Product Revenue and Performance - Xifaxan product line represented 81% and 80% of the Salix segment's revenues for the three and six months ended June 30, 2022, respectively[301] - Xifaxan product revenues increased by 7millionor1775 million for the six months ended June 30, 2022 compared to 768millionin2021[377]−Approximately8047 million and 49millionforthesixmonthsendedJune30,2022and2021,respectively[374]−NextgenerationThermageFLXrevenueswere154 million and 142millionfortheyears2021and2020,respectively[377]−RevenuesattributabletoRussiaforthesixmonthsendedJune30,2022and2021were63 million and 64million,respectively[384]−RevenuesattributabletoUkraineforthesixmonthsendedJune30,2022and2021were3 million and 5million,respectively[384]−RevenuesattributabletoBelarusforthesixmonthsendedJune30,2022and2021were4 million in each period[384] - Uceris Tablet revenues for the six months ended June 30, 2022 were approximately 7million,comparedto5 million in the same period in 2021[419] - Jublia revenues for the six months ended June 30, 2022 were approximately 54million,comparedto50 million in the same period in 2021[419] - The company's Uceris Tablet revenues for the years 2021, 2020, and 2019 were approximately 10million,15 million, and 20million,respectively[419]−Jubliarevenuesfortheyears2021,2020,and2019wereapproximately100 million, 111million,and110 million, respectively[419] - Revenue in China for the six months ended June 30, 2022 decreased by 52millionto177 million compared to 229millionin2021,reflectingtheimpactoftheomicronvariantandgovernmentlockdowns[390]−Totalrevenuesdecreasedby133 million (6%) to 1,967millionin2022comparedto2,100 million in 2021[494] - Bausch + Lomb segment revenues increased by 7million(1941 million in 2022, representing 48% of total revenues[494] - Salix segment revenues decreased by 15million(3501 million in 2022, with a segment profit margin of 71%[494] - International segment revenues declined by 80million(26233 million in 2022, with a segment profit margin of 28%[494] - Diversified Products segment revenues decreased by 29million(11235 million in 2022, with a segment profit margin of 60%[494] - Solta Medical segment revenues dropped by 16million(2257 million in 2022, with a segment profit margin of 35%[494] - Total segment profits decreased by 98million(11789 million in 2022, with a total segment profit margin of 40%[494] Financial Transactions and Debt Management - The Bausch + Lomb IPO resulted in the sale of 35,000,000 common shares at 18.00pershare,generatingapproximately675 million in net proceeds[308] - The Company holds 310,449,643 Bausch + Lomb common shares, representing approximately 88.7% of Bausch + Lomb's outstanding common shares after the IPO[309] - The Company completed a series of transactions including a new credit facility for Bausch + Lomb and refinancing of existing credit facilities[318] - The company received approximately 4,100millioninnetproceedsfromdivestitures,includingthesaleofAmounfor740 million[322] - The company repaid approximately 10,600millioninlong−termdebtobligationsfromJanuary1,2016,throughJune30,2022[320]−Debtreducedbyapproximately800 million in H1 2022, including 1,000millionissuanceof6.125675 million[353] - 2,500milliontermloanfacilityand500 million revolving credit facility established under B+L Credit Agreement[356] - 10,600millionoflong−termdebtrepaid(netofborrowings)fromJanuary2016toJune2022[360]−Thecompanyrecognizedagainonextinguishmentofdebtof113 million for the three months ended June 30, 2022, compared to a loss of 45 million in the same period in 2021[481] Research and Development - The company has approximately 160 projects in its global R&D pipeline as of June 30, 2022[327] - A Phase 3 study for Rifaximin (RED-C) has commenced for the prevention of the first episode of Overt Hepatic Encephalopathy[328] - The company plans to file a New Drug Application (NDA) for IDP-126 in the fourth quarter of 2022[333] - The company entered into two exclusive license agreements in October 2020 for the development of treatments for pediatric myopia, with a Phase 3 study expected to complete enrollment by Q1 2023[341] - NOV03 achieved enrollment target in Open Label Safety study and showed statistically significant topline data in two Phase 3 studies, with NDA filed in June 2022 and anticipated U.S. launch in 2023[342] - R&D expenses increased by 12 million in Q2 2022, driven by the resumption of activities and clinical trials previously suspended due to COVID-19[428] - R&D expenses increased by 12million(10127 million in Q2 2022, primarily due to higher spend on Solta and Salix projects[458] Product Launches and Approvals - Bausch + Lomb expects to launch Monofocal Plus, Trifocal, and EDOF optical designs for presbyopia in 2023, 2024, and 2025/2026, respectively[336] - Renu Advanced Multi-Purpose Solution (MPS) was launched in Taiwan, Czech Republic, Israel, Poland, and Slovakia in 2022, with further launches anticipated in China, Taiwan, Argentina, and Latin America[336] - Bausch + Lomb ULTRA Multifocal for Astigmatism contact lens was launched in June 2019 and received European Union regulatory approval in Q2 2020[336] - Xipere was approved by the FDA in October 2021 for macular edema associated with uveitis and launched in the U.S. in Q1 2022[343] - The company launched Duobrii in June 2019 and Bryhali in November 2018 as part of its psoriasis treatment portfolio[378] - The company launched Arazlo Lotion in June 2020, Altreno in October 2018, and Retin-A Micro 0.06% in January 2018 as part of its acne treatment portfolio[378] - The company acquired a global exclusive license for a myopia control contact lens design developed by BHVI[381] Litigation and Intellectual Property - The company reached a settlement agreement with Actavis in March 2021, dismissing the appeal related to the Relistor tablets patent litigation[416] - The company filed patent infringement suits against MSN and Mylan in April 2021 regarding Trulance 3mg tablets[416] - The company filed suit against Slayback Pharma LLC in September 2021, triggering a 30-month stay of the approval of the Slayback ANDA for Lumify[416] - The company filed suit against Lupin Ltd. in February 2022, triggering a 30-month stay of the approval of the Lupin ANDA for Lumify[417] - The company's PreserVision U.S. formulation patent expired in March 2021, but a patent covering methods of using the formulation remains in force into 2026[419] - Xifaxan 550mg patent litigation with Actavis resolved in 2018, with Actavis granted a non-exclusive license starting January 1, 2028[413] - Xifaxan 550mg patent litigation with Sandoz resolved in 2020, with Sandoz granted a non-exclusive license starting January 1, 2028[413] - Xifaxan 550mg patent litigation with Norwich resulted in a court ruling in July 2022, with certain patents found valid and others invalid, and the company plans to appeal[413] - Xifaxan 200mg and 550mg patent litigation with Sun ongoing, with Notices of Paragraph IV Certification received in 2019 and 2020[414] - Duobrii Lotion (Padagis) litigation is ongoing, with a trial scheduled for October 4, 2022, and the company remains confident in the strength of its patents[410][411] - Duobrii Lotion (Taro) litigation initiated in July 2022, with a 30-month stay on Taro's ANDA approval, and the company remains confident in its patents[413] - Bryhali Lotion, 0.01% (Glenmark) agreement allows Glenmark to market a generic version starting in 2026, with all intellectual property remaining intact[410] Financial Performance and Metrics - Operating income for Q2 2022 was 161million,comparedtoanoperatinglossof270 million in Q2 2021, reflecting a 431millionimprovement[428]−NetlossattributabletoBauschHealthCompaniesInc.forQ22022was145 million, an improvement of 450millioncomparedtoQ22021[433]−Revenuesforthefirstsixmonthsof2022decreasedby242 million (6%) to 3,885million,drivenbydivestitures,foreigncurrencyimpact,andlowervolumes[433]−Operatingincomeforthefirstsixmonthsof2022was446 million, compared to an operating loss of 491millioninthesameperiodof2021,reflectinga937 million improvement[434] - Goodwill impairments for the first six months of 2022 decreased by 386millionto83 million, compared to 469millioninthesameperiodof2021[434]−NetlossattributabletoBauschHealthCompaniesInc.forthefirstsixmonthsof2022was214 million, an improvement of 991millioncomparedtothesameperiodin2021[438]−GrossproductsalesforQ22022were3.401 billion, a decrease from 3.489billioninQ22021[446]−Totalprovisionstoreducegrossproductsalestonetproductsaleswere1.454 billion (42.8% of gross sales) in Q2 2022, up from 1.413billion(40.51.947 billion (57.2% of gross sales), down from 2.076billion(59.534 million (6%) to 570 million in Q2 2022, primarily due to divestiture of Amoun and favorable foreign currency impact[450] - SG&A expenses decreased by 9 million (1%) to 676millioninQ22022,drivenbydivestitureofAmounandlowercompensationexpenses[455]−Amortizationofintangibleassetsdecreasedby58 million to 302millioninQ22022,duetofullyamortizedassets[461]−Goodwillimpairmentsincreasedby83 million to 83millioninQ22022,primarilyduetomacroeconomicfactorsimpactingtheOrthoDermatologicsreportingunit[464]−Xifaxanintangibleassetshaveacarryingvalueof2.963 billion as of June 30, 2022, with remaining useful lives of 66 months[462] - The company incurred 7millioninmanufacturingvariancesand6 million in returns due to a quality issue at a third-party supplier in Q2 2021[451] - The company recognized a goodwill impairment of 83millionfortheOrthoDermatologicsreportingunitduetothecarryingvalueexceedingitsfairvalueatJune30,2022[467]−Assetimpairments,includinglossonassetsheldforsale,decreasedby41 million to 6millionforthethreemonthsendedJune30,2022comparedto47 million in the same period in 2021[470] - Restructuring, integration, separation and IPO costs increased by 26millionto35 million for the three months ended June 30, 2022 compared to 9millioninthesameperiodin2021[472]−SeparationandIPOcostswere13 million for the three months ended June 30, 2022, compared to 6millioninthesameperiodin2021[475]−Interestexpenseincreasedby46 million, or 13%, to 410millionforthethreemonthsendedJune30,2022comparedto364 million in the same period in 2021[479] - The provision for income taxes was 10millionforthethreemonthsendedJune30,2022,comparedtoabenefitof77 million in the same period in 2021, an unfavorable change of 87million[486]MarketandRegulatoryEnvironment−Thecompanyanticipatesgenericcompetitionforcertainproductsduetopatentorregulatoryexclusivityexpirationsin2022andlateryears[407]−Thecompanymaylaunchauthorizedgenericstomitigatesalesdeclinesfollowinglossofexclusivity,butrevenueimpactsarestillexpectedtobesignificant[409]−Severalproductsfacedgenericcompetitionin2021,includingLotemaxGelandBepreve,whichaccountedforlessthan113 million in 2021 and 21millionin2020relatedtotheannualfeeassessedonbrandedprescriptiondrugsalestoU.S.governmentprograms[397]−MedicarePartDutilizationcostswere94 million in 2021 and 131millionin2020forbeneficiariessubjecttothecoveragegap[397]OperationalandStrategicInitiatives−TheSoltaMedicalIPOplansweresuspendedtofocusondrivingrevenue,profitability,andcashflow,withfuturealternativepathstoberevisited[316]−175 million expansion of Waterford facility completed in July 2017 to meet demand for Biotrue ONEday contact lenses[345] - 220millionupgradetoRochesterfacilitycompletedinDecember2017tosupportBausch+LombULTRAandSiHyDailyAQUALOXproductlines[345]−300 million expansion projects initiated in November 2018 for SiHy Daily disposable contact lenses, with commercial production starting in H1 2022[347] - 90millioninvestmentannouncedinJuly2021toincreasecapacityatWaterfordfacilityforBiotrueONEdaylenses,expectedcompletionin2023[349]−ThecompanyfaceddistributionandlogisticissuesinChinaduetolockdowns,butmanufacturinganddistributionprocesseswereminimallyimpacted[390]−Organicrevenue(non−GAAP)isusedtoassessperformancebyadjustingforforeigncurrencyexchangeratesandexcludingimpactsofacquisitions,divestitures,anddiscontinuations[495]−Changesinforeigncurrencyexchangeratescanmaskunderlyingbusinessperformancetrendsandareadjustedinorganicrevenuecalculations[496]AcquisitionsandDivestitures−Amoungeneratedrevenuesof137 million for the six months ended June 30, 2021, and 157millionfortheperiodfromJanuary1,2021,throughJuly26,2021[322]−Thecompanyreceivedapproximately4,100 million in net proceeds from divestitures, including the sale of Amoun for $740 million[322]