Q1 2023 Bausch Health Companies Inc Earnings Call

May 4, 2023

Speaker 1: The.

Operator: Greetings. Welcome to the Bausch Health Q1 2023 Earnings Call. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. Please note this conference is being recorded. I will now turn the conference over to Mark Maco, Investor Relations. You may begin.

Speaker 2: Greetings. Welcome to the Bosch Health first quarter 2023 earnings call. At this time, all participants are in a listen-only mode. A question-and-answer session will follow the formal presentation.

Speaker 2: If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. Please note this conference is being recorded. I will now turn the conference over to Mark Mako, Investor Relations. You may begin. Thanks for joining us.

Mark Maco: Thank you, Holly. Good morning and welcome to Bausch Health's Q1 2023 Earnings Conference Call. This is Mark Maco, Investor Relations for Bausch Health. Participating in today's call are Thomas J. Appio, Chief Executive Officer of Bausch Health, and Tom Vadaketh, Chief Financial Officer. Before we begin, I'd like to remind you that our presentation today contains forward-looking information. We would ask you to take a moment to read the forward-looking statements at the beginning of the slides that accompany this presentation as they contain important information. Our actual results may vary materially from those expressed or implied in our forward-looking statements, and you should not place undue reliance on any forward-looking statements. Please refer to our SEC filings and filings with the Canadian Securities Administrators for a list of some of the factors that could cause our actual results to differ materially from our expectations.

Speaker 3: Thank you, Holly. Good morning and welcome to Bausch Health's first quarter 2023 earnings conference call. This is Mark Mako, Investor Relations for Bausch Health. Participating in today's call are Thomas Appio, Chief Executive Officer of Bausch Health and Tom Vadakith, Chief Financial Officer.

Speaker 3: Before we begin, I'd like to remind you that our presentation today contains forward-looking information.

Speaker 3: We would ask you to take a moment to read the forward-looking statements at the beginning of the slides that accompany this presentation as they contain important information.

Speaker 3: Our actual results may vary materially from those expressed or implied in our forward-looking statements, and you should not place undue reliance on any forward-looking statements.

Speaker 3: Please refer to our SEC filings and filings with the Canadian Securities Administrators for a list of some of the factors that could cause our actual results to differ materially from our expectations.

Mark Maco: We use non-GAAP financial measures to help investors understand our ongoing business performance. Non-GAAP financial measures may not be comparable to similarly titled measures used by other companies and should be considered along with, but not as an alternative to, measures calculated in accordance with GAAP. You will find reconciliations to our non-GAAP measures in the appendix of the slides that accompany this presentation, which are available on Bausch Health's investor relations website. Finally, the financial guidance in this presentation is effective as of today only. We do not undertake any obligation to update guidance. Our discussion today will focus on Bausch Health excluding BNL. However, we will briefly comment on Bausch + Lomb's results announced yesterday. We will refer to year-over-year comparisons with the same period last year, unless otherwise noted.

Speaker 3: We use non-GAAP financial measures to help investors understand our ongoing business performance.

Speaker 3: non-GAAP financial measures may not be comparable to similarly titled measures used by other companies and should be considered along with, but not as an alternative to, measures calculated in accordance with GAAP. You will find reconciliations to our non-GAAP measures in the appendix of the slides that accompany this presentation.

Speaker 3: health excluding BNL. However, we will briefly comment on Bausch and Lam's results announced yesterday. We will refer to year-over-year comparisons with the same period last year unless otherwise noted. For the benefit of those who may be listening to the replay or archived webcast.

Mark Maco: For the benefit of those who may be listening to the replay or archived webcast, this call was held and recorded on 4 May 2023. With that, it is my pleasure to turn the call over to our CEO, Thomas Appio. Tom.

Speaker 3: This call was held and recorded on May 4, 2023. With that, it is my pleasure to turn the call over to our CEO , Tom Isapio. Tom?

Thomas J. Appio: Thank you, Mark, and welcome to those of you joining the call this morning. It has been almost a year since I took over as CEO of Bausch Health. While our business faces challenges, we have some great franchises, and we are continuing to balance the constraints of a tough balance sheet with the need to continue to invest and grow the business and the pipeline. With the IPO of Bausch + Lomb in May last year, we assembled a seasoned, resilient executive leadership team with a track record of hard work, dedication, and accountability. While we've had some bumps in the road, we have accomplished a lot in the last year and we are hopeful and realistic for the future of our company, powering up the potential and creating a great healthcare company. The team and I have been able to focus on improving the remaining Bausch Health businesses.

Speaker 4: Thank you Mark and welcome to those of you joining the call this morning. It has been almost a year since I took over a CEO of Bowshelf.

Speaker 4: While our business faces challenges, we have some great franchises and we are continuing to balance the constraints of a tough balance sheet with the need to continue to invest and grow the business and the pipeline.

Speaker 4: With the IPO of Bouchon-Lombon May last year, we assembled a seasoned, resilient, executive leadership team with a track record of hard work, dedication, and accountability.

Speaker 4: While we've had some bumps in the road, we have accomplished a lot in the last year, and we are hopeful and realistic for the future of our company, powering up the potential and creating a great healthcare company.

Thomas J. Appio: Firstly, through operational excellence and focused investments in key businesses that have growth opportunities such as Salix, Solta, Dentistry, and International Business. Starting in the H2 of 2022 and continuing this year, we are increasing our investments in sales, marketing, and R&D to accelerate growth in Salix. I will touch more on this in a few minutes when we take a closer look at the performance of the business segments. Our international business consists of a branded generic business in the EMEA and Latin America, and a branded business in Canada. Taken together, this business is a profitable and growing business. To maintain sustainable long-term growth, we have to continue to bring in new products into the portfolio, as we have done historically through business development and licensing deals, which in this space are not typically capital intensive.

Speaker 4: The team and I have been able to focus on improving and the remaining Bouch Health businesses.

Speaker 4: able to focus on improving and the remaining Bouch Health businesses. Firstly,

Speaker 4: through operational excellence and focused investments.

Speaker 4: and key businesses that have growth opportunities such as Salix, SOTA, Dentistry, and International Business.

Speaker 4: Starting in the back half of 2022 and continuing this year, we are increasing our investments in sales, marketing and R&D to accelerate growth in sales. I will touch more on this in a few minutes when we take a closer look at the performance of the business segment.

Speaker 4: Our international business consists of a branded generic business in the EMEA and Latin America and a branded business in Canada.

Speaker 4: Taking together, this business is a profitable and growing business.

Speaker 4: To maintain sustainable long-term growth, we have to continue to bring in new products into the portfolio.

Speaker 4: as we have done historically through business development and licensing deals, which in this space are not typically capital intensive.

Thomas J. Appio: Our neurology, dermatology, and generics business operate in a challenging space. Together, over 70% of the revenue from these businesses are from products that lost their exclusivity and are subject to generic competition, which continues to put pressure on both volumes and pricing. Our approach has been to manage these businesses for optimal profits and cash generation. We have a great platform and a talented team, and we will continue to review opportunities to add to the portfolio. Secondly, we have intensified our focus and operating rigor behind R&D and business development, which is critical to the success and health of our company. We are accelerating certain aspects of our planned R&D effort, and Tom Vadaketh will discuss this shortly in his commentary on the financial performance. Let me share several pipeline developments, which you can see on slide 7.

Speaker 4: Our neurology, dermatology, and generics business operate in a challenging space.

Speaker 4: Together, over 70% of the revenue from these businesses are from products that lost their exclusivity and are subject to generic competition, which continues to put pressure on both volumes and pricing.

Speaker 4: Our approach has been to manage these businesses for optimal profits and cash generation. We have a great platform and a talented team and we will continue to review opportunities to add to the portfolio.

Speaker 4: Secondly, we have intensified our focus and operating rigor behind R&D and business development, which is critical to the success and health of our company.

Speaker 4: We are accelerating certain aspects of our planned R&D effort, and Tom Vadikath will discuss this shortly in his commentary on the financial performance.

Thomas J. Appio: For Amiselimod, the phase 2 trial is progressing and is expected to be completed in H2 of this year. Amiselimod is a new oral S1P receptor modulator, which targets the treatment of mild to moderate ulcerative colitis. Turning to Rifaximin, we are focused on developing novel formulations to address unmet medical needs. We are accelerating our investments related to RED-C program, which stands for Reduction of Early Decompensation in Cirrhosis. This is a global program, and the treatment is targeted at preventing the first occurrence of hepatic encephalopathy, which we call HE, for patients with early decompensation cirrhosis. 2 global phase 3 studies are currently underway with clinical trial sites expected to be open in more than 15 countries by the end of Q3, and the enrollment is on track.

Speaker 4: Let me share several pipeline developments which you can see on slide 7.

Speaker 4: For amicilimod, the phase two trial is progressing and is expected to be completed in the second half of this year. Amicilimod is a new oral S1P receptor modulator which targets the treatment of mild to moderate ulcerative colitis.

Speaker 4: Turning to Rifaximin, we are focused on developing novel formulations to address unmet medical needs.

Speaker 4: We are accelerating our investments related to Red Sea program, which stands for reduction of early decompensation in cirrhosis. This is a global program and the treatment is targeted at preventing the first occurrence of hepatic inseplopathy, which we call H.A., for patients with early decompensation cirrhosis. Two global phase three studies are currently underway with clinical trial sites.

Speaker 4: expected to be open in more than 15 countries by the end of Q3 and the enrollment is on track.

Thomas J. Appio: We have completed scientific advisory meetings with the Medicines Evaluation Board in the Netherlands, with Health Canada, and with plans to meet with the authorities in Japan and China later this year. In Solta, the next generation Fraxel, a fractionated laser device for skin resurfacing, is on track for FDA submission later this year, and we are excited about this device for skin rejuvenation. Clear + Brilliant Touch with Canada and with Europe and Canada submissions planned in 2024 and Asia Pacific in 2025.

Speaker 4: We have completed scientific advisory meetings with the Medicines Evaluations Board in the Netherlands, with Health Canada and with plans to meet with the authorities in Japan and China later this year.

Speaker 4: In SOTA, the next generation fraxel, a fractionated laser device for skin resurfacing is on track for FDA submission later this year and we are excited about this device for skin rejuvenation.

Speaker 4: clear and brilliant touch with Canada and with Europe and Canada submissions planned in 2024 and Asia Pacific in 2025.

Thomas J. Appio: We are also working on the next generation VASERlipo System that is planned to be released in late 2024 and on future features for Thermage FLX, as well as additional security measures to prevent the use of counterfeit tips. In dermatology, adding to our established acne portfolio, the FDA has accepted our new drug application for IDP-126 with a 20 October 2023 PDUFA date. If approved by the FDA, IDP-126 would be a first-in-class triple combination treatment for acne vulgaris. Additionally, our submission in Canada is planned for Q2 of this year. We are actively looking for business development opportunities for our US and international businesses that will synergize with our current capabilities, and also looking at new therapeutic areas.

Speaker 4: We are also working on the next generation VASER LIPOSystem that is planned to be released in late 2024 and on future features for Thermage FLX as well as additional security measures to prevent the use of counterfeit tips. In dermatology, adding to our established acne portfolio, the FDA has accepted our new drug application for IDP 126. We are also working on the next generation VASER LIPOSystem that is planned to be released in late 2020.

Speaker 4: our US and international businesses that will synergize with our current capabilities and also looking at new therapeutic areas.

Thomas J. Appio: We are proud of our R&D team and the work they have done to progress our pipeline, and we will continue to focus on obtaining approvals for these products. Now let me turn to Q1. Turning to slide 8. I am pleased with Q1 of the year. We delivered a solid performance in line with our expectations. Total reported revenues declined by 2% and organic revenues were flat compared with the prior quarter for Bausch Health, excluding BNL. I am pleased to share that for three out of our four business segments, Salix, International, and Solta grew versus last year on both a reported and organic basis. Let's take a closer look at Q1 performance of our business segments as shown on slide 9. Starting with Salix, which posted reported and organic revenue growth of 7% in Q1.

Speaker 4: We are proud of our R&D team and the work they have done to progress our pipeline, and we will continue to focus on obtaining approvals for these products. Now let me turn to the first quarter.

Speaker 4: and the work they have done to progress our plifine and we will continue to focus on obtaining approvals for these products. Now let me turn to the first quarter. Turning to slide 8.

Speaker 4: I am pleased with the first quarter of the year. We delivered a solid performance in line with our expectations.

Speaker 4: Total reported revenues declined by 2% and organic revenues were flat compared with the prior quarter for Bausch Health, excluding B&L.

Speaker 4: International and SULTA grew versus last year on both a reported and organic basis.

Speaker 4: Let's take a closer look at the first quarter performance of our business segment as shown.

Speaker 4: On slide 9.

Speaker 4: Starting with salex, which posted reported an organic revenue growth of 7% in the first quarter, with increased demand and encouraging zyfaction script growth across all channels.

Thomas J. Appio: With increased demand and encouraging Xifaxan script growth across all channels, we are very pleased with the performance of the Salix business in this quarter. Xifaxan is a fantastic option for healthcare providers for their patients, and we have increased our marketing investments in Xifaxan for both of our approved indication, IBS-D and HE. The increased investments in targeted consumer activation is currently being deployed across a range of media channels such as connected and addressable TV, as well as many digital and social platforms. As a result, we are seeing very encouraging signs of increased consumer engagement. In addition, we have also expanded our institutional sales footprint by 40%.

Speaker 4: We are very pleased with the performance of the SALIX business in this quarter.

Speaker 4: Zyfaxin is a fantastic option for healthcare providers that their patients, for their patients and we have increased our marketing investments in Zyfaxin for both of our approved indication, IBSD and AG.

Speaker 4: The increased investments in targeted consumer activation is currently being deployed across a range of media channels such as connected and addressable TV as well as many digital and social platforms.

Speaker 4: As a result, we are seeing very encouraging signs of increased consumer engagement.

Thomas J. Appio: The increased sales force allows us to engage with new integrated delivery networks, their associated hospitals and clinics, and to continue to educate new healthcare providers on the importance of initiating therapy for HE patients to reduce the risk of reoccurrence and rehospitalization. We expect these efforts will help drive future growth. We are implementing AI-enabled solutions to improve our commercial engagement. These solutions leverage artificial intelligence and machine learning to help our commercial teams optimize their interactions with physicians and direct efforts to the right opportunities at the right time. AI has the potential to significantly improve how we interact with our customers and meaningfully expand the number of patients getting on the right treatment. As part of our continued investment to improve HE and IBS-D patient care, we are implementing an advanced analytics-driven medical approach.

Speaker 4: In addition, we have also expand our institutional sales footprint by 40%.

Speaker 4: The increased sales force allows us to engage with new integrated delivery networks, their associated hospitals and clinics, and to continue to educate new healthcare providers on the importance of initiating therapy for AT patients to reduce the risk of reoccurrence and re-hospitalization.

Speaker 4: We expect these efforts will help drive future growth.

Speaker 4: We are implementing AI-enabled solutions to improve our commercial engagement.

Speaker 4: These solutions leverage artificial intelligence and machine learning to help our commercial teams optimize their interactions with physicians and direct efforts to the right opportunities at the right time. AI has the potential to significantly improve how we interact with our customers.

Thomas J. Appio: This approach leverages multi-channel medical engagement, including a meaningful expansion of our specialized medical field team to improve care for thousands of HE and IBS-D patients. It will help us educate physicians to address the largest patient care gaps and track the positive impact on patient lives over time. Turning to international. Sales grew 5% on an organic basis and 1% on a reported basis with organic growth in all three regions. Key markets such as Poland and Canada saw double-digit growth for the period. In Europe, our sales and marketing teams are driving growth through HCP education and enhanced digital engagements. In Canada, we are driving growth of our promoter brands while focusing on the launch of RYALTRIS. Solta grew organically by 6% in the quarter with strong customer demand in Asia Pacific markets, excluding China.

Speaker 4: analytical driven medical approach.

Speaker 4: This approach leverages multi-channel medical engagement, including a meaningful expansion of our specialized medical field team to prove care for thousands of H.A. and IBSD patients. It will help us execute, educate, educate, and educate.

Speaker 4: and 1% on a reported basis with organic growth in all three regions.

Speaker 4: Key markets such as Poland and Canada, so a double-digit growth for the period, in Europe , our sales and marketing teams are driving growth through HCP education and enhanced digital engagements. And in Canada, we are driving growth of our promoted brands while focusing on the launch of Realtors.

Speaker 4: Sulta grew organically by 6% in the quarter with strong customer demand in Asia-Pacific markets excluding China. We are cautiously optimistic for the remainder of the year for return to growth in China following the lifted of the COVID restrictions. In the U.S., we are focusing on growth drivers which will include expanding...

Thomas J. Appio: We are cautiously optimistic for the remainder of the year for a return to growth in China following the lifting of the COVID restrictions. In the US, we are focusing on growth drivers, which will include expanding DTC campaigns and building top-end sales marketing teams. As I said before, Solta is a great business for BHC. With our global footprint and our product mix between capital equipment and consumables, more than 70% of Solta's revenues are from consumables, which gives us together a good platform for future growth. Turning to dentistry, which is part of our diversified segment. We delivered 4% organic growth for the quarter. We have refocused our commercial effort on our core product, ARESTIN, an antibiotic used in combination with scaling and root planing procedures to treat patients with adult periodontitis.

Speaker 4: are for consumables which gives us together a good platform for future growth.

Speaker 4: Turning to dentistry, which is part of our diversified segment, we delivered 4% organic growth for the quarter. We have refocused our commercial effort on our core product arresting, an antibiotic using the combination with scaling and root-planing procedures to treat patients with adult.

Thomas J. Appio: The periodontal treatment market is expected to reach $12.2 billion by 2031, up $7.6 billion in 2021. With this market, we are driving demand with the private practice dentist segment, which is the largest portion of the market, and the corporate DSO dentist, which is the fastest-growing segment. In Diversified, sales for this segment decreased by 21% on an organic and reported basis in Q1, with declines in neurology, dermatology, and generics. We are striving to stabilize the business in our promoted and non-promoted products within this segment. This year, we intend to make additional investments in the marketing and advertising of Aplenzin and expand our consumer awareness campaign for JUBLIA, which both saw increased scripts. I am pleased with the performance in Q1, which was in line with our expectations.

Speaker 4: periodontist. The periodontal market treatment market is expected to reach 12.2 billion by 2031 up 7.6 billion in 2021. With this market we are driving demand with the private practice dentist segment which is the largest portion of the market.

Speaker 4: and the Corp. DSO dentis, which is the fastest growing segment.

Speaker 4: In diversified, sales for this segment decreased by 21% on an organic and reported basis in the quarter with declines in neurology, dermatology and generics.

Speaker 4: We are striving to stabilize the business and are promoted and non-promoted products within this segment. This year we intend to make additional investments in the marketing and advertising of a plentiful and expand our consumer awareness campaign for Julia, which both saw increased scripts. Again.

Thomas J. Appio: We are reiterating our guidance for Bausch Health, excluding BNL for this year, and as always, remain committed to delivering long-term value for stakeholders. Let me take a few minutes to talk about some key priorities. The process of delevering our balance sheet is ongoing, and in Q1 2023 for Bausch Health, excluding BNL, we reduced our debt by approximately $100 million, including revolver repayments. We have made significant progress in delevering our balance sheet over the past year, reducing debt since the BNL IPO by $3.3 billion, and we will continue to effectively manage and enhance our capital structure. With regard to the Granite Trust, as you know, we've reached a tentative settlement with the IRS during Q1, and we expect final resolution of this matter later this year.

Speaker 4: I am pleased with the performance in the first quarter, which was in line with our expectations. We are reiterating our guidance for Bouch Health, excluding B.D.L. for this year, and as always we may committed to delivering long-term value for stakeholders.

Speaker 4: Let me take a few minutes to talk about some key priorities. The process of delivering our balance sheet is ongoing, and in the first quarter of 2023 for Bouch Health, excluding B&L, we reduced our debt by approximately 100 million.

Speaker 4: We have made significant progress in delivering our balance sheet over the past year, reducing debt since the BNL IPO by $3.3 billion, and we will continue to effectively manage and enhance our capital structure. With regard to the Granite Trust, as you know, we reached a 10th of the settlement with the IRS during the first quarter, and we expect final resolution of this matter later this year. Regarding the Zifax and proceedings, as a reminder, the court's current decision prevents Norwich's and Ainda from receiving final FDA approval until October 2029. Norwich advised the court that his sought to remove the AT indication from it.

Thomas J. Appio: Regarding the Xifaxan proceedings, as a reminder, the court's current decision prevents Norwich's ANDA from receiving final FDA approval until October 2029. Norwich advised the court that he's sought to remove the HE indication from its ANDA and has filed a motion to modify the judgment to permit the FDA to approve their ANDA before 2029. We have opposed this motion and await decision from the court. Lastly, we continue to believe the separation of Bausch + Lomb makes strategic sense, with the end goal of having two independent, strong, financially stable companies. With that, I will turn the call over to Tom Vadaketh, who will provide further details on our quarter performance. Tom?

Tom Vadaketh: Thanks, Tom. Hello, everyone, and thanks for joining us. My comments today will refer to organic growth and adjusted results. We closed the quarter with consolidated Q1 revenues for Bausch Health of $1.9 billion, up 4% on an organic basis over the same quarter last year. Q1 revenues for Bausch Health, excluding BNL, were $1 billion and flat on an organic basis, with growth in our Salix, International, and Solta businesses. Let me discuss each segment in greater detail as shown on slide 11. Q1 Salix revenues increased 7% to $496 million.

Speaker 5: We closed the quarter with consolidated first quarter revenues for Bosch Health of $1.9 billion of 4% on an organic basis over the same quarter last year.

Speaker 5: First quarter revenues for Bosch Health, excluding B&L, were $1 billion and flat on an organic basis.

Speaker 5: with growth in our salex, international and solder businesses.

Speaker 5: Let me discuss each segment in greater detail as shown on slide 11. First quarter, Selix revenues increased 7% to $496 million. This increase was largely due to higher demand for Saifax and 550 crewlands and ReliStore.

Tom Vadaketh: This increase was largely due to higher demand for Xifaxan 550, TRULANCE, and RELISTOR, coupled with relatively favorable changes in channel inventory this quarter for Xifaxan 550 and TRULANCE in comparison with the channel inventory changes in the prior year. Xifaxan revenue grew 7% in the quarter and overall demand grew 4%. In Q1, we continued to see an uptick in non-retail demand at institutions such as hospitals and outpatient clinics, increasing our market share. We also saw a slight increase in demand from long-term care facilities, but we believe the shift in the HE patient journey post-COVID, with patients going directly home from the hospital rather than to a long-term care or step-down facility, is ongoing, and we are keeping a close eye on this trend.

Speaker 5: Coupled with relatively favorable changes in channel inventory this quarter for Cypac and 550 and true lands.

Speaker 5: in comparison with the channel inventory changes in the prior year.

Speaker 5: Staff Action Revenue grew 7% in the quarter and overall demand grew 4%.

In the first quarter, we continued to see an uptick in non-retail demand at institutions such as hospitals and outpatient clinics, increasing our market share.

We also saw a slight increase in demand from long-term care facilities.

But we believe the shift in the HE patient journey post COVID with patients going directly home from the hospital rather than to a long-term care or stepped-on facilities ongoing. And we are keeping a close eye on this trend.

Tom Vadaketh: As Tom said, we've increased our investments in Salix during the quarter, and we plan to invest further in the remainder of 2023. We're also pleased with the sales performance of RELISTOR and TRULANCE, which posted increases of 29% and 19%, driven by total script growth of 22% and 10% respectively in Q1 versus the prior year. International revenues were $247 million, an increase of 5% on an organic basis during Q1, led by strong growth in Canada and Poland of 11% and 15% respectively. We also saw double-digit growth in a number of key brands. Solta Medical revenues of $73 million increased 6% on an organic basis in Q1.

As Tom said, we've increased our investments in Salix during the quarter and we plan to invest further in the remainder of 2023. We are also pleased with the sales performance of Relastore and Truelands.

which posted increases of 29% and 19%, driven by total script growth of 22% and 10% respectively in the first quarter versus the prior year.

International revenues were $247 million, an increase of 5% on an organic basis during the first quarter, led by strong growth in Canada and Poland of 11% and 15% respectively.

We also saw double digit growth in a number of key brands.

SOTA medical revenues of $73 million increased 6% on an organic basis in the first quarter.

Tom Vadaketh: Our Asia Pacific business grew 7%, with strong demand despite a sales decline in China due to the effects of COVID-related government restrictions in the early part of Q1, immediately following the opening up of the market from COVID. Including China, the region grew 35%. In the US, sales were slightly down, driven by lower volumes. We are continuing the expansion of our DTC campaign in the US and the expansion of sales teams in Europe. Diversified revenues were $197 million, down 21% on an organic basis in Q1. For neurology, lower sales were mainly driven by lower demand for Wellbutrin, as well as net pricing pressure on Aplenzin. Although Aplenzin script growth remained positive at 4%. In dermatology, Jublia sales were impacted in part by a shift in patient coverage mix, which reduced net pricing.

Our Asia-Pacific business grew 7% with strong demand despite a sales decline in China due to the effects of COVID-related government restrictions in the early part of the first quarter, immediately following the opening up of the market from COVID.

Including China, the region grew 35%. In the US, sales were slightly down, driven by lower volumes.

We are continuing the expansion of our DTC campaign in the US and the expansion of sales teams in Europe . Diversified revenues will 197.

million dollars, down 21% on an organic basis in the first quarter.

For neurology, lower sales were mainly driven by lower demand for Wellbutrin, as well as net pricing pressure on aplenzin, although aplenzin script growth remained positive at 4%. In dermatology, jubilier sales were impacted in part by a shift in patient coverage mix which reduced net pricing.

Tom Vadaketh: The effect of which is higher in Q1 as patient deductibles reset at the beginning of the year. JUBLIA scripts grew 17%. These decreases were partially offset by our dentistry product, ARESTIN, which had sales growth of 5% in the quarter. We continue to expect challenging market conditions in the neurology, dermatology, and generic businesses for the balance of the year, and remain focused on stabilizing this part of our portfolio. Lastly, on slide 12, Bausch + Lomb revenues were $931 million, up 8% on an organic basis in Q1, with strong organic growth across all BNL segments. Turning to the P&L for the quarter on slide 15, I'll first refer to results on a consolidated basis and also provide some additional color for the performance of Bausch Health, excluding BNL.

the effect of which is higher in Q1 as patient deductibles reset at the beginning of the year.

effect of which is higher in Q1 as patient deductibles reset at the beginning of the year. Jubilee as Scripps grew 17%.

These decreases were partially offset by our dentistry product, Arrestin, which had sales growth of 5% in the quarter.

We continue to expect challenging market conditions in the neurology, dermatology, and generic businesses for the balance of the year, and remain focused on stabilizing this part of our portfolio.

Lastly, on slide 12, Bosch and Lomb revenues were $931 million, up 8% on an organic basis in the first quarter, with strong organic growth across all B&L segments.

Turning to the P&L for the quarter on slide 15, I'll first refer to results on a consolidated basis and also provide some additional color for the performance of Bosch Health, excluding P&L.

Tom Vadaketh: The Q1 consolidated adjusted gross margin was 70.1%, 120 basis points lower compared with the prior year. At Bausch Health, excluding BNL, the adjusted gross margin for Q1 was approximately 79.3%, 90 basis points lower than last year. The decrease was mainly driven by favorable net pricing adjustments in the prior year. On the BNL side, the unfavorable change in gross margin was mainly driven by higher costs of inventory, product mix, and pockets of supply challenges. Consolidated adjusted operating expenses for Q1 were $834 million, an increase of $129 million or 18%, with higher SG&A and R&D expenses. For Bausch Health, excluding BNL, operating expenses increased by approximately $76 million, while BNL reported an increase of $53 million in operating expenses.

The first quarter consolidated adjusted gross margin was 70.1%, 120 basis points lower compared with the prior year.

At Boschelt, excluding B&L, the adjusted gross margin for the first quarter was approximately 79.3%. 90 basis points lower than last year. The decrease was mainly driven by favorable net pricing adjustments in the prior year. On the B&L side, the unfavorable change in gross margin was mainly driven...

and R&D expenses. For Bosch Health, excluding B&L, operating expenses increased by approximately $76 million, while B&L reported an increase of $53 million in operating expenses. Selling and marketing increased for Bosch Health, excluding B&L, due to the investments we are making in the city of B&L.

Tom Vadaketh: Selling and marketing increased for Bausch Health excluding BNL due to the investments we are making in the Salix sales force, go-to-market channels, and increased advertising and promotional activity. The increase in consolidated adjusted G&A costs reflects the impact of the separation and the costs to stand up two public companies. Adjusted G&A for Bausch Health, excluding BNL, increased by $29 million, driven by the favorable impact in the prior year of a settlement we received relating to a contractual dispute and TSA fees received from BNL in Q1 2022. We're in the process of separating BNL's IT infrastructure from the rest of the company and continue to make significant progress, reducing our reliance on transition services.

Adjusted G&A for Bosch Health excluding BNL increased by $29 million, driven by the favorable impact in the prior year of a settlement we received relating to a contractual dispute and TSA fees received from BNL in Q1 2022. We are in the process of separating BNL's IT infrastructure.

Tom Vadaketh: Also of note, in our pharma business, we successfully migrated our US and Ireland operations to a new enterprise resource planning or ERP platform, meaning that all major markets are on dedicated systems. The consolidated R&D expense increased 13% and represented 7% of net sales, flat compared with Q1 of last year. For Bausch Health, excluding BNL, R&D expenses increased by approximately $16 million, primarily for Salix, due to the focus on our clinical programs and regulatory activities to support our mid and late-stage product development. Q1 consolidated adjusted EBITDA was $605 million, which includes $17 million of adjusted EBITDA attributable to the BNL minority interest. This was a decrease of 18% versus last year.

platform, meaning that all major markets are on dedicated systems.

The consolidated R&D expense increased 13% and represented 7% of net sales flat compared with the first quarter of last year.

For Bosch Health excluding B&L, R&D expenses increased by approximately $16 million.

primarily for SALIX due to the focus on our clinical programs and regulatory activities to support our mid- and late-stage product development. First quarter consolidated adjusted EBITDA was $605 million, which includes $17 million of adjusted EBITDA attributable to the BNL minority interest.

Tom Vadaketh: For Bausch Health, excluding BNL, adjusted EBITDA was $462 million, a decrease of 18% from last year, reflecting the factors previously described. On a consolidated basis, Q1 adjusted EBITDA margin was 30.2% compared with 38.2% last year. Adjusted EBITDA margin for Bausch Health, excluding BNL, was 46% and for Bausch + Lomb was 15%. Let me briefly touch on the GAAP interest expense we are reporting in the quarter. The accounting required for the debt exchange last year significantly impacted our GAAP interest expense, lowering it by $74 million this quarter. As you may recall, a substantial portion of the interest on the newly issued debt has been recorded on the balance sheet as a premium, which will be reduced as interest payments are made.

Adjusted EBITDA margin for Bosch Health excluding BNL was 46%, and for Bosch Enlong was 15%.

Let me briefly touch on the gap interest expense we are reporting in the quarter. The accounting required for the debt exchange last year significantly impacted our gap interest expense, lowering it by $74 million this quarter. As you may recall, a substantial portion of the interest on the newly issued debt has been recorded on the balance sheet as a premium.

Tom Vadaketh: Contractual interest costs for the quarter, based on principal balances, was approximately $381 million on a consolidated basis and $330 million for Bausch Health, excluding BNL. Turning to cash flow, adjusted cash flow from operations on a consolidated basis in Q1 was $70 million versus $325 million last year. For Bausch Health, excluding BNL, the adjusted cash flow from operations was $94 million, which was in line with our expectations. Adjusted cash flow includes adjustments for the payment of separation costs, business transformation costs, and also includes payments of the full contractual interest. This quarter's cash flow was affected by the unfavorable timing of certain working capital movements, as well as higher interest payments due to the lumpiness of interest coupon payments. Now let's turn to our balance sheet on slide 16.

which will be reduced as interest payments are made.

Contractual interest cost for the quarter, based on principal balances, was approximately $381 million on a consolidated basis and $330 million for Bosch Health, excluding B&L.

Turning to cash flow, adjusted cash flow from operations on a consolidated basis in the first quarter was $70 million versus $325 million last year. For Bosch Health, excluding B&L, the adjusted cash flow from operations was $94 million.

which was in line with our expectations.

Adjusted cash flow includes adjustments for the payment of separation costs, business transformation costs, and also includes payments of the full contractual interest.

This quarter's cash flow was affected by the unfavorable timing of certain working capital movements, as well as higher interest payments due to the lumpiness.

Tom Vadaketh: As Tom mentioned earlier, the process of delevering our balance sheet is ongoing, and in Q1 2023, we reduced our debt for Bausch Health, excluding BNL, by $105 million, including revolver repayments. As slides 17 and 18 show, total debt for Bausch Health, excluding Bausch + Lomb, at the end of the quarter was $16.5 billion, which consisted of $15.5 billion of restricted debt issued by Bausch Health excluding BNL, and $1 billion of senior secured notes issued by the unrestricted subsidiary created in Q3 of last year. Excluding BNL debt, approximately 85% of our debt is fixed. Approximately 70% of the company's debt on a consolidated basis is fixed.

interest coupon payments. Now let's turn to our balance sheet on slide 16.

As Tom mentioned earlier, the process of delevering our balance sheet is ongoing, and in the first quarter of 2023, we reduced our debt for Bosch Health, excluding B&L, by $105 million, including Revolver repayments. As slides 17 and 18 show, we are now at the end of the presentation.

Total debt for Bosch Health, excluding Bosch and Lomb, at the end of the quarter was $16.5 billion, which consisted of $15.5 billion of restricted debt issued by Bosch Health, excluding VNL, and $1 billion of senior secured notes issued by the unrestricted subsidiary created in the third quarter of last year.

Excluding BNL debt, approximately 85% of our debt is fixed. Approximately 70% of the company's debt on a consolidated basis is fixed. Our 2023 guidance for Bosch Health Excluding BNL is unchanged and can be viewed on slide 20.

Tom Vadaketh: Our 2023 guidance for Bausch Health, excluding BNL, is unchanged and can be viewed on slide 20. For Bausch Health, excluding BNL, we continue to expect revenues in the range of $4.45 to $4.6 billion, representing growth of 2% to 5% on an organic basis. Full year adjusted EBITDA for Bausch Health, excluding BNL, is still expected to be $2.3 to $2.4 billion. As a reminder, our EBITDA expectations reflect increased investments versus last year. We continue to invest in sales and marketing activities to drive growth in our key brands in our Salix, International, and Solta Medical segments. These investments include expanding our Salix institutional sales force footprint, the first DTC marketing campaign for HE, and exciting campaigns as we launch products like RYALTRIS and UCERIS in Canada.

For Bosch Health, excluding B&L, we continue to expect revenues in the range of $4.45 to $4.6 billion, representing growth of 2 to 5% on an organic basis.

The only adjusted EBITDA for Bosch Health excluding PNL is still expected to meet $2.3 each at $2.4 billion.

As a reminder, our EBITDA expectations reflect increased investments versus last year.

We continue to invest in sales and marketing activities to drive growth in our key brands in our SALIX, International and SALTAR medical segments.

These investments include expanding our sale ex-institutional sales force footprint, the first DTC marketing campaign for HE, and exciting campaigns as we launch products like Realtress and Eucerus in Canada.

Tom Vadaketh: We expect to see the benefit of this spending later in 2023 and into 2024. As Tom mentioned earlier, we are pleased with the progress we are making on our product pipeline, and our EBITDA expectations also reflect increased R&D spending to maintain this progress through the rest of the year. The performance for Bausch Health, excluding BNL, in Q1 was in line with our expectations. As I mentioned in our call last quarter, Q1 of the year is typically weaker than the subsequent three quarters due to the annual resetting of health insurance deductibles in the United States, which impacts the patient out-of-pocket cost.

We expect to see the benefit of this spending later in 2023 and into 2024. As Tom mentioned earlier, we are pleased with the progress we are making on our product pipeline, and our EBITDA expectations also reflect increased R&D spending to maintain this progress through the rest of the year. The performance for Bosch Health, excluding B&L, in the first quarter of 2021,

Tom Vadaketh: While we don't provide guidance by quarter, our expectations are for stronger growth in Q2 through Q4 relative to Q1, when we also anticipate the benefits from our sales and marketing investments will start to materialize. Moving below EBITDA, our full-year effective non-GAAP tax rate is expected to be approximately 15%. We expect our contractual interest cost to remain unchanged at approximately $1.3 billion. Lastly, we continue to expect Bausch Health, excluding BNL, to generate approximately $625 million in adjusted operating cash flow. As I said earlier, adjusted cash flow includes adjustments for the payment of separation costs, the payment of the full contractual interest, and also includes estimated cash tax payments inclusive of the tentative Granite Trust settlement. I'll now hand the call back to Tom.

While we don't provide guidance by quarter, our expectations are for stronger growth in quarters two through four relative to the first quarter, when we also anticipate the benefits from our sales and marketing investments will start to materialize.

guidance by quarter. Our expectations are for stronger growth in quarters 2 through 4 relative to the first quarter when we also anticipate the benefits from our sales and marketing investments will start to materialize. Moving below EBITDA.

Our full year effective non-GAAP tax rate is expected to be approximately 15%. We expect our contractual interest cost to remain unchanged at approximately 1.3 billion dollars. Lastly, we continue to expect Bosch Health, excluding B&L, to generate approximately 625 million dollars in additional costs.

Thomas J. Appio: Thank you, Tom. In summary, we are building on the momentum from H2 2022 as we continue to focus on our core businesses, driving growth through operational excellence and our new high-performance, results-oriented culture. We will make investments in key businesses that have growth opportunities, such as Salix, Solta, Dentistry, and the international business. We continue to invest in our R&D pipeline, including our global development programs for RED-C, as well as the continued development of Amiselimod. Our mid- and late-stage R&D pipeline is active and exciting, and we are looking forward to sharing more details. When I took over as CEO, I told you I wanted to create a fit-for-purpose company, and we will continue on that journey, looking to simplify our business, invest wisely, and grow profitably.

I'll now hand the call back to Tom.

back to Tom. Thank you Tom.

In summary, we are building on the momentum from the second half of 2022, as we continue to focus on our core businesses driving growth through operational excellence and our new high-performance, results-oriented culture.

We will make investments in key businesses that have growth opportunities such as Salix, Solta, Dentistry, and the International Business.

We continue to invest in our R&D pipeline, including our global development programs for Red Sea, as well as the continued development of Amis Olamad.

Our mid and late stage R&D pipeline is active and exciting and we are looking forward to sharing more details. When I took over as CEO , I told you I wanted to create a fit-for-purpose company and we will continue on that journey, looking to simplify our business, invest wisely and grow profitably.

Thomas J. Appio: We will also improve our capital structure, and I've already made significant progress in delevering the balance sheet. Together with this gives us the ability to better focus and invest in our core business. I want to thank the global Bausch Health team for all their resilience and motivation, working each day to build our special company, driving performance through hard work and accountability, powering up our potential, elevating people's lives each and every day that use our great products. On behalf of the entire BHC team, I thank you all today for your interest in and support of Bausch Health. With that, we will now take questions. Operator, please open the line for Q&A.

We will also improve our capital structure and I've already made significant progress in delivering the balance sheet. Together with this gives us the ability to better focus and invest in our core business.

I want to thank the Global Bausch Health team for all their resilience and motivation working each day to build our special company, driving performance through hard work and accountability, powering up our potential.

elevating people's lives each and every day that use our great products. On behalf of the entire BHC team, I thank you all today for your interest in and support of Thou Shalt.

Operator: Certainly. At this time, we will be conducting a question and answer session. If you would like to ask a question, please press star one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star two if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment while we poll for questions. Your first question for today is coming from Glenn Santangelo at Jefferies.

With that, we will now take questions. Operator, please open the line for Q&A. Certainly. At this time, we will be conducting a question-and-answer session.

If you would like to ask a question, please press star 1 on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star 2 if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys.

One moment while we pull for questions. Your first question for today is coming from Clint Stantangelo at Jeffries. Oh yeah, thanks, good morning. Thanks for taking the question. Hey Tom, I just want to follow up on your comments regarding the separation of a Bowshen Mommy. You see this.

Glen Santangelo: Oh, yeah. Thanks and good morning. Thanks for taking the question. Hey, Tom. I just wanted to follow up on your comments regarding the separation of Bausch + Lomb. You seem to suggest it still makes sense. Could you maybe, you know, give us a sense for what are the big hurdles that you need to climb over in order to be able to execute the spin? You know, in particular, there's been a lot of questions around the Xifaxan litigation and if that's sort of a gating factor, you know, to ultimately get a solvency opinion which will pave the way for the spin. If you could just let us know, like, what pieces need to be in place, given that the leverage seems to already be in the acceptable range.

factor, you know, to ultimately get a solvency opinion, which will pave the way for the spin. So if you can just let us know like what pieces need to be in place given that the leverage seems to already be in the acceptable range.

Thomas J. Appio: Sure, Glenn. Thanks for the question. You know, as you know, we continue to evaluate potential options to maximize stakeholder value. Okay. As I said in my prepared remarks, you know, we believe the separation of Bausch + Lomb makes strategic sense, and we remain focused, you know, on creating two strong companies. You know, what I would say is also, you know, we are evaluating all the relevant factors and considerations, you know, regarding, you know, the distribution, you know, as, you know, as we assess the potential impacts of Norwich, you know, in terms of the Xifaxan litigation. You know, what I would say is, there's many things to look at.

Sure, Glenn. Thanks for the question. So as you know, we continue to evaluate potential options to maximize stakeholder value. So as I said in my prepared remarks, we believe the separation of Bowshen law makes strategic sense. And we remain focused on creating two-store companies.

You know, what I would say is also, you know, we are evaluating all the relevant factors and considerations, you know, regarding, you know, the distribution, you know, as we assess the potential impacts of NOAA in terms of the ZIFAX and litigation. So, you know, what I would say is there's many things to look at.

Thomas J. Appio: We're looking at, you know, each and all the alternatives that we can as we look at some of the things that need to come together for us. What I would say is I turn it over to Tom, you know, when we just kinda talk about, you know, what some of the things that we still need to do.

Tom Vadaketh: Thanks, Tom. Yeah, I think, you know, I don't know if I have much to add. We have committed to creating two financially strong, viable companies. We continue to work on the balance sheet on the BHC side. Both management teams you heard yesterday from Brent and Sam, and today you heard from Tom and I, we are focused on driving these businesses, improving performance, growing revenue. We have not given a timeframe, as you know, Glenn. That remains the case. We're not gonna put a forecast out there, but at the right time, we will separate. Both teams and both boards believe that the right thing to do is to separate. It'll allow the two management teams to focus on kind of pure play companies. So we'll move towards that goal.

Yeah, thanks Tom. Yeah, I think, you know, I don't know if I have much to add. We.

We have committed to creating two financially strong viable companies. We continue to work on the balance sheet and the BHC side. Both management teams you heard yesterday from Brent and Sam, and today you heard from Tom and I. We are focused on driving these businesses, improving performance, growing revenue.

And we have not given a timeframe, as you know, Glenn, and that remains the case. We're not gonna put a forecast out there, but at the right time, we will separate both teams and both boards believe that the right thing to do is to separate. It will allow the two management teams to focus on.

Glen Santangelo: Okay.

Thomas J. Appio: What I would just say.

kind of pure play companies. And so we'll move to it that goal. Oh, can I maybe just say it? Yeah, go ahead, sorry. Just, you know, we are continuing to carefully, you know, and hopefully, you know, evaluate all such strategies, you know, and we'll proceed with evaluating these strategies in the best interest of all stakeholders.

Glen Santangelo: Go ahead, Tom. Sorry.

Thomas J. Appio: Just, you know, you know, we are continuing to carefully, you know, and thoughtfully, you know, evaluate all such strategies, you know, and we'll proceed with evaluating these strategies in the best interest of all stakeholders.

Glen Santangelo: Okay, thanks. Tom, maybe if I could just ask a quick follow-up question. You know, a lot of focus on the Q1 EBITDA sort of coming in a little bit lower than expected, and in your comments, you sort of mentioned that Q1 is typically weaker because of the reset of the deductibles. If you look at the past couple years, right, EBITDA also stepped down in Q2. In your remarks, you seem to suggest that we should, that this should be the low point of the year. But you know, sort of given your guidance, it looks like the ramp is pretty steep in H2 as a result of that. I'm just curious if there's anything else that I'm missing. Thanks.

Okay, thanks. Tom, maybe if I can just ask a quick follow up question. You know, a lot of focus on the one Q EBITDA sort of coming in a little bit lower than expected and in your comments, you sort of mentioned that one Q's typically weaker because of the reset of the deductibles. If you look to past couple of years, right, EBITDA also step down.

In the 2nd quarter, and so in your remarks, you seem to suggest that we should that this should be the low point of the year. But, you know, sort of given your guidance, it looks like the ramp is pretty steep in the back half of the year. As a result of that. I'm just curious if there's anything else that I'm missing.

Tom Vadaketh: Yeah. We reiterated our guidance, Glenn, as you noted, and feel pretty good about it. Q1 is typically lower on the top line. I'll mention a couple of things. Last year, we had a number of net pricing adjustments, you know, so basically not the pricing that we were taking in the market, but net pricing adjustments in the gross to net area that perhaps, you know, sort of exaggerates the year-on-year performance delta. Then in addition to that, we are making investments, as you noted in Q1, that we didn't have last year as we're lapping a quarter with pretty low investments. We feel pretty good.

Thanks. Yeah, we reiterated our guidance, Glenn, as you noted, and feel pretty good about it. P1 is typically lower on the top line.

I'll mention a couple of things. Last year, we had a number of net pricing adjustments, so basically not the pricing that we were taking in the market, but net pricing adjustments.

in the gross to net area that perhaps sort of exaggerates the year on year performance delta. And then in addition to that, we are making investments, as you noted, in the first quarter that we didn't have last year as we're lapping a quarter with pretty low investment.

Tom Vadaketh: We think these investments will drive the growth that we're expecting in Q2 through Q4. Yeah, I don't wanna give you specific guidance per quarter, but we obviously do expect an uplifting of performance in order to get back to revenue going up 2% to 5% and EBITDA growing 2% year-on-year.

Glen Santangelo: Okay, thanks for the comments.

you're going up 2 to 5% and an EBITDA growing 2% year on year.

Thomas J. Appio: Okay. Operator, next question.

Operator: Your next question for today is coming from Douglas Miehm at RBC Capital Markets.

Okay thanks for the comments. Okay operator next question. Your next question for today is coming from Douglas Meme at RBC Capital Markets.

Douglas Miehm: Thank you. Tom, what I'd like to start off with is just Xifaxan. After last year of flat prescriptions, we're starting to see some growth. Perhaps you can tell us what's working there and if you think there's going to be an acceleration in the year-over-year growth that you're seeing, or is a 2% growth figure the one to use on the drug?

Thank you. Tom, what I'd like to start off with is just facts and after last year of flat prescriptions, we're starting to see some growth and perhaps you can tell us what's working there. And if you think.

there's going to be an acceleration in the year-over-year growth that you're seeing or is a 2% growth figure of when to use on the drug.

Thomas J. Appio: Okay, Doug, thanks. Clearly we are really happy about the performance of our Salix business and Xifaxan growth. As I said in my prepared remarks, you know, 7% growth in the quarter, overall demand increase of 4%, you know, increases in non-retail demand at institutions, including hospitals and outpatient clinics. Really, all good signs. Encouraging, you know, Xifaxan script growth, you know, in all the channels. This is really something that we have been looking at and following very, very closely.

Okay, Doug, thanks. So clearly we are really happy about the performance of our sales business and the facts and growth. As I said in my prepared remarks, you know, 7% growth in the quarter, overall demand increase of 4% increases. So everyone is figuring out how to return growth.

in non-retail demand at institutions, going hospitals and outpatient clinics. So really all good signs. Encouraging, you know, Xifax and Script Growth, you know, in all the channels. So this is really something that we have been looking at.

Thomas J. Appio: What I would say is, as I said, I had, you know, at length in my prepared remarks of all the things that we are doing in the Salix franchise and Xifaxan, you know, we are investing in our field force, as I talked about, artificial intelligence and the machine learning. We think we can really accelerate as we launch that project. I talked about the institutional sales increase that is gonna have a nice benefit for us. Clearly, the investments we're making in our medical affairs team, we think there is a large unmet need. You know, Xifaxan is a great product in two indications for IBS-D and HE, and we think there is a great unmet need.

and following very closely. What I would say is, as I said, and I had lengthily in my prepared remarks of all the things that we are doing in the SALIX franchise and Xifax, and we are investing in our fuel force. As I talked about artificial intelligence and the machine learning, we think we can really...

accelerate as we launch that project. I talked about the institutional sales increase. That is going to have a nice benefit for us. And clearly, the investments we're making in our medical affairs team, we think there is a large unmet need.

You know, Xifaxan is a great product in two indications for IBSD and HE, and we think there is a great unmet need. And with the investments that we're making in our medical team to go out and talk to doctors and educate them on these diseases will really help.

Thomas J. Appio: With the investments that we're making in our medical team to go out and talk to doctors and educate them on these diseases, will really provide great care to patients for the future. We are really looking forward as we launch these programs. Yeah, we started some of it in the H2 of last year. Really, the ramp up, as that's why you see, especially on the SG&A line, the investments that are going in there. We really think that we will have a really good opportunity to continue to grow this franchise, and we're really excited about it.

provide great care to patients for the future. So we are really looking forward as we launch these programs, you know, we started some of it in the back half of last year, and really the ramp up as that's why you see, especially on the SG&A line, the investments that are going in there. So we really think that,

we will have a really good opportunity to continue to grow this franchise and we're really excited about it.

Douglas Miehm: Okay, good. And just related to that, of course, I think everyone's curious, the timing of the court's decision as it relates to the skinny label. Do you have any better information on that? I know at one point you were thinking it could be back in Q4, and that obviously changed. Is everyone still thinking it could come this quarter, or do you have some revised information?

Okay, good. And just related to that, of course, I think I'm curious. The timing of the court's decision as it relates to the skinny label. Do you have any better information on that? I know at one point you were thinking it could be back in Q4 and that obviously changed. But...

Is everyone still thinking could come this quarter or do you have some revised information?

Thomas J. Appio: You know, as I said in my prepared remarks, you know, we're still waiting for a court's decision on the motion. I don't have anything, no changes or, you know, or updates at this time other than what I had in my prepared remarks.

As I said in my prepared remarks, we're still waiting a court's decision on the motion, and I don't have anything no changes or updates at this time, other than what I had in my prepared remarks. Okay…

that my prepared remarks, you know, we're still waiting a court's decision on the motion. And I don't have anything, no changes or, you know, or updates at this time, other than what I had in my prepared remarks. Okay. Perfect.

Douglas Miehm: Okay.

Thomas J. Appio: That-

Douglas Miehm: Perfect.

Thomas J. Appio: Operator, next question.

Operator: Your next question is coming from David Amsellem at Piper Sandler.

Operator, next question. Your next question is coming from David Amcelom at Piper Samler. Thanks. So I wanted to ask about a longer term picture and softnessy. That's, I guess, some context of a lot of the charities in the middle of part of the decade and the...

David Amsellem: Hey, thanks. Wanted to ask about longer term picture and solvency. That's I guess in context of a lot of maturities in the later part of the decade and the fact that we may see generic competition for Xifaxan in 2028 and beyond. I just wanted to pick your brain on how you think about solvency and ultimately how you can get the capital structure to a more stable place. Thank you.

Thomas J. Appio: Yeah, David.

to a more stable place. Thank you.

Tom Vadaketh: Let me take that.

Thomas J. Appio: That's-

Tom Vadaketh: Tom Vadaketh here, David. Obviously, you know, I am sure you don't expect us to provide long-term projections here. We would not talk about any year past this year. I would just, you know, maybe comment on it in a couple of ways. One, you know, Tom has reiterated today that when we're thinking about separating the companies, one of our focus areas is to create two strong financially viable companies. Hopefully, and we would not separate unless we believe that that was the case. Hopefully, that speaks for itself. You've seen us in action for about a year on both sides with both companies. We've improved operating performance. We're making investments in growth that will go towards assuring the long-term viability of the company.

Let me take that on Vatican here, David. Obviously, I'm sure you don't expect us to provide long-term projections here. We would not talk about any year past this year. But I would just maybe comment on it in a couple of ways.

And hopefully, and we would not separate unless we believe that that was the case.

We have improved operating performance, we are making investments in growth that will go towards assuring the long-term viability of the company. And we have been fairly agile, I would say, in dealing with our balance. We have reduced that since the IPO.

Tom Vadaketh: We have been fairly agile, I would say, in dealing with our balance sheet. We have reduced debt since the IPO for this company by $3.3 billion. You know, we're gonna continue to work on all of those fronts and keep improving the prospects of this company. I mean, that's why Tom and I are here, and we're excited for the future.

for this company by $3.3 billion. And so, you know, we're gonna continue to work on all of those fronts and keep improving the prospects of this company. I mean, that's why Tom and I are here and we're excited for the future. So, this is a nice thing to get some thought. I guess maybe a...

David Amsellem: If I may just make a follow-up. I guess maybe drilling down. I mean, how do you address debt pay down when you've got $4.5 billion due in 2027 and $5 billion due in 2028 and your biggest selling drug is going to lose exclusivity?

drilling down, I mean, how do you address that pay down when you've got $4.5 billion due in 27 and $5 billion due in 28 and your biggest selling drug is going to lose exclusivity.

Tom Vadaketh: Yeah, I mean, I can't comment on details. Of course, the company is highly cash generative as we go forward. Then as you know, and this applies to all companies, you know, you don't expect to pay every single dollar of your debt down. You will, at some point refinance. What we have to make sure is that, you know, our company has the right financial position at the time. Then also, we look at the future prospects of the company. We look at the pipeline that we're investing heavily in, and we're investing in future growth, and that will all go into the mix, when the time comes to deal with those maturities.

Yeah, I mean, I can't comment on details. Of course, the company is highly cash-generative as we go forward. And then as you know, and this applies to all companies, you know, you don't expect to pay every single dollar of your debt down. You will, at some point, refinance what we have to make sure is that, you know, our company has to pay every single dollar of your debt down.

Thomas J. Appio: Yeah, David, just to add to that, you know, that's why in my prepared remarks, I went through the R&D pipeline. As I said, you know, we are excited about it. We're looking forward to getting more data as things come through. We have some really interesting projects ongoing in R&D that will help us for our long-term growth. Okay, operator, next question.

go into the mix when the time comes to deal with those maturities.

Yeah, David, just to add to that, you know, that's why in my prepared remarks, I went through the R&D pipeline. As I said, you know, we are excited about it. We're looking forward to getting more data as things come through, but we have some really.

interesting projects ongoing in R&D that we're going to will help us for our long-term growth.

projects ongoing in R&D that we're going to will help us for our long-term growth. Okay operator, next question.

Operator: Your next question for today is coming from Jason Gerberry at Bank of America.

Your next question for today is coming from Jason Gerberry at Bank of America. Hey, good morning, guys. This is Chi on for Jason. Thanks for taking our questions. So, thank you for providing an update on the current litigation matter.

[Analyst] (Bank of America): Hey, good morning, guys. This is Chi on for Jason. Thanks for taking our questions. Thank you for providing an update on the current litigation matters. You've discussed the Granite Trust, you've discussed the Rule 60 motions. I didn't hear anything about the recent proceedings in fraudulent transfer in New York, New Jersey, pardon me. Can you talk about what's the implications there in that case update, and how does that impact the timeline for company separation? I'll follow up after that. Thank you.

Thomas J. Appio: Okay, Chi. I'll take that question. So, you know, we are pleased that the significant portion of the claims were dismissed at this early stage. So that's firstly. Second, you know, we remain confident in our position in this litigation with respect to the remaining allegations. You know, beyond this, you know, we do not intend to comment on any ongoing litigation at this time. All right? You know, at the end, we wanna again reemphasize, you know, to, you know, two strong companies. That is our goal. You had a follow-up?

Please have a prayer and I follow up with that. Thank you. Okay, gee, I'll take that question. So, you know, we are pleased that the significant portion of the claims were dismissed at this early stage. So, that's firstly, second, you know, we remain confident our position in this litigation with respect.

to the remaining allegations. You know, beyond this, we do not intend to comment on any ongoing litigation at this time. All right, at the end, we want to, again, re-emphasize to two strong companies. That is our goal. You had a follow-up?

[Analyst] (Bank of America): Yeah. Thanks. I guess the second question is, what is your understanding of whether the fiduciary duty of the board is governed by the US or Canadian law? I'm curious, if it is Canada, does it mean that the duty isn't clearly to shareholders, like in the case in the US? How does that factor into the separation process, if at all? Thanks.

Yeah, thanks. So, I think the second question is, what is your understanding of where the food industry or beauty of the board is governed by the US, a Canadian law? If it is Canada, does it mean that the duty isn't clearly to share holders like in the case in the US?

Thomas J. Appio: Okay. You know, just to take a look at it. You know, what I'd say is, you know, in terms of that, you know, we cannot, you know, we'll not provide legal, you know, advice, you know, on this call. You know, I can't really make any comments, you know, further to that.

and how does that factor into the separation process, if at all? Thanks. Okay, let me see, you know, just to take a look at it and see. You know, what I'd say is, you know, in terms of that, you know, we cannot, you know, we'll not provide legal, you know, advice, you know.

on this call. So I can't really make any comments further to that.

[Analyst] (Bank of America): Okay.

So I can't really make any comments further to that.

Thomas J. Appio: Okay. Operator, next question.

Operator: We have reached the end of the question-and-answer session, and I will now turn the call over to Tom Appio for closing remarks.

Okay. Operator, next question. We have reached the end of the question in answer session and I will now turn the call over to Tom

Thomas J. Appio: Okay. Well, what I would say is, as I said, you know, I am really pleased with the performance in Q1, and we are looking forward to powering up our potential and delivering long-term value for stakeholders. I would, you know, thank everybody for joining today, and we look forward to, you know, having future discussions on our company. Have a great day, and we'll talk to you soon. Thank you.

Operator: This concludes today's conference, and you may disconnect your lines at this time. Thank you for your participation.

Thank you. This concludes today's conference and you may disconnect your lines at this time. Thank you for your participation.

Q1 2023 Bausch Health Companies Inc Earnings Call

Request a DemoDemo

BHC

Bausch Health Companies

Earnings