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

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form 10-Q


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

For the quarterly period ended March 31, 2024


☐			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 001-38485

Amneal Pharmaceuticals, Inc.

(Exact name of registrant as specified in its charter)


Delaware			93-4225266
(State or other jurisdiction of incorporation or organization)			(I.R.S. Employer Identification No.)
Amneal Pharmaceuticals, Inc. 400 Crossing Boulevard, Bridgewater, NJ			08807
(Address of principal executive offices)			(Zip Code)

(908) 947-3120

(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
Class A Common Stock, par value $0.01 per share	AMRX	The Nasdaq Stock Market LLC

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

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T 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

☐

Accelerated filer

☒

Non-accelerated filer

☐

Smaller reporting company

☐

Emerging growth company

☐

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

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

As of April 30, 2024, there were 308,651,373 shares of the registrant’s Class A common stock outstanding, with a par value of $0.01.

Amneal Pharmaceuticals, Inc.

Table of Contents


Cautionary Note Regarding Forward-Looking Statements			2

PART I - FINANCIAL INFORMATION
	Item 1.	Financial Statements (Unaudited)	4
		Consolidated Statements of Operations	4
		Consolidated Statements of Comprehensive Loss	5
		Consolidated Balance Sheets	6
		Consolidated Statements of Cash Flows	7
		Consolidated Statements of Changes in Stockholders' Equit y (Deficiency)	9
		Notes to Consolidated Financial Statements	10
	Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	34
	Item 3.	Quantitative and Qualitative Disclosures About Market Risk	42
	Item 4.	Controls and Procedures	42

PART II - OTHER INFORMATION
	Item 1.	Legal Proceedings	43
	Item 1A.	Risk Factors	43
	Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	43
	Item 3.	Defaults Upon Senior Securities	43
	Item 4.	Mine Safety Disclosures	43
	Item 5.	Other Information	43
	Item 6.	Exhibits	44

Signatures			45

Cautionary Note Regarding Forward-Looking Statements

This Quarterly Report on Form 10-Q and other publicly available documents of Amneal Pharmaceuticals, Inc. contain “forward-looking statements” within the meaning of the safe harbor provisions of the United States (“U.S.”) Private Securities Litigation Reform Act of 1995. Management and representatives of Amneal Pharmaceuticals, Inc. and its subsidiaries (“the Company”, “we”, “us”, or “our”) also may from time to time make forward-looking statements. Forward-looking statements do not relate strictly to historical or current facts and reflect management’s assumptions, views, plans, objectives and projections about the future. Forward-looking statements may be identified by the use of words such as “plans,” “expects,” “will,” “anticipates,” “targets,” “estimates,” and other words of similar meaning in conjunction with, among other things: discussions of future operations; expected operating results and financial performance; impact of planned acquisitions and dispositions; our strategy for growth; product development; regulatory approvals; market position and expenditures.

Because forward-looking statements are based on current beliefs, expectations and assumptions regarding future events, they are subject to uncertainties, risks and changes that are difficult to predict and many of which are outside of our control. Investors should realize that if underlying assumptions prove inaccurate, known or unknown risks or uncertainties materialize, or other factors or circumstances change, our actual results and financial condition could vary materially from expectations and projections expressed or implied in our forward-looking statements. Investors are therefore cautioned not to rely on these forward-looking statements.

Summary of Material Risks

Risks and uncertainties that make an investment in the Company speculative or risky or that could cause our actual results to differ materially from the forward-looking statements contained in this Quarterly Report on Form 10-Q include, but are not limited to:

•our ability to successfully develop, license, acquire and commercialize new products on a timely basis;

•the competition we face in the pharmaceutical industry from brand and generic drug product companies, and the impact of that competition on our ability to set prices;

•our ability to obtain exclusive marketing rights for our products;

•our revenues derived from the sales of a limited number of products, a substantial portion of which are through a limited number of customers;

•the impact of a prolonged business interruption within our supply chain;

•the continuing trend of consolidation of certain customer groups;

•our dependence on third-party suppliers and distributors for raw materials for our products and certain finished goods;

•legal, regulatory and legislative efforts by our brand competitors to deter competition from our generic alternatives;

•our dependence on information technology systems and infrastructure and the potential for cybersecurity incidents;

•our ability to attract, hire and retain highly skilled personnel;

•risks related to federal regulation of arrangements between manufacturers of branded and generic products;

•our reliance on certain licenses to proprietary technologies from time to time;

•the significant amount of resources we expend on research and development (“R&D”);

•the risk of claims brought against us by third parties such as those described in Note 17. Commitments and Contingencies - Other Litigation Related to the Company’s Business;

•risks related to changes in the regulatory environment, including U.S. federal and state laws related to healthcare fraud abuse and health information privacy and security and changes in such laws;

•changes to Food and Drug Administration (“FDA”) product approval requirements;

•the impact of healthcare reform and changes in coverage and reimbursement levels by governmental authorities and other third-party payers;

•our dependence on third-party agreements for a portion of our product offerings;

•our substantial amount of indebtedness and our ability to generate sufficient cash to service our indebtedness in the future, and the impact of interest rate fluctuations on such indebtedness;

•our potential expansion into additional international markets subjecting us to increased regulatory, economic, social and political uncertainties;

•our ability to identify, make and integrate acquisitions or investments in complementary businesses and products on advantageous terms;

•the impact of global economic, political or other catastrophic events;

•our obligations under a tax receivable agreement may be significant;

•the high concentration of ownership of our Class A common stock and the fact that we are controlled by the Amneal Group (as defined in Item 1. Business in the Company’s 2023 Annual Report on Form 10-K); and

•such other factors as may be set forth elsewhere in the Company's Annual Report on Form 10-K for the year ended December 31, 2023, particularly in the section entitled 1A. Risk Factors and our public filings with the SEC.

Investors should carefully read our Annual Report on Form 10-K for the year ended December 31, 2023, including the section 1A. Risk Factors, for a description of certain risks that could, among other things, cause our actual results to differ materially from those expressed in our forward-looking statements. Investors should understand that it is not possible to predict or identify all such factors and should not consider the risks described herein and in our Annual Report to be a complete statement of all potential risks and uncertainties. The Company does not undertake to publicly update any forward-looking statement that may be made from time to time, whether as a result of new information or future events or developments.

PART I - FINANCIAL INFORMATION

Item 1. Financial Statements (Unaudited)

Amneal Pharmaceuticals, Inc.

Consolidated Statements of Operations

(unaudited; in thousands, except per share amounts)


	Three Months Ended March 31,
	2024		2023
Net revenue	$	659,191	$	557,540
Cost of goods sold	421,131		379,354
Gross profit	238,060		178,186
Selling, general and administrative	112,595		102,096
Research and development	39,298		38,690
Intellectual property legal development expenses	984		1,644
Restructuring and other charges	1,470		510
Change in fair value of contingent consideration	100		2,457
Charges (credit) related to legal matters, net	94,359		(436)
Other operating income	—		(1,224)
Operating (loss) income	(10,746)		34,449
Other (expense) income:
Interest expense, net	(65,703)		(49,315)
Foreign exchange (loss) gain, net	(1,197)		1,901
Increase in tax receivable agreement liability	(1,948)		(826)
Other income, net	4,072		4,365
Total other expense, net	(64,776)		(43,875)
Loss before income taxes	(75,522)		(9,426)
Provision for income taxes	6,156		668
Net loss	(81,678)		(10,094)
Less: Net (income) loss attributable to non-controlling interests	(9,965)		3,151
Net loss attributable to Amneal Pharmaceuticals, Inc.	$	(91,643)	$	(6,943)

Net loss per share attributable to Amneal Pharmaceuticals, Inc.'s Class A common stockholders:
Basic and diluted	$	(0.30)	$	(0.05)
Weighted-average common shares outstanding:
Basic and diluted	307,279		152,109

The accompanying notes are an integral part of these consolidated financial statements.

Amneal Pharmaceuticals, Inc.

Consolidated Statements of Comprehensive Loss

(unaudited; in thousands)


	Three Months Ended March 31,
	2024		2023
Net loss	$	(81,678)	$	(10,094)
Less: Net (income) loss attributable to non-controlling interests	(9,965)		3,151
Net loss attributable to Amneal Pharmaceuticals, Inc.	(91,643)		(6,943)
Other comprehensive (loss) income:
Foreign currency translation adjustments arising during the period	(390)		1,797
Unrealized gain (loss) on cash flow hedge, net of tax of $0	15,543		(14,270)
Reclassification of cash flow hedge to earnings, net of tax of $0	(6,515)		—
Less: Other comprehensive loss attributable to non-controlling interests	—		6,236
Other comprehensive income (loss) attributable to Amneal Pharmaceuticals, Inc.	8,638		(6,237)
Comprehensive loss attributable to Amneal Pharmaceuticals, Inc.	$	(83,005)	$	(13,180)

The accompanying notes are an integral part of these consolidated financial statements.

Amneal Pharmaceuticals, Inc.

Consolidated Balance Sheets

(unaudited; in thousands, except per share amounts)


	March 31, 2024		December 31, 2023
Assets
Current assets:
Cash and cash equivalents	$	46,520	$	91,542
Restricted cash	5,097		7,565
Trade accounts receivable, net	668,955		613,732
Inventories	570,653		581,384
Prepaid expenses and other current assets	87,298		82,685
Related party receivables	1,521		955
Total current assets	1,380,044		1,377,863
Property, plant and equipment, net	439,815		447,574
Goodwill	598,549		598,629
Intangible assets, net	859,272		890,423
Operating lease right-of-use assets	32,970		30,329
Operating lease right-of-use assets - related party	12,468		12,954
Financing lease right-of-use assets	59,532		59,280
Other assets	73,747		55,517
Total assets	$	3,456,397	$	3,472,569
Liabilities and Stockholders' (Deficiency) Equity
Current liabilities:
Accounts payable and accrued expenses	$	558,518	$	534,662
Current portion of liabilities for legal matters	30,130		76,988
Revolving credit facility	179,000		179,000
Current portion of long-term debt, net	33,660		34,125
Current portion of operating lease liabilities	9,508		9,207
Current portion of operating lease liabilities - related party	3,192		2,825
Current portion of financing lease liabilities	3,305		2,467
Related party payables - short term	17,075		7,321
Total current liabilities	834,388		846,595
Long-term debt, net	2,377,707		2,386,004
Note payable - related party	41,893		41,447
Operating lease liabilities	26,786		24,095
Operating lease liabilities - related party	11,969		12,787
Financing lease liabilities	58,809		58,566
Related party payables - long term	11,394		11,776
Liabilities for legal matters - long term	85,479		316
Other long-term liabilities	24,579		29,679
Total long-term liabilities	2,638,616		2,564,670
Commitments and contingencies (Notes 4 and 17)
Redeemable non-controlling interests	47,022		41,293
Stockholders' (Deficiency) Equity
Preferred stock, $0.01 par value, 2,000 shares authorized at both March 31, 2024 and December 31, 2023; none issued at both March 31, 2024 and December 31, 2023	—		—
Class A common stock, $0.01 par value, 900,000 shares authorized at both March 31, 2024 and December 31, 2023; 308,623 and 306,565 shares issued at March 31, 2024 and December 31, 2023, respectively	3,086		3,066
Class B common stock, $0.01 par value, 300,000 shares authorized at both March 31, 2024 and December 31, 2023; none issued at both March 31, 2024 and December 31, 2023	—		—
Additional paid-in capital	538,720		539,240
Stockholders' accumulated deficit	(581,819)		(490,176)
Accumulated other comprehensive loss	(23,711)		(32,349)
Total Amneal Pharmaceuticals, Inc. stockholders' (deficiency) equity	(63,724)		19,781
Non-controlling interests	95		230
Total stockholders' (deficiency) equity	(63,629)		20,011
Total liabilities and stockholders' (deficiency) equity	$	3,456,397	$	3,472,569

The accompanying notes are an integral part of these consolidated financial statements.

Amneal Pharmaceuticals, Inc.

Consolidated Statements of Cash Flows

(unaudited; in thousands)


	Three Months Ended March 31,
	2024		2023
Cash flows from operating activities:
Net loss	$	(81,678)	$	(10,094)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:
Depreciation and amortization	55,528		58,150
Unrealized foreign currency loss (gain)	1,511		(1,987)
Amortization of debt issuance costs and discount	288		2,058
Intangible asset impairment charges	920		—
Change in fair value of contingent consideration	100		2,457
Stock-based compensation	6,722		7,596
Inventory provision	22,923		25,204
Other operating charges and credits, net	1,250		2,047
Changes in assets and liabilities:
Trade accounts receivable, net	(55,173)		195,970
Inventories	(12,200)		(22,508)
Prepaid expenses, other current assets and other assets	(11,708)		29,160
Related party receivables	(562)		470
Accounts payable, accrued expenses and other liabilities	62,174		(150,483)
Related party payables	5,495		1,672
Net cash (used in) provided by operating activities	(4,410)		139,712
Cash flows from investing activities:
Purchases of property, plant and equipment	(9,198)		(9,688)
Acquisition of intangible assets	(9,700)		(338)
Deposits for future acquisition of property, plant and equipment	(862)		(1,711)
Net cash used in investing activities	(19,760)		(11,737)
Cash flows from financing activities:
Payments of principal on debt, revolving credit facilities, financing leases and other	(63,377)		(72,659)
Borrowings on revolving credit facilities	48,000		80,000
Proceeds from exercise of stock options	28		—
Employee payroll tax withholding on restricted stock unit vesting	(7,212)		(2,022)
Tax distributions to non-controlling interests	(594)		(18,219)
Net cash used in financing activities	(23,155)		(12,900)
Effect of foreign exchange rate on cash	(165)		767
Net (decrease) increase in cash, cash equivalents, and restricted cash	(47,490)		115,842
Cash, cash equivalents, and restricted cash - beginning of period	99,107		35,227
Cash, cash equivalents, and restricted cash - end of period	$	51,617	$	151,069
Cash and cash equivalents - end of period	$	46,520	$	144,674
Restricted cash - end of period	5,097		6,395
Cash, cash equivalents, and restricted cash - end of period	$	51,617	$	151,069

The accompanying notes are an integral part of these consolidated financial statements.

Amneal Pharmaceuticals, Inc.

Consolidated Statements of Cash Flows (continued)

(unaudited; in thousands)


	Three Months Ended March 31,
	2024		2023
Supplemental disclosure of cash flow information:
Cash paid for interest	$	64,514	$	41,066
Cash (paid) received, net for income taxes	$	(4,567)	$	3,421

Supplemental disclosure of non-cash investing and financing activity:
Tax distributions to non-controlling interests	$	3,777	$	11,548

The accompanying notes are an integral part of these consolidated financial statements.

Amneal Pharmaceuticals, Inc.

Consolidated Statements of Changes in Stockholders’ Equity (Deficiency)

(unaudited; in thousands)


	New PubCo
	Class A Common Stock			Additional Paid-in Capital		Stockholders' Accumulated Deficit		Accumulated Other Comprehensive Loss		Non- Controlling Interests		Total Equity (Deficiency)		Redeemable Non-Controlling Interests
	Shares	Amount
Balance at December 31, 2023	306,565	$	3,066	$	539,240	$	(490,176)	$	(32,349)	$	230	$	20,011	$	41,293
Net (loss) income	—	—		—		(91,643)		—		(135)		(91,778)		10,100
Foreign currency translation adjustments	—	—		—		—		(390)		—		(390)		—
Stock-based compensation	—	—		6,722		—		—		—		6,722		—
Exercise of stock options	10	—		28		—		—		—		28		—
Restricted stock unit vesting, net of shares withheld to cover payroll taxes	2,048	20		(7,270)		—		—		—		(7,250)		—
Unrealized gain on cash flow hedge, net of tax of $0	—	—		—		—		15,543		—		15,543		—
Tax distributions, net	—	—		—		—		—		—		—		(4,371)
Reclassification of cash flow hedge to earnings, net of tax of $0	—	—		—		—		(6,515)		—		(6,515)		—
Balance at March 31, 2024	308,623	$	3,086	$	538,720	$	(581,819)	$	(23,711)	$	95	$	(63,629)	$	47,022


	Old PubCo
	Class A Common Stock			Class B Common Stock			Additional Paid-in Capital		Stockholders' Accumulated Deficit		Accumulated Other Comprehensive Income		Non- Controlling Interests		Total Equity		Redeemable Non-Controlling Interests
	Shares	Amount		Shares	Amount
Balance at December 31, 2022	151,490	$	1,514	152,117	$	1,522	$	691,629	$	(406,183)	$	9,939	$	(114,442)	$	183,979	$	24,949
Net (loss) income	—	—		—	—		—		(6,943)		—		(8,688)		(15,631)		5,537
Foreign currency translation adjustments	—	—		—	—		—		—		898		899		1,797		—
Stock-based compensation	—	—		—	—		7,596		—		—		—		7,596		—
Restricted stock unit vesting, net of shares withheld to cover payroll taxes	1,831	18		—	—		1,497		—		62		(3,572)		(1,995)		—
Unrealized loss on cash flow hedge, net of tax of $0	—	—		—	—		—		—		(7,135)		(7,135)		(14,270)		—
Tax distributions	—	—		—	—		—		—		—		(26,808)		(26,808)		(2,959)
Balance at March 31, 2023	153,321	$	1,532	152,117	$	1,522	$	700,722	$	(413,126)	$	3,764	$	(159,746)	$	134,668	$	27,527

The accompanying notes are an integral part of these consolidated financial statements.

Amneal Pharmaceuticals, Inc.

Notes to Consolidated Financial Statements

(unaudited)

1. Nature of Operations

Amneal Pharmaceuticals, Inc. (the “Company”) is a global pharmaceutical company that develops, manufactures, markets, and distributes a diverse portfolio of essential medicines, including retail generics, injectables, and biosimilars in our Generics segment and specialty branded pharmaceuticals. The Company operates principally in the United States (“U.S.”), India, and Ireland, and sells to wholesalers, distributors, hospitals, governmental agencies, chain pharmacies and individual pharmacies, either directly or indirectly. The Company is a holding company whose principal assets are 100% of the common units of Amneal Pharmaceuticals, LLC (“Amneal”).

2. Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited consolidated financial statements, which are prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”), should be read in conjunction with the Company’s annual audited financial statements for the year ended December 31, 2023 included in the Company’s 2023 Annual Report on Form 10-K. Certain information and footnote disclosures normally included in annual financial statements have been omitted from the accompanying unaudited consolidated financial statements. In the opinion of management, the accompanying unaudited consolidated financial statements contain all adjustments, consisting of only normal recurring adjustments, necessary for a fair statement of the Company’s financial position as of March 31, 2024, cash flows for the three months ended March 31, 2024 and 2023 and the results of its operations, its comprehensive loss and its changes in stockholders’ equity (deficiency) for the three months ended March 31, 2024 and 2023. The consolidated balance sheet data at December 31, 2023 was derived from the Company’s audited annual financial statements, but does not include all disclosures required by U.S. GAAP.

Except for the updates included in this note, the accounting policies of the Company are set forth in Note 2. Summary of Significant Accounting Policies contained in the Company’s 2023 Annual Report on Form 10-K.

Use of Estimates

The preparation of financial statements requires the Company's management to make estimates and assumptions that affect the reported financial position at the date of the financial statements and the reported results of operations during the reporting period. Such estimates and assumptions affect the reported amounts of assets, liabilities, revenues and expenses, and disclosure of contingent assets and liabilities in the consolidated financial statements and accompanying notes. The following are some, but not all, of such estimates: the determination of chargebacks, sales returns, rebates, valuation of intangible and other assets acquired in business combinations, allowances for accounts receivable, accrued liabilities, liabilities for legal matters, contingent liabilities, initial and subsequent valuation of contingent consideration recognized in business combinations, stock-based compensation, valuation of inventory balances, the determination of useful lives for product rights and the assessment of expected cash flows used in evaluating goodwill and other long-lived assets for impairment. Actual results could differ from those estimates.

Reclassification

The prior period balance related to the TRA (as defined in Note 5. Income Taxes) of $0.8 million, formerly included in other income, net for the three months ended March 31, 2023, has been reclassified to the income statement caption “increase in tax receivable agreement liability” to conform to the current period presentation in the consolidated statements of operations. This reclassification did not impact total other expense, net or net loss.

The prior period balance related to long-term liabilities for legal matters of $0.3 million, formerly included in other long-term liabilities as of December 31, 2023, has been reclassified to the balance sheet caption “liabilities for legal matters - long term” to conform to the current period presentation in the consolidated balance sheets. This reclassification did not impact total long-term liabilities or total liabilities.

Recently Issued Accounting Pronouncements

In November 2023, the Financial Accounting Standards Board (the “FASB”) issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which provides improvements to reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. ASU 2023-07 requires disclosures to include the title and position of the chief operating decision maker (“CODM”), significant segment expenses that are regularly provided to the CODM, a description of other segment items by reportable segment, and any additional measures of a segment’s profit or loss used by the CODM when deciding how to allocate resources. ASU 2023-07 also requires all annual disclosures currently required by Topic 280 to be included in interim periods. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted and requires retrospective application to all prior periods presented in the financial statements. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which enhances the transparency and usefulness of income tax disclosures. ASU 2023-09 requires that public business entities on an annual basis disclose specific categories in the rate reconciliation and provide additional information for reconciling items that meet a quantitative threshold. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted for annual financial statements that have not yet been issued or made available for issuance. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements.

3. Revenue Recognition

The Company recognizes revenue in accordance with Accounting Standards Codification Topic 606, Revenue from Contracts with Customers (“ASC 606”). Revenue is recognized when the Company transfers control of its products to the customer, which typically occurs at a point-in-time, either upon shipment or delivery. Substantially all of the Company’s net revenues relate to products which are transferred to the customer at a point-in-time.

License Agreements

Refer to Note 4. Alliance and Collaboration for further information related to revenue recognition associated with license agreements.

Concentration of Revenue

The following table summarizes revenues from each of the Company’s customers which individually accounted for 10% or more of its total net revenue:


	Three Months Ended March 31,
	2024		2023
Customer A	21	%	22	%
Customer B	15	%	14	%
Customer C	23	%	20	%
Customer D	10	%	9	%

Disaggregated Revenue

The Company’s significant therapeutic classes for its Generics and Specialty segments and sales channels for its AvKARE segment, as determined based on net revenue for the three months ended March 31, 2024 and 2023, are set forth below (in thousands):


		Three Months Ended March 31,
		2024		2023
Generics
	Anti-infective	$	6,110	$	5,174
	Hormonal / allergy	107,714		104,851
	Antiviral	3,866		25,474
	Central nervous system	109,456		84,582
	Cardiovascular system	45,878		32,503
	Gastroenterology	18,197		14,364
	Oncology	38,533		10,578
	Metabolic disease / endocrine	11,185		9,265
	Respiratory	11,136		12,815
	Dermatology	18,975		18,004
	Other therapeutic classes	18,523		25,895
	International and other	1,721		301
	Total Generics net revenue	391,294		343,806
Specialty
	Hormonal / allergy	29,375		24,763
	Central nervous system	66,276		60,139
	License agreement (1)	4,479		—
	Other therapeutic classes	5,104		6,776
	Total Specialty net revenue	105,234		91,678
AvKARE
	Distribution	109,713		83,230
	Government label	34,952		24,516
	Institutional	10,858		8,862
	Other	7,140		5,448
	Total AvKARE net revenue	162,663		122,056
	Total net revenue	$	659,191	$	557,540

(1)Refer to Note 4. Alliance and Collaboration for information on revenue recognized under a license agreement.

A rollforward of the major categories of sales-related deductions for the three months ended March 31, 2024 is as follows (in thousands):


	Contract Charge - Backs and Sales Volume Allowances		Cash Discount Allowances		Accrued Returns Allowance		Accrued Medicaid and Commercial Rebates
Balance at December 31, 2023	$	559,334	$	23,892	$	136,486	$	90,690
Provision related to sales recorded in the period	885,322		30,073		16,220		61,271
Credits/payments issued during the period	(987,202)		(26,550)		(15,598)		(55,250)
Balance at March 31, 2024	$	457,454	$	27,415	$	137,108	$	96,711

4. Alliance and Collaboration

The Company has entered into several alliance, collaboration, license, distribution and similar agreements with respect to certain of its products and services with third-party pharmaceutical companies. The consolidated statements of operations include revenue recognized under agreements the Company has entered into to develop marketing and/or distribution relationships with its partners to fully leverage the technology platform and revenue recognized under development agreements which generally obligate the Company to provide R&D services over multiple periods. The Company’s significant arrangements are discussed below.

Orion Corporation License Agreement

On December 28, 2022, Amneal signed a long-term license agreement with Orion Corporation (“Orion”), a globally operating Finnish pharmaceutical company, to commercialize a number of its complex generic products in most parts of Europe, Australia and New Zealand (the “Orion Agreement”). The initial term of the Orion Agreement commences upon commercial launch of the products and will continue for eight years. The Orion Agreement will automatically renew for successive two-year terms unless either party declines such renewal in writing at least one year in advance.

During both the three months ended March 31, 2024 and 2023, the Company recognized $0.6 million as a reduction to R&D expense related to services performed under the Orion Agreement. As of March 31, 2024, deferred income of $10.7 million and $1.2 million was recorded in accounts payable and accrued expenses and other long-term liabilities, respectively. As of December 31, 2023, deferred income of $7.8 million and $4.7 million was recorded in accounts payable and accrued expenses and other long-term liabilities, respectively. As of March 31, 2024, no products have been supplied by Amneal under the Orion Agreement. Refer to Note 5. Alliance and Collaboration in our 2023 Annual Report on Form 10-K for additional information.

ONGENTYS® License Agreement

On December 5, 2023, the Company entered into a license agreement with BIAL-Portela & Ca., S.A. (“BIAL”) for the exclusive royalty-free right to market and distribute ONGENTYS® (opicapone) in the U.S. starting on December 18, 2023 and ending at such time when generic opicapone sales reach certain predetermined thresholds (the “BIAL License Agreement”). ONGENTYS® is BIAL’s proprietary, once-daily, peripherally-acting, highly-selective catechol-O-methyltransferase inhibitor approved by the FDA in 2020 as an add-on treatment to carbidopa/levodopa in patients with Parkinson’s disease experiencing “Off” episodes. Under the BIAL Agreement, the Company is responsible for commercialization and marketing of ONGENTYS® in the U.S. and BIAL is responsible for manufacturing and supply. The BIAL Agreement also requires the Company to spend a minimum of $6.0 million in medical and marketing activities directly related to ONGENTYS®. The Company commenced distribution of ONGENTYS® during the three months ended March 31, 2024.

During December 2023, the Company paid a nonrefundable license fee of $12.5 million to BIAL, which was capitalized as an intangible asset and will be amortized to cost of sales over a period of eight years. The BIAL License Agreement provides for potential future milestone payments totaling $22.5 million, depending on cumulative net sales of ONGENTYS®.

Knight Therapeutics International S.A. License Agreement

On January 24, 2024, the Company entered into a 15-year license, distribution and supply agreement with Knight Therapeutics International S.A. (“Knight”) granting Knight the exclusive rights to seek regulatory approval and commercialize IPX203 in Canada and Latin America (the “Knight License Agreement”). The Knight License Agreement will automatically renew for successive two-year periods unless either party provides notice declining such renewal at least one year in advance of any such renewal.

Knight will be responsible for the performance of all R&D activities, regulatory approval, commercialization, and marketing activities for the territories in the agreement to be conducted to obtain regulatory approval for each product. Upon achieving regulatory approval for products, Amneal will be responsible for manufacturing and supplying products to Knight.

On February 26, 2024, the Company received a nonrefundable license fee of $1.0 million from Knight, which was recorded as net revenue for the three months ended March 31, 2024. The Knight License Agreement provides for potential future milestone payments totaling $10.5 million, contingent upon regulatory approval, launch dates and cumulative net sales targets by Knight. The agreement also includes low-double digit royalty payments based on net sales of IPX203.

License Agreement with Zambon Biotech

On February 23, 2024, the Company entered into a license, distribution and supply agreement with Zambon Biotech S.A. (“Zambon”) granting Zambon the exclusive rights to seek regulatory approval and commercialize IPX203 in Europe (the “Zambon License Agreement”). The term for the Zambon License Agreement is 15 years commencing from the commercial launch of the product, which can automatically renew for successive two-year periods unless either party provides notice declining such renewal at least one year in advance of any such renewal. Zambon will be responsible for the performance of all R&D activities, regulatory approval, commercialization, and marketing activities for the territories in the agreement to be conducted to obtain regulatory approval for each product. Upon achieving regulatory approval for products, Amneal will be responsible for manufacturing and supplying products to Zambon.

In connection with the execution of the agreement, the Company was entitled to a non-refundable license fee of €5.0 million, or $5.4 million, which was received in April 2024. Of the license fee, the Company allocated €3.2 million, or $3.5 million, to the delivery of a functional license, which was recorded as net revenue during the three months ended March 31, 2024. In addition, the Company is eligible to receive future milestone payments totaling €71.5 million, or $77.2 million, from Zambon, contingent upon regulatory approval of the product, and achievement of certain annual net sales targets by Zambon. The Zambon License Agreement also includes single-digit to low-double digit royalty payments based on net sales of IPX203.

Biosimilar Licensing and Supply Agreement

Bevacizumab

On May 7, 2018, the Company entered into a licensing and supply agreement with mAbxience S.L. (“mAbxience”), for its biosimilar candidate for Avastin® (bevacizumab). The supply agreement was subsequently amended on March 2, 2021 and the licensing agreement was amended on March 4, 2021. Pursuant to the agreement, the Company will be the exclusive partner in the U.S. market and pay up-front, development and regulatory milestone payments as well as commercial milestone payments on reaching pre-agreed sales targets in the market to mAbxience, up to $78.3 million.

On April 13, 2022, the FDA approved the Company’s biologics license application for bevacizumab-maly, a biosimilar referencing Avastin®. In connection with this regulatory approval and associated activity, the Company paid milestones of $26.5 million during the year ended December 31, 2022, which were capitalized as product rights intangible assets and are being amortized to cost of sales over their estimated useful lives of seven years. During the three months ended March 31, 2024, the Company paid a sales-based milestone of $9.5 million, which was capitalized as a product rights intangible asset and is being amortized to cost of sales.

Denosumab

On October 12, 2023, the Company entered into a licensing and supply agreement with mAbxience to be the exclusive U.S. partner for two denosumab biosimilars referencing both Prolia® and XGEVA®. Denosumab is a monoclonal antibody drug that inhibits bone reabsorption. It is indicated for two major categories of therapy: bone metastasis from various forms of cancer and prevention of bone pain and fractures, including osteoporosis-related injuries. mAbxience is responsible for the clinical and regulatory approval for the two products and regulatory fees will be shared by the parties. Upon approval of each product, mAbxience will be responsible for supply and the Company will be responsible for commercialization.

During the year ended December 31, 2023, the Company recorded R&D expense for a $2.5 million payment made upon execution of the agreement and an additional $2.5 million for a developmental milestone. During the three months ended March 31, 2024, the Company recorded R&D expense for a $3.0 million payment made for a clinical milestone. The agreement provides for potential future milestone payments to mAbxience of up to $66.0 million as follows: (i) up to $3.5 million relating to clinical and developmental milestones; (ii) up to $15.0 million for regulatory approval and initial commercial launch milestones; and (iii) up to $47.5 million for the achievement of annual commercial milestones.

Agreements with Kashiv Biosciences, LLC

For details on the Company’s related party agreements with Kashiv Biosciences, LLC (“Kashiv”), refer to Note 19. Related Party Transactions in this Form 10-Q and Note 24. Related Party Transactions in the Company’s 2023 Annual Report on Form 10-K.

5. Income Taxes

For the three months ended March 31, 2024, the Company’s provision for income taxes and effective tax rate were $6.2 million and (8.2)%, respectively, as compared to $0.7 million and (7.1)%, respectively, for the three months ended March 31, 2023. For the three months ended March 31, 2024, the period-over-period change in the provision for income taxes was primarily related to changes in the jurisdictional mix of income.

The Company recorded deferred tax assets for (i) its outside basis difference in its investment in Amneal on May 4, 2018, (ii) the net operating loss of Impax Laboratories, Inc., which was acquired by the Company in 2018, from January 1, 2018 through May 4, 2018, (iii) certain federal and state credits, and (iv) interest carryforwards of Impax that were attributable to the Company.

The Company records its valuation allowances against its deferred tax assets (“DTAs”) when it is more likely than not that all or a portion of a DTA will not be realized. The Company routinely evaluates the realizability of its DTAs by assessing the likelihood that its DTAs will be recovered based on all available positive and negative evidence, including scheduled reversals of deferred tax liabilities, estimates of future taxable income, tax planning strategies and results of operations. Estimating future taxable income is inherently uncertain and requires judgment. In projecting future taxable income, the Company considers its historical results and incorporates certain assumptions, including projected new product launches, revenue growth, and operating margins, among others.

The Company established a valuation allowance on its DTAs based upon all available objective and verifiable evidence, both positive and negative, including historical levels of pre-tax income (loss) both on a consolidated basis and tax reporting entity basis, legislative developments, expectations and risks associated with estimates of future pre-tax income, and prudent and feasible tax planning strategies. Since first establishing a valuation allowance, the Company has generated cumulative consolidated three-year pre-tax losses through March 31, 2024. As a result of the losses through March 31, 2024, the Company determined that it is more likely than not that it will not realize the benefits of its gross DTAs and therefore maintained its valuation allowance. As of March 31, 2024 and December 31, 2023, this valuation allowance was $566.0 million and $566.5 million, respectively, and reduced the carrying value of these gross DTAs to zero.

In 2018, the Company entered into a tax receivable agreement (“TRA”) for which it was generally required to pay the holders of Amneal common units on a one-to-one basis, 85% of the applicable tax savings, if any, in U.S. federal and state income tax that it is deemed to realize as a result of certain tax attributes of their Amneal common units sold to the Company (or exchanged in a taxable sale) and that are created as a result of (i) the sales of their Amneal common units for shares of Class A common stock of the Company prior to the Reorganization (as defined in Note 1. Nature of Operations in our 2023 Annual Report on Form 10-K) and (ii) tax benefits attributable to payments made under the TRA. In conjunction with the valuation allowance recorded on the DTAs, the Company reversed the accrued TRA liability of $192.8 million during 2019. As part of the Reorganization, the TRA was amended to reduce the Company’s future obligation to pay 85% of the tax benefits subject to the TRA to 75% of such realized benefits. This agreement will not cause the acceleration of payments under the TRA.

As noted above, the Company has determined it is more-likely-than-not it will be unable to utilize its DTAs subject to the TRA; therefore, as of March 31, 2024 and December 31, 2023, the Company has not recognized the contingent liability under the TRA related to the tax savings it may realize from common units sold or exchanged. If utilization of these DTAs becomes more-likely-than-not in the future, at such time, these TRA liabilities (which amounted to approximately $185.0 million at March 31, 2024 and December 31, 2023) will be recorded through charges in the Company’s consolidated statements of operations.

The timing and amount of any payments under the TRA may vary depending on the timing of the Company’s taxable income and the tax rate in effect at the time of realization of the Company’s taxable income. Under certain conditions, such as a change of control or other early termination event, the Company could be obligated to make TRA payments in advance of tax benefits being realized. Payments could also be in excess of the tax savings that the Company may ultimately realize.

Although the DTAs were not determined to be realizable as of March 31, 2024 and December 31, 2023, the Company assessed that a TRA liability of $5.7 million and $3.8 million at those dates, respectively, had become probable. For the three months ended March 31, 2024 and 2023, the Company recorded expenses associated with the TRA of $1.9 million and $0.8 million, respectively. In future periods, the Company will continue to evaluate whether any future TRA payments become probable and can be estimated and, if so, an estimate of payment will be accrued.

Any future recognition of these TRA liabilities will be recorded through charges in the Company’s consolidated statements of operations. However, if the tax attributes are not utilized in future years, it is reasonably possible no amounts would be paid under the TRA in excess of the $5.7 million accrued as of March 31, 2024. Should the Company determine that a DTA with a

valuation allowance is realizable in a subsequent period, the related valuation allowance will be reversed and, if a resulting TRA payment is determined to be probable, a corresponding TRA liability will be recorded.

The Company continuously monitors government proposals to make changes to tax laws, including proposed legislation in certain foreign jurisdictions resulting from the adoption of the Organization for Economic Cooperation and Development (“OECD”) policies (refer to Note 7. Income Taxes in the Company’s 2023 Annual Report on Form 10-K). The OECD has issued a two-pillar approach to global taxation, focusing on global profit allocation and a global minimum tax rate of at least 15%. Legislation for the “Pillar Two” proposal, applying to the Company, has been enacted in Ireland, and it is effective with the financial year beginning on January 1, 2024. As the tax rates the other jurisdictions in which the Company operates exceed 15%, the Company does not believe there is any potential additional exposure besides in Ireland.

Since Pillar Two taxes are an alternative minimum tax, deferred taxes will not need to be recorded or remeasured as a result of Pillar Two taxes. Instead, Pillar Two taxes will be expensed as incurred. For interim tax provision purposes, the Pillar Two tax related to Ireland taxes is included in the calculation of the Company’s provision for income taxes.

6. Loss per Share

Following the implementation of the Reorganization on November 7, 2023, all outstanding shares of Old PubCo Class A common stock and Old PubCo Class B common stock were exchanged for an equivalent number of shares of Class A common stock of the Company.

Basic loss per share of the Company’s Class A common stock is computed by dividing net loss attributable to Amneal Pharmaceuticals, Inc. by the weighted-average number of shares of Class A common stock outstanding during the period. Diluted loss per share of Class A common stock is computed by dividing net loss attributable to Amneal Pharmaceuticals, Inc. by the weighted-average number of shares of Class A common stock outstanding, adjusted to give effect to potentially dilutive securities. The weighted-average number of shares of Class A common stock for all periods prior to the Reorganization includes shares of Old PubCo Class A common stock.

The following table sets forth reconciliations of the numerators and denominators used to compute basic and diluted loss per share of Class A common stock (in thousands, except per share amounts):


	Three Months Ended March 31,
	2024		2023
Numerator:
Net loss attributable to Amneal Pharmaceuticals, Inc.	$	(91,643)	$	(6,943)
Denominator:
Weighted-average shares outstanding - basic and diluted	307,279		152,109
Net loss per share attributable to Amneal Pharmaceuticals, Inc.’s Class A common stockholders:
Basic and diluted	$	(0.30)	$	(0.05)

Prior to the Reorganization, shares of Old PubCo Class B common stock did not share in the losses of the Company and, therefore, were not participating securities. As such, separate presentation of basic and diluted loss per share of Old PubCo Class B common stock under the two-class method was not presented. Effective with the Reorganization, all outstanding shares of Old PubCo Class B common stock were surrendered and canceled.

The following table presents potentially dilutive securities excluded from the computations of diluted loss per share of Class A common stock (in thousands):


	Three Months Ended March 31,
	2024		2023
Stock options	2,406	(1)	2,632	(1)
Restricted stock units	10,837	(1)	11,576	(1)
Performance stock units	7,827	(1)	7,018	(1)
Shares of Old PubCo Class B common stock	—		152,117	(2)

(1)Excluded from the computation of diluted loss per share of Class A common stock because the effect of their inclusion would have been anti-dilutive since there was a net loss attributable to the Company during the period.

(2)Shares of Old PubCo Class B common stock were considered potentially dilutive shares of Old PubCo Class A common stock. Shares of Old PubCo Class B common stock were excluded from the computations of diluted loss per share of Class A common stock for the three months ended March 31, 2023 because the effect of their inclusion would have been anti-dilutive under the if-converted method.

7. Trade Accounts Receivable, Net

Trade accounts receivable, net was comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Gross accounts receivable	$	1,156,861	$	1,199,980
Allowance for credit losses	(3,037)		(3,022)
Contract charge-backs and sales volume allowances	(457,454)		(559,334)
Cash discount allowances	(27,415)		(23,892)
Subtotal	(487,906)		(586,248)
Trade accounts receivable, net	$	668,955	$	613,732

Concentration of Receivables

Trade accounts receivable from customers representing 10% or more of the Company’s total trade accounts receivable were as follows:


	March 31, 2024		December 31, 2023
Customer A	32	%	40	%
Customer B	29	%	24	%
Customer C	23	%	22	%

8. Inventories

Inventories were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Raw materials	$	196,737	$	217,744
Work in process	57,924		59,563
Finished goods	315,992		304,077
Total inventories	$	570,653	$	581,384

9. Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Deposits and advances	$	1,935	$	2,200
Prepaid insurance	4,780		8,334
Prepaid regulatory fees	4,219		6,331
Income and other tax receivables	12,198		13,168
Prepaid taxes	9,205		11,899
Other current receivables	12,802		9,929
Chargebacks receivable (1)	8,575		7,876
Other prepaid assets	33,584		22,948
Total prepaid expenses and other current assets	$	87,298	$	82,685

(1)When a sale occurs on a contract item in the Company’s AvKARE segment, the difference between the cost paid to the manufacturer by the Company and the contract cost that the end customer has with the manufacturer is rebated back to the Company by the manufacturer. The Company establishes a chargeback receivable and a reduction to cost of goods sold in the same period as the related sale.

10. Goodwill and Other Intangible Assets

The changes in goodwill for the three months ended March 31, 2024 and for the year ended December 31, 2023 were as follows (in thousands):


	March 31, 2024		December 31, 2023
Balance, beginning of period	$	598,629	$	598,853
Currency translation	(80)		(224)
Balance, end of period	$	598,549	$	598,629

As of March 31, 2024, $366.3 million, $162.7 million, and $69.5 million of goodwill was allocated to the Specialty, Generics, and AvKARE segments, respectively. As of December 31, 2023, $366.3 million, $162.8 million, and $69.5 million of goodwill was allocated to the Specialty, Generics, and AvKARE segments, respectively.

Intangible assets as of March 31, 2024 and December 31, 2023 were comprised of the following (in thousands):


	March 31, 2024							December 31, 2023
	Weighted-Average Amortization Period (in years)	Cost		Accumulated Amortization		Net		Cost		Accumulated Amortization		Net
Amortizing intangible assets:
Product rights	6.2	$	1,207,469	$	(739,351)	$	468,118	$	1,198,971	$	(703,297)	$	495,674
Other intangible assets	3.1	111,800		(76,491)		35,309		111,800		(72,896)		38,904
Subtotal		1,319,269		(815,842)		503,427		1,310,771		(776,193)		534,578
In-process research and development		355,845		—		355,845		355,845		—		355,845
Total intangible assets		$	1,675,114	$	(815,842)	$	859,272	$	1,666,616	$	(776,193)	$	890,423

Amortization expense related to intangible assets for the three months ended March 31, 2024 and 2023 was $39.9 million and $41.1 million, respectively.

The following table presents future amortization expense for the next five years and thereafter, excluding $355.8 million of in-process research and development (“IPR&D”) intangible assets (in thousands):


	Future Amortization
Remainder of 2024	$	119,432
2025	121,638
2026	73,115
2027	52,606
2028	33,263
2029	26,484
Thereafter	76,889
Total	$	503,427

The Company reviews intangible assets with finite lives for recoverability whenever events or changes in circumstances indicate that the carrying amount of the assets may not be fully recoverable. Indefinite-lived intangible assets, including IPR&D, are tested for impairment if impairment indicators arise and, at a minimum, annually. Intangible asset impairments were immaterial for the three months ended March 31, 2024 (none for the three months ended March 31, 2023).

On June 30, 2023, the Company received a complete response letter (“CRL”) from the FDA regarding its new drug application (“NDA”) for IPX203 for the treatment of Parkinson’s disease. The CRL indicated that, although an adequate scientific bridge was established for the safety of one ingredient, levodopa, based on pharmacokinetic studies, it was not adequately established for the other ingredient, carbidopa, and the FDA requested additional information. The CRL did not identify any issues with respect to the efficacy or manufacturing of IPX203. During October 2023, the Company met with the FDA to align on the path to approval for IPX203. During the meeting, the FDA asked the Company to perform a QT study, a routine cardiac safety study that is required for new drugs. On February 7, 2024, the Company provided a complete response resubmission to the FDA for IPX203. IPX203 has a Prescription Drug User Fee Act (PDUFA) decision date of August 7, 2024.

No indicators of impairment of the Company’s IPX203 IPR&D intangible asset were identified during 2024. Additionally, there was no impairment recorded during 2023. While management believes the assumptions used in the Company’s 2023 annual impairment test of its IPX203 IPR&D intangible asset were reasonable and continue to be commensurate with the views of a market participant, changes in key assumptions, including increasing the discount rate, lowering forecasts for revenue and operating margin, delaying the potential launch date, and lowering the probability of technical and regulatory success, could result in material future impairments of the Company’s IPX203 IPR&D intangible asset. Refer to Note 13. Goodwill and Other Intangible Assets in the Company’s Annual Report on Form 10-K for additional information.

11. Other Assets

Other assets were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Interest rate swap (1)	$	52,632	$	37,089
Security deposits	3,616		3,602
Long-term prepaid expenses	3,099		3,273
Deferred revolving credit facility costs	4,007		4,427
Other long term assets	10,393		7,126
Total	$	73,747	$	55,517

(1)Refer to Note 15. Fair Value Measurements and Note 16. Financial Instruments for information about the Company’s interest rate swap.

12. Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Accounts payable	$	175,325	$	143,572
Accrued returns allowance (1)	137,108		136,486
Accrued compensation	44,806		71,122
Accrued Medicaid and commercial rebates (1)	96,711		90,690
Accrued royalties	19,779		23,342
Commercial chargebacks and rebates	10,226		10,226
Accrued professional fees	14,598		11,005
Accrued other	59,965		48,219
Total accounts payable and accrued expenses	$	558,518	$	534,662

(1)Refer to Note 3. Revenue Recognition for a rollforward of the balance from December 31, 2023 to March 31, 2024.

13. Debt

There have been no material changes in the Company’s long-term debt since December 31, 2023, except as disclosed below. Refer to Note 16. Debt in the Company’s 2023 Annual Report on Form 10-K for additional information and definitions of terms used in this note.

The following is a summary of the Company’s indebtedness under its term loans (in thousands):


	March 31, 2024		December 31, 2023
Term Loan Due May 2025	$	191,979	$	191,979
Term Loan Due May 2028	2,336,949		2,351,647
Total debt	2,528,928		2,543,626
Less: debt issuance costs	(117,561)		(123,497)
Total debt, net of debt issuance costs	2,411,367		2,420,129
Less: current portion of long-term debt	(33,660)		(34,125)
Total long-term debt, net	$	2,377,707	$	2,386,004

During the three months ended March 31, 2024, the Company (i) borrowed and repaid $20.0 million under the Amended New Revolving Credit Facility and (ii) borrowed and repaid $28.0 million under the Amended Rondo Revolving Credit Facility. As of each of March 31, 2024 and December 31, 2023, $179.0 million was outstanding on the Amended New Revolving Credit Facility.

14. Other Long-Term Liabilities

Other long-term liabilities were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Uncertain tax positions	$	504	$	497
Long-term compensation	18,073		21,283
Contingent consideration (1)	433		433
Other long-term liabilities	5,569		7,466
Total other long-term liabilities	$	24,579	$	29,679

(1) Refer to Note 15. Fair Value Measurements for additional information.

15. Fair Value Measurements

Fair value is the exit price that would be received to sell an asset or paid to transfer a liability. Fair value is a market-based measurement that should be determined using assumptions that market participants would use in pricing an asset or liability. Valuation techniques used to measure fair value should maximize the use of observable inputs and minimize the use of unobservable inputs. To measure fair value, the Company uses the following fair value hierarchy based on three levels of inputs, of which the first two are considered observable and the last unobservable:

Level 1 – Quoted prices in active markets for identical assets or liabilities.

Level 2 – Inputs other than Level 1 that are observable for the asset or liability, either directly or indirectly, such as quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets or liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data by correlation or other means.

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. Value is determined using pricing models, discounted cash flow methodologies, or similar techniques and also includes instruments for which the determination of fair value requires significant judgment or estimation.

Assets and Liabilities Measured at Fair Value on a Recurring Basis

The Company evaluates its financial assets and liabilities subject to fair value measurements on a recurring basis to determine the appropriate level of classification for each reporting period. The following table sets forth the Company’s financial assets and liabilities that were measured at fair value on a recurring basis as of March 31, 2024 and December 31, 2023 (in thousands):


			Fair Value Measurement Based on
March 31, 2024	Total		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets
Interest rate swap (1)	$	52,632	$	—	$	52,632	$	—
Liabilities
Deferred compensation plan liabilities (2)	$	9,668	$	—	$	9,668	$	—
Contingent consideration liabilities (3)	$	1,021	$	—	$	—	$	1,021

December 31, 2023
Assets
Interest rate swap (1)	$	37,089	$	—	$	37,089	$	—
Liabilities
Deferred compensation plan liabilities (2)	$	9,100	$	—	$	9,100	$	—
Contingent consideration liability (3)	$	921	$	—	$	—	$	921

(1)The fair value measurement of the Company’s interest rate swap classified within Level 2 of the fair value hierarchy is a model-derived valuation as of a given date in which all significant inputs are observable in active markets including certain financial information and certain assumptions regarding past, present, and future market conditions. Refer to Note 16. Financial Instruments for information on the Company's interest rate swap.

(2)These liabilities are recorded at the value of the amount owed to the plan participants, with changes in value recognized as compensation expense. The calculation of the deferred compensation plan obligation is derived from observable market data by reference to hypothetical investments selected by the participants.

(3)The fair value measurement of contingent consideration liabilities has been classified as Level 3 recurring liabilities as the valuations require judgment and estimation of factors that are not currently observable in the market. If different assumptions were used for various inputs, the estimated fair values could be higher or lower than what the Company determined. For the three months ended March 31, 2024, there was no material activity or payments related to the contingent consideration liabilities.

There were no transfers between levels in the fair value hierarchy during the three months ended March 31, 2024.

Assets and Liabilities Not Measured at Fair Value on a Recurring Basis

The carrying amounts of cash, accounts receivable and accounts payable approximate their fair values due to the short-term maturity of these instruments.

The following is a summary of the Company’s indebtedness at fair value (in thousands):


	March 31, 2024		December 31, 2023
Term Loan Due 2025	$	192,099	$	190,779
Term Loan Due 2028	$	2,339,870	$	2,328,130
Sellers Notes	$	41,944	$	41,033

The Term Loan Due 2025 and Term Loan Due 2028 are in the Level 2 category within the fair value level hierarchy. The fair values were determined using market data for valuation. The Sellers Notes are in the Level 2 category within the fair value level hierarchy.

Refer to Note 16. Debt in the Company’s 2023 Annual Report on Form 10-K for detailed information about its indebtedness, including definitions of terms.

Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis

There were no non-recurring fair value measurements during the three months ended March 31, 2024 and 2023.

16. Financial Instruments

The Company uses an interest rate swap to manage its exposure to market risks for changes in interest rates.

Interest Rate Risk

Interest income earned on cash and cash equivalents may fluctuate as interest rates change; however, due to their relatively short maturities, the Company does not hedge these assets or their investment cash flows because the impact of interest rate risk is not material. The Company is exposed to interest rate risk on its debt obligations. The Company’s debt obligations consist of variable-rate and fixed-rate debt instruments. The Company’s primary objective is to achieve the lowest overall cost of funding while managing the variability in cash outflows within an acceptable range. To achieve this objective, the Company initially entered into an interest rate swap on the Term Loan Due 2025. On November 14, 2023, in connection with the refinancing of the Term Loan Due 2025, the Company novated its swap agreement to another counterparty and, in connection with such novation, amended the interest rate swap agreement. Refer to the section “Interest Rate Derivative - Cash Flow Hedge” below and in Note 20. Financial Instruments in the Company’s 2023 Annual Report on Form 10-K for additional information and the definition of certain terms.

Interest Rate Derivative – Cash Flow Hedge

The interest rate swap involves the periodic exchange of payments without the exchange of underlying principal or notional amounts. In October 2019, the Company entered into an interest rate lock agreement for a total notional amount of $1.3 billion to hedge part of the Company's interest rate exposure associated with the variability in future cash flows from changes in the one-month London interbank offered rate (“LIBOR”) associated with the Term Loan Due 2025 (the “October 2019 Swap”). On May 31, 2023, the Company executed an amendment to the October 2019 Swap that, among other things, changed the variable reference rate from LIBOR to the one-month secured overnight financing rate (“SOFR”) (the “Amended October 2019 Swap”). On November 14, 2023, in connection with the Company’s refinancing of the Term Loan Due 2025 and the New Credit Facility

(refer to Note 16. Debt in the Company’s 2023 Annual Report on Form 10-K for definitions and additional information), the Company novated the Amended October 2019 Swap to another counterparty and subsequently amended the interest rate agreement. Specifically, the amendments modified (i) the fixed rate payable by the counterparty from 1.3660% to a new fixed rate of 2.7877% and (ii) extended the termination date through May 4, 2027 (i.e., one year before the Term Loan Due 2028 matures) (the “November 2023 Swap”). The amendments did not change the notional amount of $1.3 billion. The purpose of the November 2023 Swap is to hedge part of the Company's interest rate exposure associated with the variability in future cash flows from changes in the one-month SOFR associated with the Term Loan Due 2028.

The Company used a strategy commonly referred to as “blend and extend,” which allows the existing asset position of the swap agreement to be effectively blended into the new interest rate swap agreement. As a result of this transaction, on November 14, 2023, the Amended October 2019 Swap was de-designated and the unrealized gain of $66.7 million was recorded within accumulated other comprehensive (loss) income and will be amortized as a reduction of interest expense, net, over the original term of the of the Amended October 2019 Swap (until May 2025), as the hedged transactions affect earnings. Additionally, the November 2023 Swap had a fair value of $66.7 million at inception and will be ratably recorded to accumulated other comprehensive (loss) income and reclassified to interest expense, net, over the term of the November 2023 Swap, as the hedged transactions affect earnings.

During the three months ended March 31, 2024, the Company reclassified a gain of $6.5 million from accumulated other comprehensive loss to interest expense, net. Approximately $26.1 million of net gains included in accumulated other comprehensive loss as of March 31, 2024 are expected to be reclassified into earnings within the next 12 months as interest payments are made on the Company’s Term Loan Due 2028 and amortization of the amounts included in accumulated other comprehensive loss occurs.

As of March 31, 2024, the total gain, net of income taxes, related to the Company’s cash flow hedge of $42.8 million, was recognized in accumulated other comprehensive loss.

A summary of the fair values of derivative instruments in the consolidated balance sheets was as follows (in thousands):

March 31, 2024

December 31, 2023

Derivatives Designated as Hedging Instruments

Balance Sheet
Classification

Fair Value

Balance Sheet
Classification

Fair Value

Variable-to-fixed interest rate swap

Other Assets

52,632

Other Assets

37,089

17. Commitments and Contingencies

Commitments

Commercial Manufacturing, Collaboration, License, and Distribution Agreements

The Company continues to seek to enhance its product line and develop a balanced portfolio of differentiated products through product acquisitions and in-licensing. Accordingly, the Company, in certain instances, may be contractually obligated to make potential future development, regulatory, and commercial milestone, royalty and/or profit-sharing payments in conjunction with collaborative agreements or acquisitions that the Company has entered with third parties. The Company has also licensed certain technologies or IP from various third parties. The Company is generally required to make upfront payments as well as other payments upon successful completion of regulatory or sales milestones. The agreements generally permit the Company to terminate the agreement with no significant continuing obligation. The Company could be required to make significant payments pursuant to these arrangements. These payments are contingent upon the occurrence of certain future events and, given the nature of these events, it is unclear when, if ever, the Company may be required to pay such amounts. Further, the timing of any future payment is not reasonably estimable. Refer to Note 4. Alliance and Collaboration for additional information. Certain of these arrangements are with related parties. Refer to Note 19. Related Party Transactions for additional information.

Contingencies

Legal Proceedings

The Company's legal proceedings are complex, constantly evolving, and subject to uncertainty. As such, the Company cannot predict the outcome or impact of its significant legal proceedings which are set forth below. Additionally, the Company manufactures and derives a portion of its revenue from the sale of pharmaceutical products in the opioid class of drugs and may therefore face claims arising from the regulation and/or consumption of such products. While the Company believes it has meritorious claims and/or defenses to the matters described below (and intends to vigorously prosecute and defend them), the nature and cost of litigation is unpredictable, and an unfavorable outcome of such proceedings could include damages, fines, penalties and injunctive or administrative remedies.

For any proceedings where losses are probable and reasonably capable of estimation, the Company accrues a potential loss. When the Company has a probable loss for which a reasonable estimate of the liability is a range of losses and no amount within that range is a better estimate than any other amount, the Company records the loss at the low end of the range. While these accruals have been deemed reasonable by the Company’s management, the assessment process relies heavily on estimates and assumptions that may ultimately prove inaccurate or incomplete. Additionally, unforeseen circumstances or events may lead the Company to subsequently change its estimates and assumptions. Unless otherwise indicated below, the Company is unable at this time to estimate the possible loss or the range of loss, if any, associated with such legal proceedings and claims. Any such claims, proceedings, investigations or litigation, regardless of the merits, might result in substantial costs to defend or settle, borrowings under the Company’s debt agreements, restrictions on product use or sales, or otherwise harm the Company’s business. The ultimate resolution of any or all claims, legal proceedings or investigations are inherently uncertain and difficult to predict, could differ materially from the Company’s estimates and could have a material adverse effect on its results of operations and/or cash flows in any given accounting period, or on its overall financial condition. The Company currently intends to vigorously prosecute and/or defend these proceedings as appropriate. From time to time, however, the Company may settle or otherwise resolve these matters on terms and conditions that it believes to be in its best interest. An insurance recovery, if any, is recorded in the period in which it is probable the recovery will be realized.

For the three months ended March 31, 2024, charges related to legal matters, net of $94.4 million were associated with a settlement in principle on the primary financial terms for a nationwide resolution to the opioids cases that have been filed and that might have been filed against the Company by states, counties, municipalities, and Native American tribes across the U.S. (refer to the section Civil Prescription Opioid Litigation below). For the three months ended March 31, 2023, credit related to legal matters, net of $0.4 million was comprised of a litigation settlement gain, partially offset by charges for legal proceedings.

Liabilities for legal matters were comprised of the following (in thousands):


Matter	March 31, 2024		December 31, 2023
Opana ER® antitrust litigation	$	—	$	50,000
Opana ER® antitrust litigation-accrued interest	—		2,347
Civil prescription opioid litigation	30,130		21,189
Other	—		3,452
Current portion of liabilities for legal matters	$	30,130	$	76,988

Civil prescription opioid litigation (Liabilities for legal matters - long term)	$	85,479	$	316

Refer to the respective discussions below for additional information about the significant matters in the tables above.

Refer to Note 21. Commitments and Contingencies in our Annual Report on Form 10-K for a general discussion of Medicaid Reimbursement and Price Reporting Matters and Patent Litigation.

Other Litigation Related to the Company’s Business

Opana ER® Antitrust Litigation

From June 2014 to April 2015, a number of complaints styled as class actions on behalf of direct purchasers and indirect purchasers (or end-payors) and several separate individual complaints on behalf of certain direct purchasers (the “opt-out

plaintiffs”) of Opana ER® were filed against Endo Pharmaceuticals Inc. and Impax Laboratories, Inc. (“Impax”) and consolidated into multi-district litigation (“MDL”) in the U.S. District Court for the Northern District of Illinois.

Impax subsequently entered into settlement agreements with all of the plaintiffs that were subsequently approved by the court. Pursuant to the settlement agreements, the Company agreed to pay a total of $265.0 million between 2022 and mid-January 2024 to resolve substantially all of the plaintiffs’ claims. As of December 31, 2023, the liability for the final settlement payment of $50.0 million, plus 3% stated interest thereon, was included in the current portion of liabilities for legal matters and was paid in January 2024 with cash on hand. The settlement agreements are not an admission of liability or fault by Impax, the Company or its subsidiaries. Upon court approval of the final settlement agreements as discussed above, substantially all the claims and lawsuits in the litigation were resolved.

United States Department of Justice Investigations

On November 6, 2014, Impax disclosed that one of its sales representatives received a grand jury subpoena from the Antitrust Division of the United States Department of Justice (the “DOJ”). On March 13, 2015, Impax received a grand jury subpoena from the DOJ requesting the production of information and documents regarding the sales, marketing, and pricing of four generic prescription medications. Impax cooperated in the investigation and produced documents and information in response to the subpoenas from 2014 to 2016. However, no assurance can be given as to the timing or outcome of the investigation.

On April 30, 2018, Impax received a CID from the Civil Division of the DOJ (the “Civil Division”). The CID requests the production of information and documents regarding the pricing and sale of Impax’s pharmaceuticals and interactions with other generic pharmaceutical manufacturers regarding whether generic pharmaceutical manufacturers engaged in market allocation and price-fixing agreements, paid illegal remuneration, and caused false claims to be submitted to the federal government. Impax has cooperated with the Civil Division’s investigation. However, no assurance can be given as to the timing or outcome of the investigation.

On May 15, 2023, Amneal received a CID from the Civil Division requesting information and documents related to the manufacturing and shipping of diclofenac sodium 1% gel labeled as “prescription only” after the reference listed drug’s label was converted to over-the-counter. The Company is cooperating with the Civil Division’s investigation. However, no assurance can be given as to the timing or outcome of the investigation.

In Re Generic Pharmaceuticals Pricing Antitrust Litigation

Since March 2016, multiple putative antitrust class action complaints have been filed on behalf of direct purchasers, indirect purchasers (or end-payors), and indirect resellers, as well as individual complaints on behalf of certain direct and indirect purchasers, and municipalities (the “opt-out plaintiffs”) against manufacturers of generic drugs, including Impax and the Company. The complaints allege a conspiracy to fix, maintain, stabilize, and/or raise prices, rig bids, and allocate markets or customers for various generic drugs in violation of federal and state antitrust and consumer protection laws. Plaintiffs seek unspecified monetary damages and equitable relief, including disgorgement and restitution. The lawsuits have been consolidated in an MDL in the United States District Court for the Eastern District of Pennsylvania (In re Generic Pharmaceuticals Pricing Antitrust Litigation, No. 2724, (E.D. Pa.)) (“MDL No. 2724”).

On May 10, 2019, Attorneys General of 43 States and the Commonwealth of Puerto Rico filed a complaint in the United States District Court for the District of Connecticut against various manufacturers and individuals, including the Company, alleging a conspiracy to fix, maintain, stabilize, and/or raise prices, rig bids, and allocate markets or customers for multiple generic drugs. On November 1, 2019, the State Attorneys General filed an Amended Complaint on behalf of nine additional states and territories. On June 10, 2020, Attorneys General of 46 States, the Commonwealth of Puerto Rico, the Commonwealth of the Northern Mariana Islands, the Territory of Guam, the U.S. Virgin Islands, and the District of Columbia filed a new complaint against various manufacturers and individuals, including the Company, alleging a conspiracy to fix prices, rig bids, and allocate markets or customers for additional generic drugs. On September 9, 2021, the State Attorneys General filed an Amended Complaint on behalf of California in addition to the original plaintiff states.

Both the May 10, 2019 and June 10, 2020 lawsuits seek unspecified monetary damages and penalties and equitable relief including disgorgement and restitution, and both were incorporated into MDL No. 2724. The June 10, 2020 lawsuit was selected for bellwether status. The States of Alabama, Hawaii and Arkansas, and the Territory of Guam voluntarily dismissed all of their claims in the two actions against all defendants, including the Company. American Samoa voluntarily dismissed its claims in the May 10, 2019 action and was not named as a plaintiff in the June 10, 2020 action. On February 27, 2023, the Court addressed defendants’ motions to dismiss the June 10, 2020 action, holding that the states may not pursue certain federal remedies, and otherwise denying Amneal’s joint and individual motion to dismiss. On November 1, 2023, the Attorneys

General filed a Motion to Remand their cases to the State of Connecticut. On January 21, 2024, the Joint Panel on Multidistrict Litigation (“JPML”) granted the motion, and these cases were formally remanded in April 2024. See Connecticut, et al. v. Teva Pharmaceuticals USA, Inc., et al., 3:19-cv-00710-MPS and Connecticut, et al. v. Sandoz, Inc. et al., 3:20-cv-00803-MPS.

Fact discovery in MDL No. 2724 is proceeding as to both bellwether and non-bellwether cases, and expert discovery as to bellwether cases is also underway. No trial date has been set. No schedule has yet been issued in the May 10, 2019 and June 10, 2020 actions brought by the State Attorneys General, which have now been remanded to the District of Connecticut.

On June 3, 2020, the Company and Impax were also named in a putative class action complaint filed in the Federal Court of Canada in Toronto, Ontario against numerous generic pharmaceutical manufacturers, on behalf of a putative class of individuals who purchased generic drugs in the private sector from 2012 to the present (Kathryn Eaton v. Teva Canada Limited, et. al., No. T-607-20). The complaint alleges price fixing, among other claims. On August 23, 2022, the plaintiff filed a second amended complaint. On May 30, 2023, the plaintiff served materials for their motion to certify the action as a class proceeding, define the class and certify the common questions to be decided, among other things. The certification hearing date is scheduled for December 2024, but subject to court approval, the hearing date may be rescheduled on consent to May 2025. The Company is preparing a response to the motion to certify in advance of that date.

Civil Prescription Opioid Litigation

The Company and certain of its affiliates are named as defendants in over 900 cases filed in state and federal courts relating to the sale of prescription opioid pain relievers. Plaintiffs in these actions include county and municipal governments, hospitals, Native American tribes, pension funds, third-party payors, and individuals. Plaintiffs seek unspecified monetary damages and other forms of relief based on various causes of action, including negligence, public nuisance, unjust enrichment, and civil conspiracy, as well as alleged violations of the Racketeer Influenced and Corrupt Organizations Act, state and federal controlled substances laws and other statutes. All cases involving the Company also name other manufacturers, distributors, and retail pharmacies as defendants, and there have been numerous other cases involving allegations relating to prescription opioid pain relievers against other manufacturers, distributors, and retail pharmacies in which the Company and its affiliates are not named. Nearly all cases pending in federal district courts have been consolidated for pre-trial proceedings in an MDL in the United States District Court for the Northern District of Ohio (In re: National Prescription Opiate Litigation, Case No. 17-mdl-2804) (the “Opioid MDL”). The Company is also named in various state court cases pending in seven states. No firm trial dates have been set except in Texas (January 31, 2025, trial-ready date (Dallas County)).

The Company reached a settlement agreement with the New Mexico Attorney General to resolve its claims against the Company, which was finalized on April 24, 2023. A Consent Judgment dismissing the case was entered on May 15, 2023.

The Company reached a settlement agreement to resolve all pending litigation brought by West Virginia political subdivisions, which was signed on May 25, 2023. The two neonatal abstinence syndrome cases in West Virginia state court were dismissed on May 31, 2023 and were subsequently appealed by the plaintiffs. These appeals remain pending. The hospital cases pending in West Virginia state court were dismissed on May 2, 2023.

The Company reached a preliminary settlement with a group of private hospitals in Alabama in June 2023 to resolve the hospitals’ claims against the Company. The Company anticipates a final determination approving the settlement by the end of the second quarter of 2024. On February 7, 2024, the Company was dismissed from the Mobile County Board of Health case. The Company previously reported an August 12, 2024 trial date for that case.

On January 13, 2023, the Company received a subpoena from the New York Attorney General, seeking information regarding its business concerning opioid-containing products. The Company is cooperating with the request and providing responsive information. On January 4, 2024, the Company received a CID issued by the Alaska Attorney General seeking information regarding its business concerning opioid-containing products. The Company is evaluating the CID.

In late April 2024, the Company reached a settlement in principle on the primary financial terms, with no admission of wrongdoing, for a nationwide resolution to the opioids cases that have been filed and that might have been filed against the Company by states, counties, municipalities, and Native American tribes across the U.S. The settlement in principle is subject to the negotiation and execution of a definitive settlement agreement between the parties. The settlement would be payable over ten years. Under the settlement in principle, the Company would agree to pay $92.5 million in cash and provide $180.0 million (valued at $125/ twin pack) in naloxone nasal spray to help treat opioid overdoses. In lieu of receiving product, the settling parties can opt to receive 25% of the naloxone nasal spray’s value (up to $45.0 million) in cash during the last four years of the ten years payment term, which could increase the total amount of cash the Company would agree to pay up to $137.5 million.

As of March 31, 2024, the Company concluded the loss related to the opioid litigation was probable, and the related loss was reasonably estimable considering the settlement in principle. As a result, the Company recorded a charge of $94.4 million associated with the settlement in principle during the three months ended March 31, 2024 to increase the liability as of March 31, 2024, to $115.6 million, of which $85.5 million was classified as long-term. While this liability has been deemed reasonable by the Company’s management, it could significantly change as the definitive settlement agreement is finalized. As of December 31, 2023, the Company had a liability of $21.5 million related to its prescription opioid litigation, of which $0.3 million was classified as long-term. For the remaining cases not covered by the settlement in principle, primarily brought by other hospitals, schools and individuals, the Company has not recorded a liability as of March 31, 2024 or December 31, 2023, because it concluded that a loss was not probable and estimable.

United States Department of Justice / Drug Enforcement Administration Subpoenas

On July 7, 2017, Amneal Pharmaceuticals of New York, LLC received an administrative subpoena issued by the Long Island, NY District Office of the Drug Enforcement Administration (the “DEA”) requesting information related to compliance with certain recordkeeping and reporting requirements. On or about April 12, 2019 and May 28, 2019, the Company received grand jury subpoenas from the U.S. Attorney’s Office for the Eastern District of New York (the “USAO”) relating to similar topics concerning the Company’s suspicious order monitoring program and its compliance with the Controlled Substances Act. The Company is cooperating with the USAO in responding to the subpoenas and has entered civil and criminal tolling agreements with the USAO through May 15, 2024. It is not possible to determine the exact outcome of these investigations.

On March 14, 2019, Amneal received a subpoena from an Assistant U.S. Attorney for the Southern District of Florida (the “AUSA”). The subpoena requested information and documents generally related to the marketing, sale, and distribution of oxymorphone. The Company intends to cooperate with the AUSA regarding the subpoena. However, no assurance can be given as to the timing or outcome of its underlying investigation.

On October 7, 2019, Amneal received a subpoena from the New York State Department of Financial Services seeking documents and information related to sales of opioid products in the state of New York. The Company is cooperating with the request and providing responsive information. It is not possible to determine the exact outcome of this investigation.

Ranitidine Litigation

The Company and its affiliates were named as defendants, along with numerous other brand and generic pharmaceutical manufacturers, wholesale distributors, retail pharmacy chains, and repackagers of ranitidine-containing products, in In re Zantac/Ranitidine NDMA Litigation (MDL No. 2924), in the Southern District of Florida. Plaintiffs allege that defendants failed to disclose and/or concealed the alleged inherent presence of N-Nitrosodimethylamine (or “NDMA”) in brand-name Zantac® or generic ranitidine and the alleged associated risk of cancer. On July 8, 2021, the MDL Court dismissed all claims by all plaintiffs against the generic drug manufacturers, including the Company, without leave to file further amended complaints, holding all claims were preempted. Plaintiffs appealed the MDL Court’s dismissals to the 11th Circuit Court of Appeals. On November 7, 2022, the 11th Circuit affirmed the MDL Court’s dismissal of cases brought by third-party payors. The 11th Circuit raised questions in the appeals of the other cases about the finality of the MDL Court’s judgments, which were resolved in September 2023. Plaintiffs filed their merits brief on April 10, 2024.

The Company and its affiliates have also been named as defendants in various state lawsuits in five states in which the Company has filed motions to dismiss or plans to file motions to dismiss in the future. On August 17, 2023, the judge in the consolidated Illinois state court cases granted a motion to dismiss all such cases in which the Company and affiliates had been named, holding all claims preempted. There are no trial dates involving the Company in any of the state court cases.

Metformin Litigation

Amneal and AvKARE, LLC (improperly named as AvKARE, Inc.) were named as defendants, along with numerous other manufacturers, retail pharmacies, and wholesalers, in several putative class action lawsuits pending in the United States District Court for the District of New Jersey, consolidated as In Re Metformin Marketing and Sales Practices Litigation (No. 2:20-cv-02324-MCA-MAH) (“In re Metformin”). The lawsuits allege economic loss in connection with their purchase or reimbursements due to the alleged contamination of generic metformin products with NDMA. Plaintiffs have voluntarily dismissed their claims seeking medical monitoring or evaluation due to their consummation of allegedly contaminated metformin. The parties are currently engaged in discovery. On October 17, 2023, co-defendant Rite-Aid filed a suggestion of bankruptcy and automatic stay of proceeding. AvKARE, LLC has been dismissed from this action. Three additional similar putative class action lawsuits filed against Amneal and AvKARE, LLC have been consolidated for discovery and pretrial purposes only, Marcia E. Brice v. Amneal Pharmaceuticals, Inc., No. 2:20-cv-13728 (D.N.J.), Michael Hann v. Amneal

Pharmaceuticals of New York, LLC et al., No. 2:23-cv-22902 (D.N.J.), and In re Metformin: County of Monmouth, et al. v. Apotex Inc., et al., No. 2:23-cv-21001-MAC-MAH (D.N.J.) (“County of Monmouth”).

Pursuant to a Stipulation and Order entered on the docket on May 2, 2024, plaintiffs will file a third amended complaint in In re Metformin which includes the claims and parties in County of Monmouth. The third amended complaint must be filed within three days of entry of the Stipulation and Order. Immediately preceding the filing of the third amended complaint, the County of Monmouth First Amended Complaint will be voluntarily dismissed without prejudice. Defendants may file a motion to dismiss the third amended complaint within thirty days of the filing of the third amended complaint.

On March 29, 2021, a plaintiff filed a complaint in the United States District Court for the Middle District of Alabama asserting claims against manufacturers of valsartan, losartan, and metformin based on the alleged presence of nitrosamines in those products. The only allegations against the Company concern metformin (Davis v. Camber Pharmaceuticals, Inc., et al., C.A. No. 2:21-00254 (M.D. Ala.) (the “Davis Action”)). On May 5, 2021, the United States Judicial Panel on Multidistrict Litigation transferred the Davis Action into the In re: Valsartan, Losartan, and Irbesartan Products Liability Litigation multi-district litigation for pretrial proceedings.

Xyrem® (Sodium Oxybate) Antitrust Litigation

Amneal was named as a defendant, along with Jazz Pharmaceuticals, Inc. (“Jazz”) and numerous other manufacturers of generic versions of Jazz’s Xyrem® (sodium oxybate), in several class action lawsuits filed in the United States District Court for the Northern District of California and the United States District Court for the Southern District of New York, alleging that the generic manufacturers entered into anticompetitive agreements with Jazz in connection with the settlement of patent litigation related to Xyrem®. The actions were consolidated in the United States District Court for the Northern District of California for pretrial proceedings (In re Xyrem (Sodium Oxybate) Antitrust Litigation, No. 5:20-md-02966-LHK (N.D. Cal.)).

Amneal was also named as a defendant in a similar action filed by Aetna Inc. (“Aetna”) in California state court (Aetna Inc. v. Jazz Pharms., Inc. et. al, No. 22CV010951 (Cal. Super. Ct.). The California state court held that it lacks jurisdiction over several defendants, including Amneal, on December 27, 2022, and later issued an order dismissing Amneal without prejudice. On August 25, 2023, Aetna filed a motion seeking leave to file a second amended complaint adding Amneal as a defendant, which the Court tentatively granted on October 20, 2023. Aetna filed a second amended complaint naming Amneal on November 17, 2023.

On February 28, 2023, Amneal executed a $1.9 million settlement agreement with class plaintiffs in the federal litigation. Class plaintiffs filed a motion for final approval of the settlement on November 10, 2023, and entered an order granting final approval, certifying settlement class, and dismissing class plaintiffs’ against Amneal with prejudice on April 17, 2024. On December 18, 2023, Amneal executed a $4.0 million settlement with Aetna, United Healthcare Services, Inc. (“United”), Humana Inc. (“Humana”), Molina Healthcare Inc. (“Molina”), and Health Care Service Corporation (“HCSC”). Pursuant to that settlement, the federal court dismissed United, Humana, Molina and HCSC’s claims against Amneal, with prejudice, on February 26, 2024, and the California state court dismissed Aetna’s claims against Amneal, with prejudice, on February 29, 2024. Thus, all claims against Amneal in the federal and state court have been voluntarily dismissed with prejudice pursuant to settlements. In December 2023, the Company recorded $3.0 million for the settlement of claims associated with Xyrem® antitrust litigation. As of December 31, 2023, the Company had a liability of $2.0 million associated with this settlement, which was paid in January 2024.

UFCW Local 1500 Welfare Fund v. Takeda Pharmaceuticals U.S.A., Inc.

On November 14, 2023, UFCW Local 1500 Welfare Fund and other health plans filed a purported class action lawsuit in the United States District Court for the Southern District of New York against Takeda Pharmaceuticals U.S.A., Inc. (“Takeda”) and other manufacturers of generic versions of Takeda’s Colcrys® (colchicine), including Amneal (UFCW Local 1500 Welfare Fund et al. v. Takeda Pharma. U.S.A., Inc. et al, No. 1:23-cv-10030 (S.D.N.Y.). The plaintiff health plans seek to represent a class of third party payers and alleging that the generic manufacturers conspired with Takeda to restrict output of generic Colcrys® to maintain higher prices, in violation of the antitrust laws. On February 28, 2024, Takeda filed a motion to transfer the case to the United States District Court for the Eastern District of Pennsylvania. On March 13, 2024 and March 27, 2024, Amneal submitted a letter and brief, respectively, informing the Court of its position that the Eastern District of Pennsylvania lacks personal jurisdiction over Amneal. The deadline for defendants to respond to the complaint is 45 days after the date on which the motion to transfer is resolved.

Indian Tax Authority Matters

Amneal Pharmaceuticals Pvt. Ltd., RAKS Pharmaceuticals Pvt. Ltd., and Puniska Healthcare Pvt. Ltd., which are subsidiaries of the Company, are currently involved in litigations with Indian tax authorities concerning Central Excise Tax, Service Tax, Goods & Services Tax, and Value Added Tax for various periods of time between 2014 and 2017. These subsidiaries have contested certain of these assessments, which are at various stages of the administrative process. The Company strongly believes its Indian subsidiaries have meritorious defenses in the matter.

18. Stockholders’ Equity and Redeemable Non-Controlling Interests

Effective with the Reorganization on November 7, 2023, the Company holds 100% of the Amneal Common Units.

In connection with the Reorganization, the Company amended and restated its certificate of incorporation. The voting rights, dividend rights and participation rights of holders of Class A common stock of the Company did not materially change as a result of the amendment. There were no shares of Class B common stock of the Company outstanding as of December 31, 2023.

Non-Controlling Interests

The consolidated financial statements of the Company include the accounts of all entities controlled by the Company, including Amneal and its subsidiaries, through the Company’s direct or indirect ownership of a majority voting interest. The Company records non-controlling interests for the portion of its subsidiaries’ economic interests that it does not hold. Prior to the Reorganization, non-controlling interests were adjusted for capital transactions that impact the non-publicly held economic interests in Amneal.

Prior to the Reorganization, Amneal was obligated to make tax distributions to the group, together with their affiliates and certain assignees, who owned Amneal when it was a private company (the “Members”). During the three months ended March 31, 2023, the Company recorded net tax distributions to the Members of $26.8 million as a reduction of non-controlling interests. Subsequent to the Reorganization, the Company is no longer obligated to make tax distributions to the Members.

The Company acquired a 98% interest in KSP on April 2, 2021. The sellers of KSP, a related party, hold the remaining interests. The Company attributes 2% of the net income or loss of KSP to non-controlling interests.

Redeemable Non-Controlling Interests

The Company acquired a 65.1% controlling interest in both AvKARE Inc., a Tennessee corporation, now a limited liability company (“AvKARE, LLC”), and Dixon-Shane, LLC d/b/a R&S Northeast LLC, a Kentucky limited liability company (“R&S”), in 2020. The sellers of AvKARE, LLC and R&S hold the remaining 34.9% interest (“Rondo Class B Units”) in the holding company that directly owns the acquired companies (“Rondo”). Beginning on January 1, 2026, the holders of the Rondo Class B Units have the right (“Put Right”) to require the Company to acquire the Rondo Class B Units for a purchase price that is based on a multiple of Rondo’s earnings before income taxes, depreciation, and amortization (EBITDA) if certain financial targets and other conditions are met. Additionally, beginning on January 31, 2020, the Company has the right to acquire the Rondo Class B Units based on the same value and conditions as the Put Right. The Rondo Class B Units are also redeemable by the holders upon a change in control. Because the redemption of the Rondo Class B Units is outside of the Company’s control, the units have been presented outside of stockholders’ equity as redeemable non-controlling interests.

The Company attributes 34.9% of the net income or loss associated with Rondo to redeemable non-controlling interests. The Company will also accrete the redeemable non-controlling interests to redemption value upon an event that makes redemption probable. For the three months ended March 31, 2024 and 2023, the Company recorded tax distributions of $4.4 million and $3.0 million, respectively, as a reduction of redeemable non-controlling interests, respectively.

Changes in Accumulated Other Comprehensive (Loss) Income by Component (in thousands):


	Foreign currency translation adjustments		Unrealized gain (loss) on cash flow hedge, net of tax		Accumulated other comprehensive (loss) income
Balance December 31, 2023	$	(66,072)	$	33,723	$	(32,349)
Other comprehensive loss before reclassification	(390)		15,543		15,153
Reclassification of cash flow hedge to earnings, net of tax of $0	—		(6,515)		(6,515)
Balance March 31, 2024	$	(66,462)	$	42,751	$	(23,711)

Balance December 31, 2022	$	(32,382)	$	42,321	$	9,939
Other comprehensive loss before reclassification	898		(7,135)		(6,237)
Reallocation of ownership interests	(195)		257		62
Balance March 31, 2023	$	(31,679)	$	35,443	$	3,764

19. Related Party Transactions

The Company has various business agreements with certain parties in which there is some common ownership. However, the Company does not directly own or manage any of such related parties. Except as disclosed below, as of and for the three months ended March 31, 2024, there were no material changes to our related party agreements or relationships as described in Note 24. Related Party Transactions and Note 22. Stockholders’ Equity in our 2023 Annual Report on Form 10-K.

The following table summarizes the Company’s related party transactions (in thousands):


		Three Months Ended March 31,
Related Party and Nature of Transaction	Caption in Balance Sheet and Statement of Operations	2024		2023
Kashiv Biosciences LLC
Parking space lease	Research and development	$	25	$	17
Development and commercialization agreement - Ganirelix Acetate and Cetrorelix Acetate	Research and development	$	—	$	50
Development and commercialization agreement - Filgrastim and Pegfilgrastim - Royalty expense (Releuko and Fylnetra)	Cost of goods sold	$	4,526	$	144
Storage agreement	Research and development	$	(77)	$	(48)
Inventory purchases under development and commercialization agreement - Filgrastim and Pegfilgrastim (Releuko and Fylnetra)	Inventory and cost of goods sold	$	1,216	$	—
Generic development supply agreement - research and development material	Research and development	$	(48)	$	—
Generic development supply agreement - development activity deferred income	Deferred revenue and net revenue	$	(422)	$	—
Development and commercialization agreement - Long-acting injectable	Research and development	$	500	$	—

Other Related Parties
Kanan, LLC - operating lease	Inventory and cost of goods sold	$	592	$	566
Sutaria Family Realty, LLC - operating lease	Inventory and cost of goods sold	$	314	$	305
Apace KY, LLC d/b/a Apace Packaging LLC - packaging agreement	Inventory and cost of goods sold	$	5,001	$	1,836
Tracy Properties LLC - operating lease	Selling, general and administrative	$	143	$	169
AzaTech Pharma LLC - supply agreement	Inventory and cost of goods sold	$	2,312	$	575
AvPROP, LLC - operating lease	Selling, general and administrative	$	44	$	47
Avtar Investments, LLC - consulting services	Research and development	$	69	$	188
Alkermes	Inventory and cost of goods sold	$	12	$	2
R&S Solutions - logistics services	Selling, general and administrative	$	—	$	20
Members - tax receivable agreement (TRA liability)	Other expense	$	1,948	$	826

The following table summarizes the amounts due to or from the Company for related party transactions (in thousands):


	March 31, 2024		December 31, 2023
Kashiv - various agreements	$	1,434	$	954
Apace Packaging, LLC - packaging agreement	9		—
Alkermes	—		1
AzaTech Pharma LLC	78		—
Related party receivables - short term	$	1,521	$	955

Kashiv - various agreements	$	5,773	$	3,179
Apace Packaging, LLC - packaging agreement	1,863		1,091
AzaTech Pharma LLC - supply agreement	1,650		1,958
Avtar Investments LLC - consulting services	22		100
Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes	442		442
Members - tax receivable agreement	3,532		549
Rondo Class B unit holders - tax distributions	3,777		—
Alkermes Plc	16		2
Related party payables - short term	$	17,075	$	7,321

Kashiv - contingent consideration	$	530	$	430
Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes	8,691		8,139
Members - tax receivable agreement	2,173		3,207
Related party payables - long term	$	11,394	$	11,776

Kashiv Biosciences

Amendment to Biosimilar License Agreement

In March 2024, the Company amended the Kashiv Biosimilar Agreement (as defined in Note 24. Related Party Transactions in the Company’s 2023 Annual Report on Form 10-K) to include two additional in-development products, a pre-filled auto-injector delivery system for peg-filgrastim and a pre-filled on-body injector (OBI) delivery system for peg-filgrastim. Consistent with the existing terms, Kashiv is responsible for development, regulatory filings, obtaining FDA approval, and manufacturing, and Amneal is responsible for marketing, selling, and pricing activities of these product candidates. The amendment did not change the contractual terms related to existing commercialized biosimilar products.

The amendment provides an incremental $14.5 million in potential future milestone payments specific to these in-development products, including $7.0 million for clinical and developmental milestones and $7.5 million for regulatory approval and first commercial-sales milestones. In addition, the amendment clarifies that future net sales milestones payments of up to $37.5 million, which did not change, shall be contingent upon reaching certain commercial sales volume objectives for the aggregate of all products under the amended agreement. The agreement provides for Amneal to pay a profit share equal to 50% of net profits, after considering manufacturing and marketing costs.

No amounts were paid or recognized during the three months ended March 31, 2024 pursuant to this amendment.

Long-Acting Injectable License and Supply Agreement

In December 2022, Amneal and Kashiv entered into a development supply agreement specific to four generic product candidates. Amneal is responsible for manufacturing batch products and performing certain developmental activities on behalf of Kashiv. Kashiv, as owner of the IP, is responsible for regulatory filings, obtaining FDA approval, marketing, selling, and pricing activities. Pursuant to the terms of the development supply agreement, Amneal is eligible to earn up to $2.4 million related to the aforementioned services.

Pursuant to the development supply agreement, Amneal maintained a right of first offer and negotiation to the licensing of each generic product candidate. In March 2024, Amneal and Kashiv entered into a license and supply agreement for the development and commercialization of a long-acting injectable (the “Injectable License and Supply Agreement"). The existing development supply agreement remains effective for the remaining three generic product candidates.

Subject to the terms of the Injectable License and Supply Agreement, Amneal is responsible for development, regulatory approval, and commercialization of the product candidate in the U.S., whereas Kashiv is responsible for development and regulatory approval of the product candidate for all other territories outside the U.S. Contingent upon Kashiv obtaining regulatory approval outside the U.S., Amneal shall manufacture the commercial supply for Kashiv at a stated price. The term of the agreement is 10 years from the respective product’s launch date in the U.S.

During the three months ended March 31, 2024, the Company recorded R&D expense for a $0.5 million payment made upon execution of the license and supply agreement. The agreement provides for potential future milestone payments to Kashiv of up to $35.0 million as follows: (i) up to $10.0 million relating to developmental milestones; (ii) up to $20.0 million for U.S. regulatory approval and initial commercial launch milestones; and (iii) up to $5.0 million for the achievement of annual commercial milestones. In addition, the agreement provides for Amneal to pay a profit share equal to 50% of net profits, after considering manufacturing and marketing costs.

Refer to Note 3. Acquisitions and Note 24. Related Party Transactions in the Company’s 2023 Annual Report on Form 10-K for information on the Company’s agreements with Kashiv.

20. Segment Information

The Company has three reportable segments: Generics, Specialty, and AvKARE.

Generics

The Company’s Generics segment includes a retail and institutional portfolio of over 270 product families covering an extensive range of dosage forms and delivery systems, including both immediate and extended-release oral solids, powders, liquids, sterile injectables, nasal sprays, inhalation and respiratory products, biosimilar products, ophthalmics, films, transdermal patches and topicals.

Specialty

The Company’s Specialty segment is engaged in the development, promotion, sale and distribution of proprietary branded pharmaceutical products, with a focus on products addressing central nervous system disorders, including Parkinson’s disease, and endocrine disorders.

AvKARE

The Company’s AvKARE segment provides pharmaceuticals, medical and surgical products and services primarily to governmental agencies, predominantly focused on the U.S. Department of Defense and the U.S. Department of Veterans Affairs. AvKARE is a re-packager of bottle and unit dose pharmaceuticals under the registered names of AvKARE and AvPAK. AvKARE is also a wholesale distributor of pharmaceuticals, over the counter drugs and medical supplies to its retail and institutional customers that are located throughout the U.S. focused primarily on offering 340b-qualified entities products to provide consistency in care and pricing.

Chief Operating Decision Makers

The Company’s chief operating decision makers evaluate the financial performance of the Company’s segments based upon segment operating income (loss). Items below operating income (loss) are not reported by segment, because they are excluded from the measure of segment profitability reviewed by the Company’s chief operating decision maker. Additionally, general and administrative expenses, certain selling expenses, certain litigation settlements, and non-operating income and expenses are included in “Corporate and Other.” The Company does not report balance sheet information by segment because it is not reviewed by the Company’s chief operating decision makers.

The tables below present segment information reconciled to total Company financial results, with segment operating income or loss, including gross profit less direct selling expenses, research and development expenses, and other operating expenses to the extent specifically identified by segment (in thousands):


Three Months Ended March 31, 2024	Generics (1)		Specialty		AvKARE (1)		Corporate and Other		Total Company
Net revenue	$	391,294	$	105,234	$	162,663	$	—	$	659,191
Cost of goods sold	239,922		44,800		136,409		—		421,131
Gross profit	151,372		60,434		26,254		—		238,060
Selling, general and administrative	33,085		25,196		14,907		39,407		112,595
Research and development	34,371		4,927		—		—		39,298
Intellectual property legal development expenses	960		24		—		—		984
Restructuring and other charges	—		946		—		524		1,470
Change in fair value of contingent consideration	—		100		—		—		100
Charges related to legal matters, net	94,359		—		—		—		94,359
Operating (loss) income	$	(11,403)	$	29,241	$	11,347	$	(39,931)	$	(10,746)


Three Months Ended March 31, 2023	Generics (1)		Specialty		AvKARE (1)		Corporate and Other		Total Company
Net revenue	$	343,806	$	91,678	$	122,056	$	—	$	557,540
Cost of goods sold	230,551		43,191		105,612		—		379,354
Gross profit	113,255		48,487		16,444		—		178,186
Selling, general and administrative	27,600		22,379		12,940		39,177		102,096
Research and development	32,359		6,331		—		—		38,690
Intellectual property legal development expenses	1,624		20		—		—		1,644
Restructuring and other charges	99		—		—		411		510
Change in fair value of contingent consideration	—		2,457		—		—		2,457
(Credit) charges related to legal matters, net	(2,444)		—		—		2,008		(436)
Other operating income	(1,224)		—		—		—		(1,224)
Operating income (loss)	$	55,241	$	17,300	$	3,504	$	(41,596)	$	34,449

(1)Operating results for the sale of Amneal products by AvKARE are included in Generics.

21. Subsequent Event

On April 30, 2024, Amneal closed on the sale of a wholly owned subsidiary in India to Kashiv for total consideration of ₹1 billion, or approximately $12 million. Total consideration consisted of a ₹416 million, or approximately $5 million, cash payment at closing and the assumption of a loan payable of approximately ₹600 million, or approximately $7 million, payable to another subsidiary of Amneal in India. The loan payable bears interest of 11% on the unpaid principal and is due on or before December 31, 2024. The Company is permitted to offset royalties or other amounts payable to Kashiv with any overdue principal on the loan payable. The subsidiary’s assets and liabilities were primarily comprised of a building under construction and a note payable, respectively. The subsidiary had no business activity, other than the construction of the building.

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

Amneal Pharmaceuticals, Inc. (the “Company”, “we,” “us,” or “our”) is a global pharmaceutical company that develops, manufactures, markets, and distributes a diverse portfolio of essential medicines, including retail generics, injectables, biosimilars and specialty branded pharmaceuticals. We operate principally in the United States (“U.S.”), India, and Ireland, and sell to wholesalers, distributors, hospitals, governmental agencies, chain pharmacies and individual pharmacies, either directly or indirectly.

The following discussion and analysis contains forward-looking statements that involve risks and uncertainties. Our actual results could differ materially from those anticipated in these forward-looking statements as a result of certain factors, including those set forth under Item 1A. Risk Factors in our 2023 Annual Report on Form 10-K and under the heading Cautionary Note Regarding Forward-Looking Statements included elsewhere in this Quarterly Report on Form 10-Q.

The following discussion and analysis for the three months ended March 31, 2024 should also be read in conjunction with the consolidated financial statements and related notes thereto included elsewhere in this Quarterly Report on Form 10-Q and with our audited consolidated financial statements for the year ended December 31, 2023 included in our 2023 Annual Report on Form 10-K.

Overview

We have three reportable segments: Generics, Specialty, and AvKARE.

Generics

Our Generics segment includes approximately 270 product families covering an extensive range of dosage forms and delivery systems, including both immediate and extended release oral solids, powders, liquids, sterile injectables, nasal sprays, inhalation and respiratory products, ophthalmics, films, transdermal patches and topicals. We focus on developing products with substantial barriers-to-entry due to complex drug formulations or manufacturing, or legal or regulatory challenges. Generic products, particularly in the U.S., generally contribute most significantly to revenues and gross margins at the time of their launch, and even more so in periods of market exclusivity, or in periods of limited generic competition. As such, the timing of new product introductions can have a significant impact on our financial results. The entrance into the market of additional competition generally has a negative impact on the volume and/or pricing of the affected products. Additionally, pricing is determined by market place dynamics and is often affected by factors outside of our control.

Specialty

Our Specialty segment is engaged in the development, promotion, sale and distribution of proprietary branded pharmaceutical products, with a focus on products addressing central nervous system (“CNS”) disorders, including Parkinson’s disease, and endocrine disorders. Our portfolio of products includes RYTARY®, an extended release oral capsule formulation of carbidopa-levodopa for the treatment of Parkinson’s disease, post-encephalitic parkinsonism, and parkinsonism that may follow carbon monoxide intoxication or manganese intoxication. In addition to RYTARY®, our promoted Specialty portfolio also includes UNITHROID® (levothyroxine sodium), for the treatment of hypothyroidism, which is sold under a license and distribution agreement with Jerome Stevens Pharmaceuticals, Inc., and ONGENTYS® (opicapone), an add-on treatment to carbidopa/levodopa in patients with Parkinson’s disease experiencing “Off” episodes, which we commenced selling in early 2024 under a license agreement with BIAL-Portela & Ca., S.A.

On June 30, 2023, we received a complete response letter (“CRL”) from the FDA regarding our new drug application (“NDA”) for IPX203 for the treatment of Parkinson’s disease. The CRL indicated that, although an adequate scientific bridge was established for the safety of one ingredient, levodopa, based on pharmacokinetic studies, it was not adequately established for the other ingredient, carbidopa, and the FDA requested additional information. The CRL did not identify any issues with respect to the efficacy or manufacturing of IPX203. During October 2023, we met with the FDA to align on the path to approval for IPX203. During the meeting, the FDA asked us to complete a QT study, a routine cardiac safety study that is required for new drugs. We completed the QT study and resubmitted our NDA for IPX203 on February 7, 2024. IPX203 has a Prescription Drug User Fee Act (PDUFA) decision date of August 7, 2024. However, we can provide no assurance that the FDA will approve our NDA for IPX203 timely or at all.

Our Specialty products are marketed through skilled specialty sales and marketing teams, who call on neurologists, movement disorder specialists, endocrinologists and primary care physicians in key markets throughout the U.S. Our Specialty segment also has a number of product candidates that are in varying stages of development.

For Specialty products, the majority of the product’s commercial value is usually realized during the period in which the product has market exclusivity. In the U.S., when market exclusivity expires and generic versions of a product are approved and marketed, there can often be very substantial and rapid declines in the branded product’s sales.

AvKARE

Our AvKARE segment provides pharmaceuticals, medical and surgical products and services primarily to governmental agencies, predominantly focused on the U.S. Department of Defense and the U.S. Department of Veterans Affairs. AvKARE is a re-packager of bottle and unit dose pharmaceuticals under the registered names of AvKARE and AvPAK. AvKARE is also a wholesale distributor of pharmaceuticals, over the counter drugs and medical supplies to its retail and institutional customers that are located throughout the U.S. focused primarily on offering 340b-qualified entities products to provide consistency in care and pricing.

The Pharmaceutical Industry

The pharmaceutical industry is highly competitive and highly regulated. As a result, we face a number of industry-specific factors and challenges, which can significantly impact our results. For a more detailed explanation of our business and its risks, refer to our 2023 Annual Report on Form 10-K, as supplemented by Part II, Item 1A “Risk Factors” of our subsequent Quarterly Reports on Form 10-Q.

Inflation

While it is difficult to accurately measure the impact of inflation, we estimate our business will experience an increase in costs due to inflation of approximately $15.0 million to $20.0 million for the year ending December 31, 2024, excluding the impact of rising interest rates. Notwithstanding our estimates, rising inflationary pressures due to higher input costs, including higher material, transportation, labor and other costs, could exceed our expectations, which would further adversely impact our operating results in future periods.

Results of Operations

Consolidated Results

The following table sets forth our summarized, consolidated results of operations for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,				Increase (Decrease)
	2024		2023		$		%
Net revenue	$	659,191	$	557,540	$	101,651	18.2	%
Cost of goods sold	421,131		379,354		41,777		11.0	%
Gross profit	238,060		178,186		59,874		33.6	%
Selling, general and administrative	112,595		102,096		10,499		10.3	%
Research and development	39,298		38,690		608		1.6	%
Intellectual property legal development expenses	984		1,644		(660)		(40.1)	%
Restructuring and other charges	1,470		510		960		188.2	%
Change in fair value of contingent consideration	100		2,457		(2,357)		(95.9)	%
Charges (credit) related to legal matters, net	94,359		(436)		94,795		nm
Other operating income	—		(1,224)		1,224		(100.0)	%
Operating (loss) income	(10,746)		34,449		(45,195)		nm
Total other expense, net	(64,776)		(43,875)		(20,901)		47.6	%
Loss before income taxes	(75,522)		(9,426)		(66,096)		nm
Provision for income taxes	6,156		668		5,488		nm
Net loss	$	(81,678)	$	(10,094)	$	(71,584)	nm

nm - not meaningful

Net Revenue

Net revenue for the three months ended March 31, 2024 increased 18.2% from the prior year period primarily due to:

•Growth in our Generics segment net revenue of $47.5 million primarily due to new generic products launched in 2024 and 2023, which include biosimilars that contributed $24.6 million and other new generic products that contributed $19.2 million of year-over-year growth and strong volume growth, partially offset by price erosion. Net revenue for the three months ended March 31, 2023 included a non-recurring customer order of $21.0 million.

•Growth in our AvKARE segment net revenue of $40.6 million, primarily driven by growth in our distribution and government label channels resulting from growth in new product introductions.

•Growth in our Specialty segment net revenue of $13.6 million primarily driven by a $9.4 million increase in our promoted neurology portfolio, of which $4.0 million was comprised of sales of ONGENTYS®, which launched during the first quarter of 2024, and growth in our promoted endocrinology portfolio of $4.6 million, partially offset by declines in our non-promoted products.

Cost of Goods Sold and Gross Profit

Cost of goods sold increased 11.0% for the three months ended March 31, 2024 as compared to the prior year period. The increase in cost of goods sold was primarily due to increased AvKARE and Generics volume and increased plant costs, partially offset by efficiencies in our supply costs. Cost of goods sold for the three months ended March 31, 2023 included $11.0 million associated with the non-recurring customer order in our Generics segment discussed above.

Gross profit as a percentage of net revenue increased to 36.1% for the three months ended March 31, 2024 from 32.0% in the prior year period primarily as a result of the factors noted above.

Selling, General, and Administrative

Selling, general, and administrative (“SG&A”) expenses for the three months ended March 31, 2024 increased 10.3% as compared to the prior year period primarily due to increases in employee compensation, promotion associated with

ONGENTYS® and our planned launch of IPX203, and annual fees assessed on branded prescription drug manufacturers, which are also applicable to certain of our generic products.

Research and Development

Research and development (“R&D”) expenses for the three months ended March 31, 2024 increased 1.6% as compared to the prior year period primarily due to an increase in in-licensing and upfront milestone payments of $3.5 million, partially offset by lower project spend of $1.4 million and operating efficiencies in our infrastructure.

Change in Fair Value of Contingent Consideration

Refer to Note 15. Fair Value Measurements for information about the estimation of our contingent consideration liabilities. The change in the fair value of contingent consideration for the three months ended March 31, 2024 was immaterial. The $2.5 million change in the fair value of contingent consideration for the three months ended March 31, 2023 was primarily driven by a decrease in our cost of debt and the passage of time.

Charges (Credit) Related to Legal Matters, Net

For the three months ended March 31, 2024, we recorded a charge for Generics civil prescription opioid litigation of $94.4 million. For the three months ended March 31, 2023, we recorded a net credit of $0.4 million for a litigation settlement gain, partially offset by charges for legal proceedings. Refer to Note 17. Commitments and Contingencies for additional information.

Total Other Expense, Net

Total other expense, net for the three months ended March 31, 2024 increased 47.6% as compared to the prior year period. The increase was primarily driven by a $16.4 million increase in interest expense as a result of higher rates on our variable-rate debt.

Provision For Income Taxes

For the three months ended March 31, 2024, our provision for income taxes and effective tax rate were $6.2 million and (8.2)%, respectively, as compared to a provision for income taxes of $0.7 million and an effective tax rate of (7.1)% for the three months ended March 31, 2023. The period-over-period changes in the provision for income taxes and effective tax rate were primarily related to changes in the jurisdictional mix of income.

Generics

The following table sets forth results of operations for our Generics segment for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,				Increase (Decrease)
	2024		2023		$		%
Net revenue	$	391,294	$	343,806	$	47,488	13.8	%
Cost of goods sold	239,922		230,551		9,371		4.1	%
Gross profit	151,372		113,255		38,117		33.7	%
Selling, general and administrative	33,085		27,600		5,485		19.9	%
Research and development	34,371		32,359		2,012		6.2	%
Intellectual property legal development expenses	960		1,624		(664)		(40.9)	%
Restructuring and other charges	—		99		(99)		(100.0)	%
Charges (credit) related to legal matters, net	94,359		(2,444)		96,803		nm
Other operating income	—		(1,224)		1,224		(100.0)	%
Operating (loss) income	$	(11,403)	$	55,241	$	(66,644)	(120.6)	%

nm - not meaningful

Net Revenue

Generics net revenue for the three months ended March 31, 2024 increased 13.8% as compared to the prior year period primarily due to new generic products launched in 2024 and 2023, which include biosimilars that contributed $24.6 million and other new generic products that contributed $19.2 million of year-over-year growth and strong volume growth, partially offset by price erosion. Net revenue for the three months ended March 31, 2023 included a non-recurring customer order of $21.0 million.

Cost of Goods Sold and Gross Profit

Generics cost of goods sold for the three months ended March 31, 2024 increased 4.1% as compared to the prior year period primarily due to costs associated with increased sales volume and increased plant costs, partially offset by efficiencies in our supply costs. Cost of goods sold for the three months ended March 31, 2023 included $11.0 million associated with the non-recurring customer order discussed above.

Generics gross profit as a percentage of net revenue increased to 38.7% for the three months ended March 31, 2024 from 32.9% in the prior year period primarily as a result of the factors noted above.

Selling, General, and Administrative

Generics SG&A expense for the three months ended March 31, 2024 increased 19.9% as compared to the prior year period primarily due to increases in employee compensation, promotion associated with our biosimilars, and the annual fees assessed on branded prescription drug manufacturers.

Research and Development

Generics R&D expenses for the three months ended March 31, 2024 increased 6.2% as compared to the prior year period primarily due to an increase in in-licensing and upfront milestone payments of $3.5 million, partially offset by reduced project spend of $0.8 million and operating efficiencies in our infrastructure.

Charges (Credit) Related to Legal Matters, Net

For the three months ended March 31, 2024, we recorded a charge for Generics civil prescription opioid litigation of $94.4 million. For the three months ended March 31, 2023, a litigation settlement gain was partially offset by charges for legal proceedings. Refer to Note 17. Commitments and Contingencies for additional information.

Specialty

The following table sets forth results of operations for our Specialty segment for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,				Increase (Decrease)
	2024		2023		$		%
Net revenue	$	105,234	$	91,678	$	13,556	14.8	%
Cost of goods sold	44,800		43,191		1,609		3.7	%
Gross profit	60,434		48,487		11,947		24.6	%
Selling, general and administrative	25,196		22,379		2,817		12.6	%
Research and development	4,927		6,331		(1,404)		(22.2)	%
Intellectual property legal development expenses	24		20		4		20.0	%
Restructuring and other charges	946		—		946		nm
Change in fair value of contingent consideration	100		2,457		(2,357)		(95.9)	%
Operating income	$	29,241	$	17,300	$	11,941	69.0	%

nm - not meaningful

Net Revenue

Specialty net revenue for the three months ended March 31, 2024 increased 14.8% compared to the prior year period, primarily driven by a $9.4 million increase in our promoted neurology portfolio, of which $4.0 million was comprised of sales of ONGENTYS®, which launched during the first quarter of 2024, and growth in our promoted endocrinology portfolio of $4.6 million, partially offset by declines in our non-promoted products.

Cost of Goods Sold and Gross Profit

Specialty cost of goods sold for the three months ended March 31, 2024 increased 3.7% as compared to the prior year period, primarily due to an increase in volumes, partially offset by favorable product mix. Specialty gross profit as a percentage of net revenue increased to 57.4% for the three months ended March 31, 2024 as compared to 52.9% in the prior year period due to growth in our higher margin promoted products.

Selling, General, and Administrative

Specialty SG&A expense for the three months ended March 31, 2024 increased 12.6% as compared to the prior year period primarily due to increases in promotional costs associated with ONGENTYS® and our planned launch of IPX203 and an increase in the annual fees assessed on branded prescription drug manufacturers.

Research and Development

Specialty R&D expenses for the three months ended March 31, 2024 decreased 22.2% as compared to the prior year period primarily due to reduced project spend of $0.6 million and reduced infrastructure costs.

Change in Fair Value of Contingent Consideration

AvKARE

The following table sets forth results of operations for our AvKARE segment for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,				Increase (Decrease)
	2024		2023		$		%
Net revenue	$	162,663	$	122,056	$	40,607	33.3	%
Cost of goods sold	136,409		105,612		30,797		29.2	%
Gross profit	26,254		16,444		9,810		59.7	%
Selling, general and administrative	14,907		12,940		1,967		15.2	%
Operating income	$	11,347	$	3,504	$	7,843	223.8	%

Net Revenue

AvKARE net revenue for the three months ended March 31, 2024 increased 33.3% as compared to the prior year period primarily driven by growth in our distribution and government label channels resulting from growth in new product introductions.

Cost of Goods Sold and Gross Profit

AvKARE cost of goods sold for the three months ended March 31, 2024 increased 29.2% as compared to the prior year period, and gross profit as a percentage of net revenue increased to 16.1% for the three months ended March 31, 2024 from 13.5% in the prior year period, primarily due to the increase in sales through our higher margin government channel, including higher margin new product introductions.

Selling, General and Administrative

AvKARE SG&A expense for the three months ended March 31, 2024 increased 15.2% as compared to the prior year period primarily due to higher employee compensation and sales-related expenses.

Liquidity and Capital Resources

Our primary source of liquidity is cash generated from operations, available cash on hand, and borrowings under debt financing arrangements (as defined and discussed in Note 16. Debt in our 2023 Annual Report on Form 10-K). We have access to $397.7 million of available capacity under the Amended New Revolving Credit Facility and $28.0 million of available capacity under the Amended Rondo Revolving Credit Facility as of March 31, 2024. We believe these sources are sufficient to fund our planned operations, meet our interest and contractual obligations, including acquisitions, and provide sufficient liquidity over the next 12 months from the date of filing of this Form 10-Q. However, our ability to satisfy our working capital requirements and debt obligations will depend upon economic conditions, our ability to negotiate and maintain satisfactory terms under our borrowing and debt facilities in the future, and demand for our products, which are factors that may be out of our control. Our primary uses of capital resources are to fund operating activities, including R&D expenses associated with new product filings, and pharmaceutical product manufacturing expenses, license payments, spending on production facility expansions, capital equipment, acquisitions, and legal settlements.

We estimate that we will invest approximately $60.0 million to $70.0 million during 2024 for capital expenditures to support and grow our existing operations, primarily related to investments in manufacturing equipment, information technology and facilities.

Debt Instruments

Over the next 12 months, we expect to make substantial payments, including monthly interest and quarterly principal amounts due for our Term Loan Due 2028, monthly interest on our Term Loan Due 2025 and Amended New Credit Facility, and contractual payments for leased premises. Refer to Note 16. Debt, Note 18. Leases, and Commitments and Contractual Obligations under Part II, Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations in our 2023 Annual Report on Form 10-K for additional information on our indebtedness and leases, respectively.

Settlement in Principle on Nationwide Civil Prescription Opioid Litigation

In late April 2024, we reached a settlement in principle on the primary financial terms, with no admission of wrongdoing, for a nationwide resolution to the opioids cases that have been filed and that might have been filed against us by states, counties, municipalities, and Native American tribes across the U.S. Refer to Note 17. Commitments and Contingencies for additional information.

Tax Receivable Agreement

In 2018, we entered into a tax receivable agreement (“TRA”) for which we were generally required to pay the other holders of Amneal Common Units 85% of the applicable tax savings, if any, in U.S. federal and state income tax that we were deemed to realize as a result of certain tax attributes of their Amneal Common Units sold to us (or exchanged in a taxable sale) and that are created as a result of (i) the sales of their Amneal Common Units for shares of Class A common stock and (ii) tax benefits attributable to payments made under the TRA. As part of the Reorganization (as defined in Note 1. Nature of Operations in our 2023 Annual Report on Form 10-K), the TRA was amended to reduce our future obligation to pay 85% of the realized tax benefits subject to the TRA to 75% of such realized benefits. As of December 31, 2023, the contingent TRA liability, including the impact of the amendment, was approximately $185.0 million.

The timing and amount of any payments under the TRA may vary, depending upon a number of factors including the timing and amount of our taxable income, and the corporate tax rate in effect at the time of realization of our taxable income (the TRA liability is determined based on a percentage of the corporate tax savings from the use of the TRA’s attributes). Because the Amneal Group (as defined in Item 1. Business in the Company’s 2023 Annual Report on Form 10-K) has exchanged all of its Amneal Common Units pursuant to the Reorganization, the primary remaining factor that could increase the contingent TRA liability is an increase in the effective tax rate. Since the combined rate for federal and state and local income taxes, as of March 31, 2024, has not changed significantly since December 31, 2023, the contingent TRA liability has not changed significantly from the year end amount described above. In addition, any future payments under the TRA may create additional basis adjustments, which may result in an additional layer of depreciation and amortization allocable to the Company, resulting in additional TRA payments. The timing and amount of payments may also be accelerated under certain conditions, such as a change of control or other early termination event, which could give rise to our obligation to make TRA payments in advance of

tax benefits being realized. For further information, refer to Item 1A. Risk Factors in our 2023 Annual Report on Form 10-K and Note 5. Income Taxes in this Form 10-Q.

Tax-Related Distributions

In 2020, we acquired a 65.1% controlling interest in both AvKARE Inc., a Tennessee corporation, now a limited liability company (“AvKARE, LLC”), and Dixon-Shane, LLC d/b/a R&S Northeast LLC, a Kentucky limited liability company (“R&S”). The sellers of AvKARE, LLC and R&S (the “AvKARE Sellers”) hold the remaining 34.9% interest in the holding company that directly owns the acquired companies (“Rondo”). We attribute 34.9% of the net income or loss associated with Rondo to redeemable non-controlling interests. During the three months ended March 31, 2024 and 2023, we made cash tax distributions of $0.6 million and $0.2 million, respectively, to the AvKARE Sellers. During April 2024, we made cash tax distributions of $3.7 million to the AvKARE Sellers.

Cash Balances

As of March 31, 2024, our cash and cash equivalents consist of cash on deposit and highly liquid investments. A portion of our cash flows are derived outside the U.S. As a result, we are subject to market risk associated with changes in foreign exchange rates. We maintain cash balances at both U.S. based and foreign country based commercial banks. At various times during the year, our cash balances held in the U.S. may exceed amounts that are insured by the Federal Deposit Insurance Corporation (FDIC). We make our investments in accordance with our investment policy. The primary objectives of our investment policy are liquidity and safety of principal.

Cash Flows

The following table sets forth our summarized, consolidated cash flows for the three months ended March 31, 2024 and 2023 (in thousands):


	Three Months Ended March 31,				Increase (Decrease)
	2024		2023		$		%
Net cash (used in) provided by:
Operating activities	$	(4,410)	$	139,712	$	(144,122)	(103.2)	%
Investing activities	(19,760)		(11,737)		(8,023)		68.4	%
Financing activities	(23,155)		(12,900)		(10,255)		79.5	%
Effect of exchange rate changes on cash	(165)		767		(932)		(121.5)	%
Net (decrease) increase in cash, cash equivalents, and restricted cash	$	(47,490)	$	115,842	$	(163,332)	nm

nm - not meaningful

Cash Flows from Operating Activities

Net cash used in operating activities was $4.4 million for the three months ended March 31, 2024 as compared to net cash provided by operating activities of $139.7 million in the prior year period. The decrease in net operating cash flows in the three months ended March 31, 2024 as compared to the prior year period was primarily driven by (i) lower collections of outstanding accounts receivable due to timing of sales in the quarter ended December 31, 2022, which benefited the three months ended March 31, 2023 and (ii) receipt of a $21.4 million upfront payment associated with the license agreement with Orion Corporation in the three months ended March 31, 2023, partially offset by (i) lower period over period payments associated with the Opana ER® antitrust litigation settlement and (ii) favorable working capital movements.

Cash Flows from Investing Activities

Net cash used in investing activities for the three months ended March 31, 2024 was $19.8 million as compared to $11.7 million in the prior year period. The period over period increase in net cash used in investing activities was primarily due to the

payment of a sales-based milestone related to the licensing and supply agreement with mAbxience S.L. for its biosimilar candidate for Avastin® (bevacizumab).

Cash Flows from Financing Activities

Net cash used in financing activities was $23.2 million for the three months ended March 31, 2024 as compared to $12.9 million in the prior year period. The period over period increase in net cash used in financing activities was primarily due to (i) net payments of principal on debt and other financing liabilities in the three months ended March 31, 2024 as compared to net borrowings in the prior year period and (ii) an increase in employee payroll tax withholding on restricted stock unit vesting, partially offset by a period over period decrease in tax distributions to non-controlling interests.

Commitments and Contractual Obligations

Our contractual obligations are set forth in Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations contained in our 2023 Annual Report on Form 10-K. As of March 31, 2024, there have been no material changes to the disclosure presented in our 2023 Annual Report on Form 10-K.

Off-Balance Sheet Arrangements

We did not have any off-balance sheet arrangements as of March 31, 2024.

Critical Accounting Policies and Estimates

For a discussion of our critical accounting policies and estimates, see Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations in our 2023 Annual Report on Form 10-K. There have been no material changes to the disclosures presented in our 2023 Annual Report on Form 10-K.

Recently Issued Accounting Standards

Recently issued accounting standards are discussed in Note 2. Summary of Significant Accounting Policies.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There has not been any material change in our assessment of market risk as set forth in Item 7A. Quantitative and Qualitative Disclosures About Market Risk, in our 2023 Annual Report on Form 10-K.

Item 4. Controls and Procedures

Disclosure Controls and Procedures

We maintain disclosure controls and procedures (as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) that are designed to ensure information required to be disclosed by us in reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our Co-Chief Executive Officers and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

Our management, with the participation of our Co-Chief Executive Officers and Chief Financial Officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this Quarterly Report on Form 10-Q. Based upon that evaluation, our Co-Chief Executive Officers and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of March 31, 2024.

Changes in Internal Control over Financial Reporting

During the quarter ended March 31, 2024, there were no changes in our internal control over financial reporting which materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

Limitations on the Effectiveness of Controls

Management, including our Co-Chief Executive Officers and Chief Financial Officer, does not expect that our disclosure controls and procedures or our system of internal control over financial reporting will prevent or detect all errors and all fraud. A control system, no matter how well designed or operated, can provide only reasonable, but not absolute, assurance that the objectives of the system of internal control are met. The design of our control system reflects the fact that there are resource constraints, and that the benefits of such control system must be considered relative to their costs. Further, because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control failures and instances of fraud, if any, within the Company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by the intentional acts of individuals, by collusion of two or more people, or by management override of the controls. The design of any system of controls is also based in part on certain assumptions about the likelihood of future events, and there can be no assurance that the design of any particular control will always succeed in achieving its objective under all potential future conditions.

Part II – OTHER INFORMATION

Item 1. Legal Proceedings

Information pertaining to legal proceedings can be found in Note 17. Commitments and Contingencies and is incorporated by reference herein.

Item 1A. Risk Factors

There have been no material changes to the disclosures presented in our 2023 Annual Report on Form 10-K under Item 1A. Risk Factors.

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

None.

Item 3. Defaults Upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.

Item 6. Exhibits


Exhibit No.						Description of Document

31.1						Certification of the Co - Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*

31.2						Certification of the Co - Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*

31.3						Certification of the Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.*

32.1						Certification of the Co - Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.**

32.2						Certification of the Co - Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.**

32.3						Certification of the Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.**



101						The following materials from the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 formatted in Inline XBRL (eXtensible Business Reporting Language): (i) Consolidated Statements of Operations for each of the three months ended March 31, 2024 and 2023, (ii) Consolidated Statements of Comprehensive Loss for each of the three months ended March 31, 2024 and 2023, (iii) Consolidated Balance Sheets as of March 31, 2024 and December 31, 2023, (iv) Consolidated Statements of Cash Flows for the three months ended March 31, 2024 and 2023, (v) Consolidated Statements of Changes in Stockholders' Equity (Deficiency) for each of the three months ended March 31, 2024 and 2023 and (vi) Notes to Consolidated Financial Statements.*

104						Cover Page Interactive Data File – The cover page from the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2024 is formatted in Inline XBRL (included as Exhibit 101).


*			Filed herewith
**			This certificate is being furnished solely to accompany the report pursuant to 18 U.S.C. 1350 and is not being filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference into any filing of the Company, whether made before or after the date hereof, regardless of any general incorporation language in such filing.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.


Date: May 8, 2024	Amneal Pharmaceuticals, Inc.
		(Registrant)

	By:	/s/ Anastasios Konidaris
		Anastasios Konidaris
		Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer)

Exhibit 31.1

CERTIFICATION PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Chirag Patel, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2024 of Amneal Pharmaceuticals, Inc.;

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 officers 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 officers and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (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.


May 8, 2024	By:	/s/ Chirag Patel
		Chirag Patel
		President and Co-Chief Executive Officer (Co-Principal Executive Officer)

Exhibit 31.2

CERTIFICATION PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Chintu Patel, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2024 of Amneal Pharmaceuticals, Inc.;

(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.


May 8, 2024	By:	/s/ Chintu Patel
		Chintu Patel
		Co-Chief Executive Officer (Co-Principal Executive Officer)

Exhibit 31.3

CERTIFICATION PURSUANT TO

SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Anastasios Konidaris, certify that:

1.I have reviewed this Quarterly Report on Form 10-Q for the fiscal quarter ended March 31, 2024 of Amneal Pharmaceuticals, Inc.;

(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.


May 8, 2024	By:	/s/ Anastasios Konidaris
		Anastasios Konidaris
		Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer)

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Amneal Pharmaceuticals, Inc. (the “Company”) for the fiscal quarter ended March 31, 2024 (the “Report”), Chirag Patel, President and Co-Chief Executive Officer of the Company, hereby certifies, pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

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

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


May 8, 2024	By:	/s/ Chirag Patel
		Chirag Patel
		President and Co-Chief Executive Officer
		(Co-Principal Executive Officer)

A signed original of this written statement required by Section 906 has been provided to Amneal Pharmaceuticals, Inc. and will be retained by Amneal Pharmaceuticals, Inc. and furnished to the Securities and Exchange Commission or its staff upon request.

Exhibit 32.2

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Amneal Pharmaceuticals, Inc. (the “Company”) for the fiscal quarter ended March 31, 2024 (the “Report”), Chintu Patel, Co-Chief Executive Officer of the Company, hereby certifies, pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

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

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


May 8, 2024	By:	/s/ Chintu Patel
		Chintu Patel
		Co-Chief Executive Officer
		(Co-Principal Executive Officer)

Exhibit 32.3

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Quarterly Report on Form 10-Q of Amneal Pharmaceuticals, Inc. (the “Company”) for the fiscal quarter ended March 31, 2024 (the “Report”), Anastasios Konidaris, Executive Vice President and Chief Financial Officer of the Company, hereby certifies, pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

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

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


May 8, 2024	By:	/s/ Anastasios Konidaris
		Anastasios Konidaris
		Executive Vice President and Chief Financial Officer
		(Principal Financial and Accounting Officer)

Cover - shares	3 Months Ended
Cover - shares	Mar. 31, 2024	Apr. 30, 2024
Entity Information [Line Items]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2024
Document Transition Report	false
Entity File Number	001-38485
Entity Registrant Name	Amneal Pharmaceuticals, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	93-4225266
Entity Address, Address Line One	400 Crossing Boulevard,
Entity Address, City or Town	Bridgewater
Entity Address, State or Province	NJ
Entity Address, Postal Zip Code	08807
City Area Code	908
Local Phone Number	947-3120
Title of 12(b) Security	Class A Common Stock, par value $0.01 per share
Trading Symbol	AMRX
Security Exchange Name	NASDAQ
Entity Current Reporting	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding (in shares)		308,651,373
Entity Central Index Key	0001723128
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2024
Document Fiscal Period Focus	Q1
Amendment Flag	false

Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Income Statement [Abstract]
Net revenue	$ 659,191	$ 557,540
Cost of goods sold	421,131	379,354
Gross profit	238,060	178,186
Selling, general and administrative	112,595	102,096
Research and development	39,298	38,690
Intellectual property legal development expenses	984	1,644
Restructuring and other charges	1,470	510
Change in fair value of contingent consideration	100	2,457
Charges (credit) related to legal matters, net	94,359	(436)
Other operating income	0	(1,224)
Operating (loss) income	(10,746)	34,449
Other (expense) income:
Interest expense, net	(65,703)	(49,315)
Foreign exchange (loss) gain, net	(1,197)	1,901
Increase in tax receivable agreement liability	(1,948)	(826)
Other income, net	4,072	4,365
Total other expense, net	(64,776)	(43,875)
Loss before income taxes	(75,522)	(9,426)
Provision for income taxes	6,156	668
Net loss	(81,678)	(10,094)
Less: Net (income) loss attributable to non-controlling interests	(9,965)	3,151
Net loss attributable to Amneal Pharmaceuticals, Inc.	$ (91,643)	$ (6,943)
Net loss per share attributable to Amneal Pharmaceuticals, Inc.'s Class A common stockholders:
Basic (in dollars per share)	$ (0.30)	$ (0.05)
Diluted (in dollars per share)	$ (0.30)	$ (0.05)
Weighted-average common shares outstanding:
Basic (in shares)	307,279	152,109
Diluted (in shares)	307,279	152,109

Consolidated Statements of Comprehensive Loss - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Statement of Other Comprehensive Income [Abstract]
Net (loss) income	$ (81,678)	$ (10,094)
Less: Net (income) loss attributable to non-controlling interests	(9,965)	3,151
Net loss attributable to Amneal Pharmaceuticals, Inc.	(91,643)	(6,943)
Other comprehensive (loss) income:
Foreign currency translation adjustments arising during the period	(390)	1,797
Unrealized gain (loss) on cash flow hedge, net of tax of $0	15,543	(14,270)
Reclassification of cash flow hedge to earnings, net of tax of $0	(6,515)	0
Less: Other comprehensive loss attributable to non-controlling interests	0	6,236
Other comprehensive income (loss) attributable to Amneal Pharmaceuticals, Inc.	8,638	(6,237)
Comprehensive loss attributable to Amneal Pharmaceuticals, Inc.	$ (83,005)	$ (13,180)

Consolidated Statements of Comprehensive Loss (Parentheticals) - USD ($)	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Statement of Comprehensive Income [Abstract]
Unrealized gain (loss) on cash flow hedge, net of tax	$ 0	$ 0
Reclassification of cash flow hedge to earnings, net of tax	$ 0	$ 0

Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Current assets:
Cash and cash equivalents	$ 46,520	$ 91,542
Restricted cash	5,097	7,565
Inventories	570,653	581,384
Prepaid expenses and other current assets	87,298	82,685
Total current assets	1,380,044	1,377,863
Property, plant and equipment, net	439,815	447,574
Goodwill	598,549	598,629
Intangible assets, net	859,272	890,423
Other assets	73,747	55,517
Total assets	3,456,397	3,472,569
Current liabilities:
Current portion of liabilities for legal matters	30,130	76,988
Revolving credit facility	179,000	179,000
Current portion of long-term debt, net	33,660	34,125
Total current liabilities	834,388	846,595
Long-term debt, net	2,377,707	2,386,004
Note payable - related party	41,893	41,447
Liabilities for legal matters - long term	85,479	316
Total long-term liabilities	2,638,616	2,564,670
Commitments and contingencies (Notes 4 and 17)
Redeemable non-controlling interests	47,022	41,293
Stockholders' (Deficiency) Equity
Preferred stock, $0.01 par value, 2,000 shares authorized at both March 31, 2024 and December 31, 2023; none issued at both March 31, 2024 and December 31, 2023	0	0
Additional paid-in capital	538,720	539,240
Stockholders' accumulated deficit	(581,819)	(490,176)
Accumulated other comprehensive loss	(23,711)	(32,349)
Total Amneal Pharmaceuticals, Inc. stockholders' (deficiency) equity	(63,724)	19,781
Non-controlling interests	95	230
Total stockholders' (deficiency) equity	(63,629)	20,011
Total liabilities and stockholders' (deficiency) equity	3,456,397	3,472,569
Related Party
Current assets:
Trade accounts receivable, net	1,521	955
Operating lease right-of-use assets	12,468	12,954
Current liabilities:
Accounts payable and accrued expenses	17,075	7,321
Current portion of operating lease liabilities - related party	3,192	2,825
Operating lease liabilities	11,969	12,787
Other long-term liabilities	11,394	11,776
Nonrelated Party
Current assets:
Trade accounts receivable, net	668,955	613,732
Operating lease right-of-use assets	32,970	30,329
Financing lease right-of-use assets	59,532	59,280
Current liabilities:
Accounts payable and accrued expenses	558,518	534,662
Current portion of operating lease liabilities	9,508	9,207
Current portion of financing lease liabilities	3,305	2,467
Operating lease liabilities	26,786	24,095
Financing lease liabilities	58,809	58,566
Other long-term liabilities	24,579	29,679
Common Class A
Stockholders' (Deficiency) Equity
Common stock	3,086	3,066
Common Class B
Stockholders' (Deficiency) Equity
Common stock	$ 0	$ 0

Consolidated Balance Sheets (Parenthetical) - $ / shares	Mar. 31, 2024	Dec. 31, 2023
Preferred stock, par value (in usd per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	2,000,000	2,000,000
Preferred stock, shares issued (in shares)	0	0
Common Class A
Common stock, par value (in usd per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	900,000,000	900,000,000
Common stock, shares issued (in shares)	308,623,000	306,565,000
Common Class B
Common stock, par value (in usd per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	300,000,000	300,000,000
Common stock, shares issued (in shares)	0	0

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Cash flows from operating activities:
Net (loss) income	$ (81,678)	$ (10,094)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:
Depreciation and amortization	55,528	58,150
Unrealized foreign currency loss (gain)	1,511	(1,987)
Amortization of debt issuance costs and discount	288	2,058
Intangible asset impairment charges	920	0
Change in fair value of contingent consideration	100	2,457
Stock-based compensation	6,722	7,596
Inventory provision	22,923	25,204
Other operating charges and credits, net	1,250	2,047
Changes in assets and liabilities:
Trade accounts receivable, net	(55,173)	195,970
Inventories	(12,200)	(22,508)
Prepaid expenses, other current assets and other assets	(11,708)	29,160
Related party receivables	(562)	470
Accounts payable, accrued expenses and other liabilities	62,174	(150,483)
Related party payables	5,495	1,672
Net cash (used in) provided by operating activities	(4,410)	139,712
Cash flows from investing activities:
Purchases of property, plant and equipment	(9,198)	(9,688)
Acquisition of intangible assets	(9,700)	(338)
Deposits for future acquisition of property, plant and equipment	(862)	(1,711)
Net cash used in investing activities	(19,760)	(11,737)
Cash flows from financing activities:
Payments of principal on debt, revolving credit facilities, financing leases and other	(63,377)	(72,659)
Borrowings on revolving credit facilities	48,000	80,000
Proceeds from exercise of stock options	28	0
Employee payroll tax withholding on restricted stock unit vesting	(7,212)	(2,022)
Tax distributions to non-controlling interests	(594)	(18,219)
Net cash used in financing activities	(23,155)	(12,900)
Effect of foreign exchange rate on cash	(165)	767
Net (decrease) increase in cash, cash equivalents, and restricted cash	(47,490)	115,842
Cash, cash equivalents, and restricted cash - beginning of period	99,107	35,227
Cash, cash equivalents, and restricted cash - end of period	51,617	151,069
Cash and cash equivalents - end of period	46,520	144,674
Restricted cash - end of period	5,097	6,395
Cash, cash equivalents, and restricted cash - end of period	51,617	151,069
Supplemental disclosure of cash flow information:
Cash paid for interest	64,514	41,066
Cash (paid) received, net for income taxes	(4,567)	3,421
Supplemental disclosure of non-cash investing and financing activity:
Tax distributions to non-controlling interests	$ 3,777	$ 11,548

Consolidated Statements of Changes in Stockholders’ Equity (Deficiency) - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock Common Class A	Common Stock Old PubCo, Common Class A	Common Stock Old PubCo, Common Class B	Additional Paid-in Capital	Stockholders' Accumulated Deficit	Accumulated Other Comprehensive Income	Non- Controlling Interests
Shares beginning balance (in shares) at Dec. 31, 2022			151,490	152,117
Stockholders' equity beginning balance at Dec. 31, 2022	$ 183,979		$ 1,514	$ 1,522	$ 691,629	$ (406,183)	$ 9,939	$ (114,442)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net (loss) income	(15,631)					(6,943)		(8,688)
Foreign currency translation adjustments	1,797						898	899
Stock-based compensation	7,596				7,596
Restricted stock unit vesting, net of shares withheld to cover payroll taxes (in shares)			1,831
Restricted stock unit vesting, net of shares withheld to cover payroll taxes	(1,995)		$ 18		1,497		62	(3,572)
Unrealized gain (loss) on cash flow hedge, net of tax	(14,270)						(7,135)	(7,135)
Tax distributions, net	(26,808)							(26,808)
Reclassification of cash flow hedge to earnings, net of tax of $0	0
Shares ending balance (in shares) at Mar. 31, 2023			153,321	152,117
Stockholders' equity ending balance at Mar. 31, 2023	134,668		$ 1,532	$ 1,522	700,722	(413,126)	3,764	(159,746)
Redeemable Non-Controlling Interests, beginning balance at Dec. 31, 2022	24,949
Increase (Decrease) in Temporary Equity [Roll Forward]
Net (loss) income	5,537
Tax distributions, net	(2,959)
Redeemable Non-Controlling Interests, ending balance at Mar. 31, 2023	27,527
Shares beginning balance (in shares) at Dec. 31, 2023		306,565
Stockholders' equity beginning balance at Dec. 31, 2023	20,011	$ 3,066			539,240	(490,176)	(32,349)	230
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net (loss) income	(91,778)					(91,643)		(135)
Foreign currency translation adjustments	(390)						(390)
Stock-based compensation	6,722				6,722
Exercise of stock options (in shares)		10
Exercise of stock options	28				28
Restricted stock unit vesting, net of shares withheld to cover payroll taxes (in shares)		2,048
Restricted stock unit vesting, net of shares withheld to cover payroll taxes	(7,250)	$ 20			(7,270)
Unrealized gain (loss) on cash flow hedge, net of tax	15,543						15,543
Reclassification of cash flow hedge to earnings, net of tax of $0	(6,515)						(6,515)
Shares ending balance (in shares) at Mar. 31, 2024		308,623
Stockholders' equity ending balance at Mar. 31, 2024	(63,629)	$ 3,086			$ 538,720	$ (581,819)	$ (23,711)	$ 95
Redeemable Non-Controlling Interests, beginning balance at Dec. 31, 2023	41,293
Increase (Decrease) in Temporary Equity [Roll Forward]
Net (loss) income	10,100
Tax distributions, net	(4,371)
Redeemable Non-Controlling Interests, ending balance at Mar. 31, 2024	$ 47,022

Consolidated Statements of Changes in Stockholders’ Equity (Deficiency) (Parenthetical)	3 Months Ended
	Mar. 31, 2024 USD ($)
Statement of Stockholders' Equity [Abstract]
Unrealized gain (loss) on cash flow hedge, net of tax	$ 0
Reclassification of cash flow hedge to earnings, net of tax	$ 0

Nature of Operations	3 Months Ended
Nature of Operations	Mar. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Nature of Operations	Nature of Operations Amneal Pharmaceuticals, Inc. (the “Company”) is a global pharmaceutical company that develops, manufactures, markets, and distributes a diverse portfolio of essential medicines, including retail generics, injectables, and biosimilars in our Generics segment and specialty branded pharmaceuticals. The Company operates principally in the United States (“U.S.”), India, and Ireland, and sells to wholesalers, distributors, hospitals, governmental agencies, chain pharmacies and individual pharmacies, either directly or indirectly. The Company is a holding company whose principal assets are 100% of the common units of Amneal Pharmaceuticals, LLC (“Amneal”).

Summary of Significant Accounting Policies	3 Months Ended
Summary of Significant Accounting Policies	Mar. 31, 2024
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies Basis of Presentation The accompanying unaudited consolidated financial statements, which are prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”), should be read in conjunction with the Company’s annual audited financial statements for the year ended December 31, 2023 included in the Company’s 2023 Annual Report on Form 10-K. Certain information and footnote disclosures normally included in annual financial statements have been omitted from the accompanying unaudited consolidated financial statements. In the opinion of management, the accompanying unaudited consolidated financial statements contain all adjustments, consisting of only normal recurring adjustments, necessary for a fair statement of the Company’s financial position as of March 31, 2024, cash flows for the three months ended March 31, 2024 and 2023 and the results of its operations, its comprehensive loss and its changes in stockholders’ equity (deficiency) for the three months ended March 31, 2024 and 2023. The consolidated balance sheet data at December 31, 2023 was derived from the Company’s audited annual financial statements, but does not include all disclosures required by U.S. GAAP. Except for the updates included in this note, the accounting policies of the Company are set forth in Note 2. Summary of Significant Accounting Policies contained in the Company’s 2023 Annual Report on Form 10-K. Use of Estimates The preparation of financial statements requires the Company's management to make estimates and assumptions that affect the reported financial position at the date of the financial statements and the reported results of operations during the reporting period. Such estimates and assumptions affect the reported amounts of assets, liabilities, revenues and expenses, and disclosure of contingent assets and liabilities in the consolidated financial statements and accompanying notes. The following are some, but not all, of such estimates: the determination of chargebacks, sales returns, rebates, valuation of intangible and other assets acquired in business combinations, allowances for accounts receivable, accrued liabilities, liabilities for legal matters, contingent liabilities, initial and subsequent valuation of contingent consideration recognized in business combinations, stock-based compensation, valuation of inventory balances, the determination of useful lives for product rights and the assessment of expected cash flows used in evaluating goodwill and other long-lived assets for impairment. Actual results could differ from those estimates. Reclassification The prior period balance related to the TRA (as defined in Note 5. Income Taxes) of $0.8 million, formerly included in other income, net for the three months ended March 31, 2023, has been reclassified to the income statement caption “increase in tax receivable agreement liability” to conform to the current period presentation in the consolidated statements of operations. This reclassification did not impact total other expense, net or net loss. The prior period balance related to long-term liabilities for legal matters of $0.3 million, formerly included in other long-term liabilities as of December 31, 2023, has been reclassified to the balance sheet caption “liabilities for legal matters - long term” to conform to the current period presentation in the consolidated balance sheets. This reclassification did not impact total long-term liabilities or total liabilities. Recently Issued Accounting Pronouncements In November 2023, the Financial Accounting Standards Board (the “FASB”) issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which provides improvements to reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. ASU 2023-07 requires disclosures to include the title and position of the chief operating decision maker (“CODM”), significant segment expenses that are regularly provided to the CODM, a description of other segment items by reportable segment, and any additional measures of a segment’s profit or loss used by the CODM when deciding how to allocate resources. ASU 2023-07 also requires all annual disclosures currently required by Topic 280 to be included in interim periods. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted and requires retrospective application to all prior periods presented in the financial statements. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which enhances the transparency and usefulness of income tax disclosures. ASU 2023-09 requires that public business entities on an annual basis disclose specific categories in the rate reconciliation and provide additional information for reconciling items that meet a quantitative threshold. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted for annual financial statements that have not yet been issued or made available for issuance. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements.

Revenue Recognition

3 Months Ended

Mar. 31, 2024

Revenue from Contract with Customer [Abstract]

Revenue Recognition

License Agreements

Refer to Note 4. Alliance and Collaboration for further information related to revenue recognition associated with license agreements.

Concentration of Revenue

The following table summarizes revenues from each of the Company’s customers which individually accounted for 10% or more of its total net revenue:


	Three Months Ended March 31,
	2024		2023
Customer A	21	%	22	%
Customer B	15	%	14	%
Customer C	23	%	20	%
Customer D	10	%	9	%

Disaggregated Revenue


		Three Months Ended March 31,
		2024		2023
Generics
	Anti-infective	$	6,110	$	5,174
	Hormonal / allergy	107,714		104,851
	Antiviral	3,866		25,474
	Central nervous system	109,456		84,582
	Cardiovascular system	45,878		32,503
	Gastroenterology	18,197		14,364
	Oncology	38,533		10,578
	Metabolic disease / endocrine	11,185		9,265
	Respiratory	11,136		12,815
	Dermatology	18,975		18,004
	Other therapeutic classes	18,523		25,895
	International and other	1,721		301
	Total Generics net revenue	391,294		343,806
Specialty
	Hormonal / allergy	29,375		24,763
	Central nervous system	66,276		60,139
	License agreement (1)	4,479		—
	Other therapeutic classes	5,104		6,776
	Total Specialty net revenue	105,234		91,678
AvKARE
	Distribution	109,713		83,230
	Government label	34,952		24,516
	Institutional	10,858		8,862
	Other	7,140		5,448
	Total AvKARE net revenue	162,663		122,056
	Total net revenue	$	659,191	$	557,540

(1)Refer to Note 4. Alliance and Collaboration for information on revenue recognized under a license agreement.

A rollforward of the major categories of sales-related deductions for the three months ended March 31, 2024 is as follows (in thousands):


	Contract Charge - Backs and Sales Volume Allowances		Cash Discount Allowances		Accrued Returns Allowance		Accrued Medicaid and Commercial Rebates
Balance at December 31, 2023	$	559,334	$	23,892	$	136,486	$	90,690
Provision related to sales recorded in the period	885,322		30,073		16,220		61,271
Credits/payments issued during the period	(987,202)		(26,550)		(15,598)		(55,250)
Balance at March 31, 2024	$	457,454	$	27,415	$	137,108	$	96,711

Alliance and Collaboration	3 Months Ended
Alliance and Collaboration	Mar. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Alliance and Collaboration	Alliance and Collaboration The Company has entered into several alliance, collaboration, license, distribution and similar agreements with respect to certain of its products and services with third-party pharmaceutical companies. The consolidated statements of operations include revenue recognized under agreements the Company has entered into to develop marketing and/or distribution relationships with its partners to fully leverage the technology platform and revenue recognized under development agreements which generally obligate the Company to provide R&D services over multiple periods. The Company’s significant arrangements are discussed below. Orion Corporation License Agreement On December 28, 2022, Amneal signed a long-term license agreement with Orion Corporation (“Orion”), a globally operating Finnish pharmaceutical company, to commercialize a number of its complex generic products in most parts of Europe, Australia and New Zealand (the “Orion Agreement”). The initial term of the Orion Agreement commences upon commercial launch of the products and will continue for eight years. The Orion Agreement will automatically renew for successive two-year terms unless either party declines such renewal in writing at least one year in advance. During both the three months ended March 31, 2024 and 2023, the Company recognized $0.6 million as a reduction to R&D expense related to services performed under the Orion Agreement. As of March 31, 2024, deferred income of $10.7 million and $1.2 million was recorded in accounts payable and accrued expenses and other long-term liabilities, respectively. As of December 31, 2023, deferred income of $7.8 million and $4.7 million was recorded in accounts payable and accrued expenses and other long-term liabilities, respectively. As of March 31, 2024, no products have been supplied by Amneal under the Orion Agreement. Refer to Note 5. Alliance and Collaboration in our 2023 Annual Report on Form 10-K for additional information. ONGENTYS® License Agreement On December 5, 2023, the Company entered into a license agreement with BIAL-Portela & Ca., S.A. (“BIAL”) for the exclusive royalty-free right to market and distribute ONGENTYS® (opicapone) in the U.S. starting on December 18, 2023 and ending at such time when generic opicapone sales reach certain predetermined thresholds (the “BIAL License Agreement”). ONGENTYS® is BIAL’s proprietary, once-daily, peripherally-acting, highly-selective catechol-O-methyltransferase inhibitor approved by the FDA in 2020 as an add-on treatment to carbidopa/levodopa in patients with Parkinson’s disease experiencing “Off” episodes. Under the BIAL Agreement, the Company is responsible for commercialization and marketing of ONGENTYS® in the U.S. and BIAL is responsible for manufacturing and supply. The BIAL Agreement also requires the Company to spend a minimum of $6.0 million in medical and marketing activities directly related to ONGENTYS®. The Company commenced distribution of ONGENTYS® during the three months ended March 31, 2024. During December 2023, the Company paid a nonrefundable license fee of $12.5 million to BIAL, which was capitalized as an intangible asset and will be amortized to cost of sales over a period of eight years. The BIAL License Agreement provides for potential future milestone payments totaling $22.5 million, depending on cumulative net sales of ONGENTYS®. Knight Therapeutics International S.A. License Agreement On January 24, 2024, the Company entered into a 15-year license, distribution and supply agreement with Knight Therapeutics International S.A. (“Knight”) granting Knight the exclusive rights to seek regulatory approval and commercialize IPX203 in Canada and Latin America (the “Knight License Agreement”). The Knight License Agreement will automatically renew for successive two-year periods unless either party provides notice declining such renewal at least one year in advance of any such renewal. Knight will be responsible for the performance of all R&D activities, regulatory approval, commercialization, and marketing activities for the territories in the agreement to be conducted to obtain regulatory approval for each product. Upon achieving regulatory approval for products, Amneal will be responsible for manufacturing and supplying products to Knight. On February 26, 2024, the Company received a nonrefundable license fee of $1.0 million from Knight, which was recorded as net revenue for the three months ended March 31, 2024. The Knight License Agreement provides for potential future milestone payments totaling $10.5 million, contingent upon regulatory approval, launch dates and cumulative net sales targets by Knight. The agreement also includes low-double digit royalty payments based on net sales of IPX203. License Agreement with Zambon Biotech On February 23, 2024, the Company entered into a license, distribution and supply agreement with Zambon Biotech S.A. (“Zambon”) granting Zambon the exclusive rights to seek regulatory approval and commercialize IPX203 in Europe (the “Zambon License Agreement”). The term for the Zambon License Agreement is 15 years commencing from the commercial launch of the product, which can automatically renew for successive two-year periods unless either party provides notice declining such renewal at least one year in advance of any such renewal. Zambon will be responsible for the performance of all R&D activities, regulatory approval, commercialization, and marketing activities for the territories in the agreement to be conducted to obtain regulatory approval for each product. Upon achieving regulatory approval for products, Amneal will be responsible for manufacturing and supplying products to Zambon. In connection with the execution of the agreement, the Company was entitled to a non-refundable license fee of €5.0 million, or $5.4 million, which was received in April 2024. Of the license fee, the Company allocated €3.2 million, or $3.5 million, to the delivery of a functional license, which was recorded as net revenue during the three months ended March 31, 2024. In addition, the Company is eligible to receive future milestone payments totaling €71.5 million, or $77.2 million, from Zambon, contingent upon regulatory approval of the product, and achievement of certain annual net sales targets by Zambon. The Zambon License Agreement also includes single-digit to low-double digit royalty payments based on net sales of IPX203. Biosimilar Licensing and Supply Agreement Bevacizumab On May 7, 2018, the Company entered into a licensing and supply agreement with mAbxience S.L. (“mAbxience”), for its biosimilar candidate for Avastin® (bevacizumab). The supply agreement was subsequently amended on March 2, 2021 and the licensing agreement was amended on March 4, 2021. Pursuant to the agreement, the Company will be the exclusive partner in the U.S. market and pay up-front, development and regulatory milestone payments as well as commercial milestone payments on reaching pre-agreed sales targets in the market to mAbxience, up to $78.3 million. On April 13, 2022, the FDA approved the Company’s biologics license application for bevacizumab-maly, a biosimilar referencing Avastin®. In connection with this regulatory approval and associated activity, the Company paid milestones of $26.5 million during the year ended December 31, 2022, which were capitalized as product rights intangible assets and are being amortized to cost of sales over their estimated useful lives of seven years. During the three months ended March 31, 2024, the Company paid a sales-based milestone of $9.5 million, which was capitalized as a product rights intangible asset and is being amortized to cost of sales. Denosumab On October 12, 2023, the Company entered into a licensing and supply agreement with mAbxience to be the exclusive U.S. partner for two denosumab biosimilars referencing both Prolia® and XGEVA®. Denosumab is a monoclonal antibody drug that inhibits bone reabsorption. It is indicated for two major categories of therapy: bone metastasis from various forms of cancer and prevention of bone pain and fractures, including osteoporosis-related injuries. mAbxience is responsible for the clinical and regulatory approval for the two products and regulatory fees will be shared by the parties. Upon approval of each product, mAbxience will be responsible for supply and the Company will be responsible for commercialization. During the year ended December 31, 2023, the Company recorded R&D expense for a $2.5 million payment made upon execution of the agreement and an additional $2.5 million for a developmental milestone. During the three months ended March 31, 2024, the Company recorded R&D expense for a $3.0 million payment made for a clinical milestone. The agreement provides for potential future milestone payments to mAbxience of up to $66.0 million as follows: (i) up to $3.5 million relating to clinical and developmental milestones; (ii) up to $15.0 million for regulatory approval and initial commercial launch milestones; and (iii) up to $47.5 million for the achievement of annual commercial milestones. Agreements with Kashiv Biosciences, LLC For details on the Company’s related party agreements with Kashiv Biosciences, LLC (“Kashiv”), refer to Note 19. Related Party Transactions in this Form 10-Q and Note 24. Related Party Transactions in the Company’s 2023 Annual Report on Form 10-K.

Income Taxes	3 Months Ended
Income Taxes	Mar. 31, 2024
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes For the three months ended March 31, 2024, the Company’s provision for income taxes and effective tax rate were $6.2 million and (8.2)%, respectively, as compared to $0.7 million and (7.1)%, respectively, for the three months ended March 31, 2023. For the three months ended March 31, 2024, the period-over-period change in the provision for income taxes was primarily related to changes in the jurisdictional mix of income. The Company recorded deferred tax assets for (i) its outside basis difference in its investment in Amneal on May 4, 2018, (ii) the net operating loss of Impax Laboratories, Inc., which was acquired by the Company in 2018, from January 1, 2018 through May 4, 2018, (iii) certain federal and state credits, and (iv) interest carryforwards of Impax that were attributable to the Company. The Company records its valuation allowances against its deferred tax assets (“DTAs”) when it is more likely than not that all or a portion of a DTA will not be realized. The Company routinely evaluates the realizability of its DTAs by assessing the likelihood that its DTAs will be recovered based on all available positive and negative evidence, including scheduled reversals of deferred tax liabilities, estimates of future taxable income, tax planning strategies and results of operations. Estimating future taxable income is inherently uncertain and requires judgment. In projecting future taxable income, the Company considers its historical results and incorporates certain assumptions, including projected new product launches, revenue growth, and operating margins, among others. The Company established a valuation allowance on its DTAs based upon all available objective and verifiable evidence, both positive and negative, including historical levels of pre-tax income (loss) both on a consolidated basis and tax reporting entity basis, legislative developments, expectations and risks associated with estimates of future pre-tax income, and prudent and feasible tax planning strategies. Since first establishing a valuation allowance, the Company has generated cumulative consolidated three-year pre-tax losses through March 31, 2024. As a result of the losses through March 31, 2024, the Company determined that it is more likely than not that it will not realize the benefits of its gross DTAs and therefore maintained its valuation allowance. As of March 31, 2024 and December 31, 2023, this valuation allowance was $566.0 million and $566.5 million, respectively, and reduced the carrying value of these gross DTAs to zero. In 2018, the Company entered into a tax receivable agreement (“TRA”) for which it was generally required to pay the holders of Amneal common units on a one-to-one basis, 85% of the applicable tax savings, if any, in U.S. federal and state income tax that it is deemed to realize as a result of certain tax attributes of their Amneal common units sold to the Company (or exchanged in a taxable sale) and that are created as a result of (i) the sales of their Amneal common units for shares of Class A common stock of the Company prior to the Reorganization (as defined in Note 1. Nature of Operations in our 2023 Annual Report on Form 10-K) and (ii) tax benefits attributable to payments made under the TRA. In conjunction with the valuation allowance recorded on the DTAs, the Company reversed the accrued TRA liability of $192.8 million during 2019. As part of the Reorganization, the TRA was amended to reduce the Company’s future obligation to pay 85% of the tax benefits subject to the TRA to 75% of such realized benefits. This agreement will not cause the acceleration of payments under the TRA. As noted above, the Company has determined it is more-likely-than-not it will be unable to utilize its DTAs subject to the TRA; therefore, as of March 31, 2024 and December 31, 2023, the Company has not recognized the contingent liability under the TRA related to the tax savings it may realize from common units sold or exchanged. If utilization of these DTAs becomes more-likely-than-not in the future, at such time, these TRA liabilities (which amounted to approximately $185.0 million at March 31, 2024 and December 31, 2023) will be recorded through charges in the Company’s consolidated statements of operations. The timing and amount of any payments under the TRA may vary depending on the timing of the Company’s taxable income and the tax rate in effect at the time of realization of the Company’s taxable income. Under certain conditions, such as a change of control or other early termination event, the Company could be obligated to make TRA payments in advance of tax benefits being realized. Payments could also be in excess of the tax savings that the Company may ultimately realize. Although the DTAs were not determined to be realizable as of March 31, 2024 and December 31, 2023, the Company assessed that a TRA liability of $5.7 million and $3.8 million at those dates, respectively, had become probable. For the three months ended March 31, 2024 and 2023, the Company recorded expenses associated with the TRA of $1.9 million and $0.8 million, respectively. In future periods, the Company will continue to evaluate whether any future TRA payments become probable and can be estimated and, if so, an estimate of payment will be accrued. Any future recognition of these TRA liabilities will be recorded through charges in the Company’s consolidated statements of operations. However, if the tax attributes are not utilized in future years, it is reasonably possible no amounts would be paid under the TRA in excess of the $5.7 million accrued as of March 31, 2024. Should the Company determine that a DTA with a valuation allowance is realizable in a subsequent period, the related valuation allowance will be reversed and, if a resulting TRA payment is determined to be probable, a corresponding TRA liability will be recorded. The Company continuously monitors government proposals to make changes to tax laws, including proposed legislation in certain foreign jurisdictions resulting from the adoption of the Organization for Economic Cooperation and Development (“OECD”) policies (refer to Note 7. Income Taxes in the Company’s 2023 Annual Report on Form 10-K). The OECD has issued a two-pillar approach to global taxation, focusing on global profit allocation and a global minimum tax rate of at least 15%. Legislation for the “Pillar Two” proposal, applying to the Company, has been enacted in Ireland, and it is effective with the financial year beginning on January 1, 2024. As the tax rates the other jurisdictions in which the Company operates exceed 15%, the Company does not believe there is any potential additional exposure besides in Ireland. Since Pillar Two taxes are an alternative minimum tax, deferred taxes will not need to be recorded or remeasured as a result of Pillar Two taxes. Instead, Pillar Two taxes will be expensed as incurred. For interim tax provision purposes, the Pillar Two tax related to Ireland taxes is included in the calculation of the Company’s provision for income taxes.

Loss per Share

3 Months Ended

Mar. 31, 2024

Earnings Per Share [Abstract]

Loss per Share

The following table sets forth reconciliations of the numerators and denominators used to compute basic and diluted loss per share of Class A common stock (in thousands, except per share amounts):


	Three Months Ended March 31,
	2024		2023
Numerator:
Net loss attributable to Amneal Pharmaceuticals, Inc.	$	(91,643)	$	(6,943)
Denominator:
Weighted-average shares outstanding - basic and diluted	307,279		152,109
Net loss per share attributable to Amneal Pharmaceuticals, Inc.’s Class A common stockholders:
Basic and diluted	$	(0.30)	$	(0.05)

The following table presents potentially dilutive securities excluded from the computations of diluted loss per share of Class A common stock (in thousands):


	Three Months Ended March 31,
	2024		2023
Stock options	2,406	(1)	2,632	(1)
Restricted stock units	10,837	(1)	11,576	(1)
Performance stock units	7,827	(1)	7,018	(1)
Shares of Old PubCo Class B common stock	—		152,117	(2)

Trade Accounts Receivable, Net

3 Months Ended

Mar. 31, 2024

Receivables [Abstract]

Trade Accounts Receivable, Net

Trade accounts receivable, net was comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Gross accounts receivable	$	1,156,861	$	1,199,980
Allowance for credit losses	(3,037)		(3,022)
Contract charge-backs and sales volume allowances	(457,454)		(559,334)
Cash discount allowances	(27,415)		(23,892)
Subtotal	(487,906)		(586,248)
Trade accounts receivable, net	$	668,955	$	613,732

Concentration of Receivables

Trade accounts receivable from customers representing 10% or more of the Company’s total trade accounts receivable were as follows:


	March 31, 2024		December 31, 2023
Customer A	32	%	40	%
Customer B	29	%	24	%
Customer C	23	%	22	%

Inventories

3 Months Ended

Mar. 31, 2024

Inventory Disclosure [Abstract]

Inventories

Inventories were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Raw materials	$	196,737	$	217,744
Work in process	57,924		59,563
Finished goods	315,992		304,077
Total inventories	$	570,653	$	581,384

Prepaid Expenses and Other Current Assets

3 Months Ended

Mar. 31, 2024

Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]

Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Deposits and advances	$	1,935	$	2,200
Prepaid insurance	4,780		8,334
Prepaid regulatory fees	4,219		6,331
Income and other tax receivables	12,198		13,168
Prepaid taxes	9,205		11,899
Other current receivables	12,802		9,929
Chargebacks receivable (1)	8,575		7,876
Other prepaid assets	33,584		22,948
Total prepaid expenses and other current assets	$	87,298	$	82,685

Goodwill and Other Intangible Assets

3 Months Ended

Mar. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill and Other Intangible Assets

The changes in goodwill for the three months ended March 31, 2024 and for the year ended December 31, 2023 were as follows (in thousands):


	March 31, 2024		December 31, 2023
Balance, beginning of period	$	598,629	$	598,853
Currency translation	(80)		(224)
Balance, end of period	$	598,549	$	598,629

Intangible assets as of March 31, 2024 and December 31, 2023 were comprised of the following (in thousands):


	March 31, 2024							December 31, 2023
	Weighted-Average Amortization Period (in years)	Cost		Accumulated Amortization		Net		Cost		Accumulated Amortization		Net
Amortizing intangible assets:
Product rights	6.2	$	1,207,469	$	(739,351)	$	468,118	$	1,198,971	$	(703,297)	$	495,674
Other intangible assets	3.1	111,800		(76,491)		35,309		111,800		(72,896)		38,904
Subtotal		1,319,269		(815,842)		503,427		1,310,771		(776,193)		534,578
In-process research and development		355,845		—		355,845		355,845		—		355,845
Total intangible assets		$	1,675,114	$	(815,842)	$	859,272	$	1,666,616	$	(776,193)	$	890,423

Amortization expense related to intangible assets for the three months ended March 31, 2024 and 2023 was $39.9 million and $41.1 million, respectively.


	Future Amortization
Remainder of 2024	$	119,432
2025	121,638
2026	73,115
2027	52,606
2028	33,263
2029	26,484
Thereafter	76,889
Total	$	503,427

Other Assets

3 Months Ended

Mar. 31, 2024

Other Assets [Abstract]

Other Assets

Other assets were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Interest rate swap (1)	$	52,632	$	37,089
Security deposits	3,616		3,602
Long-term prepaid expenses	3,099		3,273
Deferred revolving credit facility costs	4,007		4,427
Other long term assets	10,393		7,126
Total	$	73,747	$	55,517

(1)Refer to Note 15. Fair Value Measurements and Note 16. Financial Instruments for information about the Company’s interest rate swap.

Accounts Payable and Accrued Expenses

3 Months Ended

Mar. 31, 2024

Payables and Accruals [Abstract]

Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Accounts payable	$	175,325	$	143,572
Accrued returns allowance (1)	137,108		136,486
Accrued compensation	44,806		71,122
Accrued Medicaid and commercial rebates (1)	96,711		90,690
Accrued royalties	19,779		23,342
Commercial chargebacks and rebates	10,226		10,226
Accrued professional fees	14,598		11,005
Accrued other	59,965		48,219
Total accounts payable and accrued expenses	$	558,518	$	534,662

(1)Refer to Note 3. Revenue Recognition for a rollforward of the balance from December 31, 2023 to March 31, 2024.

Debt

3 Months Ended

Mar. 31, 2024

Debt Disclosure [Abstract]

Debt

The following is a summary of the Company’s indebtedness under its term loans (in thousands):


	March 31, 2024		December 31, 2023
Term Loan Due May 2025	$	191,979	$	191,979
Term Loan Due May 2028	2,336,949		2,351,647
Total debt	2,528,928		2,543,626
Less: debt issuance costs	(117,561)		(123,497)
Total debt, net of debt issuance costs	2,411,367		2,420,129
Less: current portion of long-term debt	(33,660)		(34,125)
Total long-term debt, net	$	2,377,707	$	2,386,004

Other Long-Term Liabilities

3 Months Ended

Mar. 31, 2024

Other Liabilities Disclosure [Abstract]

Other Long-Term Liabilities

Other long-term liabilities were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Uncertain tax positions	$	504	$	497
Long-term compensation	18,073		21,283
Contingent consideration (1)	433		433
Other long-term liabilities	5,569		7,466
Total other long-term liabilities	$	24,579	$	29,679

(1) Refer to Note 15. Fair Value Measurements for additional information.

Fair Value Measurements

3 Months Ended

Mar. 31, 2024

Fair Value Disclosures [Abstract]

Fair Value Measurements

Level 1 – Quoted prices in active markets for identical assets or liabilities.

Assets and Liabilities Measured at Fair Value on a Recurring Basis


			Fair Value Measurement Based on
March 31, 2024	Total		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets
Interest rate swap (1)	$	52,632	$	—	$	52,632	$	—
Liabilities
Deferred compensation plan liabilities (2)	$	9,668	$	—	$	9,668	$	—
Contingent consideration liabilities (3)	$	1,021	$	—	$	—	$	1,021

December 31, 2023
Assets
Interest rate swap (1)	$	37,089	$	—	$	37,089	$	—
Liabilities
Deferred compensation plan liabilities (2)	$	9,100	$	—	$	9,100	$	—
Contingent consideration liability (3)	$	921	$	—	$	—	$	921

There were no transfers between levels in the fair value hierarchy during the three months ended March 31, 2024.

Assets and Liabilities Not Measured at Fair Value on a Recurring Basis

The carrying amounts of cash, accounts receivable and accounts payable approximate their fair values due to the short-term maturity of these instruments.

The following is a summary of the Company’s indebtedness at fair value (in thousands):


	March 31, 2024		December 31, 2023
Term Loan Due 2025	$	192,099	$	190,779
Term Loan Due 2028	$	2,339,870	$	2,328,130
Sellers Notes	$	41,944	$	41,033

Refer to Note 16. Debt in the Company’s 2023 Annual Report on Form 10-K for detailed information about its indebtedness, including definitions of terms.

Assets and Liabilities Measured at Fair Value on a Non-Recurring Basis

There were no non-recurring fair value measurements during the three months ended March 31, 2024 and 2023.

Financial Instruments

3 Months Ended

Mar. 31, 2024

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Financial Instruments

The Company uses an interest rate swap to manage its exposure to market risks for changes in interest rates.

Interest Rate Risk

Interest Rate Derivative – Cash Flow Hedge

As of March 31, 2024, the total gain, net of income taxes, related to the Company’s cash flow hedge of $42.8 million, was recognized in accumulated other comprehensive loss.

A summary of the fair values of derivative instruments in the consolidated balance sheets was as follows (in thousands):

March 31, 2024

December 31, 2023

Derivatives Designated as Hedging Instruments

Balance Sheet
Classification

Fair Value

Balance Sheet
Classification

Fair Value

Variable-to-fixed interest rate swap

Other Assets

52,632

Other Assets

37,089

Commitments and Contingencies

3 Months Ended

Mar. 31, 2024

Commitments and Contingencies Disclosure [Abstract]

Commitments and Contingencies

Commitments

Commercial Manufacturing, Collaboration, License, and Distribution Agreements

Contingencies

Legal Proceedings

Liabilities for legal matters were comprised of the following (in thousands):


Matter	March 31, 2024		December 31, 2023
Opana ER® antitrust litigation	$	—	$	50,000
Opana ER® antitrust litigation-accrued interest	—		2,347
Civil prescription opioid litigation	30,130		21,189
Other	—		3,452
Current portion of liabilities for legal matters	$	30,130	$	76,988

Civil prescription opioid litigation (Liabilities for legal matters - long term)	$	85,479	$	316

Refer to the respective discussions below for additional information about the significant matters in the tables above.

Refer to Note 21. Commitments and Contingencies in our Annual Report on Form 10-K for a general discussion of Medicaid Reimbursement and Price Reporting Matters and Patent Litigation.

Other Litigation Related to the Company’s Business

Opana ER® Antitrust Litigation

United States Department of Justice Investigations

In Re Generic Pharmaceuticals Pricing Antitrust Litigation

Civil Prescription Opioid Litigation

United States Department of Justice / Drug Enforcement Administration Subpoenas

Ranitidine Litigation

Metformin Litigation

Xyrem® (Sodium Oxybate) Antitrust Litigation

UFCW Local 1500 Welfare Fund v. Takeda Pharmaceuticals U.S.A., Inc.

Indian Tax Authority Matters

Stockholders’ Equity and Redeemable Non-Controlling Interests

3 Months Ended

Mar. 31, 2024

Equity [Abstract]

Stockholders’ Equity and Redeemable Non-Controlling Interests

Effective with the Reorganization on November 7, 2023, the Company holds 100% of the Amneal Common Units.

Non-Controlling Interests

Redeemable Non-Controlling Interests

Changes in Accumulated Other Comprehensive (Loss) Income by Component (in thousands):


	Foreign currency translation adjustments		Unrealized gain (loss) on cash flow hedge, net of tax		Accumulated other comprehensive (loss) income
Balance December 31, 2023	$	(66,072)	$	33,723	$	(32,349)
Other comprehensive loss before reclassification	(390)		15,543		15,153
Reclassification of cash flow hedge to earnings, net of tax of $0	—		(6,515)		(6,515)
Balance March 31, 2024	$	(66,462)	$	42,751	$	(23,711)

Balance December 31, 2022	$	(32,382)	$	42,321	$	9,939
Other comprehensive loss before reclassification	898		(7,135)		(6,237)
Reallocation of ownership interests	(195)		257		62
Balance March 31, 2023	$	(31,679)	$	35,443	$	3,764

Related Party Transactions

3 Months Ended

Mar. 31, 2024

Related Party Transactions

The following table summarizes the Company’s related party transactions (in thousands):


		Three Months Ended March 31,
Related Party and Nature of Transaction	Caption in Balance Sheet and Statement of Operations	2024		2023
Kashiv Biosciences LLC
Parking space lease	Research and development	$	25	$	17
Development and commercialization agreement - Ganirelix Acetate and Cetrorelix Acetate	Research and development	$	—	$	50
Development and commercialization agreement - Filgrastim and Pegfilgrastim - Royalty expense (Releuko and Fylnetra)	Cost of goods sold	$	4,526	$	144
Storage agreement	Research and development	$	(77)	$	(48)
Inventory purchases under development and commercialization agreement - Filgrastim and Pegfilgrastim (Releuko and Fylnetra)	Inventory and cost of goods sold	$	1,216	$	—
Generic development supply agreement - research and development material	Research and development	$	(48)	$	—
Generic development supply agreement - development activity deferred income	Deferred revenue and net revenue	$	(422)	$	—
Development and commercialization agreement - Long-acting injectable	Research and development	$	500	$	—

Other Related Parties
Kanan, LLC - operating lease	Inventory and cost of goods sold	$	592	$	566
Sutaria Family Realty, LLC - operating lease	Inventory and cost of goods sold	$	314	$	305
Apace KY, LLC d/b/a Apace Packaging LLC - packaging agreement	Inventory and cost of goods sold	$	5,001	$	1,836
Tracy Properties LLC - operating lease	Selling, general and administrative	$	143	$	169
AzaTech Pharma LLC - supply agreement	Inventory and cost of goods sold	$	2,312	$	575
AvPROP, LLC - operating lease	Selling, general and administrative	$	44	$	47
Avtar Investments, LLC - consulting services	Research and development	$	69	$	188
Alkermes	Inventory and cost of goods sold	$	12	$	2
R&S Solutions - logistics services	Selling, general and administrative	$	—	$	20
Members - tax receivable agreement (TRA liability)	Other expense	$	1,948	$	826

The following table summarizes the amounts due to or from the Company for related party transactions (in thousands):


	March 31, 2024		December 31, 2023
Kashiv - various agreements	$	1,434	$	954
Apace Packaging, LLC - packaging agreement	9		—
Alkermes	—		1
AzaTech Pharma LLC	78		—
Related party receivables - short term	$	1,521	$	955

Kashiv - various agreements	$	5,773	$	3,179
Apace Packaging, LLC - packaging agreement	1,863		1,091
AzaTech Pharma LLC - supply agreement	1,650		1,958
Avtar Investments LLC - consulting services	22		100
Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes	442		442
Members - tax receivable agreement	3,532		549
Rondo Class B unit holders - tax distributions	3,777		—
Alkermes Plc	16		2
Related party payables - short term	$	17,075	$	7,321

Kashiv - contingent consideration	$	530	$	430
Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes	8,691		8,139
Members - tax receivable agreement	2,173		3,207
Related party payables - long term	$	11,394	$	11,776

Kashiv Biosciences

Amendment to Biosimilar License Agreement

No amounts were paid or recognized during the three months ended March 31, 2024 pursuant to this amendment.

Long-Acting Injectable License and Supply Agreement

Refer to Note 3. Acquisitions and Note 24. Related Party Transactions in the Company’s 2023 Annual Report on Form 10-K for information on the Company’s agreements with Kashiv.

Segment Information

3 Months Ended

Mar. 31, 2024

Segment Reporting [Abstract]

Segment Information

The Company has three reportable segments: Generics, Specialty, and AvKARE.

Generics

Specialty

AvKARE

Chief Operating Decision Makers


Three Months Ended March 31, 2024	Generics (1)		Specialty		AvKARE (1)		Corporate and Other		Total Company
Net revenue	$	391,294	$	105,234	$	162,663	$	—	$	659,191
Cost of goods sold	239,922		44,800		136,409		—		421,131
Gross profit	151,372		60,434		26,254		—		238,060
Selling, general and administrative	33,085		25,196		14,907		39,407		112,595
Research and development	34,371		4,927		—		—		39,298
Intellectual property legal development expenses	960		24		—		—		984
Restructuring and other charges	—		946		—		524		1,470
Change in fair value of contingent consideration	—		100		—		—		100
Charges related to legal matters, net	94,359		—		—		—		94,359
Operating (loss) income	$	(11,403)	$	29,241	$	11,347	$	(39,931)	$	(10,746)


Three Months Ended March 31, 2023	Generics (1)		Specialty		AvKARE (1)		Corporate and Other		Total Company
Net revenue	$	343,806	$	91,678	$	122,056	$	—	$	557,540
Cost of goods sold	230,551		43,191		105,612		—		379,354
Gross profit	113,255		48,487		16,444		—		178,186
Selling, general and administrative	27,600		22,379		12,940		39,177		102,096
Research and development	32,359		6,331		—		—		38,690
Intellectual property legal development expenses	1,624		20		—		—		1,644
Restructuring and other charges	99		—		—		411		510
Change in fair value of contingent consideration	—		2,457		—		—		2,457
(Credit) charges related to legal matters, net	(2,444)		—		—		2,008		(436)
Other operating income	(1,224)		—		—		—		(1,224)
Operating income (loss)	$	55,241	$	17,300	$	3,504	$	(41,596)	$	34,449

(1)Operating results for the sale of Amneal products by AvKARE are included in Generics.

Subsequent Events	3 Months Ended
Subsequent Events	Mar. 31, 2024
Subsequent Events [Abstract]
Subsequent Events	Subsequent EventOn April 30, 2024, Amneal closed on the sale of a wholly owned subsidiary in India to Kashiv for total consideration of ₹1 billion, or approximately $12 million. Total consideration consisted of a ₹416 million, or approximately $5 million, cash payment at closing and the assumption of a loan payable of approximately ₹600 million, or approximately $7 million, payable to another subsidiary of Amneal in India. The loan payable bears interest of 11% on the unpaid principal and is due on or before December 31, 2024. The Company is permitted to offset royalties or other amounts payable to Kashiv with any overdue principal on the loan payable. The subsidiary’s assets and liabilities were primarily comprised of a building under construction and a note payable, respectively. The subsidiary had no business activity, other than the construction of the building.

Summary of Significant Accounting Policies (Policies)	3 Months Ended
Summary of Significant Accounting Policies (Policies)	Mar. 31, 2024
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited consolidated financial statements, which are prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”), should be read in conjunction with the Company’s annual audited financial statements for the year ended December 31, 2023 included in the Company’s 2023 Annual Report on Form 10-K. Certain information and footnote disclosures normally included in annual financial statements have been omitted from the accompanying unaudited consolidated financial statements. In the opinion of management, the accompanying unaudited consolidated financial statements contain all adjustments, consisting of only normal recurring adjustments, necessary for a fair statement of the Company’s financial position as of March 31, 2024, cash flows for the three months ended March 31, 2024 and 2023 and the results of its operations, its comprehensive loss and its changes in stockholders’ equity (deficiency) for the three months ended March 31, 2024 and 2023. The consolidated balance sheet data at December 31, 2023 was derived from the Company’s audited annual financial statements, but does not include all disclosures required by U.S. GAAP. Except for the updates included in this note, the accounting policies of the Company are set forth in Note 2. Summary of Significant Accounting Policies contained in the Company’s 2023 Annual Report on Form 10-K.
Use of Estimates	Use of Estimates The preparation of financial statements requires the Company's management to make estimates and assumptions that affect the reported financial position at the date of the financial statements and the reported results of operations during the reporting period. Such estimates and assumptions affect the reported amounts of assets, liabilities, revenues and expenses, and disclosure of contingent assets and liabilities in the consolidated financial statements and accompanying notes. The following are some, but not all, of such estimates: the determination of chargebacks, sales returns, rebates, valuation of intangible and other assets acquired in business combinations, allowances for accounts receivable, accrued liabilities, liabilities for legal matters, contingent liabilities, initial and subsequent valuation of contingent consideration recognized in business combinations, stock-based compensation, valuation of inventory balances, the determination of useful lives for product rights and the assessment of expected cash flows used in evaluating goodwill and other long-lived assets for impairment. Actual results could differ from those estimates.
Reclassifications	Reclassification The prior period balance related to the TRA (as defined in Note 5. Income Taxes) of $0.8 million, formerly included in other income, net for the three months ended March 31, 2023, has been reclassified to the income statement caption “increase in tax receivable agreement liability” to conform to the current period presentation in the consolidated statements of operations. This reclassification did not impact total other expense, net or net loss. The prior period balance related to long-term liabilities for legal matters of $0.3 million, formerly included in other long-term liabilities as of December 31, 2023, has been reclassified to the balance sheet caption “liabilities for legal matters - long term” to conform to the current period presentation in the consolidated balance sheets. This reclassification did not impact total long-term liabilities or total liabilities
Recently Issued Accounting Pronouncements	Recently Issued Accounting Pronouncements In November 2023, the Financial Accounting Standards Board (the “FASB”) issued Accounting Standard Update (“ASU”) 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures (“ASU 2023-07”), which provides improvements to reportable segment disclosure requirements, primarily through enhanced disclosures about significant segment expenses. ASU 2023-07 requires disclosures to include the title and position of the chief operating decision maker (“CODM”), significant segment expenses that are regularly provided to the CODM, a description of other segment items by reportable segment, and any additional measures of a segment’s profit or loss used by the CODM when deciding how to allocate resources. ASU 2023-07 also requires all annual disclosures currently required by Topic 280 to be included in interim periods. ASU 2023-07 is effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted and requires retrospective application to all prior periods presented in the financial statements. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements. In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures (“ASU 2023-09”), which enhances the transparency and usefulness of income tax disclosures. ASU 2023-09 requires that public business entities on an annual basis disclose specific categories in the rate reconciliation and provide additional information for reconciling items that meet a quantitative threshold. ASU 2023-09 is effective for fiscal years beginning after December 15, 2024, with early adoption permitted for annual financial statements that have not yet been issued or made available for issuance. The Company is currently evaluating the impact this guidance will have on its consolidated financial statements.
Performance Obligations	The Company recognizes revenue in accordance with Accounting Standards Codification Topic 606, Revenue from Contracts with Customers (“ASC 606”). Revenue is recognized when the Company transfers control of its products to the customer, which typically occurs at a point-in-time, either upon shipment or delivery. Substantially all of the Company’s net revenues relate to products which are transferred to the customer at a point-in-time.

Revenue Recognition (Tables)

3 Months Ended

Mar. 31, 2024

Revenue from Contract with Customer [Abstract]

Schedule of Revenue by Major Customers by Reporting Segments

The following table summarizes revenues from each of the Company’s customers which individually accounted for 10% or more of its total net revenue:


	Three Months Ended March 31,
	2024		2023
Customer A	21	%	22	%
Customer B	15	%	14	%
Customer C	23	%	20	%
Customer D	10	%	9	%

Schedule of Disaggregated Revenue


		Three Months Ended March 31,
		2024		2023
Generics
	Anti-infective	$	6,110	$	5,174
	Hormonal / allergy	107,714		104,851
	Antiviral	3,866		25,474
	Central nervous system	109,456		84,582
	Cardiovascular system	45,878		32,503
	Gastroenterology	18,197		14,364
	Oncology	38,533		10,578
	Metabolic disease / endocrine	11,185		9,265
	Respiratory	11,136		12,815
	Dermatology	18,975		18,004
	Other therapeutic classes	18,523		25,895
	International and other	1,721		301
	Total Generics net revenue	391,294		343,806
Specialty
	Hormonal / allergy	29,375		24,763
	Central nervous system	66,276		60,139
	License agreement (1)	4,479		—
	Other therapeutic classes	5,104		6,776
	Total Specialty net revenue	105,234		91,678
AvKARE
	Distribution	109,713		83,230
	Government label	34,952		24,516
	Institutional	10,858		8,862
	Other	7,140		5,448
	Total AvKARE net revenue	162,663		122,056
	Total net revenue	$	659,191	$	557,540

(1)Refer to Note 4. Alliance and Collaboration for information on revenue recognized under a license agreement.

Schedule of Major Categories of Sales-Related Deductions

A rollforward of the major categories of sales-related deductions for the three months ended March 31, 2024 is as follows (in thousands):


	Contract Charge - Backs and Sales Volume Allowances		Cash Discount Allowances		Accrued Returns Allowance		Accrued Medicaid and Commercial Rebates
Balance at December 31, 2023	$	559,334	$	23,892	$	136,486	$	90,690
Provision related to sales recorded in the period	885,322		30,073		16,220		61,271
Credits/payments issued during the period	(987,202)		(26,550)		(15,598)		(55,250)
Balance at March 31, 2024	$	457,454	$	27,415	$	137,108	$	96,711

Loss per Share (Tables)

3 Months Ended

Mar. 31, 2024

Earnings Per Share [Abstract]

Schedule of Loss per Share, Basic and Diluted

The following table sets forth reconciliations of the numerators and denominators used to compute basic and diluted loss per share of Class A common stock (in thousands, except per share amounts):


	Three Months Ended March 31,
	2024		2023
Numerator:
Net loss attributable to Amneal Pharmaceuticals, Inc.	$	(91,643)	$	(6,943)
Denominator:
Weighted-average shares outstanding - basic and diluted	307,279		152,109
Net loss per share attributable to Amneal Pharmaceuticals, Inc.’s Class A common stockholders:
Basic and diluted	$	(0.30)	$	(0.05)

Schedule of Antidilutive Securities Excluded from Computation of Loss Per Share

The following table presents potentially dilutive securities excluded from the computations of diluted loss per share of Class A common stock (in thousands):


	Three Months Ended March 31,
	2024		2023
Stock options	2,406	(1)	2,632	(1)
Restricted stock units	10,837	(1)	11,576	(1)
Performance stock units	7,827	(1)	7,018	(1)
Shares of Old PubCo Class B common stock	—		152,117	(2)

Trade Accounts Receivable, Net (Tables)

3 Months Ended

Mar. 31, 2024

Receivables [Abstract]

Schedule of Trade Accounts Receivable, Net

Trade accounts receivable, net was comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Gross accounts receivable	$	1,156,861	$	1,199,980
Allowance for credit losses	(3,037)		(3,022)
Contract charge-backs and sales volume allowances	(457,454)		(559,334)
Cash discount allowances	(27,415)		(23,892)
Subtotal	(487,906)		(586,248)
Trade accounts receivable, net	$	668,955	$	613,732

Schedules of Percent of Gross Trade Receivables

Concentration of Receivables

Trade accounts receivable from customers representing 10% or more of the Company’s total trade accounts receivable were as follows:


	March 31, 2024		December 31, 2023
Customer A	32	%	40	%
Customer B	29	%	24	%
Customer C	23	%	22	%

Inventories (Tables)

3 Months Ended

Mar. 31, 2024

Inventory Disclosure [Abstract]

Schedule of Components of Inventories

Inventories were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Raw materials	$	196,737	$	217,744
Work in process	57,924		59,563
Finished goods	315,992		304,077
Total inventories	$	570,653	$	581,384

Prepaid Expenses and Other Current Assets (Tables)

3 Months Ended

Mar. 31, 2024

Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]

Schedule of Prepaid Expenses and Other Current Assets

Prepaid expenses and other current assets were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Deposits and advances	$	1,935	$	2,200
Prepaid insurance	4,780		8,334
Prepaid regulatory fees	4,219		6,331
Income and other tax receivables	12,198		13,168
Prepaid taxes	9,205		11,899
Other current receivables	12,802		9,929
Chargebacks receivable (1)	8,575		7,876
Other prepaid assets	33,584		22,948
Total prepaid expenses and other current assets	$	87,298	$	82,685

Goodwill and Other Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The changes in goodwill for the three months ended March 31, 2024 and for the year ended December 31, 2023 were as follows (in thousands):


	March 31, 2024		December 31, 2023
Balance, beginning of period	$	598,629	$	598,853
Currency translation	(80)		(224)
Balance, end of period	$	598,549	$	598,629

Schedule of Finite-Lived Intangible Assets

Intangible assets as of March 31, 2024 and December 31, 2023 were comprised of the following (in thousands):


	March 31, 2024							December 31, 2023
	Weighted-Average Amortization Period (in years)	Cost		Accumulated Amortization		Net		Cost		Accumulated Amortization		Net
Amortizing intangible assets:
Product rights	6.2	$	1,207,469	$	(739,351)	$	468,118	$	1,198,971	$	(703,297)	$	495,674
Other intangible assets	3.1	111,800		(76,491)		35,309		111,800		(72,896)		38,904
Subtotal		1,319,269		(815,842)		503,427		1,310,771		(776,193)		534,578
In-process research and development		355,845		—		355,845		355,845		—		355,845
Total intangible assets		$	1,675,114	$	(815,842)	$	859,272	$	1,666,616	$	(776,193)	$	890,423

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense


	Future Amortization
Remainder of 2024	$	119,432
2025	121,638
2026	73,115
2027	52,606
2028	33,263
2029	26,484
Thereafter	76,889
Total	$	503,427

Other Assets (Tables)

3 Months Ended

Mar. 31, 2024

Other Assets [Abstract]

Schedule of Other Assets

Other assets were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Interest rate swap (1)	$	52,632	$	37,089
Security deposits	3,616		3,602
Long-term prepaid expenses	3,099		3,273
Deferred revolving credit facility costs	4,007		4,427
Other long term assets	10,393		7,126
Total	$	73,747	$	55,517

(1)Refer to Note 15. Fair Value Measurements and Note 16. Financial Instruments for information about the Company’s interest rate swap.

Accounts Payable and Accrued Expenses (Tables)

3 Months Ended

Mar. 31, 2024

Payables and Accruals [Abstract]

Schedule of Accounts Payable and Accrued Expenses

Accounts payable and accrued expenses were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Accounts payable	$	175,325	$	143,572
Accrued returns allowance (1)	137,108		136,486
Accrued compensation	44,806		71,122
Accrued Medicaid and commercial rebates (1)	96,711		90,690
Accrued royalties	19,779		23,342
Commercial chargebacks and rebates	10,226		10,226
Accrued professional fees	14,598		11,005
Accrued other	59,965		48,219
Total accounts payable and accrued expenses	$	558,518	$	534,662

(1)Refer to Note 3. Revenue Recognition for a rollforward of the balance from December 31, 2023 to March 31, 2024.

Debt (Tables)

3 Months Ended

Mar. 31, 2024

Debt Disclosure [Abstract]

Schedule of Long-term Debt

The following is a summary of the Company’s indebtedness under its term loans (in thousands):


	March 31, 2024		December 31, 2023
Term Loan Due May 2025	$	191,979	$	191,979
Term Loan Due May 2028	2,336,949		2,351,647
Total debt	2,528,928		2,543,626
Less: debt issuance costs	(117,561)		(123,497)
Total debt, net of debt issuance costs	2,411,367		2,420,129
Less: current portion of long-term debt	(33,660)		(34,125)
Total long-term debt, net	$	2,377,707	$	2,386,004

Other Long-Term Liabilities (Tables)

3 Months Ended

Mar. 31, 2024

Other Liabilities Disclosure [Abstract]

Schedule of Other Long-Term Liabilities

Other long-term liabilities were comprised of the following (in thousands):


	March 31, 2024		December 31, 2023
Uncertain tax positions	$	504	$	497
Long-term compensation	18,073		21,283
Contingent consideration (1)	433		433
Other long-term liabilities	5,569		7,466
Total other long-term liabilities	$	24,579	$	29,679

(1) Refer to Note 15. Fair Value Measurements for additional information.

Fair Value Measurements (Tables)

3 Months Ended

Mar. 31, 2024

Fair Value Disclosures [Abstract]

Schedule of Assets and Liabilities Measured at Fair Value on a Recurring Basis

The following table sets forth the Company’s financial assets and liabilities that were measured at fair value on a recurring basis as of March 31, 2024 and December 31, 2023 (in thousands):


			Fair Value Measurement Based on
March 31, 2024	Total		Quoted Prices in Active Markets (Level 1)		Significant Other Observable Inputs (Level 2)		Significant Unobservable Inputs (Level 3)
Assets
Interest rate swap (1)	$	52,632	$	—	$	52,632	$	—
Liabilities
Deferred compensation plan liabilities (2)	$	9,668	$	—	$	9,668	$	—
Contingent consideration liabilities (3)	$	1,021	$	—	$	—	$	1,021

December 31, 2023
Assets
Interest rate swap (1)	$	37,089	$	—	$	37,089	$	—
Liabilities
Deferred compensation plan liabilities (2)	$	9,100	$	—	$	9,100	$	—
Contingent consideration liability (3)	$	921	$	—	$	—	$	921

Summary of the Company’s Indebtedness at Fair Value

The following is a summary of the Company’s indebtedness at fair value (in thousands):


	March 31, 2024		December 31, 2023
Term Loan Due 2025	$	192,099	$	190,779
Term Loan Due 2028	$	2,339,870	$	2,328,130
Sellers Notes	$	41,944	$	41,033

Financial Instruments (Tables)

3 Months Ended

Mar. 31, 2024

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Schedule of Fair Values of Derivative Instruments in Consolidated Balance Sheets

A summary of the fair values of derivative instruments in the consolidated balance sheets was as follows (in thousands):

March 31, 2024

December 31, 2023

Derivatives Designated as Hedging Instruments

Balance Sheet
Classification

Fair Value

Balance Sheet
Classification

Fair Value

Variable-to-fixed interest rate swap

Other Assets

52,632

Other Assets

37,089

Commitments and Contingencies (Tables)

3 Months Ended

Mar. 31, 2024

Commitments and Contingencies Disclosure [Abstract]

Schedule of Charges and Liabilities Related to Legal Matters

Liabilities for legal matters were comprised of the following (in thousands):


Matter	March 31, 2024		December 31, 2023
Opana ER® antitrust litigation	$	—	$	50,000
Opana ER® antitrust litigation-accrued interest	—		2,347
Civil prescription opioid litigation	30,130		21,189
Other	—		3,452
Current portion of liabilities for legal matters	$	30,130	$	76,988

Civil prescription opioid litigation (Liabilities for legal matters - long term)	$	85,479	$	316

Stockholders’ Equity and Redeemable Non-Controlling Interests (Tables)

3 Months Ended

Mar. 31, 2024

Equity [Abstract]

Schedule of Changes in Accumulated Other Comprehensive (Loss) Income by Component

Changes in Accumulated Other Comprehensive (Loss) Income by Component (in thousands):


	Foreign currency translation adjustments		Unrealized gain (loss) on cash flow hedge, net of tax		Accumulated other comprehensive (loss) income
Balance December 31, 2023	$	(66,072)	$	33,723	$	(32,349)
Other comprehensive loss before reclassification	(390)		15,543		15,153
Reclassification of cash flow hedge to earnings, net of tax of $0	—		(6,515)		(6,515)
Balance March 31, 2024	$	(66,462)	$	42,751	$	(23,711)

Balance December 31, 2022	$	(32,382)	$	42,321	$	9,939
Other comprehensive loss before reclassification	898		(7,135)		(6,237)
Reallocation of ownership interests	(195)		257		62
Balance March 31, 2023	$	(31,679)	$	35,443	$	3,764

Related Party Transactions (Tables)

3 Months Ended

Mar. 31, 2024

Schedule of Related Party Transactions

The following table summarizes the Company’s related party transactions (in thousands):


		Three Months Ended March 31,
Related Party and Nature of Transaction	Caption in Balance Sheet and Statement of Operations	2024		2023
Kashiv Biosciences LLC
Parking space lease	Research and development	$	25	$	17
Development and commercialization agreement - Ganirelix Acetate and Cetrorelix Acetate	Research and development	$	—	$	50
Development and commercialization agreement - Filgrastim and Pegfilgrastim - Royalty expense (Releuko and Fylnetra)	Cost of goods sold	$	4,526	$	144
Storage agreement	Research and development	$	(77)	$	(48)
Inventory purchases under development and commercialization agreement - Filgrastim and Pegfilgrastim (Releuko and Fylnetra)	Inventory and cost of goods sold	$	1,216	$	—
Generic development supply agreement - research and development material	Research and development	$	(48)	$	—
Generic development supply agreement - development activity deferred income	Deferred revenue and net revenue	$	(422)	$	—
Development and commercialization agreement - Long-acting injectable	Research and development	$	500	$	—

Other Related Parties
Kanan, LLC - operating lease	Inventory and cost of goods sold	$	592	$	566
Sutaria Family Realty, LLC - operating lease	Inventory and cost of goods sold	$	314	$	305
Apace KY, LLC d/b/a Apace Packaging LLC - packaging agreement	Inventory and cost of goods sold	$	5,001	$	1,836
Tracy Properties LLC - operating lease	Selling, general and administrative	$	143	$	169
AzaTech Pharma LLC - supply agreement	Inventory and cost of goods sold	$	2,312	$	575
AvPROP, LLC - operating lease	Selling, general and administrative	$	44	$	47
Avtar Investments, LLC - consulting services	Research and development	$	69	$	188
Alkermes	Inventory and cost of goods sold	$	12	$	2
R&S Solutions - logistics services	Selling, general and administrative	$	—	$	20
Members - tax receivable agreement (TRA liability)	Other expense	$	1,948	$	826

The following table summarizes the amounts due to or from the Company for related party transactions (in thousands):


	March 31, 2024		December 31, 2023
Kashiv - various agreements	$	1,434	$	954
Apace Packaging, LLC - packaging agreement	9		—
Alkermes	—		1
AzaTech Pharma LLC	78		—
Related party receivables - short term	$	1,521	$	955

Kashiv - various agreements	$	5,773	$	3,179
Apace Packaging, LLC - packaging agreement	1,863		1,091
AzaTech Pharma LLC - supply agreement	1,650		1,958
Avtar Investments LLC - consulting services	22		100
Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes	442		442
Members - tax receivable agreement	3,532		549
Rondo Class B unit holders - tax distributions	3,777		—
Alkermes Plc	16		2
Related party payables - short term	$	17,075	$	7,321

Kashiv - contingent consideration	$	530	$	430
Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes	8,691		8,139
Members - tax receivable agreement	2,173		3,207
Related party payables - long term	$	11,394	$	11,776

Segment Information (Tables)

3 Months Ended

Mar. 31, 2024

Segment Reporting [Abstract]

Schedule of Segment Reporting Information, by Segment


Three Months Ended March 31, 2024	Generics (1)		Specialty		AvKARE (1)		Corporate and Other		Total Company
Net revenue	$	391,294	$	105,234	$	162,663	$	—	$	659,191
Cost of goods sold	239,922		44,800		136,409		—		421,131
Gross profit	151,372		60,434		26,254		—		238,060
Selling, general and administrative	33,085		25,196		14,907		39,407		112,595
Research and development	34,371		4,927		—		—		39,298
Intellectual property legal development expenses	960		24		—		—		984
Restructuring and other charges	—		946		—		524		1,470
Change in fair value of contingent consideration	—		100		—		—		100
Charges related to legal matters, net	94,359		—		—		—		94,359
Operating (loss) income	$	(11,403)	$	29,241	$	11,347	$	(39,931)	$	(10,746)


Three Months Ended March 31, 2023	Generics (1)		Specialty		AvKARE (1)		Corporate and Other		Total Company
Net revenue	$	343,806	$	91,678	$	122,056	$	—	$	557,540
Cost of goods sold	230,551		43,191		105,612		—		379,354
Gross profit	113,255		48,487		16,444		—		178,186
Selling, general and administrative	27,600		22,379		12,940		39,177		102,096
Research and development	32,359		6,331		—		—		38,690
Intellectual property legal development expenses	1,624		20		—		—		1,644
Restructuring and other charges	99		—		—		411		510
Change in fair value of contingent consideration	—		2,457		—		—		2,457
(Credit) charges related to legal matters, net	(2,444)		—		—		2,008		(436)
Other operating income	(1,224)		—		—		—		(1,224)
Operating income (loss)	$	55,241	$	17,300	$	3,504	$	(41,596)	$	34,449

(1)Operating results for the sale of Amneal products by AvKARE are included in Generics.

Nature of Operations - Additional Information (Details)	Mar. 31, 2024	Nov. 07, 2023
Amneal Pharmaceuticals, LLC
Noncontrolling Interest [Line Items]
Ownership by parent (percent)	100.00%	100.00%

Summary of Significant Accounting Policies (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023
Accounting Policies [Abstract]
Increase in tax receivable agreement liability	$ (1,948)	$ (826)
Liabilities for legal matters - long term	$ 85,479		$ 316

Revenue Recognition - Concentration of Revenue (Details) - Revenue from Contract with Customer Benchmark - Customer Concentration Risk	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Customer A
Concentration Risk [Line Items]
Concentration risk (percent)	21.00%	22.00%
Customer B
Concentration Risk [Line Items]
Concentration risk (percent)	15.00%	14.00%
Customer C
Concentration Risk [Line Items]
Concentration risk (percent)	23.00%	20.00%
Customer D
Concentration Risk [Line Items]
Concentration risk (percent)	10.00%	9.00%

Revenue Recognition - Schedule of Disaggregated Revenue (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Disaggregation of Revenue [Line Items]
Net revenue	$ 659,191	$ 557,540
Generics
Disaggregation of Revenue [Line Items]
Net revenue	391,294	343,806
Specialty
Disaggregation of Revenue [Line Items]
Net revenue	105,234	91,678
AvKARE
Disaggregation of Revenue [Line Items]
Net revenue	162,663	122,056
International and other \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	1,721	301
Anti-infective \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	6,110	5,174
Hormonal / allergy \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	107,714	104,851
Hormonal / allergy \| US \| Specialty
Disaggregation of Revenue [Line Items]
Net revenue	29,375	24,763
Antiviral \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	3,866	25,474
Central nervous system \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	109,456	84,582
Central nervous system \| US \| Specialty
Disaggregation of Revenue [Line Items]
Net revenue	66,276	60,139
License agreement \| US \| Specialty
Disaggregation of Revenue [Line Items]
Net revenue	4,479	0
Cardiovascular system \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	45,878	32,503
Gastroenterology \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	18,197	14,364
Oncology \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	38,533	10,578
Metabolic disease / endocrine \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	11,185	9,265
Respiratory \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	11,136	12,815
Dermatology \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	18,975	18,004
Other therapeutic classes \| US \| Generics
Disaggregation of Revenue [Line Items]
Net revenue	18,523	25,895
Other therapeutic classes \| US \| Specialty
Disaggregation of Revenue [Line Items]
Net revenue	5,104	6,776
Distribution \| US \| AvKARE
Disaggregation of Revenue [Line Items]
Net revenue	109,713	83,230
Government label \| US \| AvKARE
Disaggregation of Revenue [Line Items]
Net revenue	34,952	24,516
Institutional \| US \| AvKARE
Disaggregation of Revenue [Line Items]
Net revenue	10,858	8,862
Other \| US \| AvKARE
Disaggregation of Revenue [Line Items]
Net revenue	$ 7,140	$ 5,448

Revenue Recognition - Schedule of Major Categories of Sales-Related Deductions (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2024 USD ($)
Contract Charge - Backs and Sales Volume Allowances
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance, beginning of period	$ 559,334
Provision related to sales recorded in the period	885,322
Credits/payments issued during the period	(987,202)
Balance, end of period	457,454
Cash Discount Allowances
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance, beginning of period	23,892
Provision related to sales recorded in the period	30,073
Credits/payments issued during the period	(26,550)
Balance, end of period	27,415
Accrued Returns Allowance
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance, beginning of period	136,486
Provision related to sales recorded in the period	16,220
Credits/payments issued during the period	(15,598)
Balance, end of period	137,108
Accrued Medicaid and Commercial Rebates
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance, beginning of period	90,690
Provision related to sales recorded in the period	61,271
Credits/payments issued during the period	(55,250)
Balance, end of period	$ 96,711

Alliance and Collaboration - Additional Information (Details) € in Millions, $ in Millions								1 Months Ended	3 Months Ended			12 Months Ended
	Feb. 26, 2024 USD ($)	Feb. 23, 2024 USD ($)	Feb. 23, 2024 EUR (€)	Jan. 24, 2024	Oct. 12, 2023 product	Dec. 28, 2022	May 07, 2018 USD ($)	Dec. 31, 2023 USD ($)	Mar. 31, 2024 USD ($)	Mar. 31, 2024 EUR (€)	Mar. 31, 2023 USD ($)	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)	Feb. 23, 2024 EUR (€)	Dec. 05, 2023 USD ($)
License Agreement with Orion Corporation
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Collaborative arrangement term						8 years
Collaborative arrangement renew for successive term						2 years
Collaborative arrangement license revenue agreement									$ 0.6		$ 0.6
License Agreement with Orion Corporation \| Accounts Payable and Accrued Liabilities
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Deferred income								$ 7.8	10.7			$ 7.8
License Agreement with Orion Corporation \| Other long-term liabilities
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Deferred income								4.7	1.2			4.7
ONGENTYS® License Agreement
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Collaborative arrangement, medical and marketing activities															$ 6.0
Collaborative arrangement non-refundable license fee								$ 12.5
Collaborative arrangement non-refundable license fee, amortization period								8 years
License supply agreement, potential future milestone payments								$ 22.5
License Agreement with Zambon Biotech
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Collaborative arrangement term		15 years	15 years
Collaborative arrangement renew for successive term		2 years	2 years
License supply agreement, potential future milestone payments		$ 77.2	€ 71.5
Notice period		1 year	1 year
Nonrefundable license fee received, amount		$ 5.4												€ 5.0
Collaborative arrangement net revenue agreement									3.5	€ 3.2
Biosimilar Licensing and Supply Agreement
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
License supply agreement, potential future milestone payments												66.0
Other long term liabilities							$ 78.3
Collaborative arrangement maximum milestone paid												2.5	$ 26.5
Estimated useful life (in years)													7 years
Collaborative arrangement aggregate sales-based milestone payment									9.5
Collaborative arrangement, number of products \| product					2
Collaborative arrangement upfront payment									$ 3.0			2.5
Biosimilar Licensing and Supply Agreement \| Development Milestones
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
License supply agreement, potential future milestone payments												3.5
Biosimilar Licensing and Supply Agreement \| Regulatory Approval
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
License supply agreement, potential future milestone payments												$ 15.0
Biosimilar Licensing and Supply Agreement \| Achievement of Cumulative Net Sales
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
License supply agreement, potential future milestone payments											$ 47.5
Knight Therapeutics International S.A. License Agreement
Collaborative Arrangement and Arrangement Other than Collaborative [Line Items]
Collaborative arrangement term				15 years
Collaborative arrangement renew for successive term				2 years
License supply agreement, potential future milestone payments	$ 10.5
Notice period				1 year
Nonrefundable license fee received, amount	$ 1.0

Income Taxes - Additional Information (Details) $ in Thousands		3 Months Ended		10 Months Ended	12 Months Ended
	Nov. 07, 2023	Mar. 31, 2024 USD ($)	Mar. 31, 2023 USD ($)	Nov. 06, 2023	Dec. 31, 2019 USD ($)	Dec. 31, 2018	Dec. 31, 2023 USD ($)
Income Tax Disclosure [Abstract]
Income tax expense (benefit)		$ 6,156	$ 668
Effective tax rate (percent)		(8.20%)	(7.10%)
Valuation allowance		$ 566,000					$ 566,500
Tax receivable agreement, payment ratio						0.01
Percentage of tax receivable agreement paid to other holders of Amneal common units (percent)	75.00%			85.00%		85.00%
Reversal of accrued tax receivable agreement liability					$ 192,800
Liabilities recorded under tax receivable agreement		185,000					185,000
Tax receivable agreement liability		5,700					$ 3,800
Increase in tax receivable agreement liability		$ 1,948	$ 826

Loss per Share - Computation of Basic and Diluted Loss per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Numerator:
Net loss attributable to Amneal Pharmaceuticals, Inc.	$ (91,643)	$ (6,943)
Denominator:
Weighted-average shares outstanding - basic (in shares)	307,279	152,109
Weighted-average shares outstanding - diluted (in shares)	307,279	152,109
Net loss per share attributable to Amneal Pharmaceuticals, Inc.’s Class A common stockholders:
Basic (in dollars per share)	$ (0.30)	$ (0.05)
Diluted (in dollars per share)	$ (0.30)	$ (0.05)

Loss per Share - Securities Excluded from Diluted Earnings per Share Computation (Details) - shares shares in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Shares of Old PubCo Class B common stock
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially dilutive securities excluded from earnings per share (in shares)	0	152,117
Stock options
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially dilutive securities excluded from earnings per share (in shares)	2,406	2,632
Restricted stock units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially dilutive securities excluded from earnings per share (in shares)	10,837	11,576
Performance stock units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Potentially dilutive securities excluded from earnings per share (in shares)	7,827	7,018

Trade Accounts Receivable, Net - Schedule of Trade Accounts Receivable, Net (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Related Party Transaction [Line Items]
Gross accounts receivable	$ 1,156,861	$ 1,199,980
Allowance for credit losses	(3,037)	(3,022)
Contract charge-backs and sales volume allowances	(457,454)	(559,334)
Cash discount allowances	(27,415)	(23,892)
Subtotal	(487,906)	(586,248)
Nonrelated Party
Related Party Transaction [Line Items]
Trade accounts receivable, net	$ 668,955	$ 613,732

Trade Accounts Receivable, Net - Concentration of Receivables (Details) - Customer Concentration Risk - Accounts Receivable	3 Months Ended	6 Months Ended
	Mar. 31, 2024	Jun. 30, 2023
Customer A
Concentration Risk [Line Items]
Concentration risk (percent)	32.00%	40.00%
Customer B
Concentration Risk [Line Items]
Concentration risk (percent)	29.00%	24.00%
Customer C
Concentration Risk [Line Items]
Concentration risk (percent)	23.00%	22.00%

Inventories - Components of Inventories, Net of Reserves (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Inventory Disclosure [Abstract]
Raw materials	$ 196,737	$ 217,744
Work in process	57,924	59,563
Finished goods	315,992	304,077
Total inventories	$ 570,653	$ 581,384

Prepaid Expenses and Other Current Assets - Schedule of Prepaid Expenses and Other Current Assets (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Deposits and advances	$ 1,935	$ 2,200
Prepaid insurance	4,780	8,334
Prepaid regulatory fees	4,219	6,331
Income and other tax receivables	12,198	13,168
Prepaid taxes	9,205	11,899
Prepaid taxes	12,802	9,929
Chargebacks receivable	8,575	7,876
Other prepaid assets	33,584	22,948
Total prepaid expenses and other current assets	$ 87,298	$ 82,685

Goodwill and Other Intangible Assets - Schedule of Goodwill (Details) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Mar. 31, 2024	Jun. 30, 2023
Goodwill [Roll Forward]
Balance, beginning of period	$ 598,629	$ 598,853
Currency translation	(80)	$ (224)
Balance, end of period	$ 598,549

Goodwill and Other Intangible Assets - Additional Information (Detail) - USD ($)	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023	Dec. 31, 2022
Goodwill [Line Items]
Goodwill	$ 598,549,000		$ 598,629,000	$ 598,853,000
Amortization of intangible assets	39,900,000	$ 41,100,000
Intangible asset impairment charges, indefinite-lived	0	$ 0
Specialty
Goodwill [Line Items]
Goodwill	366,300,000		366,300,000
Generics
Goodwill [Line Items]
Goodwill	162,700,000		162,800,000
AvKARE
Goodwill [Line Items]
Goodwill	$ 69,500,000		$ 69,500,000

Goodwill and Other Intangible Assets - Intangible Assets (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]
Cost	$ 1,319,269	$ 1,310,771
Accumulated Amortization	(815,842)	(776,193)
Net	503,427	534,578
In-process research and development	355,845	355,845
Intangible assets, cost	1,675,114	1,666,616
Intangible assets, net	$ 859,272	890,423
Product rights
Finite-Lived Intangible Assets [Line Items]
Weighted-Average Amortization Period (in years)	6 years 2 months 12 days
Cost	$ 1,207,469	1,198,971
Accumulated Amortization	(739,351)	(703,297)
Net	$ 468,118	495,674
Other intangible assets
Finite-Lived Intangible Assets [Line Items]
Weighted-Average Amortization Period (in years)	3 years 1 month 6 days
Cost	$ 111,800	111,800
Accumulated Amortization	(76,491)	(72,896)
Net	$ 35,309	$ 38,904

Goodwill and Other Intangible Assets - Future Amortization Expense (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Finite-Lived Intangible Assets, Amortization Expense, Maturity Schedule [Abstract]
Remainder of 2023	$ 119,432
2025	121,638
2026	73,115
2027	52,606
2028	33,263
2029	26,484
Thereafter	76,889
Net	$ 503,427	$ 534,578

Other Assets - Schedule of Other Assets (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Other Assets [Line Items]
Other assets	$ 73,747	$ 55,517
Interest rate swap
Other Assets [Line Items]
Other assets	52,632	37,089
Security deposits
Other Assets [Line Items]
Other assets	3,616	3,602
Long-term prepaid expenses
Other Assets [Line Items]
Other assets	3,099	3,273
Deferred revolving credit facility costs
Other Assets [Line Items]
Other assets	4,007	4,427
Other long term assets
Other Assets [Line Items]
Other assets	$ 10,393	$ 7,126

Accounts Payable and Accrued Expenses - Schedule of Accounts Payable and Accrued Liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Related Party Transaction [Line Items]
Accounts payable	$ 175,325	$ 143,572
Accrued returns allowance	137,108	136,486
Accrued compensation	44,806	71,122
Accrued Medicaid and commercial rebates	96,711	90,690
Accrued royalties	19,779	23,342
Commercial chargebacks and rebates	10,226	10,226
Accrued professional fees	14,598	11,005
Accrued other	59,965	48,219
Nonrelated Party
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	$ 558,518	$ 534,662

Debt - Summary of Long-term Debt (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Debt Instrument [Line Items]
Total debt	$ 2,528,928	$ 2,543,626
Less: debt issuance costs	(117,561)	(123,497)
Total debt, net of debt issuance costs	2,411,367	2,420,129
Less: current portion of long-term debt	(33,660)	(34,125)
Total long-term debt, net	2,377,707	2,386,004
Term Loan Due May 2025
Debt Instrument [Line Items]
Total debt	191,979	191,979
Term Loan Due May 2028
Debt Instrument [Line Items]
Total debt	$ 2,336,949	$ 2,351,647

Debt - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
Debt - Narrative (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023
Debt Instrument [Line Items]
Borrowings on revolving credit facilities	$ 48,000	$ 80,000
Amended New Revolving Credit Facility
Debt Instrument [Line Items]
Borrowings on revolving credit facilities	20,000
Repayment of outstanding principal	20,000
Revolving credit facility			$ 179,000
Amended Rondo Credit Facility
Debt Instrument [Line Items]
Borrowings on revolving credit facilities	28,000
Repayment of outstanding principal	28,000
Revolving credit facility	$ 179,000

Other Long-Term Liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Nonrelated Party
Other Liabilities [Line Items]
Other long-term liabilities	$ 24,579	$ 29,679
Uncertain tax positions
Other Liabilities [Line Items]
Other long-term liabilities	504	497
Long-term compensation
Other Liabilities [Line Items]
Other long-term liabilities	18,073	21,283
Contingent Consideration
Other Liabilities [Line Items]
Other long-term liabilities	433	433
Other long-term liabilities
Other Liabilities [Line Items]
Other long-term liabilities	$ 5,569	$ 7,466

Fair Value Measurements - Assets and Liabilities Measured at Fair Value on a Recurring Basis (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Assets
Interest rate swap	$ 52,632	$ 37,089
Liabilities
Deferred compensation plan liabilities	9,668	9,100
Contingent consideration liabilities	1,021	921
Quoted Prices in Active Markets (Level 1)
Assets
Interest rate swap	0	0
Liabilities
Deferred compensation plan liabilities	0	0
Contingent consideration liabilities	0	0
Significant Other Observable Inputs (Level 2)
Assets
Interest rate swap	52,632	37,089
Liabilities
Deferred compensation plan liabilities	9,668	9,100
Contingent consideration liabilities	0	0
Significant Unobservable Inputs (Level 3)
Assets
Interest rate swap	0	0
Liabilities
Deferred compensation plan liabilities	0	0
Contingent consideration liabilities	$ 1,021	$ 921

Fair Value Measurements - Summary of the Company’s Indebtedness at Fair Value (Details) - Significant Other Observable Inputs (Level 2) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Senior Secured Credit Facility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Long-term debt fair value		$ 2,328,130
Sellers Notes
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Long-term debt fair value	$ 41,944	41,033
Term Loan Due 2025 \| Senior Secured Credit Facility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Long-term debt fair value	192,099	$ 190,779
Term Loan Due 2028 \| Senior Secured Credit Facility
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Long-term debt fair value	$ 2,339,870

Financial Instruments - Additional Information (Details) - USD ($)		3 Months Ended
	Nov. 14, 2023	Mar. 31, 2024	Dec. 31, 2023	Oct. 31, 2019
Derivative [Line Items]
Interest rate swap		$ 52,632,000	$ 37,089,000
Derivative gain reclassified from accumulated OCI into income (loss)		6,500,000
Cash flow hedge gain (loss) to be reclassified within 12 months		26,100,000
Net of income taxes, recognized in accumulated other comprehensive income		$ 42,800,000
Interest Rate Lock Agreement
Derivative [Line Items]
Notional amount				$ 1,300,000,000
November 2023 Swap
Derivative [Line Items]
Notional amount	$ 1,300,000,000
Derivative, fixed interest rate	2.7877%
Interest rate swap	$ 66,700,000
Amended October 2019 Swap
Derivative [Line Items]
Derivative, fixed interest rate	1.366%
Unrealized gain recorded within accumulated other comprehensive income (loss)	$ 66,700,000

Financial Instruments - Summary of Fair Values of Derivative Instruments in Consolidated Balance Sheets (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Variable to Fixed Interest Rate Swap \| Designated as Hedging Instrument \| Other Assets
Derivative [Line Items]
Fair Value	$ 52,632	$ 37,089

Commitments and Contingencies - Additional Information (Details) $ in Thousands										1 Months Ended	3 Months Ended
	May 02, 2024	Apr. 30, 2024 USD ($) $ / twinPack	Feb. 28, 2024	Dec. 18, 2023 USD ($)	May 31, 2023 case	Feb. 28, 2023 USD ($)	Jun. 10, 2020 state action	Mar. 13, 2015 medication	Nov. 06, 2014 representative	Dec. 31, 2023 USD ($) case state	Mar. 31, 2024 USD ($)	Mar. 31, 2023 USD ($)	May 15, 2023	Nov. 01, 2019 state	May 10, 2019 state
Loss Contingencies [Line Items]
(Credit) charges related to legal matters, net											$ (94,359)	$ 436
Liabilities for legal matters - long term										$ 316	85,479
Opana ER® antitrust litigation
Loss Contingencies [Line Items]
(Credit) charges related to legal matters, net												$ 436
Loss contingency accrual										$ 50,000	$ 265,000
Litigation settlement, interest rate											3.00%
United States Department of Justice Investigations
Loss Contingencies [Line Items]
Number of sales representatives \| representative									1
Number of generic prescription medications \| medication								4
Percentage Of Prescribed Label													1.00%
Generic Digoxin and Doxycycline Antitrust Litigation
Loss Contingencies [Line Items]
Number of states, filed civil lawsuit \| state							46								43
Loss contingency civil lawsuit filed number of additional states \| state														9
Number of actions \| action							2
Civil prescription opioid litigation
Loss Contingencies [Line Items]
(Credit) charges related to legal matters, net											$ (94,400)
Number of cases filed \| case										900
Number of states with cases \| state										7
Number of claims dismissed \| case					2
Liabilities for legal matters - long term										$ 300	85,500
Estimated litigation liability										$ 21,500	$ 115,600
Civil prescription opioid litigation \| Subsequent Event
Loss Contingencies [Line Items]
Litigation settlement agreement terms		10 years
Civil prescription opioid litigation \| Litigation Settlement, Option One \| Subsequent Event
Loss Contingencies [Line Items]
Litigation settlement amount		$ 92,500
Litigation settlement, product supply amount		$ 180,000
Litigation settlement, product supply price (in USD per twin pack) \| $ / twinPack		125
Civil prescription opioid litigation \| Litigation Settlement, Option One \| Subsequent Event \| Maximum
Loss Contingencies [Line Items]
Litigation settlement amount		$ 137,500
Civil prescription opioid litigation \| Litigation Settlement, Option Two \| Subsequent Event
Loss Contingencies [Line Items]
Litigation settlement agreement terms		4 years
Litigation settlement amount		$ 45,000
Litigation settlement, percentage of product value		25.00%
Ranitidine Litigation
Loss Contingencies [Line Items]
Number of states with cases \| state										5
Metformin Litigation \| Litigation Settlement, Option One \| Subsequent Event
Loss Contingencies [Line Items]
Deadline period for defendants	3 days
Metformin Litigation \| Litigation Settlement, Option Two \| Subsequent Event
Loss Contingencies [Line Items]
Deadline period for defendants	30 days
Xyrem® (Sodium Oxybate) Antitrust Litigation
Loss Contingencies [Line Items]
Litigation settlement amount				$ 4,000		$ 1,900
Litigation settlement expense										$ 3,000
Estimated litigation liability										$ 2,000
UFCW Local 1500 Welfare Fund v. Takeda Pharmaceuticals U.S.A., Inc.
Loss Contingencies [Line Items]
Deadline period for defendants			45 days

Commitments and Contingencies - Schedule of Liabilities For Legal Matters (Details) - USD ($) $ in Thousands	Mar. 31, 2024	Dec. 31, 2023
Loss Contingencies [Line Items]
Current portion of liabilities for legal matters	$ 30,130	$ 76,988
Opana ER® antitrust litigation
Loss Contingencies [Line Items]
Current portion of liabilities for legal matters	0	50,000
Opana ER® antitrust litigation-accrued interest
Loss Contingencies [Line Items]
Current portion of liabilities for legal matters	0	2,347
Civil prescription opioid litigation
Loss Contingencies [Line Items]
Current portion of liabilities for legal matters	30,130	21,189
Civil prescription opioid litigation (Liabilities for legal matters - long term)	85,479	316
Other
Loss Contingencies [Line Items]
Current portion of liabilities for legal matters	$ 0	$ 3,452

Stockholders' Equity and Redeemable Non-Controlling Interests - Additional Information (Details) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Nov. 07, 2023	Dec. 31, 2021	Apr. 02, 2021	Jan. 31, 2020
Class of Stock [Line Items]
Tax distribution		$ 26.8
Common Class B
Class of Stock [Line Items]
Common stock, shares outstanding (in shares)			0
Amneal Pharmaceuticals, LLC
Class of Stock [Line Items]
Ownership by parent (percent)	100.00%		100.00%
Kashiv Specialty Pharmaceuticals, LLC
Class of Stock [Line Items]
Voting interest acquired (percent)					98.00%
Kashiv Specialty Pharmaceuticals, LLC \| Sellers of KSP
Class of Stock [Line Items]
Ownership percentage by noncontrolling owners (percent)					2.00%
Av Kare Incorporation And R And S Northeast L L C
Class of Stock [Line Items]
Voting interest acquired (percent)				65.10%
Tax distribution recorded as a reduction to redeemable non-controlling interest	$ 4.4	$ 3.0
Av Kare Incorporation And R And S Northeast L L C \| Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes
Class of Stock [Line Items]
Ownership percentage by noncontrolling owners (percent)	34.90%					34.90%

Stockholders' Equity and Redeemable Non-Controlling Interests - Schedule of Changes in Accumulated Other Comprehensive Loss by Component (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]
Stockholders' equity beginning balance	$ 20,011	$ 183,979
Stockholders' equity ending balance	(63,629)	134,668
Reclassification of cash flow hedge to earnings, net of tax	0	0
Foreign currency translation adjustments
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]
Stockholders' equity beginning balance	(66,072)	(32,382)
Other comprehensive loss before reclassification	(390)	898
Reallocation of ownership interests		(195)
Reclassification of cash flow hedge to earnings, net of tax of $0	0
Stockholders' equity ending balance	(66,462)	(31,679)
Unrealized gain (loss) on cash flow hedge, net of tax
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]
Stockholders' equity beginning balance	33,723	42,321
Other comprehensive loss before reclassification	15,543	(7,135)
Reallocation of ownership interests		257
Reclassification of cash flow hedge to earnings, net of tax of $0	(6,515)
Stockholders' equity ending balance	42,751	35,443
Accumulated other comprehensive (loss) income
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]
Stockholders' equity beginning balance	(32,349)	9,939
Other comprehensive loss before reclassification	15,153	(6,237)
Reallocation of ownership interests		62
Reclassification of cash flow hedge to earnings, net of tax of $0	(6,515)
Stockholders' equity ending balance	$ (23,711)	$ 3,764

Related Party Transactions - Related Party Agreements (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023
AzaTech Pharma LLC - supply agreement
Related Party Transaction [Line Items]
Trade accounts receivable, net	$ 78		$ 0
Rondo Class B unit holders - tax distributions
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	3,777		0
Research and development - Parking Space Lease \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	25	$ 17
Research and Development - Development and Commercialization Agreement - Ganirelix Acetate and Centrorelix Acetate \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	0	50
Cost of Goods Sold Development And Commercialization Agreement - Filgrastim And Pegfilgrastim \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	4,526	144
Research and Development Storage Income \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	(77)	(48)
Inventory and Cost of Goods Sold \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	1,216	0
Inventory and Cost of Goods Sold \| Kanan, LLC - operating lease
Related Party Transaction [Line Items]
Amounts of transaction with related party	592	566
Inventory and Cost of Goods Sold \| Sutaria Family Realty, LLC - operating lease
Related Party Transaction [Line Items]
Amounts of transaction with related party	314	305
Inventory and Cost of Goods Sold \| Apace Packaging, LLC - packaging agreement
Related Party Transaction [Line Items]
Amounts of transaction with related party	5,001	1,836
Inventory and Cost of Goods Sold \| AzaTech Pharma LLC - supply agreement
Related Party Transaction [Line Items]
Amounts of transaction with related party	2,312	575
Inventory and Cost of Goods Sold \| Alkermes
Related Party Transaction [Line Items]
Amounts of transaction with related party	12	2
Research and Development - Generic Development Supply Agreement - Research and Development Material \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	(48)	0
Deferred Revenue - Generic Development Supply Agreement - Development Activity Deferred Income \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Amounts of transaction with related party	(422)	0
Research and Development
Related Party Transaction [Line Items]
Amounts of transaction with related party	500	0
Research and Development \| Avtar Investments LLC - consulting services
Related Party Transaction [Line Items]
Amounts of transaction with related party	69	188
Selling, General and Administrative - Operating Lease \| Tracy Properties LLC - operating lease
Related Party Transaction [Line Items]
Amounts of transaction with related party	143	169
Selling, General and Administrative - Operating Lease \| AvPROP, LLC - operating lease
Related Party Transaction [Line Items]
Amounts of transaction with related party	44	47
Selling, General and Administrative - Logistics Services \| R&S Solutions - logistics services
Related Party Transaction [Line Items]
Amounts of transaction with related party	0	20
Other Expense \| Members - tax receivable agreement
Related Party Transaction [Line Items]
Amounts of transaction with related party	1,948	$ 826
Related Party
Related Party Transaction [Line Items]
Trade accounts receivable, net	1,521		955
Accounts payable and accrued expenses	17,075		7,321
Other long-term liabilities	11,394		11,776
Related Party \| Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Trade accounts receivable, net	1,434		954
Accounts payable and accrued expenses	5,773		3,179
Other long-term liabilities	530		430
Related Party \| Apace Packaging, LLC - packaging agreement
Related Party Transaction [Line Items]
Trade accounts receivable, net	9		0
Accounts payable and accrued expenses	1,863		1,091
Related Party \| AzaTech Pharma LLC - supply agreement
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	1,650		1,958
Related Party \| Avtar Investments LLC - consulting services
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	22		100
Related Party \| Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	442		442
Related Party \| Alkermes Plc
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	16		2
Related Party \| Sellers of AvKARE LLC and R&S - accrued interest on Sellers Notes
Related Party Transaction [Line Items]
Other long-term liabilities	8,691		8,139
Related Party \| Alkermes
Related Party Transaction [Line Items]
Trade accounts receivable, net	0		1
Related Party \| Members - tax receivable agreement
Related Party Transaction [Line Items]
Accounts payable and accrued expenses	3,532		549
Other long-term liabilities	$ 2,173		$ 3,207

Related Party Transactions - Narrative (Details) - USD ($) $ in Millions	1 Months Ended		3 Months Ended
	Mar. 31, 2024	Dec. 31, 2022	Mar. 31, 2024
Kashiv Bio Sciences License and Commercialization Agreement
Related Party Transaction [Line Items]
Collaborative arrangement upfront payment			$ 0.5
Collaborative arrangement aggregate sales-based milestone payment	$ 37.5
Collaborative arrangement, profit share (percent)	50.00%
Collaborative arrangement term			10 years
Kashiv Bio Sciences License and Commercialization Agreement \| Development Milestones
Related Party Transaction [Line Items]
License supply agreement, potential future milestone payments	$ 7.0
Kashiv Bio Sciences License and Commercialization Agreement \| Regulatory Approval
Related Party Transaction [Line Items]
License supply agreement, potential future milestone payments	$ 7.5
R&D Reimbursement \| Related Party \| Kashiv Bio Sciences License and Commercialization Agreement
Related Party Transaction [Line Items]
Amounts of transaction with related party		$ 2.4
Ownership interest (percent)	50.00%		50.00%
R&D Reimbursement \| Related Party \| Kashiv Bio Sciences License and Commercialization Agreement \| Development Milestones
Related Party Transaction [Line Items]
Collaborative arrangement maximum contingent payments amount			$ 10.0
R&D Reimbursement \| Related Party \| Kashiv Bio Sciences License and Commercialization Agreement \| Regulatory Approval
Related Party Transaction [Line Items]
Collaborative arrangement maximum contingent payments amount			20.0
R&D Reimbursement \| Related Party \| Kashiv Bio Sciences License and Commercialization Agreement \| Achievement Of Annual Commercial Milestone
Related Party Transaction [Line Items]
Collaborative arrangement maximum contingent payments amount			5.0
R&D Reimbursement \| Related Party \| Kashiv Bio Sciences License and Commercialization Agreement \| Initial Commercial Launch Milestones
Related Party Transaction [Line Items]
Collaborative arrangement maximum contingent payments amount			20.0
Kashiv Biosciences LLC
Related Party Transaction [Line Items]
Collaborative arrangement upfront payment	$ 14.5
Kashiv Biosciences LLC \| R&D Reimbursement \| Related Party \| Maximum
Related Party Transaction [Line Items]
License supply agreement, potential future milestone payments			$ 35.0

Segment Information - Additional Information (Details)	3 Months Ended
Segment Information - Additional Information (Details)	Mar. 31, 2024 segment product
Segment Reporting [Abstract]
Number of reportable segments \| segment	3
Number of products families \| product	270

Segment Information - Schedules of Segment Information (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023
Segment Reporting Information [Line Items]
Net revenue	$ 659,191	$ 557,540
Cost of goods sold	421,131	379,354
Gross profit	238,060	178,186
Selling, general and administrative	112,595	102,096
Research and development	39,298	38,690
Intellectual property legal development expenses	984	1,644
Restructuring and other charges	1,470	510
Change in fair value during the period	100	2,457
(Credit) charges related to legal matters, net	94,359	(436)
Other operating income	0	(1,224)
Operating (loss) income	(10,746)	34,449
Generics
Segment Reporting Information [Line Items]
Net revenue	391,294	343,806
AvKARE
Segment Reporting Information [Line Items]
Net revenue	162,663	122,056
Operating Segments \| Generics
Segment Reporting Information [Line Items]
Net revenue	391,294	343,806
Cost of goods sold	239,922	230,551
Gross profit	151,372	113,255
Selling, general and administrative	33,085	27,600
Research and development	34,371	32,359
Intellectual property legal development expenses	960	1,624
Restructuring and other charges	0	99
Change in fair value during the period	0	0
(Credit) charges related to legal matters, net	94,359	(2,444)
Other operating income		(1,224)
Operating (loss) income	(11,403)	55,241
Operating Segments \| Specialty
Segment Reporting Information [Line Items]
Net revenue	105,234	91,678
Cost of goods sold	44,800	43,191
Gross profit	60,434	48,487
Selling, general and administrative	25,196	22,379
Research and development	4,927	6,331
Intellectual property legal development expenses	24	20
Restructuring and other charges	946	0
Change in fair value during the period	100	2,457
(Credit) charges related to legal matters, net	0	0
Other operating income		0
Operating (loss) income	29,241	17,300
Operating Segments \| AvKARE
Segment Reporting Information [Line Items]
Net revenue	162,663	122,056
Cost of goods sold	136,409	105,612
Gross profit	26,254	16,444
Selling, general and administrative	14,907	12,940
Research and development	0	0
Intellectual property legal development expenses	0	0
Restructuring and other charges	0	0
Change in fair value during the period	0	0
(Credit) charges related to legal matters, net	0	0
Other operating income		0
Operating (loss) income	11,347	3,504
Corporate and Other
Segment Reporting Information [Line Items]
Net revenue	0	0
Cost of goods sold	0	0
Gross profit	0	0
Selling, general and administrative	39,407	39,177
Research and development	0	0
Intellectual property legal development expenses	0	0
Restructuring and other charges	524	411
Change in fair value during the period	0	0
(Credit) charges related to legal matters, net	0	2,008
Other operating income		0
Operating (loss) income	$ (39,931)	$ (41,596)

Subsequent Events (Details) - Apr. 30, 2024 - Disposal Group, Disposed of by Sale, Not Discontinued Operations - Subsidiary In India - Subsequent Event ₨ in Millions, $ in Millions	INR (₨)	USD ($)	USD ($)
Subsequent Event [Line Items]
Consideration on sale of subsidiary	₨ 1,000		$ 12
Proceeds from divestiture of businesses	416	$ 5
Assumption of loan payable	₨ 600	$ 7
Loan payable, interest rate	11.00%		11.00%

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