Bausch Health (NYSE:BHC) FY Conference December 02, 2025 10:50 AM ET Company ParticipantsJean-Jacques Charhon - Executive Vice President and CFOConference Call ParticipantsNone - AnalystModeratorLooking forward to this conversation. Really excited to have Bausch Management join us at this venue after a while. I think last time we did it was with Paul Herendeen, and Paul used to say this is his favorite conference of the year. Now, I want to give it a caveat. Paul loves Boston, and this conference used to be ...

Core Insights - Bausch Health Companies Inc. (BHC) reported better-than-expected results for Q3 2025, with shares gaining 7.3% in after-market trading [1] - Adjusted earnings per share were $1.16, surpassing the Zacks Consensus Estimate of $1.07 and up from $1.12 in the previous year [1] - Total revenues reached $2.68 billion, a 7% year-over-year increase, also beating the Zacks Consensus Estimate of $2.6 billion [1] Revenue Breakdown - Revenues increased 5% organically year-over-year when excluding foreign exchange impacts of $29 million, acquisitions of $3 million, and divestitures [2] - BHC's revenues are categorized into two segments: Bausch Health and Bausch + Lomb [5] - Salix revenues totaled $716 million, up 12% year-over-year, driven by a 16% increase in Xifaxan sales [6][7] - International revenues were $286 million, down 2% year-over-year, but still exceeded estimates [7] - Solta Medical reported revenues of $140 million, a 25% increase year-over-year, beating estimates [8] - Diversified Product revenues were $258 million, down 4% year-over-year, but still surpassed estimates [9] - Bausch + Lomb revenues totaled $1.28 billion, up 7% year-over-year, although it missed estimates [10] Guidance and Outlook - The company raised its 2025 revenue outlook to a range of $10.050-$10.250 billion, up from previous guidance [14] - Excluding Bausch + Lomb, revenues are projected to be between $5.000-$5.100 billion [14] Pipeline Developments - Phase III studies in the RED-C program for rifaximin are ongoing, with top-line results expected by early 2026 [11] - The FDA granted Breakthrough Therapy Designation for Larsucosterol for treating alcohol-associated hepatitis [12] - The Clear and Brilliant Touch program for skin rejuvenation is advancing with approvals in multiple countries [13] Strategic Moves - BHC recently acquired DURECT Corporation, enhancing its R&D capabilities and expanding its therapeutic portfolio [16] - The company faces significant long-term debt obligations of $21 billion as of September 30, 2025 [17]

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] - 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, also up 7% [9][10] Business Line Data and Key Metrics Changes - Solta Medical achieved 25% growth on a reported basis and 24% on an organic basis, while Salix delivered 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 OHE indication [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][21] - Bausch Health is raising its full-year guidance for revenue, adjusted EBITDA, and adjusted operating cash flow due to strong performance in the first nine months of the year [6][15] - The acquisition of DURECT Corporation is expected to enhance the R&D pipeline and support innovation and growth priorities [23][24] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in navigating a dynamic macro backdrop and highlighted the strong operational performance across various business lines [6][18] - The company anticipates continued growth in its Salix business and is optimistic about the future potential of Solta Medical [21][22] Other Important Information - The company reduced its debt by approximately $600 million using cash on hand [6] - Adjusted gross margin was 72.7%, which is 40 basis points lower year over year [8] 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 changes and strong new patient starts [30][32] Question: Impact of CMS negotiations on Xifaxan - Management confirmed ongoing fruitful negotiations with CMS and expects pricing to be published on November 30, 2025, with a minimal impact on overall EBITDA outlook [35][36] Question: Revised guidance and one-time factors - Management acknowledged one-time adjustments in Q3 but emphasized positive trends across the portfolio, leading to increased guidance for EBITDA and cash flow [46] Question: SG&A spending trends - Management indicated that Q3 SG&A was unusually low due to non-recurring accrual changes, suggesting Q1 and Q2 as better indicators for future run rates [47] Question: Capital allocation and debt refinancing - Management outlined a focus on servicing debt and reinvesting in the business, with potential asset sales as a means for deleveraging [81]

Financial Data and Key Metrics Changes - Bausch Health reported a year-over-year revenue growth of 7% on a reported basis and 5% on an organic basis, achieving $2.681 billion in revenue for the third quarter [4][8] - Adjusted EBITDA increased by 8% year-over-year to $986 million, with an adjusted gross margin of 72.7%, which is 40 basis points lower than the previous year [8][9] - The company reduced its debt by approximately $600 million, leading to an increase in full-year guidance for revenue, adjusted EBITDA, and adjusted operating cash flow [5][15] Business Line Data and Key Metrics Changes - The Solta Medical segment saw a remarkable 25% growth on a reported basis and 24% on an organic basis, while Salix delivered 12% growth on a reported basis and 11% on an organic basis [6][10] - Xifaxan revenue grew 16% in the third quarter, with volume up 9%, driven by strong performance in the hepatology segment [10][20] - The diversified segment experienced a revenue decrease of 4% on a reported basis and 6% on an organic basis, primarily due to challenges in the neurology business [13][14] Market Data and Key Metrics Changes - International segment revenues decreased by 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] - The Asia-Pacific region contributed significantly to Solta Medical's growth, with South Korea achieving 96% growth year-over-year [12][22] 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 aims to enhance its operational assets and continue executing its innovation and profitable growth agenda [16][18] - The acquisition of DURECT Corporation is expected to complement the existing portfolio and enhance the R&D pipeline, particularly in hepatology [24][25] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in navigating a dynamic macro backdrop and highlighted strong operational performance [5][18] - The company anticipates continued growth in its key segments, particularly in Xifaxan and Solta Medical, while also preparing for the impact of CMS pricing negotiations [19][33] - Full-year guidance has been raised, reflecting positive trends across the portfolio, with revenue expected between $5 billion and $5.1 billion [15][16] Other Important Information - The company exited the 340B program and Medicaid drug rebate program to optimize sales channels and enhance patient assistance programs [61][62] - The focus remains on deleveraging the business and optimizing the capital structure, with plans to use free cash flow for debt servicing [66][68] 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 [30][32] Question: Dynamics of CMS pricing negotiations - Management confirmed ongoing fruitful negotiations with CMS and expects pricing to be published on November 30, 2025 [33][34] Question: Revised guidance and one-time factors - Management acknowledged one-time adjustments in Q3 but emphasized positive trends across the portfolio [40][41] Question: SG&A spending and future run rates - Management indicated that Q3 SG&A was unusually low due to non-recurring accrual changes, suggesting Q1 and Q2 as better indicators for future spending [42][43] Question: RED-C phase 3 results timeline - Management confirmed that both phase 3 studies will have a combined readout in early 2026, which will be the final readout for the program [45][46] Question: Impact of exiting the 340B program - Management highlighted the decision was made to optimize sales channels and enhance patient assistance programs [62][63] Question: Debt refinancing and deleveraging strategies - Management outlined plans to use free cash flow for debt servicing and mentioned potential asset sales as a means to support deleveraging [66][68]

Core Thesis - Bausch Health Companies Inc. (BHC) is viewed positively despite significant share price decline, with a current trading price of $7.25 and trailing and forward P/E ratios of 27.88 and 1.76 respectively [1][2] Company Overview - BHC is a diversified healthcare company involved in pharmaceuticals and medical devices, with operations in eye care, gastroenterology, neurology, dermatology, and aesthetics [2] - The company has experienced an 80% decline in share price since July 2021, attributed to higher interest rates, policy uncertainty, and post-COVID overcapacity [2] Financial Performance - BHC generates stable cash flows with a five-year revenue CAGR of 3.5%, LTM EBITDA margins of 31.5%, and a free cash flow yield of 35.8% [3] - The company has a significant leverage issue, with $20 billion in net debt against $3.1 billion in EBITDA, leading to steep discounts of 66.5% on TEV/EBITDA and 31.5% on TEV/sales compared to peers [3] Recent Developments - The 2022 spin-off of Bausch + Lomb (BLCO) resulted in a $630 million debt reduction, and BHC retains an 87.5% stake in BLCO valued at $4.8 billion, nearly double its market cap [3] - A $6 billion maturity wall is due in 2028, and the 2029 patent expiry of the $1.9 billion IBS drug Xifaxan is raising solvency concerns [4] Market Sentiment and Risks - A recent acquisition by Paulson Capital of a 34 million-share block at a 19.8% premium indicates potential asset monetization, which could help in deleveraging [4] - Scenario modeling suggests a 39% probability of bankruptcy versus a 20% chance of significant gains, indicating a highly asymmetric risk/reward profile [5]

Company Overview - Bausch Health Companies Inc. is a diversified specialty pharmaceutical and medical device company with a global reach, focusing on improving health outcomes through a mix of branded prescription drugs, generic medicines, OTC products, and medtech devices [2][9] - The company operates across therapeutic segments including gastroenterology, ophthalmology, dermatology, neurology, and aesthetic devices, with significant commercial activity in the United States and other international markets [3][20] Product Portfolio - Key products include Trulance and Xifaxan for gastroenterology, ophthalmic products from Bausch + Lomb, and aesthetic devices from Solta Medical, illustrating a broad product mix that helps mitigate market volatility [4][21] - The operational structure supports targeted R&D and regulatory strategies tailored to each market segment, enhancing the company's ability to manage diverse customer needs [20][24] Financial Information - As of 2025, Bausch Health's market capitalization is estimated to be in the low single-digit billions in Canadian dollars, with annual revenue in the multi-billion CAD range [10][18] - The company has a conservative dividend policy, with yield typically modest or not consistently sustained, and earnings per share (EPS) metrics are sensitive to share count changes and restructuring-related expenses [13][19] Corporate History and Leadership - Bausch Health was rebranded in July 2018 to reflect a renewed focus on healthcare products, following a history of acquisitions and restructuring aimed at restoring investor confidence [25][29] - The leadership team emphasizes operational discipline, regulatory compliance, and strategic capital allocation, which are critical for the company's future growth and value creation [31][34] Market Position and Index Membership - Bausch Health is listed on the Toronto Stock Exchange under the ticker BHC and its index membership varies based on market capitalization and liquidity thresholds [35][38] - The company occupies a mid-cap position within the Canadian healthcare sector, making it significant in the pharmaceutical subsectors [42]

Core Insights - Bausch Health Companies Inc. (BHC) reported mixed results for Q2 2025, with adjusted earnings per share of 90 cents missing the Zacks Consensus Estimate of 97 cents, while total revenues of $2.53 billion exceeded expectations, marking a 5% year-over-year increase [1][7] Revenue Breakdown - Salix segment revenues reached $627 million, up 12% year over year, driven by strong demand for Xifaxan, Trulance, and Relistor, surpassing the Zacks Consensus Estimate of $589 million [3][4] - International revenues totaled $278 million, a 1% increase year over year, but fell short of estimates, with organic growth also at 1% [5] - Solta Medical reported revenues of $128 million, up 25% year over year, driven by global volume expansion, although it missed the model estimate [8] - Diversified Products revenues decreased by 13% to $219 million, with declines in neurology, generics, and dermatology segments [9][10] - Bausch + Lomb revenues amounted to $1.3 billion, a 5% increase year over year, exceeding estimates and driven by growth in the vision care segment [10] Pipeline Development - BHC is reviewing pipeline candidate amiselimod for ulcerative colitis treatment and has submitted an application for Cabtreo, which was approved in Canada [11] - Phase III studies for rifaximin are ongoing, with top-line results expected by early 2026 [12] - The Clear and Brilliant Touch program is advancing with approvals in multiple countries, and the Fraxel FTX system was launched in the U.S. in April 2025 [13][14] Financial Guidance - BHC updated its 2025 revenue guidance to a range of $10-$10.25 billion, with Bausch + Lomb revenues projected between $5.05-$5.15 billion [15] Acquisition Activity - BHC announced plans to acquire DURECT Corporation for $63 million, with potential milestone payments of up to $350 million, focusing on larsucosterol for alcoholic hepatitis treatment [17][18][19]