Core Insights - Bausch Health Companies Inc. reported its tenth consecutive quarter of revenue and adjusted EBITDA growth, with a 7% year-over-year revenue increase on a reported basis and a 5% increase on an organic basis for the third quarter of 2025 [5][7][11] - The company raised its full-year guidance for revenue, adjusted EBITDA, and adjusted cash flow from operations due to strong performance in the first nine months of the year [6][18][19] Financial Performance - Consolidated revenue for the third quarter was $2.681 billion, reflecting a 7% increase on a reported basis and a 5% increase on an organic basis compared to the same period last year [10] - Adjusted EBITDA was $986 million, an increase of $77 million or 8% year-over-year, while adjusted operating cash flow was $508 million [10] - For Bausch Health excluding Bausch + Lomb, revenue was $1.4 billion, up 7% on a reported basis and 5% on an organic basis, with adjusted EBITDA of $773 million, reflecting a 7% increase [11][12] Segment Performance - The Solta and Salix businesses showed strong performance, with Solta achieving 25% growth and Salix achieving 12% growth on a reported basis [7][12] - XIFAXAN revenue grew 16% in the third quarter, driven by volume growth and a strong marketing campaign [12][23] - The International segment saw mixed performance, with EMEA growing by 12% while Canada and LATAM experienced declines of 8% and 17%, respectively [14] Strategic Initiatives - The company closed its acquisition of Direct Corporation, enhancing its R&D pipeline and focusing on innovation to drive future growth [30] - Bausch Health is committed to optimizing its capital structure, having reduced debt by approximately $600 million [6][21] - The company is focused on executing its five strategic priorities: people, growth, efficiency, innovation, and unlocking value [22] Guidance and Outlook - Full-year revenue is now expected to be between $5 billion and $5.1 billion, representing a 4% increase year-over-year [18] - Adjusted EBITDA outlook is now expected to be between $2.7 billion and $2.75 billion, indicating a 7% increase versus 2024 [19] - Adjusted operating cash flow is projected to be between $975 million and $1.025 billion, reflecting a $150 million increase in the midpoint of the range [19]

Financial Data and Key Metrics Changes - Bausch Health reported a revenue of $2.681 billion for Q3 2025, reflecting a 7% increase on a reported basis and a 5% increase on an organic basis compared to the same period last year [8][9] - Adjusted EBITDA was $986 million, an increase of $77 million or 8% year-over-year, while adjusted operating cash flow was $508 million [8][9] - The company reduced its debt by approximately $600 million using cash on hand, leading to an increase in full-year guidance for revenue, adjusted EBITDA, and adjusted operating cash flow [6][9] Business Line Data and Key Metrics Changes - The Solta business achieved a 25% growth on a reported basis and 24% on an organic basis, while Salix delivered a 12% growth on a reported basis and 11% on an organic basis [7][10] - XIFAXAN revenue grew 16% in Q3, with volume up 9%, driven by strong performance in the AI-driven customer insights engine [10][20] - The diversified segment saw revenues decrease by 4% on a reported basis and 6% on an organic basis, primarily due to challenges in the neurology business [14] Market Data and Key Metrics Changes - International segment revenues were $286 million, a decrease of 2% on a reported basis and 4% on an organic basis, with mixed performance across geographies [11] - EMEA led the international segment with a 12% increase, while Canada and LatAm contracted by 8% and 17%, respectively [11] Company Strategy and Development Direction - The company is focused on five strategic priorities: people, growth, efficiency, innovation, and unlocking value, which guide its vision for the future [18] - Bausch Health is committed to enhancing its patient assistance program while exiting the Medicaid and 340B channels to optimize sales channels [75] - The acquisition of DURECT Corporation is expected to enhance the R&D pipeline and support innovation and growth priorities [24][26] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to navigate a dynamic macro backdrop and achieve financial targets [6][18] - The company anticipates continued growth in its Salix business and is optimistic about the future potential of its Solta Medical segment [21][22] Other Important Information - The company raised its full-year guidance for revenue to between $5 billion and $5.1 billion, with adjusted EBITDA expected to be between $2.7 billion and $2.75 billion [15][16] - The company is assessing all initiatives for driving shareholder value creation following a significant refinancing transaction [16] Q&A Session Summary Question: Revenue growth for XIFAXAN outpacing script growth - Management explained that the disconnect is due to a one-time benefit associated with gross-to-net accrual and strong new patient starts [29][31] Question: Dynamics of XIFAXAN in relation to CMS negotiations - Management confirmed ongoing fruitful negotiations with CMS and expects pricing to be published on November 30, 2025 [34][35] Question: Revised guidance and one-time impacts - Management acknowledged one-time adjustments in Q3 but indicated that the fourth quarter is expected to align with prior expectations [44][45] Question: Impact of IRA on commercial dynamics - Management clarified that the renegotiation impacts 2027 and does not change the commercial dynamics significantly [55] Question: Benefits of exiting the 340B program - Management highlighted that exiting the program allows for an enhanced patient assistance program, providing better access to medications for eligible patients [75][76] Question: Debt refinancing and deleveraging strategy - Management outlined that free cash flow and potential asset sales will be key sources for deleveraging the company [80][81]

Financial Data and Key Metrics Changes - Revenue for the second quarter was $2,530,000,000, up 5% on a reported basis and 4% on an organic basis compared to the same period a year ago [20][21] - Adjusted EBITDA was $871,000,000, an increase of $45,000,000 or 5% year over year [21] - Adjusted operating cash flow was $442,000,000, reflecting strong operational performance [21] Business Line Data and Key Metrics Changes - Salix revenues were $627,000,000, an increase of 12% compared to the same period last year, driven by favorable net pricing and strong volume performance [23] - Solta revenues were $128,000,000, an increase of 25% on a reported basis and 26% on an organic basis, primarily fueled by South Korea [25] - The diversified segment revenues were $219,000,000, a decrease of 13% compared to the same period a year ago, impacted by one-time pricing adjustments in neurology and dermatology [27] Market Data and Key Metrics Changes - EMEA achieved 6% organic growth in the second quarter, marking its tenth consecutive quarter of organic growth [11] - Canada experienced double-digit growth driven by promoted products, with a 12% increase in the top line [24] - LATAM's performance was softer due to ongoing macroeconomic challenges and partial channel destocking [24] Company Strategy and Development Direction - The company is focused on unlocking value, growth, and optimizing its capital structure, with a commitment to R&D and business development [30][31] - The acquisition of Direct Corporation aims to enhance the development of treatments for alcohol hepatitis, showcasing the company's commitment to addressing unmet medical needs in hepatology [17][18] - The company continues to evaluate opportunities to maximize returns for stakeholders and improve its capital structure [7][30] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to execute strategic priorities and deliver value for stakeholders, despite a more uncertain macro environment [4][20] - The company reaffirmed its full-year 2025 guidance for revenue and adjusted EBITDA, indicating a positive outlook for the remainder of the year [5][30] Other Important Information - The company completed a $7,900,000,000 debt refinancing, extending maturities and improving its capital structure [7][28] - The company has settled nine more opt-out cases year to date, with 11 remaining, and received communication from the IRS that a significant legal matter has concluded without negative cash flow implications [19] Q&A Session Summary Question: Share buybacks and DTC efforts for XIFAXAN - Management confirmed that share buybacks are still a possibility but have been deprioritized in favor of reinvestment in the business [36][37] - The focus for DTC investments is currently on the OHE indication, with significant growth observed in both indications [38][39] Question: Rifaximin franchise and SSD trials - Management confirmed that lactulose background therapy is allowed in the SSD trials and emphasized the potential patient population for the SSD product [42][44] - The possibility of XIFAXAN being available over-the-counter has not been considered at this time [45] Question: XIFAXAN ROA headwinds and revenue discrepancies - Management discussed ongoing negotiations regarding XIFAXAN and the potential impact of IRA on pricing, emphasizing the importance of presenting their case [48][49] - Discrepancies between revenue growth and prescription growth for RELISTOR and TRULANCE were attributed to favorable gross-to-net adjustments [51] Question: Direct Corporation acquisition details - Management expressed enthusiasm about the Direct Corporation acquisition and its potential to address significant unmet needs in hepatology [53][54] Question: Rifaximin SSD differentiation and head-to-head trials - Management stated that the SSD formulation is different in dosage and action compared to existing formulations, and no head-to-head trials are planned at this time [58][59] Question: IRA negotiations and price points - Management acknowledged the ongoing negotiations and the potential for significant price cuts, while emphasizing their strategy to minimize the impact [62][66]

Financial Data and Key Metrics Changes - Revenue for the second quarter was $2,530 million, up 5% on a reported basis and 4% on an organic basis compared to the same period a year ago [20] - Adjusted EBITDA was $871 million, an increase of $45 million or 5% year over year [21] - Adjusted operating cash flow was $442 million, reflecting strong operational cash flow generation [21] Business Line Data and Key Metrics Changes - Salix revenues were $627 million, an increase of 12% compared to the same period last year, driven by favorable net pricing and strong volume performance [23] - Solta revenues were $128 million, an increase of 25% on a reported basis and 26% on an organic basis compared to the same period last year, primarily fueled by South Korea [26] - Diversified segment revenues were $219 million, a decrease of 13% compared to the same period a year ago, impacted by one-time pricing adjustments in 2024 [28] Market Data and Key Metrics Changes - EMEA achieved 6% organic growth in the second quarter, marking the region's tenth consecutive quarter of organic growth [11] - Canada experienced 12% growth driven by the promoted products portfolio [24] - LATAM's performance was softer due to ongoing macroeconomic challenges and partial channel destocking [25] Company Strategy and Development Direction - The company is focused on unlocking value, growth, and optimizing capital structure, with a commitment to R&D and business development [6][31] - A strategic partnership was announced with YunnV to launch probiotic-based products for acne-prone skin in Poland [13] - The company is evaluating opportunities to reduce the net cost of capital of its debt over the next couple of months [32] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the ability to execute strategic priorities and deliver value for stakeholders [20][68] - The company reaffirmed its full-year 2025 guidance for revenue and adjusted EBITDA, expecting revenue between $4,950 million and $5,100 million [30] - Management acknowledged the uncertain macro environment but highlighted strong operational performance and growth opportunities [5][19] Other Important Information - The company completed a $7,900 million debt refinancing, extending maturities and improving capital structure [7] - The acquisition of Direct Corporation is expected to advance the development of a treatment for alcohol hepatitis, pending certain conditions [17][18] Q&A Session Summary Question: Share buybacks and DTC efforts with XIFAXAN - Management indicated that share buybacks are still under evaluation but have taken a back seat to reinvestment in the business [39] - The focus for DTC investments is currently on the OHE indication, with significant growth in patient starts [41] Question: Rifaximin franchise and SSD trials - Management confirmed that lactulose background therapy is allowed in the SSD trials and emphasized the opportunity for expansion in the patient population [46][48] Question: XIFAXAN potential ROA headwinds in 2027 - Management acknowledged ongoing negotiations regarding XIFAXAN and the potential for significant price cuts, while emphasizing efforts to minimize impact [51][63] Question: Direct Corporation acquisition details - Management expressed confidence in the Direct acquisition, highlighting the potential for addressing unmet medical needs in hepatology [55] Question: Rifaximin SSD differentiation and off-label use - Management stated that the SSD formulation is different and does not plan to run head-to-head trials at this time [60]