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Bausch Health(BHC) - 2024 Q4 - Annual Report

Revenue and Financial Performance - Total revenues for 2024 reached 9,625million,representinga9.99,625 million, representing a 9.9% increase from 8,757 million in 2023 and a 18.5% increase from 8,124millionin2022[27]TheSalixsegmentgenerated8,124 million in 2022[27] - The Salix segment generated 2,333 million in revenue for 2024, accounting for 24% of total revenues, compared to 2,250million(262,250 million (26%) in 2023 and 2,090 million (26%) in 2022[27] - The Bausch + Lomb segment contributed 4,791millioninrevenuefor2024,makingup504,791 million in revenue for 2024, making up 50% of total revenues, up from 4,146 million (47%) in 2023 and 3,768million(463,768 million (46%) in 2022[27] - In 2024, the U.S. and Puerto Rico accounted for approximately 60% of total revenue, while China accounted for approximately 5%[81] - Cencora Inc. contributed 19% of total revenue in 2024, consistent with 2023 and an increase from 18% in 2022[83] - McKesson Corporation accounted for 15% of total revenue in 2024, unchanged from 2023 and 2022[83] - Cardinal Health, Inc. represented 14% of total revenue in 2024, up from 13% in both 2023 and 2022[83] Research and Development - R&D expenses for 2024 were 616 million, which is approximately 6% of total revenue, compared to 7% in both 2023 and 2022[47] - The company has around 75 R&D projects currently in its pipeline, supported by approximately 1,500 dedicated R&D and quality assurance employees[46] - The company is focused on securing and maintaining third-party research, development, and distribution arrangements to support its product offerings[696] Product Portfolio and Market Strategy - The company has approximately 1,000 products in its portfolio, categorized into five reportable segments[27] - The Xifaxan product accounted for revenues of 1,993millionin2024,upfrom1,993 million in 2024, up from 1,810 million in 2023 and 1,692millionin2022[30]Thecompanyisfocusingonstrategicacquisitionsandlicensingagreementstoenhanceitsproductportfolioandmarketpresence[26]ThecompanycompletedtheacquisitionofXIIDRAinQ32023,enhancingitseyehealthproductofferings[44]Thecompanyispursuingacquisitions,includingrecentpurchasesintheophthalmologysector,whichmayincreasedebtlevels[690]RegulatoryandComplianceThecompanyissubjecttoextensiveregulationsgoverningtheresearch,development,andmarketingofitsproducts,requiringsignificanttimeandfinancialresources[52]CompliancewiththeGDPRmayresultinfinesofupto41,692 million in 2022[30] - The company is focusing on strategic acquisitions and licensing agreements to enhance its product portfolio and market presence[26] - The company completed the acquisition of XIIDRA in Q3 2023, enhancing its eye health product offerings[44] - The company is pursuing acquisitions, including recent purchases in the ophthalmology sector, which may increase debt levels[690] Regulatory and Compliance - The company is subject to extensive regulations governing the research, development, and marketing of its products, requiring significant time and financial resources[52] - Compliance with the GDPR may result in fines of up to 4% of global annual revenue or €20 million for violations[66] - The regulatory framework for data privacy and security is rapidly evolving, which may materially affect the company's operations and compliance costs[68] - The company is subject to price control restrictions on pharmaceutical products in several countries, limiting its ability to raise prices in anticipation of inflation[625] - The company is making investments in its ESG program to comply with evolving regulations, including the EU's Corporate Sustainability Reporting Directive[79] Financial Risks and Debt - As of December 31, 2024, the company had 14,552 million in fixed rate debt and 5,929millioninvariableratedebt[632]Thecompanyhassubstantialdebtobligations,withsignificantamountsduein2025and2026,impactingfinancialflexibility[690]A15,929 million in variable rate debt[632] - The company has substantial debt obligations, with significant amounts due in 2025 and 2026, impacting financial flexibility[690] - A 1% change in foreign currency exchange rates would have impacted the shareholders' deficit by approximately 40 million[627] - If interest rates were to increase by 100 basis points, the fair value of the company's issued fixed rate debt would decrease by approximately 260million[632]GoodwillandImpairmentThecompanyrecordedgoodwillimpairmentchargesof260 million[632] Goodwill and Impairment - The company recorded goodwill impairment charges of 493 million in 2023 and 824millionin2022,withnoimpairmentsduring2024[649]TheDermatologyreportingunitexperiencedagoodwillimpairmentof824 million in 2022, with no impairments during 2024[649] - The Dermatology reporting unit experienced a goodwill impairment of 151 million due to lower realized pricing and revised future expectations, with a long-term growth rate of 0.0% and a discount rate of 10.75% used in the assessment[656] - The Neurology reporting unit recognized a goodwill impairment of 622millionduringthe2022annualimpairmenttestduetochangingmarketdynamicsandincreasedcompetition[660]TheGenericsreportingunitrecognizedagoodwillimpairmentof622 million during the 2022 annual impairment test due to changing market dynamics and increased competition[660] - The Generics reporting unit recognized a goodwill impairment of 91 million as of October 1, 2023, with a long-term growth rate of 1.0% and a discount rate of 10.25% applied in the fair value test[663] Operational Efficiency and Challenges - The company is focused on improving operational efficiency and anticipates a positive impact from these plans[685] - The company expects to continue facing challenges due to ongoing litigation and regulatory investigations, which may affect financial results[686] - The company is actively managing its research and development portfolio, with ongoing evaluations that may lead to project terminations and potential impairment charges[697] - The company is exposed to economic factors such as inflationary pressures, heightened interest rates, and foreign currency rates, which may impact revenues and margins[694] Market Competition and Product Risks - The company faces increased competition from generic pharmaceutical products as patents expire, leading to potential revenue impacts[87] - The company faces risks related to macroeconomic factors, including inflation and potential trade policy changes that could affect operational costs[693] - A substantial amount of the company's revenue is derived from the Xifaxan product line, with potential material impact from the entry of a generic rifaximin product before January 2028[694] - The company faces risks from the introduction of generic, biosimilar, or other competitors to its branded products, which could affect revenue and profits[694] Employee and Workplace Safety - As of December 31, 2024, the company had approximately 20,700 employees, with 10,700 in production and 6,700 in sales and marketing[96] - The Lost Time Incident Rate for the company in 2024 was 1.7 recorded cases per 100 employees, consistent with the industry average[98] - Bausch + Lomb's Days Away Rate (DAR) in 2024 was 4.9, significantly lower than the industry standard DAR of 22[99] Future Outlook and Strategic Plans - The anticipated completion of the B+L Separation is subject to various conditions, including regulatory approvals and market conditions[688] - The company is preparing for potential changes in drug pricing regulations that could affect revenue[688] - The company is exploring plans for its aesthetic medical business, which may influence future growth strategies[698]