)

Total Sterile Injectables (3)

Total Generic Pharmaceuticals (5)

Total International Pharmaceuticals (6)

Total revenues, net
__________

2019

2018

2017

$

$

$

$

$

$

$

$

$

$

327,638

$

264,638

$

213,378

86,797

105,241

519,676

116,012

55,244

164,470

335,726

855,402

531,737

179,295

104,679

61,826

185,594

1,063,131

879,882

115,949

2,914,364

$

$

$

$

$

$

$

$

$

81,707

98,230

444,575

122,901

58,377

236,979

418,257

862,832

453,767

143,489

57,668

64,913

209,729

929,566

1,012,215

142,465

2,947,078

$

$

$

$

$

$

$

$

$

86,211

84,161

383,750

125,231

69,223

379,321

573,775

957,525

399,909

76,523

—

66,286

207,753

750,471

1,530,530

230,332

3,468,858

(1)  Products included within Other Specialty are NASCOBAL® Nasal Spray and AVEED®. Beginning with our first-quarter 2019 reporting, TESTOPEL®, which 

was previously included in Other Specialty, has been reclassified and is now included in the Established Products portfolio for all periods presented.

(2)  Products included within Other Established include, but are not limited to, LIDODERM®, EDEX® and VOLTAREN® Gel.
(3) 

Individual products presented above represent the top two performing products in each product category for the year ended December 31, 2019 and/or any 
product having revenues in excess of $100 million during any of the years ended December 31, 2019, 2018 or 2017 or $25 million during any quarterly period 
in 2019 or 2018.

(4)  Products included within Other Sterile Injectables include ephedrine sulfate injection, treprostinil for 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 2019, colchicine tablets, which launched in July 
2018, made up 6% of consolidated total revenue. During 2017, combined sales of ezetimibe tablets and quetiapine ER tablets, for which we lost temporary 
marketing exclusivity during the second quarter of 2017, made up 7% 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 4%, 5% and 7% of consolidated total revenues in 2019, 2018 and 2017, respectively, 

includes a variety of specialty pharmaceutical products sold outside the U.S., primarily in Canada through our operating company Paladin. This segment also 
included Litha, which was sold in July 2017, and Somar, which was sold in October 2017.

F-25

Table of Contents

The following represents depreciation expense for our reportable segments for the years ended December 31, 2019, 2018 and 

2017 (in thousands):

Branded Pharmaceuticals

Sterile Injectables

Generic Pharmaceuticals

International Pharmaceuticals

Corporate unallocated

Total depreciation expense

2019

2018

2017

$

12,573

$

14,542

$

14,287

32,689

4,234

5,217

10,500

66,016

4,925

5,385

16,957

8,411

174,652

3,332

6,647

$

69,000

$

101,368

$

209,999

Asset information is not reviewed or included within our internal management reporting. Therefore, the Company has not 

disclosed asset information for each reportable segment.

NOTE 6. FAIR VALUE MEASUREMENTS

Financial Instruments

The financial instruments recorded in our 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.

The following table presents current and noncurrent restricted cash and cash equivalent balances at December 31, 2019 and 

December 31, 2018 (in thousands):

Restricted cash and cash equivalents—current portion (1)

Restricted cash and cash equivalents—noncurrent portion (2)

Restricted cash and cash equivalents—total (3)

__________

December 31,
2019

December 31,
2018

$

$

247,457

18,400

265,857

$

$

305,368

22,356

327,724

(1)  These amounts are reported in our Consolidated Balance Sheets as Restricted cash and cash equivalents.
(2)  These amounts are reported in our Consolidated Balance Sheets as Other assets.
(3)  Approximately $242.8 million and $299.7 million of our restricted cash and cash equivalents are held in QSFs for mesh-related matters at December 31, 2019 
and December 31, 2018, respectively. The remaining restricted cash and cash equivalents primarily relates to other litigation-related matters. See Note 15. 
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. Changes in any of these estimated inputs 
used as of the date of this report could have resulted in significant adjustments to fair value. See the “Recurring Fair Value 
Measurements” section below for additional information on acquisition-related contingent consideration.

F-26

Table of Contents

Recurring Fair Value Measurements

The Company’s financial assets and liabilities measured at fair value on a recurring basis at December 31, 2019 and 2018 were 

as follows (in thousands):

Assets:

Money market funds

Liabilities:

Acquisition-related contingent consideration—current

Acquisition-related contingent consideration—noncurrent

Assets:

Money market funds

Liabilities:

Acquisition-related contingent consideration—current

Acquisition-related contingent consideration—noncurrent

Fair Value Measurements at December 31, 2019 using:

Level 1 Inputs

Level 2 Inputs

Level 3 Inputs

Total

427,033

$

— $

— $

427,033

— $

— $

— $

— $

6,534

23,123

$

$

6,534

23,123

Fair Value Measurements at December 31, 2018 using:

Level 1 Inputs

Level 2 Inputs

Level 3 Inputs

Total

137,215

$

— $

— $

137,215

— $

— $

— $

— $

36,514

80,189

$

$

36,514

80,189

$

$

$

$

$

$

At December 31, 2019 and December 31, 2018, money market funds include $70.2 million and $86.9 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 15. Commitments and Contingencies for further discussion of our product liability cases. At December 31, 2019 and 
December 31, 2018, 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 years ended December 31, 2019 
and 2018 (in thousands):

Beginning of period

Amounts settled

Changes in fair value recorded in earnings

Effect of currency translation

End of period

2019

2018

116,703
(41,448)
(46,098)
500

$

190,442

(92,627)

19,910

(1,022)

29,657

$

116,703

$

$

At December 31, 2019, the fair value measurements of the contingent consideration obligations were determined using risk-

adjusted discount rates ranging from approximately 9.5% to 15.0% (weighted average rate of approximately 10.9%). Changes in fair 
value recorded in earnings related to acquisition-related contingent consideration are included in our 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 
Consolidated Balance Sheets.

F-27

Table of Contents

The following table presents changes to the Company’s liability for acquisition-related contingent consideration during the year 

ended December 31, 2019 by acquisition (in thousands):

Balance as of
December 31,
2018

Changes in Fair
Value Recorded
in Earnings

Amounts Settled
and Other

Balance as of
December 31,
2019

Auxilium acquisition

$

14,157

$

Lehigh Valley Technologies, Inc. acquisitions

VOLTAREN® Gel acquisition (1)

Other

Total
__________

34,700

56,240

11,606

$

116,703

$

$

777
(8,614)
(37,184)
(1,077)
(46,098) $

(1,727) $
(19,286)
(18,870)
(1,065)
(40,948) $

13,207

6,800

186

9,464

29,657

(1)  The change in fair value recorded in earnings includes the impact of certain competitive events occurring during 2019.

The following table presents changes to the Company’s liability for acquisition-related contingent consideration during the year 

ended December 31, 2018 by acquisition (in thousands):

Balance as of
December 31,
2017

Changes in Fair
Value Recorded
in Earnings

Amounts Settled
and Other

Balance as of
December 31,
2018

Auxilium acquisition

$

13,061

$

2,941

$

Lehigh Valley Technologies, Inc. acquisitions

VOLTAREN® Gel acquisition

Other

Total

Nonrecurring Fair Value Measurements

63,001

98,124

16,256

$

190,442

$

19,146

9
(2,186)
19,910

$

(1,845) $
(47,447)
(41,893)
(2,464)
(93,649) $

14,157

34,700

56,240

11,606

116,703

The Company’s financial assets and liabilities measured at fair value on a nonrecurring basis during the years ended December 

31, 2019 and 2018 were as follows (in thousands):

Intangible assets, excluding goodwill (Note 10)

Certain property, plant and equipment (Note 9)

Total

Intangible assets, excluding goodwill (Note 10)

Certain property, plant and equipment (Note 9)

Total
__________

Fair Value Measurements during the Year Ended
December 31, 2019 (1) using:

Level 1 Inputs

Level 2 Inputs

Level 3 Inputs

Total Expense
for the Year
Ended December
31, 2019

— $

—

— $

— $

229,680

—

—

— $

229,680

$

$

(347,706)

(6,468)

(354,174)

Fair Value Measurements during the Year Ended
December 31, 2018 (1) using:

Level 1 Inputs

Level 2 Inputs

Level 3 Inputs

Total Expense
for the Year
Ended December
31, 2018

— $

—

— $

— $

239,857

—

—

— $

239,857

$

$

(230,418)

(6,521)

(236,939)

$

$

$

$

(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.

The Company also performed fair value measurements in connection with its goodwill impairment tests. Refer to Note 10. 

Goodwill and Other Intangibles for additional information, including the valuation methodologies utilized.

F-28

Table of Contents

NOTE 7. INVENTORIES

Inventories consist of the following at December 31, 2019 and December 31, 2018 (in thousands):

Raw materials (1)

Work-in-process (1)

Finished goods (1)

Total

__________

December 31,
2019

December 31,
2018

$

$

124,171

$

122,825

65,392

138,302

327,865

$

70,458

128,896

322,179

(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 December 31, 2019 and December 31, 2018, $29.0 million and $8.1 million, respectively, of 
noncurrent inventory was included in Other assets in the Consolidated Balance Sheets. As of December 31, 2019 and December 31, 
2018, the Company’s Consolidated Balance Sheets included approximately $17.6 million and $12.5 million, respectively, of 
capitalized pre-launch inventories related to products that were not yet available to be sold.

NOTE 8. LEASES

We have entered into contracts with third parties to lease a variety of assets, including certain real estate, machinery, equipment, 

automobiles and other assets.

Our leases frequently allow for lease payments that could vary based on factors such as inflation or the degree of utilization of 

the underlying asset and the incurrence of contractual charges such as those for common area maintenance or utilities.

Renewal and/or early termination options are common in our lease arrangements, particularly with respect to our real estate 
leases. Our ROU assets and lease liabilities generally exclude periods covered by renewal options and include periods covered by 
early termination options (based on our conclusion that it is not reasonably certain that we will exercise such options).

Our most significant lease is for our Malvern, Pennsylvania location. The initial term of the lease is through 2024 and includes 

three renewal options, each for an additional 60-month period. These renewal options are not considered reasonably certain of exercise 
and are therefore excluded from the ROU asset and lease liability.

We are party to certain sublease arrangements, primarily related to our real estate leases, where we act as the lessee and 

intermediate lessor. For example, we sublease portions of our Malvern, Pennsylvania facility to multiple tenants through sublease 
arrangements ending in 2024, with certain limited renewal and early termination options.

The following table presents information about the Company's ROU assets and lease liabilities at December 31, 2019 (in 

thousands):

ROU assets:

Consolidated Balance Sheets Line Items

Operating lease ROU assets

Operating lease assets

Finance lease ROU assets

Property, plant and equipment, net

Total ROU assets

Operating lease liabilities:

Current operating lease liabilities

Current portion of operating lease liabilities

Noncurrent operating lease liabilities Operating lease liabilities, less current portion

Total operating lease liabilities

Finance lease liabilities:

Current finance lease liabilities

Accounts payable and accrued expenses

Noncurrent finance lease liabilities

Other liabilities

Total finance lease liabilities

F-29

December 31,
2019

$

$

$

$

$

$

51,700

56,793

108,493

10,763

48,299

59,062

5,672

31,312

36,984

Table of Contents

At December 31, 2018, our lease assets and liabilities determined in accordance with ASC 840, which related primarily to our 

Malvern, Pennsylvania lease that was accounted for as a build-to-suit lease arrangement, totaled $49.0 million and $36.1 million, 
respectively. Lease assets had a cost basis of $98.3 million and accumulated depreciation of $49.3 million and were reflected as 
Property, plant and equipment, net in the Consolidated Balance Sheets. Lease liabilities consisted of current liabilities of $5.3 million 
included in Accounts payable and accrued expenses and noncurrent liabilities of $30.8 million included in Other liabilities.

The following table presents information about lease costs and expenses and sublease income for the year ended December 31, 

2019 (in thousands):

Operating lease cost

Finance lease cost:

Consolidated Statements of Operations Line Items

Various (1)

Amortization of ROU assets

Various (1)

Interest on lease liabilities

Interest expense, net

Other lease costs and income:

Variable lease costs (2)

Sublease income

__________

Various (1)

Various (1)

2019

13,648

9,407

1,986

9,653

(3,689)

$

$

$

$

$

(1)  Amounts are included in the 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 year ended December 31, 2019 (in thousands):

Cost of revenues

Selling, general and administrative

Research and development

2019

11,168

17,648

203

$

$

$

(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.

Expenses incurred under operating leases, determined in accordance with ASC 840, were $18.7 million in both 2018 and 2017.

The following table provides the undiscounted amount of future cash flows included in our lease liabilities at December 31, 

2019 for each of the five years subsequent to December 31, 2019 and thereafter, as well as a reconciliation of such undiscounted cash 
flows to our lease liabilities at December 31, 2019 (in thousands):

2020

2021

2022

2023

2024

Thereafter
Total future lease payments

Less: amount representing interest

Present value of future lease payments (lease liability)

Operating
Leases

Finance Leases

$

14,103

$

13,262

12,688

10,017

5,176

15,332
70,578

11,516

59,062

$

$

$

$

7,446

7,593

7,743

7,897

8,054

13,483
52,216

15,232

36,984

F-30

Table of Contents

The Company’s future minimum lease commitments as of December 31, 2018, as determined in accordance with ASC 840 and 

reported in the Annual Report on Form 10-K for the year ended December 31, 2018, were as follows:

2019

2020

2021

2022

2023

Thereafter

Total minimum lease payments

Less: Amount representing interest

Total present value of minimum payments

Less: Current portion of such obligations

Long-term capital lease obligations
__________

Capital Leases
(1)

Operating
Leases

15,800

14,519

12,883

12,454

9,945

20,573

86,174

$

6,884

$

6,819

6,921

7,072

7,225

9,127

44,048

$

4,084

39,964

5,845

34,119

$

$

$

(1)  The Malvern, Pennsylvania location’s lease arrangement is included under Capital Leases.

The following table provides the weighted average remaining lease term and weighted average discount rates for our leases as 

of December 31, 2019:

Weighted average remaining lease term (years), weighted based on lease liability balances:

Operating leases

Finance leases

Weighted average discount rate (percentages), weighted based on the remaining balance of lease payments:

Operating leases

Finance leases

December 31,
2019

5.9 years

9.5 years

5.8%

5.5%

The following table provides certain cash flow and supplemental noncash information related to our lease liabilities for the year 

ended December 31, 2019 (in thousands):

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash payments for operating leases

Operating cash payments for finance leases

Financing cash payments for finance leases

Lease liabilities arising from obtaining right-of-use assets:

Operating leases

Finance leases

2019

14,940

2,000

9,196

623

5,953

$

$

$

$

$

F-31

Table of Contents

NOTE 9. PROPERTY, PLANT AND EQUIPMENT

Changes in the amount of Property, plant and equipment for the year ended December 31, 2019 are set forth in the table below 

(in thousands).

Cost:
At January 1, 2019
Additions (1)
Disposals, transfers,
impairments and
other (2)

Effect of currency
translation

Accumulated
Depreciation:
At January 1, 2019

Additions

Disposals, transfers
and other (2)

Effect of currency
translation

At December 31, 2019 $

At December 31, 2019 $
Net Book Amount:
At December 31, 2019 $
At December 31, 2018 $
__________

Land and
Buildings

Machinery and
Equipment

$

$

230,035
49,716

211,491
56,888

Leasehold
Improvements
69,256
$
9,934

Computer
Equipment and
Software

Furniture and
Fixtures

Assets under
Construction

$

$

117,134
8,359

$

12,495
954

$

121,024
(46,715)

Total
761,435
79,136

6,115

(6,394)

(8,926)

(8,951)

(515)

(1,096)

(19,767)

—
285,866

$

71
262,056

$

60
70,324

$

495
117,037

$

509
13,443

$

—
73,213

$

1,135
821,939

$

(69,656) $
(17,670)

(83,906) $
(22,012)

(30,600) $
(7,337)

(71,437) $
(20,696)

(6,944) $
(1,285)

— $
—

(262,543)
(69,000)

2,850

1,605

1,110

8,617

515

—

14,697

—
(84,476) $

(44)

(104,357) $

(31)
(36,858) $

(142)
(83,658) $

(11)
(7,725) $

—
— $

(228)
(317,074)

201,390
160,379

$
$

157,699
127,585

$
$

33,466
38,656

$
$

33,379
45,697

$
$

5,718
5,551

$
$

73,213
121,024

$
$

504,865
498,892

(1)  Costs incurred during the construction or development of property, plant and equipment are initially recorded as additions to Assets under Construction. Once 

an asset has been placed into service, the cost of that asset is transferred from Assets under Construction to one of the other classes of assets.

(2)  Amounts include the effect of the Company’s January 1, 2019 adoption of ASC 842, which is further described in Note 2. Summary of Significant Accounting 

Policies.

Depreciation expense was $69.0 million, $101.4 million and $210.0 million for the years ended December 31, 2019, 2018 and 

2017, respectively.

During the years ended December 31, 2019, 2018 and 2017, the Company recorded property, plant and equipment impairment 

charges totaling $6.5 million, $6.5 million and $65.7 million, respectively. These charges are included in the Asset impairment charges 
line item in our Consolidated Statement of Operations.

In 2019 and 2018, impairment charges reflect the write-off of certain property, plant and equipment, including amounts that 

were abandoned or sold as part of our ongoing efforts to improve our operating efficiency and consolidate certain locations.

In 2017, impairment charges primarily relate to an aggregate charge of $47.2 million recorded in connection with the 2017 
Generic Pharmaceuticals Restructuring Initiative, which is described further in Note 4. Restructuring, and $11.9 million recorded 
following the initiation of held-for-sale accounting resulting from the Company’s June 30, 2017 definitive agreement to sell Somar, 
which is described in Note 3. Discontinued Operations and Divestitures.

F-32

Table of Contents

NOTE 10. GOODWILL AND OTHER INTANGIBLES

Goodwill

Changes in the carrying amount of our goodwill for the years ended December 31, 2019 and 2018 were as follows (in 

thousands):

Branded
Pharmaceuticals

Sterile
Injectables

Generic
Pharmaceuticals

International
Pharmaceuticals

Total

Goodwill as of December 31, 2017

$

828,818

$

— $

Allocation to current segments (1)

Effect of currency translation

Goodwill impairment charges

Goodwill as of December 31, 2018

Effect of currency translation

Goodwill impairment charges

Goodwill as of December 31, 2019
__________

$

$

—

—

—

2,731,193

—

—

828,818

$

2,731,193

$

—

—

—

—

$

$

3,531,301
(2,731,193)
—
(649,000)
151,108

—
(151,108)

828,818

$

2,731,193

$

— $

89,963

$

4,450,082

—
(5,446)
(31,000)
53,517

2,456
(20,800)
35,173

—

(5,446)

(680,000)

$

3,764,636

2,456

(171,908)

$

3,595,184

(1)  This allocation relates to the change in segments described below under the heading “Impairments.” The amount of goodwill allocated was determined using a 

relative fair value methodology in accordance with U.S. GAAP.

The carrying amounts of goodwill at December 31, 2019 and December 31, 2018 are net of the following accumulated 

impairments (in thousands):

Accumulated impairment losses as of
December 31, 2018

Accumulated impairment losses as of
December 31, 2019

Branded
Pharmaceuticals

Sterile
Injectables

Generic
Pharmaceuticals

International
Pharmaceuticals

Total

$

$

855,810

855,810

$

$

— $

2,991,549

— $

3,142,657

$

$

456,408

500,417

$

$

4,303,767

4,498,884

F-33

Table of Contents

Other Intangible Assets

Changes in the amount of other intangible assets from December 31, 2018 to December 31, 2019 are set forth in the table below 

(in thousands).

Cost basis:

Indefinite-lived intangibles:

In-process research and
development

Total indefinite-lived
intangibles

Finite-lived intangibles:

Licenses (weighted average
life of 14 years)

Tradenames

Developed technology
(weighted average life of 11
years)

Total finite-lived intangibles
(weighted average life of 11
years)

Total other intangibles

Accumulated amortization:

Finite-lived intangibles:

Licenses

Tradenames

Developed technology

Total other intangibles

Net other intangibles

__________

$

$

$

$

$

$

$

$

Balance as of
December 31,
2018

Acquisitions

Impairments

Other (1)

Effect of
Currency
Translation

Balance as of
December 31,
2019

93,900

93,900

$

$

— $

— $

457,402

$

— $

6,409

6,182,015

—

—

— $

— $

— $

—

— $

— $

— $

—

— $

93,900

— $

93,900

— $

457,402

—

6,409

(347,706)

(2,197)

12,327

5,844,439

6,645,826

6,739,726

$

$

— $

— $

(347,706) $
(347,706) $

(2,197) $
(2,197) $

12,327

12,327

$

$

6,308,250

6,402,150

Balance as of
December 31,
2018

Amortization

Impairments

Other (1)

Effect of
Currency
Translation

Balance as of
December 31,
2019

(398,182) $

(6,409)

(2,877,829)

(3,282,420) $

3,457,306

(12,154) $
—
(531,708)
(543,862) $

— $

— $

— $

(410,336)

—

—

—

2,197

— $

2,197

$

—
(6,798)
(6,798) $
$

(6,409)

(3,414,138)

(3,830,883)

2,571,267

(1)  Other adjustments relate to the removal of certain fully amortized intangible assets.

Amortization expense for the years ended December 31, 2019, 2018 and 2017 totaled $543.9 million, $622.3 million and $773.8 

million, respectively. Amortization expense is included in Cost of revenues in the Consolidated Statements of Operations. Estimated 
amortization of intangibles for the five fiscal years subsequent to December 31, 2019 is as follows (in thousands):

2020

2021

2022

2023

2024

Impairments

$

$

$

$

$

437,420

396,864

381,312

351,805

308,986

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. 

F-34

Table of Contents

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 for the Company’s October 1, 2019, 2018 and 2017 annual 
goodwill and indefinite-lived intangible assets impairment tests ranged from 9.5% to 13.5%, from 9.5% to 11.5% and from 9.5% to 
12.5%, respectively, depending 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 Consolidated Statements of Operations.

During the years ended December 31, 2019, 2018 and 2017, the Company incurred the following goodwill and other intangible 

asset impairment charges (in thousands):

Goodwill impairment charges

Other intangible asset impairment charges

2019

2018

2017

$

$

171,908

347,706

$

$

680,000

230,418

$

$

288,745

799,955

A summary of significant goodwill and other intangible asset impairment tests and related charges is included below. Except as 

described below, pre-tax non-cash intangible 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.

Annual Goodwill Impairment Tests

As a result of our annual test performed as of October 1, 2019, the Company determined that the estimated carrying amount of 
the Paladin reporting unit exceeded its fair value; therefore, the Company recorded a pre-tax non-cash goodwill impairment charge of 
$20.8 million during the fourth quarter of 2019. The Paladin impairment was primarily a result of certain anticipated product 
discontinuation activities. The impairment also reflects the estimated impact of Canadian pricing regulations that were issued in the 
second half of 2019 and that we expect will become effective as early as July 2020. We did not record goodwill impairment charges 
for the other reporting units as a result of the 2019 annual tests.

As a result of our annual test performed as of October 1, 2018, the Company determined that the estimated carrying amounts of 

the Generic Pharmaceuticals and Paladin reporting units exceeded their respective fair values; therefore, the Company recorded pre-
tax non-cash goodwill impairment charges of $258.0 million and $31.0 million, respectively, during the fourth quarter of 2018. The 
Generic Pharmaceuticals impairment can be primarily attributed to an increase in the discount rate used in the determination of fair 
value and unfavorable underlying business outlook assumption changes. The Paladin impairment was primarily a result of increased 
competition and slower than expected product launches in our Canadian market. We did not record goodwill impairment charges for 
the other reporting units as a result of the 2018 annual tests.

As a result of our annual test performed as of October 1, 2017, the Company determined that the estimated fair values of its 
Branded, Generics and Paladin reporting units exceeded their carrying amounts; therefore, no related goodwill impairment charges 
were required.

Other Impairment Tests

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. The Company 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 its 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.

F-35

Table of Contents

During the first quarter of 2018, a change in segments resulted in changes to our reporting units for goodwill impairment testing 

purposes, including the creation of a new Sterile Injectables reporting unit, which was previously part of our Generics reporting unit. 
As a result of these changes, under U.S. GAAP, we tested the goodwill of the former Generics reporting unit immediately before the 
segment realignment and the goodwill of both the new Sterile Injectables and Generic Pharmaceuticals reporting units immediately 
after the segment realignment. These goodwill tests were performed using an income approach that utilized a discounted cash flow 
model. The results of these goodwill impairment tests were as follows:

•  The former Generics reporting unit’s estimated fair value exceeded its carrying amount, resulting in no related goodwill 

impairment charge.

•  The new Sterile Injectables reporting unit’s estimated fair value exceeded its carrying amount, resulting in no related 

goodwill impairment charge.

•  The new Generic Pharmaceuticals reporting unit’s carrying amount exceeded its estimated fair value, resulting in a pre-tax 

non-cash goodwill impairment charge of $391.0 million.

In March 2017, we announced that the FDA’s Drug Safety and Risk Management and Anesthetic and Analgesic Drug Products 
Advisory Committees voted that the benefits of reformulated OPANA® ER (oxymorphone hydrochloride extended release) no longer 
outweigh its risks. In June 2017, we became aware of the FDA’s request that we voluntarily withdraw OPANA® ER from the market 
and, in July 2017, after careful consideration and consultation with the FDA, we decided to voluntarily remove OPANA® ER from the 
market. As a result of our decision, the Company determined that the carrying amount of its OPANA® ER intangible asset was no 
longer recoverable, resulting in a pre-tax, non-cash impairment charge of $20.6 million in the second quarter of 2017, representing the 
remaining carrying amount.

As a result of the withdrawal of OPANA® ER from the market and the continued erosion of our Branded Pharmaceuticals 
segment’s Established Products portfolio, we initiated an interim goodwill impairment analysis of our Branded reporting unit during 
the second quarter of 2017. We recorded a pre-tax, non-cash goodwill impairment charge of $180.4 million during the three months 
ended June 30, 2017 for the amount by which the reporting unit’s carrying amount exceeded its fair value. We estimated the fair value 
of the Branded reporting unit using an income approach that utilized a discounted cash flow model.

Following the announcement of the 2017 Generic Pharmaceuticals Restructuring Initiative, which is further described in Note 

4. Restructuring, the Company assessed the recoverability of certain products that were discontinued as part of this initiative, resulting 
in pre-tax, non-cash intangible asset impairment charges of approximately $57.5 million during the second quarter of 2017.

Pursuant to an existing agreement with a wholly-owned subsidiary of Novartis, Paladin licensed the Canadian rights to 
commercialize serelaxin, an investigational drug for the treatment of acute heart failure (AHF). In March 2017, Novartis announced 
that a Phase 3 study of serelaxin in patients with AHF failed to meet its primary endpoints. As a result, we concluded that the full 
carrying amount of our serelaxin in-process research and development intangible asset was impaired, resulting in a $45.5 million pre-
tax non-cash impairment charge during the three months ended March 31, 2017. In addition, and as a result of the serelaxin 
impairment, we assessed the recoverability of our Paladin goodwill balance and determined that the estimated fair value of the Paladin 
reporting unit was below its carrying amount. We recorded a pre-tax, non-cash goodwill impairment charge of $82.6 million during 
the three months ended March 31, 2017 for the amount by which the carrying amount exceeded the reporting unit’s fair value. We 
estimated the fair value of the Paladin reporting unit using an income approach that utilized a discounted cash flow model.

As further discussed in Note 3. Discontinued Operations and Divestitures, we entered into a definitive agreement to sell Somar 

on June 30, 2017, which resulted in Somar’s assets and liabilities being classified as held for sale. The initiation of held-for-sale 
accounting, together with the agreed upon sale price, triggered an impairment review. Accordingly, we performed an impairment 
analysis using a market approach and determined that impairment charges were required. We recorded pre-tax, non-cash impairment 
charges of $25.7 million and $89.5 million related to Somar’s goodwill and other intangible assets, respectively, during the second 
quarter of 2017, each of which represented the remaining carrying amounts of the corresponding assets.

NOTE 11. LICENSE AND COLLABORATION AGREEMENTS

Our subsidiaries have entered into certain license, collaboration and discovery agreements with third parties for product 
development. These agreements require our subsidiaries to share in the development costs of such products and the third parties grant 
marketing rights to our subsidiaries for such products.

Generally, under these agreements: (i) we are required to make upfront payments and other payments upon successful 
completion of regulatory or sales milestones and/or (ii) we are required to pay royalties on sales of the products arising from these 
agreements.

F-36

Table of Contents

BioSpecifics Technologies Corp. (BioSpecifics)

The Company, through an affiliate, is party to a development and license agreement, as amended (the BioSpecifics Agreement) 

with BioSpecifics. The BioSpecifics Agreement was originally entered into in June 2004 to obtain exclusive worldwide rights to 
develop, market and sell certain products containing BioSpecifics’ enzyme CCH, which is included in our XIAFLEX® product. The 
Company’s licensed rights concern the development and commercialization of products, other than dermal formulations labeled for 
topical administration, and currently, the Company’s licensed rights cover the indications of DC, Dupuytren’s nodules, PD, adhesive 
capsulitis, cellulite, plantar fibromatosis, lateral hip fat and other potential indications. The Company may further expand the 
BioSpecifics Agreement, at its option, to cover other indications as they are developed by the Company or BioSpecifics.

Under the BioSpecifics Agreement, we are responsible, at our own cost and expense, for developing the formulation and 
finished dosage form of products and arranging for the clinical supply of products. BioSpecifics may from time to time conduct 
exploratory clinical trials evaluating CCH as a treatment for a number of conditions, including uterine fibroids. In certain cases, the 
Company has the option to license development and marketing rights to future indications based on a full analysis of the data from the 
clinical trials, which would transfer responsibility for the future development costs to the Company and trigger opt-in payments and 
potential future milestone and royalty payments to BioSpecifics.

The BioSpecifics Agreement extends, on a country-by-country and product-by-product basis, for the longer of the patent life, 

the expiration of any regulatory exclusivity period or twelve years from the effective date. Either party may terminate the BioSpecifics 
Agreement as a result of the other party’s breach or bankruptcy. We may terminate the BioSpecifics Agreement with 90 days’ written 
notice.

We must pay BioSpecifics on a country-by-country and product-by-product basis a specified percentage within a range of 5% to 

15% of net sales for products covered by the BioSpecifics Agreement. This royalty applies to net sales by the Company and/or any of 
its sublicensees. We are also obligated to pay a percentage of any future regulatory or commercial milestone payments received from 
any sublicensees. In addition, the Company and its affiliates pay BioSpecifics an amount equal to a specified mark-up on certain cost 
of goods related to supply of XIAFLEX® (which mark-up is capped at a specified percentage within the range of 5% to 15% of the 
cost of goods of XIAFLEX®) for products sold by the Company and its affiliates.

Nevakar, Inc.

During the second quarter of 2018, we entered into a development, license and commercialization agreement with Nevakar, Inc. 

related to five sterile injectable product candidates. Pursuant to this agreement, Nevakar, Inc. will generally be responsible, at its 
expense, to develop and seek regulatory approval for these product candidates, and the Company will generally be responsible, at its 
expense, to launch and distribute any products that are approved. The Company will have exclusive license rights to all of these 
products launched in the U.S. and a first right of refusal for the Canadian territory. Upon entering into this agreement, the Company 
became obligated to make an upfront payment, which was recorded as R&D expense in the Consolidated Statements of Operations 
during the three months ended June 30, 2018. The Company could become obligated to make additional payments based on certain 
potential future milestones being achieved.

NOTE 12. 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 December 31, 2019, 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.

F-37

Table of Contents

The following table shows the opening and closing balances of contract assets and contract liabilities from contracts with customers 

(dollars in thousands):

Contract assets, net (1)

Contract liabilities, net (2)

__________

December 31,
2019

December 31,
2018

$ Change

% Change

$

$

— $

6,592

$

12,065

19,217

$

$

(12,065)
(12,625)

(100)%
(66)%

(1)  At December 31, 2018, approximately $9.3 million of the contract asset amount is classified as a current asset and is included in Prepaid expenses and other 
current assets in the Company’s Consolidated Balance Sheets. The remaining amount is classified as noncurrent and is included in Other assets. The net 
decrease in contract assets during the year ended December 31, 2019 was primarily due to reclassifications to accounts receivable following the resolution of 
certain conditions other than the passage of time affecting the Company’s rights to consideration for the sale of certain goods, as well as certain product 
discontinuation activities in our International Pharmaceuticals segment.

(2)  At December 31, 2019 and December 31, 2018, approximately $1.4 million and $1.7 million, respectively, of these contract liability amounts are classified as 
current liabilities and are included in Accounts payable and accrued expenses in the Company’s Consolidated Balance Sheets. The remaining amounts are 
classified as noncurrent and are included in Other liabilities. During the year ended December 31, 2019, the Company entered into new contracts resulting in 
an increase to contract liabilities of approximately $4.0 million. This increase was more than offset by approximately $14.9 million in reductions following 
certain product discontinuation activities in our International Pharmaceuticals segment and approximately $1.2 million in revenue recognized during the 
period.

During the year ended December 31, 2019, we recognized revenue of $10.8 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 13. ACCOUNTS PAYABLE AND ACCRUED EXPENSES

Accounts payable and accrued expenses include the following at December 31, 2019 and December 31, 2018 (in thousands):

Trade accounts payable
Returns and allowances
Rebates
Chargebacks
Accrued interest
Accrued payroll and related benefits
Accrued royalties and other distribution partner payables
Acquisition-related contingent consideration—current
Other
Total

December 31,
2019
101,532
206,248
129,056
1,594
112,860
79,869
115,816
6,534
146,440
899,949

$

$

$

$

December 31,
2018

96,024
236,946
144,860
2,971
130,182
89,895
122,028
36,514
149,780
1,009,200

F-38

Table of Contents

NOTE 14. DEBT

The following table presents information about the Company’s total indebtedness at December 31, 2019 and December 31, 

2018 (dollars in thousands):

December 31, 2019

December 31, 2018

Effective
Interest
Rate

Principal
Amount

Carrying
Amount

Effective
Interest
Rate

Principal
Amount

Carrying
Amount

7.25% $

8,294

$

8,294

7.91% $

400,000

$

7.25% Senior Notes due 2022

5.75% Senior Notes due 2022

5.375% Senior Notes due 2023

6.00% Senior Notes due 2023

5.875% Senior Secured Notes due 2024

6.00% Senior Notes due 2025

7.50% Senior Secured Notes due 2027

Term Loan Facility

Revolving Credit Facility

Total long-term debt, net

Less current portion, net

Total long-term debt, less current portion,
net

5.75%

5.62%

6.28%

6.14%

6.27%

7.71%

6.21%

4.25%

182,479

210,440

1,439,840

300,000

1,200,000

1,500,000

3,329,625

300,000

182,479

209,018

1,426,998

296,647

1,185,726

1,482,212

6.04%

5.62%

6.28%

6.14%

6.27%

700,000

750,000

1,635,000

300,000

1,200,000

—

392,947

694,464

743,438

1,616,817

296,062

1,183,415

—

3,302,675

7.02%

3,363,775

3,331,276

300,000

—

—

$

8,470,678

$

8,394,049

$

8,348,775

$

8,258,419

34,150

34,150

34,150

34,150

$

8,436,528

$

8,359,899

$

8,314,625

$

8,224,269

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 December 31, 2019. The obligations under (i) all of the 
senior secured notes and (ii) the Credit Agreement (as defined below) and related loan documents are secured on a pari passu basis by 
a perfected first priority (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). Our senior 
unsecured notes are unsecured and effectively subordinated in right of priority to the Credit Agreement and our senior secured notes, 
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 $7.4 billion and $7.2 billion at December 31, 2019 and December 31, 2018, 
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 Credit 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 million of remaining 
credit is available under the Revolving Credit Facility as of December 31, 2019. 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 contains affirmative and negative covenants that the Company believes to be usual and customary for a 
senior secured credit facility of this type. The negative covenants include, among other things, limitations on asset sales, mergers and 
acquisitions, indebtedness, liens, dividends and other restricted payments, investments and transactions with the Company’s affiliates. 
As of December 31, 2019 and December 31, 2018, we were in compliance with all such covenants.

In addition, after each fiscal year-end, the Company is required to perform a calculation of Excess Cash Flow (as defined in the 

Credit Agreement), which could result in certain pre-payments of the principal relating to the Term Loan Facility in accordance with 
the terms of the Credit Agreement. No such payment is required at December 31, 2019.

F-39

Table of Contents

The commitments under the Revolving Credit Facility generally mature in 2024, with the exception of $76.0 million of 

commitments that mature in 2022. Principal payments on the Term Loan Facility equal to 0.25% of the initial principal amount are 
generally payable quarterly until the Term Loan Facility’s ultimate maturity date in 2024, at which time the remaining principal 
amount outstanding will be payable. However, with certain exceptions set forth in the Credit Agreement, maturities under the Credit 
Facilities will be accelerated if any of the following of our senior notes are not refinanced or repaid in full at least 91 days prior to the 
respective maturity dates thereof:

Instrument

7.25% Senior Notes Due 2022

5.75% Senior Notes Due 2022

5.375% Senior Notes Due 2023

6.00% Senior Notes Due 2023

Maturity Date

January 15, 2022

January 15, 2022

January 15, 2023

July 15, 2023

Borrowings under the Revolving Credit Facility bear interest, at the borrower’s election, at a rate equal to (i) an applicable 

margin between 1.50% and 3.00% depending on the Company’s Total Net Leverage Ratio plus LIBOR or (ii) an applicable margin 
between 0.50% and 2.00% depending on the Company’s Total Net Leverage Ratio plus the Alternate Base Rate (as defined in the 
Credit Agreement). In addition, borrowings under our Term Loan Facility bear interest, at the borrower’s election, at a rate equal to (i) 
4.25% plus LIBOR, subject to a LIBOR floor of 0.75%, or (ii) 3.25% plus the Alternate Base Rate, subject to an Alternate Base Rate 
floor of 1.75%.

Senior Notes and Senior Secured Notes

Our various senior notes and senior secured notes mature between 2022 and 2027. 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. As of December 31, 2019, the Non-Call Period has expired for each 
of our notes except for the 5.875% Senior Secured Notes due 2024, the 6.00% Senior Notes due 2025 and the 7.50% 
Senior Secured Notes due 2027.

•  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. The redemption prices for each of our notes vary over 
time. The redemption prices pursuant to this clause range from 100.000% to 105.625% of principal at December 31, 2019; 
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% of the principal amount 

outstanding), with the net cash proceeds from specified equity offerings at redemption prices set forth in each indenture, 
plus accrued and unpaid interest. As of December 31, 2019, this clause has expired for each of our notes except for the 
5.875% Senior Secured Notes due 2024 and the 7.50% Senior Secured Notes due 2027, for which the specified 
redemption premiums are 105.875% and 107.500%, respectively.

The indentures governing our various senior notes contain affirmative and negative covenants that the Company believes to be 

usual and 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. Under the 
senior unsecured notes indentures, the negative covenants, among other things, restrict the ability of Endo Designated Activity 
Company and 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 issuer or 
any of the restricted subsidiaries; create certain liens; merge, consolidate or sell all or substantially all of Endo Designated Activity 
Company’s, its co-issuers’ or guarantors’ 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. As of December 31, 2019 and December 31, 2018, we were in compliance with all such covenants. Additionally, pursuant to 
the terms of the indentures governing certain of our senior unsecured notes, the restricted subsidiaries of Endo International plc, whose 
assets comprise substantially all of the Company’s consolidated total assets after intercompany eliminations, are subject to various 
restrictions limiting their ability to transfer assets in excess of certain thresholds to Endo International plc.

F-40

Table of Contents

Debt Financing Transactions

Set forth below are certain disclosures relating to debt financing transactions that occurred during the years ended December 

31, 2019, 2018 and 2017.

April 2017 Refinancing

In April 2017, the Company executed certain transactions (the April 2017 Refinancing Transactions) that included entry into a 
credit agreement, which provided for a term loan facility and a revolving credit facility, and the issuance of $300.0 million of 5.875% 
Senior Secured Notes due 2024 (the 2024 Notes). The Company used the net proceeds from this term loan facility, the 2024 Notes and 
cash on hand to refinance certain of its prior indebtedness and to pay related fees and expenses.

In connection with the April 2017 Refinancing Transactions, the Company incurred new debt issuance costs of approximately 

$56.7 million, which were allocated among the new debt instruments as follows: (i) $41.3 million to the new term loan facility, (ii) 
$10.5 million to the new revolving credit facility and (iii) $4.9 million to the 2024 Notes. These costs, together with $10.1 million of 
the previously deferred debt issuance costs associated with our prior revolving credit facility, were deferred to be amortized as interest 
expense over the terms of the respective instruments. The remaining $51.7 million of deferred debt issuance costs associated with our 
prior revolving and term loan facilities were charged to expense in the second quarter of 2017. These net expenses were included in 
the (Gain) loss on extinguishment of debt line item in the Consolidated Statements of Operations.

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 
Agreement”);
issuance of $1,500.0 million of 7.50% Senior Secured Notes due 2027 (the 2027 Notes); 
repurchase of $1,642.2 million aggregate principal 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 

(together, the Consent Notes) 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 Revolving Credit Facility Amendment amended the Credit Agreement to, among other things, (i) extend the maturity of the 

commitments under the Revolving Credit Facility from April 2022 to March 2024 (with the exception of $76.0 million of 
commitments that were not extended), (ii) provide greater covenant flexibility by increasing the maximum Secured Net Leverage 
Ratio described in the Financial Covenant (as defined in the Credit Agreement) from 3.50 to 1.00 to 4.50 to 1.00 and (iii) limit the 
scenarios under which such Financial Covenant will be tested.

The 2027 Notes were issued by PPI, a wholly-owned indirect subsidiary of the Company, 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 2027 Notes are guaranteed on a senior secured basis by the Company and its subsidiaries 
that also guarantee the Credit Agreement (collectively, the Guarantors). The 2027 Notes 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 2027 Notes is payable semiannually in arrears on April 1 and October 1 of each year, beginning on October 1, 2019.

The 2027 Notes will mature on April 1, 2027; however, the indenture 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:

•  Before April 1, 2022, the 2027 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 the indenture and (iii) accrued 
and unpaid interest.

•  On or after April 1, 2022, the 2027 Notes may be redeemed, in whole or in part, at redemption prices set forth in the 

indenture, plus accrued and unpaid interest. The redemption prices for the 2027 Notes 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 2027 Notes 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.

F-41

Table of Contents

The Company used the net proceeds from the 2027 Notes and cash on hand primarily to fund the Notes Repurchases and to pay 
certain premiums, fees and expenses related thereto. The Notes Repurchases were completed by Endo Finance LLC (Endo Finance), a 
wholly-owned subsidiary of the Company, pursuant to a tender offer to repurchase portions of the Company’s outstanding 7.25% 
Senior Notes due 2022, 5.75% Senior Notes due 2022, 5.375% Senior Notes due 2023 and 6.00% Senior Notes due 2023. In 
connection with the Notes Repurchases, Endo Finance repurchased $1,642.2 million of senior unsecured note indebtedness, 
representing the aggregate principal amount repurchased, for $1,500.0 million in cash (including certain cash premiums related 
thereto). The $1,642.2 million aggregate repurchase amount consisted of (i) $389.9 million aggregate principal amount of the 7.25% 
Senior Notes due 2022, (ii) $517.5 million aggregate principal amount of the 5.75% Senior Notes due 2022, (iii) $539.6 million 
aggregate principal amount of the 5.375% Senior Notes due 2023 and (iv) $195.2 million aggregate principal amount of the 6.00% 
Senior Notes due 2023. The aggregate carrying amount of notes repurchased was $1,624.0 million. In conjunction with the Notes 
Repurchases, Endo Finance also solicited consents from holders of the Consent Notes to certain proposed amendments to the 
applicable indentures under which each series of Consent Notes were issued, which would eliminate substantially all restrictive 
covenants, certain events of default and certain other provisions contained in each such indenture. The proposed amendments were 
effected pursuant to a supplemental indenture to each such indenture executed by Endo Finance and the guarantors of the Consent 
Notes, which became operative upon the repurchase of at least the requisite consent amount of the applicable series of Consent Notes 
tendered.

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 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 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) loss on extinguishment of debt line item in 
the Consolidated Statements of Operations.

June 2019 Revolving Credit Facility Borrowing

In June 2019, the Company borrowed $300.0 million under the Revolving Credit Facility. These proceeds will be used for 

purposes consistent with the Company’s capital allocation priorities, including for general corporate purposes.

Maturities

The following table presents the maturities on our long-term debt for each of the five fiscal years subsequent to December 31, 

2019 (in thousands):

2020

2021

2022 (2)

2023

2024 (2)

__________

Maturities (1)

$

$

$

$

$

34,150

34,150

247,723

1,684,430

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 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)  Based on the Company’s borrowings under the Revolving Credit Facility that were outstanding at December 31, 2019, $22.8 million will mature in 2022, with 

the remainder maturing in 2024.

NOTE 15. COMMITMENTS AND CONTINGENCIES

Manufacturing, Supply and Other Service Agreements

Our subsidiaries contract with various third party manufacturers, suppliers and service providers to provide raw materials used 
in our subsidiaries’ products and semi-finished and finished goods, as well as certain packaging, labeling services, customer service 
support, warehouse and distribution services. If, for any reason, we are unable to obtain sufficient quantities of any of the finished 
goods or raw materials or components required for our products or services needed to conduct our business, it could have a material 
adverse effect on our business, financial condition, results of operations and cash flows.

F-42

Table of Contents

In addition to the manufacturing and supply agreements described above, we have agreements with various companies for 

clinical development services. Although we have no reason to believe that the parties to these agreements will not meet their 
obligations, failure by any of these third parties to honor their contractual obligations may have a material adverse effect on our 
business, financial condition, results of operations and cash flows.

Jubilant HollisterStier Laboratories LLC (JHS)

During the second quarter of 2016, we entered into an agreement with JHS (the JHS Agreement). Pursuant to the JHS 
Agreement, JHS fills and lyophilizes the XIAFLEX® bulk drug substance, which is manufactured by the Company, and produces 
sterile diluent. The initial term of the JHS Agreement is three years, with automatic renewal provisions thereafter for subsequent one-
year terms, unless or until either party provides notification prior to expiration of the then current term of the contract. The Company 
is required to purchase a specified percentage of its total forecasted volume of XIAFLEX® from JHS each year, unless JHS is unable 
to supply XIAFLEX® within the timeframe established under such forecasts. Amounts purchased pursuant to the JHS Agreement were 
$8.6 million, $7.5 million and $5.6 million for the years ended December 31, 2019, 2018 and 2017, respectively.

Milestones and Royalties

See Note 11. License and Collaboration Agreements for a description of future milestone and royalty commitments pursuant to 

our material license and collaboration agreements.

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 arise 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. Matters that are not being disclosed herein are, in the 
opinion of our management, 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 or that coverage 
will otherwise be available.

As of December 31, 2019, our accrual for loss contingencies totaled $513.0 million, the most significant components of which 
relate to product liability and related matters associated with vaginal mesh. 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 December 31, 2019, the entire liability accrual amount is classified in the Current portion of 
legal settlement accrual in the Consolidated Balance Sheets.

Product Liability and Related 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 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 POP and SUI. 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.

F-43

Table of Contents

We and certain plaintiffs’ counsel have entered into various Master Settlement Agreements (MSAs) and other agreements to 

resolve up to approximately 71,000 filed and unfiled mesh claims handled or controlled by the participating counsel in the U.S. 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.

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.

The following table presents the changes in the QSFs and mesh liability accrual balances during the year ended December 31, 

2019 (in thousands):

Balance as of January 1, 2019
Additional charges

Cash contributions to Qualified Settlement Funds

Cash distributions to settle disputes from Qualified Settlement Funds

Cash distributions to settle disputes

Other (1)

Balance as of December 31, 2019
__________

Qualified
Settlement
Funds

Mesh Liability
Accrual

$

$

299,733
—

253,520
(314,266)
—

3,855

748,606
30,000

—

(314,266)

(15,330)

5,021

$

242,842

$

454,031

(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 Consolidated Statements of Operations.

To date, the Company has made total mesh liability payments of approximately $3.5 billion, $242.8 million of which remains in 
the QSFs as of December 31, 2019. We currently expect to fund into the QSFs during 2020 the remaining payments under all existing 
settlement agreements. 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 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.

We will continue to vigorously defend any unresolved claims 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.

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, trials may occur as early as April 
2020, 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.

Testosterone. A federal MDL in the U.S. District Court for the Northern District of Illinois includes multiple lawsuits against 

manufacturers of prescription medications containing testosterone, including our subsidiaries EPI and Auxilium Pharmaceuticals, Inc. 
(subsequently converted to Auxilium Pharmaceuticals, LLC and hereinafter referred to as Auxilium). Plaintiffs in these suits have 
generally alleged various personal injuries resulting from the use of such medications (including FORTESTA® Gel, 
DELATESTRYL®, TESTIM®, TESTOPEL®, AVEED® and STRIANT®), including pulmonary embolism, stroke or other vascular and/
or cardiac injuries, and sought compensatory and/or punitive damages, where available.

F-44

Table of Contents

In June 2018, counsel for plaintiffs, on the one hand, and Auxilium and EPI, on the other, executed an MSA allowing for the 

resolution of all known TRT product liability claims against our subsidiaries. The MSA 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 MSA established various guidelines and procedures for administering the settlement and the release of funds. Among other 

things, the MSA provides for the creation of a QSF into which the settlement funds will be deposited, establishes participation 
requirements and allows for a reduction of the total settlement payment in the event the participation threshold is not met. Auxilium 
and EPI funded the QSF in November 2019. Distribution of funds to any individual claimant is conditioned upon the receipt of 
documentation substantiating product use and injury as determined by a third-party special master, 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.

The MDL court has been dismissing cases pursuant to the settlement or for failure to comply with court orders. As of 

February 18, 2020, we were aware of approximately 5 cases (some of which may have been filed on behalf of multiple plaintiffs) that 
remained pending in the MDL against one or more of our subsidiaries.

The MDL also included a lawsuit filed in November 2014 in the U.S. District for the Northern District of Illinois against EPI, 
Auxilium and various other manufacturers of testosterone products on behalf of a proposed class of health insurance companies and 
other third party payers. This lawsuit was not part of the settlement described above. After a series of motions to dismiss, plaintiff filed 
a third amended complaint in April 2016, asserting civil claims for alleged violations of the Racketeer Influenced and Corrupt 
Organizations Act and negligent misrepresentation based on defendants’ marketing of certain testosterone products. In February 2019, 
the court granted defendants’ motion for summary judgment. In November 2019, the Seventh Circuit affirmed.

Although the Company believes it has appropriately estimated the probable total amount of loss associated with testosterone-

related matters as of the date of this report, 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.

We will continue to vigorously defend any unresolved claims 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.

Opioid-Related Matters

Since 2014, multiple U.S. states and 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 EHSI, EPI, PPI, PPCI, Endo Generics Holdings, Inc. (EGHI), Vintage 
Pharmaceuticals, LLC, Generics Bidco I, LLC and DAVA Pharmaceuticals, 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 February 18, 2020, the 
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 2,700 cases filed by counties, cities, Native American tribes and/or other government-related persons or entities; 
approximately 280 cases filed by hospitals, health systems, unions, health and welfare funds or other third-party payers and 
approximately 160 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, as well as three 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. 

Many of the U.S. cases have been coordinated in a federal 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. The first MDL trial, relating to the 
claims of two 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 million and up to $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. Certain state court cases are scheduled for trial in 2020, with the first of these trials currently 
scheduled to begin in March. Most other cases remain at the pleading and/or discovery stage.

F-45

Table of Contents

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 
generally seek 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 addition to the lawsuits 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, our subsidiary 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.

Generic Drug Pricing Matters

Since March 2016, various private plaintiffs and state attorneys general have filed cases against our subsidiary PPI and/or, in 

some instances, the Company, Generics Bidco I, LLC, DAVA Pharmaceuticals, LLC 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.

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 regarding certain of our products, 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 
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.

F-46

Table of Contents

In December 2014, our subsidiary PPI received from the Antitrust Division of the 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.

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 their 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. Of this 
total, EPI paid approximately $60 million in 2018, $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 November 2019, plaintiffs moved to 
remand the case to state court.

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.

Beginning in February 2009, the 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.

F-47

Table of Contents

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. The direct purchaser settlement is subject to court approval. The 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.

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. 

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 Laboratories (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.

F-48

Table of Contents

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 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 August 2017, an alleged individual shareholder filed a putative class action entitled Bier v. Endo International plc in the U.S. 
District Court for the Eastern District of Pennsylvania, alleging violations of Sections 10(b) and 20(a) of the Exchange Act against us, 
EHSI and certain of our current and former directors and officers, based on our decision to voluntarily remove reformulated OPANA® 
ER from the market. In December 2017, the court appointed SEB Investment Management AB lead plaintiff in the action. In August 
2019, the parties entered into a settlement providing for, among other things, a payment of $82.5 million to the investor class in 
exchange for a release of their claims. The settlement received preliminary court approval in September 2019 and final approval in 
December 2019. As a result of the settlement, during the second quarter of 2019, the Company recorded an increase of approximately 
$82.5 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 $82.5 million during the second quarter of 2019, which was recorded 
as Prepaid expenses and other current assets in the Consolidated Balance Sheets. With respect to this settlement, the Company’s 
insurers funded $20.0 million during the third quarter of 2019 and the remainder in October 2019, resulting in corresponding 
decreases to the Company’s accrual for loss contingencies and insurance receivable.

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 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.

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.

F-49

Table of Contents

VASOSTRICT® Related Matters

In July 2016, Fresenius sued our subsidiaries PPCI and 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 API manufacturers and that, as a 
result, Fresenius could not obtain vasopressin API in order to file an ANDA to obtain U.S. 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 August 2017, our subsidiaries PPI and PSP LLC filed a complaint for actual, exemplary and punitive damages, injunctive 
relief and other relief against 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 (described below), 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.

Beginning in April 2018, PSP LLC and PPI received notice letters from Eagle, Sandoz, Inc., Amphastar Pharmaceuticals, Inc., 

Amneal Pharmaceuticals LLC, American Regent and Fresenius advising of the filing by such companies of ANDAs 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 EPIC filed lawsuits against the companies in the U.S. District Court for the District of Delaware and New Jersey within 
the 45-day deadline to invoke a 30-month stay of FDA approval pursuant to the Hatch-Waxman legislative scheme. The earliest trial is 
scheduled for May 2020.

The Company’s accrual for loss contingencies includes, among other things, an estimated accrual for certain VASOSTRICT®-

related matters. 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.

NOTE 16. OTHER COMPREHENSIVE LOSS

There were no significant tax effects allocated to any component of Other comprehensive income (loss) for the years ended 

December 31, 2019, 2018 and 2017. The 2017 reclassification adjustment out of Other comprehensive income (loss) included in the 
Consolidated Statements of Comprehensive Loss, which relates to foreign currency translation, was recorded upon the liquidations of 
Litha and Somar in 2017. Substantially all of the Company’s Accumulated other comprehensive loss balances at December 31, 2019 
and December 31, 2018 consist of Foreign currency translation loss.

F-50

Table of Contents

NOTE 17. SHAREHOLDERS' DEFICIT

The Company has issued 4,000,000 euro deferred shares of $0.01 each at par. The euro deferred shares are held by nominees in 
order to satisfy an Irish legislative requirement to maintain a minimum level of issued share capital denominated in euro and to have at 
least seven registered shareholders. The euro deferred shares carry no voting rights and are not entitled to receive any dividend or 
distribution.

Effects of Changes in Accounting Principles

The Company early adopted ASU No. 2016-16, Intra-Entity Transfers of Assets Other Than Inventory (ASU 2016-16) on 

January 1, 2017, resulting in, among other effects, the elimination of previously recorded deferred charges that were established in 
2016. Specifically, effective January 1, 2017, the Company eliminated $372.8 million of deferred charges and recorded a 
corresponding increase to its Accumulated deficit.

As further discussed in Note 2. Summary of Significant Accounting Policies, the Company adopted ASC 606 on January 1, 

2018. This adoption resulted in a net decrease of $3.1 million to the Company’s Accumulated deficit at January 1, 2018.

As further discussed in Note 2. Summary of Significant Accounting Policies, the Company adopted ASC 842 on January 1, 

2019. This adoption resulted in a net increase of $4.6 million to the Company’s Accumulated deficit at January 1, 2019.

Share Repurchase Program

Pursuant to Article 11 of the Company’s Articles of Association, the Company has broad shareholder authority to conduct 

ordinary share repurchases by way of redemptions. The Company’s authority to repurchase ordinary shares is subject to legal 
limitations and the existence of sufficient distributable reserves. For example, the Companies Act requires Irish companies to have 
distributable reserves equal to or greater than the amount of any proposed ordinary share repurchase amount. Unless we are able to 
generate sufficient distributable reserves or create distributable reserves by reducing our share premium account, we will not be able to 
repurchase our ordinary shares. As permitted by Irish Law and the Company’s Articles of Association, any ordinary shares redeemed 
shall be cancelled upon redemption.

The Board has approved the 2015 Share Buyback Program that authorizes the Company to redeem, in the aggregate, $2.5 
billion of its outstanding ordinary shares. To date, the Company has redeemed and cancelled approximately 4.4 million of its ordinary 
shares under the 2015 Share Buyback Program for $250.0 million, not including related fees.

NOTE 18. SHARE-BASED COMPENSATION

Stock Incentive Plans

In June 2015, the Company’s shareholders approved the 2015 Stock Incentive Plan (the 2015 Plan), which has subsequently 

been amended, as approved by the Company’s shareholders, on multiple occasions, including in 2017, 2018 and 2019. Under the 2015 
Plan, stock options (including incentive stock options), stock appreciation rights, restricted stock awards, performance awards and 
other share- or cash-based awards may be issued at the discretion of the Compensation Committee of the Board from time to time. No 
ordinary shares are to be granted under previously approved plans, including the Company’s 2000, 2004, 2007, 2010 and Assumed 
Stock Incentive Plans. All awards previously granted and outstanding under these prior plans remain subject to the terms of those prior 
plans.

During the third quarter of 2017, the Company issued approximately 1.0 million stock options and 0.1 million restricted stock 

units that were initially subject to shareholder approval and were subsequently approved by shareholders on June 7, 2018 at the 
Company’s Annual General Meeting of Shareholders. The options have an exercise price equal to the closing share price on their 
issuance date in August 2017. For accounting and disclosure purposes, these stock options and restricted stock units were considered 
to have been granted in 2018 upon approval by shareholders.

As further described below, certain of the Company’s outstanding Performance Share Units (PSUs) are measured against targets 

covering three independent successive one-year performance periods, which are generally established for each performance period 
during the first quarter of that calendar year. The determination of the grant-date(s) underlying such PSUs depends in part on the 
date(s) on which each of the performance targets with respect to those PSUs are approved. Therefore, for certain PSUs, a single unit 
may give rise to multiple grant dates depending, in part, on the dates on which the respective performance targets are approved.

F-51

Table of Contents

Beginning in 2017, long-term cash incentive (LTCI) awards were provided to certain employees. LTCI awards were designed to 

vest ratably, in equal amounts, over a three-year service period. Upon vesting, each vested LTCI unit would be settled in cash in an 
amount equal to the price of Endo’s ordinary shares on the vest date. As of September 30, 2018, approximately 3.0 million unvested 
LTCI awards were outstanding for approximately 570 employees. The outstanding awards had a weighted average remaining requisite 
service period of 2.3 years. A corresponding liability of $14.9 million was recorded as of September 30, 2018 in Accounts payable and 
accrued expenses and Other liabilities in the Company’s Consolidated Balance Sheets. On October 1, 2018, the Compensation 
Committee of the Board authorized the Company to settle each of the outstanding unvested LTCI awards in shares, rather than cash, 
upon vesting in accordance with the original vesting terms of the awards. With the authorization of the Compensation Committee, 
management’s intent to settle the awards in shares rather than cash is a modification that changes the awards’ classification from 
liability to equity, effective October 1, 2018. The accounting for the modification occurred in the fourth quarter of 2018. Prior to this 
modification, LTCI awards were excluded from amounts in this Note 18. Share-based Compensation. Subsequent to this modification, 
LTCI awards are generally treated the same as restricted stock units (RSUs), including for accounting, financial statement 
classification and disclosure purposes. However, adjustments to pre-modification amounts of LTCI expense that are recorded in the 
Consolidated Statements of Operations subsequent to this modification, including adjustments related to actual or estimated 
forfeitures, are excluded from the determination of share-based compensation expense.

At December 31, 2019, approximately 7.7 million ordinary shares were reserved for future grants under the 2015 Plan. As of 

December 31, 2019, stock options, restricted stock awards, PSUs, RSUs and LTCI awards have been granted under the stock incentive 
plans.

Generally, the grant-date fair value of each award is recognized as expense over the requisite service period. However, expense 
recognition differs in the case of certain performance share units where the ultimate payout is performance-based. For these awards, at 
each reporting period, the Company estimates the ultimate payout and adjusts the cumulative expense based on its estimate and the 
percent of the requisite service period that has elapsed.

Presented below are the components of total share-based compensation as recorded in our Consolidated Statements of 

Operations for the years ended December 31, 2019, 2018 and 2017 (in thousands).

Selling, general and administrative expenses
Research and development expenses
Cost of revenues

Total share-based compensation expense

2019

2018

2017

$

$

44,159
4,501
10,482
59,142

$

$

44,454
2,251
7,366
54,071

$

$

38,292
4,197
7,660
50,149

As of December 31, 2019, the total remaining unrecognized compensation cost related to all non-vested share-based 

compensation awards for which a grant date has been established as of December 31, 2019 amounted to $48.3 million.

Stock Options

From time to time, the Company grants stock options to its employees as part of their annual share compensation awards and, in 

certain circumstances, on an ad hoc basis or upon their commencement of service with the Company.

Employee stock options generally vest ratably, in equal amounts, over a three or four-year service period and generally expire 
ten years from the grant date. The fair value of option grants is estimated at the date of grant using the Black-Scholes option-pricing 
model. This model utilizes assumptions related to volatility, the risk-free interest rate, the dividend yield (which is assumed to be zero 
as the Company has not paid cash dividends to date and does not currently expect to pay cash dividends) and the expected term of the 
option. Expected volatilities utilized in the model are based mainly on the historical volatility of the Company’s share price over a 
period commensurate with the expected life of the share option as well as other factors. The risk-free interest rate is derived from the 
U.S. Treasury yield curve in effect at the time of grant. We estimate the expected term of options granted based on our historical 
experience with our employees’ exercise of stock options and other factors.

F-52

Table of Contents

A summary of the activity for each of the years ended December 31, 2019, 2018 and 2017 is presented below:

Number of
Shares

Weighted
Average Exercise
Price

Weighted
Average
Remaining
Contractual
Term

Aggregate
Intrinsic Value
(1)

Outstanding as of January 1, 2017

Granted

Forfeited

Expired

Outstanding as of December 31, 2017

Granted

Exercised

Forfeited

Expired

Outstanding as of December 31, 2018

Exercised

Forfeited
Expired

Outstanding as of December 31, 2019

Vested and expected to vest as of December 31, 2019

Exercisable as of December 31, 2019
__________

4,325,209

$

$
5,288,675
(623,987) $
(741,767) $
$
8,248,130

971,590
$
(94,392) $
(605,737) $
(446,873) $
$
8,072,718
(557) $
(125,739) $
(665,883) $
$
7,280,539

7,212,334

5,003,163

$

$

41.70

10.42

28.32

40.29

22.79

7.55

9.89

19.01

36.80

20.62

7.55

14.38
40.37

18.93

19.00

21.60

6.30

6.29

6.07

$

$

$

—

—

—

(1)  The intrinsic value of a stock option is the excess, if any, of the closing price of the Company’s ordinary shares on the last trading day of the fiscal year over 
the exercise price. The aggregate intrinsic values presented in the table above represent sum of the intrinsic values of all corresponding stock options that are 
“in-the-money,” if any.

The range of exercise prices for the above stock options outstanding at December 31, 2019 is from $7.55 to $86.54.

The total intrinsic values of options exercised during the years ended December 31, 2019 and 2018 were less than $0.1 million 
and $0.6 million, respectively. No tax benefits from stock option exercises were realized during the years ended December 31, 2019, 
2018 and 2017. The weighted average grant-date fair values of the stock options granted during the years ended December 31, 2018 
and 2017 were $3.97 and $4.73 per option, respectively, determined using the following weighted average assumptions:

Expected term (years)

Risk-free interest rate

Dividend yield

Expected volatility

2018

2017

4.0

2.7%

—

63%

4.0

1.7%

—

58%

As of December 31, 2019, the weighted average remaining requisite service period of non-vested stock options was 0.9 years 

and the total remaining unrecognized compensation cost related to non-vested stock options amounted to $3.1 million.

Restricted Stock Units and Performance Share Units 

From time to time, the Company grants RSUs and PSUs to its employees as part of their annual share compensation awards and, 

in certain circumstances, on an ad hoc basis or upon their commencement of service with the Company.

RSUs vest ratably, in equal amounts, over a three or four-year service period. PSUs vest in full after a three-year service period 

and are conditional upon the achievement of performance and/or market conditions established by the Compensation Committee of 
the Board.

F-53

Table of Contents

PSUs awarded in 2019, 2018 and 2017 were based upon two discrete measures: relative total shareholder return (TSR) and an 
adjusted free cash flow performance metric (FCF), each accounting for 50% of the PSU awards upon issuance. TSR performance is 
measured against the three-year TSR of a custom index of companies. For PSUs awarded in 2019, FCF performance is measured 
against a target covering a single three-year performance period, which is generally established at the grant date. For PSUs awarded in 
2018 and 2017, FCF performance is measured against targets covering three independent successive one-year performance periods, 
which are generally established for each performance period during the first quarter of that calendar year. Upon the completion of the 
three-year performance period, the PSUs vest and the actual number of shares awarded is adjusted to between zero and 200% of the 
target award amount based upon the performance criteria described above. In addition to meeting the performance conditions, grant 
recipients are also generally subject to being employed by the Company until the conclusion of the three-year vesting period in order 
to receive the awards. TSR is considered a market condition under applicable authoritative guidance, while FCF is considered 
performance condition.

RSUs are valued based on the closing price of Endo’s ordinary shares on the date of grant. PSUs with TSR conditions are valued 
using a Monte-Carlo variant valuation model, while those with adjusted free cash flow conditions are valued taking into consideration 
the probability of achieving the specified performance goal. The Monte-Carlo variant valuation model considered a variety of 
potential future share prices for Endo as well as our peer companies in a selected market index.

A summary of our non-vested RSUs and PSUs for the years ended December 31, 2019, 2018 and 2017 is presented below:

Non-vested as of January 1, 2017

Granted

Forfeited

Vested

Non-vested as of December 31, 2017

Granted

LTCI modification (2)

Forfeited

Vested

Non-vested as of December 31, 2018

Granted

Forfeited

Vested

Non-vested as of December 31, 2019

Vested and expected to vest as of December 31, 2019
__________

Number of
Shares

Aggregate
Intrinsic Value
(1)

1,685,060

4,168,477
(552,981)
(575,883)
4,724,673

5,609,561

2,989,965
(753,653)
(1,551,074)
11,019,472

6,687,695
(918,425)
(3,872,453)
12,916,289

$ 60,577,395

12,098,438

$ 56,741,674

(1)  The aggregate intrinsic values of RSUs and PSUs presented in the table above are calculated by multiplying the closing price of the Company’s ordinary 

shares on the last trading day of the fiscal year by the corresponding number of RSUs and PSUs.

(2)  As a result of the October 1, 2018 modification to the Company’s LTCI awards described above, modified LTCI awards are treated as RSUs for disclosure 

purposes; thus, the table above reflects an increase to the non-vested number of shares on the modification date.

As of December 31, 2019, the weighted average remaining requisite service period of the units presented in the table above was 

1.6 years and the corresponding total remaining unrecognized compensation cost amounted to $39.4 million in the case of RSUs and 
LTCI awards and $5.8 million in the case of PSUs. The weighted average grant-date fair value of the units granted during the years 
ended December 31, 2019, 2018 and 2017 was $7.72, $6.88 and $11.42 per unit, respectively.

F-54

Table of Contents

NOTE 19. OTHER EXPENSE (INCOME), NET

The components of Other expense (income), net for the years ended December 31, 2019, 2018 and 2017 are as follows (in 

thousands):

Net gain on sale of business and other assets (1)

Foreign currency loss (gain), net (2)

Net loss from our investments in the equity of other companies (3)

Other miscellaneous, net (4)

Other expense (income), net

__________

2019

2018

2017

(6,367) $
5,247

2,346

15,451

16,677

$

(45,155) $
(3,762)
3,444
(6,480)
(51,953) $

(13,809)

(2,801)

898

(1,311)

(17,023)

$

$

(1)  Amounts in 2018 include a $12.5 million gain on the sale of the Company’s Huntsville, Alabama facilities, as further discussed in Note 4. Restructuring. 

Amounts in 2017 include a $10.1 million gain resulting from the sale of Litha, as further described in Note 3. Discontinued Operations and Divestitures. The 
remaining 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.

(4)  Amounts in 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 20. INCOME TAXES

Tax Reform

The TCJA, which was signed into law on December 22, 2017, has resulted in significant changes to the U.S. corporate income 
tax system, including the reduction of the U.S. statutory federal corporate income tax rate from 35% to 21% effective January 1, 2018. 
The TCJA also contains a broad range of domestic and international provisions, many of which differ significantly from those 
contained in previous U.S. tax law. Although the rate of U.S. federal income tax was reduced prospectively, changes in tax rates and 
laws are accounted for in the period of enactment. Therefore, during the year ended December 31, 2017, we recorded a benefit of 
$36.2 million as our provisional estimate of the impact of the TCJA in accordance with Staff Accounting Bulletin 118. This benefit, 
which is primarily related to remeasurement of deferred tax liabilities related to tax deductible goodwill, has been recorded in our 
Consolidated Statements of Operations in the Income tax expense (benefit) line. The Company has completed its accounting for the 
tax effects of the TCJA in accordance with Staff Accounting Bulletin 118. There were no significant subsequent adjustments to the 
provisional amounts recorded.

Loss from continuing operations before income tax

Our operations are conducted through our various subsidiaries in numerous jurisdictions throughout the world. We have 

provided for income taxes based upon the tax laws and rates in the jurisdictions in which our operations are conducted.

The components of our Loss from continuing operations before income tax by geography for the years ended December 31, 

2019, 2018 and 2017 are as follows (in thousands):

U.S.

International

Total (loss) income from continuing operations before income tax

2019
(688,224) $
343,320
(344,904) $

2018

2017

(1,342,860) $
404,028
(938,832) $

(1,866,222)

383,218

(1,483,004)

$

$

F-55

Table of Contents

Income tax from continuing operations consists of the following for the years ended December 31, 2019, 2018 and 2017 (in 

thousands):

Current:

U.S. Federal

U.S. State

International

Total current income tax

Deferred:

U.S. Federal

U.S. State

International

Total deferred income tax

Total income tax

Tax Rate

$

$

$

$

$

2019

2018

2017

$

6,236

$

(86,478)

15,317
(3,002)
8,926

2,864

8,278

21,241

$

17,378

(515) $
(482)
(4,564)
(5,561) $
$
15,680

10,084
(778)
(3,749)
5,557

22,935

$

$

$

$

(6,462)

(1,224)

(94,164)

(124,682)

(3,225)

(28,222)

(156,129)

(250,293)

A reconciliation of income tax from continuing operations at the U.S. federal statutory income tax rate to the total income tax 

provision from continuing operations for the years ended December 31, 2019, 2018 and 2017 is as follows (in thousands):

Notional U.S. federal income tax provision at the statutory rate

$

State income tax, net of federal benefit

U.S. tax reform impact

Uncertain tax positions

Residual tax on non-U.S. net earnings

Non-deductible goodwill impairment

Change in valuation allowance

Intra-entity transfers of assets

International Pharmaceuticals segment divestitures

Base erosion minimum tax

Non-deductible expenses

Executive compensation limitation

Other

Income tax

2019

(72,430) $
(4,455)
—

43,273
(67,987)
27,493

30,123

—

—

13,662

21,299

4,547

20,155

2018
(197,155) $
494

5,664

46,317
(638,724)
109,189

748,562
(63,335)
—

—

3,446

5,955

2,522

2017

(519,051)

(11,473)

(36,216)

58,120

(1,350,811)

60,808

1,644,879

(53,509)

(56,092)

—

3,957

2,178

6,917

$

15,680

$

22,935

$

(250,293)

The income tax expense in 2019 primarily related to accrued interest on uncertain tax positions. The income tax expense in 
2018 primarily related to the establishment of a valuation allowance against certain U.S. deferred tax assets. The income tax benefit in 
2017 primarily related to pre-tax losses incurred by certain U.S. subsidiaries.

F-56

Table of Contents

Deferred Tax Assets and Liabilities

Deferred income taxes result from temporary differences between the amount of assets and liabilities recognized for financial 

reporting and tax purposes. The significant components of the net deferred income tax liability shown on the balance sheets as of 
December 31, 2019 and 2018 are as follows (in thousands):

Deferred tax assets:

Accrued expenses and customer allowances

Deferred interest expense

Fixed assets and intangible assets

Loss on capital assets

Net operating loss carryforward

Other

Research and development and other tax credit carryforwards

Total gross deferred income tax assets

Deferred tax liabilities:

Other

Outside basis difference

Intercompany notes

Total gross deferred income tax liabilities

Valuation allowance

Net deferred income tax liability

December 31,
2019

December 31,
2018

$

112,489

$

317,997

598,730

61,971

185,910

240,736

604,385

62,033

9,743,763

8,751,544

89,501

16,620

65,266

9,551

$ 10,941,071

$

9,919,425

$

$

$

(10,086) $
—
(1,131,537)
(1,141,623) $
(9,828,959)

(1,965)

(73,652)

—

(75,617)

(9,877,617)

(29,511) $

(33,809)

At December 31, 2019, the Company had the following significant deferred tax assets for tax credits, net operating and capital 

loss carryforwards, net of unrecognized tax benefits (in thousands):

Jurisdiction

Ireland

Luxembourg

U.S.:

Federal-ordinary losses

Federal-capital losses

Federal-tax credits

State-ordinary losses

State-capital losses

State-tax credits

Amount

Begin to Expire

16,862

Indefinite

9,336,611

200,671

34,740

7,305

186,211

26,459

6,643

2034

2021

2020

2026

2020

2026

2020

$

$

$

$

$

$

$

$

A valuation allowance is required when it is more likely than not that all or a portion of a deferred tax asset will not be realized. 

The Company assesses the available positive and negative evidence to estimate whether the existing deferred tax assets will be 
realized. 

The Company has recorded a valuation allowance against certain jurisdictional net operating loss carryforwards and other tax 
attributes. As of December 31, 2019 and 2018, the total valuation allowance was $9,829.0 million and $9,877.6 million, respectively. 
During the year ended December 31, 2019, the Company decreased its valuation allowance by $48.7 million, which was primarily 
driven by statutory rate changes in Luxembourg. During the year ended December 31, 2018, the Company increased its valuation 
allowance by $1,814.6 million, which was primarily driven by losses within jurisdictions unable to support recognition of a deferred 
tax asset, of which the largest jurisdiction was Luxembourg, where the Company had significant interest expense and losses on its 
investments in the equity of consolidated subsidiaries.

F-57

Table of Contents

At December 31, 2019, the Company had the following significant valuation allowances (in thousands):

Jurisdiction

Ireland

Luxembourg

U.S.

December 31,
2019

$

$

$

189,581

8,205,074

1,430,762

We have provided income taxes for earnings that are currently distributed as well as the taxes associated with certain earnings 

that are expected to be distributed in the future. No additional provision has been made for Irish and non-Irish income taxes on the 
undistributed earnings of subsidiaries or for unrecognized deferred tax liabilities for temporary differences related to basis differences 
in investments in subsidiaries as such earnings are expected to be indefinitely reinvested. As of December 31, 2019, certain 
subsidiaries had approximately $1,092.0 million of cumulative undistributed earnings that have been permanently reinvested because 
our plans do not demonstrate a need to repatriate such earnings. A liability could arise if our intention to indefinitely reinvest such 
earnings were to change and amounts are distributed by such subsidiaries or if such subsidiaries are ultimately disposed. It is not 
practicable to estimate the additional income taxes related to indefinitely reinvested earnings or the basis differences related to 
investments in subsidiaries.

Uncertain Tax Positions

The Company and its subsidiaries are subject to income taxes in the U.S., various states and numerous foreign jurisdictions 

with varying statutes as to which tax years are subject to examination by the tax authorities. The Company has taken positions on its 
tax returns that may be challenged by various tax authorities. The Company believes it has appropriately established reserves for tax-
related uncertainties. The Company endeavors to resolve matters with a tax authority at the examination level and could reach 
agreement with a tax authority at any time. The accruals for tax-related uncertainties are based on the Company’s best estimate of the 
potential tax exposures. When particular matters arise, a number of years may elapse before such matters are audited and finally 
resolved, and the final outcome with a tax authority may result in a tax liability that is more or less than that reflected in our financial 
statements. Favorable resolution of such matters could be recognized as a reduction of the Company’s effective tax rate in the year of 
resolution, while a resolution that is not favorable could increase the effective tax rate and may require the use of cash, including in the 
year of resolution. Uncertain tax positions are reviewed quarterly and adjusted as necessary when events occur that affect potential tax 
liabilities, such as lapsing of applicable statutes of limitations, proposed assessments by tax authorities, identification of new issues 
and issuance of new legislation, regulations or case law.

F-58

Table of Contents

As of December 31, 2019, the Company had total unrecognized income tax benefits (UTBs) of $530.2 million. If recognized in 
future years, $320.3 million of such amounts would impact the income tax provision and effective tax rate. As of December 31, 2018, 
the Company had total UTBs of $479.4 million. If recognized in future years, $304.3 million of such amounts would have impacted 
the income tax provision and effective tax rate. The following table summarizes the activity related to UTBs during the years ended 
December 31, 2019, 2018 and 2017 (in thousands):

UTB Balance at January 1, 2017

Gross additions for current year positions

Gross reductions for prior period positions

Gross additions for prior period positions

Decrease due to lapse of statute of limitations

Currency translation adjustment

UTB Balance at December 31, 2017

Gross additions for current year positions

Gross reductions for prior period positions

Gross additions for prior period positions

Decrease due to lapse of statute of limitations

Currency translation adjustment

UTB Balance at December 31, 2018

Gross additions for current year positions

Gross reductions for prior period positions

Gross additions for prior period positions

Decrease due to lapse of statute of limitations

Currency translation adjustment

UTB Balance at December 31, 2019

Accrued interest and penalties

Total UTB balance including accrued interest and penalties

Unrecognized
Tax Benefit
Federal, State,
and Foreign Tax

$

424,601

44,293

(64,887)

22,765

(13,151)

2,330

$

415,951

36,088

(3,570)

7,950

(2,129)

(2,600)

$

451,690

35,766

(2,377)

880

(1,006)

1,528

486,481

43,710

530,191

$

$

The Company records accrued interest as well as penalties related to uncertain tax positions as part of the provision for income 

taxes. As of December 31, 2019 and 2018, $43.7 million and $27.7 million, respectively, of corresponding accrued interest and 
penalties is included in the Consolidated Balance Sheets, all of which is recorded in income taxes.

During the years ended December 31, 2019, 2018, and 2017, we recognized expense of $13.8 million, $8.6 million and $1.4 

million, respectively. The expense is primarily related to interest. The current portion of our UTB liability of $6.8 million is included 
in our Consolidated Balance Sheet as Accounts payable and accrued expenses. The noncurrent portion of our UTB liability is included 
in our Consolidated Balance Sheet as Other liabilities or, if and to the extent appropriate, as a reduction to Deferred tax assets.

Our subsidiaries file income tax returns in the countries in which they have operations. Generally, these countries have statutes 
of limitations ranging from 3 to 5 years. Certain subsidiary tax returns are currently under examination by taxing authorities, including 
U.S. tax returns for the 2011 through 2015 tax years by the IRS.

It is expected that the amount of UTBs will change during the next twelve months; however, the Company does not currently 

anticipate any adjustments that would lead to a material impact on our results of operations or our financial position.

As of December 31, 2019, we may be subject to examination in the following major tax jurisdictions:

Jurisdiction

Canada

India

Ireland

Luxembourg
U.S. - federal, state and local

F-59

Open Years

2013 through 2019

2012 through 2019

2014 through 2019

2014 through 2019
2006 through 2019

Table of Contents

NOTE 21. NET LOSS PER SHARE

The following is a reconciliation of the numerator and denominator of basic and diluted net loss per share for the years ended 

December 31, 2019, 2018 and 2017 (in thousands):

Numerator:

Loss from continuing operations

Loss from discontinued operations, net of tax

Net loss

Denominator:

For basic per share data—weighted average shares

Dilutive effect of ordinary share equivalents

For diluted per share data—weighted average shares

2019

2018

2017

$

$

(360,584) $
(62,052)
(422,636) $

(961,767) $
(69,702)
(1,031,469) $

(1,232,711)

(802,722)

(2,035,433)

226,050

223,960

223,198

—

—

—

226,050

223,960

223,198

Basic net loss per share amounts are computed based on the weighted average number of ordinary shares outstanding during the 
period. Diluted net 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.

All potentially dilutive items were excluded from the diluted share calculation for the years ended December 31, 2019, 2018 and 

2017 because their effect would have been anti-dilutive, as the Company was in a loss position.

NOTE 22. SAVINGS AND INVESTMENT PLAN AND DEFERRED COMPENSATION PLANS

Savings and Investment Plan

The Company maintains a defined contribution Savings and Investment Plan (the Endo 401(k) Plan) covering all U.S.-based 
eligible employees. The Company matches 100% of the first 3% of eligible cash compensation that a participant contributes to the 
Endo 401(k) Plan plus 50% of the next 2% for a total of up to 4%, subject to statutory limitations. Participants are immediately vested 
with respect to their own contributions and the Company’s matching contributions, except that, for employees hired after 2017, the 
Company’s matching contributions will vest ratably over a two-year period.

Costs incurred for contributions made by the Company to the Endo 401(k) Plan amounted to $7.4 million, $6.4 million and $9.4 

million for the years ended December 31, 2019, 2018 and 2017, respectively.

Directors Stock Election Plan

The Company maintains a directors stock election plan. The purpose of this plan is to provide non-employee directors the 
opportunity to have their cash retainer fees, or a portion thereof, delivered in the form of Endo ordinary shares. The amount of shares 
will be determined by dividing the portion of cash fees elected to be received as shares by the closing price of the shares on the day the 
payment would have otherwise been paid in cash.

F-60

Table of Contents

NOTE 23. QUARTERLY FINANCIAL DATA (UNAUDITED)

The following table presents select unaudited financial data for each of the three-month periods ending March 31, 2019, June 
30, 2019, September 30, 2019 and December 31, 2019, as well as the comparable 2018 periods (in thousands, except per share data):

2019 (1)

Total revenues

Gross profit

Loss from continuing operations

Discontinued operations, net of tax

Net loss

Net loss per share—Basic:

Continuing operations

Discontinued operations

Basic

Net loss per share—Diluted:

Continuing operations

Discontinued operations

Diluted

Weighted average shares—Basic

Weighted average shares—Diluted
2018 (2)

Total revenues

Gross profit

Loss from continuing operations

Discontinued operations, net of tax

Net loss

Net loss per share—Basic:

Continuing operations

Discontinued operations

Basic

Net loss per share—Diluted:

Continuing operations

Discontinued operations

Diluted

Weighted average shares—Basic

Weighted average shares—Diluted
__________

March 31,

June 30,

September 30,

December 31,

Quarter Ended

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

720,411

$

699,727

$

729,426

$

328,502
$
(12,612) $
(5,961) $
(18,573) $

311,519
$
(98,052) $
(7,953) $
(106,005) $

340,261
$
(41,431) $
(37,984) $
(79,415) $

764,800

364,744

(208,489)

(10,154)

(218,643)

(0.06) $
(0.02)
(0.08) $

(0.06) $
(0.02)
(0.08) $

(0.43) $
(0.04)
(0.47) $

(0.43) $
(0.04)
(0.47) $

(0.18) $
(0.17)
(0.35) $

(0.18) $
(0.17)
(0.35) $

224,594

224,594

226,221

226,221

226,598

226,598

700,527

$

714,696

$

745,466

$

296,929
$
(497,738) $
(7,751) $
(505,489) $

332,791
$
(52,479) $
(8,388) $
(60,867) $

332,501
$
(146,071) $
(27,134) $
(173,205) $

(2.23) $
(0.03)
(2.26) $

(2.23) $
(0.03)
(2.26) $

(0.23) $
(0.04)
(0.27) $

(0.23) $
(0.04)
(0.27) $

(0.65) $
(0.12)
(0.77) $

(0.65) $
(0.12)
(0.77) $

(0.92)

(0.04)

(0.96)

(0.92)

(0.04)

(0.96)

226,787

226,787

786,389

353,175

(265,479)

(26,429)

(291,908)

(1.18)

(0.12)

(1.30)

(1.18)

(0.12)

(1.30)

223,521

223,521

223,834

223,834

224,132

224,132

224,353

224,353

(1)  Loss from continuing operations for the year ended December 31, 2019 was impacted by (i) acquisition-related and integration items, net of $(37.5) million, 
$(5.5) million, $16.0 million and $(19.1) million during the first, second, third and fourth quarters, respectively, which related primarily to changes in the fair 
value of contingent consideration, (ii) asset impairment charges of $165.4 million, $88.4 million, $4.8 million and $267.4 million during the first, second, 
third and fourth quarters, respectively, (iii) certain retention and separation benefits and other cost reduction initiatives incurred in connection with continued 
efforts to enhance the Company’s operations of $2.0 million, $2.1 million, $11.0 million and $19.4 million during the first, second, third and fourth quarters, 
respectively, (iv) amounts related to litigation-related and other contingent matters totaling $10.3 million, $(14.4) million and $15.3 million during the second, 
third and fourth quarters, respectively, and (v) amounts related to sales of businesses and other assets of $1.3 million, $(2.5) million, $(1.9) million and $(3.3) 
million during the first, second, third and fourth quarters, respectively.

F-61

Table of Contents

(2)  Loss from continuing operations for the year ended December 31, 2018 was impacted by (i) acquisition-related and integration items, net of $6.8 million, $5.2 
million, $1.3 million and $8.6 million during the first, second, third and fourth quarters, respectively, which related primarily to changes in the fair value of 
contingent consideration, (ii) asset impairment charges of $448.4 million, $22.8 million, $142.2 million and $303.5 million during the first, second, third and 
fourth quarters, respectively, (iii) certain retention and separation benefits and other cost reduction initiatives incurred in connection with continued efforts to 
enhance the Company’s operations of $49.0 million, $29.2 million, $4.0 million and $4.2 million during the first, second, third and fourth quarters, 
respectively, (iv) amounts related to litigation-related and other contingent matters totaling $(2.5) million, $19.6 million, $(1.8) million and $(1.6) million 
during the first, second, third and fourth quarters, respectively, and (v) amounts related to sales of businesses and other assets of $(2.4) million, $(24.6) 
million, $(2.9) million and $(15.3) million during the first, second, third and fourth quarters, respectively.

The operating results of the Astora business are reported as Discontinued operations, net of tax in the Consolidated Statements 
of Operations for all periods presented. For additional information, see Note 3. Discontinued Operations and Divestitures. Quarterly 
and year-to-date computations of per share amounts are made independently; therefore, the sum of the per share amounts for the 
quarters may not equal the per share amounts for the year.

F-62

Exhibit 4.1

DESCRIPTION OF THE REGISTRANT’S SECURITIES
REGISTERED PURSUANT TO SECTION 12 OF THE
SECURITIES EXCHANGE ACT OF 1934

As of the date of our annual report on Form 10-K of which this exhibit is a part, we have the 
following class of securities registered pursuant to Section 12 of the Securities Exchange Act 
of 1934, as amended (the “Exchange Act”): ordinary shares of Endo International plc (the 
“Company”), par value $0.0001 per share (the “Ordinary Shares”), which is the only security 
of the Company registered under the Exchange Act.

Except as otherwise indicated or the context otherwise requires, the terms “Company,” “we,” 
“us” and “our” mean Endo International plc and all entities included in its consolidated 
financial statements. 

Set forth below is a summary description of the material terms of our Ordinary Shares, which 
does not purport to be complete. For more information, please see our certificate of 
incorporation and memorandum and articles of association, each of which are incorporated 
by reference as an exhibit to our annual report on Form 10-K.

General

The Company is authorized to issue 1,000,000,000 Ordinary Shares, par value $0.0001 per 
share, of which 226,833,617 shares were issued and outstanding as of February 18, 2020. There 
are no sinking fund rights with respect to our Ordinary Shares. 

We may issue shares subject to the maximum authorized share capital contained in our 
memorandum and articles of association. The authorized share capital may be increased or 
reduced by a resolution approved by a simple majority of the votes cast at a general meeting of 
our shareholders at which a quorum is present (referred to under Irish law as an “ordinary 
resolution”). The shares comprising our authorized share capital may be divided into shares of 
such nominal value as the resolution shall prescribe. As a matter of Irish company law, the 
directors of a company may issue new Ordinary Shares without shareholder approval once 
authorized to do so by the memorandum and articles of association or by an ordinary resolution 
adopted by the shareholders at a general meeting. The authorization must include the maximum 
amount that may be allotted and may be granted for a maximum period of five years, at which 
point it must be renewed by the shareholders by an ordinary resolution. Our shareholders 
adopted an ordinary resolution at the 2019 annual general meeting of the Company on June 11, 
2019 authorizing our directors to issue up to an aggregate nominal amount of $7,464 
(74,639,777 Ordinary Shares) (being equivalent to approximately 33% of the aggregate nominal 
value of the issued ordinary share capital of the Company as of April 12, 2019), for a period of 
18 months from June 11, 2019.

The rights and restrictions to which our Ordinary Shares are subject are prescribed in our 
articles of association. 

We may, by ordinary resolution and without obtaining any vote or consent of the holders of any 
class or series of shares, unless expressly provided by the terms of that class or series of shares, 
provide from time to time for the issuance of other classes or series of shares and to establish the 
1

characteristics of each class or series, including the number of shares, designations, relative 
voting rights, dividend rights, liquidation and other rights, redemption, repurchase or exchange 
rights and any other preferences and relative, participating, optional or other rights and 
limitations not inconsistent with applicable law. 

Irish law does not recognize fractional shares held of record. Accordingly, our articles of 
association do not provide for the issuance of fractional shares and our official Irish register will 
not reflect any fractional shares. 

Whenever an issuance, alteration, reorganization, consolidation, division or subdivision of our 
share capital would result in any shareholder becoming entitled to fractions of a share, no such 
fractions shall be issued or delivered to any shareholder. All such fractions of a share will be 
aggregated into whole shares and sold in the open market at prevailing market prices and the 
aggregate cash proceeds from such sale (net of tax, commissions, costs and other expenses) 
shall be distributed on a pro rata basis, rounding down to the nearest cent, to each shareholder 
who would otherwise have been entitled to receive fractions of a share.

Ordinary Shares 

Voting 

Each of our shareholders is entitled to one vote for each Ordinary Share that he or she holds as 
of the record date for the meeting. Voting rights may be exercised by shareholders registered in 
our share register as of the record date for the meeting or by a duly appointed proxy, which 
proxy need not be a Company shareholder. 

Irish law requires special resolutions of our shareholders at a general meeting to approve certain 
matters. A special resolution requires the approval of three-quarters of the votes of our 
shareholders cast at a general meeting at which a quorum is present. Ordinary resolutions, by 
contrast, require the approval of a simple majority of shareholders at a general meeting at which 
a quorum is present.

Examples of matters requiring special resolutions include: 

• 
• 
• 
• 

amending the objects or our memorandum of association;
amending our articles of association;
approving a change in our name;
authorizing the entering into of a guarantee or provision of security in connection with a 
loan, quasi-loan or credit transaction to a director or connected person; 

•  opting out of pre-emption rights on the issuance of new shares; 
•  our re-registration from a public limited company to a private company; 
•  variation of class rights attaching to classes of shares (where our articles of association 

do not provide otherwise); 

•  purchase of our Ordinary Shares off market; 
• 
• 
• 
• 
• 

reduction of issued share capital; 
resolving that we be wound up by the Irish courts; 
resolving in favor of a shareholders’ voluntary winding-up;
re-designation of shares into different share classes; and 
setting the re-issue price of treasury shares.

2

Variation of Rights Attaching to a Class or Series of Shares 

Neither Irish company law nor any of our constitutional documents place limitations on the right 
of non-resident or foreign owners to vote or hold our Ordinary Shares. 

Under our articles of association and the Irish Companies Act 2014 (the “Companies Act”), any 
variation of class rights attaching to our issued shares must be approved by a special resolution 
of the shareholders of the affected class or with the consent in writing of the holders of three-
quarters of all the votes of that class of shares. 

The provisions of our articles of association relating to general meetings apply to general 
meetings of the holders of any class of shares except that the necessary quorum is determined in 
reference to the shares of the holders of the class. Accordingly, for general meetings of holders 
of a particular class of shares, a quorum consists of one or more persons holding or representing 
by proxy at least one-half of the issued shares of the class.

Dividends

Our memorandum and articles of association authorize our board of directors to declare 
dividends without shareholder approval to the extent they appear justified by profits. Our board 
of directors may also recommend a dividend to be approved and declared by the shareholders at 
a general meeting. No dividend issued may exceed the amount recommended by our board of 
directors. 

Dividends may be declared and paid in the form of cash or non-cash assets, including shares, 
and may be paid in dollars or any other currency. Our board of directors may deduct from any 
dividend payable to any shareholder any amounts payable by such shareholder to us in relation 
to our shares.

Under Irish law, dividends and distributions may only be made from distributable reserves. 
Distributable reserves generally means accumulated realized profits, so far as not previously 
utilized by distribution or capitalization, less accumulated, realized losses, so far as not 
previously written off in a reduction or reorganization of capital duly made. In addition, no 
distribution or dividend may be made unless our net assets are equal to, or in excess of, the 
aggregate of our called up share capital plus undistributable reserves and the distribution does 
not reduce our net assets below such aggregate. Undistributable reserves include the 
undenominated capital (effectively the share premium account and capital redemption reserve) 
and the amount by which our accumulated unrealized profits, so far as not previously utilized by 
any capitalization, exceed our accumulated unrealized losses, so far as not previously written off 
in a reduction or reorganization of capital. 

The determination as to whether or not we have sufficient distributable reserves to fund a 
dividend must be made by reference to our “relevant financial statements.” Our “relevant 
financial statements” will be either our last set of unconsolidated annual audited financial 
statements or other financial statements properly prepared in accordance with the Companies 
Act (not in accordance with U.S. GAAP), which give a “true and fair view” of our 
unconsolidated financial position and accord with accepted accounting practice. Our relevant 
financial statements must be filed in the Companies Registration Office (the official public 
registry for companies in Ireland).

3

Bonus Shares 

Under our memorandum and articles of association, our board of directors may resolve to 
capitalize any amount credited to any reserve available for distribution or the share premium 
account or other of our undistributable reserves for issuance and distribution to shareholders as 
fully paid up bonus shares on the same basis of entitlement as would apply in respect of a 
dividend distribution. 

Preemption Rights and Share Options 

Under Irish law, certain statutory pre-emption rights apply automatically in favor of shareholders 
where shares are to be issued for cash. However, we initially opted out of these pre-emption 
rights on incorporation in our articles of association as permitted under Irish company law. As 
Irish law requires this opt-out to be renewed every five years by a special resolution of 
shareholders, our memorandum and articles of association provided that this opt-out must be so 
renewed. If the opt-out is not renewed, shares issued for cash must be offered to our existing 
shareholders on a pro rata basis to their existing shareholding before the shares can be issued to 
any new shareholders. The statutory pre-emption rights do not apply where shares are issued for 
non-cash consideration (such as in a share-for-share acquisition) and do not apply to the issue of 
non-equity shares (that is, shares that have the right to participate only up to a specified amount 
in any income or capital distribution) or where shares are issued pursuant to an employee option 
or similar equity plan. Our shareholders passed a special resolution at the 2019 annual general 
meeting of the Company on June 11, 2019 authorizing the directors of the Company to opt out of 
pre-emption rights with respect to equity securities with up to an aggregate nominal value of 
$2,262 (22,618,114 Ordinary Shares) (being equivalent to approximately 10% of the aggregate 
nominal value of the issued ordinary share capital of the Company as of April 12, 2019) for a 
period of 18 months from June 11, 2019 (provided that with respect to 11,309,057 of such shares 
(being equivalent to approximately 5% of the issued ordinary share capital as of April 12, 2019), 
such allotment is to be used for the purposes of an acquisition or a specified capital investment). 

Our memorandum and articles of association provide that, subject to any shareholder approval 
requirement under any laws, regulations or the rules of any stock exchange to which we are 
subject, our board of directors is authorized, from time to time, in its discretion, to grant such 
persons, for such periods and upon such terms as our board of directors deems advisable, options 
to purchase such number of shares of any class or classes or of any series of any class as our 
board of directors may deem advisable and to cause warrants or other appropriate instruments 
evidencing such options to be issued. The Companies Act provides that directors may issue share 
warrants or options without shareholder approval once authorized to do so by the articles of 
association or an ordinary resolution of shareholders. We are subject to the rules of NASDAQ 
and the United States Internal Revenue Code of 1986 that require shareholder approval of certain 
equity plans and share issuances. Our board of directors may issue shares upon exercise of 
warrants or options without shareholder approval or authorization (up to the relevant authorized 
share capital limit).

Share Repurchases, Redemptions and Conversions 

Our memorandum and articles of association provide that any Ordinary Share that we have 
agreed to acquire shall be deemed to be a redeemable share, unless our board of directors 
resolves otherwise. Accordingly, for Irish company law purposes, our repurchase of Ordinary 

4

Shares will technically be effected as a redemption of those shares as described below under “—
Repurchases and Redemptions by Endo.” If our memorandum and articles of association did not 
contain such provision, all repurchases we undertake would be subject to many of the same rules 
that apply to purchases of our Ordinary Shares by our subsidiaries as described below under “—
Purchases by Subsidiaries of Endo, “ including the shareholder approval requirements described 
below and the requirement that any purchases on market be effected on a “recognized stock 
exchange,” which, for purposes of the Companies Act, includes NASDAQ. 

Repurchases and Redemptions by Endo 

Under Irish law, a company may issue redeemable shares and redeem them out of distributable 
reserves or the proceeds of a new issue of shares for that purpose. We may only issue redeemable 
shares if the nominal value of our issued share capital that is not redeemable is not less than 10% 
of the nominal value of our total issued share capital. All redeemable shares must also be fully-
paid and the terms of redemption of the shares must provide for payment on redemption. 
Redeemable shares may, upon redemption, be cancelled or held in treasury. Based on the 
provisions of our memorandum and articles of association described above, shareholder approval 
will not be required to redeem our Ordinary Shares.

We may also be given an additional general authority to purchase our own shares on market by 
way of ordinary resolution, which would take effect on the same terms and be subject to the 
same conditions as applicable to purchases by our subsidiaries as described below. 

Repurchased and redeemed shares may be cancelled or held as treasury shares. The nominal 
value of treasury shares held by us at any time must not exceed 10% of the nominal value of our 
issued share capital. We may not exercise any voting rights in respect of any shares held as 
treasury shares. We may cancel or re-issue treasury shares subject to certain conditions. 

Purchases by Subsidiaries of Endo 

Under Irish law, an Irish or non-Irish subsidiary of the Company may purchase our shares either 
on market or off market. For one of our subsidiaries to make purchases on market of our 
Ordinary Shares, our shareholders must provide general authorization for such purchase by way 
of ordinary resolution. However, as long as this general authority has been granted, no specific 
shareholder authority for a particular on-market purchase by one of our subsidiaries of our 
Ordinary Shares is required. For an off-market purchase by one of our subsidiaries, the proposed 
purchase contract must be authorized by special resolution of our shareholders before the 
contract is entered into. The person whose shares are to be bought back cannot vote in favor of 
the special resolution and from the date of the notice of the meeting at which the resolution 
approving the contract is proposed, the purchase contract must be on display or must be available 
for inspection by our shareholders at our registered office.

The number of shares held by our subsidiaries at any time will count as treasury shares and will 
be included in any calculation of the permitted treasury share threshold of 10% of the nominal 
value of our issued share capital. While a subsidiary holds our shares, it cannot exercise any 
voting rights in respect of those shares. The acquisition of our Ordinary Shares by a subsidiary 
must be funded out of distributable reserves of the subsidiary. 

5

Lien on Shares, Calls on Shares and Forfeiture of Shares 

Our memorandum and articles of association provide that we have a first and paramount lien on 
every share that is not a fully paid up share for all amounts payable at a fixed time or called in 
respect of that share. Subject to the terms of their allotment, our board of directors may call for 
any unpaid amounts in respect of any shares to be paid, and if payment is not made, the shares 
may be forfeited. These provisions are standard inclusions in the memorandum and articles of 
association of an Irish public limited company such as the Company and are only applicable to 
our shares that have not been fully paid up. 

Consolidation and Division; Subdivision 

Under our articles of association, we may, by ordinary resolution, consolidate and divide all or 
any of our share capital into shares of larger nominal value than our existing shares or subdivide 
our shares into smaller amounts than is fixed by our memorandum of association. 

Reduction of Share Capital 

We may, by ordinary resolution, reduce our authorized share capital in any way. We also may, by 
special resolution and subject to confirmation by the Irish High Court, reduce or cancel our 
issued share capital in any manner permitted by the Companies Act.

Election of Directors 

The Companies Act provides for a minimum of two directors on the board of an Irish public 
limited company. Our memorandum and articles of association provide that the number of 
directors shall not be less than five (5) nor more than twelve (12) with the exact number of 
directors being fixed from time to time by resolution of our board of directors. 

At each annual general meeting, all of our directors shall retire from office and be re-eligible for 
re-election. Each director shall hold office until the next annual general meeting or until his or 
her earlier resignation or removal. 

Directors are elected by ordinary resolution at a general meeting. Irish law requires majority 
voting for the election of directors, which could result in the number of directors falling below 
the prescribed minimum number of directors due to the failure of nominees to be elected.

Removal of Directors; Vacancies 

Under the Companies Act and notwithstanding anything contained in our memorandum and 
articles of association or in any agreement between us and a director, our shareholders may, by 
an ordinary resolution, remove a director from office before the expiration of his or her term at a 
meeting held on no less than 28 days’ notice and at which the director is entitled to be heard. The 
power of removal is without prejudice to any claim for damages for breach of contract (e.g., 
employment contract) that the director may have against us in respect of his or her removal. Our 
memorandum and articles of association provide that our board of directors may fill any vacancy 
occurring on our board of directors. If our board of directors fills a vacancy, the director’s term 
expires at the next annual general meeting. A vacancy on our board of directors created by the 
removal of a director may be filled by our shareholders at the meeting at which such director is 
removed. 

6

Annual General Meetings of Shareholders 

We are required to hold an annual general meeting at intervals of no more than 15 months from 
the previous annual general meeting, provided that an annual general meeting is held in each 
calendar year following our first annual general meeting. Each general meeting will be held at 
such time and place as designated by our board of directors and as specified in the notice of 
meeting. Subject to section 176 of the Companies Act, all general meetings may be held outside 
of Ireland. 

The only matters that must, as a matter of Irish law, be transacted at an annual general meeting 
are the consideration of the statutory financial statements, the report of the directors and the 
report of the auditors on those statements and that report, the review by the members of the 
Company’s affairs, the appointment of new auditors and the fixing of the auditor’s remuneration 
(or delegation of same). 

If no resolution is made in respect of the reappointment of an existing auditor at an annual 
general meeting, the existing auditor will be deemed to have continued in office. 

The provisions of our memorandum and articles of association relating to general meetings will 
apply to every such general meeting of the holders of any class of shares except that the 
necessary quorum shall be one person holding or representing by proxy at least one-half of the 
issued shares of such class. 

Our memorandum and articles of association provide that a resolution may only be put to vote at 
a general meeting or of the holders of any class of shares if (i) it is specified in the notice of the 
meeting; (ii) it is proposed by or at the direction of the board of directors; (iii) it is proposed at 
the direction of a court of competent jurisdiction; (iv) it is proposed on the requisition in writing 
of the holder of shares as is prescribed by, and is made in accordance with, section 178(3) of the 
Companies Act; (v) the chairman of the meeting in his or her absolute discretion decides that the 
resolution may properly be regarded as within the scope of the meeting; or (vi) it is proposed in 
accordance with the procedures and requirements set out in our articles with respect to 
nominations of directors.

Extraordinary General Meetings of Shareholders 

Extraordinary general meetings of the Company may be convened by (i) our board of directors; 
(ii) on requisition of our shareholders holding not less than 10% of our paid up share capital 
carrying voting rights; (iii) on requisition of our auditors; or (iv) in exceptional cases, by order of 
the Irish High Court. Extraordinary general meetings are generally held for the purpose of 
approving shareholder resolutions as may be required from time to time. At any extraordinary 
general meeting, only such business shall be conducted as is set forth in the notice thereof. 

In the case of an extraordinary general meeting convened by our shareholders, the purpose of the 
meeting must be set out in the requisition notice. Upon receipt of any such valid requisition 
notice, our board of directors has 21 days to convene a meeting of our shareholders to vote on the 
matters set out in the requisition notice. This meeting must be held within two months of the 
receipt of the requisition notice. If our board of directors does not convene the meeting within 
such 21-day period, the requisitioning shareholders, or any of them representing more than one 
half of the total voting rights of all of them, may themselves convene a meeting, which meeting 
must be held within three months of our receipt of the requisition notice. 

7

If our board of directors becomes aware that our net assets are not greater than half of the amount 
of our called-up share capital, it must convene an extraordinary general meeting of our 
shareholders not later than 28 days from the date that the directors learn of this fact to consider 
how to address the situation.

Record Date; Notice Provisions 

Our memorandum and articles of association provide that our board of directors may fix in 
advance a record date (i) to determine the shareholders entitled to notice of or to vote at a 
meeting of the shareholders that is no more than 60 days and no less than 10 days before the date 
of the meeting and (ii) for the purpose of determining the shareholders entitled to receive 
payment of any dividend, or in order to make a determination of shareholders for any other 
proper purpose that is no more than 60 days prior to the date of payment of the dividend or the 
date of any other action to which the determination of shareholders is relevant. The record date 
may not precede the date upon which the resolution fixing the record date is adopted by our 
directors. 

If the register of our shareholders is closed in connection with a meeting, it must be closed for at 
least five days preceding the meeting and the record date for determination of the shareholders 
entitled to receive notice of, and to vote at, that meeting will be the date of the closing of the 
register of our shareholders. 

Notice of an annual or extraordinary general meeting must be given to all of our shareholders 
and to our auditors. Our memorandum and articles of association provide for a minimum notice 
period of 21 days for an annual general meeting, which is the minimum permitted under Irish 
law. In addition, under Irish law and our memorandum and articles of association, the minimum 
notice periods are 21 days’ notice in writing for an extraordinary general meeting to approve a 
special resolution and 14 days’ notice in writing for any other extraordinary general meeting. 

Advance Notice of Director Nominations and Other Proposals 

The Companies Act provides that shareholders holding not less than 10% of the total voting 
rights may call an extraordinary general meeting for the purpose of considering director 
nominations or other proposals, as described under “—Extraordinary General Meetings of 
Shareholders.” 

Our memorandum and articles of association provide that shareholder nominations of persons to 
be elected to our board of directors at an annual general meeting must be made following written 
notice to our secretary executed by a shareholder accompanied by certain background and other 
information specified in our memorandum and articles of association. 

Such written notice and information must be received by our secretary not less than 60 days nor 
more than 90 days before the anniversary date of the prior year’s annual general meeting, 
provided, however, that in the event that the annual general meeting is called for a date that is not 
within 30 days before or after such anniversary date, notice must be received not later than the 
close of business on the 10th day following the day on which notice of the annual general 
meeting is published. 

8

Quorum for General Meetings 

Our memorandum and articles of association provide that no business shall be transacted at any 
general meeting unless a quorum is present. One or more shareholders present in person or by 
proxy holding not less than a majority of our issued and outstanding shares entitled to vote at the 
meeting in question constitute a quorum.

Anti-Takeover Provisions 

Irish Takeover Rules and Substantial Acquisition Rules 

A transaction in which a third party seeks to acquire 30% or more of our voting rights will be 
governed by the Irish Takeover Panel Act 1997, which is referred to in this exhibit as the 
“Takeover Panel Act,” and the Irish Takeover Rules made thereunder and will be regulated by the 
Irish Takeover Panel, which is referred to in this exhibit as the “Panel.” The “General Principles” 
of the Irish Takeover Rules and certain important aspects of the Irish Takeover Rules are 
described below.

General Principles 

The Takeover Rules are built on the following General Principles which will apply to any 
transaction regulated by the Panel: 

• 

• 

• 

• 

• 

• 

• 

in the event of an offer, all holders of securities of the target company should be afforded 
equivalent treatment and, if a person acquires control of a company, the other holders of 
securities must be protected;
the holders of securities in the target company must have sufficient time and information 
to enable them to reach a properly informed decision on the offer; where it advises the 
holders of securities, the board of the target company must give its views on the effects of 
implementation of the offer on employment, conditions of employment and the locations 
of the target company’s places of business; 
the board of the target company must act in the interests of the company as a whole and 
must not deny the holders of securities the opportunity to decide on the merits of the 
offer; 
false markets must not be created in the securities of the target company, the bidder or of 
any other company concerned by the offer in such a way that the rise or fall of the prices 
of the securities becomes artificial and the normal functioning of the markets is distorted; 
a bidder must announce an offer only after ensuring that he or she can fulfill in full, any 
cash consideration, if such is offered and after taking all reasonable measures to secure 
the implementation of any other type of consideration; 
a target company must not be hindered in the conduct of its affairs for longer than is 
reasonable by an offer for its securities; and 
 a substantial acquisition of securities (whether such acquisition is to be effected by one 
transactions or a series of transaction) shall take place only at an acceptable speed and 
shall be subject to adequate and timely disclosure.

Mandatory Bid 

Under certain circumstances, a person who acquires our shares or other voting rights in Endo 
may be required under the Takeover Rules to make a mandatory cash offer for our remaining 
outstanding shares at a price not less than the highest price paid for the shares by the acquirer (or 

9

any parties acting in concert with the acquirer) during the previous 12 months. This mandatory 
bid requirement is triggered if an acquisition of shares would increase the aggregate holding of 
an acquirer (including the holdings of any parties acting in concert with the acquirer) to shares 
representing 30% or more of the voting rights in Endo, unless the Panel otherwise consents. An 
acquisition of shares by a person holding (together with its concert parties) shares representing 
between 30% and 50% of the voting rights in Endo would also trigger the mandatory bid 
requirement if, after giving effect to the acquisition, the percentage of the voting rights held by 
that person (together with its concert parties) would increase by 0.05% within a 12-month period. 
Any person (excluding any parties acting in concert with the holder) holding shares representing 
more than 50% of the voting rights of a company is not subject to these mandatory offer 
requirements in purchasing additional securities. 

Voluntary Bid; Requirements to Make a Cash Offer and Minimum Price Requirements 

If a person makes a voluntary offer to acquire our outstanding Ordinary Shares, the offer price 
must be no less than the highest price paid for our Ordinary Shares by the bidder or its concert 
parties during the three-month period prior to the commencement of the offer period. The Panel 
has the power to extend the “look back” period to 12 months if the Panel, taking into account the 
General Principles, believes it is appropriate to do so. 

If the bidder or any of its concert parties has acquired our Ordinary Shares (i) during the period 
of 12 months prior to the commencement of the offer period which represent more than 10% of 
our total Ordinary Shares or (ii) at any time after the commencement of the offer period, the offer 
must be in cash (or accompanied by a full cash alternative) and the price per Ordinary Share 
must not be less than the highest price paid by the bidder or its concert parties during, in the case 
of (i), the 12-month period prior to the commencement of the offer period and, in the case of (ii), 
the offer period. The Panel may apply this rule to a bidder who, together with its concert parties, 
has acquired less than 10% of our total Ordinary Shares in the 12-month period prior to the 
commencement of the offer period if the Panel, taking into account the General Principles, 
considers it just and proper to do so. An offer period will generally commence from the date of 
the first announcement of the offer or proposed offer. 

Substantial Acquisition Rules 

The Irish Takeover Rules also contain rules governing substantial acquisitions of shares which 
restrict the speed at which a person may increase his or her holding of shares and rights over 
shares to an aggregate of between 15% and 30% of the voting rights of Endo. Except in certain 
circumstances, an acquisition or series of acquisitions of shares or rights over shares representing 
10% or more of the voting rights of Endo is prohibited, if such acquisition(s), when aggregated 
with shares or rights already held, would result in the acquirer holding 15% or more but less than 
30% of the voting rights of Endo and such acquisitions are made within a period of seven days. 
These rules also require accelerated disclosure of acquisitions of shares or rights over shares 
relating to such holdings. 

Frustrating Action 

Under the Takeover Rules, our board of directors is not permitted to take any action which might 
frustrate an offer for our shares once our board of directors has received an approach which may 
lead to an offer or has reason to believe an offer is or may be imminent, subject to certain 
exceptions. 

10

Potentially frustrating actions such as (i) the issue of shares, options or convertible securities; 
(ii) material acquisitions or disposals; (iii) entering into contracts other than in the ordinary 
course of business; or (iv) any action, other than seeking alternative offers, which may result in 
frustration of an offer, are prohibited during the course of an offer or at any time during which 
the board has reason to believe an offer is or may be imminent. Exceptions to this prohibition are 
available where: 

• 
• 

the action is approved by our shareholders at a general meeting; or
the Panel has given its consent, where: 

it is satisfied the action would not constitute frustrating action; 

o 
o  our shareholders that hold 50% of the voting rights in Endo state in writing that 
they approve the proposed action and would vote in favor of it at a general 
meeting; 
the action is taken in accordance with a contract entered into prior to the 
announcement of the offer; or
the decision to take such action was made before the announcement of the offer 
and either has been at least partially implemented or is in the ordinary course of 
business.

o 

o 

Rights Agreement 

Our memorandum and articles of association expressly authorize the adoption of a shareholders’ 
rights plan. Irish law does not expressly authorize or prohibit companies from issuing share 
purchase rights or adopting a shareholder rights plan as an anti-takeover measure. 

However, there is no directly relevant case law on the validity of such plans under Irish law and 
their interaction with the Irish Takeover Rules and the General Principles underlying the Irish 
Takeover Rules. 

Subject to the Irish Takeover Rules described above, our board of directors also has power to 
issue any authorized and unissued shares on such terms and conditions as it may determine and 
any such action should be taken in our best interests. 

Duration; Dissolution; Rights upon Liquidation 

Our duration is unlimited. We may be dissolved and wound up at any time by way of a 
shareholders’ voluntary winding up or a creditors’ winding up. In the case of a shareholders’ 
voluntary winding-up, a special resolution of shareholders is required. We may also be dissolved 
by way of court order on the application of a creditor, or by the Companies Registration Office as 
an enforcement measure where we have failed to file certain returns. 

The rights of the shareholders to a return of our assets on dissolution or winding up, following 
the settlement of all claims of creditors are prescribed in our articles of association. 

Acquisitions 

An Irish public limited company may be acquired in a number of ways, including: 

• 

a court-approved scheme of arrangement under the Companies Act. A scheme of 
arrangement requires a court order from the Irish High Court and the approval of a 
majority in number representing 75% in value of the shareholders present and voting in 
person or by proxy at a meeting called to approve the scheme;

11

• 

through a tender or takeover offer by a third party for all of our shares. Where the 
holders of 80% or more of our Ordinary Shares have accepted an offer for their shares in 
us, the remaining shareholders may also be statutorily required to transfer their shares. If 
the bidder does not exercise its “squeeze out” right, then the non-accepting shareholders 
also have a statutory right to require the bidder to acquire their shares on the same terms. 
If our shares were to be listed on the Irish Stock Exchange or another regulated stock 
exchange in the European Union, this threshold would be increased to 90%; and
•  by way of a merger with a company incorporated in the European Economic Area 
(“EEA”) under the EU Directive 2017/1132 of the European Parliament and of the 
Council of 14 June 2017 as implemented in Ireland by the European Communities 
(Cross- Border Mergers) Regulations 2008 (as amended) or with another Irish company 
under the Companies Act. Such a merger must be approved by a special resolution. 
Shareholders also may be entitled to have their shares acquired for cash. See “Appraisal 
Rights.”

Irish law does not generally require shareholder approval for a sale, lease or exchange of all or 
substantially all of a company’s property and assets. 

Appraisal Rights 

Generally, under Irish law, shareholders of an Irish company do not have dissenters’ or appraisal 
rights. If we are being merged as the transferor company with an EEA company the EU Directive 
2017/1132 of the European Parliament and of the Council of 14 June 2017 as implemented in 
Ireland by the European Communities (Cross- Border Mergers) Regulations 2008 (as amended), 
or if we are being merged with another Irish company under the Irish Companies Act, (i) any of 
our shareholders who voted against the special resolution approving the transaction or (ii) if 90% 
of our shares are held by the successor company, any of our other shareholders, may be entitled 
to require that the successor company acquire its shares for cash at a price determined in 
accordance with the share exchange ratio set out in the merger agreement.

Stock Exchange Listing 

Our Ordinary Shares are traded on NASDAQ under the ticker symbol “ENDP.”

Transfer and Registration of Shares 

An affiliate of our transfer agent, Computershare Investor Services Inc., Computershare Investor 
Services (Ireland) Limited, maintains the share register, registration in which will be 
determinative of membership in Endo. Each of our shareholders who holds shares beneficially 
will not be the holder of record of such shares. Instead, the depository or other nominee will be 
the holder of record of those shares. Accordingly, a transfer of shares from a person who holds 
such shares beneficially to a person who also holds such shares beneficially through a depository 
or other nominee will not be registered in our official share register, as the depository or other 
nominee will remain the record holder of any such shares. 

A written instrument of transfer is required under Irish law in order to register on our official 
share register any transfer of shares (i) from a person who holds such shares directly to any other 
person; (ii) from a person who holds such shares beneficially to a person who holds such shares 
directly; or (iii) from a person who holds such shares beneficially to another person who holds 

12

such shares beneficially where the transfer involves a change in the depository or other nominee 
that is the record owner of the transferred shares. 

An instrument of transfer is also required for a shareholder who directly holds shares to transfer 
those shares into his or her own broker account (or vice versa). Such instruments of transfer may 
give rise to Irish stamp duty, which must be paid prior to registration of the transfer on our 
official Irish share register. However, a shareholder who directly holds shares may transfer those 
shares into his or her own broker account (or vice versa) without giving rise to Irish stamp duty, 
provided there is no change in the ultimate beneficial ownership of the shares as a result of the 
transfer and the transfer is not made in contemplation of a sale of the shares. 

Any transfer of our Ordinary Shares that is subject to Irish stamp duty will not be registered in 
the name of the buyer unless an instrument of transfer is duly stamped and provided to the 
transfer agent. Our articles of association allow us, in our absolute discretion, to create an 
instrument of transfer and pay (or procure the payment of) any stamp duty, which is the legal 
obligation of a buyer. In the event of any such payment, we are (on our own behalf or on behalf 
of our affiliates) entitled to (i) seek reimbursement from the buyer or seller (at our discretion); 
(ii) set-off the amount of the stamp duty against future dividends payable to the buyer or seller 
(at our discretion); and (iii) claim a lien against our Ordinary Shares on which we have paid 
stamp duty. Parties to a share transfer may assume that any stamp duty arising in respect of a 
transaction in our Ordinary Shares has been paid unless one or both of such parties is otherwise 
notified by us.

Our memorandum and articles of association delegate to our secretary (or duly appointed 
nominee) the authority to execute an instrument of transfer on behalf of a transferring party. 

In order to help ensure that the official share register is regularly updated to reflect trading of our 
Ordinary Shares occurring through normal electronic systems, we intend to regularly produce 
any required instruments of transfer in connection with any transactions for which we pay stamp 
duty (subject to the reimbursement and set-off rights described above). In the event that we 
notify one or both of the parties to a share transfer that we believe stamp duty is required to be 
paid in connection with the transfer and that we will not pay the stamp duty, the parties may 
either themselves arrange for the execution of the required instrument of transfer (and may 
request a form of instrument of transfer from us for this purpose) or request that we execute an 
instrument of transfer on behalf of the transferring party in a form determined by us. In either 
event, if the parties to the share transfer have the instrument of transfer duly stamped (to the 
extent required) and then provide it to our transfer agent, the buyer will be registered as the legal 
owner of the relevant shares on our official Irish share register (subject to the matters described 
below). The directors may suspend registration of transfers from time to time, not exceeding 30 
days in aggregate each year.

13

Exhibit 10.18.1

EXECUTION VERSION

ENDO HEALTH SOLUTIONS INC.

EXECUTIVE EMPLOYMENT AGREEMENT

THIS AGREEMENT (this “Agreement”) is hereby entered into as of February 19, 2020, 
effective as of March 6, 2020 (the “Effective Date”), by and between Endo Health Solutions Inc. 
(the “Company”), a wholly-owned subsidiary of Endo International plc (“Endo”), and Blaise 
Coleman (“Executive”) (hereinafter collectively referred to as “the parties”).

In consideration of the respective agreements of the parties contained herein, it is agreed 

as follows: 

1. 

Term. The term of this Agreement shall be for the period commencing on the Effective 
Date and ending, subject to earlier termination as set forth in Section 7, on the third 
anniversary thereof (the “Employment Term”).

2. 

Employment. During the Employment Term:

(a) 

(b) 

(c) 

Executive shall serve as President and Chief Executive Officer of Endo and shall 
be assigned with the customary duties and responsibilities of such position. In 
addition, as of the Effective Date, Executive shall serve as a member of the board 
of directors of Endo (the “Board”). For as long as Executive is the Chief 
Executive Officer of Endo, Endo shall nominate Executive for re-election to the 
Board. At the time of Executive’s termination of employment with the Company 
for any reason, Executive shall resign from the Board and the board of directors 
of any of Endo’s affiliates. Executive shall not receive any compensation in 
addition to the compensation described in Sections 3, 4 and 5 of this Agreement 
for serving as a director of Endo or as a director or officer of any of Endo’s 
affiliates, but shall be covered under the indemnification and directors’ and 
officers’ liability insurance provisions of Section 15(d) for any such services.

Executive shall report directly to the Board. Executive shall perform the duties, 
undertake the responsibilities and exercise the authority customarily performed, 
undertaken and exercised by persons situated in a similar executive capacity.

Executive shall devote substantially full-time attention to the business and affairs 
of the Company and its affiliates. Executive may (i) serve on corporate, civic, 
charitable or non-profit boards or committees, subject in all cases to the prior 

approval of the Board and other applicable written policies of the Company and 
its affiliates as in effect from time to time, and (ii) manage personal and family 
investments, participate in industry organizations and deliver lectures at 
educational institutions or events, so long as no such service or activity 
unreasonably interferes, individually or in the aggregate, with the performance of 
Executive’s responsibilities hereunder.

(d) 

(e) 

Executive shall be subject to and shall abide by each of the personnel and 
compliance policies of the Company and its affiliates applicable and 
communicated in writing to senior executives.

Executive shall provide services at the Company’s U.S. headquarters in Malvern, 
Pennsylvania, and will travel to the Company’s Chestnut Ridge, New York 
location and Endo’s headquarters in Ireland to the extent reasonably necessary 
and appropriate to fulfill Executive’s duties.

Special Long-Term Incentive Compensation.  On March 6, 2020 (the “Grant Date”), 
Executive shall receive a grant of performance share units (the “Initial PSUs”) under 
Endo’s Amended and Restated 2015 Stock Incentive Plan (the ”Plan”) with a targeted 
grant date fair market value equal to $2,000,000, with the number of such Initial PSUs as 
determined by the Compensation Committee of the Board (the “Committee”) in its good 
faith discretion (rounded down to the nearest whole share).  The Initial PSUs shall be 
eligible to vest on the third anniversary of the grant date, provided Executive is then 
employed by the Company and subject to the achievement of the applicable performance 
goals, as determined by the Committee. On the Grant Date, Executive will also receive a 
Long-Term Cash award (the “Initial LTC”) under the Plan, with a grant value equal to 
$2,000,000.  The Initial LTC award shall be eligible to vest ratably over a three-year 
period, at a rate of one-sixth of the total award on each 6-month anniversary of the Grant 
Date, provided Executive is employed in good standing on such dates by the Company. 
All such Initial PSUs and Initial LTC shall be subject to the terms and conditions of the 
Plan and applicable award agreements.     

3. 

4. 

Annual Compensation.

(a) 

Base Salary. The Company agrees to pay or cause to be paid to Executive during 
the Employment Term a base salary at the rate of $850,000 per annum or such 
increased amount in accordance with this Section 4(a) (hereinafter referred to as 
the “Base Salary”). Such Base Salary shall be payable in accordance with the 
Company’s customary practices applicable to its executives. Such Base Salary 
shall be reviewed at least annually by the Committee, with the first such planned 

2

 
(b) 

review to occur in February 2021, and may be increased in the sole discretion of 
the Committee, but not decreased.

Annual Incentive Compensation. For each fiscal year of the Company ending 
during the Employment Term, effective as of the 2020 fiscal year, Executive shall 
be eligible to receive a target annual cash bonus of 100% of Executive’s Base 
Salary (such target bonus, as may hereafter be increased, the “Target Bonus”) with 
the opportunity to receive a maximum annual cash bonus in accordance with the 
terms of the applicable annual cash bonus plan as in effect from time to time, 
subject to the achievement of performance targets set by the Committee. Such 
annual cash bonus (“Incentive Compensation”) shall be paid in no event later than 
the 15th day of the third month following the end of the taxable year (of the 
Company or Executive, whichever is later) in which the performance targets have 
been achieved.  If the parties (following good faith negotiation) fail to enter into a 
new employment agreement following expiration of the Employment Term and 
Executive terminates Executive’s employment within ninety (90) days following 
expiration of the Employment Term under circumstances that would have 
constituted Good Reason had such termination occurred during the Employment 
Term or if, during such 90-day period, the Company terminates Executive’s 
employment under circumstances that would not have constituted Cause had such 
termination occurred during the Employment Term, then the Company shall pay 
Executive a Pro-Rata Bonus (as defined in Section 9(b)(ii) below) in a lump sum 
at the time bonuses are payable to other senior executives of the Company.

5. 

Long-Term Incentive Compensation. During the Employment Term and beginning with 
grants made in 2021, Executive shall be eligible to receive long-term incentive 
compensation to be awarded, in the sole discretion of the Committee (at a level 
commensurate with his position as Chief Executive Officer, as compared to other senior 
executives of the Company), which may be subject to the achievement of certain 
performance targets set by the Committee. Notwithstanding the foregoing, to the extent 
the shares available under the Company’s shareholder approved incentive plans are 
insufficient to make such grant (after taking into account the totality of grants to be made 
by the Company in a given year), in the Committee’s sole discretion, all or a portion of 
the long-term incentive compensation may be issued in the form of a cash-based award 
on terms determined by the Committee.  All such equity-based or cash-based awards shall 
be subject to the terms and conditions set forth in the applicable plan and award 
agreements, and in all cases shall be as determined by the Committee; provided, that, 
such terms and conditions shall be no less favorable than those provided for other senior 
executives of the Company.  If the parties (following good faith negotiation) fail to enter 
into a new employment agreement following expiration of the Employment Term and 

3

 
Executive terminates Executive’s employment within ninety (90) days following 
expiration of the Employment Term under circumstances that would have constituted 
Good Reason had such termination occurred during the Employment Term or if, during 
such 90-day period, the Company terminates Executive’s employment under 
circumstances that would not have constituted Cause had such termination occurred 
during the Employment Term, then such termination of employment shall be treated as a 
termination of employment for “Good Reason” or without Cause, as applicable, for 
purposes of the performance share units held by Executive as of the date of such 
termination of employment (and such awards shall be treated in accordance with the 
terms of the applicable award agreements).

6. 

Other Benefits.

(a) 

Employee Benefits. During the Employment Term, Executive shall be entitled to 
participate in all employee benefit plans, practices and programs maintained by 
the Company or its affiliates and made available to similarly situated employees 
generally, including all pension, retirement, profit sharing, savings, medical, 
hospitalization, disability, dental, life or travel accident insurance benefit plans, to 
the extent Executive is eligible under the terms of such plans. Executive’s 
participation in such plans, practices and programs shall be on the same basis and 
terms as are applicable to employees of the Company generally.  During the 
Employment Term, Executive shall also be entitled to participate in all executive 
benefit plans and entitled to all fringe benefits and perquisites generally made 
available by the Company or its affiliates to its senior executives in accordance 
with current Company policy now maintained or hereafter established by the 
Company or its affiliates for the purpose of providing executive benefits or 
perquisites to comparable executive employees of the Company including, but not 
limited to, the Company’s supplemental retirement, deferred compensation, 
supplemental medical or life insurance plans. Unless otherwise provided herein, 
Executive’s participation in such plans and programs shall be on the same basis 
and terms as other senior executives of the Company. No additional compensation 
provided under any of such plans shall be deemed to modify or otherwise affect 
the terms of this Agreement or any of Executive’s entitlements hereunder. 
Executive is responsible for any taxes (other than taxes that are the Company’s 
responsibility) that may be due based upon the value of the benefits or perquisites 
provided pursuant to this Agreement whether provided during or following the 
Employment Term.  For the avoidance of doubt, Executive shall not be entitled to 
any excise tax gross-up under Section 280G or Section 4999 of the Internal 
Revenue Code of 1986, as amended (the “Code”) (or any successor provision), or 
any other tax gross-up.

4

 
(b) 

(c) 

Business Expenses. Upon submission of proper invoices in accordance with the 
Company’s normal procedures, Executive shall be entitled to receive prompt 
reimbursement of all reasonable out-of-pocket business, entertainment and travel 
expenses (including travel in first-class) incurred by Executive in connection with 
the performance of Executive’s duties hereunder. Such reimbursement shall be 
made in no event later than the end of the calendar year following the calendar 
year in which the expenses were incurred.

Office and Facilities. During the Employment Term, Executive shall be provided 
with appropriate offices at the Company’s U.S. headquarters in Malvern, 
Pennsylvania and the Company’s Chestnut Ridge, New York location, with such 
secretarial and other support facilities as are commensurate with Executive’s 
status with the Company and its affiliates, which facilities shall be adequate for 
the performance of Executive’s duties hereunder. 

(d) 

Vacation and Sick Leave. Executive shall be entitled, without loss of pay, to 
absent himself voluntarily from the performance of Executive’s employment 
under this Agreement, pursuant to the following:

(i) 

Executive shall be entitled to annual vacation in accordance with the 
vacation policies of the Company as in effect from time to time, which 
shall in no event be less than four weeks per year; and

(ii) 

Executive shall be entitled to sick leave (without loss of pay) in 
accordance with the Company’s policies as in effect from time to time.

7. 

Termination. The Employment Term and Executive’s employment hereunder may be 
terminated under the circumstances set forth below; provided, however, that 
notwithstanding anything contained herein to the contrary, Executive shall not be 
considered to have terminated employment with the Company for purposes of this 
Agreement unless Executive would be considered to have incurred a “separation from 
service” from the Company within the meaning of Section 409A of the Code.

(a) 

Disability. The Company may terminate Executive’s employment, on written 
notice to Executive after having reasonably established Executive’s Disability. For 
purposes of this Agreement, Executive will be deemed to have a “Disability” if, as 
a result of any medically determinable physical or mental impairment that can be 
expected to result in death or can be expected to last for a continuous period of 
not less than twelve (12) months, Executive is unable to perform the core 
functions of Executive’s position (with or without reasonable accommodation) or 
is receiving income replacement benefits for a period of six (6) months or more 

5

 
(b) 

(c) 

under the Company’s long-term disability plan. Executive shall be entitled to the 
compensation and benefits provided for under this Agreement for any period prior 
to Executive’s termination by reason of Disability during which Executive is 
unable to work due to a physical or mental infirmity in accordance with the 
Company’s policies for similarly situated executives.

Death. Executive’s employment shall be terminated as of the date of Executive’s 
death.

Cause. The Company may terminate Executive’s employment for Cause (as 
defined below), effective as of the date of the Notice of Termination (as defined in 
Section 8 below) that notifies Executive of Executive’s termination for Cause and 
as evidenced by a resolution adopted by two-thirds of the independent members 
of the Board. “Cause” shall mean, for purposes of this Agreement: (i) the 
continued failure by Executive to use good faith efforts in the performance of 
Executive’s duties under this Agreement (other than any such failure resulting 
from Disability, illness or other allowable leave of absence); (ii) the criminal 
felony indictment (or non-U.S. equivalent) of Executive by a court of competent 
jurisdiction; (iii) the engagement by Executive in misconduct that has caused, or, 
is reasonably likely to cause, material harm (financial or otherwise) to the 
Company, including (A) the unauthorized disclosure of material secret or 
Confidential Information (as defined in Section 11(d) below) of the Company, (B) 
the debarment of the Company by the U.S. Food and Drug Administration or any 
successor agency (the “FDA”) or any non-U.S. equivalent, or (C) the registration 
of the Company with the U.S. Drug Enforcement Administration of any successor 
agency (the “DEA”) being revoked; (iv) the debarment of Executive by the FDA; 
(v) the continued material breach by Executive of this Agreement; (vi) any 
material breach by Executive of a Company policy; (vii) any material breach by 
Executive of a Company policy related to sexual or other types of harassment or 
abusive conduct, which breach is injurious to the Company; or (viii) Executive 
making, or being found to have made, a certification relating to the Company’s 
financial statements and public filings that is known to Executive to be false. 
Notwithstanding the foregoing, prior to having Cause for Executive’s termination 
(other than as described in clauses (ii) , (iv) and (vii) above), the Company must 
deliver a written demand to Executive which specifically identifies the conduct 
that may provide grounds for Cause within ninety (90) calendar days of the 
Company’s actual knowledge of such conduct, events or circumstances.  During 
the thirty (30) day period after receipt of such demand, Executive shall have an 
opportunity to cure or remedy such conduct, events or circumstances and present 
his case to the full Board (with the assistance of counsel chosen by Executive) 

6

 
before any termination for Cause is finalized by a vote by at least two-thirds of 
the independent members of the Board at a meeting of the Board called and held 
for such purpose. References to the Company in subsections (i) through (viii) of 
this paragraph shall also include affiliates of the Company.  

(d)  Without Cause. The Company may terminate Executive’s employment without 

Cause. The Company shall deliver to Executive a Notice of Termination (as 
defined in Section 8 below) not less than thirty (30) days prior to the termination 
of Executive’s employment without Cause and the Company shall have the option 
of terminating Executive’s duties and responsibilities prior to the expiration of 
such thirty-day notice period, provided the Company pays Base Salary through 
the end of such notice period.

(e) 

Good Reason. Executive may terminate employment with the Company for Good 
Reason (as defined below) by delivering to the Company a Notice of Termination 
not less than thirty (30) days prior to the termination of Executive’s employment 
for Good Reason. The Company shall have the option of terminating Executive’s 
duties and responsibilities prior to the expiration of such thirty-day notice period 
provided the Company pays Base Salary through the end of such notice period. 
For purposes of this Agreement, “Good Reason” means any of the following 
without Executive’s written consent: (i) a diminution in Executive’s Base Salary, a 
material diminution in Target Bonus (provided that failure to earn a bonus equal 
to or in excess of the Target Bonus by reason of failure to achieve applicable 
performance goals shall not be deemed Good Reason) or material diminution in 
benefits; (ii) a material diminution of Executive’s position, responsibilities, duties 
or authorities from those in effect as of the Effective Date; (iii) any change in 
reporting structure such that Executive is required to report to someone other than 
the Board; (iv) any material breach by the Company of its obligations under this 
Agreement (including the material failure to pay any amounts due hereunder 
when due or the failure of the Company to abide by the requirements of Section 
15(a)(i) below with respect to successors or permitted assigns); or (v) the 
Company requiring Executive to be based at any office or location that increases 
the length of Executive’s commute by more than fifty (50) miles.  Executive shall 
provide notice of the existence of the Good Reason condition within ninety (90) 
days of the date Executive learns of the condition, and the Company shall have a 
period of thirty (30) days during which it may remedy the condition, and in case 
of full remedy such condition shall not be deemed to constitute Good Reason 
hereunder. 

7

 
(f)  Without Good Reason. Executive may voluntarily terminate Executive’s 

employment without Good Reason by delivering to the Company a Notice of 
Termination not less than thirty (30) days prior to the termination of Executive’s 
employment and the Company shall have the option of terminating Executive’s 
duties and responsibilities prior to the expiration of such thirty-day notice period 
provided the Company shall not be obligated to pay any amount through the end 
of such notice period.

8. 

Notice of Termination. Any purported termination by the Company or by Executive shall 
be communicated by written Notice of Termination to the other party hereto. For 
purposes of this Agreement, a “Notice of Termination” shall mean a notice that indicates 
a termination date, the specific termination provision in this Agreement relied upon and 
sets forth in reasonable detail the facts and circumstances claimed to provide a basis for 
termination of Executive’s employment under the provision so indicated. For purposes of 
this Agreement, no such purported termination of Executive’s employment hereunder 
shall be effective without such Notice of Termination (unless waived by the party entitled 
to receive such notice).

9. 

Compensation Upon Termination. Upon termination of Executive’s employment during 
the Employment Term, Executive shall be entitled to the following benefits:

(a) 

Termination by the Company for Cause or by Executive Without Good Reason. If 
Executive’s employment is terminated by the Company for Cause or by Executive 
without Good Reason, the Company shall pay Executive: 

(i) 

any accrued and unpaid Base Salary, payable on the next payroll date; 

(ii) 

(iii) 

any Incentive Compensation earned but unpaid in respect of any 
completed fiscal year preceding the termination date, payable at the time 
annual incentive compensation is paid to other senior executives; 

reimbursement for any and all monies advanced or expenses incurred in 
connection with Executive’s employment for reasonable and necessary 
expenses incurred by Executive on behalf of the Company for the period 
ending on the termination date, which amount shall be reimbursed within 
thirty (30) days of the Company’s receipt of proper documentation from 
Executive; 

(iv) 

any accrued and unpaid vacation pay, payable on the next payroll date;

8

 
(v) 

any previous compensation that Executive has previously deferred 
(including any interest earned or credited thereon), in accordance with the 
terms and conditions of the applicable deferred compensation plans or 
arrangements then in effect, to the extent vested as of Executive’s 
termination date, paid pursuant to the terms of such plans or arrangements; 
and 

(vi) 

any amount or benefit as provided under any benefit plan or program in 
accordance with the terms thereof (the foregoing items in Sections 9(a)(i) 
through 9(a)(vi) being collectively referred to as the “Accrued 
Compensation”).

(b) 

Termination by the Company for Disability. If Executive’s employment is 
terminated by the Company for Disability, the Company shall pay Executive:

(i) 

the Accrued Compensation;

(ii) 

an amount equal to the Incentive Compensation that Executive would have 
been entitled to receive in respect of the fiscal year in which Executive’s 
termination date occurs, had Executive continued in employment until the 
end of such fiscal year, which amount, determined based on actual 
performance for such year relative to the performance goals applicable to 
Executive (but without any exercise of negative discretion with respect to 
Executive in excess of that applied to either senior executives of the 
Company generally or in accordance with the Company’s historical past 
practice), shall be multiplied by a fraction (A) the numerator of which is 
the number of days in such fiscal year through the termination date and 
(B) the denominator of which is 365 (the “Pro-Rata Bonus”) and shall be 
payable in a lump sum payment at the time such bonus or annual incentive 
awards are payable to other participants. Further, upon Executive’s 
Disability (irrespective of any termination of employment related thereto), 
the Company shall pay Executive for twenty-four (24) consecutive months 
thereafter regular payments in the amount by which Executive’s monthly 
Base Salary exceeds Executive’s monthly Disability insurance benefit; and 

(iii) 

continued coverage for Executive and Executive’s dependents under any 
health, medical, dental, vision and basic life insurance (but not 
supplemental life insurance) program or policy in which Executive was 
eligible to participate as of the time of Executive’s employment 
termination (as may be amended by the Company from time to time in the 

9

 
ordinary course), for twenty-four (24) months following such termination 
on the same basis as active employees, which such twenty-four month 
period shall run concurrently with the COBRA period; provided, however, 
that (x) the Company may instead, in its discretion, provide substantially 
similar benefits or payment outside of the Company’s benefit plans if the 
Company reasonably determines that providing such alternative benefits 
or payment is appropriate to minimize potential adverse tax consequences 
and penalties; and (y) the coverage provided hereunder shall become 
secondary to any coverage provided to Executive by a subsequent 
employer and to any Medicare coverage for which Executive becomes 
eligible, and it shall be the obligation of Executive to inform the Company 
if Executive becomes eligible for such subsequent coverage (the “Benefits 
Continuation”).

(c) 

Termination By Reason of Death. If Executive’s employment is terminated by 
reason of Executive’s death, the Company shall pay Executive’s beneficiaries:

(i) 

the Accrued Compensation;

(ii) 

the Pro-Rata Bonus; and

(iii) 

continued coverage for Executive’s dependents under any health, medical, 
dental, vision and basic life insurance (but not supplemental life 
insurance) program or policy in which Executive was eligible to 
participate as of the time of Executive’s employment termination (as may 
be amended or replaced by the Company from time to time in the ordinary 
course), for twenty-four (24) months following such termination on the 
same basis as the dependents of active employees, which such twenty-
four-month period shall run concurrently with the COBRA period.

(d) 

Termination by the Company Without Cause or by Executive for Good Reason 
Other Than in Connection with a Change in Control. If Executive’s employment 
is terminated by the Company without Cause (other than on account of 
Executive’s Disability or death) or by Executive for Good Reason, in either case 
other than where such termination would entitle Executive to the benefits 
provided in Section 9(e) of this Agreement, then, subject to Section 15(f), the 
Company shall pay Executive:

(i) 

the Accrued Compensation;

(ii) 

the Pro-Rata Bonus;

10

 
(iii) 

(iv) 

in lieu of any further Base Salary or other compensation and benefits for 
periods subsequent to the termination date, an amount in cash, which 
amount shall be payable in a lump sum payment within sixty (60) days 
following such termination (subject to Section 10(c)), equal to two (2) 
times the sum of (A) Executive’s Base Salary and (B) the Target Bonus; 

accelerated vesting and non-forfeitability, as of the termination date, of the 
Initial LTC and Initial PSUs, with performance and other terms 
determined in accordance with the applicable award agreements, except 
that with respect to the Initial PSUs, the number of Initial PSUs that are 
earned and vested will not be subject to proration for any partial period of 
service during the performance period; and

(v) 

the Benefits Continuation.

(e) 

Termination by the Company Without Cause or by Executive for Good Reason 
Following a Change in Control. If Executive’s employment by the Company shall 
be terminated by the Company without Cause (other than on account of 
Executive’s Disability or death) or by Executive for Good Reason within twenty-
four (24) months following a Change in Control, then, in lieu of the amounts due 
under Section 9(d) above and subject to Section 15(f) of this Agreement, 
Executive shall be entitled to the benefits provided in this Section 9(e):

(i) 

the Accrued Compensation;

(ii) 

the Pro-Rata Bonus;

(iii) 

(iv) 

(v) 

in lieu of any further Base Salary or other compensation and benefits for 
periods subsequent to the termination date, an amount in cash, which 
amount shall be payable in a lump sum payment within sixty (60) days 
following such termination (subject to Section 10(c)), equal to three (3) 
times the sum of (A) Executive’s Base Salary and (B) the Target Bonus; 

accelerated vesting and non-forfeitability, as of the termination date, of the 
Initial LTC and Initial PSUs, with performance and other terms 
determined in accordance with the applicable award agreements; 

continued coverage for Executive and Executive’s dependents under any 
health, medical, dental, vision and basic life insurance (but not 
supplemental life insurance) program or policy in which Executive was 
eligible to participate as of the time of Executive’s employment 

11

 
termination (as may be amended by the Company from time to time in the 
ordinary course), for three (3) years following such termination on the 
same basis as active employees, which such three year period shall run 
concurrently with the COBRA period; provided, however, that (x) the 
Company may instead, in its discretion, provide substantially similar 
benefits or payment outside of the Company’s benefit plans if the 
Company reasonably determines that providing such alternative benefits 
or payment is appropriate to minimize potential adverse tax consequences 
and penalties; and (y) the coverage provided hereunder shall become 
secondary to any coverage provided to Executive by a subsequent 
employer and to any Medicare coverage for which Executive becomes 
eligible, and it shall be the obligation of Executive to inform the Company 
if Executive becomes eligible for such subsequent coverage; and

(vi) 

For purposes of this Agreement, “Change in Control” shall have the 
meaning set forth in the award agreement governing the Initial PSUs and 
Initial LTC. 

(f) 

No Mitigation. Executive shall not be required to mitigate the amount of any 
payment provided for under this Section 9 by seeking other employment or 
otherwise and, except as provided in Sections 9(b)(iii), 9(d)(v), and 9(e)(v) above, 
no such payment shall be offset or reduced by the amount of any compensation or 
benefits provided to Executive in any subsequent employment. Further, the 
Company’s obligations to make any payments hereunder shall not be subject to or 
affected by any set-off, counterclaim or defense which the Company may have 
against Executive. 

10. 

Certain Tax Treatment.  

(a) 

Golden Parachute Tax. To the extent that the payments and benefits provided 
under this Agreement and benefits provided to, or for the benefit of, Executive 
under any other plan or agreement of the Company or any of its affiliates (such 
payments or benefits are collectively referred to as the “Payments”) would be 
subject to the excise tax (the “Excise Tax”) imposed under Section 4999 of the 
Code or any successor provision thereto, or any similar tax imposed by state or 
local law, then Executive may, in Executive’s sole discretion (except as provided 
herein below) waive the right to receive any payments or distributions (or a 
portion thereof) by the Company in the nature of compensation to or for 
Executive’s benefit if and to the extent necessary so that no Payment to be made 
or benefit to be provided to Executive shall be subject to the Excise Tax (such 

12

 
reduced amount is hereinafter referred to as the “Limited Payment Amount”), but 
only if such reduction results in a higher after-tax payment to Executive after 
taking into account the Excise Tax and any additional taxes (including federal, 
state and local income taxes, employment, social security and Medicare taxes and 
all other applicable taxes) Executive would pay if such Payments were not 
reduced. If so waived, the Company shall reduce or eliminate the Payments, to 
effect the provisions of this Section 10 based upon Section 10(b) below. The 
determination of the amount of Payments that would be required to be reduced to 
the Limited Payment Amount pursuant to this Agreement and the amount of such 
Limited Payment Amount shall be made, at the Company’s expense, by a 
reputable accounting firm selected by Executive and reasonably acceptable to the 
Company (the “Accounting Firm”).  The Accounting Firm shall provide its 
determination (the “Determination”), together with detailed supporting 
calculations and documentation to the Company and Executive within ten (10) 
days of the date of termination, if applicable, or such other time as specified by 
mutual agreement of the Company and Executive, and if the Accounting Firm 
determines that no Excise Tax is payable by Executive with respect to the 
Payments, it shall furnish Executive with an opinion reasonably acceptable to 
Executive that no Excise Tax will be imposed with respect to any such Payments. 
The Determination shall be binding, final and conclusive upon the Company and 
Executive, absent manifest error. For purposes of making the calculations required 
by this Section 10(a), the Accounting Firm may make reasonable assumptions and 
approximations concerning applicable taxes and rates, and rely on reasonable, 
good faith interpretations concerning the application of the Code, and other 
applicable legal authority. In furtherance of the above, to the extent requested by 
Executive, the Company shall cooperate in good faith in valuing, and the 
Accounting Firm shall value, services to be provided by Executive (including 
Executive refraining from performing services pursuant to any covenant not to 
compete) before, on or after the date of the transaction which causes the 
application of Section 4999 of the Code, such that payments in respect of such 
services may be considered to be “reasonable compensation” within the meaning 
of the regulations under Section 4999 of the Code.     

(b) 

Ordering of Reduction.  In the case of a reduction in the Payments pursuant to 
Section 10(a), the Payments will be reduced in the following order: (i) payments 
that are payable in cash that are valued at full value under Treasury Regulation 
Section 1.280G-1, Q&A 24(a) will be reduced (if necessary, to zero), with 
amounts that are payable last reduced first; (ii) payments and benefits due in 
respect of any equity valued at full value under Treasury Regulation Section 

13

 
(c) 

1.280G-1, Q&A 24(a), with the highest values reduced first (as such values are 
determined under Treasury Regulation Section 1.280G-1, Q&A 24) will next be 
reduced; (iii) payments that are payable in cash that are valued at less than full 
value under Treasury Regulation Section 1.280G-1, Q&A 24, with amounts that 
are payable last reduced first, will next be reduced; (iv) payments and benefits due 
in respect of any equity valued at less than full value under Treasury Regulation 
Section 1.280G-1, Q&A 24, with the highest values reduced first (as such values 
are determined under Treasury Regulation Section 1.280G-1, Q&A 24) will next 
be reduced; and (v) all other non-cash benefits not otherwise described in clauses 
(ii) or (iv) will be next reduced pro-rata.

Section 409A. The parties intend for the payments and benefits under this 
Agreement to be exempt from Section 409A of the Code or, if not so exempt, to 
be paid or provided in a manner which complies with the requirements of such 
section, and intend that this Agreement shall be construed and administered in 
accordance with such intention. In the event the Company determines that a 
payment or benefit under this Agreement may not be in compliance with Section 
409A of the Code, subject to Section 6(a) herein, the Company shall reasonably 
confer with Executive in order to modify or amend this Agreement to comply 
with Section 409A of the Code and to do so in a manner to best preserve the 
economic benefit of this Agreement.  Notwithstanding anything contained herein 
to the contrary, to the extent required in order to avoid accelerated taxation and/or 
tax penalties under Section 409A of the Code, (i) no amounts shall be paid to 
Executive under Section 9 of this Agreement until Executive would be considered 
to have incurred a “separation from service” from the Company within the 
meaning of Section 409A of the Code; (ii) amounts that would otherwise be 
payable and benefits that would otherwise be provided pursuant to this Agreement 
during the six-month period immediately following Executive’s separation from 
service shall instead be paid on the first business day after the date that is six (6) 
months following Executive’s separation from service (or death, if earlier), with 
interest for any cash payments so delayed, from the date such cash amounts would 
otherwise have been paid at the short-term applicable federal rate, compounded 
semi-annually, as determined under Section 1274 of the Code for the month in 
which the payment would have been made but for the delay in payment required 
to avoid the imposition of an additional rate of tax on Executive; (iii) each amount 
to be paid or benefit to be provided under this Agreement shall be construed as a 
separately identified payment for purposes of Section 409A of the Code; (iv) any 
payments that are due within the “short term deferral period” as defined in 
Section 409A of the Code shall not be treated as deferred compensation unless 

14

 
applicable law requires otherwise; and (v) amounts reimbursable to Executive 
under this Agreement shall be paid to Executive on or before the last day of the 
year following the year in which the expense was incurred and the amount of 
expenses eligible for reimbursement (and in-kind benefits provided to Executive) 
during any one (1) year may not affect amounts reimbursable or provided in any 
subsequent year.

11. 

Records and Confidential Data.

(a) 

(b) 

Executive acknowledges that in connection with the performance of Executive’s 
duties during the Employment Term, the Company and its affiliates will make 
available to Executive, or Executive will develop and have access to, certain 
Confidential Information (as defined below) of the Company and its affiliates. 
Executive acknowledges and agrees that any and all Confidential Information 
learned or obtained by Executive during the course of Executive’s employment by 
the Company or otherwise, whether developed by Executive alone or in 
conjunction with others or otherwise, shall be and is the property of the Company 
and its affiliates.

During the Employment Term and thereafter, Confidential Information will be 
kept confidential by Executive, will not be used in any manner that is detrimental 
to the Company or its affiliates, will not be used other than in connection with 
Executive’s discharge of Executive’s duties hereunder, and will be safeguarded by 
Executive from unauthorized disclosure; provided, however, that Confidential 
Information may be disclosed by Executive (i) to the Company and its affiliates, 
or to any authorized agent or representative of any of them, (ii) in connection with 
performing Executive’s duties hereunder, (iii) without limiting Section 11(g) of 
this Agreement, when required to do so by law or requested by a court, 
governmental agency, legislative body, arbitrator or other person with apparent 
jurisdiction to order Executive to divulge, disclose or make accessible such 
information, provided that Executive, to the extent legally permitted, notifies the 
Company prior to such disclosure, (iv) in the course of any proceeding under 
Sections 12 or 13 of this Agreement or Section 6 of the Release, subject to the 
prior entry of a confidentiality order, or (v) in confidence to an attorney or other 
professional advisor for the purpose of securing professional advice, so long as 
such attorney or advisor is subject to confidentiality restrictions no less restrictive 
than those applicable to Executive hereunder.

(c) 

On Executive’s last day of employment with the Company, or at such earlier date 
as requested by the Company, (i) Executive will return to the Company all written 

15

 
Confidential Information that has been provided to, or prepared by, Executive; (ii) 
at the election of the Company, Executive will return to the Company or destroy 
all copies of any analyses, compilations, studies or other documents prepared by 
Executive or for Executive’s use containing or reflecting any Confidential 
Information; and (iii) Executive will return all Company property.  Executive 
shall deliver to the Company a document certifying Executive’s compliance with 
this Section 11(c).

(d) 

For the purposes of this Agreement, “Confidential Information” shall mean all 
confidential and proprietary information of the Company and its affiliates, 
including:

(i) 

(ii) 

(iii) 

trade secrets concerning the business and affairs of the Company and its 
affiliates, product specifications, data, know-how, formulae, compositions, 
processes, non-public patent applications, designs, sketches, photographs, 
graphs, drawings, samples, inventions and ideas, past, current, and 
planned research and development, current and planned manufacturing or 
distribution methods and processes, customer lists, current and anticipated 
customer requirements, price lists, market studies, business plans, 
computer software and programs (including object code and source code), 
computer software and database technologies, systems, structures, and 
architectures (and related formulae, compositions, processes, 
improvements, devices, know-how, inventions, discoveries, concepts, 
ideas, designs, methods and information); 

information concerning the business and affairs of the Company and its 
affiliates (which includes unpublished financial statements, financial 
projections and budgets, unpublished and projected sales, capital spending 
budgets and plans, the names and backgrounds of key personnel, to the 
extent not publicly known, personnel training and techniques and 
materials) however documented; and

notes, analysis, compilations, studies, summaries, and other material 
prepared by or for the Company or its affiliates containing or based, in 
whole or in part, on any information included in the foregoing. For 
purposes of this Agreement, Confidential Information shall not include 
and Executive’s obligations shall not extend to (A) information that is 
generally available to the public, (B) information obtained by Executive 
other than pursuant to or in connection with this employment, (C) 
information that is required to be disclosed by law or legal process, and 

16

 
(e) 

(f) 

(g) 

(D) Executive’s rolodex and similar address books, including electronic 
address books, containing contact information.

Nothing herein or elsewhere shall preclude Executive from retaining and using (i) 
Executive’s personal papers and other materials of a personal nature, including 
photographs, contacts, correspondence, personal diaries, and personal files (so 
long as no such materials are covered by any Company hold order), (ii) 
documents relating to Executive’s personal entitlements and obligations, and (iii) 
information that is necessary for Executive’s personal tax purposes.

Pursuant to 18 U.S.C. § 1833(b), Executive understands that Executive will not be 
held criminally or civilly liable under any Federal or State trade secret law for the 
disclosure of a trade secret of the Company or its affiliates that (i) is made (A) in 
confidence to a Federal, State, or local government official, either directly or 
indirectly, or to Executive’s attorney and (B) solely for the purpose of reporting or 
investigating a suspected violation of law; or (ii) is made in a complaint or other 
document that is filed under seal in a lawsuit or other proceeding.  Executive 
understands that if Executive files a lawsuit for retaliation by the Company for 
reporting a suspected violation of law, Executive may disclose the trade secret to 
Executive’s attorney and use the trade secret information in the court proceeding 
if Executive (x) files any document containing the trade secret under seal, and (y) 
does not disclose the trade secret, except pursuant to court order.  Nothing in this 
Agreement, or any other agreement that Executive has with the Company or its 
affiliates, is intended to conflict with 18 U.S.C. § 1833(b) or create liability for 
disclosures of trade secrets that are expressly allowed by such section. 

Notwithstanding anything set forth in this Agreement or any other agreement that 
Executive has with the Company or its affiliates to the contrary, Executive shall 
not be prohibited from reporting possible violations of federal or state law or 
regulation to any governmental agency or entity, legislative body, or any self-
regulatory organization, or making other disclosures that are protected under the 
whistleblower provisions of federal or state law or regulation, nor is Executive 
required to notify the Company regarding any such reporting, disclosure or 
cooperation with the government.

12. 

Covenant Not to Solicit, Not to Compete, Not to Disparage, to Cooperate in Litigation 
and Not to Cooperate with Non-Governmental Third Parties.

(a) 

Covenant Not to Solicit. To protect the Confidential Information and other trade 
secrets of the Company and its affiliates as well as the goodwill and competitive 

17

 
business of the Company and its affiliates, Executive agrees, during the 
Employment Term and for a period of twenty-four (24) months after Executive’s 
cessation of employment with the Company, not to solicit or participate in or 
assist in any way in the solicitation of any (i) customers or clients of the Company 
or its affiliates whom Executive first met or about whom learned Confidential 
Information through Executive’s employment with the Company and (ii) 
suppliers, employees or agents of the Company or its affiliates. For purposes of 
this covenant, “solicit” or “solicitation” means directly or indirectly influencing or 
attempting to influence any customers, clients, suppliers, employees or agents of 
the Company or its affiliates to cease doing business with, or to reduce the level 
of business with, the Company and its affiliates or, with respect to employees or 
exclusive agents, to become employed or engaged by any other person, 
partnership, firm, corporation or other entity. Executive agrees that the covenants 
contained in this Section 12(a) are reasonable and desirable to protect the 
Confidential Information of the Company and its affiliates; provided, that 
solicitation through general advertising not targeted at the Company’s or its 
affiliates’ employees or the provision of references shall not constitute a breach of 
such obligations.  

(b) 

Covenant Not to Compete.

(i) 

The Company and its affiliates are currently engaged in the business of 
branded and generic pharmaceuticals, with a focus on product 
development, clinical development, manufacturing, distribution and sales 
& marketing.  To protect the Confidential Information and other trade 
secrets of the Company and its affiliates as well as the goodwill and 
competitive business of the Company and its affiliates, Executive agrees, 
during the Employment Term and for a period of twenty-four (24) months 
after Executive’s cessation of employment with the Company, that 
Executive will not, unless otherwise agreed to by the Board, anywhere in 
the world where, at the time of Executive’s termination of employment, 
the Company develops, manufactures, distributes, markets or sells its 
products, except in the course of Executive’s employment hereunder, 
directly or indirectly manage, operate, control, or participate in the 
management, operation, or control of, be employed by, associated with, or 
in any manner connected with, lend Executive’s name to, or render 
services or advice to, any third party or any business whose products or 
services compete in whole or in part with the products or services (both on 
the market and in development) material to the Company or any business 
unit on the termination date that constitutes more than 5% of the 

18

 
Company’s revenue on the termination date (a “Competing Business”); 
provided, however, that Executive may in any event (x) own up to a 5% 
passive ownership interest in any public or private entity and (y) serve on 
the board of any Competing Business that competes with the business of 
the Company and its affiliates as an immaterial part of its overall business, 
provided that Executive recuses himself fully and completely from all 
matters relating to such business.  

(ii) 

For purposes of this Section 12(b), any third party or any business whose 
products compete includes any entity with which the Company or its 
affiliates has had a product(s) licensing agreement during the Employment 
Term and any entity with which the Company or any of its affiliates is at 
the time of termination actively negotiating, and eventually concludes 
within twelve (12) months of the Employment Term, a commercial 
agreement. 

(iii)  Notwithstanding the foregoing, it shall not be a violation of this Section 
12(b), for Executive to provide services to (or engage in activities 
involving): (A) a subsidiary, division or affiliate of a Competing Business 
where such subsidiary, division or affiliate is not engaged in a Competing 
Business and Executive does not provide services to, or have any 
responsibilities regarding, the Competing Business; (B) any entity that is, 
or is a general partner in, or manages or participates in managing, a private 
or public fund (including a hedge fund) or other investment vehicle, which 
is engaged in venture capital investments, leveraged buy-outs, investments 
in public or private companies, other forms of private or alternative equity 
transactions, or in public equity transactions, and that might make an 
investment which Executive could not make directly, provided that in 
connection therewith, Executive does not provide services to, engage in 
activities involved with, or have any responsibilities regarding a 
Competing Business; and (C) an affiliate of a Competing Business if 
Executive does not provide services, directly or indirectly, to such 
Competing Business and the basis of the affiliation is solely due to 
common ownership by a private equity or similar investment fund; 
provided, that, in each case, Executive shall remain bound by all other 
post-employment obligations under this Agreement including Executive’s 
obligations under Sections 11, 12(a), (c) and (d) herein; provided, further, 
that Executive’s provision of services to (or engagement in activities 
involving) any entity described in clauses (A) or (B) of this Section 12(b)
(iii) shall be subject to the prior approval of the Board.  

19

 
(c) 

(d) 

Nondisparagement. Executive covenants that during and following the 
Employment Term, Executive will not disparage or encourage or induce others to 
disparage the Company or its affiliates, together with all of their respective past 
and present directors and officers, as well as their respective past and present 
managers, officers, shareholders, partners, employees, agents, attorneys, servants 
and customers and each of their predecessors, successors and assigns 
(collectively, the “Company Entities and Persons”); provided, that such limitation 
shall extend to past and present managers, officers, shareholders, partners, 
employees, agents, attorneys, servants and customers only in their capacities as 
such or in respect of their relationship with the Company and its affiliates. The 
Company shall instruct its officers and directors not to, during and following the 
Employment Term, make or issue any statement that disparages Executive to any 
third parties or otherwise encourage or induce others to disparage Executive. The 
term “disparage” includes, without limitation, comments or statements adversely 
affecting in any manner (i) the conduct of the business of the Company Entities 
and Persons or Executive, or (ii) the business reputation of the Company Entities 
and Persons or Executive. Nothing in this Agreement is intended to or shall 
prevent either party from providing, or limiting testimony in any judicial, 
administrative or legal process or otherwise as required by law, prevent either 
party from engaging in truthful testimony pursuant to any proceeding under this 
Section 12 or Section 13 below or Section 6 of the Release or prevent Executive 
from making statements in the course of doing Executive’s normal duties for the 
Company.

Cooperation in Any Investigations and Litigation; No Cooperation with Non-
Governmental Third Parties. During the Employment Term and thereafter, 
Executive shall provide truthful information and otherwise assist and cooperate 
with the Company and its affiliates, and its counsel, (i) in connection with any 
investigation, inquiry, administrative, regulatory or judicial proceedings, or in 
connection with any dispute or claim of any kind that may be made against, by, or 
with respect to the Company, as reasonably requested by the Company (including 
Executive being available to the Company upon reasonable notice for interviews 
and factual investigations, appearing at the Company’s request to give testimony 
without requiring service of a subpoena or other legal process, volunteering to the 
Company all pertinent information and turning over to the Company all relevant 
documents which are in or may come into Executive’s possession), and (ii) in all 
matters concerning requests for information about the services or advice 
Executive provides or provided to the Company during Executive’s employment 
with Endo, its affiliates and their predecessors. Such cooperation shall be subject 

20

 
to Executive’s business and personal commitments and shall not require 
Executive to cooperate against Executive’s own legal interests or the legal 
interests of any future employer of Executive. Executive shall use the Company’s 
counsel for all matters in connection with this Section 12(d); provided, however, 
that if there exists an actual conflict of interest between Executive and the 
Company’s counsel, Executive may retain separate counsel reasonably acceptable 
to the Company. The existence of an actual conflict of interest, and whether such 
conflict may be waived, shall be determined pursuant to the rules of attorney 
professional conduct and applicable law. The Company agrees to promptly 
reimburse Executive for reasonable expenses reasonably incurred by Executive, in 
connection with Executive’s cooperation pursuant to this Section 12(d) (including 
travel expenses at the level of travel permitted by this Agreement and reasonable 
attorney fees in the event separate legal counsel for Executive is required due to a 
conflict of interest). Such reimbursements shall be made as soon as practicable, 
and in no event later than the calendar year following the year in which the 
expenses are incurred.  Executive also shall not support (financially or otherwise), 
counsel or assist any attorneys or their clients or any other non-governmental 
person in the presentation or prosecution of, encourage any non-governmental 
person to raise, or suggest or recommend to any non-governmental person that 
such person could or should raise, in each case, any disputes, differences, 
grievances, claims, charges, or complaints against the Company and/or its 
affiliates that (x) arises out of, or relates to, any period of time on or prior to 
Executive’s last day of employment with the Company or (y) involves any 
information Executive learned during Executive’s employment with the 
Company; provided, that, following the second anniversary of Executive’s 
termination of employment with the Company, such prohibition shall not extend 
to any such actions taken by Executive on behalf of (A) Executive’s then current 
employer, (B) any entity with respect to which Executive is then a member of the 
board of directors or managers (as applicable), or (C) any non-publicly traded 
entity with respect to which Executive is a 5% or more equity owner (or any 
affiliate of any such entities referenced in clauses (A), (B) or (C)). Executive 
agrees that, in the event Executive is subpoenaed by any person or entity 
(including any government agency) to give testimony (in a deposition, court 
proceeding or otherwise) which in any way relates to Executive’s employment by 
the Company, Executive will, to the extent not legally prohibited from doing so, 
give prompt notice of such request to the Chief Legal Officer of the Company so 
that the Company may contest the right of the requesting person or entity to such 
disclosure before making such disclosure. Nothing in this provision shall require 
Executive to violate Executive’s obligation to comply with valid legal process.

21

 
13. 

(e) 

Blue Pencil. It is the intent and desire of Executive and the Company that the 
provisions of this Section 12 be enforced to the fullest extent permissible under 
the laws and public policies as applied in each jurisdiction in which enforcement 
is sought. If any particular provision of this Section 12 shall be determined to be 
invalid or unenforceable, such covenant shall be amended, without any action on 
the part of either party hereto, to delete therefrom the portion so determined to be 
invalid or unenforceable, such deletion to apply only with respect to the operation 
of such covenant in the particular jurisdiction in which such adjudication is made.

Remedies for Breach of Obligations under Sections 11 or 12 hereof. Executive 
acknowledges that the Company and its affiliates will suffer irreparable injury, not readily 
susceptible of valuation in monetary damages, if Executive breaches Executive’s 
obligations under Sections 11 or 12 hereof. Accordingly, Executive agrees that the 
Company and its affiliates will be entitled, in addition to any other available remedies, to 
obtain injunctive relief against any breach or prospective breach by Executive of 
Executive’s obligations under Sections 11 or 12 hereof in any Federal or state court 
sitting in the State of Delaware or, at the Company’s election, in any other state in which 
Executive maintains Executive’s principal residence or Executive’s principal place of 
business. Executive hereby submits to the non-exclusive jurisdiction of all those courts 
for the purposes of any actions or proceedings instituted by the Company or its affiliates 
to obtain that injunctive relief, and Executive agrees that process in any or all of those 
actions or proceedings may be served by registered mail, addressed to the last address 
provided by Executive to the Company, or in any other manner authorized by law.

14. 

Representations and Warranties.

(a) 

The Company represents and warrants that (i) it is fully authorized by action of 
the Board (and of any other person or body whose action is required) to enter into 
this Agreement and to perform its obligations under it, (ii) the execution, delivery 
and performance of this Agreement by it does not violate any applicable law, 
regulation, order, judgment or decree or any agreement, arrangement, plan or 
corporate governance document (x) to which it is a party or (y) by which it is 
bound, and (iii) upon the execution and delivery of this Agreement by the parties, 
this Agreement shall be its valid and binding obligation, enforceable against it in 
accordance with its terms, except to the extent that enforceability may be limited 
by applicable bankruptcy, insolvency or similar laws affecting the enforcement of 
creditors’ rights generally.

(b) 

Executive represents and warrants to the Company that the execution and delivery 
by Executive of this Agreement do not, and the performance by Executive of 

22

 
Executive’s obligations hereunder will not, with or without the giving of notice or 
the passage of time, or both: (a) violate any judgment, writ, injunction, or order of 
any court, arbitrator, or governmental agency applicable to Executive; or (b) 
conflict with, result in the breach of any provisions of or the termination of, or 
constitute a default under, any agreement to which Executive is a party or by 
which Executive is or may be bound.

15.  Miscellaneous.

(a) 

Successors and Assigns.

(i) 

This Agreement shall be binding upon and shall inure to the benefit of the 
Company, its successors and permitted assigns and the Company shall 
require any successor or permitted assign to expressly assume and agree to 
perform this Agreement in the same manner and to the same extent that 
the Company would be required to perform if no such succession or 
assignment had taken place. The Company may not assign or delegate any 
rights or obligations hereunder except to any of its affiliates, or to a 
successor (whether direct or indirect, by purchase, merger, consolidation 
or otherwise) to all or substantially all of the business and/or assets of the 
Company. The term the “Company” as used herein shall include a 
corporation or other entity acquiring all or substantially all the assets and 
business of the Company (including this Agreement) whether by operation 
of law or otherwise.

(ii) 

Neither this Agreement nor any right or interest hereunder shall be 
assignable or transferable by Executive, Executive’s beneficiaries or legal 
representatives, except by will or by the laws of descent and distribution. 
This Agreement shall inure to the benefit of and be enforceable by 
Executive’s legal personal representatives.

(b) 

Fees and Expenses. The Company shall pay reasonable and documented legal 
fees and related expenses, up to a maximum amount of $10,000, incurred by 
Executive in connection with the negotiation of this Agreement and related 
employment arrangements. Such reimbursement shall be made as soon as 
practicable, but in no event later than sixty (60) days from the execution of the 
Agreement. Executive is responsible for any taxes that may be due based upon 
the value of the fees and expenses reimbursed by the Company. Executive 
acknowledges that Executive has had the opportunity to consult with legal 
counsel of Executive's choice in connection with the drafting, negotiation and 
execution of this Agreement and related employment arrangements.

23

 
(c) 

(d) 

Notice. For the purposes of this Agreement, notices and all other communications 
provided for in the Agreement (including the Notice of Termination) shall be in 
writing and shall be deemed to have been duly given when personally delivered or 
sent by Certified mail, return receipt requested, postage prepaid, addressed to the 
respective addresses last given by each party to the other; provided, that all 
notices to the Company shall be directed to the attention of the Chief Legal 
Officer of the Company with a copy to the Chairman of the Committee. All 
notices and communications shall be deemed to have been received on the date of 
delivery thereof or on the third business day after the mailing thereof, except that 
notice of change of address shall be effective only upon receipt.

Indemnification. Executive shall be indemnified by the Company as, and to the 
extent, to the maximum extent permitted by applicable law as provided in the 
memorandum and articles of association of Endo. In addition, the Company 
agrees to continue and maintain, at the Company’s sole expense, a directors’ and 
officers’ liability insurance policy covering Executive both during and the 
Employment Term and while the potential liability exists (but in no event longer 
than six (6) years, if such limitation applies to all other individuals covered by 
such policy) after the Employment Term, that is no less favorable than the policy 
covering Board members and other executive officers of the Company from time 
to time. The obligations under this paragraph shall survive any termination of the 
Employment Term.

(e)  Withholding. The Company shall be entitled to withhold the amount, if any, of all 

taxes of any applicable jurisdiction required to be withheld by an employer with 
respect to any amount paid to Executive hereunder. The Company, in its sole and 
absolute discretion, shall make all determinations as to whether it is obligated to 
withhold any taxes hereunder and the amount thereof.

(f) 

Release of Claims. The termination benefits described in Sections 9(d)(ii) – (v) 
and 9(e)(ii) – (v) of this Agreement shall be conditioned on Executive delivering 
to the Company, a signed release of claims in the form of Exhibit A hereto within 
forty-five (45) days or twenty-one (21) days, as may be applicable under the Age 
Discrimination in Employment Act of 1967, as amended by the Older Workers 
Benefit Protection Act, following Executive’s termination date, and not revoking 
Executive’s consent to such release of claims within seven (7) days of such 
execution; provided, however, that Executive shall not be required to release any 
rights Executive may have to be indemnified by, or be covered under any 
directors’ and officers’ liability insurance of, the Company under Section 15(d) of 
this Agreement, and provided further that, following a Change in Control, 

24

 
(g) 

(h) 

(i) 

(j) 

Executive’s requirement to deliver a release shall be contingent on the Company 
delivering to Executive a release of claims in the form of Exhibit A hereto. 

Resignation as Officer or Director. Upon a termination of employment for any 
reason, Executive shall, resign each position (if any) that Executive then holds as 
an officer or director of the Company and any of its affiliates. Executive’s 
execution of this Agreement shall be deemed the grant by Executive to the 
officers of the Company of a limited power of attorney to sign in Executive’s 
name and on Executive’s behalf any such documentation as may be required to be 
executed solely for the limited purposes of effectuating such resignations.

Executive Acknowledgement. Executive acknowledges the Common Stock 
Ownership Guidelines for Non-Employee Directors and Executive Management 
of Endo International plc, as may be amended from time to time, and Endo’s 
compensation recoupment policy, as may be amended from time to time.

Modification. No provision of this Agreement may be modified, waived or 
discharged unless such waiver, modification or discharge is agreed to in writing 
and signed by Executive and the Company. No waiver by either party hereto at 
any time of any breach by the other party hereto of, or compliance with, any 
condition or provision of this Agreement to be performed by such other party 
shall be deemed a waiver of similar or dissimilar provisions or conditions at the 
same or at any prior or subsequent time. No agreement or representations, oral or 
otherwise, express or implied, with respect to the subject matter hereof have been 
made by either party which are not expressly set forth in this Agreement.

Effect of Other Law. Anything herein to the contrary notwithstanding, the terms 
of this Agreement shall be modified to the extent required to meet the provisions 
of the Sarbanes-Oxley Act of 2002, Section 409A of the Code, or other federal 
law applicable to the employment arrangements between Executive and the 
Company. Any delay in providing benefits or payments, any failure to provide a 
benefit or payment, or any repayment of compensation that is required under the 
preceding sentence shall not in and of itself constitute a breach of this Agreement; 
provided, however, that the Company shall provide economically equivalent 
payments or benefits to Executive to the extent permitted by law.

(k) 

Governing Law. This Agreement shall be governed by and construed and enforced 
in accordance with the laws of the State of Delaware applicable to contracts 
executed in and to be performed entirely within such State, without giving effect 
to the conflict of law principles thereof.  Any dispute hereunder may be 

25

 
(l) 

(m) 

(n) 

(o) 

(p) 

adjudicated in any Federal or state court sitting in the State of Delaware or, at the 
Company’s election, in any other state in which Executive maintains Executive’s 
principal residence or Executive’s principal place of business. 

No Conflicts. (A) Executive represents and warrants to the Company that 
Executive is not a party to or otherwise bound by any agreement or arrangement 
(including any license, covenant, or commitment of any nature), or subject to any 
judgment, decree, or order of any court or administrative agency, that would 
conflict with or will be in conflict with or in any way preclude, limit or inhibit 
Executive’s ability to execute this Agreement or to carry out Executive’s duties 
and responsibilities hereunder. (B) The Company represents and warrants to 
Executive that the Company is not a party to or otherwise bound by any 
agreement or arrangement (including any license, covenant, or commitment of 
any nature), or subject to any judgment, decree, or order of any court or 
administrative agency, that would conflict with or will be in conflict with or in 
any way preclude, limit or inhibit the Company’s ability to execute this 
Agreement or to carry out the Company’s duties and responsibilities hereunder.

Severability. The provisions of this Agreement shall be deemed severable and the 
invalidity or unenforceability of any provision shall not affect the validity or 
enforceability of the other provisions hereof.

Inconsistencies. In the event of any inconsistency between any provision of this 
Agreement and any provision of any employee handbook, personnel manual, 
program, policy, or arrangement of the Company or its affiliates (including any 
provisions relating to notice requirements and post-employment restrictions), the 
provisions of this Agreement shall control, unless Executive otherwise agrees in a 
writing that expressly refers to the provision of this Agreement whose control 
Executive is waiving.

Beneficiaries/References. In the event of Executive’s death or a judicial 
determination of Executive’s incompetence, references in this Agreement to 
Executive shall be deemed, where appropriate, to refer to Executive’s beneficiary, 
estate or other legal representative.

Survival. Except as otherwise set forth in this Agreement, the respective rights 
and obligations of the parties hereunder shall survive the Employment Term and 
any termination of Executive’s employment.  Without limiting the generality of 
the forgoing, the provisions of Sections 9, 11, 12, and 13 shall survive the 
termination of the Employment Term.

26

 
(q) 

(r) 

Entire Agreement. This Agreement constitutes the entire agreement between the 
parties hereto and, as of the Effective Date, supersedes all prior agreements, 
understandings and arrangements, oral or written, between the parties hereto with 
respect to the subject matter hereof, including the employment agreement 
between Executive and the Company dated December 19, 2019; provided, that the 
contribution retention bonus arrangement dated August 1, 2019 shall remain in 
effect in accordance with its terms.

Counterparts. This Agreement may be executed in one or more counterparts, each 
of which will be deemed to be an original copy of this Agreement and all of 
which, when taken together, will be deemed to constitute one and the same 
agreement.

16. 

Certain Rules of Construction.

(a) 

The headings and subheadings set forth in this Agreement are inserted for the 
convenience of reference only and are to be ignored in any construction of the 
terms set forth herein.

(b)  Wherever applicable, the neuter, feminine or masculine pronoun as used herein 

shall also include the masculine or feminine, as the case may be.

(c) 

The term “including” is not limiting and means “including without limitation.”

(d) 

References in this Agreement to any statute or statutory provisions include a 
reference to such statute or statutory provisions as from time to time amended, 
modified, reenacted, extended, consolidated or replaced (whether before or after 
the date of this Agreement) and to any subordinate legislation made from time to 
time under such statute or statutory provision.

(e) 

References to “writing” or “written” include any non-transient means of 
representing or copying words legibly, including by facsimile or electronic mail.

(f) 

References to “$” are to United States Dollars.

27

 
 
 IN WITNESS WHEREOF, the Company has caused this Agreement to be executed by 

its duly authorized officer and Executive has executed this Agreement as of the day and year first 
above written.

ENDO HEALTH SOLUTIONS INC.

/s/ Paul V. Campanelli

By:
Name: Paul V. Campanelli
Title:

Chairman of the Board of Directors

EXECUTIVE

By:
Name: Blaise Coleman

/s/ Blaise Coleman

SIGNATURE PAGE

EXHIBIT A 

FORM OF RELEASE AGREEMENT

THIS RELEASE AGREEMENT (the “Release”) is made by and between Blaise 

Coleman (“Executive”) and Endo Health Solutions, Inc. (the “Company”).

1. 

FOR AND IN CONSIDERATION of the payments and benefits provided in [Section 9(d) 
(excluding clause (i))] [Section 9(e) (excluding clause (i))]1 of the Employment 
Agreement between Executive and the Company dated as of March 6, 2020, (the 
“Employment Agreement”), Executive, for Executive, his successors and assigns, 
executors and administrators, now and forever hereby releases and discharges the 
Company, together with all of its past and present parents, subsidiaries, and affiliates, 
together with each of their officers, directors, stockholders, partners, employees, agents, 
representatives and attorneys, and each of their subsidiaries, affiliates, estates, 
predecessors, successors, and assigns (hereinafter collectively referred to as the 
“Releasees”) from any and all rights, claims, charges, actions, causes of action, 
complaints, sums of money, suits, debts, covenants, contracts, agreements, promises, 
obligations, damages, demands or liabilities of every kind whatsoever, in law or in equity, 
whether known or unknown, suspected or unsuspected, which Executive or Executive’s 
executors, administrators, successors or assigns ever had, now has or may hereafter claim 
to have by reason of any matter, cause or thing whatsoever; arising from the beginning of 
time up to the date Executive executes the Release: (i) relating in any way to Executive’s 
employment relationship with the Company or any of the Releasees, or the termination of 
Executive’s employment relationship with the Company or any of the Releasees; (ii) 
arising under or relating to the Employment Agreement; (iii) arising under any federal, 
local or state statute or regulation, including, without limitation, the Age Discrimination 
in Employment Act of 1967, as amended by the Older Workers Benefit Protection Act, 
Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act of 1990, the 
Employee Retirement Income Security Act of 1974, the Equal Pay Act, Sections 1981 
through 1988 of Title 42 of the United States Code, the Immigration Reform and Control 
Act, the Workers Adjustment and Retraining Notification Act, the Occupational Safety 
and Health Act, the Family and Medical Leave Act, the Fair Labor Standards Act of 1938, 
Executive Order 11246, the Pennsylvania Human Relations Act, the Pennsylvania 
Whistleblower Law, the New York State Human Rights Law, the New York Labor Law 
and the New York Civil Rights Law and/or the applicable state or local  law or ordinance 
against discrimination, each as amended; (iv) relating to wrongful employment 
termination or breach of contract; or (v) arising under or relating to any policy, 
agreement, understanding or promise, written or oral, formal or informal, between the 
Company and any of the Releasees and Executive; provided, however, that 

____________________
1 As applicable based upon whether the termination is in connection with a change in control under the terms of the 

Agreement.

A-1

 
notwithstanding the foregoing, nothing contained in the Release shall in any way 
diminish or impair: (a) any rights Executive may have, from and after the date the 
Release is executed; (b) any rights to indemnification that may exist from time to time 
under the Company’s certificate of incorporation or bylaws, or state law or any other 
indemnification agreement entered into between Executive and the Company; (c) any 
rights Executive may have under any applicable general liability and/or directors and 
officers insurance policy maintained by the Company; (d) any rights Executive may have 
to payments and benefits specified under Sections 9(a)(i) and (iii) of the definition of 
Accrued Compensation under the Employment Agreement; (e) the right to receive the 
following payments and benefits: [SPECIFIC LIST OF COMPENSATION AND 
BENEFITS PAYABLE UNDER SECTIONS 9(a)(ii), (iv), (v) AND (vi) OF THE 
EMPLOYMENT AGREEMENT TO BE INCLUDED]; (f) Executive’s ability to bring 
appropriate proceedings to enforce the Release; and (g) any rights or claims Executive 
may have that cannot be waived under applicable law (collectively, the “Excluded 
Claims”). Executive further acknowledges and agrees that, except with respect to 
Excluded Claims, the Company and the Releasees have fully satisfied any and all 
obligations whatsoever owed to Executive arising out of Executive’s employment with 
the Company or any of the Releasees, and that no further payments or benefits are owed 
to Executive by the Company or any of the Releasees. 

[Upon the Release becoming effective, the Company hereby discharges and generally 
releases Executive from all claims, causes of action, suits, agreements, and damages 
which the Company may have now or in the future against Executive for any act, 
omission or event relating to his employment with the Company or termination of 
employment therefrom occurring up to and including the date on which the Company 
signs the Release (excluding any acts or omissions constituting fraud, theft, 
embezzlement or breach of fiduciary duty by Executive) to the extent that such claim, 
cause of action, suit, agreement or damages is based on facts, acts, omissions, 
circumstances or events actually known, or which should have been reasonably known, 
on the date on which the Company signs the Release by any officer or member of the 
Board of Directors of the Company.]2

Executive acknowledges and agrees that Executive has been advised to consult with an 
attorney of Executive’s choosing prior to signing the Release. Executive understands and 
agrees that Executive has the right and has been given the opportunity to review the 
Release with an attorney of Executive’s choice should Executive so desire. Executive 
also agrees that Executive has entered into the Release freely and voluntarily. Executive 
further acknowledges and agrees that Executive has had at least [twenty-one (21)][forty-
five (45)] calendar days to consider the Release, although Executive may sign it sooner if 
Executive wishes, but in any case, not prior to the termination date. In addition, once 
Executive has signed the Release, Executive shall have seven (7) additional days from the 
date of execution to revoke Executive’s consent and may do so by writing to:  

2. 

3. 

____________________
2 Insert upon a qualifying termination following a Change in Control.

A-2

 
 
4. 

5. 

6. 

7. 

___________.  The Release shall not be effective, and no payments shall be due 
hereunder, earlier than the eighth (8th) day after Executive shall have executed the 
Release and returned it to the Company, assuming that Executive had not revoked 
Executive’s consent to the Release prior to such date.

It is understood and agreed by Executive that any payment made to Executive is not to be 
construed as an admission of any liability whatsoever on the part of the Company or any 
of the other Releasees, by whom liability is expressly denied. 

The Release is executed by Executive voluntarily and is not based upon any 
representations or statements of any kind made by the Company or any of the other 
Releasees as to the merits, legal liabilities or value of Executive’s claims. Executive 
further acknowledges that Executive has had a full and reasonable opportunity to 
consider the Release and that Executive has not been pressured or in any way coerced 
into executing the Release. 

The exclusive venue for any disputes arising hereunder shall be the state or federal courts 
located in the State of Delaware or, at the Company’s election, in any other state in which 
Executive maintains Executive’s principal residence or Executive’s principal place of 
business, and each of the parties hereto irrevocably waives, to the fullest extent permitted 
by law, any objection which it may now or hereafter have to the laying of the venue of 
any such proceeding brought in such a court and any claim that any such proceeding 
brought in such a court has been brought in an inconvenient forum. Each of the parties 
hereto also agrees that any final and unappealable judgment against a party hereto in 
connection with any action, suit or other proceeding may be enforced in any court of 
competent jurisdiction, either within or outside of the United States.  A certified or 
exemplified copy of such award or judgment shall be conclusive evidence of the fact and 
amount of such award or judgment. 

The Release and the rights and obligations of the parties hereto shall be governed and 
construed in accordance with the laws of the State of Delaware. If any provision hereof is 
unenforceable or is held to be unenforceable, such provision shall be fully severable, and 
this document and its terms shall be construed and enforced as if such unenforceable 
provision had never comprised a part hereof, the remaining provisions hereof shall 
remain in full force and effect, and the court construing the provisions shall add as a part 
hereof a provision as similar in terms and effect to such unenforceable provision as may 
be enforceable, in lieu of the unenforceable provision. 

8. 

The Release shall inure to the benefit of and be binding upon the Company and its 
successors and assigns. 

A-3

 
  
 
IN WITNESS WHEREOF, Executive and the Company have executed the Release as of 

the date and year provided below.

IMPORTANT NOTICE:  BY SIGNING BELOW YOU RELEASE AND GIVE UP ANY 
AND ALL LEGAL CLAIMS, KNOWN AND UNKNOWN, THAT YOU MAY HAVE 
AGAINST THE COMPANY AND RELATED PARTIES.

ENDO HEALTH SOLUTIONS INC.

Blaise Coleman

Dated:

Dated:

Exhibit 10.19

EXECUTION VERSION

ENDO HEALTH SOLUTIONS INC.

EXECUTIVE EMPLOYMENT AGREEMENT

THIS AGREEMENT (this “Agreement”) is hereby entered into as of February 19, 2020, 
effective as of March 6, 2020 (the “Effective Date”), by and between Endo Health Solutions Inc. 
(the “Company”), a wholly-owned subsidiary of Endo International plc (“Endo”), and Mark 
Bradley (“Executive”) (hereinafter collectively referred to as “the parties”).

In consideration of the respective agreements of the parties contained herein, it is agreed 

as follows: 

1. 

Term. The term of this Agreement shall be for the period commencing on the Effective 
Date and ending, subject to earlier termination as set forth in Section 6, on the third 
anniversary thereof (the “Employment Term”).

2. 

Employment. During the Employment Term:

(a) 

(b) 

(c) 

Executive shall serve as Executive Vice President and Chief Financial Officer of 
Endo and shall be assigned with the customary duties and responsibilities of such 
position. If Executive serves as a director of Endo or as a director or officer of any 
of Endo’s affiliates, then Executive will fulfill Executive’s duties as such director 
or officer without additional compensation.

Executive shall report directly to Endo’s Chief Executive Officer. Executive shall 
perform the duties, undertake the responsibilities and exercise the authority 
customarily performed, undertaken and exercised by persons situated in a similar 
executive capacity.

Executive shall devote substantially full-time attention to the business and affairs 
of the Company and its affiliates. Executive may (i) serve on corporate, civic, 
charitable or non-profit boards or committees, subject in all cases to the prior 
approval of the board of directors of Endo (the “Board”) and other applicable 
written policies of the Company and its affiliates as in effect from time to time, 
and (ii) manage personal and family investments, participate in industry 
organizations and deliver lectures at educational institutions or events, so long as 

1

 
(d) 

(e) 

no such service or activity unreasonably interferes, individually or in the 
aggregate, with the performance of Executive’s responsibilities hereunder.

Executive shall be subject to and shall abide by each of the personnel and 
compliance policies of the Company and its affiliates applicable and 
communicated in writing to senior executives.

Executive shall primarily provide services at the Company’s U.S. headquarters in 
Malvern, Pennsylvania, and will travel to the Company’s Chestnut Ridge, New 
York location to the extent reasonably necessary and appropriate to fulfill 
Executive’s duties.

3. 

Annual Compensation.

(a) 

(b) 

Base Salary. The Company agrees to pay or cause to be paid to Executive during 
the Employment Term a base salary at the rate of $575,000 per annum or such 
increased amount in accordance with this Section 3(a) (hereinafter referred to as 
the “Base Salary”). Such Base Salary shall be payable in accordance with the 
Company’s customary practices applicable to its executives. Such Base Salary 
shall be reviewed at least annually by the Compensation Committee of the Board 
(the “Committee”), with the first such planned review to occur in Februrary 2021, 
and may be increased in the sole discretion of the Committee, but not decreased.

Annual Incentive Compensation. For each fiscal year of the Company ending 
during the Employment Term, effective as of the 2020 fiscal year, Executive shall 
be eligible to receive a target annual cash bonus of 55% of Executive’s Base 
Salary (such target bonus, as may hereafter be increased, the “Target Bonus”) with 
the opportunity to receive a maximum annual cash bonus in accordance with the 
terms of the applicable annual cash bonus plan as in effect from time to time, 
subject to the achievement of performance targets set by the Committee. Such 
annual cash bonus (“Incentive Compensation”) shall be paid in no event later than 
the 15th day of the third month following the end of the taxable year (of the 
Company or Executive, whichever is later) in which the performance targets have 
been achieved.  If the parties (following good faith negotiation) fail to enter into a 
new employment agreement following expiration of the Employment Term and 
Executive terminates Executive’s employment within ninety (90) days following 
expiration of the Employment Term under circumstances that would have 
constituted Good Reason had such termination occurred during the Employment 
Term or if, during such 90-day period, the Company terminates Executive’s 
employment under circumstances that would not have constituted Cause had such 

2

 
4. 

termination occurred during the Employment Term, then the Company shall pay 
Executive a Pro-Rata Bonus (as defined in Section 8(b)(ii) below) in a lump sum 
at the time bonuses are payable to other senior executives of the Company.

Long-Term Incentive Compensation. During the Employment Term, Executive shall be 
eligible to receive long-term incentive compensation, which may be subject to the 
achievement of certain performance targets set by the Committee. Beginning with grants 
made in 2021, Executive shall be eligible to receive long-term incentive compensation 
awards with a targeted grant date fair market value (as determined in the sole discretion 
of the Committee) equal to 250% of Executive’s Base Salary. Notwithstanding the 
foregoing, to the extent the shares available under the Company's shareholder approved 
incentive plans are insufficient to make such grant (after taking into account the totality 
of grants to be made by the Company in a given year), in the Committee's sole discretion, 
all or a portion of the long-term incentive compensation may be issued in the form of a 
cash-based award on terms determined by the Committee. All such equity-based or cash-
based awards shall be subject to the terms and conditions set forth in the applicable plan 
and award agreements, and in all cases shall be as determined by the Committee; 
provided, that, such terms and conditions shall be no less favorable than those provided 
for other senior executives of the Company. If the parties (following good faith 
negotiation) fail to enter into a new employment agreement following expiration of the 
Employment Term and Executive terminates Executive’s employment within ninety (90) 
days following expiration of the Employment Term under circumstances that would have 
constituted Good Reason had such termination occurred during the Employment Term or 
if, during such 90-day period, the Company terminates Executive’s employment under 
circumstances that would not have constituted Cause had such termination occurred 
during the Employment Term, then such termination of employment shall be treated as a 
termination of employment for “Good Reason” or without Cause, as applicable, for 
purposes of the performance-based restricted stock units held by Executive as of the date 
of such termination of employment (and such awards shall be treated in accordance with 
the terms of the applicable award agreements). 

5. 

Other Benefits.

(a) 

Employee Benefits. During the Employment Term, Executive shall be entitled to 
participate in all employee benefit plans, practices and programs maintained by 
the Company or its affiliates and made available to similarly situated employees 
generally, including all pension, retirement, profit sharing, savings, medical, 
hospitalization, disability, dental, life or travel accident insurance benefit plans, to 
the extent Executive is eligible under the terms of such plans. Executive’s 
participation in such plans, practices and programs shall be on the same basis and 

3

 
terms as are applicable to employees of the Company generally. During the 
Employment Term, Executive shall also be entitled to participate in all executive 
benefit plans and entitled to all fringe benefits and perquisites generally made 
available by the Company or its affiliates to its senior executives in accordance 
with current Company policy now maintained or hereafter established by the 
Company or its affiliates for the purpose of providing executive benefits or 
perquisites to comparable executive employees of the Company including, but not 
limited to, the Company’s supplemental retirement, deferred compensation, 
supplemental medical or life insurance plans. Unless otherwise provided herein, 
Executive’s participation in such plans and programs shall be on the same basis 
and terms as other senior executives of the Company. No additional compensation 
provided under any of such plans shall be deemed to modify or otherwise affect 
the terms of this Agreement or any of Executive’s entitlements hereunder. 
Executive is responsible for any taxes (other than taxes that are the Company’s 
responsibility) that may be due based upon the value of the benefits or perquisites 
provided pursuant to this Agreement, whether provided during or following the 
Employment Term. For the avoidance of doubt, Executive shall not be entitled to 
any excise tax gross-up under Section 280G or Section 4999 of the Internal 
Revenue Code of 1986, as amended (the “Code”) (or any successor provision), or 
any other tax gross-up. 

Business Expenses. Upon submission of proper invoices in accordance with the 
Company’s normal procedures, Executive shall be entitled to receive prompt 
reimbursement of all reasonable out-of-pocket business, entertainment and travel 
expenses incurred by Executive in connection with the performance of 
Executive’s duties hereunder. Such reimbursement shall be made in no event later 
than the end of the calendar year following the calendar year in which the 
expenses were incurred.

Office and Facilities. During the Employment Term, Executive shall be provided 
with an appropriate office, with such secretarial and other support facilities as are 
commensurate with Executive’s status with the Company and its affiliates, which 
facilities shall be adequate for the performance of Executive’s duties hereunder. 

Vacation and Sick Leave. Executive shall be entitled, without loss of pay, to 
absent himself voluntarily from the performance of Executive’s employment 
under this Agreement, pursuant to the following:

(b) 

(c) 

(d) 

4

 
(i) 

Executive shall be entitled to annual vacation in accordance with the 
vacation policies of the Company as in effect from time to time, which 
shall in no event be less than four weeks per year; and

(ii) 

Executive shall be entitled to sick leave (without loss of pay) in 
accordance with the Company’s policies as in effect from time to time.

6. 

Termination. The Employment Term and Executive’s employment hereunder may be 
terminated under the circumstances set forth below; provided, however, that 
notwithstanding anything contained herein to the contrary, Executive shall not be 
considered to have terminated employment with the Company for purposes of this 
Agreement unless Executive would be considered to have incurred a “separation from 
service” from the Company within the meaning of Section 409A of the Code.

(a) 

(b) 

(c) 

Disability. The Company may terminate Executive’s employment, on written 
notice to Executive after having reasonably established Executive’s Disability. For 
purposes of this Agreement, Executive will be deemed to have a “Disability” if, as 
a result of any medically determinable physical or mental impairment that can be 
expected to result in death or can be expected to last for a continuous period of 
not less than twelve (12) months, Executive is unable to perform the core 
functions of Executive’s position (with or without reasonable accommodation) or 
is receiving income replacement benefits for a period of six (6) months or more 
under the Company’s long-term disability plan. Executive shall be entitled to the 
compensation and benefits provided for under this Agreement for any period prior 
to Executive’s termination by reason of Disability during which Executive is 
unable to work due to a physical or mental infirmity in accordance with the 
Company’s policies for similarly situated executives.

Death. Executive’s employment shall be terminated as of the date of Executive’s 
death.

Cause. The Company may terminate Executive’s employment for Cause (as 
defined below), effective as of the date of the Notice of Termination (as defined in 
Section 7 below) that notifies Executive of Executive’s termination for Cause. 
“Cause” shall mean, for purposes of this Agreement: (i) the continued failure by 
Executive to use good faith efforts in the performance of Executive’s duties under 
this Agreement (other than any such failure resulting from Disability or other 
allowable leave of absence); (ii) the criminal felony indictment (or non-U.S. 
equivalent) of Executive by a court of competent jurisdiction; (iii) the engagement 
by Executive in misconduct that has caused, or, is reasonably likely to cause, 

5

 
material harm (financial or otherwise) to the Company, including (A) the 
unauthorized disclosure of material secret or Confidential Information (as defined 
in Section 10(d) below) of the Company, (B) the debarment of the Company by 
the U.S. Food and Drug Administration or any successor agency (the “FDA”) or 
any non-U.S. equivalent, or (C) the registration of the Company with the U.S. 
Drug Enforcement Administration of any successor agency (the “DEA”) being 
revoked; (iv) the debarment of Executive by the FDA; (v) the continued material 
breach by Executive of this Agreement; (vi) any material breach by Executive of a 
Company policy; (vii) any breach by Executive of a Company policy related to 
sexual or other types of harassment or abusive conduct; or (viii) Executive 
making, or being found to have made, a certification relating to the Company’s 
financial statements and public filings that is known to Executive to be false. 
Notwithstanding the foregoing, prior to having Cause for Executive’s termination 
(other than as described in clauses (ii), (iv) and (vii) above), the Company must 
deliver a written demand to Executive which specifically identifies the conduct 
that may provide grounds for Cause within ninety (90) calendar days of the 
Company’s actual knowledge of such conduct, events or circumstances, and 
Executive must have failed to cure such conduct (if curable) within thirty (30) 
days after such demand. References to the Company in subsections (i) through 
(viii) of this paragraph shall also include affiliates of the Company. 

(d)  Without Cause. The Company may terminate Executive’s employment without 

Cause. The Company shall deliver to Executive a Notice of Termination (as 
defined in Section 7 below) not less than thirty (30) days prior to the termination 
of Executive’s employment without Cause and the Company shall have the option 
of terminating Executive’s duties and responsibilities prior to the expiration of 
such thirty-day notice period, provided the Company pays Base Salary through 
the end of such notice period.

(e) 

Good Reason. Executive may terminate employment with the Company for Good 
Reason (as defined below) by delivering to the Company a Notice of Termination 
not less than thirty (30) days prior to the termination of Executive’s employment 
for Good Reason. The Company shall have the option of terminating Executive’s 
duties and responsibilities prior to the expiration of such thirty-day notice period 
provided the Company pays Base Salary through the end of such notice period. 
For purposes of this Agreement, “Good Reason” means any of the following 
without Executive’s written consent: (i) a diminution in Executive’s Base Salary, a 
material diminution in Target Bonus (provided that failure to earn a bonus equal 
to or in excess of the Target Bonus by reason of failure to achieve applicable 
performance goals shall not be deemed Good Reason) or material diminution in 

6

 
benefits; (ii) a material diminution of Executive’s position, responsibilities, duties 
or authorities from those in effect as of the Effective Date; (iii) any change in 
reporting structure such that Executive is required to report to someone other than 
Endo’s Chief Executive Officer; (iv) any material breach by the Company of its 
obligations under this Agreement; or (v) the Company requiring Executive to be 
based at any office or location that increases the length of Executive’s commute 
by more than fifty (50) miles. Executive shall provide notice of the existence of 
the Good Reason condition within ninety (90) days of the date Executive learns of 
the condition, and the Company shall have a period of thirty (30) days during 
which it may remedy the condition, and in case of full remedy such condition 
shall not be deemed to constitute Good Reason hereunder. 

(f)  Without Good Reason. Executive may voluntarily terminate Executive’s 

employment without Good Reason by delivering to the Company a Notice of 
Termination not less than thirty (30) days prior to the termination of Executive’s 
employment and the Company shall have the option of terminating Executive’s 
duties and responsibilities prior to the expiration of such thirty-day notice period 
provided the Company shall not be obligated to pay any amount through the end 
of such notice period.

7. 

Notice of Termination. Any purported termination by the Company or by Executive shall 
be communicated by written Notice of Termination to the other party hereto. For 
purposes of this Agreement, a “Notice of Termination” shall mean a notice that indicates 
a termination date, the specific termination provision in this Agreement relied upon and 
sets forth in reasonable detail the facts and circumstances claimed to provide a basis for 
termination of Executive’s employment under the provision so indicated. For purposes of 
this Agreement, no such purported termination of Executive’s employment hereunder 
shall be effective without such Notice of Termination (unless waived by the party entitled 
to receive such notice).

8. 

Compensation Upon Termination. Upon termination of Executive’s employment during 
the Employment Term, Executive shall be entitled to the following benefits:

(a) 

Termination by the Company for Cause or by Executive Without Good Reason. If 
Executive’s employment is terminated by the Company for Cause or by Executive 
without Good Reason, the Company shall pay Executive: 

(i) 

any accrued and unpaid Base Salary, payable on the next payroll date; 

7

 
(ii) 

(iii) 

any Incentive Compensation earned but unpaid in respect of any 
completed fiscal year preceding the termination date, payable at the time 
annual incentive compensation is paid to other senior executives; 

reimbursement for any and all monies advanced or expenses incurred in 
connection with Executive’s employment for reasonable and necessary 
expenses incurred by Executive on behalf of the Company for the period 
ending on the termination date, which amount shall be reimbursed within 
thirty (30) days of the Company’s receipt of proper documentation from 
Executive; 

(iv) 

any accrued and unpaid vacation pay, payable on the next payroll date;

(v) 

any previous compensation that Executive has previously deferred 
(including any interest earned or credited thereon), in accordance with the 
terms and conditions of the applicable deferred compensation plans or 
arrangements then in effect, to the extent vested as of Executive’s 
termination date, paid pursuant to the terms of such plans or arrangements; 
and 

(vi) 

any amount or benefit as provided under any benefit plan or program in 
accordance with the terms thereof (the foregoing items in Sections 8(a)(i) 
through 8(a)(vi) being collectively referred to as the “Accrued 
Compensation”).

(b) 

Termination by the Company for Disability. If Executive’s employment is 
terminated by the Company for Disability, the Company shall pay Executive:

(i) 

the Accrued Compensation;

(ii) 

an amount equal to the Incentive Compensation that Executive would have 
been entitled to receive in respect of the fiscal year in which Executive’s 
termination date occurs, had Executive continued in employment until the 
end of such fiscal year, which amount, determined based on actual 
performance for such year relative to the performance goals applicable to 
Executive (but without any exercise of negative discretion with respect to 
Executive in excess of that applied to either senior executives of the 
Company generally or in accordance with the Company’s historical past 
practice), shall be multiplied by a fraction (A) the numerator of which is 
the number of days in such fiscal year through the termination date and 
(B) the denominator of which is 365 (the “Pro-Rata Bonus”) and shall be 

8

 
(iii) 

payable in a lump sum payment at the time such bonus or annual incentive 
awards are payable to other participants. Further, upon Executive’s 
Disability (irrespective of any termination of employment related thereto), 
the Company shall pay Executive for twenty-four (24) consecutive months 
thereafter regular payments in the amount by which Executive’s monthly 
Base Salary exceeds Executive’s monthly Disability insurance benefit; and 

continued coverage for Executive and Executive’s dependents under any 
health, medical, dental, vision and basic life insurance (but not 
supplemental life insurance) program or policy in which Executive was 
eligible to participate as of the time of Executive’s employment 
termination (as may be amended by the Company from time to time in the 
ordinary course), for twenty-four (24) months following such termination 
on the same basis as active employees, which such twenty-four month 
period shall run concurrently with the COBRA period; provided, however, 
that (x) the Company may instead, in its discretion, provide substantially 
similar benefits or payment outside of the Company’s benefit plans if the 
Company reasonably determines that providing such alternative benefits 
or payment is appropriate to minimize potential adverse tax consequences 
and penalties; and (y) the coverage provided hereunder shall become 
secondary to any coverage provided to Executive by a subsequent 
employer and to any Medicare coverage for which Executive becomes 
eligible, and it shall be the obligation of Executive to inform the Company 
if Executive becomes eligible for such subsequent coverage (the “Benefits 
Continuation”).

(c) 

Termination By Reason of Death. If Executive’s employment is terminated by 
reason of Executive’s death, the Company shall pay Executive’s beneficiaries:

(i) 

the Accrued Compensation;

(ii) 

the Pro-Rata Bonus; and

(iii) 

continued coverage for Executive’s dependents under any health, medical, 
dental, vision and basic life insurance (but not supplemental life 
insurance) program or policy in which Executive was eligible to 
participate as of the time of Executive’s employment termination (as may 
be amended or replaced by the Company from time to time in the ordinary 
course), for twenty-four (24) months following such termination on the 

9

 
same basis as the dependents of active employees, which such twenty-
four-month period shall run concurrently with the COBRA period.

(d) 

Termination by the Company Without Cause or by Executive for Good Reason. If 
Executive’s employment is terminated by the Company without Cause (other than 
on account of Executive’s Disability or death) or by Executive for Good Reason, 
then, subject to Section 14(e), the Company shall pay Executive:

(i) 

the Accrued Compensation;

(ii) 

the Pro-Rata Bonus;

(iii) 

in lieu of any further Base Salary or other compensation and benefits for 
periods subsequent to the termination date, an amount in cash, which 
amount shall be payable in a lump sum payment within sixty (60) days 
following such termination (subject to Section 9(c)), equal to two (2) times 
the sum of (A) Executive’s Base Salary and (B) the Target Bonus; and

(iv) 

the Benefits Continuation.

(e) 

No Mitigation. Executive shall not be required to mitigate the amount of any 
payment provided for under this Section 8 by seeking other employment or 
otherwise and, except as provided in Section 8(b)(iii) and 8(d)(iv) above, no such 
payment shall be offset or reduced by the amount of any compensation or benefits 
provided to Executive in any subsequent employment. Further, the Company’s 
obligations to make any payments hereunder shall not be subject to or affected by 
any set-off, counterclaim or defense which the Company may have against 
Executive. 

9. 

Certain Tax Treatment.  

(a) 

Golden Parachute Tax. To the extent that the payments and benefits provided 
under this Agreement and benefits provided to, or for the benefit of, Executive 
under any other plan or agreement of the Company or any of its affiliates (such 
payments or benefits are collectively referred to as the “Payments”) would be 
subject to the excise tax (the “Excise Tax”) imposed under Section 4999 of the 
Code or any successor provision thereto, or any similar tax imposed by state or 
local law, then Executive may, in Executive’s sole discretion (except as provided 
herein below) waive the right to receive any payments or distributions (or a 
portion thereof) by the Company in the nature of compensation to or for 
Executive’s benefit if and to the extent necessary so that no Payment to be made 

10

 
or benefit to be provided to Executive shall be subject to the Excise Tax (such 
reduced amount is hereinafter referred to as the “Limited Payment Amount”), but 
only if such reduction results in a higher after-tax payment to Executive after 
taking into account the Excise Tax and any additional taxes (including federal, 
state and local income taxes, employment, social security and Medicare taxes and 
all other applicable taxes) Executive would pay if such Payments were not 
reduced. If so waived, the Company shall reduce or eliminate the Payments to 
effect the provisions of this Section 9 based upon Section 9(b) below. The 
determination of the amount of Payments that would be required to be reduced to 
the Limited Payment Amount pursuant to this Agreement and the amount of such 
Limited Payment Amount shall be made, at the Company’s expense, by a 
reputable accounting firm selected by Executive and reasonably acceptable to the 
Company (the “Accounting Firm”).  The Accounting Firm shall provide its 
determination (the “Determination”), together with detailed supporting 
calculations and documentation to the Company and Executive within ten (10) 
days of the date of termination, if applicable, or such other time as specified by 
mutual agreement of the Company and Executive, and if the Accounting Firm 
determines that no Excise Tax is payable by Executive with respect to the 
Payments, it shall furnish Executive with an opinion reasonably acceptable to 
Executive that no Excise Tax will be imposed with respect to any such Payments. 
The Determination shall be binding, final and conclusive upon the Company and 
Executive, absent manifest error. For purposes of making the calculations required 
by this Section 9(a), the Accounting Firm may make reasonable assumptions and 
approximations concerning applicable taxes and rates, and rely on reasonable, 
good faith interpretations concerning the application of the Code, and other 
applicable legal authority. In furtherance of the above, to the extent requested by 
Executive, the Company shall cooperate in good faith in valuing, and the 
Accounting Firm shall value, services to be provided by Executive (including 
Executive refraining from performing services pursuant to any covenant not to 
compete) before, on or after the date of the transaction which causes the 
application of Section 4999 of the Code, such that payments in respect of such 
services may be considered to be “reasonable compensation” within the meaning 
of the regulations under Section 4999 of the Code.     

(b) 

Ordering of Reduction.  In the case of a reduction in the Payments pursuant to 
Section 9(a), the Payments will be reduced in the following order: (i) payments 
that are payable in cash that are valued at full value under Treasury Regulation 
Section 1.280G-1, Q&A 24(a) will be reduced (if necessary, to zero), with 
amounts that are payable last reduced first; (ii) payments and benefits due in 

11

 
(c) 

respect of any equity valued at full value under Treasury Regulation Section 
1.280G-1, Q&A 24(a), with the highest values reduced first (as such values are 
determined under Treasury Regulation Section 1.280G-1, Q&A 24) will next be 
reduced; (iii) payments that are payable in cash that are valued at less than full 
value under Treasury Regulation Section 1.280G-1, Q&A 24, with amounts that 
are payable last reduced first, will next be reduced; (iv) payments and benefits due 
in respect of any equity valued at less than full value under Treasury Regulation 
Section 1.280G-1, Q&A 24, with the highest values reduced first (as such values 
are determined under Treasury Regulation Section 1.280G-1, Q&A 24) will next 
be reduced; and (v) all other non-cash benefits not otherwise described in clauses 
(ii) or (iv) will be next reduced pro-rata.

Section 409A. The parties intend for the payments and benefits under this 
Agreement to be exempt from Section 409A of the Code or, if not so exempt, to 
be paid or provided in a manner which complies with the requirements of such 
section, and intend that this Agreement shall be construed and administered in 
accordance with such intention. In the event the Company determines that a 
payment or benefit under this Agreement may not be in compliance with Section 
409A of the Code, subject to Section 5(a) herein, the Company shall reasonably 
confer with Executive in order to modify or amend this Agreement to comply 
with Section 409A of the Code and to do so in a manner to best preserve the 
economic benefit of this Agreement.  Notwithstanding anything contained herein 
to the contrary, to the extent required in order to avoid accelerated taxation and/or 
tax penalties under Section 409A of the Code, (i) no amounts shall be paid to 
Executive under Section 8 of this Agreement until Executive would be considered 
to have incurred a “separation from service” from the Company within the 
meaning of Section 409A of the Code; (ii) amounts that would otherwise be 
payable and benefits that would otherwise be provided pursuant to this Agreement 
during the six-month period immediately following Executive’s separation from 
service shall instead be paid on the first business day after the date that is six (6) 
months following Executive’s separation from service (or death, if earlier), with 
interest for any cash payments so delayed, from the date such cash amounts would 
otherwise have been paid at the short-term applicable federal rate, compounded 
semi-annually, as determined under Section 1274 of the Code for the month in 
which the payment would have been made but for the delay in payment required 
to avoid the imposition of an additional rate of tax on Executive; (iii) each amount 
to be paid or benefit to be provided under this Agreement shall be construed as a 
separately identified payment for purposes of Section 409A of the Code; (iv) any 
payments that are due within the “short term deferral period” as defined in 

12

 
Section 409A of the Code shall not be treated as deferred compensation unless 
applicable law requires otherwise; and (v) amounts reimbursable to Executive 
under this Agreement shall be paid to Executive on or before the last day of the 
year following the year in which the expense was incurred and the amount of 
expenses eligible for reimbursement (and in-kind benefits provided to Executive) 
during any one (1) year may not affect amounts reimbursable or provided in any 
subsequent year.

10. 

Records and Confidential Data.

(a) 

(b) 

Executive acknowledges that in connection with the performance of Executive’s 
duties during the Employment Term, the Company and its affiliates will make 
available to Executive, or Executive will develop and have access to, certain 
Confidential Information (as defined below) of the Company and its affiliates. 
Executive acknowledges and agrees that any and all Confidential Information 
learned or obtained by Executive during the course of Executive’s employment by 
the Company or otherwise, whether developed by Executive alone or in 
conjunction with others or otherwise, shall be and is the property of the Company 
and its affiliates.

During the Employment Term and thereafter, Confidential Information will be 
kept confidential by Executive, will not be used in any manner that is detrimental 
to the Company or its affiliates, will not be used other than in connection with 
Executive’s discharge of Executive’s duties hereunder, and will be safeguarded by 
Executive from unauthorized disclosure; provided, however, that Confidential 
Information may be disclosed by Executive (i) to the Company and its affiliates, 
or to any authorized agent or representative of any of them, (ii) in connection with 
performing Executive’s duties hereunder, (iii) without limiting Section 10(g) of 
this Agreement, when required to do so by law or requested by a court, 
governmental agency, legislative body, arbitrator or other person with apparent 
jurisdiction to order Executive to divulge, disclose or make accessible such 
information, provided that Executive, to the extent legally permitted, notifies the 
Company prior to such disclosure, (iv) in the course of any proceeding under 
Section 11 or 12 of this Agreement or Section 6 of the Release, subject to the prior 
entry of a confidentiality order, or (v) in confidence to an attorney or other 
professional advisor for the purpose of securing professional advice, so long as 
such attorney or advisor is subject to confidentiality restrictions no less restrictive 
than those applicable to Executive hereunder.

13

 
(c) 

On Executive’s last day of employment with the Company, or at such earlier date 
as requested by the Company, (i) Executive will return to the Company all written 
Confidential Information that has been provided to, or prepared by, Executive; (ii) 
at the election of the Company, Executive will return to the Company or destroy 
all copies of any analyses, compilations, studies or other documents prepared by 
Executive or for Executive’s use containing or reflecting any Confidential 
Information; and (iii) Executive will return all Company property.  Executive 
shall deliver to the Company a document certifying Executive’s compliance with 
this Section 10(c).

(d) 

For the purposes of this Agreement, “Confidential Information” shall mean all 
confidential and proprietary information of the Company and its affiliates, 
including:

(i) 

(ii) 

(iii) 

trade secrets concerning the business and affairs of the Company and its 
affiliates, product specifications, data, know-how, formulae, compositions, 
processes, non-public patent applications, designs, sketches, photographs, 
graphs, drawings, samples, inventions and ideas, past, current, and 
planned research and development, current and planned manufacturing or 
distribution methods and processes, customer lists, current and anticipated 
customer requirements, price lists, market studies, business plans, 
computer software and programs (including object code and source code), 
computer software and database technologies, systems, structures, and 
architectures (and related formulae, compositions, processes, 
improvements, devices, know-how, inventions, discoveries, concepts, 
ideas, designs, methods and information); 

information concerning the business and affairs of the Company and its 
affiliates (which includes unpublished financial statements, financial 
projections and budgets, unpublished and projected sales, capital spending 
budgets and plans, the names and backgrounds of key personnel, to the 
extent not publicly known, personnel training and techniques and 
materials) however documented; and

notes, analysis, compilations, studies, summaries, and other material 
prepared by or for the Company or its affiliates containing or based, in 
whole or in part, on any information included in the foregoing. For 
purposes of this Agreement, Confidential Information shall not include 
and Executive’s obligations shall not extend to (A) information that is 
generally available to the public, (B) information obtained by Executive 

14

 
(e) 

(f) 

(g) 

other than pursuant to or in connection with this employment, (C) 
information that is required to be disclosed by law or legal process, and 
(D) Executive’s rolodex and similar address books, including electronic 
address books, containing contact information.

Nothing herein or elsewhere shall preclude Executive from retaining and using (i) 
Executive’s personal papers and other materials of a personal nature, including 
photographs, contacts, correspondence, personal diaries, and personal files (so 
long as no such materials are covered by any Company hold order), (ii) 
documents relating to Executive’s personal entitlements and obligations, and (iii) 
information that is necessary for Executive’s personal tax purposes.

Pursuant to 18 U.S.C. § 1833(b), Executive understands that Executive will not be 
held criminally or civilly liable under any Federal or State trade secret law for the 
disclosure of a trade secret of the Company or its affiliates that (i) is made (A) in 
confidence to a Federal, State, or local government official, either directly or 
indirectly, or to Executive’s attorney and (B) solely for the purpose of reporting or 
investigating a suspected violation of law; or (ii) is made in a complaint or other 
document that is filed under seal in a lawsuit or other proceeding.  Executive 
understands that if Executive files a lawsuit for retaliation by the Company for 
reporting a suspected violation of law, Executive may disclose the trade secret to 
Executive’s attorney and  use the trade secret information in the court proceeding 
if Executive (x) files any document containing the trade secret under seal, and (y) 
does not disclose the trade secret, except pursuant to court order.  Nothing in this 
Agreement, or any other agreement that Executive has with the Company or its 
affiliates, is intended to conflict with 18 U.S.C. § 1833(b) or create liability for 
disclosures of trade secrets that are expressly allowed by such section. 

Notwithstanding anything set forth in this Agreement or any other agreement that 
Executive has with the Company or its affiliates to the contrary, Executive shall 
not be prohibited from reporting possible violations of federal or state law or 
regulation to any governmental agency or entity, legislative body, or any self-
regulatory organization, or making other disclosures that are protected under the 
whistleblower provisions of federal or state law or regulation, nor is Executive 
required to notify the Company regarding any such reporting, disclosure or 
cooperation with the government.

15

 
11. 

Covenant Not to Solicit, Not to Compete, Not to Disparage, to Cooperate in Litigation 
and Not to Cooperate with Non-Governmental Third Parties.

(a) 

Covenant Not to Solicit. To protect the Confidential Information and other trade 
secrets of the Company and its affiliates as well as the goodwill and competitive 
business of the Company and its affiliates, Executive agrees, during the 
Employment Term and for a period of eighteen (18) months after Executive’s 
cessation of employment with the Company, not to solicit or participate in or 
assist in any way in the solicitation of any (i) customers or clients of the Company 
or its affiliates whom Executive first met or about whom learned Confidential 
Information through Executive’s employment with the Company and (ii) 
suppliers, employees or agents of the Company or its affiliates. For purposes of 
this covenant, “solicit” or “solicitation” means directly or indirectly influencing or 
attempting to influence any customers, clients, suppliers, employees or agents of 
the Company or its affiliates to cease doing business with, or to reduce the level 
of business with, the Company and its affiliates or, with respect to employees or 
exclusive agents, to become employed or engaged by any other person, 
partnership, firm, corporation or other entity. Executive agrees that the covenants 
contained in this Section 11(a) are reasonable and desirable to protect the 
Confidential Information of the Company and its affiliates; provided, that 
solicitation through general advertising not targeted at the Company’s or its 
affiliates’ employees or the provision of references shall not constitute a breach of 
such obligations.  

(b) 

Covenant Not to Compete.

(i) 

The Company and its affiliates are currently engaged in the business of 
branded and generic pharmaceuticals, with a focus on product 
development, clinical development, manufacturing, distribution and sales 
& marketing.  To protect the Confidential Information and other trade 
secrets of the Company and its affiliates as well as the goodwill and 
competitive business of the Company and its affiliates, Executive agrees, 
during the Employment Term and for a period of twelve (12) months after 
Executive’s cessation of employment with the Company, that Executive 
will not, unless otherwise agreed to by the Chief Executive Officer of 
Endo (following approval by the Chairman of the Committee), anywhere 
in the world where, at the time of Executive’s termination of employment, 
the Company develops, manufactures, distributes, markets or sells its 
products, except in the course of Executive’s employment hereunder, 
directly or indirectly manage, operate, control, or participate in the 

16

 
management, operation, or control of, be employed by, associated with, or 
in any manner connected with, lend Executive’s name to, or render 
services or advice to, any third party or any business whose products or 
services compete in whole or in part with the products or services (both on 
the market and in development) material to the Company or any business 
unit on the termination date that constitutes more than 5% of the 
Company’s revenue on the termination date (a “Competing Business”); 
provided, however, that Executive may in any event (x) own up to a 5% 
passive ownership interest in any public or private entity and (y) serve on 
the board of any Competing Business that competes with the business of 
the Company and its affiliates as an immaterial part of its overall business, 
provided that Executive recuses himself fully and completely from all 
matters relating to such business.  

(ii) 

For purposes of this Section 11(b), any third party or any business whose 
products compete includes any entity with which the Company or its 
affiliates has had a product(s) licensing agreement during the Employment 
Term and any entity with which the Company or any of its affiliates is at 
the time of termination actively negotiating, and eventually concludes 
within twelve (12) months of the Employment Term, a commercial 
agreement. 

(iii)  Notwithstanding the foregoing, it shall not be a violation of this Section 
11(b), for Executive to provide services to (or engage in activities 
involving): (A) a subsidiary, division or affiliate of a Competing Business 
where such subsidiary, division or affiliate is not engaged in a Competing 
Business and Executive does not provide services to, or have any 
responsibilities regarding, the Competing Business; (B) any entity that is, 
or is a general partner in, or manages or participates in managing, a private 
or public fund (including a hedge fund) or other investment vehicle, which 
is engaged in venture capital investments, leveraged buy-outs, investments 
in public or private companies, other forms of private or alternative equity 
transactions, or in public equity transactions, and that might make an 
investment which Executive could not make directly, provided that in 
connection therewith, Executive does not provide services to, engage in 
activities involved with, or have any responsibilities regarding a 
Competing Business; and (C) an affiliate of a Competing Business if 
Executive does not provide services, directly or indirectly, to such 
Competing Business and the basis of the affiliation is solely due to 
common ownership by a private equity or similar investment fund; 

17

 
(c) 

provided, that, in each case, Executive shall remain bound by all other 
post-employment obligations under this Agreement including Executive’s 
obligations under Sections 10, 11(a), (c) and (d) herein; provided, further, 
that Executive’s provision of services to (or engagement in activities 
involving) any entity described in clauses (A) or (B) of this Section 11(b)
(iii) shall be subject to the prior approval of the Board.  

Nondisparagement. Executive covenants that during and following the 
Employment Term, Executive will not disparage or encourage or induce others to 
disparage the Company or its affiliates, together with all of their respective past 
and present directors and officers, as well as their respective past and present 
managers, officers, shareholders, partners, employees, agents, attorneys, servants 
and customers and each of their predecessors, successors and assigns 
(collectively, the “Company Entities and Persons”); provided, that such limitation 
shall extend to past and present managers, officers, shareholders, partners, 
employees, agents, attorneys, servants and customers only in their capacities as 
such or in respect of their relationship with the Company and its affiliates. The 
Company shall instruct its officers and directors not to, during and following the 
Employment Term, make or issue any statement that disparages Executive to any 
third parties or otherwise encourage or induce others to disparage Executive. The 
term “disparage” includes, without limitation, comments or statements adversely 
affecting in any manner (i) the conduct of the business of the Company Entities 
and Persons or Executive, or (ii) the business reputation of the Company Entities 
and Persons or Executive. Nothing in this Agreement is intended to or shall 
prevent either party from providing, or limiting testimony in any judicial, 
administrative or legal process or otherwise as required by law, prevent either 
party from engaging in truthful testimony pursuant to any proceeding under this 
Section 11 or Section 12 below or Section 6 of the Release or prevent Executive 
from making statements in the course of doing Executive’s normal duties for the 
Company.

(d) 

Cooperation in Any Investigations and Litigation; No Cooperation with Non-
Governmental Third Parties. During the Employment Term and thereafter, 
Executive shall provide truthful information and otherwise assist and cooperate 
with the Company and its affiliates, and its counsel, (i) in connection with any 
investigation, inquiry, administrative, regulatory or judicial proceedings, or in 
connection with any dispute or claim of any kind that may be made against, by, or 
with respect to the Company, as reasonably requested by the Company (including 
Executive being available to the Company upon reasonable notice for interviews 
and factual investigations, appearing at the Company’s request to give testimony 

18

 
without requiring service of a subpoena or other legal process, volunteering to the 
Company all pertinent information and turning over to the Company all relevant 
documents which are in or may come into Executive’s possession), and (ii) in all 
matters concerning requests for information about the services or advice 
Executive provides or provided to the Company during Executive’s employment 
with Endo, its affiliates and their predecessors. Such cooperation shall be subject 
to Executive’s business and personal commitments and shall not require 
Executive to cooperate against Executive’s own legal interests or the legal 
interests of any future employer of Executive. Executive shall use the Company’s 
counsel for all matters in connection with this Section 11(d); provided, however, 
that if there exists an actual conflict of interest between Executive and the 
Company’s counsel, Executive may retain separate counsel reasonably acceptable 
to the Company. The existence of an actual conflict of interest, and whether such 
conflict may be waived, shall be determined pursuant to the rules of attorney 
professional conduct and applicable law. The Company agrees to promptly 
reimburse Executive for reasonable expenses reasonably incurred by Executive, in 
connection with Executive’s cooperation pursuant to this Section 11(d) (including 
travel expenses at the level of travel permitted by this Agreement and reasonable 
attorney fees in the event separate legal counsel for Executive is required due to a 
conflict of interest). Such reimbursements shall be made as soon as practicable, 
and in no event later than the calendar year following the year in which the 
expenses are incurred.  Executive also shall not support (financially or otherwise), 
counsel or assist any attorneys or their clients or any other non-governmental 
person in the presentation or prosecution of, encourage any non-governmental 
person to raise, or suggest or recommend to any non-governmental person that 
such person could or should raise, in each case, any disputes, differences, 
grievances, claims, charges, or complaints against the Company and/or its 
affiliates that (x) arises out of, or relates to, any period of time on or prior to 
Executive’s last day of employment with the Company or (y) involves any 
information Executive learned during Executive’s employment with the 
Company; provided, that, following the second anniversary of Executive’s 
termination of employment with the Company, such prohibition shall not extend 
to any such actions taken by Executive on behalf of (A) Executive’s then current 
employer, (B) any entity with respect to which Executive is then a member of the 
board of directors or managers (as applicable), or (C) any non-publicly traded 
entity with respect to which Executive is a 5% or more equity owner (or any 
affiliate of any such entities referenced in clauses (A), (B) or (C)). Executive 
agrees that, in the event Executive is subpoenaed by any person or entity 
(including any government agency) to give testimony (in a deposition, court 

19

 
proceeding or otherwise) which in any way relates to Executive’s employment by 
the Company, Executive will, to the extent not legally prohibited from doing so, 
give prompt notice of such request to the Chief Legal Officer of the Company so 
that the Company may contest the right of the requesting person or entity to such 
disclosure before making such disclosure. Nothing in this provision shall require 
Executive to violate Executive’s obligation to comply with valid legal process.

(e) 

Blue Pencil. It is the intent and desire of Executive and the Company that the 
provisions of this Section 11 be enforced to the fullest extent permissible under 
the laws and public policies as applied in each jurisdiction in which enforcement 
is sought. If any particular provision of this Section 11 shall be determined to be 
invalid or unenforceable, such covenant shall be amended, without any action on 
the part of either party hereto, to delete therefrom the portion so determined to be 
invalid or unenforceable, such deletion to apply only with respect to the operation 
of such covenant in the particular jurisdiction in which such adjudication is made.

Remedies for Breach of Obligations under Sections 10 or 11 hereof. Executive 
acknowledges that the Company and its affiliates will suffer irreparable injury, not readily 
susceptible of valuation in monetary damages, if Executive breaches Executive’s 
obligations under Sections 10 or 11 hereof. Accordingly, Executive agrees that the 
Company and its affiliates will be entitled, in addition to any other available remedies, to 
obtain injunctive relief against any breach or prospective breach by Executive of 
Executive’s obligations under Sections 10 or 11 hereof in any Federal or state court 
sitting in the State of Delaware or, at the Company’s election, in any other state in which 
Executive maintains Executive’s principal residence or Executive’s principal place of 
business. Executive hereby submits to the non-exclusive jurisdiction of all those courts 
for the purposes of any actions or proceedings instituted by the Company or its affiliates 
to obtain that injunctive relief, and Executive agrees that process in any or all of those 
actions or proceedings may be served by registered mail, addressed to the last address 
provided by Executive to the Company, or in any other manner authorized by law.

12. 

13. 

Representations and Warranties.

(a) 

The Company represents and warrants that (i) it is fully authorized by action of 
the Board (and of any other person or body whose action is required) to enter into 
this Agreement and to perform its obligations under it, (ii) the execution, delivery 
and performance of this Agreement by it does not violate any applicable law, 
regulation, order, judgment or decree or any agreement, arrangement, plan or 
corporate governance document (x) to which it is a party or (y) by which it is 
bound, and (iii) upon the execution and delivery of this Agreement by the parties, 

20

 
this Agreement shall be its valid and binding obligation, enforceable against it in 
accordance with its terms, except to the extent that enforceability may be limited 
by applicable bankruptcy, insolvency or similar laws affecting the enforcement of 
creditors’ rights generally.

(b) 

Executive represents and warrants to the Company that the execution and delivery 
by Executive of this Agreement do not, and the performance by Executive of 
Executive’s obligations hereunder will not, with or without the giving of notice or 
the passage of time, or both: (a) violate any judgment, writ, injunction, or order of 
any court, arbitrator, or governmental agency applicable to Executive; or (b) 
conflict with, result in the breach of any provisions of or the termination of, or 
constitute a default under, any agreement to which Executive is a party or by 
which Executive is or may be bound.

14.  Miscellaneous.

(a) 

Successors and Assigns.

(i) 

This Agreement shall be binding upon and shall inure to the benefit of the 
Company, its successors and permitted assigns and the Company shall 
require any successor or permitted assign to expressly assume and agree to 
perform this Agreement in the same manner and to the same extent that 
the Company would be required to perform if no such succession or 
assignment had taken place. The Company may not assign or delegate any 
rights or obligations hereunder except to any of its affiliates, or to a 
successor (whether direct or indirect, by purchase, merger, consolidation 
or otherwise) to all or substantially all of the business and/or assets of the 
Company. The term the “Company” as used herein shall include a 
corporation or other entity acquiring all or substantially all the assets and 
business of the Company (including this Agreement) whether by operation 
of law or otherwise.

(ii) 

Neither this Agreement nor any right or interest hereunder shall be 
assignable or transferable by Executive, his beneficiaries or legal 
representatives, except by will or by the laws of descent and distribution. 
This Agreement shall inure to the benefit of and be enforceable by 
Executive’s legal personal representatives.

(b) 

Notice. For the purposes of this Agreement, notices and all other communications 
provided for in the Agreement (including the Notice of Termination) shall be in 
writing and shall be deemed to have been duly given when personally delivered or 

21

 
sent by Certified mail, return receipt requested, postage prepaid, addressed to the 
respective addresses last given by each party to the other; provided, that all 
notices to the Company shall be directed to the attention of the Chief Legal 
Officer of the Company. All notices and communications shall be deemed to have 
been received on the date of delivery thereof or on the third business day after the 
mailing thereof, except that notice of change of address shall be effective only 
upon receipt.

(c) 

Indemnification. Executive shall be indemnified by the Company as, and to the 
extent, to the maximum extent permitted by applicable law as provided in the 
memorandum and articles of association of Endo. In addition, the Company 
agrees to continue and maintain, at the Company’s sole expense, a directors’ and 
officers’ liability insurance policy covering Executive both during and the 
Employment Term and while the potential liability exists (but in no event longer 
than six (6) years, if such limitation applies to all other individuals covered by 
such policy) after the Employment Term, that is no less favorable than the policy 
covering Board members and other executive officers of the Company from time 
to time. The obligations under this paragraph shall survive any termination of the 
Employment Term.

(d)  Withholding. The Company shall be entitled to withhold the amount, if any, of all 

taxes of any applicable jurisdiction required to be withheld by an employer with 
respect to any amount paid to Executive hereunder. The Company, in its sole and 
absolute discretion, shall make all determinations as to whether it is obligated to 
withhold any taxes hereunder and the amount thereof.

(e) 

Release of Claims. The termination benefits described in Section 8(d)(ii) – (iv) of 
this Agreement shall be conditioned on Executive delivering to the Company, a 
signed release of claims in the form of Exhibit A hereto within forty-five (45) 
days or twenty-one (21) days, as may be applicable under the Age Discrimination 
in Employment Act of 1967, as amended by the Older Workers Benefit Protection 
Act, following Executive’s termination date, and not revoking Executive’s 
consent to such release of claims within seven (7) days of such execution; 
provided, however, that Executive shall not be required to release any rights 
Executive may have to be indemnified by, or be covered under any directors’ and 
officers’ liability insurance of, the Company under Section 14(c) of this 
Agreement, and provided further that, following a Change in Control (as defined 
in Endo’s Amended and Restated 2015 Stock Incentive Plan), Executive’s 
requirement to deliver a release shall be contingent on the Company delivering to 
Executive a release of claims in the form of Exhibit A hereto.

22

 
(f) 

(g) 

Resignation as Officer or Director. Upon a termination of employment for any 
reason, Executive shall, resign each position (if any) that Executive then holds as 
an officer or director of the Company and any of its affiliates. Executive’s 
execution of this Agreement shall be deemed the grant by Executive to the 
officers of the Company of a limited power of attorney to sign in Executive’s 
name and on Executive’s behalf any such documentation as may be required to be 
executed solely for the limited purposes of effectuating such resignations.

Executive Acknowledgement. Executive acknowledges the Common Stock 
Ownership Guidelines for Non-Employee Directors and Executive Management 
of Endo International plc, as may be amended from time to time, and Endo’s 
compensation recoupment policy, as may be amended from time to time.

(h)  Modification. No provision of this Agreement may be modified, waived or 

discharged unless such waiver, modification or discharge is agreed to in writing 
and signed by Executive and the Company. No waiver by either party hereto at 
any time of any breach by the other party hereto of, or compliance with, any 
condition or provision of this Agreement to be performed by such other party 
shall be deemed a waiver of similar or dissimilar provisions or conditions at the 
same or at any prior or subsequent time. No agreement or representations, oral or 
otherwise, express or implied, with respect to the subject matter hereof have been 
made by either party which are not expressly set forth in this Agreement.

Effect of Other Law. Anything herein to the contrary notwithstanding, the terms 
of this Agreement shall be modified to the extent required to meet the provisions 
of the Sarbanes-Oxley Act of 2002, Section 409A of the Code, or other federal 
law applicable to the employment arrangements between Executive and the 
Company. Any delay in providing benefits or payments, any failure to provide a 
benefit or payment, or any repayment of compensation that is required under the 
preceding sentence shall not in and of itself constitute a breach of this Agreement; 
provided, however, that the Company shall provide economically equivalent 
payments or benefits to Executive to the extent permitted by law.

Governing Law. This Agreement shall be governed by and construed and enforced 
in accordance with the laws of the State of Delaware applicable to contracts 
executed in and to be performed entirely within such State, without giving effect 
to the conflict of law principles thereof.  Any dispute hereunder may be 
adjudicated in any Federal or state court sitting in the State of Delaware or, at the 
Company’s election, in any other state in which Executive maintains Executive’s 
principal residence or Executive’s principal place of business. 

23

(i) 

(j) 

 
(k) 

(l) 

(m) 

(n) 

(o) 

(p) 

No Conflicts. (A) Executive represents and warrants to the Company that 
Executive is not a party to or otherwise bound by any agreement or arrangement 
(including any license, covenant, or commitment of any nature), or subject to any 
judgment, decree, or order of any court or administrative agency, that would 
conflict with or will be in conflict with or in any way preclude, limit or inhibit 
Executive’s ability to execute this Agreement or to carry out Executive’s duties 
and responsibilities hereunder. (B) The Company represents and warrants to 
Executive that the Company is not a party to or otherwise bound by any 
agreement or arrangement (including any license, covenant, or commitment of 
any nature), or subject to any judgment, decree, or order of any court or 
administrative agency, that would conflict with or will be in conflict with or in 
any way preclude, limit or inhibit the Company’s ability to execute this 
Agreement or to carry out the Company’s duties and responsibilities hereunder.

Severability. The provisions of this Agreement shall be deemed severable and the 
invalidity or unenforceability of any provision shall not affect the validity or 
enforceability of the other provisions hereof.

Inconsistencies. In the event of any inconsistency between any provision of this 
Agreement and any provision of any employee handbook, personnel manual, 
program, policy, or arrangement of the Company or its affiliates (including any 
provisions relating to notice requirements and post-employment restrictions), the 
provisions of this Agreement shall control, unless Executive otherwise agrees in a 
writing that expressly refers to the provision of this Agreement whose control 
Executive is waiving.

Beneficiaries/References. In the event of Executive’s death or a judicial 
determination of Executive’s incompetence, references in this Agreement to 
Executive shall be deemed, where appropriate, to refer to Executive’s beneficiary, 
estate or other legal representative.

Survival. Except as otherwise set forth in this Agreement, the respective rights 
and obligations of the parties hereunder shall survive the Employment Term and 
any termination of Executive’s employment.  Without limiting the generality of 
the forgoing, the provisions of Section 8, 10, 11, and 12 shall survive the 
termination of the Employment Term.

Entire Agreement. This Agreement constitutes the entire agreement between the 
parties hereto and, as of the Effective Date, supersedes the Executive Employment 
Agreement between the parties hereto dated November 6, 2018 and all prior 

24

 
agreements, understandings and arrangements, oral or written, between the parties 
hereto with respect to the subject matter hereof, other than the Executive 
Retention Bonus arrangement dated May 17, 2018 and the contribution retention 
bonus arrangement dated August 1, 2019, which shall remain in effect in 
accordance with its terms.

(q) 

Counterparts. This Agreement may be executed in one or more counterparts, each 
of which will be deemed to be an original copy of this Agreement and all of 
which, when taken together, will be deemed to constitute one and the same 
agreement.

15. 

Certain Rules of Construction.

(a) 

The headings and subheadings set forth in this Agreement are inserted for the 
convenience of reference only and are to be ignored in any construction of the 
terms set forth herein.

(b)  Wherever applicable, the neuter, feminine or masculine pronoun as used herein 

shall also include the masculine or feminine, as the case may be.

(c) 

The term “including” is not limiting and means “including without limitation.”

(d) 

References in this Agreement to any statute or statutory provisions include a 
reference to such statute or statutory provisions as from time to time amended, 
modified, reenacted, extended, consolidated or replaced (whether before or after 
the date of this Agreement) and to any subordinate legislation made from time to 
time under such statute or statutory provision.

(e) 

References to “writing” or “written” include any non-transient means of 
representing or copying words legibly, including by facsimile or electronic mail.

(f) 

References to “$” are to United States Dollars.

25

 
 IN WITNESS WHEREOF, the Company has caused this Agreement to be executed by 

its duly authorized officer and Executive has executed this Agreement as of the day and year first 
above written.

ENDO HEALTH SOLUTIONS INC.

/s/ Paul V. Campanelli

By:
Name: Paul V. Campanelli
Title:

Chairman of the Board of Directors

EXECUTIVE

By:
Name: Mark Bradley

/s/ Mark Bradley

SIGNATURE PAGE

 
 
EXHIBIT A 

FORM OF RELEASE AGREEMENT

THIS RELEASE AGREEMENT (the “Release”) is made by and between Mark Bradley 

(“Executive”) and Endo Health Solutions, Inc. (the “Company”).

1. 

FOR AND IN CONSIDERATION of the payments and benefits provided in Section 8(d) 
(excluding clause (i)) of the Employment Agreement between Executive and the 
Company dated as of March 6, 2020, (the “Employment Agreement”), Executive, for 
Executive, his successors and assigns, executors and administrators, now and forever 
hereby releases and discharges the Company, together with all of its past and present 
parents, subsidiaries, and affiliates, together with each of their officers, directors, 
stockholders, partners, employees, agents, representatives and attorneys, and each of their 
subsidiaries, affiliates, estates, predecessors, successors, and assigns (hereinafter 
collectively referred to as the “Releasees”) from any and all rights, claims, charges, 
actions, causes of action, complaints, sums of money, suits, debts, covenants, contracts, 
agreements, promises, obligations, damages, demands or liabilities of every kind 
whatsoever, in law or in equity, whether known or unknown, suspected or unsuspected, 
which Executive or Executive’s executors, administrators, successors or assigns ever had, 
now has or may hereafter claim to have by reason of any matter, cause or thing 
whatsoever; arising from the beginning of time up to the date Executive executes the 
Release: (i) relating in any way to Executive’s employment relationship with the 
Company or any of the Releasees, or the termination of Executive’s employment 
relationship with the Company or any of the Releasees; (ii) arising under or relating to 
the Employment Agreement; (iii) arising under any federal, local or state statute or 
regulation, including, without limitation, the Age Discrimination in Employment Act of 
1967, as amended by the Older Workers Benefit Protection Act, Title VII of the Civil 
Rights Act of 1964, the Americans with Disabilities Act of 1990, the Employee 
Retirement Income Security Act of 1974, the Equal Pay Act, Sections 1981 through 1988 
of Title 42 of the United States Code, the Immigration Reform and Control Act, the 
Workers Adjustment and Retraining Notification Act, the Occupational Safety and Health 
Act, the Family and Medical Leave Act, the Fair Labor Standards Act of 1938, Executive 
Order 11246, the Pennsylvania Human Relations Act, the Pennsylvania Whistleblower 
Law, the New York State Human Rights Law, the New York Labor Law and the New 
York Civil Rights Law and/or the applicable state or local law or ordinance against 
discrimination, each as amended; (iv) relating to wrongful employment termination or 
breach of contract; or (v) arising under or relating to any policy, agreement, 
understanding or promise, written or oral, formal or informal, between the Company and 
any of the Releasees and Executive; provided, however, that notwithstanding the 
foregoing, nothing contained in the Release shall in any way diminish or impair: (a) any 
rights Executive may have, from and after the date the Release is executed; (b) any rights 
to indemnification that may exist from time to time under the Company’s certificate of 

A-1

incorporation or bylaws, or state law or any other indemnification agreement entered into 
between Executive and the Company; (c) any rights Executive may have under any 
applicable general liability and/or directors and officers insurance policy maintained by 
the Company; (d) any rights Executive may have to payments and benefits under 
Sections 8(a)(i) and (iii) of the Employment Agreement; (e) the right to receive the 
following payments and benefits: [SPECIFIC LIST OF COMPENSATION AND 
BENEFITS PAYABLE UNDER SECTIONS 8(a)(ii), (iv), (v) AND (vi) OF THE 
EMPLOYMENT AGREEMENT TO BE INCLUDED]; (f) Executive’s ability to bring 
appropriate proceedings to enforce the Release; and (g) any rights or claims Executive 
may have that cannot be waived under applicable law (collectively, the “Excluded 
Claims”). Executive further acknowledges and agrees that, except with respect to 
Excluded Claims, the Company and the Releasees have fully satisfied any and all 
obligations whatsoever owed to Executive arising out of Executive’s employment with 
the Company or any of the Releasees, and that no further payments or benefits are owed 
to Executive by the Company or any of the Releasees.

[Upon the Release becoming effective, the Company hereby discharges and generally 
releases Executive from all claims, causes of action, suits, agreements, and damages 
which the Company may have now or in the future against Executive for any act, 
omission or event relating to his employment with the Company or termination of 
employment therefrom occurring up to and including the date on which the Company 
signs the Release (excluding any acts or omissions constituting fraud, theft, 
embezzlement or breach of fiduciary duty by Executive) to the extent that such claim, 
cause of action, suit, agreement or damages is based on facts, acts, omissions, 
circumstances or events actually known, or which should have been reasonably known, 
on the date on which the Company signs the Release by any officer or member of the 
Board of Directors of the Company.]1

Executive acknowledges and agrees that Executive has been advised to consult with an 
attorney of Executive’s choosing prior to signing the Release. Executive understands and 
agrees that Executive has the right and has been given the opportunity to review the 
Release with an attorney of Executive’s choice should Executive so desire. Executive 
also agrees that Executive has entered into the Release freely and voluntarily. Executive 
further acknowledges and agrees that Executive has had at least [twenty-one (21)][forty-
five (45)] calendar days to consider the Release, although Executive may sign it sooner if 
Executive wishes, but in any case, not prior to the termination date. In addition, once 
Executive has signed the Release, Executive shall have seven (7) additional days from the 
date of execution to revoke Executive’s consent and may do so by writing to:  
___________.  The Release shall not be effective, and no payments shall be due 
hereunder, earlier than the eighth (8th) day after Executive shall have executed the 
Release and returned it to the Company, assuming that Executive had not revoked 
Executive’s consent to the Release prior to such date.

2. 

3. 

______________________
1 Insert upon a qualifying termination following a Change in Control.

A-2

 
4. 

5. 

6. 

7. 

It is understood and agreed by Executive that any payment made to Executive is not to be 
construed as an admission of any liability whatsoever on the part of the Company or any 
of the other Releasees, by whom liability is expressly denied. 

The Release is executed by Executive voluntarily and is not based upon any 
representations or statements of any kind made by the Company or any of the other 
Releasees as to the merits, legal liabilities or value of Executive’s claims. Executive 
further acknowledges that Executive has had a full and reasonable opportunity to 
consider the Release and that Executive has not been pressured or in any way coerced 
into executing the Release. 

The exclusive venue for any disputes arising hereunder shall be the state or federal courts 
located in the State of Delaware or, at the Company’s election, in any other state in which 
Executive maintains Executive’s principal residence or Executive’s principal place of 
business, and each of the parties hereto irrevocably waives, to the fullest extent permitted 
by law, any objection which it may now or hereafter have to the laying of the venue of 
any such proceeding brought in such a court and any claim that any such proceeding 
brought in such a court has been brought in an inconvenient forum. Each of the parties 
hereto also agrees that any final and unappealable judgment against a party hereto in 
connection with any action, suit or other proceeding may be enforced in any court of 
competent jurisdiction, either within or outside of the United States.  A certified or 
exemplified copy of such award or judgment shall be conclusive evidence of the fact and 
amount of such award or judgment. 

The Release and the rights and obligations of the parties hereto shall be governed and 
construed in accordance with the laws of the State of Delaware. If any provision hereof is 
unenforceable or is held to be unenforceable, such provision shall be fully severable, and 
this document and its terms shall be construed and enforced as if such unenforceable 
provision had never comprised a part hereof, the remaining provisions hereof shall 
remain in full force and effect, and the court construing the provisions shall add as a part 
hereof a provision as similar in terms and effect to such unenforceable provision as may 
be enforceable, in lieu of the unenforceable provision. 

8. 

The Release shall inure to the benefit of and be binding upon the Company and its 
successors and assigns. 

A-3

  
IN WITNESS WHEREOF, Executive and the Company have executed the Release as of 

the date and year provided below.

IMPORTANT NOTICE:  BY SIGNING BELOW YOU RELEASE AND GIVE UP ANY 
AND ALL LEGAL CLAIMS, KNOWN AND UNKNOWN, THAT YOU MAY HAVE 
AGAINST THE COMPANY AND RELATED PARTIES.

ENDO HEALTH SOLUTIONS INC.

Mark Bradley

Dated:

Dated:

Exhibit 10.23

Endo
1400 Atwater Drive
Malvern, PA 19355
484.216.0000

endo.com

August 1, 2019

Mark Bradley
9 Dillon Court
Exton, Pennsylvania, 19341

Dear Mark,

As we continue to execute on our corporate strategy, your leadership and expertise is essential to the Company.  With the 
progress made to date, we are positioning ourselves for continued growth in Branded Pharmaceuticals and U.S. Branded Sterile 
Injectables, while continuing to stabilize our Retail Generics segment. Our capabilities in these core growth areas will be further 
enhanced by the expected emergence of the Company’s Aesthetics segment as we transition to the crucial next phase of our multi-
year turnaround plan.

Based upon the impact of your leadership across the enterprise and the criticality of your ongoing contributions to the 
planning and execution of Endo’s (“Endo” or the “Company”) transformation and turnaround plan, I am pleased to offer you a 
special  compensation  arrangement  that  demonstrates  your  importance  to  our  Company.  Specifically,  you  are  eligible  for  the 
contribution retention bonus arrangement described in this Letter Agreement (“Letter Agreement”).

Your total Contribution Retention Bonus amount is 700,000 USD (the “Contribution Bonus”), subject to applicable tax 
withholdings. This Contribution Bonus will be paid in installments within thirty (30) days following the end of the first, second, 
third and fourth Retention Period (each a “Retention Period” as defined below), provided you are employed on such dates by the 
Company or one of its affiliates.  The Retention Periods and the associated installment amounts are as follows: (1) 175,000 USD 
following September 30, 2019; (2) 175,000 USD following December 31, 2019; (3) 175,000 USD following June 30, 2020; and 
(4) 175,000 USD following December 31, 2020.  To qualify for the Contribution Bonus payments, you must maintain strong work 
performance and remain actively employed with Endo or one of its affiliates through the applicable Retention Periods.

Payment  of  the  Contribution  Bonus  will  be  accelerated  if  your  employment  is  terminated  by  Endo  without  cause  (no 
misconduct or rule violation; i.e., restructuring, reorganization or RIF) before the end of any applicable Retention Period and will 
be paid within 30 days of your termination date.  Any unpaid Contribution Bonus amounts will be forfeited if you are terminated 
for cause (i.e., misconduct, violation of rule or policy, etc.) or if you resign before the end of a Retention Period.

The offer of this Contribution Bonus is being made to you with the highest confidentiality, and it is important that this 
information and the terms of this offer remain confidential. We therefore request that you not disclose this information to anyone 
other than your immediate family members or legal or tax professionals, and we ask that you direct any questions to Tracy Basso, 
Chief Human Resources Officer, or Vito Romano, SVP, Total Rewards & HR Operations.  By signing this Letter Agreement and 
returning one copy to Vito Romano (romano.vito@endo.com), you are agreeing to these terms.

The Contribution Bonus will not become part of your remuneration, salary, or compensation (other than for tax purposes) 
for purposes of the calculation of any severance, notice or redundancy pay, or any other amount that you may be or become entitled 
to in relation to your employment or the termination of your employment. Nor is the Contribution Bonus an acquired right, since 
it is part of a global employee retention program implemented by the Company. This Contribution Bonus is a one-time retention 
award and will not create any legal claim for you in respect to its cause or amount, either for the past or for the future.

This Letter Agreement does not change the at-will employment relationship between you and Endo or alter any other terms 
and conditions of your employment. You or Endo may terminate your employment at any time, for any reason, with or without 
Cause. To the extent permitted by applicable law, any controversy or claim arising out of or relating to this Letter Agreement, or 
a breach thereof,  including, but not limited to, any claims arising out of federal, state, or local laws, rules, or regulations, shall be 
exclusively settled by an arbitration proceeding conducted through Judicial Arbitration & Mediation Services (“JAMS”). This 
means that the Company and you are waiving your right to a have jury or judge adjudicate such claims or controversies, and that 
such claims or controversies will be exclusively decided by a single arbitrator. The arbitration will be conducted in accordance 
with the then-current JAMS Employment Arbitration Rules & Procedures (and no other JAMS rules).  The decision of the arbitrator 
shall be final and binding.  Judgment on the award rendered by the arbitrator(s) may be entered in any court having jurisdiction.  
You and the Company shall each bear your and its own legal expenses, except where otherwise required by law. The arbitration 
shall take place in Chester County, Pennsylvania, and no dispute under this Letter Agreement shall be adjudicated in any other 
venue or forum. This Letter Agreement shall be governed by the laws of the State of Pennsylvania, and it may not be modified in 
the absence of a written document signed by the parties.

Thank you for your ongoing contributions and commitment to our Company as we execute our strategic vision and operating 
plans at the highest performance level in support of our customers and patients.  Please indicate your acceptance by signing and 
returning one copy of this Letter Agreement to Vito Romano by August 9, 2019.

Sincerely,

/S/ PAUL V. CAMPANELLI

Paul V. Campanelli
President & Chief Executive Officer

Signed and agreed by:

/S/ MARK BRADLEY

Mark Bradley

August 6, 2019

Date

Exhibit 10.24

Endo
1400 Atwater Drive
Malvern, PA 19355
484.216.0000

endo.com

May 17, 2018

Mark Bradley
9 Dillon Court
Exton, PA 19341

Dear Mark:

Based upon your outstanding achievements in 2017 and the criticality of your ongoing contributions to the 
planning and execution of Endo's ("Endo" or the "Company") transformation and turnaround, I am 
pleased to provide you with a special employment arrangement that demonstrates your importance to our 
Company. Included in this special arrangement is your eligibility for retention incentive compensation and 
a special severance commitment, collectively described in this Letter Agreement ("Letter Agreement").

The total Retention Bonus amount is $450,000 (the "Retention Bonus"), subject to applicable tax 
withholdings. This Retention Bonus will be paid in three installments within thirty (30) days following 
each of the payment dates ("Payment Dates"), provided you are employed on such dates by the Company 
or one of its affiliates. The Payment Dates and the associated amounts are as follows: $100,000 payable as 
of September 30, 2018; $150,000 payable as of September 30, 2019; and $200,000 payable as of 
September 30, 2020. Payment of the Retention Bonus will be accelerated if your employment is 
terminated by the Company without cause ("Cause"), with payment of any remaining amount of the 
Retention Bonus payable within thirty (30) days of a without Cause employment termination by the 
Company. Payment of the Retention Bonus will be forfeited if you are terminated for Cause or resign for 
any reason.

This offer of a Retention Bonus is being made to you with the highest confidentiality and it is important 
that this information and the terms of the contents remain confidential. We therefore expect that you will 
NOT disclose this information to any other persons and that you direct any questions to Larry 
Cunningham, EVP of Human Resources or me. Any disclosure to persons other than your immediate 
family members (or legal counsel or financial advisor) will result in forfeiture of this Retention Bonus. 
By signing this Letter Agreement and returning one copy to Larry Cunningham 
(Cunningham.larry@endo.com) you agree to these terms.

Further, in the event that your employment is terminated by the Company without Cause (as defined in the 
Endo International PLC Amended and Restated 2015 Stock Incentive Plan) or the Company requires you 
to be based at any office or location that increases the length of your commute by more than fifty (50) 
miles, you will receive a severance payment ("Severance Payment") in lieu of any further Base Salary or 
other compensation and benefits for periods subsequent to the Termination Date, payable in cash as either 
pay continuation or in a lump sum within sixty (60) days following such termination, equal to one (1.5) 
times your Final Base Salary, plus the greater of one times (1x) the Final Target Bonus or an amount

equivalent to your last IC payment under the Company's annual incentive plan (excluding any 
supplemental performance incentive not part of the standard and customary annual IC plan), payable in 
cash in a lump sum within sixty (60) days following such termination, and the Company shall provide 
continued coverage for you and your dependents under any health, medical, dental and vision program or 
policy in which you were eligible to participate as of the time of your employment termination, for twelve 
(12) months following such termination on the same basis as active employees, which such twelve month 
period shall run concurrently with the COBRA period, and which coverage shall become secondary to any 
coverage provided to you by a subsequent employer and to any Medicare coverage for which you become 
eligible; provided, however, the parties agree to cooperate such that the continued coverage is, to the 
extent practicable, provided in a manner so as to minimize adverse tax consequences to the Company (in 
aggregate "Benefit Coverage Continuation").

In order to receive the Severance Payment, any Benefit Coverage Continuation or any remaining Special 
Cash Award (detailed in the letter to you dated January 27, 2017) following the Termination Date, you are 
required to sign a general release releasing any and all claims against the Company and its affiliates within 
21 days following your Termination Date and to not revoke your consent to such release of claims. For the 
purposes of this Letter Agreement: (i) "Final Base Salary" shall mean your annual base salary rate as of 
the Termination Date; (ii) "Final Target Bonus" shall mean your annual incentive compensation target as 
of the Termination Date; and (iii) "Termination Date" shall mean the date of termination of your 
employment for any reason, provided that such termination constitutes a "separation from service" from 
the Company within the meaning of Section 409A of the Internal Revenue Code of 1986, as amended (the 
"Code"). If the Company terminates your employment for Cause or you resign for any reason, you will 
not be eligible to receive the Severance Payment, any Benefit Coverage Continuation, or any remaining 
payment under any retention compensation plan, including the Special Cash Award.

The parties intend for the payments and benefits under this Letter Agreement to be exempt from Section 
409A of the Code or, if not so exempt, to be paid or provided in a manner which complies with the 
requirements of such section, and intend that the Letter Agreement shall be construed and administered in 
accordance with such intention. In the event the Company determines that a payment or benefit under the 
Letter Agreement may not be in compliance with Section 409A of the Code, the Company shall 
reasonably confer with you in order to modify or amend the Letter Agreement to comply with Section 
409A of the Code and to do so in a manner to best preserve the economic benefit of the Letter Agreement. 
Notwithstanding anything contained herein to the contrary, to the extent required in order to avoid 
accelerated taxation and/or tax penalties under Section 409A of the Code, (i) the Severance Payment and 
the Benefit Coverage Continuation shall not be paid to you until you would be considered to have 
incurred a "separation from service" from the Company within the meaning of Section 409A of the Code, 
(ii) amounts that would otherwise be payable and benefits that would otherwise be provided pursuant to 
the Letter Agreement during the six-month period immediately following your separation from service 
shall instead be paid on the first business day after the date that is six (6) months following your 
separation from service (or death, if earlier), with interest for any cash payments so delayed, from the date 
such cash amounts would otherwise have been paid at the short-term applicable federal rate, compounded 
semi-annually, as determined under Section 1274 of the Code for the month in which the payment would 
have been made but for the delay in payment required to avoid the imposition of an additional rate of tax 
on you, (iii) each amount to be paid or benefit to be provided under the Letter Agreement shall be 
construed as a separately identified payment for purposes of Section 409A of the

Code, (iv) any payments that are due within the "short term deferral period" as defined in Section 409A of 
the Code shall not be treated as deferred compensation unless applicable law requires otherwise and (v) 
amounts reimbursable to you under the Letter Agreement shall be paid to you on or before the last day of 
the year following the year in which the expense was incurred and the amount of expenses eligible for 
reimbursement (and in-kind benefits provided to you) during any one (1) year may not affect amounts 
reimbursable or provided in any subsequent year.

Pursuant to Section 1833(b) of the Defend Trade Secrets Act of 2016, you acknowledge that you shall not 
have criminal or civil liability under any federal or State trade secret law for the disclosure of a trade 
secret that (i) is made (A) in confidence to a federal, state, or local government official, either directly or 
indirectly, or to an attorney and (B) solely for the purpose of reporting or investigating a suspected 
violation of law; or (ii) is made in a complaint or other document filed in a lawsuit or other proceeding, if 
such filing is made under seal. Nothing in this Letter Agreement is intended to conflict with Section 
1833(b) of the Defend Trade Secrets Act of 2016 or create liability for disclosures of trade secrets that are 
expressly allowed by such Section. Notwithstanding anything set forth in the Letter Agreement to the 
contrary, you shall not be prohibited from reporting possible violations of federal or state law or 
regulation to any governmental agency or entity or making other disclosures that are protected under the 
whistleblower provisions of federal or state law or regulation, nor are you required to notify the Company 
regarding any such reporting, disclosure or cooperation with the government.

To protect the Confidential Information (as defined in the Letter Agreement hereto) and other trade secrets 
of the Company and its affiliates as well as the goodwill and competitive business of the Company and its 
affiliates, you agree, during the term of your employment with the Company and for a period of twelve 
(12) months after your cessation of employment with the Company, not to solicit or participate in or assist 
in any way in the solicitation of any customer, client, supplier, employee or agent of the Company or its 
affiliates. For purposes of this covenant, "solicit" or "solicitation" means directly or indirectly influencing 
or attempting to influence any customers, clients, suppliers, employees or agents of the Company or its 
affiliates to cease doing business with, or to reduce the level of business with, the Company and its 
affiliates or, with respect to employees or exclusive agents, to become employed or engaged by any other 
person, partnership, firm, corporation or other entity. You agree that this covenant is reasonable and 
desirable to protect the Confidential Information of the Company and its affiliates; provided that 
solicitation is not targeted at the Company's or its affiliates' employees or the provision of references shall 
not constitute a breach of such obligations. In addition, the terms and conditions of your Proprietary 
Information, Nondisclosure and Non-Solicitation Agreement in full force and effect.

This Letter Agreement does not change the at-will employment relationship between you and Endo or any 
other terms and conditions of your employment. You or Endo may terminate your employment at any 
time, for any reason, with or without Cause. Any controversy or claim arising out of or relating to this 
Letter Agreement, or a breach thereof, including but not limited to any claims arising out of federal, state 
or local laws, rules or regulations, shall be exclusively settled by an arbitration proceeding conducted 
through Judicial Arbitration & Mediation Services (JAMS). The arbitration shall take place in Chester 
County, Pennsylvania, and no dispute under this Letter Agreement shall be adjudicated in any other venue 
or forum. The arbitration will be conducted in accordance with the then-current JAMS Employment 
Arbitration Rules & Procedures (and no other JAMS rules). The decision of the arbitrator shall be final 
and binding. Judgment on the award rendered by the arbitrator(s) may be entered in any court having

jurisdiction thereof. You and the Company shall split the cost of the arbitration services, and you and the 
Company shall each bear your and its own legal expenses. This Letter Agreement shall be governed by the 
laws of the State of Pennsylvania, and no modification(s) hereof may be made in the absence of a written 
document signed by the parties. This Letter Agreement constitutes the entire agreement between the 
parties and supersede all prior agreements, understandings and arrangements, oral or written, between the 
parties with respect to the subject matter hereof; provided, however, that this Letter Agreement shall not 
supersede the Special Cash Award letter agreement by and between you and Endo dated January 17, 2017; 
which shall remain in full force and effect.

Mark, thank you for your ongoing contributions and commitment to our Company as we execute our 
strategic vision and operating plans at the highest performance level in support of our customers and 
patients. Please indicate your acceptance by signing and returning one copy of this Letter Agreement to 
Larry Cunningham.

Sincerely,

/S/ BLAISE COLEMAN

Blaise Coleman
EVP & Chief Financial Officer

Signed and agreed by:

/S/ MARK BRADLEY
Mark Bradley

May 22, 2018
Date

The following is a list of significant subsidiaries of the Company as of December 31, 2019.

SUBSIDIARIES OF THE REGISTRANT

Exhibit 21.1

Jurisdiction of Incorporation or
Organization

Ownership by Endo International plc

Subsidiary

Actient Pharmaceuticals LLC

Actient Therapeutics, LLC

Anchen Pharmaceuticals 2, Inc.

Astora Women’s Health, LLC

Auxilium Pharmaceuticals, LLC

Endo Designated Activity Company

Endo Eurofin Unlimited Company

Endo Finance II Unlimited Company

Endo Finance IV Unlimited Company

Endo Finance Unlimited Company

Endo Finance LLC

Endo Finance Operations LLC

Endo Global Biologics Limited

Endo Health Solutions Inc.

Endo Ireland Finance Unlimited Company

Endo Luxembourg Finance Company I S.a r.l.

Endo Luxembourg Finance Company II S.a r.l.

Endo Luxembourg Holding Company S.a r.l.

Endo Management Limited

Endo Par Innovation Company, LLC

Endo Pharmaceuticals Inc.

Endo Pharmaceuticals Valera Inc.

Endo TopFin Limited

Endo U.S. Inc.

Endo U.S. Finance LLC

Delaware

Delaware

Delaware

Delaware

Delaware

Ireland

Ireland

Ireland

Ireland

Ireland

Delaware

Delaware

Ireland

Delaware

Ireland

Luxembourg

Luxembourg

Luxembourg

Ireland

Delaware

Delaware

Delaware

Ireland

Delaware

Delaware

Endo US Holdings Luxembourg I S.a r.l.

Luxembourg

Endo Ventures Limited

Generics Bidco I, LLC (doing business as Par Pharmaceutical)

Generics International (US Parent), Inc.

Generics International (US) 2, Inc.

Hawk Acquisition Ireland Limited

JHP Group Holdings 2, Inc.

Ireland

Delaware

Delaware

Delaware

Ireland

Delaware

Luxembourg Endo Specialty Pharmaceuticals Holding I S.a r.l.

Luxembourg

Paladin Labs Canadian Holding Inc.

Paladin Labs Inc.

Par Pharmaceutical 2, Inc.

Par Pharmaceutical Companies, Inc.

Par Pharmaceutical Holdings, Inc.

Par Pharmaceutical, Inc. (doing business as Par Pharmaceutical)

Par Sterile Products, LLC

Canada

Canada

Delaware

Delaware

Delaware

New York

Delaware

Indirect

Indirect

Indirect

Indirect

Indirect

Direct

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

Indirect

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We hereby consent to the incorporation by reference in the Registration Statements on Form S-8 (No. 333-194253, No. 
333-204958, No. 333-219806, No. 333-226677 and No. 333-233029) and Form S-3 (No. 333-226676) of Endo International 
plc of our report dated February 26, 2020 relating to the financial statements and financial statement schedule and the 
effectiveness of internal control over financial reporting, which appears in this Form 10-K.

Exhibit 23.1

/s/ PricewaterhouseCoopers LLP

Philadelphia, Pennsylvania
February 26, 2020 

POWER OF ATTORNEY 

Exhibit 24.1

Each of the undersigned, hereby constitutes and appoints each of Paul V. Campanelli, Blaise Coleman, Matthew J. Maletta and 
Yoon Ah Oh to be his or her true and lawful attorneys-in-fact and agents, with full power of each to act alone, and to sign for 
the undersigned and in each of their respective names in any and all capacities stated below, this Annual Report on Form 10-K 
(and any amendments hereto) and to file the same, with exhibits hereto and thereto and other documents in connection herewith 
and therewith, with the Securities and Exchange Commission, hereby ratifying and confirming all that each of said attorneys-
in-fact, or his or her substitute or substitutes, may do or cause to be done by virtue hereof. 

Pursuant to the requirements of the Securities Exchange Act of 1934, this Power of Attorney has been signed by the following 
persons in the capacities and on the dates indicated. 

Signature

Title

/s/ Roger H. Kimmel

Senior Independent Director

Roger H. Kimmel

/s/ Shane M. Cooke

Shane M. Cooke

Director

/s/ Nancy J. Hutson, Ph.D.

Director

Nancy J. Hutson, Ph.D.

/s/ Michael Hyatt

Michael Hyatt

Director

/s/ William P. Montague

Director

William P. Montague

Date

February 19, 2020

February 19, 2020

February 19, 2020

February 19, 2020

February 19, 2020

Exhibit 31.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER 
PURSUANT TO SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002

I, Paul V. Campanelli, certify that:

1. I have reviewed this annual report on Form 10-K of Endo International plc;

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

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

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

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be 

designed under our supervision, to ensure that material information relating to the registrant, including its consolidated 
subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is 
being prepared;

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

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our 

conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this 
report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred 

during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that 
has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial 
reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control 
over financial reporting, to the registrant’s auditors and the audit committee of registrant’s Board of Directors (or persons 
performing the equivalent functions):

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

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in 

the registrant’s internal control over financial reporting.

/S/ PAUL V. CAMPANELLI
Paul V. Campanelli
President and Chief Executive Officer
(Principal Executive Officer)

Date:

February 26, 2020

Exhibit 31.2

CERTIFICATION OF CHIEF FINANCIAL OFFICER 
PURSUANT TO SECTION 302 OF
THE SARBANES-OXLEY ACT OF 2002 

I, Blaise Coleman, certify that: 

1. I have reviewed this annual report on Form 10-K of Endo International plc;

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

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

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

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be 

designed under our supervision, to ensure that material information relating to the registrant, including its consolidated 
subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is 
being prepared;

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

c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our 

conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this 
report based on such evaluation; and

d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred 

during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that 
has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial 
reporting; and

5. The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control 
over financial reporting, to the registrant’s auditors and the audit committee of registrant’s Board of Directors (or persons 
performing the equivalent functions):

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

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in 

the registrant’s internal control over financial reporting.

/S/ BLAISE COLEMAN
Blaise Coleman
Executive Vice President, Chief Financial Officer
(Principal Financial Officer)

Date:

February 26, 2020

CERTIFICATION OF CHIEF EXECUTIVE OFFICER 
PURSUANT TO 18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

I, Paul V. Campanelli, as President and Chief Executive Officer of Endo International plc (the Company), hereby certify, 

pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Annual Report on Form 10-K of the Company for the annual period ended December 31, 2019 (the Report) 
fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m); 
and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and 

results of operations of the Company.

Name:
Title:

/S/ PAUL V. CAMPANELLI

  Paul V. Campanelli

President and Chief Executive Officer
(Principal Executive Officer)

Date: February 26, 2020 

A signed original of this written statement required by Section 906 has been provided to, and will be retained by, Endo 

International plc and furnished to the Securities and Exchange Commission or its staff upon request.

 
 
 
CERTIFICATION OF CHIEF FINANCIAL OFFICER 
PURSUANT TO 18 U.S.C. SECTION 1350,
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.2

I, Blaise Coleman, as Chief Financial Officer of Endo International plc (the Company), hereby certify, pursuant to 18 

U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1) The Annual Report on Form 10-K of the Company for the annual period ended December 31, 2019 (the Report) 
fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m); 
and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and 

results of operations of the Company.

Name:
Title:

/S/ BLAISE COLEMAN

  Blaise Coleman

Executive Vice President, Chief Financial Officer
(Principal Financial Officer)

Date: February 26, 2020 

A signed original of this written statement required by Section 906 has been provided to, and will be retained by, Endo 

International plc and furnished to the Securities and Exchange Commission or its staff upon request.