UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Quarterly Period Ended
June 30, 2019March 31, 2020
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from              to             
Commission File Number: 001-14956
Bausch Health Companies Inc.
(Exact name of registrant as specified in its charter)
British Columbia,Canada98-0448205
(State or other jurisdiction of incorporation or organization)(I.R.S. Employer Identification No.)
2150 St. Elzéar Blvd. West, Laval, Québec, Canada H7L 4A8
(Address of Principal Executive Offices) (Zip Code)

(514744-6792
(Registrant’s telephone number, including area code)
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Shares, No Par ValueBHCNew York Stock Exchange,Toronto Stock Exchange
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer”, “accelerated filer”, “smaller reporting company”, and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer Non-accelerated filerSmaller reporting companyEmerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No 
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
Common shares, no par value — 352,267,545354,727,444 shares outstanding as of August 1, 2019.April 30, 2020.





BAUSCH HEALTH COMPANIES INC.
FORM 10-Q
FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2019MARCH 31, 2020
INDEX
Part I.Financial Information 
Item 1. 
 
 
 
 
 
 
Item 2.
Item 3.
Item 4.
Part II.
Other Information 
Item 1.
Item 1A.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.


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BAUSCH HEALTH COMPANIES INC.
FORM 10-Q
FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2019MARCH 31, 2020
Introductory Note
Except where the context otherwise requires, all references in this Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2019March 31, 2020 (this “Form 10-Q”) to the “Company”, “we”, “us”, “our” or similar words or phrases are to Bausch Health Companies Inc. and its subsidiaries, taken together. In this Form 10-Q, references to “$” are to United States (“U.S.”) dollars and references to “€” are to euros. Unless otherwise indicated, the statistical and financial data contained in this Form 10-Q are presented as of June 30, 2019.March 31, 2020.
Forward-Looking Statements
Caution regarding forward-looking information and statements and “Safe-Harbor” statements under the U.S. Private Securities Litigation Reform Act of 1995 and applicable Canadian securities laws:
To the extent any statements made in this Form 10-Q contain information that is not historical, these statements are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and may be forward-looking information within the meaning defined under applicable Canadian securities laws (collectively, “forward-looking statements”).
These forward-looking statements relate to, among other things: our business strategy, business plans and prospects and forecasts and changes thereto; product pipeline, prospective products and product approvals, product development and future performance and results of current and anticipated products; anticipated revenues for our products, including the Significant Seven;products; anticipated growth in our Ortho Dermatologics business; expected research and development ("R&D") and marketing spend, including in connection with the promotion of the Significant Seven;spend; our expected primary cash and working capital requirements for 20192020 and beyond; the Company's plans for continued improvement in operational efficiency and the anticipated impact of such plans; our liquidity and our ability to satisfy our debt maturities as they become due; our ability to reduce debt levels; our ability to meet the financial and other covenants contained in our Fourth Amended and Restated Credit and Guaranty Agreement (the "Restated Credit Agreement"), and senior notes indentures; the impact of our distribution, fulfillment and other third-party arrangements; proposed pricing actions; exposure to foreign currency exchange rate changes and interest rate changes; the outcome of contingencies, such as litigation, subpoenas, investigations, reviews, audits and regulatory proceedings; the anticipated impact of the adoption of new accounting standards; general market conditions; our expectations regarding our financial performance, including revenues, expenses, gross margins and income taxes; and our impairment assessments, including the assumptions used therein and the results thereof.thereof; and the anticipated impact of the evolving COVID-19 pandemic and related responses from governments and private sector participants on the Company, its supply chain, third-party suppliers, project development timelines, costs, revenue, margins, liquidity and financial condition and the Company’s planned actions and responses to this pandemic.
Forward-looking statements can generally be identified by the use of words such as “believe”, “anticipate”, “expect”, “intend”, “estimate”, “plan”, “continue”, “will”, “may”, “could”, “would”, “should”, “target”, “potential”, “opportunity”, “designed”, “create”, “predict”, “project”, “forecast”, “seek”, “strive”, “ongoing” or “increase” and variations or other similar expressions. In addition, any statements that refer to expectations, intentions, projections or other characterizations of future events or circumstances are forward-looking statements. These forward-looking statements may not be appropriate for other purposes. Although we have previously indicated certain of these statements set out herein, all of the statements in this Form 10-Q that contain forward-looking statements are qualified by these cautionary statements. These statements are based upon the current expectations and beliefs of management. Although we believe that the expectations reflected in such forward-looking statements are reasonable, such statements involve risks and uncertainties, and undue reliance should not be placed on such statements. Certain material factors or assumptions are applied in making such forward-looking statements, including, but not limited to, factors and assumptions regarding the items previously outlined, those factors, risks and uncertainties outlined below and the assumption that none of these factors, risks and uncertainties will cause actual results or events to differ materially from those described in such forward-looking statements. Actual results may differ materially from those expressed or implied in such statements. Important factors, risks and uncertainties that could cause actual results to differ materially from these expectations include, among other things, the following:
the risks and uncertainties caused by or relating to the evolving COVID-19 pandemic, the fear of that pandemic, the rapidly evolving reaction of governments, private sector participants and the public to that pandemic and the potential effects and economic impact of the pandemic and the reaction to it, the severity, duration and future impact of which are highly uncertain and cannot be predicted, and which may have a significant adverse impact on the Company, including

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but not limited to its supply chain, third-party suppliers, project development timelines, employee base, liquidity, stock price, financial condition and costs (which may increase) and revenue and margins (both of which may decrease);
the expense, timing and outcome of legal and governmental proceedings, investigations and information requests relating to, among other matters, our past distribution, marketing, pricing, disclosure and accounting practices (including with respect to our former relationship with Philidor Rx Services, LLC ("Philidor")), including pending investigations by the U.S. Attorney's Office for the District of Massachusetts and the U.S. Attorney's Office for the Southern District of New York, the pending investigations by the U.S. Securities and Exchange Commission (the “SEC”) of the Company, the investigation order issued by the Company from the Autorité des marchés financiers (the “AMF”) (the Company’s principal securities regulator in Canada), a number of pending putativesecurities litigations (including certain pending opt-out actions in the U.S. (related to the recently settled securities class action, litigations in(which is subject to final court approval, and remains subject to the risk and uncertainty that the U.S. (including

ii



related opt-out actions)District Court for the District of New Jersey may not approve the $1,210 million settlement agreement)) and the pending class action litigation in Canada (includingand related opt-out actions) and purported class actions under the federal RICO statute and other claims, investigations or proceedings that may be initiated or that may be asserted;
potential additional litigation and regulatory investigations (and any costs, expenses, use of resources, diversion of management time and efforts, liability and damages that may result therefrom), negative publicity and reputational harm on our Company, products and business that may result from the past and ongoing public scrutiny of our past distribution, marketing, pricing, disclosure and accounting practices and from our former relationship with Philidor;
the past and ongoing scrutiny of our legacy business practices, including with respect to pricing (including the investigations by the U.S. Attorney's Offices for the District of Massachusetts and the Southern District of New York), and any pricing controls or price adjustments that may be sought or imposed on our products as a result thereof;
pricing decisions that we have implemented, or may in the future elect to implement, such as the Patient Access and Pricing Committee’s commitment that the average annual price increase for our branded prescription pharmaceutical products will be set at no greater than single digits, or any future pricing actions we may take following review by our Patient Access and Pricing Committee (which is responsible for the pricing of our drugs);
legislative or policy efforts, including those that may be introduced and passed by the U.S. Congress, designed to reduce patient out-of-pocket costs for medicines, which could result in new mandatory rebates and discounts or other pricing restrictions, controls or regulations (including mandatory price reductions);
ongoing oversight and review of our products and facilities by regulatory and governmental agencies, including periodic audits by the U.S. Food and Drug Administration (the "FDA") and the results thereof;
actions by the FDA or other regulatory authorities with respect to our products or facilities;
our substantial debt (and potential additional future indebtedness) and current and future debt service obligations, our ability to reduce our outstanding debt levels and the resulting impact on our financial condition, cash flows and results of operations;
our ability to meet the financial and other covenants contained in our Restated Credit Agreement, senior notes indentures, 2023 Revolving Credit Facility (as defined below) and other current or future debt agreements and the limitations, restrictions and prohibitions such covenants impose or may impose on the way we conduct our business, including prohibitions on incurring additional debt if certain financial covenants are not met, limitations on the amount of additional debtobligations we are able to incur where not prohibited,pursuant to other covenants, our ability to draw under our 2023 Revolving Credit Facility and restrictions on our ability to make certain investments and other restricted payments;
any default under the terms of our senior notes indentures or Restated Credit Agreement and our ability, if any, to cure or obtain waivers of such default;
any delay in the filing of any future financial statements or other filings and any default under the terms of our senior notes indentures or Restated Credit Agreement as a result of such delays;
any downgrade by rating agencies in our credit ratings, which may impact, among other things, our ability to raise debt and the cost of capital for additional debt issuances;
any reductions in, or changes in the assumptions used in, our forecasts for fiscal year 20192020 or beyond, including as a result of the impacts of COVID-19 on our business and operations, which could lead to, among other things: (i) a failure to meet the financial and/or other covenants contained in our Restated Credit Agreement and/or senior notes indentures

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and/or (ii) impairment in the goodwill associated with certain of our reporting units or impairment charges related to certain of our products or other intangible assets, which impairments could be material;
changes in the assumptions used in connection with our impairment analyses or assessments, which would lead to a change in such impairment analyses and assessments and which could result in an impairment in the goodwill associated with any of our reporting units or impairment charges related to certain of our products or other intangible assets;
the uncertainties associated with the acquisition and launch of new products (such as our recently launched Bryhali™Bryhali®, Duobrii™Duobrii® and Ocuvite® Eye Performance products), including, but not limited to, our ability to provide the time, resources, expertise and costs required for the commercial launch of new products, the acceptance and demand for new pharmaceutical products, and the impact of competitive products and pricing, which could lead to material impairment charges;
our ability or inability to extend the profitable life of our products, including through line extensions and other life-cycle programs;
our ability to retain, motivate and recruit executives and other key employees;

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our ability to implement effective succession planning for our executives and key employees;
factors impacting our ability to achieve anticipated growth in our Ortho Dermatologics business, including the success of recently launched products (such as Bryhali™Bryhali® and Duobrii™Duobrii®), the ability to successfully implement and operate Dermatology.com, our new cash-pay prescription program for certain of our Ortho Dermatologics branded products, and the ability of such program to achieve the anticipated goals respecting patient access and fulfillment, the approval of pending and pipeline products (and the timing of such approvals), expected geographic expansion, changes in estimates on market potential for dermatology products and continued investment in and success of our sales force;
factors impacting our ability to achieve anticipated revenues for our Significant Seven products, including changes in anticipated marketing spend on such products and launch of competing products;
the challenges and difficulties associated with managing a large complex business, which has, in the past, grown rapidly;
our ability to compete against companies that are larger and have greater financial, technical and human resources than we do, as well as other competitive factors, such as technological advances achieved, patents obtained and new products introduced by our competitors;
our ability to effectively operate and grow our businesses in light of the challenges that the Company has faced and market conditions, including with respect to its substantial debt, pending investigations and legal proceedings, scrutiny of our past pricing and other practices, and limitations on the way we conduct business imposed by the covenants contained in our Restated Credit Agreement, senior notes indentures and the agreements governing our other indebtedness;indebtedness, and the impacts of the COVID-19 pandemic;
the extent to which our products are reimbursed by government authorities, pharmacy benefit managers ("PBMs") and other third-party payors; the impact our distribution, pricing and other practices (including as it relates to our current relationship with Walgreen Co. ("Walgreens")) may have on the decisions of such government authorities, PBMs and other third-party payors to reimburse our products; and the impact of obtaining or maintaining such reimbursement on the price and sales of our products;
the inclusion of our products on formularies or our ability to achieve favorable formulary status, as well as the impact on the price and sales of our products in connection therewith;
the consolidation of wholesalers, retail drug chains and other customer groups and the impact of such industry consolidation on our business;
our eligibility for benefits under tax treaties and the continued availability of low effective tax rates for the business profits of certain of our subsidiaries;
the actions of our third-party partners or service providers of research, development, manufacturing, marketing, distribution or other services, including their compliance with applicable laws and contracts, which actions may be beyond our control or influence, and the impact of such actions on our Company, including the impact to the Company of our former relationship with Philidor and any alleged legal or contractual non-compliance by Philidor;
the risks associated with the international scope of our operations, including our presence in emerging markets and the challenges we face when entering and operating in new and different geographic markets (including the challenges

iv



created by new and different regulatory regimes in such countries and the need to comply with applicable anti-bribery and economic sanctions laws and regulations);
adverse global economic conditions and credit markets and foreign currency exchange uncertainty and volatility in certain of the countries in which we do business;
the impact of the recently signed United States-Mexico-Canada Agreement (“USMCA”) and any potential changes to other trade agreements;
the final outcome and impact of Brexit negotiations;
the trade conflict between the United States and China;
our ability to obtain, maintain and license sufficient intellectual property rights over our products and enforce and defend against challenges to such intellectual property;
our ability to obtain, maintain and license sufficient intellectual property rights over our products and enforce and defend against challenges to such intellectual property (such as in connection with the recent filing by Norwich Pharmaceuticals Inc. (“Norwich”) of its Abbreviated New Drug Application (“ANDA”) for Xifaxan® (rifaximin) 550 mg tablets and the Company’s related lawsuit filed against Norwich in connection therewith);
the introduction of generic, biosimilar or other competitors of our branded products and other products, including the introduction of products that compete against our products that do not have patent or data exclusivity rights;

iv



our ability to identify, finance, acquire, close and integrate acquisition targets successfully and on a timely basis and the difficulties, challenges, time and resources associated with the integration of acquired companies, businesses and products;
any additional divestitures of our assets or businesses and our ability to successfully complete any such divestitures on commercially reasonable terms and on a timely basis, or at all, and the impact of any such divestitures on our Company, including the reduction in the size or scope of our business or market share, loss of revenue, any loss on sale, including any resultant impairments of goodwill or other assets, or any adverse tax consequences suffered as a result of any such divestitures;
the expense, timing and outcome of pending or future legal and governmental proceedings, arbitrations, investigations, subpoenas, tax and other regulatory audits, examinations, reviews and regulatory proceedings against us or relating to us and settlements thereof;
our ability to negotiate the terms of or obtain court approval for the settlement of certain legal and regulatory proceedings;
our ability to obtain components, raw materials or finished products supplied by third parties (some of which may be single-sourced) and other manufacturing and related supply difficulties, interruptions and delays;
the disruption of delivery of our products and the routine flow of manufactured goods;
economic factors over which the Company has no control, including changes in inflation, interest rates, foreign currency rates, and the potential effect of such factors on revenues, expenses and resulting margins;
interest rate risks associated with our floating rate debt borrowings;
our ability to effectively distribute our products and the effectiveness and success of our distribution arrangements, including the impact of our arrangements with Walgreens;
our ability to effectively promote our own products and those of our co-promotion partners, such as Doptelet® (Dova Pharmaceuticals, Inc.) and Lucemyra® (US WorldMeds, LLC);
our ability to effectively promote our own products and those of our co-promotion partners;
the success of our fulfillment arrangements with Walgreens, including market acceptance of, or market reaction to, such arrangements (including by customers, doctors, patients, PBMs, third-party payors and governmental agencies), and the continued compliance of such arrangements with applicable laws;
the acceptance and success of our new cash-pay prescription program for certain of our Ortho Dermatologics branded products;
our ability to secure and maintain third-party research, development, manufacturing, licensing, marketing or distribution arrangements;
the risk that our products could cause, or be alleged to cause, personal injury and adverse effects, leading to potential lawsuits, product liability claims and damages and/or recalls or withdrawals of products from the market;
the mandatory or voluntary recall or withdrawal of our products from the market and the costs associated therewith;

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the availability of, and our ability to obtain and maintain, adequate insurance coverage and/or our ability to cover or insure against the total amount of the claims and liabilities we face, whether through third-party insurance or self-insurance;
the difficulty in predicting the expense, timing and outcome within our legal and regulatory environment, including with respect to approvals by the FDA, Health Canada and similar agencies in other countries, legal and regulatory proceedings and settlements thereof, the protection afforded by our patents and other intellectual and proprietary property, successful generic challenges to our products and infringement or alleged infringement of the intellectual property of others;
the results of continuing safety and efficacy studies by industry and government agencies;
the success of preclinical and clinical trials for our drug development pipeline or delays in clinical trials that adversely impact the timely commercialization of our pipeline products, as well as other factors impacting the commercial success of our products, which could lead to material impairment charges;
the results of management reviews of our research and development portfolio (including following the receipt of clinical results or feedback from the FDA or other regulatory authorities), which could result in terminations of specific projects which, in turn, could lead to material impairment charges;
the seasonality of sales of certain of our products;

declines in the pricing and sales volume of certain of our products that are distributed or marketed by third parties, over which we have no or limited control;
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declines in the pricing and sales volume of certain of our products or the products that we co-promote (such as Doptelet® and Lucemyra®) that are distributed or marketed by third parties, over which we have no or limited control;
compliance by the Company or our third partythird-party partners and service providers (over whom we may have limited influence), or the failure of our Company or these third parties to comply, with health care “fraud and abuse” laws and other extensive regulation of our marketing, promotional and business practices (including with respect to pricing), worldwide anti-bribery laws (including the U.S. Foreign Corrupt Practices Act and the Canadian Corruption of Foreign Public Officials Act), worldwide economic sanctions and/or export laws, worldwide environmental laws and regulation and privacy and security regulations;
the impacts of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (the “Health Care Reform Act”) and potential amendment thereof and other legislative and regulatory health care reforms in the countries in which we operate, including with respect to recent government inquiries on pricing;
the impact of any changes in or reforms to the legislation, laws, rules, regulation and guidance that apply to the Company and its business and products or the enactment of any new or proposed legislation, laws, rules, regulations or guidance that will impact or apply to the Company or its businesses or products;
the impact of changes in federal laws and policy under consideration by the Trump administration and Congress, including the effect that such changes will have on fiscal and tax policies, the potential revision of all or portions of the Health Care Reform Act, international trade agreements and policies and policy efforts designed to reduce patient out-of-pocket costs for medicines (which could result in new mandatory rebates and discounts or other pricing restrictions);
illegal distribution or sale of counterfeit versions of our products;
interruptions, breakdowns or breaches in our information technology systems; and
risks in Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed on February 20, 2019,19, 2020, risks under 1A. “Risk Factors” of Part II of this Form 10-Q and risks detailed from time to time in our other filings with the SEC and the Canadian Securities Administrators (the “CSA”), as well as our ability to anticipate and manage the risks associated with the foregoing.
Additional information about these factors and about the material factors or assumptions underlying such forward-looking statements may be found in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed on February 20, 2019,19, 2020, under Item 1A. “Risk Factors”, under 1A. “Risk Factors” of Part II of this Form 10-Q and in the Company’s other filings with the SEC and CSA. When relying on our forward-looking statements to make decisions with respect to the Company, investors and others should carefully consider the foregoing factors and other uncertainties and potential events. These forward-looking statements speak only as of the date made. We undertake no obligation to update or revise any of these forward-looking statements to reflect events or circumstances after the date of this Form 10-Q or to reflect actual outcomes, except as required by law. We caution that, as it is not possible to predict or identify all relevant factors that may impact forward-looking statements, the foregoing

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list of important factors that may affect future results is not exhaustive and should not be considered a complete statement of all potential risks and uncertainties.

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PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
BAUSCH HEALTH COMPANIES INC.
CONSOLIDATED BALANCE SHEETS
(in millions, except share amounts)
(Unaudited)
June 30,
2019
 December 31,
2018
March 31,
2020
 December 31,
2019
Assets      
Current assets:      
Cash and cash equivalents$878
 $721
$912
 $3,243
Restricted cash2
 2
1,011
 1
Trade receivables, net1,829
 1,865
1,712
 1,839
Inventories, net1,060
 934
1,124
 1,107
Prepaid expenses and other current assets698
 689
745
 779
Total current assets4,467
 4,211
5,504
 6,969
Property, plant and equipment, net1,372
 1,353
1,450
 1,466
Intangible assets, net11,196
 12,001
9,726
 10,201
Goodwill13,160
 13,142
13,034
 13,126
Deferred tax assets, net1,799
 1,676
1,740
 1,690
Other non-current assets360
 109
411
 411
Total assets$32,354
 $32,492
$31,865
 $33,863
Liabilities      
Current liabilities:      
Accounts payable$527
 $411
$444
 $503
Accrued and other current liabilities3,122
 3,197
4,438
 4,511
Current portion of long-term debt and other56
 228
4
 1,234
Total current liabilities3,705
 3,836
4,886
 6,248
Acquisition-related contingent consideration271
 298
268
 262
Non-current portion of long-term debt24,023
 24,077
24,424
 24,661
Deferred tax liabilities, net884
 885
690
 705
Other non-current liabilities783
 581
807
 851
Total liabilities29,666
 29,677
31,075
 32,727
Commitments and contingencies (Note 19)


 




 


Equity      
Common shares, no par value, unlimited shares authorized, 352,248,896 and 349,871,102 issued and outstanding at June 30, 2019 and December 31, 2018, respectively10,165
 10,121
Common shares, no par value, unlimited shares authorized, 354,579,990 and 352,562,636 issued and outstanding at March 31, 2020 and December 31, 2019, respectively10,209
 10,172
Additional paid-in capital384
 413
396
 429
Accumulated deficit(5,887) (5,664)(7,605) (7,452)
Accumulated other comprehensive loss(2,061) (2,137)(2,281) (2,086)
Total Bausch Health Companies Inc. shareholders’ equity2,601
 2,733
719
 1,063
Noncontrolling interest87
 82
71
 73
Total equity2,688
 2,815
790
 1,136
Total liabilities and equity$32,354
 $32,492
$31,865
 $33,863
The accompanying notes are an integral part of these consolidated financial statements.


BAUSCH HEALTH COMPANIES INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(in millions, except per share amounts)
(Unaudited)
Three Months Ended
June 30,
 Six Months Ended
June 30,
Three Months Ended
March 31,
2019 2018 2019 20182020 2019
Revenues          
Product sales$2,122
 $2,100
 $4,111
 $4,065
$1,986
 $1,989
Other revenues30
 28
 57
 58
26
 27

2,152
 2,128
 4,168
 4,123
2,012
 2,016
Expenses          
Cost of goods sold (excluding amortization and impairments of
intangible assets)
580
 584
 1,104
 1,144
505
 524
Cost of other revenues14
 10
 27
 23
14
 13
Selling, general and administrative651
 642
 1,238
 1,233
633
 587
Research and development117
 94
 234
 186
122
 117
Amortization of intangible assets488
 741
 977
 1,484
436
 489
Goodwill impairments
 
 
 2,213
Asset impairments13
 301
 16
 345
14
 3
Restructuring and integration costs4
 7
 24
 13
4
 20
Acquisition-related contingent consideration20
 (6) (1) (4)13
 (21)
Other expense, net8
 
 5
 12
Other expense (income), net23
 (3)
1,895
 2,373
 3,624
 6,649
1,764
 1,729
Operating income (loss)257
 (245) 544
 (2,526)
Operating income248
 287
Interest income3
 3
 7
 6
7
 4
Interest expense(409) (435) (815) (851)(396) (406)
Loss on extinguishment of debt(33) (48) (40) (75)(24) (7)
Foreign exchange and other3
 (9) 3
 18
(13) 
Loss before benefit from (provision for) income taxes(179) (734) (301) (3,428)
Benefit from (provision for) income taxes9
 (138) 83
 (23)
Loss before benefit from income taxes(178) (122)
Benefit from income taxes26
 74
Net loss(170) (872) (218) (3,451)(152) (48)
Net income attributable to noncontrolling interest(1) (1) (5) (3)
 (4)
Net loss attributable to Bausch Health Companies Inc.$(171) $(873) $(223) $(3,454)$(152) $(52)
          
Basic and diluted loss per share attributable to Bausch Health Companies Inc.:$(0.49) $(2.49) $(0.63) $(9.84)
Basic and diluted loss per share attributable to Bausch Health Companies Inc.$(0.43) $(0.15)
          
Basic and diluted weighted-average common shares352.1
 351.3
 351.7
 351.0
353.4
 351.3
The accompanying notes are an integral part of these consolidated financial statements.


BAUSCH HEALTH COMPANIES INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS
(in millions)
(Unaudited)
    
Three Months Ended
June 30,
 Six Months Ended
June 30,
Three Months Ended
March 31,
2019 2018 2019 20182020 2019
Net loss$(170) $(872) $(218) $(3,451)$(152) $(48)
Other comprehensive income       
Other comprehensive (loss) income   
Foreign currency translation adjustment56
 (218) 77
 (172)(192) 21
Pension and postretirement benefit plan adjustments, net of income taxes(1) (1) (1) (1)(5) 
Other comprehensive income55
 (219) 76
 (173)
Other comprehensive (loss) income(197) 21
Comprehensive loss(115) (1,091) (142) (3,624)(349) (27)
Comprehensive (income) loss attributable to noncontrolling interest(1) 2
 (5) (2)
Comprehensive loss (income) attributable to noncontrolling interest2
 (4)
Comprehensive loss attributable to Bausch Health Companies Inc.$(116) $(1,089) $(147) $(3,626)$(347) $(31)
The accompanying notes are an integral part of these consolidated financial statements.


BAUSCH HEALTH COMPANIES INC.
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
(in millions)
(Unaudited)
 Bausch Health Companies Inc. Shareholders' Equity     Bausch Health Companies Inc. Shareholders' Equity    
 Common Shares     
Accumulated
Other
Comprehensive
Loss
 
Bausch Health
Companies Inc.
Shareholders'
Equity
     Common Shares     
Accumulated
Other
Comprehensive
Loss
 
Bausch Health
Companies Inc.
Shareholders'
Equity
    
 Shares Amount 
Additional
Paid-In
Capital
 
Accumulated
Deficit
 
Noncontrolling
Interest
 
Total
Equity
 Shares Amount 
Additional
Paid-In
Capital
 
Accumulated
Deficit
 
Noncontrolling
Interest
 
Total
Equity
                                
 Three Months Ended June 30, 2019 Three Months Ended March 31, 2020
Balances, April 1, 2019 351.9
 $10,151
 $374
 $(5,716) $(2,116) $2,693
 $86
 $2,779
Balances, January 1, 2020 352.6
 $10,172
 $429
 $(7,452) $(2,086) $1,063
 $73
 $1,136
Effect of application of new accounting standard: financial instruments - credit losses 
 
 
 (1) 
 (1) 
 (1)
Common shares issued under share-based compensation plans 0.3
 14
 (12) 
 
 2
 
 2
 2.0
 37
 (36) 
 
 1
 
 1
Share-based compensation 
 
 27
 
 
 27
 
 27
 
 
 27
 
 
 27
 
 27
Employee withholding taxes related to share-based awards 
 
 (5) 
 
 (5) 
 (5) 
 
 (24) 
 
 (24) 
 (24)
Net (loss) income 
 
 
 (171) 
 (171) 1
 (170)
Other comprehensive income 
 
 
 
 55
 55
 
 55
Balances, June 30, 2019 352.2
 $10,165
 $384
 $(5,887) $(2,061) $2,601
 $87
 $2,688
                
 Three Months Ended June 30, 2018
Balances, April 1, 2018 349.2
 $10,103
 $382
 $(4,097) $(1,852) $4,536
 $99
 $4,635
Common shares issued under share-based compensation plans 0.4
 11
 (10) 
 
 1
 
 1
Share-based compensation 
 
 22
 
 
 22
 
 22
Employee withholding taxes related to share-based awards 
 
 (3) 
 
 (3) 
 (3)
Noncontrolling interest distributions 
 
 
 
 
 
 (6) (6)
Net (loss) income 
 
 
 (873) 
 (873) 1
 (872)
Other comprehensive income 
 
 
 
 (216) (216) (3) (219)
Balances, June 30, 2018 349.6
 $10,114

$391

$(4,970)
$(2,068)
$3,467

$91

$3,558
Net loss 
 
 
 (152) 
 (152) 
 (152)
Other comprehensive loss 
 
 
 
 (195) (195) (2) (197)
Balances, March 31, 2020 354.6
 $10,209
 $396
 $(7,605) $(2,281) $719
 $71
 $790
                                
 Six Months Ended June 30, 2019 Three Months Ended March 31, 2019
Balances, January 1, 2019 349.9
 $10,121
 $413
 $(5,664) $(2,137) $2,733
 $82
 $2,815
 349.9
 $10,121
 $413
 $(5,664) $(2,137) $2,733
 $82
 $2,815
Common shares issued under share-based compensation plans 2.3
 44
 (41) 
 
 3
 
 3
 2.0
 30
 (29) 
 
 1
 
 1
Share-based compensation 
 
 51
 
 
 51
 
 51
 
 
 24
 
 
 24
 
 24
Employee withholding taxes related to share-based awards 
 
 (39) 
 
 (39) 
 (39) 
 
 (34) 
 
 (34) 
 (34)
Net (loss) income 
 
 
 (223) 
 (223) 5
 (218) 
 
 
 (52) 
 (52) 4
 (48)
Other comprehensive income 
 
 
 
 76
 76
 
 76
 
 
 
 
 21
 21
 
 21
Balances, June 30, 2019 352.2
 $10,165
 $384
 $(5,887) $(2,061) $2,601
 $87
 $2,688
                
 Six Months Ended June 30, 2018
Balances, January 1, 2018 348.7
 $10,090
 $380
 $(2,725) $(1,896) $5,849
 $95
 $5,944
Effect of application of new accounting standard: Income taxes 
 
 
 1,209
 
 1,209
 
 1,209
Common shares issued under share-based compensation plans 0.9
 24
 (23) 
 
 1
 
 1
Share-based compensation 
 
 43
 
 
 43
 
 43
Employee withholding taxes related to share-based awards 
 
 (9) 
 
 (9) 
 (9)
Noncontrolling interest distributions 
 
 
 
 
 
 (6) (6)
Net (loss) income 
 
 
 (3,454) 
 (3,454) 3
 (3,451)
Other comprehensive income 
 
 
 
 (172) (172) (1) (173)
Balances, June 30, 2018 349.6
 $10,114
 $391
 $(4,970) $(2,068) $3,467
 $91
 $3,558
Balances, March 31, 2019 351.9
 $10,151
 $374
 $(5,716) $(2,116) $2,693
 $86
 $2,779
The accompanying notes are an integral part of these consolidated financial statements.


BAUSCH HEALTH COMPANIES INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in millions)
(Unaudited)
Six Months Ended
June 30,
Three Months Ended
March 31,
2019 20182020 2019
Cash Flows From Operating Activities      
Net loss$(218) $(3,451)$(152) $(48)
Adjustments to reconcile net loss to net cash provided by operating activities:      
Depreciation and amortization of intangible assets1,063
 1,570
481
 532
Amortization and write-off of debt premiums, discounts and issuance costs32
 44
15
 17
Asset impairments16
 345
14
 3
Acquisition-related contingent consideration(1) (4)13
 (21)
Allowances for losses on trade receivable and inventories27
 33
15
 13
Deferred income taxes(141) (42)(70) (116)
Gain on sale of assets(9) 
(1) (10)
Additions to accrued legal settlements3
 10
23
 2
Payments of accrued legal settlements(1) (220)(3) (1)
Goodwill impairments
 2,213
Share-based compensation51
 43
27
 24
Foreign exchange gain(2) (15)
Foreign exchange loss16
 
Interest expense on cross-currency swaps(6) 
Loss on extinguishment of debt40
 75
24
 7
Payments of contingent consideration adjustments, including accretion(1) (2)
Other16
 (2)(7) 9
Changes in operating assets and liabilities:      
Trade receivables56
 128
69
 89
Inventories(121) (12)(94) (68)
Prepaid expenses and other current assets1
 (76)(18) (15)
Accounts payable, accrued and other liabilities(59) 23
(85) (4)
Net cash provided by operating activities752
 660
261
 413
      
Cash Flows From Investing Activities      
Acquisition of businesses, net of cash acquired(180) 5

 (180)
Payments for intangible and other assets(1) (75)
Purchases of property, plant and equipment(109) (63)(72) (47)
Purchases of marketable securities(5) (4)(2) (2)
Proceeds from sale of marketable securities1
 4
2
 1
Proceeds from sale of assets and businesses, net of costs to sell33
 (6)21
 25
Interest settlements from cross-currency swaps11
 
Net cash used in investing activities(261) (139)(40) (203)
      
Cash Flows From Financing Activities      
Net proceeds from the issuances of long-term debt3,243
 7,474
Issuance of long-term debt, net of discounts(3) 1,514
Repayments of long-term debt(3,503) (7,836)(1,459) (1,621)
Proceeds from the issuances of short-term debt12
 
Repayments of short-term debt(8) (1)
Payments of employee withholding taxes related to share-based awards(39) (8)(24) (34)
Payments of acquisition-related contingent consideration(20) (18)(17) (9)
Payments of financing costs(26) (59)(18) (1)
Payments of deferred consideration
 (18)
Other3
 1

 1
Net cash used in financing activities(338) (465)(1,521) (150)
Effect of exchange rate changes on cash and cash equivalents4
 (15)(21) 1
Net increase in cash and cash equivalents and restricted cash157
 41
Net (decrease) increase in cash and cash equivalents and restricted cash(1,321) 61
Cash and cash equivalents and restricted cash, beginning of period723
 797
3,244
 723
Cash and cash equivalents and restricted cash, end of period$880
 $838
$1,923
 $784
      
Cash and cash equivalents$878
 $838
$912
 $782
Restricted cash, current2
 
1,011
 2
Cash and cash equivalents and restricted cash, end of period$880
 $838
$1,923
 $784
The accompanying notes are an integral part of these consolidated financial statements.


BAUSCH HEALTH COMPANIES INC.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
1.DESCRIPTION OF BUSINESS
Bausch Health Companies Inc. (the “Company”) is a multinational, specialty pharmaceutical and medical device company that develops, manufactures and markets, primarily in the therapeutic areas of eye-health, gastroenterology ("GI") and dermatology, a broad range of: (i)of branded, pharmaceuticals, (ii) generic and branded generic pharmaceuticals, (iii) over-the-counter (“OTC”) products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices), which are marketed directly or indirectly in over 90approximately 100 countries.
2.SIGNIFICANT ACCOUNTING POLICIES
Basis of Presentation and Use of Estimates
The accompanying unaudited Consolidated Financial Statements have been prepared by the Company in U.S. dollars and in accordance with U.S. generally accepted accounting principles (“U.S. GAAP”) for interim financial reporting, which do not conform in all respects to the requirements of U.S. GAAP for annual financial statements. Accordingly, these notes to the unaudited Consolidated Financial Statements should be read in conjunction with the audited Consolidated Financial Statements prepared in accordance with U.S. GAAP that are contained in the Company’s Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SECU.S. Securities and Exchange Commission (the “SEC”) and the CSACanadian Securities Administrators on February 20, 2019.19, 2020. The unaudited Consolidated Financial Statements have been prepared using accounting policies that are consistent with the policies used in preparing the Company’s audited Consolidated Financial Statements for the year ended December 31, 2018,2019, except for the new accounting guidance adopted during the period. The unaudited Consolidated Financial Statements reflect all normal and recurring adjustments necessary for a fair presentationstatement of the Company’s financial position and results of operations for the interim periods. The operating results for the interim periods presented are not necessarily indicative of the results expected for the full year.
The unprecedented nature of the COVID-19 pandemic has adversely impacted the global economy. The COVID-19 pandemic and the rapidly evolving reaction of governments, private sector participants and the public in an effort to contain the spread of COVID-19 and/or address its impacts have intensified and have had significant direct and indirect effects on businesses and commerce generally, including disruption to supply chains, employee base and transactional activity, facilities closures and production suspensions, and significantly increased demand for certain goods and services, such as certain pandemic-related medical services and supplies, alongside decreased demand for others, such as elective surgery, retail, hospitality and travel.
The extent to which these events may impact the Company's business, financial condition, cash flows and results of operations, in particular, will depend on future developments which are highly uncertain and many of which are outside the Company's control. Such developments include the ultimate geographic spread and duration of the pandemic, new information which may emerge concerning the severity of the COVID-19 virus, the effectiveness and intensity of measures to contain the COVID-19 virus and/or address its impacts, and the economic impact of the pandemic and the reactions to it. Such developments, among others, depending on their nature, duration and intensity, could have a significant adverse effect on the Company's business, financial condition, cash flows and results of operations.
To date, the Company has been able to continue its operations with limited disruptions in supply and manufacturing. Although, it is difficult to predict the broad macroeconomic effects that the COVID-19 virus will have on industries or individual companies, the Company has assessed the possible effects and outcomes of the pandemic on, among other things, its supply chain, customers and distributors, discounts and rebates, employee base, product sustainability, research and development efforts, product pipeline and consumer demand and currently believes that its estimates are reasonable.
In preparing the unaudited Consolidated Financial Statements, management is required to make estimates and assumptions. This includes estimates and assumptions regarding the nature, timing and extent of the impacts that the COVID-19 pandemic will have on its operations and cash flows. The estimates and assumptions used by the Company affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the unaudited Consolidated Financial Statements, and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from these estimates.estimates and the differences could be material.
On an ongoing basis, management reviews its estimates to ensure that these estimates appropriately reflect changes in the Company’s business and new information as it becomes available. If historical experience and other factors used by

management to make these estimates do not reasonably reflect future activity, the Company’s results of operations and financial position could be materially impacted.
Principles of Consolidation
The unaudited Consolidated Financial Statements include the accounts of the Company and those of its subsidiaries and any variable interest entities for which the Company is the primary beneficiary. All intercompany transactions and balances have been eliminated.
Reclassifications
Certain reclassifications have been made to prior year amounts to conform to the current year presentation.
Adoption of New Accounting Guidance
In FebruaryJune 2016, the Financial Accounting Standards Board ("FASB"(“FASB”) issued a new standard revising the accounting for leases to increase transparency and comparability among organizations that lease buildings, equipment and other assets by requiring the recognition of lease assets and lease liabilities on the balance sheet. Under the new standard, all leases are classified as either a finance lease or an operating lease. The classification is determined based on whether substantive control has been transferred to the lessee and its determination will govern the pattern of lease cost recognition. Finance leases are accounted for in substantially the same manner as capital leases under the former U.S. GAAP standard. Operating leases are accounted for in the statements of operations and statements of cash flows in a manner substantially consistent with operating leases under the former U.S. GAAP standard. However, as it relates to the balance sheet, lessees are, with limited exception, required to record a right-of-use asset and a corresponding lease liability, equal to the present value of the lease payments for each operating lease. Lessees are not required to recognize a right-of-use asset or lease liability for short-term leases, but instead recognizes lease payments as an expense on a straight-line basis over the lease term. The standard also requires lessees

and lessors to provide additional qualitative and quantitative disclosures to help financial statement users assess the amounts, timing and uncertainty of cash flows arising from leases.
The Company adopted the new standard effective January 1, 2019, using the modified retrospective approach. Upon adoption, the Company elected the available practical expedients, including: (i) the package of practical expedients as defined in the accounting guidance, which among other things, allowed the carry forward of historical lease classifications, (ii) the election to use hindsight in determining the lease terms for all leases, (iii) the transition method, which does not require the restatement of prior periods, (iv) the election to aggregate lease components with non-lease components and account for these payments as a single lease component and (v) the short-term lease exemption, which does not require recognition on the balance sheet for leases with an initial term of 12 months or less. The Company has updated its systems, processes and controls to track, record and account for its lease portfolio, including implementation of a third-party software tool to assist in complying with the new standard. Upon adoption of the new standard, the Company recognized a right-of-use asset and a corresponding lease liability of $302 million. In addition, approximately $20 million of restructuring liabilities associated with facility closures and deferred rents, included in Other non-current liabilities as of December 31, 2018, were reclassified to reduce right-of-use assets. The adoption of the standard did not have a material impact on the Consolidated Statements of Operations, Comprehensive Loss, Equity and Cash Flows for any of the periods presented. See Note 12, "LEASES" for additional details and application of this standard.
In August 2018, the FASB issued guidance aligning the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software.  The guidance is effective for annual periods beginning after December 15, 2019, and interim periods within those fiscal years with early adoption permitted.  The Company has early-adopted this guidance prospectively for all implementation costs incurred after January 1, 2019.
Recently Issued Accounting Standards, Not Adopted as of June 30, 2019
In June 2016, the FASB issued guidance on the impairment of financial instruments requiring an impairment model based on expected losses rather than incurred losses. Under this guidance, an entity recognizes as an allowance its estimate of expected credit losses. The guidance iswas effective for annual periodsthe Company beginning after December 15, 2019,January 1, 2020 and interim periods within those annual periods. Early adoption is permitted for annual periods beginning after December 15,was applied using a modified retrospective approach through a cumulative-effect adjustment to accumulated deficit, which resulted in an increase to accumulated deficit of less than $1 million. The application of this guidance did not have a material effect on the Company's results of operations and cash flows. The Company estimates the current expected credit loss on its receivables based on various factors, including historical credit loss experience, customer credit worthiness, value of collaterals (if any), and any relevant current and reasonably supportable future economic factors.  Additionally, the Company generally estimates the expected credit loss on a pool basis when customers are deemed to have similar risk characteristics.
In August 2018, and interim periods within those annual periods. In May 2019, the FASB issued an update allowing a targeted transition reliefguidance modifying the disclosure requirements for fair value measurement.  The guidance was effective for the optionCompany beginning January 1, 2020.  The application of this guidance did not have a material effect on the Company's disclosures.
In March 2020, the FASB issued guidance providing optional expedients and exceptions for applying U.S. GAAP to irrevocably electcontracts, hedging relationships, and other transactions that reference LIBOR or a reference rate that is expected to be discontinued as a result of reference rate reform.  Optional expedients are provided for contract modification accounting within the fair value optionareas of receivables, debt, leases, derivatives and hedging. The optional amendments are effective for certain financial assets previously measured at amortized cost basis. Theall entities as of March 12, 2020, through December 31, 2022. During the three months ended March 31, 2020, the Company is evaluatinghas not entered into any contract modifications in which the optional expedients were applied.  However, if prior to December 31, 2022 the Company enters into a contract modification in which the optional expedients are applied, the Company will evaluate the impact of adoption of this guidance on its financial position, results of operations and cash flows.
In August 2018, the FASB issued guidance modifying the disclosure requirements for fair value measurement.  The guidance is effective for annual periods beginning after December 15, 2019.  The Company is permitted to early-adopt any removed or modified disclosures upon issuanceRecently Issued Accounting Standards, Not Adopted as of this update and delay adoption of the additional disclosures until the effective date.  The Company is evaluating the impact of adoption of this guidance on its disclosures.March 31, 2020
In August 2018, the FASB issued guidance modifying the disclosure requirements for employers that sponsor defined benefit pension or other postretirement plans.  The guidance is effective for annual periods ending after December 15, 2020, with early adoption permitted.  The Company is evaluating the impact of adoption of this guidance on its disclosures.
In December 2019, the FASB issued guidance simplifying the accounting for income taxes.  The guidance is effective for annual periods ending after December 15, 2020, with early adoption permitted.  The Company is evaluating the impact of adoption of this guidance on the Company's financial position, results of operations and cash flows.
3.REVENUE RECOGNITION
The Company’s revenues are primarily generated from product sales, primarilyprincipally in the therapeutic areas of eye-health, GI and dermatology, that consist of: (i) branded pharmaceuticals, (ii) generic and branded generic pharmaceuticals, (iii) OTC products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices). Other revenues include alliance and service revenue from the licensing and co-promotion of products and contract service revenue primarily in the areas of dermatology and topical medication. Contract service revenue is derived primarily from contract manufacturing for third parties and is not material. See Note 20,19, "SEGMENT INFORMATION" for the disaggregation of revenue which depicts how the nature, amount, timing and uncertainty of revenue and cash flows are affected by the economic factors of each category of customer contracts.

Product Sales Provisions
As is customary in the pharmaceutical industry, gross product sales are subject to a variety of deductions in arriving at reported net product sales.  The transaction price for product sales is typically adjusted for variable consideration, which may be in the

form of cash discounts, allowances, returns, rebates, chargebacks and distribution fees paid to customers. Provisions for variable consideration are established to reflect the Company’s best estimates of the amount of consideration to which it is entitled based on the terms of the contract. The amount of variable consideration included in the transaction price may be constrained, and is included in the net sales price only to the extent that it is probable that a significant reversal in the amount of the cumulative revenue recognized will not occur in a future period.
Provisions for these deductions are recorded concurrently with the recognition of gross product sales revenue and include cash discounts and allowances, chargebacks, and distribution fees, which are paid to direct customers, as well as rebates and returns, which can be paid to direct and indirect customers. Returns provision balances and volume discounts to direct customers are included in Accrued and other current liabilities. All other provisions related to direct customers are included in Trade receivables, net, while provision balances related to indirect customers are included in Accrued and other current liabilities.
The Company continually monitors its variable consideration provisions and evaluates the estimates used as additional information becomes available. Adjustments will be made to these provisions periodically to reflect new facts and circumstances that may indicate that historical experience may not be indicative of current and/or future results. The Company is required to make subjective judgments based primarily on its evaluation of current market conditions and trade inventory levels related to the Company's products. This evaluation may result in an increase or decrease in the experience rate that is applied to current and future sales, or an adjustment related to past sales, or both. If the actual amounts paid vary from the Company’s estimates, the Company adjusts these estimates, which would affect net product revenue and earnings in the period such variance becomes known.
The following tables present the activity and ending balances of the Company’s variable consideration provisions for the sixthree months ended June 30, 2019March 31, 2020 and 2018.2019.
 Six Months Ended June 30, 2019 Three Months Ended March 31, 2020
(in millions) 
Discounts
and
Allowances
 Returns Rebates Chargebacks 
Distribution
Fees
 Total 
Discounts
and
Allowances
 Returns Rebates Chargebacks 
Distribution
Fees
 Total
Reserve balances, January 1, 2019 $175
 $813
 $1,024
 $209
 $163
 $2,384
Acquisition of Synergy 
 3
 12
 
 1
 16
Reserve balances, January 1, 2020 $182
 $691
 $927
 $168
 $82
 $2,050
Current period provisions 406
 78
 1,100
 930
 98
 2,612
 156
 42
 602
 484
 53
 1,337
Payments and credits (408) (120) (1,125) (979) (119) (2,751) (167) (75) (588) (501) (61) (1,392)
Reserve balances, June 30, 2019 $173
 $774
 $1,011
 $160
 $143
 $2,261
Reserve balances, March 31, 2020 $171
 $658
 $941
 $151
 $74
 $1,995

Included in Rebates in the table above are cooperative advertising credits due to customers of approximately $30$32 million and $29 million as of March 31, 2020 and January 1, 2020, respectively, which are reflected as a reduction of Trade receivables, net in the Consolidated Balance Sheets. Included as a reduction of Distribution Fees in the table above are price appreciation credits of approximately $4 million as of March 31, 2020.
  Three Months Ended March 31, 2019
(in millions) 
Discounts
and
Allowances
 Returns Rebates Chargebacks 
Distribution
Fees
 Total
Reserve balances, January 1, 2019 $175
 $813
 $1,024
 $209
 $163
 $2,384
Acquisition of Synergy 
 3
 12
 
 1
 16
Current period provisions 204
 33
 533
 443
 48
 1,261
Payments and credits (210) (55) (568) (497) (85) (1,415)
Reserve balances, March 31, 2019 $169
 $794
 $1,001
 $155
 $127
 $2,246

Included in Rebates in the table above are cooperative advertising credits due to customers of approximately $27 million and $26 million as of June 30,March 31, 2019 and January 1, 2019, respectively, which are reflected as a reduction of Trade receivables, net in the Consolidated Balance Sheets. There were no0 price appreciation credits for the sixthree months ended June 30,March 31, 2019.
  Six Months Ended June 30, 2018
(in millions) 
Discounts
and
Allowances
 Returns Rebates Chargebacks 
Distribution
Fees
 Total
Reserve balances, January 1, 2018 $167
 $863
 $1,094
 $274
 $148
 $2,546
Current period provisions 406
 163
 1,330
 947
 116
 2,962
Payments and credits (409) (185) (1,287) (971) (120) (2,972)
Reserve balances, June 30, 2018 $164
 $841
 $1,137
 $250
 $144
 $2,536

Included as a reduction of current period provisions for Distribution Fees in the table above are price appreciation credits of $15 million for the six months ended June 30, 2018.
Contract Assets and Contract Liabilities
There are no contract assets for any period presented. Contract liabilities consist of deferred revenue, the balance of which is not material to any period presented.
Allowance for Credit Losses
An allowance is maintained for potential credit losses. The Company estimates the current expected credit loss on its receivables based on various factors, including historical credit loss experience, customer credit worthiness, value of collaterals (if any), and any relevant current and reasonably supportable future economic factors.  Additionally, the Company generally estimates the expected credit loss on a pool basis when customers are deemed to have similar risk characteristics. Trade receivable balances are written off against the allowance when it is deemed probable that the trade receivable will not be collected. Trade receivables, net are stated net of certain sales provisions and the allowance for credit losses. Allowances for credit losses were $48 million and $48 million as of March 31, 2020 and December 31, 2019, respectively. The activity in the allowance for credit losses for trade receivables for the three months ended March 31, 2020 is as follows. Write-offs charged against the allowance for credit losses and recoveries of amounts previously written off were not material.
(in millions)
Balance, January 1, 2020$48
Retrospective effect of application of new accounting standard1
Provision2
Foreign exchange and other(3)
Balance, March 31, 2020$48

4.ACQUISITION, LICENSING AGREEMENTS AND ASSETS HELD FOR SALE
Acquisition of Certain Assets of Synergy Pharmaceuticals Inc.
On March 6, 2019, the Company acquired certain assets of Synergy Pharmaceuticals Inc. ("Synergy") for a cash purchase price of approximately $180 million and the assumption of certain assumed liabilities, pursuant to the terms approved by the U.S. Bankruptcy Court for the Southern District of New York on March 1, 2019. Among the assets acquired arewere the worldwide rights to the Trulance® (plecanatide) product, a once-daily tablet for adults with chronic idiopathic constipation and irritable

bowel syndrome with constipation. This acquisitionacquired business is included in the Company's Salix segment and is expected to result in additional revenues and costs savings associated with business synergies.
Assets Acquired and Liabilities Assumed
The acquisition of certain assets of Synergy has been accounted for as a business combination under the acquisition method of accounting since:as: (i) substantially all of the fair value of the assets acquired is not concentrated in a single identifiable asset or group of similar identifiable assets and (ii) sufficientsubstantive inputs and processes were acquired to contribute to the creation of outputs. The following table summarizes the estimated fair values of the assets acquired and liabilities assumed related to the acquisition of certain assets of Synergy as of the acquisition date:
(in millions) 
Accounts receivable$7
Inventories24
Prepaid expenses and other current assets5
Product brand intangible assets (estimated useful life - 7 years)159
Accounts payable(1)
Accrued expenses(17)
Total identifiable net assets177
Goodwill3
Total fair value of consideration transferred$180

Due to the timing of the acquisition, the following are provisional and are subject to change:
amounts for intangible assets, property and equipment, inventories, receivables and other working capital adjustments pending finalization of the valuation;
amounts for income tax assets and liabilities, pending finalization of estimates and assumptions in respect of certain tax aspects of the transaction; and
amount of goodwill pending the completion of the valuation of the assets acquired and liabilities assumed.
The Company will finalize these amounts no later than one year from the acquisition date, once it obtains the information necessary to complete the measurement process. Any changes resulting from facts and circumstances that existed as of the acquisition date may result in adjustments to the provisional amounts recognized at the acquisition date which will impact the reported results in the period those adjustments are identified. These adjustments, if any, could be material.
Goodwill associated with the acquisition of certain assets of Synergy is not deductible for income tax purposes.
Revenue and Operating Results
Revenues associated with the acquired assets of Synergy during the period March 6, 2019 through June 30,December 31, 2019 were $23$55 million. Operating results associated with the acquired assets of Synergy during the period March 6, 2019 through June 30,December 31, 2019 and pro-forma revenues and operating results for the sixthree months ended June 30,March 31, 2019 and 2018the year 2019 were not material. Included in Other expense (income), net during the sixthree months ended June 30,March 31, 2019 are acquisition-related costs of $8 million directly related to the acquisition of certain assets of Synergy, which includesinclude expenditures for advisory, legal, valuation, accounting and other similar services.
Licensing Agreements
In the normal course of business, the Company may enter into select licensing and collaborative agreements for the commercialization and/or development of unique products. These products are sometimes investigational treatments in early stage development that target unique conditions. The ultimate outcome, including whether the product will be (i) fully developed, (ii) approved by regulatory agencies, (iii) covered by third-party payors or (iv) profitable for distribution, cannot be fairly predicted. The commitment periods under these agreements vary and include customary termination provisions. Expenses arising from commitments, if any, to fund the development and testing of these products and their promotion are recognized as incurred. Royalties due are recognized when earned and milestone payments are accrued when each milestone has been achieved and payment is probable and can be reasonably estimated.
Assets Held for Sale
In 2019, the Company identified certain products in the Bausch + Lomb/International segment and 1 product in the Diversified Products segment for disposal. The products and the related assets and liabilities of this disposal group qualified as a business. Revenues associated with this business were $14 million and $19 million for the years 2019 and 2018, respectively. The carrying value of the business, including inventories, intangible assets, goodwill and deferred income taxes, was adjusted to its estimated fair value less costs to sell and reclassified as held for sale as of September 30, 2019 and an impairment of $8 million associated with this business was recognized during the three months ended September 30, 2019. As a result of changing business dynamics, during the three months ended March 31, 2020, the Company decided not to sell these assets and reclassified $39 million of held for sale assets as assets held and used at their respective fair values at the date of the decision not to sell. This reclassification did not impact the Consolidated Statement of Operations for the three months ended March 31, 2020.
5.RESTRUCTURING AND INTEGRATION COSTS
The Company evaluates opportunities to improve its operating results and implements cost savings programs to streamline its operations and eliminate redundant processes and expenses. The expenses associated with the implementation of these cost savings programs include expenses associated with: (i) reducing headcount, (ii) eliminating real estate costs associated with unused or under-utilizedunder utilized facilities and (iii) implementing contribution margin improvement and other cost reduction initiatives. The remaining liability associated with restructuring and integration costs as of June 30, 2019March 31, 2020 was $27 million.

During the sixthree months ended June 30, 2019,March 31, 2020, the Company incurred $24$4 million of restructuring and integration costs. These costs included: (i) $11$3 million of facility closure costs and (ii) $1 million of severance costs. The Company made payments of $4 million for the three months ended March 31, 2020.
During the three months ended March 31, 2019, the Company incurred $20 million of restructuring and integration costs. These costs included: (i) $10 million of severance and other costs associated with the acquisition of certain assets of Synergy, which were not essential to complete, close and report the acquisition, (ii) $6 million of other severance costs and (iii) $6 million of facility closure costs and (iv) $1 million of other costs. The Company made payments of $24 million for the six months ended June 30, 2019.
During the six months ended June 30, 2018, the Company incurred $13 million of restructuring and integration costs. These costs included: (i) $8 million of severance costs and (ii) $5$4 million of facility closure costs. The Company made payments of $13$16 million for the sixthree months ended June 30, 2018.March 31, 2019.

6.FAIR VALUE MEASUREMENTS AND FINANCIAL INSTRUMENTS
Fair value measurements are estimated based on valuation techniques and inputs categorized as follows:
Level 1 — Quoted prices in active markets for identical assets or liabilities;
Level 2 — Observable inputs other than Level 1 prices, such as quoted prices for similar assets or liabilities, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities; and
Level 3 — Unobservable inputs that are supported by little or no market activity and that are financial instruments whose values are determined using discounted cash flow methodologies, pricing models, or similar techniques, as well as instruments for which the determination of fair value requires significant judgment or estimation.
If the inputs used to measure the financial assets and liabilities fall within more than one level described above, the categorization is based on the lowest level input that is significant to the fair value measurement of the instrument.
Assets and Liabilities Measured at Fair Value on a Recurring Basis
The following fair value hierarchy table presents the components and classification of the Company’s financial assets and liabilities measured at fair value on a recurring basis:
 June 30, 2019 December 31, 2018 March 31, 2020 December 31, 2019
(in millions) 
Carrying
Value
 
Quoted
Prices
in Active
Markets for
Identical
Assets
(Level 1)
 
Significant
Other
Observable
Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Carrying
Value
 
Quoted
Prices
in Active
Markets for
Identical
Assets
(Level 1)
 
Significant
Other
Observable
Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Carrying
Value
 
Quoted
Prices
in Active
Markets for
Identical
Assets
(Level 1)
 
Significant
Other
Observable
Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Carrying
Value
 
Quoted
Prices
in Active
Markets for
Identical
Assets
(Level 1)
 
Significant
Other
Observable
Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
Assets:                                
Cash equivalents $258
 $206
 $52
 $
 $197
 $166
 $31
 $
 $37
 $12
 $25
 $
 $2,696
 $2,646
 $50
 $
Restricted cash $2
 $2
 $
 $
 $2
 $2
 $
 $
 $1,011
 $1,011
 $
 $
 $1
 $1
 $
 $
Cross-currency swaps $55
 $
 $55
 $
 $
 $
 $
 $
Foreign currency exchange contracts $1
 $
 $1
 $
 $
 $
 $
 $
Liabilities:      
                
          
Acquisition-related contingent consideration $318
 $
 $
 $318
 $339
 $
 $
 $339
 $312
 $
 $
 $312
 $316
 $
 $
 $316
Cross-currency swaps $
 $
 $
 $
 $13
 $
 $13
 $
Foreign currency exchange contracts $6
 $
 $6
 $
 $
 $
 $
 $

Cash equivalents consist of highly liquid investments, primarily money market funds, with maturities of three months or less when purchased, and are reflected in the Consolidated Balance Sheets at carrying value, which approximates fair value due to their short-term nature.
As of March 31, 2020, Restricted cash includes $1,010 million of payments into an escrow fund under the terms of a settlement agreement regarding certain U.S. securities litigation, subject to final court approval, and is reflected in the Consolidated Balance Sheets at carrying value, which approximates fair value due to its short-term nature. These payments will remain in escrow until final approval of the settlement as discussed in Note 18, "LEGAL PROCEEDINGS".
There were no transfers between Level 1, Level 2into or out of Level 3 during the sixthree months ended JuneMarch 31, 2020.

Cross-currency Swaps
During the three months ended September 30, 2019, the Company entered into cross-currency swaps, with aggregate notional amounts of $1,250 million, to mitigate fluctuation in the value of a portion of its euro-denominated net investment in its consolidated financial statements from adverse movements in exchange rates. The euro-denominated net investment being hedged is the Company’s investment in certain euro-denominated subsidiaries. The Company had no derivative instruments during the three months ended March 31, 2019.
AssetsThe Company’s cross-currency swaps qualify for and Liabilities Measuredhave been designated as an accounting hedge of the foreign currency exposure of a net investment in a foreign operation and are remeasured at Fair Valueeach reporting date to reflect changes in their fair values. The fair value is determined via a mark-to-market analysis, using observable (Level 2) inputs. These inputs may include: (i) the foreign currency exchange spot rate between the euro and U.S. dollar, (ii) the risk-free interest rate and (iii) the credit risk rating for each applicable counterparty. The net change in fair value of cross-currency swaps, is reported as a gain or loss in the Consolidated Statements of Comprehensive Loss as part of Foreign currency translation adjustment to the extent they are effective and remain in Accumulative Comprehensive Income until either the sale or complete, or substantially complete, liquidation of the subsidiary. No portion of the cross-currency swaps were ineffective for the three months ended March 31, 2020. The Company uses the spot method of assessing hedge effectiveness. The Company has elected to amortize amounts excluded from the assessment of effectiveness over the term of its cross-currency swaps as Interest expense in the Consolidated Statements of Operations.
The fair value of the Company’s cross-currency swaps asset as of March 31, 2020 was $55 million. Included in Other non-current assets are $52 million of cross-currency swaps and included in Prepaid expenses and other current assets is $3 million of earned interest within the Consolidated Balance Sheets. The following table presents the effect of hedging instruments on the Consolidated Statements of Comprehensive Loss and the Consolidated Statements of Operations for the three months ended March 31, 2020:
(in millions) 
Gain recognized in
Other Comprehensive Loss
 
Gain excluded from
assessment of hedge effectiveness
 Location of gain in income of excluded component
Cross-currency swaps $73
 $6
 Interest expense

Settlement of the Company's cross-currency swaps occur in February and August each year. During the three months ended March 31, 2020, the Company received $11 million in settlements which are reported as investing activities in the Consolidated Statements of Cash Flows.
Foreign Currency Exchange Contracts
During the three months ended March 31, 2020, the Company entered into foreign currency exchange contracts, with an aggregate notional amount of $163 million. The Company had no foreign currency exchange contracts during 2019.
The Company's foreign currency exchange contracts are remeasured at each reporting date to reflect changes in their fair values determined using forward rates, which are observable market inputs, multiplied by the notional amount. The Company's foreign currency exchange contracts are economically hedging the foreign exchange exposure on certain of the Company’s intercompany balances. These contracts have not been designated as an accounting hedge, and therefore the net change in their fair value is reported as a Recurring Basis Using Significant Unobservable Inputs (Level 3)gain or loss in the Consolidated Statements of Operations as part of Foreign exchange and other.
The fair value of the Company's foreign currency exchange contracts as of March 31, 2020 was $5 million. Included in Accrued and other current liabilities are $6 million and included in Prepaid expenses and other current assets are $1 million of foreign currency exchange contracts within the Consolidated Balance Sheets. During the three months ended March 31, 2020, the net change in fair value was a loss of $5 million. Settlements of the Company's foreign currency exchange contracts are reported as operating activities in the Consolidated Statements of Cash Flows.

Acquisition-related Contingent Consideration Obligations
The fair value measurement of contingent consideration obligations arising from business combinations is determined via a probability-weighted discounted cash flow analysis, using unobservable (Level 3) inputs. These inputs may include: (i) the estimated amount and timing of projected cash flows, (ii) the probability of the achievement of the factor(s) on which the contingency is based and (iii) the risk-adjusted discount rate used to present value the probability-weighted cash flows. Significant increases (decreases)or decreases in any of those inputs in isolation could result in a significantly higher or lower (higher) fair value measurement. At June 30, 2019,March 31, 2020, the fair value measurements of acquisition-related contingent consideration were determined using risk-adjusted discount rates ranging from 5% to 25%, and a weighted average risk-adjusted discount rate of 7%.

The weighted average risk-adjusted discount rate was calculated by weighting each contract's relative fair value at March 31, 2020.
The following table presents a reconciliation of contingent consideration obligations measured on a recurring basis using significant unobservable inputs (Level 3) for the sixthree months ended June 30, 2019March 31, 2020 and 2018:2019:
(in millions) 2019 2018 2020 2019
Balance, beginning of period   $339
   $387
   $316
   $339
Adjustments to Acquisition-related contingent consideration:                
Accretion for the time value of money $11
   $12
   $6
   $6
  
Fair value adjustments due to changes in estimates of other future payments (12)   (16)   7
   (27)  
Acquisition-related contingent consideration   (1)   (4)   13
   (21)
Foreign currency translation adjustment included in other comprehensive loss   
   1
Payments   (20)   (20)   (17)   (9)
Balance, end of period   318
   364
   312
   309
Current portion included in Accrued and other current liabilities   47
   54
   44
   45
Non-current portion   $271
   $310
   $268
   $264

IncludedAssets and Liabilities Measured at Fair Value on a Non-Recurring Basis
The following table presents the components and classification of the Company’s financial assets and liabilities measured at fair value on a non-recurring basis:
  March 31, 2020 December 31, 2019
(in millions) 
Carrying
Value
 
Quoted
Prices
in Active
Markets for
Identical
Assets
(Level 1)
 
Significant
Other
Observable
Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
 
Carrying
Value
 
Quoted
Prices
in Active
Markets for
Identical
Assets
(Level 1)
 
Significant
Other
Observable
Inputs
(Level 2)
 
Significant
Unobservable
Inputs
(Level 3)
Other non-current assets:                
Non-current assets held for sale $
 $
 $
 $
 $39
 $
 $
 $39

Non-current assets held for sale of $39 million included in Fair value adjustmentsthe Consolidated Balance Sheets as of December 31, 2019 were remeasured to their estimated fair values less costs to sell determined using a discounted cash flow analysis which utilized Level 3 unobservable inputs. As discussed in Note 4, "ACQUISITION, LICENSING AGREEMENTS AND ASSETS HELD FOR SALE", due to changes in estimates of other future payments inchanging business dynamics, the table above forCompany decided not to sell these assets during the three and six months ended June 30, 2019, is an $8 million fair value adjustment related to an acquisition which occurred in 2011.March 31, 2020.
Fair Value of Long-term Debt
The fair value of long-term debt as of June 30, 2019March 31, 2020 and December 31, 20182019 was $25,275$24,462 million and $23,357$27,520 million, respectively, and was estimated using the quoted market prices for the same or similar debt issuances (Level 2).

7.INVENTORIES
Inventories, net of allowances for obsolescence consist of:
(in millions) June 30,
2019

December 31,
2018
 March 31,
2020

December 31,
2019
Raw materials $307
 $275
 $310
 $319
Work in process 145
 95
 155
 149
Finished goods 608
 564
 659
 639
 $1,060
 $934
 $1,124
 $1,107


8.INTANGIBLE ASSETS AND GOODWILL
Intangible Assets
The major components of intangible assets consist of:
 June 30, 2019 December 31, 2018 March 31, 2020 December 31, 2019
(in millions) 
Gross
Carrying
Amount
 
Accumulated
Amortization
and
Impairments
 
Net
Carrying
Amount
 
Gross
Carrying
Amount
 
Accumulated
Amortization
and
Impairments
 
Net
Carrying
Amount
 
Gross
Carrying
Amount
 
Accumulated
Amortization
and
Impairments
 
Net
Carrying
Amount
 
Gross
Carrying
Amount
 
Accumulated
Amortization
and
Impairments
 
Net
Carrying
Amount
Finite-lived intangible assets:                        
Product brands $21,109
 $(12,815) $8,294
 $20,891
 $(11,958) $8,933
 $20,989
 $(13,924) $7,065
 $21,011
 $(13,544) $7,467
Corporate brands 930
 (301) 629
 926
 (263) 663
 914
 (348) 566
 930
 (338) 592
Product rights/patents 3,297
 (2,769) 528
 3,292
 (2,658) 634
 3,284
 (2,918) 366
 3,297
 (2,887) 410
Partner relationships 169
 (167) 2
 168
 (166) 2
 155
 (154) 1
 166
 (165) 1
Technology and other 209
 (182) 27
 208
 (173) 35
 203
 (186) 17
 209
 (189) 20
Total finite-lived intangible assets 25,714
 (16,234) 9,480
 25,485
 (15,218) 10,267
 25,545
 (17,530) 8,015
 25,613
 (17,123) 8,490
Acquired IPR&D not in service 18
 
 18
 36
 
 36
 13
 
 13
 13
 
 13
Bausch + Lomb Trademark 1,698
 
 1,698
 1,698
 
 1,698
 1,698
 
 1,698
 1,698
 
 1,698
 $27,430
 $(16,234) $11,196
 $27,219
 $(15,218) $12,001
 $27,256
 $(17,530) $9,726
 $27,324
 $(17,123) $10,201

Long-lived assets with finite lives are tested for impairment whenever events or changes in circumstances indicate that the carrying value of an asset may not be recoverable. Impairment charges associated with these assets are included in Asset impairments in the Consolidated Statement of Operations. The Company continues to monitor the recoverability of its finite-lived intangible assets and tests the intangible assets for impairment if indicators of impairment are present.
Asset impairments for the sixthree months ended June 30, 2019 include impairments of: (i) $13March 31, 2020 were $14 million reflectingdue to decreases in forecasted sales of a certain product lineline.
Asset impairments for the three months ended March 31, 2019 were $3 million due to generic competition and (ii) $3 million, in aggregate, related to certain product/patent assets associated with the discontinuance of a specific product linesline not aligned with the focus of the Company's core businesses.
Asset impairments for the six months ended June 30, 2018 include: (i) impairments of $323 million reflecting decreases in forecasted sales for the Uceris® Tablet product and other product lines due to generic competition, (ii) impairments of $17 million, in aggregate, related to certain product/patent assets associated with the discontinuance of specific product lines not aligned with the focus of the Company's core businesses and revisions to forecasted sales and (iii) impairments of $5 million related to assets being classified as held for sale.
Periodically, the Company’s products face the expiration of their patent or regulatory exclusivity. The Company anticipates that product sales for such products would decrease shortly following a loss of exclusivity, due to the possible entry of a generic competitor. Where the Company has the rights, it may elect to launch an authorized generic of such product (either as the Company’s own branded generic or through a third-party). This may occur prior to, upon or following generic entry, which may mitigate the anticipated decrease in product sales; however, even with launch of an authorized generic, the decline in product sales of such product could still be significant, and the effect on future revenues could be material.
As a result of the launch of a generic competitor in July 2018, the Company revised its near and long-term financial projections of the Uceris® Tablet related intangible assets. As of June 30, 2018, the carrying value of the Uceris® Tablet related intangible assets exceeded the undiscounted expected cash flows from the Uceris® Tablet. As a result, the Company recognized an impairment of $263 million to reduce the carrying value of the Uceris® Tablet related intangible assets to their estimated fair value. As of June 30, 2019, the remaining carrying value of the Uceris® Tablet related intangible assets was $93 million. Prior to its launch, the Company initiated infringement proceedings against this generic competitor.  The Company continues to believe that its Uceris® Tablet-related patents are enforceable and is proceeding in the ongoing litigation between the Company and the generic competitor, however the ultimate outcome of the matter is not predictable.
Management continually assesses the useful lives related to the Company's long-lived assets to reflect the most current assumptions. In review of the Company’s finite-lived intangible assets, management revised the estimated useful lives of certain intangible assets in 2018.

Effective September 12, 2018, the Company changed the estimated useful life of its Xifaxan®-related intangible assets due to the positive impact of the agreement between the Company and Actavis Laboratories FL, Inc. ("Actavis") resolving the intellectual property litigation regarding Xifaxan® tablets, 550 mg. As discussed in further detail in Note 20, "LEGAL PROCEEDINGS" to the Company's Annual Consolidated Financial Statements contained in its Annual Report on Form 10-K for the year ended December 31, 2018, the parties agreed to dismiss all litigation related to Xifaxan® tablets, 550 mg and all intellectual property protecting Xifaxan® will remain intact and enforceable. As a result, the useful life of the Xifaxan®-related intangible assets was extended from 2024 to January 1, 2028. As this change in the estimated useful life is a change in an accounting estimate, amortization expense is impacted prospectively. The change in the estimated useful life of the Xifaxan®-related intangible assets resulted in a decrease to the Net loss attributable to Bausch Health Companies Inc. of $235 million, and a decrease to the Basic and Diluted Loss per share attributable to Bausch Health Companies Inc. of $0.67 for the six months ended June 30, 2019. As of June 30, 2019, the net carrying value of the Xifaxan®-related intangible assets was $4,579 million.
Estimated amortization expense of finite-lived intangible assets for the remainder of 20192020 and each of the five succeeding years ending December 31 and thereafter is as follows:
(in millions) Remainder of 2019 2020 2021 2022 2023 2024 Thereafter Total Remainder of 2020 2021 2022 2023 2024 2025 Thereafter Total
Amortization $924
 $1,641
 $1,392
 $1,239
 $1,089
 $955
 $2,240
 $9,480
 $1,188
 $1,374
 $1,217
 $1,071
 $942
 $832
 $1,391
 $8,015

Goodwill
The changes in the carrying amounts of goodwill during the sixthree months ended June 30, 2019March 31, 2020 and the year ended December 31, 20182019 were as follows:
(in millions) Bausch + Lomb/ International Branded Rx U.S. Diversified Products Salix Ortho Dermatologics Diversified Products Total
Balance, January 1, 2018 $6,016
 $6,631
 $2,946
 $
 $
 $
 $15,593
Impairment of the Salix and Ortho Dermatologics reporting units 
 (2,213) 
 
 
 
 (2,213)
Realignment of Global Solta reporting unit goodwill (82) 115
 (33) 
 
 
 
Goodwill reclassified to assets held for sale and subsequently disposed (2) 
 
 
 
 
 (2)
Realignment of segment goodwill 
 (4,533) (2,913) 3,156
 1,267
 3,023
 
Impairment of the Dentistry reporting unit 
 
 
 
 
 (109) (109)
Foreign exchange and other (127) 
 
 
 
 
 (127)
Balance, December 31, 2018 5,805
 
 
 3,156
 1,267
 2,914
 13,142
Acquisition of certain assets of Synergy 
 
 
 3
 
 
 3
Foreign exchange and other 15
 
 
 
 
 
 15
Balance, June 30, 2019 $5,820
 $
 $
 $3,159
 $1,267
 $2,914
 $13,160
(in millions) Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products Total
Balance, January 1, 2019 $5,805
 $3,156
 $1,267
 $2,914
 $13,142
Acquisition of certain assets of Synergy 
 3
 
 
 3
Goodwill reclassified to assets held for sale (Note 4) (18) 
 
 
 (18)
Foreign exchange and other (1) 
 
 
 (1)
Balance, December 31, 2019 5,786
 3,159
 1,267
 2,914
 13,126
Assets held for sale reclassified to goodwill (Note 4) 18
 
 
 
 18
Foreign exchange and other (110) 
 
 
 (110)
Balance, March 31, 2020 $5,694
 $3,159
 $1,267
 $2,914
 $13,034

Goodwill is not amortized but is tested for impairment at least annually at the reporting unit level. A reporting unit is the same as, or one level below, an operating segment. The fair value of a reporting unit refers to the price that would be received to sell the unit as a whole in an orderly transaction between market participants. The Company estimates the fair values of all reporting units using a discounted cash flow model which utilizes Level 3 unobservable inputs.
The discounted cash flow model relies on assumptions regarding revenue growth rates, gross profit, projected working capital needs, selling, general and administrative expenses, research and development expenses, capital expenditures, income tax rates, discount rates and terminal growth rates. To estimate fair value, the Company discounts the forecasted cash flows of each reporting unit. The discount rate the Company uses represents the estimated weighted average cost of capital, which reflects the overall level of inherent risk involved in its reporting unit operations and the rate of return a market participant would expect to earn. The Company performed its annual impairment test as of October 1, 2018,2019 by first assessing qualitative factors to determine whether it is more likely than not that the fair value of each reporting unit is less than its carrying amount (Step 0). Where the qualitative assessment suggested that it was more likely than not that the fair value of a reporting unit was less than its carrying amount, a quantitative fair value test was performed for that reporting unit (Step 1). The quantitative fair value test was performed utilizing long-term growth rates for its reporting units ranging from 1.0% to 3.0% and discount rates applied to the estimated cash flows ranging from 7.5% to 14.0% in estimation of fair value. To estimate cash flows beyond the final year of its model, the Company estimates

a terminal value by applying an in perpetuityin-perpetuity growth assumption and discount factor to determine the reporting unit's terminal value.
The Company forecasts cash flows for each reporting unit and takes into consideration economic conditions and trends, estimated future operating results, management's and a market participant's view of growth rates and product lives, and anticipates future economic conditions. Revenue growth rates inherent in these forecasts were based on input from internal and external market research that compare factors such as growth in global economies, recent industry trends and product life-cycles. Macroeconomic factors such as changes in economies, changes in the competitive landscape including the unexpected loss of exclusivity to the Company's product portfolio, changes in government legislation, product life-cycles, industry consolidations and other changes beyond the Company’s control could have a positive or negative impact on achieving its targets. Accordingly, if market conditions deteriorate, or if the Company is unable to execute its strategies, it may be necessary to record impairment charges in the future.
2018
Adoption of New Accounting Guidance for2019 Goodwill Impairment Testing
In January 2017,During the FASB issued guidance which simplifies the subsequent measurementinterim periods of goodwill by eliminating “Step 2” from the goodwill impairment test. Instead, goodwill impairment is measured as the amount by which a reporting unit's carrying value exceeds its fair value. The Company elected to adopt this guidance effective January 1, 2018.
Upon adopting the new guidance, the Company tested goodwill for impairment and determined that the carrying value of the Salix reporting unit exceeded its fair value. As a result of the adoption of new accounting guidance, the Company recognized a goodwill impairment of $1,970 million associated with the Salix reporting unit.
As of October 1, 2017, the date of the 2017 annual goodwill impairment test, the fair value of the Ortho Dermatologics reporting unit exceeded its carrying value. However, at January 1, 2018, unforeseen changes in the business dynamics of the Ortho Dermatologics reporting unit, such as: (i) changes in the dermatology sector, (ii) increased pricing pressures from third-party payors, (iii) additional risks to the exclusivity of certain products and (iv) an expected longer launch cycle for a new product, were factors that negatively impacted the reporting unit's operating results beyond management's expectations as of October 1, 2017, when the Company performed its 2017 annual goodwill impairment test. In response to these adverse business indicators, as of January 1, 2018, the Company reduced its near and long term financial projections for the Ortho Dermatologics reporting unit. As a result of the reductions in the near and long term financial projections, the carrying value of the Ortho Dermatologics reporting unit exceeded its fair value at January 1, 2018 and the Company recognized a goodwill impairment of $243 million.
As of January 1, 2018, with the exception of the Salix reporting unit and Ortho Dermatologics reporting unit, the fair value of all reporting units exceeded their respective carrying value by more than 15%.
2018 Realignment of Solta Business
Effective March 1, 2018, revenues and profits from the U.S. Solta business included in the former U.S. Diversified Products segment in prior periods and revenues and profits from the international Solta business included in the Bausch + Lomb/International segment in prior periods, are reported in the new Global Solta reporting unit, which, at that time, was a part of the former Branded Rx segment. As a result of this change, $115 million of goodwill was reallocated to the new Global Solta reporting unit and the Company assessed the impact on the fair values of each of the reporting units affected. After considering, among other matters: (i) the limited period of time between last impairment test (January 1, 2018) and the realignment (March 1, 2018), (ii) the results of the last impairment test and (iii) the amount of goodwill reallocated to the new Global Solta reporting unit, the Company did not identify any indicators of impairment at the time of the realignment.
2018 Realignment of Segment Structure
In the second quarter of 2018, the Company began operating in the following reportable segments: (i) Bausch + Lomb/International segment, (ii) Salix segment, (iii) Ortho Dermatologics segment and (iv) Diversified Products segment. The Bausch + Lomb/International segment consists of the: (i) U.S. Bausch + Lomb and (ii) International reporting units. The Salix segment consists of the Salix reporting unit. The Ortho Dermatologics segment consists of the: (i) Ortho Dermatologics and (ii) Global Solta reporting units. The Diversified Products segment consists of the: (i) Neurology and Other, (ii) Generics and (iii) Dentistry reporting units. There was2019, no triggering event which would require the Company to test goodwill for

impairment as a result of the second quarter realignment of the segment structure as it did not result in a change in the reporting units.
2018 Annual Goodwill Impairment Test
The Company conducted its annual goodwill impairment test as of October 1, 2018 and determined that the carrying value of the Dentistry reporting unit exceeded its fair value and, as a result, the Company recognized a goodwill impairment of $109 million for the Dentistry reporting unit, representing the full amount of goodwill for the reporting unit. Changing market conditions such as: (i) an increasing competitive environment and (ii) increasing pricing pressures negatively impacted the reporting unit's operating results. The Company is taking steps to address these changing market and business conditions.
The Company's remaining reporting units passed the goodwill impairment test as the estimated fair value of each reporting unit exceeded its carrying value at the date of testing and, therefore, there was no impairment to goodwill for any reporting unit other than the Dentistry reporting unit. In order to evaluate the sensitivity of its fair value calculations on the goodwill impairment test, the Company compared the carrying value of each reporting unit to its fair value as of October 1, 2018, the date of testing. As of October 1, 2018, the fair value of each reporting unit with associated goodwill exceeded its carrying value by more than 15%.
2019 Interim Goodwill Impairment Assessment
No events occurred, or circumstances changed during the period October 1, 2018 (the date goodwill was last tested for impairment) through June 30, 2019 that would indicate that the fair value of any reporting unit might be below its carrying value. Based on the results of the October 1, 2018value and therefore, no impairments were recorded. The Company conducted its annual goodwill impairment test as of October 1, 2019 by first assessing qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount. Where the qualitative assessment suggested that it was more likely than not that the fair value of a reporting unit was less than its carrying amount, a quantitative fair value test was performed for that reporting unit. In each quantitative fair value test performed, the fair value was greater than the carrying value of the reporting unit. As a result, there was 0 impairment to the goodwill of any reporting unit. If market conditions deteriorate, or if the Company is unable to execute its strategies, it may be necessary to record impairment charges in the future. Specifically, the Company continues to assess the performance of the Ortho Dermatologics reporting unit and

the Neurology and Other reporting unit as compared to their respective projections and will perform qualitative interim assessments of the carrying value and fair value of the Ortho Dermatologics reporting unit on a quarterly basis to determine if impairment testing of goodwill will be warranted. The Company performed quantitative fair value tests for the Ortho Dermatologics reporting unit and the Neuro and Other reporting unit as of October 1, 2019, utilizing long-term growth rates of 2.0% and 1.5%, and discount rates of 9.8% and 9.0%, respectively, in estimation of the fair value of these reporting units.
2020 Interim Goodwill Impairment Assessment
The unprecedented nature of the COVID-19 pandemic has adversely impacted the global economy. As the global economic landscape changes, there is a wide range of possible outcomes regarding the nature and timing of events and reactions to the COVID-19 pandemic, each of which are highly dependent on variables that are difficult to predict at this time.
In response to the COVID-19 pandemic, the Company has taken actions to protect its employees, customers and other stakeholders and mitigate the negative impact of the COVID-19 pandemic on its operations and operating results. These and additional actions can increase the costs of doing business during the pandemic and in the periods that follow, including the costs of idling and reopening certain facilities in affected areas. Further, precautionary measures taken by customers, health care patients and consumers in response to the pandemic are expected to impact the timing and amount of revenues during the COVID-19 pandemic. Although the Company's reported revenues for the three months ended March 31, 2020 are less than forecasted and additional pandemic-related declines in revenues are expected in the second quarter and possibly the remainder of 2020, there is currently no indication that these trends are materially other than COVID-19 related.
The negative impacts of the COVID-19 pandemic on the global economy were not existing conditions as of October 1, 2019 (the date goodwill was last tested for impairment) and have led to significant volatility in the global equity markets. The Company has been able to continue its operations with limited disruptions and has assessed the potential impact that the COVID-19 pandemic is likely to have on its forecasted cash flows. In performing its assessment, the Company considered the possible affects and outcomes of the COVID-19 pandemic on, among other things, its supply chain, customers and distributors, employee base, product sustainability, research and development activities, product pipeline and consumer demand and related rebates and discounts and has made adjustments, although not considered to be material, to its long-term forecasts as of October 1, 2019 (the date goodwill was last tested for impairment) for these and other matters. After completing this assessment, although not completely insulated from the negative effects of the COVID-19 pandemic, the Company believes that its long-term forecasted cash flows, as adjusted for the possible outcome of the COVID-19 pandemic and other matters, do not indicate that the fair value of any reporting unit may be below its carrying value.
During the pandemic, the public has been advised to: (i) remain at home, (ii) limit social interaction, (iii) close non-essential businesses and (iv) postpone certain surgical and elective medical procedures in order to prioritize/conserve available health care resources. During the three months ended March 31, 2020, this has negatively impacted, most notably, the revenues of the Company's Global Vision Care and Global Surgical businesses particularly in Asia where the COVID-19 pandemic originated. The Company anticipates further revenue declines in these businesses during 2020 as it experienced steeper declines in these business revenues in the month of March. Beginning in the second quarter, the Company started experiencing and is anticipating COVID-19 pandemic-related revenue declines in intraocular lenses, medical devices, surgical systems and certain pre- and post-operative eye-medications of its Ophthalmology business, in medical aesthetics and therapeutic products of its Global Solta business, and in certain branded pharmaceutical products of its Salix, Ortho Dermatologics and Dentistry businesses. These revenues declines are expected, as the offices of many health care providers are closed and certain surgeries and elective medical procedures are being deferred. To date, the COVID-19 pandemic appears to have had only a limited impact on the revenues of the Company's Xifaxan® products.
Based on its assessment the Company believes its revenues will be most impacted by the pandemic during the second quarter, as the infection rate of the COVID-19 virus accelerated in March into April, and the virus had spread beyond Asia into different geographies, including the U.S. and Europe, and the number of shelter-in-place directives issued by local authorities increased. Although the affected businesses and geographies are expected to recover at different rates, overall the Company anticipates that the negative trend in revenues will begin to stabilize during its second quarter and continue into its third quarter with the revenues of all businesses possibly returning to pre-pandemic levels as early as late 2020, but, if not, then in 2021. This assessment assumes, among other matters, that the precautionary measures taken by the public are successful in decelerating the spread of the virus, there will be no resurgence of the virus in the second half of 2020 that will lead to significant social restrictions, there will be no significant social restrictions in place at the end of 2020, responses from governments and private sector participants will be successful in bringing about a quick orderly recovery of the global economy, there will be no major

interruptions in the Company's supply, manufacturing and distribution channels and the Company continues to execute on its strategies in response to the pandemic.
The Company's latest forecasts of cash flows gives consideration to the nature and timing of the expected revenue losses disclosed above. The changes in the amounts and timing of these revenues as presented in the latest forecasts include a range of potential outcomes and are not substantial enough to materially adversely affect the recoverability of any of the associated reporting units’ assets and are not material enough to indicate that the fair values of those reporting units might be below their respective carrying values.
Based on the results of the October 1, 2019 annual goodwill impairment test, the Company performed qualitative interim assessments of the respective carrying values and fair values of the Ortho Dermatologics reporting unit and the Neuro and Other reporting unit as of March 31, 2020 to determine if quantitative fair value testing was warranted. As part of these qualitative assessments, management considered the qualitative assessment astotality of June 30, 2019, management comparedall relevant events or circumstances that effect the carrying amount or fair value of each reporting unit, including comparing the reporting unit’sunits’ operating results to the forecast used to test the goodwill of the Ortho Dermatologics reporting unit and the Neuro and Other reporting unit as of October 1, 2018. Based2019. Management believed that based on theits qualitative assessment, management believedit was more likely than not that the carrying valueamount of Ortho Dermatologicsthe Neuro and Other reporting unit did not exceedwas less than its fair value and, therefore, concluded a quantitative assessment was not required at June 30, 2019.March 31, 2020. However, the operating results for the Ortho Dermatologics reporting unit for three months ended March 31, 2020 were less than those forecasted as of October 1, 2019 for the same period. Further, the Company adjusted its forecasted cash flows for the Ortho Dermatologics reporting unit for the wide range of potential impacts of the COVID-19 pandemic and longer launch cycles for certain new products. These factors are indicators that there is less headroom as of March 31, 2020 as compared to the headroom calculated on the date goodwill was last tested for impairment. Therefore, a quantitative fair value test for the Ortho Dermatologics reporting unit was performed. The quantitative fair value test utilized the Company's most recent cash flow projections, including a range of potential outcomes, along with a long-term growth rate of 2.0% and a range of discount rates between 9.5% and 10.0%. Based on the quantitative test, the fair value of the Ortho Dermatologics reporting unit continued to be greater than its carrying value and as a result, there was no impairment to the goodwill of the reporting unit, however, the headroom was reduced from the prior year’s assessment. The Company continues to monitor the market conditions impacting the Ortho Dermatologics reporting unit and Neuro and Other reporting unit including: (i) the impacts of the COVID-19 pandemic on operations, (ii) the impact of the loss of exclusivity of certain products, (iii) the impact of longer launch cycles for new products and (iv) ongoing pricing pressures, which could negatively impact the reporting units' results over the long term.
If market conditions further deteriorate, if the factors and circumstances regarding the COVID-19 pandemic escalate beyond management’s current expectations, or if the Company is unable to execute its strategies, it may be necessary to record impairment charges in the future and those charges can be material.
No other events occurred or circumstances changed during the period October 1, 2019 (the date goodwill was last tested for impairment) through March 31, 2020 that indicate it is more likely than not the fair value of any reporting unit, other than the Ortho Dermatologics reporting unit may be below its carrying value.
Accumulated goodwill impairment charges through June 30, 2019March 31, 2020 were $3,711 million.

9.ACCRUED AND OTHER CURRENT LIABILITIES
Accrued and other current liabilities consist of:
(in millions) June 30,
2019
 December 31, 2018 March 31,
2020
 December 31, 2019
Legal matters and related fees $1,416
 $1,397
Product rebates $981
 $998
 909
 $898
Product returns 774
 813
 658
 691
Interest 284
 273
 382
 305
Employee compensation and benefit costs 241
 301
 249
 304
Income taxes payable 150
 167
 184
 196
Other 692
 645
 640
 720
 $3,122
 $3,197
 $4,438
 $4,511


10.FINANCING ARRANGEMENTS
Principal amounts of debt obligations and principal amounts of debt obligations net of premiums, discounts and issuance costs consist of the following:


June 30, 2019
December 31, 2018
March 31, 2020
December 31, 2019
(in millions)
Maturity
Principal Amount
Net of Premiums, Discounts and Issuance Costs
Principal Amount
Net of Premiums, Discounts and Issuance Costs
Maturity
Principal Amount
Net of Premiums, Discounts and Issuance Costs
Principal Amount
Net of Premiums, Discounts and Issuance Costs
Senior Secured Credit Facilities:

























2023 Revolving Credit Facility
June 2023
$150

$150

$75

$75

June 2023
$

$

$

$
June 2025 Term Loan B Facility June 2025 4,141
 4,029
 4,394
 4,269
 June 2025 3,766
 3,671
 3,869
 3,768
November 2025 Term Loan B Facility November 2025 1,406
 1,384
 1,481
 1,456
 November 2025 1,275
 1,257
 1,275
 1,257
Senior Secured Notes:



















6.50% Secured Notes
March 2022
1,250

1,240

1,250

1,239

March 2022
1,250

1,243

1,250

1,242
7.00% Secured Notes
March 2024
2,000

1,981

2,000

1,979

March 2024
2,000

1,984

2,000

1,983
5.50% Secured Notes November 2025 1,750
 1,732
 1,750
 1,730
 November 2025 1,750
 1,734
 1,750
 1,733
5.75% Secured Notes August 2027 500
 493
 
 
 August 2027 500
 493
 500
 493
Senior Unsecured Notes:
 








 







5.625%
December 2021




700

697
5.50%
March 2023
402

400

1,000

995

March 2023
292

291

402

400
5.875%
May 2023
1,548

1,539

3,250

3,229

May 2023
201

200

1,448

1,441
4.50% euro-denominated debt
May 2023
1,706

1,696

1,720

1,709

May 2023
1,655

1,647

1,682

1,674
6.125%
April 2025
3,250

3,228

3,250

3,226

April 2025
3,250

3,231

3,250

3,230
9.00% December 2025 1,500
 1,471
 1,500
 1,469
 December 2025 1,500
 1,474
 1,500
 1,473
9.25% April 2026 1,500
 1,483
 1,500
 1,482
 April 2026 1,500
 1,485
 1,500
 1,484
8.50% January 2027 1,750
 1,757
 750
 738
 January 2027 1,750
 1,756
 1,750
 1,756
7.00% January 2028 750
 740
 
 
 January 2028 750
 741
 750
 741
5.00% January 2028 1,250
 1,234
 1,250
 1,234
7.25% May 2029 750
 740
 
 
 May 2029 750
 741
 750
 740
5.25% January 2030 1,250
 1,234
 1,250
 1,234
Other
Various
16

16

12

12

Various
12

12

12

12
Total long-term debt and other
 
$24,369

24,079

$24,632

24,305

 
$24,701

24,428

$26,188

25,895
Less: Current portion of long-term debt and otherLess: Current portion of long-term debt and other
 
56




228
Less: Current portion of long-term debt and other
 
4




1,234
Non-current portion of long-term debt
 


$24,023




$24,077

 


$24,424




$24,661


Covenant Compliance
The Senior Secured Credit Facilities (as defined below) and the indentures governing the Senior Secured Notes and Senior Unsecured Notes contain customary affirmative and negative covenants and specified events of default. These affirmative and negative covenants include, among other things, and subject to certain qualifications and exceptions, covenants that restrict the Company’s ability and the ability of its subsidiaries to: incur or guarantee additional indebtedness; create or permit liens on assets; pay dividends on capital stock or redeem, repurchase or retire capital stock or subordinated indebtedness; make certain investments and other restricted payments; engage in mergers, acquisitions, consolidations and amalgamations; transfer and sell certain assets; and engage in transactions with affiliates. The 2023 Revolving Credit Facility (as defined below) also contains a financial maintenance covenant that requires the Company to maintain a first lien net leverage ratio of not greater than 4.00:1.00. The financial maintenance covenant may be waived or amended without the consent of the term loan facility lenders and contains a customary term loan facility standstill.
In March 2020, the World Health Organization declared COVID-19 a global pandemic, resulting in an adverse impact on the global economy. While there are a number of standard borrowing conditions that must be met to make borrowings under the 2023 Revolving Credit Facility, the Company has considered the economy's impact on its non-financial and financial maintenance covenants and believes the current state of the economy does not limit its access to capital under the 2023 Revolving Credit Facility at this time.
As of June 30, 2019,March 31, 2020, the Company was in compliance with its financial maintenance covenant related to its debt obligations. The Company, based on its current forecast as adjusted for the next twelve months frompotential impacts of the date of issuance of these financial statements,COVID-19 pandemic, expects to remain in compliance with its financial maintenance covenant and meet its debt service obligations over that same period.

for at least the twelve months following the date of issuance of these financial statements.
The Company continues to take steps to improve its operating results to ensure continual compliance with its financial maintenance covenant and may take other actions to reduce its debt levels to align with the Company’s long termlong-term strategy, including divesting other businesses, refinancing debt and issuing equity or equity-linked securities as deemed appropriate.
Senior Secured Credit Facilities
On February 13, 2012,June 1, 2018, the Company and certain of its subsidiaries as guarantors entered into the “Senior Secured Credit Facilities” under the Company’s ThirdFourth Amended and Restated Credit and Guaranty Agreement, as amended by the First Incremental Amendment to the Restated Credit Agreement, dated as of November 27, 2018, and as further amended (the “Third Amended“Restated Credit Agreement”) with a syndicate of financial institutions and investors as lenders. As of January 1, 2018, the Third Amended Credit Agreement, as amended, provided for: (i) $1,500 million of revolving credit facilities, which included a sublimit for the issuance of standby and commercial letters of credit and a sublimit for swing line loans and (ii) a series of tranche B term loans maturing on April 1, 2022 (the "Series F Tranche B Term Loan Facility").
On June 1, 2018, the Company entered into the Restated Credit Agreement. The Restated Credit Agreement amended and restated in full the Third Amended Credit Agreement. The Restated Credit Agreement replaced the 2020 Revolving Credit Facility withprovides for a revolving credit facility of $1,225 million, (the "2023 Revolving Credit Facility") and replaced the Series F Tranche B Term Loan Facility principal amount outstanding of $3,315 million with a seven year Tranche B Term Loan Facility of $4,565 million (the “June 2025 Term Loan B Facility”) borrowed by the Company’s subsidiary, Bausch Health Americas, Inc. ("BHA") (formerly Valeant Pharmaceuticals International).
The 2023 Revolving Credit Facilitywhich matures on the earlier of June 1, 2023 and the date that is 91 calendar days prior to the scheduled maturity of indebtedness for borrowed money of the Company or BHAand Bausch Health Americas, Inc. ("BHA") in an aggregate principal amount in excess of $1,000 million.million (the "2023 Revolving Credit Facility") and term loan facilities of original principal amounts of $4,565 million and $1,500 million, maturing in June 2025 (the “June 2025 Term Loan B Facility”) and November 2025 (the "November 2025 Term Loan B Facility"), respectively. Both the Company and BHA are borrowers with respect to the 2023 Revolving Credit Facility. Borrowings under the 2023 Revolving Credit Facility, borrowings under which may be made in U.S. dollars, Canadian dollars or euros.
On June 1, 2018, the Company issued an irrevocable notice of redemption for the remaining outstanding principal amounts of: (i) $691 million of 5.375% Senior Unsecured Notes due 2020 (the "March 2020 Unsecured Notes"), (ii) $578 million of 6.75% Senior Unsecured Notes due 2021(the "August 2021 Unsecured Notes"), (iii) $550 million of 7.25% Senior Unsecured Notes due 2022 (the “July 2022 Unsecured Notes”) and (iv) $146 million of 6.375% Senior Unsecured Notes due 2020 (the “6.375% October 2020 Unsecured Notes” and together with the March 2020 Unsecured Notes, August 2021 Unsecured Notes and July 2022 Unsecured Notes the “June 2018 Unsecured Refinanced Debt”). On June 1, 2018, using the remaining net proceeds from the June 2025 Term Loan B Facility, the net proceeds from the issuance of $750 million in aggregate principal amount of 8.50% Senior Unsecured Notes due 2027 (the "January 2027 Unsecured Notes") by BHA and cash on hand, the Company prepaid the remaining Series F Tranche B Term Loan Facility and redeemed the June 2018 Unsecured Refinanced Debt at its aggregate redemption price and the indentures governing the June 2018 Unsecured Refinanced Debt were discharged (collectively, the “June 2018 Refinancing Transactions”).
In connection with the Restated Credit Agreement, the Company incurred a loss on extinguishment of debt of $48 million. Certain payments made to the lenders and third parties of $74 million associated with the Restated Credit Agreement were capitalized and are being amortized as interest expense over the remaining terms of the debt. Third-party expenses of $4 million were expensed as Interest expense.
On November 27, 2018, the Company entered into the First Incremental Amendment to the Restated Credit Agreement, which provided an additional seven year Tranche B Term Loan Facility of $1,500 million (the "November 2025 Term Loan B Facility") and used the net proceeds, and cash on hand, to repay $1,483 million of 7.50% Senior Unsecured Notes due July 2021 (the “July 2021 Unsecured Notes”) in a tender offer (the "November 2018 Refinancing Transactions"). On December 27, 2018, the Company redeemed, using cash on hand, the remaining outstanding principal amount of $17 million of the July 2021 Unsecured Notes.
In connection with the repayment of the July 2021 Unsecured Notes, the Company incurred a loss on extinguishment of debt of $43 million. Certain payments made to the lenders and third parties of $25 million associated with the issuance of the November 2025 Term Loan B Facility were capitalized and are being amortized as interest expense over the remaining term of the November 2025 Term Loan B Facility.
As of June 30, 2019, the Company had $150 million of outstanding borrowings, $169 million of issued and outstanding letters of credit and remaining availability of $906 million under its 2023 Revolving Credit Facility.

Current Description of Senior Secured Credit Facilities
Borrowings under the Senior Secured Credit Facilities in U.S. dollars bear interest at a rate per annum equal to, at the Company's option, either: (i) a base rate determined by reference to the highest of: (a) the prime rate (as defined in the Restated Credit Agreement), (b) the federal funds effective rate plus 1/2 of 1.00% andor (c) the eurocurrency rate (as defined in the Restated Credit Agreement) for a period of one month plus 1.00% (or if such eurocurrency rate shall not be ascertainable, 1.00%) or (ii) a eurocurrency rate determined by reference to the costs of funds for U.S. dollar deposits for the interest period relevant to such borrowing adjusted for certain additional costs (provided however, that the eurocurrency rate shall at no time be less than 0.00% per annum), in each case plus an applicable margin.
Borrowings under the 2023 Revolving Credit Facility in euros bear interest at a eurocurrency rate determined by reference to the costs of funds for euro deposits for the interest period relevant to such borrowing (provided however, that the eurocurrency rate shall at no time be less than 0.00% per annum), plus an applicable margin.
Borrowings under the 2023 Revolving Credit Facility in Canadian dollars bear interest at a rate per annum equal to, at the Company's option, either: (i) a prime rate determined by reference to the higher of: (a) the rate of interest last quoted by The Wall Street Journal as the “Canadian Prime Rate” or, if The Wall Street Journal ceases to quote such rate, the highest per

annum interest rate published by the Bank of Canada as its prime rate and (b) the 1 month BA rate (as defined below) calculated daily plus 1.00% (provided however, that the prime rate shall at no time be less than 0.00%) or (ii) the bankers’ acceptance rate for Canadian dollar deposits in the Toronto interbank market (the “BA rate”) for the interest period relevant to such borrowing (provided however, that the BA rate shall at no time be less than 0.00% per annum), in each case plus an applicable margin.
Subject to certain exceptions and customary baskets set forth in the Restated Credit Agreement, the Company is required to make mandatory prepayments of the loans under the Senior Secured Credit Facilities under certain circumstances, including from: (i) 100% of the net cash proceeds of insurance and condemnation proceeds for property or asset losses (subject to reinvestment rights and net proceeds threshold), (ii) 100% of the net cash proceeds from the incurrence of debt (other than permitted debt as described in the Restated Credit Agreement), (iii) 50% of Excess Cash Flow (as defined in the Restated Credit Agreement) subject to decrease based on leverage ratios and subject to a threshold amount and (iv) 100% of net cash proceeds from asset sales (subject to reinvestment rights). These mandatory prepayments may be used to satisfy future amortization.
The applicable interest rate margins for the June 2025 Term Loan B Facility and the November 2025 Term Loan B Facility are 2.00% and 1.75%, respectively, with respect to base rate and prime rate borrowings and 3.00% and 2.75%, respectively, with respect to eurocurrency rate and BA rate borrowings. As of June 30, 2019,March 31, 2020, the stated rates of interest on the Company’s borrowings under the June 2025 Term Loan B Facility and the November 2025 Term Loan B Facility were 5.41%3.61% and 5.16%3.36% per annum, respectively.
The amortization rate for both the June 2025 Term Loan B Facility and the November 2025 Term Loan B Facility is 5.00% per annum. The Company may direct that prepayments be applied to such amortization payments in order of maturity. As of June 30, 2019,March 31, 2020, the aggregate remaining mandatory quarterly amortization payments for the Senior Secured Credit Facilities were $1,530$1,023 million through November 1, 2025.
The applicable interest rate margins for borrowings under the 2023 Revolving Credit Facility are 1.50%-2.00% with respect to base rate or prime rate borrowings and 2.50%-3.00% with respect to eurocurrency rate or BA rate borrowings.  As of June 30, 2019,March 31, 2020, the stated rate of interest on the 2023 Revolving Credit Facility was 5.42%3.36% per annum. As of March 31, 2020, the Company had 0 outstanding borrowings, $168 million of issued and outstanding letters of credit and remaining availability of $1,057 million under its 2023 Revolving Credit Facility. In addition, the Company is required to pay commitment fees of 0.25%-0.50% per annum with respect to the unutilized commitments under the 2023 Revolving Credit Facility, payable quarterly in arrears. The Company also is required to pay: (i) letter of credit fees on the maximum amount available to be drawn under all outstanding letters of credit in an amount equal to the applicable margin on eurocurrency rate borrowings under the 2023 Revolving Credit Facility on a per annum basis, payable quarterly in arrears, (ii) customary fronting fees for the issuance of letters of credit and (iii) agency fees.
The Restated Credit Agreement permits the incurrence of incremental credit facility borrowings up to the greater of $1,000 million and 28.5% of Consolidated Adjusted EBITDA (as defined in the Restated Credit Agreement), subject to customary terms and conditions, as well as the incurrence of additional incremental credit facility borrowings subject to a secured leverage ratio of not greater than 3.50:1.00, and, in the case of unsecured debt, a total leverage ratio of not greater than 6.50:1.00 or an interest coverage ratio of not less than 2.00:1.00.

Senior Secured Notes
The Senior Secured Notes are guaranteed by each of the Company’s subsidiaries that is a guarantor under the Restated Credit Agreement and existing Senior Unsecured Notes (together, the “Note Guarantors”). The Senior Secured Notes and the guarantees related thereto are senior obligations and are secured, subject to permitted liens and certain other exceptions, by the same first priority liens that secure the Company’s obligations under the Restated Credit Agreement under the terms of the indentures governing the Senior Secured Notes.
The Senior Secured Notes and the guarantees rank equally in right of repayment with all of the Company’s and Note Guarantors’ respective existing and future unsubordinated indebtedness and senior to the Company’s and Note Guarantors’ respective future subordinated indebtedness. The Senior Secured Notes and the guarantees related thereto are effectively pari passu with the Company’s and the Note Guarantors’ respective existing and future indebtedness secured by a first priority lien on the collateral securing the Senior Secured Notes and effectively senior to the Company’s and the Note Guarantors’ respective existing and future indebtedness that is unsecured, including the existing Senior Unsecured Notes, or that is secured by junior liens, in each case to the extent of the value of the collateral. In addition, the Senior Secured Notes are structurally subordinated

to: (i) all liabilities of any of the Company’s subsidiaries that do not guarantee the Senior Secured Notes and (ii) any of the Company’s debt that is secured by assets that are not collateral.
Upon the occurrence of a change in control (as defined in the indentures governing the Senior Secured Notes), unless the Company has exercised its right to redeem all of the notes of a series, holders of the Senior Secured Notes may require the Company to repurchase such holder’s notes, in whole or in part, at a purchase price equal to 101% of the principal amount thereof plus accrued and unpaid interest.
5.75% Senior Secured Notes due 2027 - March 2019 Refinancing Transactions
On March 8, 2019, BHA and the Company issued: (i) $1,000 million aggregate principal amount of 8.50% Senior Unsecured Notes due January 2027 (the "January 2027 Unsecured NotesNotes") and (ii) $500 million aggregate principal amount of 5.75% Senior Secured Notes due August 2027 (the "August 2027 Secured Notes"), respectively, in a private placement, aplacement. A portion of the net proceeds, of which, and cash on hand, were used to: (i) repurchase $584 million of 5.875% Senior Unsecured Notes due 2023 (the "May 2023 Unsecured Notes"), (ii) repurchase $518 million of 5.625% Senior Unsecured Notes due 2021 (the “December 2021 Unsecured Notes”), (iii) repurchase $216 million of 5.50% Senior Unsecured Notes due 2023 (the "March 2023 Unsecured Notes”) and (iv) pay all fees and expenses associated with these transactions (collectively, the “March 2019 Refinancing Transactions”). During April 2019, the Company redeemed $182 million of the December 2021 Unsecured Notes, representing the remaining outstanding principal balance of the December 2021 Unsecured Notes and completing the refinancing of $1,500 million of debt in connection with the March 2019 Refinancing Transactions. The March 2019 Refinancing Transactions were accounted for as an extinguishment of debt and the Company incurred a loss on extinguishment of debt of $8 million representing the difference between the amount paid to settle the extinguished debt and the extinguished debt’s carrying value. Interest on the August 2027 Secured Notes is payable semi-annually in arrears on each February 15 and August 15.
The August 2027 Secured Notes are redeemable at the option of the Company, in whole or in part, at any time on or after August 15, 2022, at the redemption prices set forth in the indenture. The Company may redeem some or all of the August 2027 Secured Notes prior to August 15, 2022 at a price equal to 100% of the principal amount thereof plus a “make-whole” premium. Prior to August 15, 2022, the Company may redeem up to 40% of the aggregate principal amount of the August 2027 Secured Notes using the proceeds of certain equity offerings at the redemption price set forth in the indenture.
Senior Unsecured Notes
The Senior Unsecured Notes issued by the Company are the Company’s senior unsecured obligations and are jointly and severally guaranteed on a senior unsecured basis by each of its subsidiaries that is a guarantor under the Senior Secured Credit Facilities. The Senior Unsecured Notes issued by BHA are senior unsecured obligations of BHA and are jointly and severally guaranteed on a senior unsecured basis by the Company and each of its subsidiaries (other than BHA) that is a guarantor under the Senior Secured Credit Facilities. Future subsidiaries of the Company and BHA, if any, may be required to guarantee the Senior Unsecured Notes.
If the Company experiences a change in control, the Company may be required to make an offer to repurchase each series of Senior Unsecured Notes, in whole or in part, at a purchase price equal to 101% of the aggregate principal amount of the Senior Unsecured Notes repurchased, plus accrued and unpaid interest.

9.25% Senior Unsecured Notes due 2026 - March 2018 Refinancing Transactions
On March 26, 2018, BHA issued $1,500 million in aggregate principal amount of 9.25% Senior Unsecured Notes due 2026 (the “April 2026 Unsecured Notes”) in a private placement, the net proceeds of which, and cash on hand, were used to repurchase $1,500 million in aggregate principal amount of unsecured notes, which consisted of: (i) $1,017 million in principal amount of the March 2020 Unsecured Notes, (ii) $411 million in principal amount of the 6.375% October 2020 Unsecured Notes and (iii) $72 million in principal amount of the August 2021 Unsecured Notes. All fees and expenses associated with these transactions were paid with cash on hand (collectively, the “March 2018 Refinancing Transactions”). The March 2018 Refinancing Transactions were accounted for as an extinguishment of debt and the Company incurred a loss on extinguishment of debt of $26 million representing the difference between the amount paid to settle the extinguished debt and the extinguished debt’s carrying value. The April 2026 Unsecured Notes accrue interest at the rate of 9.25% per year, payable semi-annually in arrears on each of April 1 and October 1.
8.50% Senior Unsecured Notes due 2027 - June 2018 Refinancing Transactions and March 2019 Refinancing Transactions
As part of the June 2018 Refinancing Transactions, BHA issued $750 million in aggregate principal amount of January 2027 Unsecured Notes in a private placement, the proceeds of which, when combined with the remaining net proceeds from the June 2025 Term Loan B Facility and cash on hand, were deposited with The Bank of New York Mellon Trust Company, N.A., as trustee under the indentures governing the June 2018 Unsecured Refinanced Debt, to redeem the June 2018 Unsecured Refinanced Debt at its aggregate redemption price and the indentures governing the June 2018 Unsecured Refinanced Debt were discharged. The January 2027 Unsecured Notes accrue interest at the rate of 8.50% per year, payable semi-annually in arrears on each of January 31 and July 31.
As part of the March 2019 Refinancing Transactions described above, BHA issued $1,000 million aggregate principal amount of 8.50% SeniorJanuary 2027 Unsecured Notes due January 2027.Notes. These are additional notes and form part of the same series as BHA’s existing January 2027 Unsecured Notes.
7.00% Senior Unsecured Notes due 2028 and 7.25% Senior Unsecured Notes due 2029 - May 2019 Refinancing Transactions
On May 23, 2019, the Company issued: (i) $750 million aggregate principal amount of 7.00% Senior Unsecured Notes due January 2028 (the "January"7.00% January 2028 Unsecured Notes") and (ii) $750 million aggregate principal amount of 7.25% Senior Unsecured Notes due May 2029 (the "May 2029 Unsecured Notes"), respectively, in a private placement, the netplacement. The proceeds of which, and cash on hand, were used to: (i) repurchase $1,118 million of May 2023 Unsecured Notes, (ii) repurchase $382 million of March 2023 Unsecured Notes and (iii) pay all fees and expenses associated with these transactions (collectively, the “May 2019 Refinancing Transactions”). The May
5.00% Senior Unsecured Notes due 2028 and 5.25% Senior Unsecured Notes due 2030 - December 2019 Financing and Refinancing Transactions were accounted for as an extinguishment of debt and
On December 30, 2019, the Company incurred a loss on extinguishment of debt of $32issued: (i) $1,250 million representing the difference between the amount paid to settle the extinguished debt and the extinguished debt’s carrying value. Interest on the January 2028 Unsecured Notes is payable semi-annually in arrears on each January 15 and July 15. Interest on the May 2029 Unsecured Notes is payable semi-annually in arrears on each May 30 and November 30.
The January 2028 Unsecured Notes and the May 2029 Unsecured Notes are redeemable at the option of the Company, in whole or in part, at any time on or after January 15, 2023 and May 30, 2024, respectively, at the redemption prices set forth in the respective indenture. The Company may redeem some or all of the January 2028 Unsecured Notes or the May 2029 Unsecured Notes prior to January 15, 2023 and May 30, 2024, respectively, at a price equal to 100% of the principal amount thereof plus a “make-whole” premium. Prior to July 15, 2022, and May 30, 2022, the Company may redeem up to 40% of the aggregate principal amount of the5.00% Senior Unsecured Notes due January 2028 (the "5.00% January 2028 Unsecured Notes or the May 2029Notes") and (ii) $1,250 million aggregate principal amount of 5.25% Senior Unsecured Notes respectively, usingdue January 2030 (the "January 2030 Unsecured Notes") in a private placement. The proceeds and cash on hand were used to: (i) redeem $1,240 million of May 2023 Unsecured Notes on January 16, 2020, (ii) finance the proceeds$1,210 million settlement of certain equity offerings atU.S. securities litigation, subject to final court approval, as discussed in Note 18, "LEGAL PROCEEDINGS" and (iii) pay all fees and expenses associated with these transactions (collectively, the redemption price set forth in the respective indenture."December 2019 Financing and Refinancing Transactions").

Weighted Average Stated Rate of Interest
The weighted average stated rate of interest for the Company's outstanding debt obligations as of June 30, 2019March 31, 2020 and December 31, 20182019 was 6.44%6.01% and 6.23%6.21%, respectively.

Maturities and Mandatory Payments
In order to reduce future cash interest payments, as well as future maturities and mandatory payments, the Company may, from time to time, purchase outstanding debt for cash in open market purchases or privately negotiated transactions. Such repurchases or exchanges, if any, will depend on prevailing market conditions, future liquidity requirements, contractual restrictions and other factors. During the three months ended March 31, 2020, the Company repurchased and retired, outstanding senior unsecured notes with an aggregate par value of $17 million in the open market, for an aggregate cost of $16 million. In connection with these repurchases, the Company recognized a gain of $1 million included in Loss on extinguishment of debt.
Maturities and mandatory payments of debt obligations for the remainder of 2019,2020, the five succeeding years ending December 31 and thereafter are as follows:
(in millions)  
Remainder of 2019$4
2020203
Remainder of 2020$4
2021303

20221,553
1,553
20234,109
2,447
20242,303
2,303
202510,632
Thereafter15,894
7,762
Total debt obligations24,369
24,701
Unamortized premiums, discounts and issuance costs(290)(273)
Total long-term debt and other$24,079
$24,428

On August 1, 2019, the Company repaid $100 million of long-term debt, which included: (i) $81 million of the June 2025 Term Loan B Facility and (ii) $19 million of the November 2025 Term Loan B Facility. These transactions are not reflected in the table above and are therefore included as due during 2020.
11.PENSION AND POSTRETIREMENT EMPLOYEE BENEFIT PLANS
The Company sponsors defined benefit plans and a participatory defined benefit postretirement medical and life insurance plan, which covers certain U.S. employees and employees in certain other countries. Net periodic (benefit) cost for the Company’s defined benefit pension plans and postretirement benefit plan for the sixthree months ended June 30,March 31, 2020 and 2019 and 2018 consists of:
 Pension Benefit Plans Postretirement
Benefit
Plan
 Pension Benefit Plans Postretirement
Benefit
Plan
U.S. Plan Non-U.S. Plans  U.S. Plan Non-U.S. Plans 
(in millions) 2019 2018 2019 2018 2019 2018 2020 2019 2020 2019 2020 2019
Service cost $1
 $1
 $1
 $1
 $
 $
 $
 $
 $1
 $1
 $
 $
Interest cost 4
 3
 3
 3
 
 
 2
 2
 1
 1
 
 
Expected return on plan assets (6) (7) (3) (3) 
 
 (3) (3) (1) (1) 
 
Amortization of prior service credit 
 
 
 
 (1) (1)
Amortization of prior service credit and other 
 
 (4) 
 (1) 
Net periodic (benefit) cost $(1) $(3) $1
 $1
 $(1) $(1) $(1) $(1) $(3) $1
 $(1) $


12.LEASES
The Company leases certain facilities, vehicles and equipment principally under multi-year agreements generally having a lease term of one to twenty years, some of which include termination options and options to extend the lease term from one to five years or on a month-to-month basis. The Company includes options that are reasonably certain to be exercised as part of the lease term. The Company may negotiate termination clauses in anticipation of changes in market conditions but generally, these termination options are not exercised. Certain lease agreements also include variable payments that are dependent on usage or may vary month-to-month such as insurance, taxes and maintenance costs. None of the Company's lease agreements contain material residual value guarantees or material restrictive covenants.
As discussed in Note 2, "SIGNIFICANT ACCOUNTING POLICIES" under the new standard for accounting for leases, which the Company adopted effective January 1, 2019, the Company is required to record a right-of-use asset and corresponding lease liability, equal to the present value of the lease payments at the commencement date of each lease. For all asset classes, in determining future lease payments, the Company has elected to aggregate lease components, such as payments for rent, taxes and insurance costs with non-lease components such as maintenance costs, and account for these payments as a single

lease component. In limited circumstances, when the information necessary to determine the rate implicit in a lease is available, the present value of the lease payments is determined using the rate implicit in that lease. If the information necessary to determine the rate implicit in a lease is not available, the Company uses its incremental borrowing rate at the commencement of the lease, which represents the rate of interest that the Company would incur to borrow on a collateralized basis over a similar term.
All leases must be classified as either an operating lease or finance lease. The classification is determined based on whether substantive control has been transferred to the lessee. The classification governs the pattern of lease expense recognition. For leases classified as operating leases, total lease expense over the term of the lease is equal to the undiscounted payments due in accordance with the lease arrangement. Fixed lease expense is recognized periodically on a straight-line basis over the term of each lease and includes: (i) imputed interest during the period on the lease liability determined using the effective interest rate method plus (ii) amortization of the right-of-use asset for that period. Amortization of the right-of-use asset during the period is calculated as the difference between the straight-line expense and the imputed interest on the lease liability for that period. Variable lease expense is recognized when the achievement of the specific target is considered probable. As of June 30, 2019, the Company's finance leases were not material.
Right-of-use assets and lease liabilities associated with the Company's operating leases are included in the Consolidated Balance Sheet as of June 30, 2019 as follows:
(in millions) 
Right-of-use assets included in: 
Other non-current assets$263
Lease liabilities included in: 
Accrued and other current liabilities$47
Other non-current liabilities235
Total lease liabilities$282

Sub-lease income is not material. Lease expense includes:
(in millions)Three Months Ended
June 30, 2019
 Six Months Ended
June 30, 2019
Operating lease costs$16
 $32
Variable operating lease costs$5
 $9
Short-term lease expense$1
 $1

Other information related to operating leases for the six months ended June 30, 2019 is as follows:
(dollars in millions) 
Cash paid from operating cash flows for amounts included in the measurement of lease liabilities$39
Right-of-use assets obtained in exchange for new operating lease liabilities$11
Weighted-average remaining lease term8.5 years
Weighted-average discount rate6.2%

Right-of-use assets obtained in exchange for new operating lease liabilities during the six months ended June 30, 2019 of $11 million in the table above does not include $282 million of right-of-use assets recognized upon adoption of the new standard for accounting for leases on January 1, 2019. See Note 2, "SIGNIFICANT ACCOUNTING POLICIES" for further detail regarding the impact of adoption.

As of June 30, 2019, future payments under noncancelable operating leases for the remainder of 2019, each of the five succeeding years ending December 31 and thereafter are as follows:
(in millions) 
Remainder of 2019$33
202059
202145
202238
202333
202428
Thereafter137
Total373
Less: Imputed interest91
Present value of remaining lease payments282
Less: Current portion47
Non-current portion$235

Upon adopting the new lease guidance, the Company elected the modified retrospective approach without revising prior periods. Accordingly, the Company is providing the following table of future payments under noncancelable operating leases as of December 31, 2018, for each of the five succeeding years ending December 31 and thereafter as previously disclosed under prior accounting guidance:
(in millions) 2019 2020 2021 2022 2023 Thereafter Total
Future payments $78
 $60
 $44
 $39
 $32
 $166
 $419


13.SHARE-BASED COMPENSATION
In May 2014, shareholders approved the Company’s 2014 Omnibus Incentive Plan (the “2014 Plan”) which replaced the Company’s 2011 Omnibus Incentive Plan (the “2011 Plan”) for future equity awards granted by the Company. The Company transferred the common shares available under the 2011 Plan to the 2014 Plan. The maximum number of common shares that may be issued to participants under the 2014 Plan iswas equal to 18,000,000 common shares, plus the number of common shares under the 2011 Plan reserved but unissued and not underlying outstanding awards and the number of common shares becoming available for reuse after awards are terminated, forfeited, cancelled, exchanged or surrendered under the 2011 Plan and the Company’s 2007 Equity Compensation Plan. The Company registered 20,000,000 common shares of common stock for issuance under the 2014 Plan.
Effective April 30, 2018, the Company amended and restated the 2014 Plan (the “Amended and Restated 2014 Plan”). The Amended and Restated 2014 Plan includedincludes the following amendments: (i) the number of common shares authorized for issuance under the Amended and Restated 2014 Plan washas been increased by an additional 11,900,000 common shares, as approved by the requisite number of shareholders at the Company’s annual general meeting held on April 30, 2018, (ii) introduction of a $750,000 aggregate fair market value limit on awards (in either equity, cash or other compensation) that can be granted in any calendar year to a participant who is a non-employee director, (iii) housekeeping changes to address recent changes to Section 162(m) of the Internal Revenue Code, (iv) awards were madeare expressly subject to the Company’s clawback policy and (v) awards not assumed or substituted in connection with a Change of Control (as defined in the Amended and Restated 2014 Plan) will only vest on a pro rata basis.
Approximately 9,754,0003,892,000 common shares were available for future grants as of June 30, 2019.March 31, 2020. The Company uses reserved and unissued common shares to satisfy its obligations under its share-based compensation plans.
During the three months ended March 31, 2017,Effective April 28, 2020, the Company introducedfurther amended and restated the Amended and Restated 2014 Plan (the “Further Amended and Restated 2014 Plan”). The Further Amended and Restated 2014 Plan includes the following amendments: (i) the number of common shares authorized for issuance under the Further Amended and Restated 2014 Plan has been increased by an additional 13,500,000 common shares, as approved by the requisite number of shareholders at the Company’s annual general meeting held on April 28, 2020, (ii) the exercise price of stock options and share appreciation rights (“SARs”) will be based on the closing price of the underlying common shares on the date such stock options or SARs are granted (rather than on the last preceding trading date), (iii) additional provisions clarifying that: (a) stock options and SARs will not be eligible for the payment of dividend or dividend equivalents and (b) the Talent and Compensation Committee of the Board of Directors of the Company cannot, without shareholder approval, seek to effect any repricing of any previously granted “underwater” stock option or SAR and (iv) other housekeeping and/or clerical changes.
The Company has a long-term incentive program with the objective to re-alignof realigning the share-based awards granted to senior management with the Company’s focus on improving its tangible capital usage and allocation while maintaining focus on improving total shareholder return over the long-term. The share-based awards granted under this long-term incentive program consist of time-based stock options, time-based restricted share units (“RSUs”) and performance-based RSUs. Performance-based RSUs are comprised ofof: (i) awards that vest upon achievement of certain share price appreciation conditions that are based on total shareholder return (“TSR”) and (ii) awards that vest upon attainment of certain performance targets that are based on the Company’s return on tangible capital (“ROTC”).
   

The following table summarizes the components and classification of share-based compensation expense related to stock options and RSUs for the three and six months ended June 30, 2019March 31, 2020 and 2018:2019:
Three Months Ended
June 30,

Six Months Ended
June 30,
Three Months Ended
March 31,
(in millions)2019
2018
2019
20182020
2019
Stock options$6
 $6
 $12
 $11
$4
 $6
RSUs21
 16
 39
 32
23
 18
$27
 $22
 $51
 $43
$27
 $24
          
Research and development expenses$3
 $2
 $5
 $4
$3
 $2
Selling, general and administrative expenses24
 20
 46
 39
24
 22
$27
 $22
 $51
 $43
$27
 $24

Share-based awards granted consist of:
Six Months Ended June 30,Three Months Ended March 31,
2019 20182020 2019
Stock options      
Granted1,725,000
 2,076,000
2,260,000
 1,684,000
Weighted-average exercise price$23.16
 $15.35
$24.77
 $23.16
Weighted-average grant date fair value$8.46
 $7.82
$6.60
 $8.47
      
Time-based RSUs      
Granted2,667,000
 2,726,000
2,453,000
 2,401,000
Weighted-average grant date fair value$24.06
 $17.07
$23.37
 $24.05


 



 

TSR performance-based RSUs      
Granted454,000
 469,000
425,000
 454,000
Weighted-average grant date fair value$34.53
 $29.35
$26.13
 $34.53
      
ROTC performance-based RSUs      
Granted505,000
 409,000
472,000
 505,000
Weighted-average grant date fair value$25.03
 $18.80
$27.05
 $25.03

The granted stock options, time-based RSUs and performance-based RSUs includes long-term incentive awards granted to the Company’s Chief Executive Officer ("CEO") during the three months endedAs of March 31, 2018, which had an aggregate value of $10 million. In connection with his award, approximately 933,000 performance-based RSUs received by the CEO upon his hire in 2016 were cancelled, and the shares underlying those performance-based RSUs were permanently retired and are not available for future grants under the Amended and Restated 2014 Plan. The CEO's long-term incentive award was accounted for as an award modification whereby the Company continues to recognize the unamortized compensation associated with the original award plus the incremental fair value of the new award measured at the date of grant, over the vesting period of the new award.
As of June 30, 2019,2020, the remaining unrecognized compensation expense related to all outstanding non-vested stock options, time-based RSUs and performance-based RSUs amounted to $142$161 million, which will be amortized over a weighted-average period of 2.071.95 years.
   

14.13.ACCUMULATED OTHER COMPREHENSIVE LOSS
Accumulated other comprehensive loss consists of:
(in millions) June 30,
2019
 December 31,
2018
Foreign currency translation adjustments $(2,034) $(2,111)
Pension and postretirement benefit plan adjustments, net of tax (27) (26)
  $(2,061) $(2,137)
(in millions) March 31,
2020
 December 31,
2019
Foreign currency translation adjustment $(2,236) $(2,046)
Pension and postretirement benefit plan adjustments, net of income taxes (45) (40)
  $(2,281) $(2,086)

Income taxes are not provided for foreign currency translation adjustments arising on the translation of the Company’s operations having a functional currency other than the U.S. dollar, except to the extent of translation adjustments related to the Company’s retained earnings for foreign jurisdictions in which the Company is not considered to be permanently reinvested.
During the three months ended March 31, 2020, amounts reclassified from Accumulated other comprehensive loss into the Company's operating results were 0t material.
15.14.RESEARCH AND DEVELOPMENT
Included in Research and development are costs related to product development and quality assurance programs. Quality assurance are the costs incurred to meet evolving customer and regulatory standards. Research and development costs consist of:
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 Three Months Ended
March 31,
(in millions) 2019 2018 2019 2018 2020 2019
Product related research and development $108
 $84
 $215
 $167
 $114
 $107
Quality assurance 9
 10
 19
 19
 8
 10
 $117
 $94
 $234
 $186
 $122
 $117

15.OTHER EXPENSE (INCOME), NET
Other expense (income), net consists of:


Three Months Ended
March 31,
(in millions)
2020
2019
Net gain on sale of assets $(1) $(10)
Acquired in-process research and development costs 1
 1
Acquisition-related costs 
 8
Litigation and other matters
23

2
Other, net


(4)
 
$23

$(3)

16.OTHER EXPENSE, NET
Other expense, net consists of:


Three Months Ended
June 30,

Six Months Ended
June 30,
(in millions)
2019
2018
2019
2018
Net loss (gain) on sale of assets $1
 $
 $(9) $
Acquisition-related costs 
 1
 8
 1
Litigation and other matters
1

(1)
3

10
Other, net
6



3

1
 
$8

$

$5

$12

Included in Other, net in the table above for the three and six months ended June 30, 2019, is $8 million of in-process research and development costs associated with the upfront payment to enter into an exclusive licensing agreement.
17.INCOME TAXES
For interim financial statement purposes, U.S. GAAP income tax expense/benefit related to ordinary income is determined by applying an estimated annual effective income tax rate against a company's ordinary income, subject to certain limitations on the benefit of losses. Income tax expense/benefit related to items not characterized as ordinary income is recognized as a discrete item when incurred. The estimation of the Company's income tax provision requires the use of management forecasts and other estimates, application of statutory income tax rates, and an evaluation of valuation allowances. The Company's estimated annual effective income tax rate may be revised, if necessary, in each interim period.

Benefit from income taxes for the sixthree months ended June 30, 2019March 31, 2020 was $83$26 million and included: (i) $52$21 million of net income tax benefit for discrete items, which includes: (a) a $32 million tax benefit recognized upon a ruling from the Polish tax

authorities confirming the deductibility of royalty payments by an affiliate, (b) $23$10 million in tax benefits associated with the filing of certainrecognized for changes in uncertain tax returnspositions, (b) a $5 million tax benefit related to a deduction for stock compensation and (c) $4 million of net tax charges related to other changes in uncertainbenefits associated with filing certain tax positionsreturns and (ii) $31$5 million of income tax benefit for the Company's ordinary loss during the sixthree months ended June 30, 2019.March 31, 2020.
Provision forBenefit from income taxes for the sixthree months ended June 30, 2018March 31, 2019 was $23$74 million and included: (i) $170$51 million of net income tax expense for discrete items, which includes: (a) $32 million of tax benefit recognized upon a ruling from the Polish tax authorities confirming the deductibility of royalty payments by an affiliate, (b) $15 million of net tax benefits associated with filing certain tax returns and (c) $4 million in tax benefits recognized for changes in uncertain tax positions and (ii) $23 million of income tax benefit for the Company's ordinary loss during the sixthree months ended June 30, 2018 and (ii) $193 million of net income tax expense for discrete items. The net income tax expense for discrete items includes: (i) $255 million of tax charges related to internal restructurings, (ii) a $57 million tax benefit related to the impairment of intangible assets and (iii) $10 million of tax benefits associated with the filing of tax returns for various tax jurisdictions.March 31, 2019.
The Company records a valuation allowance against its deferred tax assets to reduce the net carrying value to an amount that it believes is more likely than not to be realized. When the Company establishes or reduces the valuation allowance against its deferred tax assets, the provision for income taxes will increase or decrease, respectively, in the period such determination is made except that, as a result of the 2018 adoption of guidance regarding intra-entity transfers, any change in valuation allowance surrounding the adoption of the intra-entity transfer resulting from this adoption was recorded within equity. The valuation allowance against deferred tax assets was $3,058$2,824 million and $2,913$2,831 million as of June 30, 2019March 31, 2020 and December 31, 2018,2019, respectively. The increasedecrease was primarily due to continued lossesincome in Canada. The Company will continue to assess the need for a valuation allowance on a go-forward basis.
As of June 30, 2019March 31, 2020 and December 31, 2018,2019, the Company had $642$967 million and $654$1,002 million of unrecognized tax benefits, which included $45$46 million and $42$45 million of interest and penalties, respectively. Of the total unrecognized tax benefits as of June 30, 2019, $334March 31, 2020, $321 million would reduce the Company’s effective tax rate, if recognized. The Company anticipatesbelieves that it is reasonably possible that the total amount of unrecognized tax benefits resolved withinat March 31, 2020 could decrease by approximately $110 million in the next 12 months will not be material.as a result of the resolution of certain tax audits and other events.
The Company continues to be under examination by the Canada Revenue Agency. The Company’s position as of June 30, 2019March 31, 2020 with regard to proposed audit adjustments has not changed and the proposed adjustments continue to result primarily in a loss of tax attributes that are subject to a full valuation allowance.
The Internal Revenue Service completed its examinations of the Company’s U.S. consolidated federal income tax returns for the years 2013 and 2014. There were no material adjustments to the Company's taxable income as a result of these examinations. The Company has filed tax returns which used a capital loss generated in 2017 to offset capital gains generated in 2014. As these tax returns were filed subsequent to the commencement of the examination by the Internal Revenue Service, the Company’s 2014 tax year cannot be closed commensurate withremains open to the examination’s conclusion.extent of a 2017 capital loss carried back to that year. Additionally, the Internal Revenue Service has selected for examination the Company's annual tax filings for 2015 and 2016 and the Company's short period tax return for the period ended September 8, 2017, which was filed as a result of the Company's internal restructuring efforts during 2017. At this time, the Company does not expect that proposed adjustments, if any, for these periods would be material to the Company's consolidated financial statements.Consolidated Financial Statements.
The Company's U.S. affiliates remain under examination for various state tax audits in the U.S. for years 2012 through 2017.
The Company’s subsidiaries in Germany are under audit for tax years 20132014 through 2017.2016. At this time, the Company does not expect that proposed adjustments, if any, would be material to the Company's consolidated financial statements.Consolidated Financial Statements.
The Company’s subsidiaries in Australia are under audit by the Australian Tax Office for various years beginning in 2010. At this time, the Company does not expect that proposed adjustments, if any, would be material to the Company's consolidated financial statements.Consolidated Financial Statements.
Certain affiliates of the Company in regions outside of Canada, the U.S., Germany and Australia are currently under examination by relevant taxing authorities, and all necessary accruals have been recorded, including uncertain tax benefits. At this time, the Company does not expect that proposed adjustments, if any, would be material to the Company's consolidated financial statements.Consolidated Financial Statements.
   

18.17.LOSS PER SHARE
Loss per share attributable to Bausch Health Companies Inc. were calculated as follows:
Three Months Ended
June 30,
 Six Months Ended
June 30,
Three Months Ended
March 31,
(in millions, except per share amounts)2019 2018 2019 20182020 2019
Net loss attributable to Bausch Health Companies Inc.$(171) $(873) $(223) $(3,454)$(152) $(52)
          
Basic and diluted weighted-average common shares outstanding352.1
 351.3
 351.7
 351.0
353.4
 351.3
          
Basic and diluted loss per share attributable to Bausch Health Companies Inc.:$(0.49) $(2.49) $(0.63) $(9.84)
Basic and diluted loss per share attributable to Bausch Health Companies Inc.$(0.43) $(0.15)

During the three and six months ended June 30,March 31, 2020 and 2019, and 2018, all potential common shares issuable for stock options and RSUs were excluded from the calculation of diluted loss per share, as the effect of including them would have been anti-dilutive. The dilutive effect of potential common shares issuable for stock options and RSUs on the weighted-average number of common shares outstanding would have been approximately 4,395,0005,207,000 and 3,245,0004,920,000 common shares for the three months ended June 30,March 31, 2020 and 2019, and 2018, respectively, and approximately 4,657,000 and 2,865,000 common shares for the six months ended June 30, 2019 and 2018, respectively.
During the three and six months ended June 30,March 31, 2020 and 2019, time-based RSUs, performance-based RSUs and stock options to purchase approximately 4,855,000 common shares were not included in the computation of diluted earnings per share because the effect would have been anti-dilutive under the treasury stock method. During the three9,561,000 and six months ended June 30, 2018, time-based RSUs, performance-based RSUs and stock options to purchase approximately 5,369,000 and 6,286,0005,370,000 common shares, respectively, were not included in the computation of diluted earnings per share because the effect would have been anti-dilutive under the treasury stock method.
19.18.LEGAL PROCEEDINGS
From time to time, the Company becomes involved in various legal and administrative proceedings, which include product liability, intellectual property, commercial, tax, antitrust, governmental and regulatory investigations, related private litigation and ordinary course employment-related issues. From time to time, the Company also initiates actions or files counterclaims. The Company could be subject to counterclaims or other suits in response to actions it may initiate. The Company believes that the prosecution of these actions and counterclaims is important to preserve and protect the Company, its reputation and its assets. Certain of these proceedings and actions are described below.in Note 21, “LEGAL PROCEEDINGS,” to the Company's Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on February 19, 2020. Except as described below, there have been no material updates or developments with respect to any such proceedings or actions during the three months ended March 31, 2020.
On a quarterly basis, the Company evaluates developments in legal proceedings, potential settlements and other matters that could increase or decrease the amount of the liability accrued. As of June 30, 2019,March 31, 2020, the Company's Consolidated Balance SheetSheets includes accrued current loss contingencies of $12$1,416 million related to matters which are both probable and reasonably estimable. For all other matters, unless otherwise indicated, the Company cannot reasonably predict the outcome of these legal proceedings, nor can it estimate the amount of loss, or range of loss, if any, that may result from these proceedings. An adverse outcome in certain of these proceedings could have a material adverse effect on the Company’s business, financial condition and results of operations, and could cause the market value of its common shares and/or debt securities to decline.
Governmental and Regulatory Inquiries
Investigation by the U.S. Attorney's Office for the District of Massachusetts
In October 2015, the Company received a subpoena from the U.S. Attorney's Office for the District of Massachusetts, and, in June 2016, the Company received a follow-up subpoena. The materials requested, pursuant to the subpoenas and follow-up requests, include documents and witness interviews with respect to the Company’s patient assistance programs and contributions to patient assistance organizations that provide financial assistance to Medicare patients taking products sold by the Company, and the Company’s pricing of its products. The Company is cooperating with this investigation. The Company cannot predict the outcome or the duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be imposed on the Company arising out of this investigation.

Investigation by the U.S. Attorney's Office for the Southern District of New York
In October 2015, the Company received a subpoena from the U.S. Attorney's Office for the Southern District of New York. The materials requested, pursuant to the subpoena and follow-up requests, include documents and witness interviews with respect to the Company’s patient assistance programs; its former relationship with Philidor and other pharmacies; the Company’s accounting treatment for sales by specialty pharmacies; information provided to the Centers for Medicare and Medicaid Services; the Company’s pricing (including discounts and rebates), marketing and distribution of its products; the Company’s compliance program; and employee compensation. The Company is cooperating with this investigation. The Company cannot predict the outcome or the duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be imposed on the Company arising out of this investigation.
SEC Investigation
Beginning in November 2015, the Company received from the staff of the Los Angeles Regional Office of the SEC subpoenas for documents, as well as various document, testimony and interview requests, related to its investigation of the Company, including requests concerning the Company's former relationship with Philidor Rx Services, LLC ("Philidor"), its accounting practices and policies, its public disclosures and other matters. On March 27, 2020, the staff of the SEC’s Los Angeles Regional Office issued a Wells Notice informing the Company that they had reached a preliminary determination to recommend that the SEC bring charges against the Company for violating the federal securities laws as a result of SEC filings and other statements made by Valeant and its former executives in 2014-2015 concerning Philidor, as well as other accounting and disclosure matters. The Company is cooperatingcontinues to cooperate with the SEC in this matter.matter, has responded to the Wells Notice and continues to engage in settlement discussions with the staff. The Company has agreed to a tolling agreement with the SEC

regarding these potential claims. Although the Company cannot predict the outcome or the duration of the SEC investigation or any other legal proceedings or any enforcement actions or other remedies that may be imposed on the Company arising out of the SEC investigation.investigation, the Company expects that it will likely result in damages, settlement payments, fines, penalties, consent orders or other administrative sanctions against the Company and/or certain of its former legacy directors and officers, any of which could be material. As a result, although no agreement has been reached, the Company has recorded an estimated liability based on these discussions which is included in the Company's accrued current loss contingencies. The final resolution may differ from the Company's current estimate and it could be material to the Company’s results of operations.
As referenced above, during the three months ended March 31, 2020, there have been no material updates or developments with respect to certain other proceedings or actions as described under “Governmental and Regulatory Inquiries” inNote 21, “LEGAL PROCEEDINGS,” to the Company's Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on February 19, 2020. Such matters include:
AMF Investigation
On April 12, 2016, the Company received a request letter from the Autorité des marchés financiers (the “AMF”) requesting documents concerning the work of the Company’s ad hoc committee of independent directors, (established to review certain allegations regarding the Company’s former relationship with Philidor and related matters), the Company’s former relationship with Philidor, the Company's accounting practices and policies and other matters. The Company is cooperating with the AMF in this matter. In July 2018, the Company was advised by the AMF that it had issued a formal investigation order against it.
Investigation by the U.S. Attorney's Office for the District of Massachusetts - re Arestin®
In August 2019, the Company received a subpoena from the U.S. Attorney's Office for the District of Massachusetts, requesting materials including documents concerning the sales, marketing, coverage and reimbursement of Arestin®, including related support services, and other matters.
The Company is cooperating with all these investigations. The Company cannot predict whetherthe outcome or the duration of these investigations or any other legal proceedings or any enforcement action againstactions or other remedies that may be imposed on the Company will result from sucharising out of this investigation.
Investigation by the State of Texas
On May 27, 2014, the State of Texas served Bausch & Lomb Incorporated ("B&L Inc.") with a Civil Investigative Demand concerning various price reporting matters relating to the State's Medicaid program and the amounts the State paid in reimbursement for B&L products for the period from 1995 to the date of the Civil Investigative Demand. The Company and B&L Inc. have cooperated fully with the State's investigation and have produced all of the documents requested by the State. In April 2016, the State sent B&L Inc. a demand letter claiming damages in the amount of $20 million. The Company and B&L Inc. have evaluated the letter and disagree with the allegations and methodologies set forth in the letter. In June 2016, the Company and B&L Inc. responded to the State. In July 2018, the State responded to the Company's June 2016 letter and indicated that it disagreed with certain of the Company’s positions and would send a response to the Company's June 2016 letter, which the Company has not yet received.
Securities and RICO Class Actions and Related Matters
U.S. Securities Litigation - Opt-Out Litigation
On December 16, 2019, the Company announced that it had agreed to settle, subject to final court approval, the consolidated securities class action filed in the U.S. District Court for the District of New Jersey (In re Valeant Pharmaceuticals International, Inc. Securities Litigation, Case No. 15-cv-07658).
In October 2015, four4 putative securities class actions were filed in the U.S. District Court for the District of New Jersey against the Company and certain current or former officers and directors. The allegations related to, among other things, allegedly false and misleading statements and/or failures to disclose information about the Company’s business and prospects, including relating to drug pricing, the Company’s use of specialty pharmacies, and the Company’s relationship with Philidor.
On May 31, 2016, the Courtcourt entered an order consolidating the four4 actions under the caption In re Valeant Pharmaceuticals International, Inc. Securities Litigation, Case No. 3:15-cv-07658. On June 24, 2016, the lead plaintiff filed a consolidated complaint asserting claims under Sections 10(b) and 20(a) of the Exchange Act against the Company, and certain current or former officers and directors, as well as claims under Sections 11, 12(a)(2) and 15 of the Securities Act of 1933 (the “Securities Act”) against the Company, certain current or former officers and directors, and certain other parties. The lead plaintiff seeks to bring these claims on behalf of a putative class of persons who purchased the Company’s equity securities and senior notes in the United States between January 4, 2013 and March 15, 2016, including all those who purchased the Company’s securities in the United States in the Company’s debt and stock offerings between July 2013 to March 2015. On September 13, 2016, the Company and the other defendants moved to dismiss the consolidated complaint. On April 28, 2017, the Courtcourt dismissed

certain claims arising out of the Company's private placement offerings and otherwise denied the motions to dismiss. On September 20, 2018, lead plaintiff filed an amended complaint, adding claims against ValueAct Capital Management L.P. and affiliated entities.entities ("ValueAct"). On October 31, 2018, a third-party defendant, ValueAct, filed a motion to dismiss. On June 30, 2019, the Court denied the motion to dismiss.
On December 16, 2019, the Company, the current or former officers and directors, ValueAct, and the underwriters announced that they agreed to resolve the securities action for $1,210 million, subject to final court approval. Once approved by the

court, the settlement will resolve and discharge all claims against the Company in the class action. As part of the settlement, the Company and the other settling defendants admitted no liability as to the claims against it and deny all allegations of wrongdoing. On January 27, 2020 the court preliminarily approved the settlement and scheduled the final settlement approval hearing for May 27, 2020. In order to qualify for a settlement payment all persons and entities that purchased or otherwise acquired the Company securities during the class period must have submitted a proof of claim and release form by May 6, 2020. The settlement payment is being paid in accordance with the payment schedule outlined in the settlement agreement. The opt-out litigations discussed below remain ongoing.
On June 6, 2018, a putative class action was filed in the U.S. District Court for the District of New Jersey against the Company and certain current or former officers and directors. This action, captioned Timber Hill LLC, v. Valeant Pharmaceuticals International, Inc., et al., (Case No. 2:18-cv-10246) (“Timber Hill”), asserts securities fraud claims under Sections 10(b) and 20(a) of the Exchange Act on behalf of a putative class of persons who purchased call options or sold put options on the Company’s common stock during the period January 4, 2013 through August 11, 2016. On June 11, 2018, this action was consolidated with In re Valeant Pharmaceuticals International, Inc. Securities Litigation, (Case No. 3:15-cv-07658). On January 14, 2019, the defendants filed a motion to dismiss the Timber Hill complaint. Briefing on that motion was completed on February 13, 2019. On August 15, 2019, the Court denied the motion to dismiss the Timber Hill action, holding that this complaint was a legal nullity as a result of the June 11, 2018 consolidation order.
In addition to the consolidated putative class action, as previously reported in the Company’s Form 10-K, thirty-oneNaN groups of individual investors in the Company’s stock and debt securities have chosen to opt out of the consolidated putative class action and filed securities actions pending in the U.S. District Court for the District of New Jersey against the Company and certain current or former officers and directors. In addition to the matters captioned Maverick Neutral Levered Fund v. Valeant Pharmaceuticals International, Inc. (Case No. 20-cv-02190) (“Maverick”) and Templeton v. Valeant Pharmaceuticals International, Inc. (Case No. 20-cv-05478) (“Templeton”), these actions were captioned previously in the Company’s Annual Report on Form 10K for the year ended December 31, 2019, filed on February 19, 2020. NaN of the NaN opt out actions have been dismissed; and while the total number of remaining opt out actions pending in the District of New Jersey is NaN actions, the Company has reached agreement in principle to resolve several of these actions and expects those actions to be dismissed shortly.
These individual shareholder actions assert claims under Sections 10(b), 18, and 20(a) of the Exchange Act. Certain of these individual actions assert additional claims, including claims under Section 18 of the Exchange Act, Sections 11, 12(a)(2), and 15 of the Securities Act, common law fraud, and negligent misrepresentation, claims under state law,the New Jersey Racketeer Influenced and Corrupt Organizations Act and one plaintiff asserts claims under the Connecticut Uniform Securities Act. These claims are based on alleged purchases of Company stock, options, and/or debt at various times between January 3, 2013 and August 10, 2016. Some plaintiffs additionally assert claims under the New Jersey Racketeer Influenced and Corrupt Organizations Act. The allegations in the complaints are similar to those made by plaintiffs in the putative class action. Motions to dismiss have been filed and in most cases decided in many of these individual actions. To date, the Court has dismissed state law claims including New Jersey Racketeer Influenced and Corrupt Organizations Act, common law fraud, and negligent misrepresentation claims in certain cases. On January 7, 2019, the Court entered a stipulation of voluntary dismissal in the Senzar Healthcare Master Fund LP v. Valeant Pharmaceuticals International, Inc. (Case No. 18-cv-02286) opt-out action, closing the case. On May 31,September 10, 2019, the Court dismissedgranted defendants’ motion to dismiss all claims in the Catalyst Dynamic Alpha FundBahaa Aly v. Valeant Pharmaceuticals International, Inc. (“Aly”) (Case No. 18-cv-12673)18-cv-17393) opt-out action on statute of limitations and other grounds, with leave to re-plead. The Catalystaction. On October 9, 2019, the Aly Plaintiffs filed an amendeda notice of appeal to the United States Court of Appeals for the Third Circuit. On December 13, 2019, the Court granted the Company’s motion to dismiss the Catalyst complaint on July 1, 2019.in its entirety.
The Company believesdisputes the claims against it in the remaining individual opt-out complaints and the consolidated putative class action are without merit and intends to defend itself vigorously.
Canadian Securities Litigation
In 2015, six6 putative class actions were filed and served against the Company and certain current or former officers and directors in Canada in the provinces of British Columbia, Ontario and Quebec, as previously reportedQuebec. The Company is also aware of 2 additional putative class actions that were filed with the applicable court but which have not been served on the Company and the factual allegations made in the Company's Annual Report on Form 10-K for the year ended December 31, 2018, filed on February 20, 2019.these actions are substantially similar to those outlined above.
The actions generally allege violations of Canadian provincial securities legislation on behalf of putative classes of persons who purchased or otherwise acquired securities of the Company for periods commencing as early as January 1, 2013 and ending as late as November 16, 2015. The alleged violations relate to the same matters described in the U.S. Securities Litigation description above.
The Rosseau-Godbout

Each of these putative class actions, other than the Catucci action was stayed byin the Quebec Superior Court, by consent order. The Kowalyshyn action has been consolidated with the O’Brien action and that consolidated action is stayed in favor of the Catucci action.discontinued. In the Catucci action, on August 29, 2017, the judge granted the plaintiffs leave to proceed with their claims under the Quebec Securities Act and authorized the class proceeding. On October 26, 2017, the plaintiffs issued their Judicial Application Originating Class Proceedings. A timetable for certain pre-trial procedural matters in the action has been set and the notice of certification has been disseminated to class members. Among other things, the timetable established a deadline of June 19, 2018 for class members to exercise their right to opt-out of the class.
The Company is aware of two additional putative class actions that have been filed with the applicable court but which have not yet been served on the Company, as previously reported in the Company's Annual Report on Form 10-K for the year ended December 31, 2018, filed on February 20, 2019, and the factual allegations made in these actions are substantially similar to those outlined above. The Company has been advised that the plaintiffs in these actions do not intend to pursue the actions.

In addition to the class proceedings described above, on April 12, 2018, the Company was served with an application for leave filed in the Quebec Superior Court of Justice to pursue an action under the Quebec Securities Act against the Company and certain current or former officers and directors. This proceeding is captioned BlackRock Asset Management Canada Limited et al. v. Valeant, et al. (Court File No. 500-11-054155-185). The allegations in the proceeding are similar to those made by plaintiffs in the Catucci class action. On June 18, 2018, the same BlackRock entities filed an originating application (Court File No. 500-17-103749-183) against the same defendants asserting claims under the Quebec Civil Code in respect of the same alleged misrepresentations.
The Company is aware that certain other members of the Catucci class exercised their opt-out rights prior to the June 19, 2018 deadline. On February 15, 2019, one1 of the entities which exercised its opt-out rights (“CalSTRS”) served the Company with an application in the Quebec Superior Court of Justice for leave to pursue an action under the Quebec Securities Act against the Company, certain current or former officers and directors of the Company and its auditor. That proceeding is captioned California State Teachers’ Retirement System v. Bausch Health Companies Inc. et al. (Court File No. 500-11-055722-181). The allegations in the proceeding are similar to those made by the plaintiffs in the Catucci class action and in the BlackRock opt-out proceedings. On that same date, California State Teachers’ Retirement SystemCalSTRS also served the Company with proceedings (Court File No. 500-17-106044-186) against the same defendants asserting claims under the Quebec Civil Code in respect of the same alleged misrepresentations.
On February 3, 2020, the Quebec Superior Court granted the applications of CalSTRS and BlackRock for leave to pursue their respective actions asserting claims under the Quebec Securities Act. On March 11, 2020, the Company and the other defendants filed applications for leave to appeal from the decision of the Quebec Superior Court. The applications for leave to appeal are scheduled to be heard on June 9, 2020.
After a hearing on November 11, 2019, the court approved a settlement in the Catucci action between the class members and the Company’s auditors.
The Company believes that it has viable defenses in each of these actions. In each case, the Company intends to defend itself vigorously.
Insurance Coverage Lawsuit
On December 7, 2017, the Company filed a lawsuit against its insurance companies that issued insurance policies covering claims made against the Company, its subsidiaries, and its directors and officers during two2 distinct policy periods, (i) 2013-14 and (ii) 2015-16.  The lawsuit is currently pending in the United States District Court for the District of New Jersey (Valeant Pharmaceuticals International, Inc., et al. v. AIG Insurance Company of Canada, et al.; 3:18-CV-00493).  In the lawsuit, the Company seeks coverage for (1)for: (i) the costs of defending and resolving claims brought by former shareholders and debtholders of Allergan, Inc. in In re Allergan, Inc. Proxy Violation Securities Litigation and Timber Hill LLC, individually and on behalf of all others similarly situated v. Pershing Square Capital Management, L.P., et al. (under the 2013-2014 coverage period), and (2)(ii) costs incurred and to be incurred in connection with the securities class actions and opt-out cases described in this section and certain of the investigations described above (under the 2015-2016 coverage period).
Derivative Lawsuits
On September 10, 2019 and September 13, 2019, 2 alleged stockholders filed derivative lawsuits purportedly on behalf of the Company against former Company board members and executives. On March 7, 2020, a consolidated amended derivative complaint was filed, captioned In re Bausch Health Companies Inc. F/K/A/ Valeant Pharmaceuticals International, Inc. Stockholder Derivative Litigation (Case No. 19-cv-17833).
Plaintiffs assert claims for breach of fiduciary duty, waste of corporate assets, and unjust enrichment related to, among other things, allegedly false and misleading statements and/or failures to disclose information about the Company’s business and prospects, including relating to drug pricing, the Company’s use of specialty pharmacies, and the Company’s relationship with Philidor. The consolidated complaint also asserts a claim for contribution and indemnification by the Defendants for any liability the Company ultimately faces as a result of the conduct alleged in the complaint. The claims alleged in these cases are based on the same purported conduct that is at issue in In re Valeant Pharmaceuticals International, Inc. Securities

Litigation, all of which occurred prior to 2017. On April 21, 2020, the Defendants filed a motion to dismiss the consolidated amended complaint. Briefing on this motion will conclude on July 6, 2020. The Company disputes these claims and intends to defend itself vigorously.
Other Securities and RICO Class Actions and Related Matters
As referenced above during the three months ended March 31, 2020, there have been no material updates or developments with respect to certain other proceedings or actions as described under “Securities and RICO Class Actions and Related Matters” inNote 21, “LEGAL PROCEEDINGS,” to the Company's Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on February 19, 2020. Such matters include:
RICO Class Actions
Between May 27, 2016 and September 16, 2016, three virtually identical actions were filed in the U.S. District Court for the District of New Jersey against the Company and various third-parties (these actions were subsequently consolidated), alleging claims under the federal Racketeer Influenced Corrupt Organizations Act (“RICO”) on behalf of a putative class of certain third-party payors that paid claims submitted by Philidor for certain Company brandedCompany-branded drugs between January 2, 2013 and November 9, 2015.  On November 30, 2016, the Court entered an order consolidating the three actions under the caption In re Valeant Pharmaceuticals International, Inc. Third-Party Payor Litigation, No. 3:16-cv-03087. A consolidated class action complaint was filed on December 14, 2016.  The consolidated complaint alleges, among other things, that the defendants committed predicate acts of mail and wire fraud by submitting or causing to be submitted prescription reimbursement requests that misstated or omitted facts regardingregarding: (1) the identity and licensing status of the dispensing pharmacy; (2) the resubmission of previously denied claims; (3) patient co-pay waivers; (4) the availability of generic alternatives; and (5) the insured’s consent to renew the prescription.  The complaint further alleges that these acts constitute a pattern of racketeering or a racketeering conspiracy in violation of the RICO statute and caused plaintiffs and the putative class unspecified damages, which may be trebled under the RICO statute. The Company movedA decision on the Company’s motion to dismiss the consolidatedthis complaint on February 13, 2017. On March 14, 2017, other defendants filed a motion to stay the RICO class action pending the resolution of criminal proceedings against Andrew Davenport and Gary Tanner. On August 9, 2017, the Court granted the motion to stay and entered an order staying all proceedings in the case and accordingly terminating other pending motions. On April 12, 2019, the court lifted the stay. On July 30, 2019, the plaintiffs filed an amended complaint.
is pending. The Company believes these claims are without merit and intends to defend itself vigorously.

Hound Partners Lawsuit
OnIn October 19, 2018, Hound Partners Offshore Fund, LP, Hound Partners Long Master, LP, and Hound Partners Concentrated Master, LP, filed a lawsuit against the Company in the Superior Court of New Jersey Law Division/Mercer County. This action is captioned Hound Partners Offshore Fund, LP et al., v. Valeant Pharmaceuticals International, Inc., et al. (No. MER-L-002185-18). This suitCounty that asserts claims for common law fraud, negligent misrepresentation, and violations of the New Jersey Racketeer Influenced and Corrupt Organizations Act. The factual allegations made in this complaint are similar to those made in the District of New Jersey Hound Partners action. On March 29, 2019, the Company, certain individual defendants, and Plaintiffs submitted a consent order to stay further proceedingsThis matter is currently stayed pending the completion of discovery in one of the above-noted federal opt-out case Hound Partners Offshore Funds, LP et al. v. Valeant Pharmaceuticals International, Inc.cases. The Company disputes the claims and intends to vigorously defend this matter.
Antitrust
Contact LensGlumetza Antitrust Class ActionsLitigation
Beginning in March 2015, a number of civilBetween August 2019 and February 2020, 7 (7) putative antitrust class actions and 3 (3) non-class complaints were filed in the Northern District of California against the Company, Salix Pharmaceuticals, Ltd., Salix Pharmaceuticals, Inc., and Santarus, Inc. (among other defendants) (the “California Actions”). In February 2020, an eighth putative class action suitswas filed in the Southern District of Florida; this action was transferred to the Northern District of California. NaN (3) of the class actions were filed by plaintiffs seeking to represent a class of direct purchasers. The purported classes of direct purchasers of contact lenses against B&L Inc., three other contact lens manufacturers, andfiled a contact lens distributor, alleging that the defendants engaged in an anticompetitive scheme to eliminate price competitionconsolidated amended complaint on certain contact lens lines through the use of unilateral pricing policies, and alleging violations of Section 1 of the Sherman Act, 15 U.S.C. § 1, and of various state antitrust and consumer protection laws.November 25, 2019. The 5 (5) class actions filed by end payer purchasers have all been voluntarily dismissed. The 3 (3) non-class complaints were filed by direct purchasers. These casesactions have been consolidated and coordinated in the Middle District of Florida by the Judicial Panel for Multidistrict Litigation, under the caption In re Disposable Contact LensGlumetza Antitrust Litigation, Case No. 3:15-md-02626-HES-JRK.19-cv-05822-WHA.
Both class and non-class direct purchaser plaintiffs seek damages under federal antitrust laws. The lawsuits allege that a 2012 settlement of a patent litigation regarding Glumetza® delayed generic entry in exchange for an agreement not to launch an authorized generic of Glumetza® or grant any other company a license to do so. The complaints allege that the settlement agreement resulted in higher prices for Glumetza® and its generic equivalent both prior to and after generic entry. On August 20, 2018, defendantsApril 29, 2020, the purported classes of direct purchasers filed motionstheir motion for summary judgment. The Court has set oral argumentclass certification.  Briefing on the motions for summary judgement for August 21 and 22, 2019. On December 4, 2018, the Court certified six classes, four of which relatemotion is expected to B&L Inc. Defendants' petitions seeking leave from the Eleventh Circuit Court of Appeals to file an immediate appeal of the class certification order have been denied. On February 20, 2019, the Court removed the case from the trial calendar.conclude in June 2020. The Company continuesand its affiliates named in these cases dispute the claims against them and intend to vigorously defend this matter.these matters.

Other Antitrust Matters
As referenced above during the three months ended March 31, 2020, there have been no material updates or developments with respect to certain other proceedings or actions as described under “Antitrust” inNote 21, “LEGAL PROCEEDINGS,” to the Company's Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2019), filed with the SEC on February 19, 2020. This includes the following matter:
Generic Pricing Antitrust Class ActionLitigation
AsCertain of June 2018, the Company'sCompany’s subsidiaries Oceanside Pharmaceuticals, Inc. (“Oceanside”), Bausch Health US, LLC (formerly Valeant Pharmaceuticals North America LLC) (“Bausch Health US”), and Bausch Health Americas, Inc. (formerly Valeant Pharmaceuticals International) (“Bausch Health Americas”) (for the purposes of this subsection, collectively, the “Company”), were added asare defendants in putative class actiona multidistrict antitrust litigation (“MDL”) entitled In re: Generic Pharmaceuticals Pricing Antitrust Litigation, pending in the United States District Court for the Eastern District of Pennsylvania (MDL 2724, 16-MD-2724).Pennsylvania. The lawsuit to which the Company was added was filedlawsuits (which include claims by direct purchaser plaintiffspurchasers, end payers, indirect resellers and seeksopt-outs) seek damages under federal and state antitrust laws, allegingstate consumer protection and unjust enrichment laws and allege that the Company’s subsidiaries entered into a conspiracy to fix, stabilize, and raise prices, rig bids and engage in market and customer allocation for generic pharmaceuticals. SpecificThe Company disputes the claims against the Company’s subsidiaries relate to generic pricing of the Company’s metronidazole vaginal product as part of an alleged overarching conspiracy among generic drug manufacturers. As of December 2018, three direct purchaser plaintiffs that had opted out of the putative class filed an amended complaint in the MDL that added Oceanside, Bausch Health USit and Bausch Health Americas, alleging similar claims as the direct purchaser plaintiffs’ putative class action complaint. Separate complaints by other plaintiffs which had been consolidated in the same multidistrict litigation do not name the Company or any of its subsidiaries as a defendant. The Company has filed motions to dismiss. Discovery against the Company’s subsidiaries has commenced. The Company continues to vigorously defend this matter.itself vigorously.
Intellectual Property
Patent Litigation/Paragraph IV Matters
From time to time, the Company (and/or certain of its affiliates) is also party to certain patent infringement proceedings in the United States and Canada, including as arising from claims filed by the Company (or that the Company anticipates filing within the required time periods) in connection with Notices of Paragraph IV Certification (in the United States) and Notices of Allegation (in Canada) received from third-party generic manufacturers respecting their pending applications for generic versions of certain products sold by or on behalf of the Company, including Relistor®, Apriso®, Uceris®, Xifaxan® 200mg, Xifaxan® 550mg, Plenvu®, GlumetzaBepreve®, Bryhali®, Prolensa® and Jublia® in the United States and Jublia® in Canada, or other similar suits. These matters are proceeding in the ordinary course. In July 2019,
On February 17, 2020, the Company announcedand Alfasigma S.p.A. ("Alfasigma") received a Notice of Paragraph IV Certification from Norwich Pharmaceuticals Inc. (“Norwich”), in which Norwich asserted that the U.S. District Court of New Jersey had upheldpatents listed in the validity ofU.S. Food and determined Actavis' infringement of a patent protectingDrug Administration's (the "FDA") Orange Book for the Company's RelistorCompany’s Xifaxan® tablets, expiring in March 2031. In

July,550 mg, are either invalid, unenforceable and/or will not be infringed by the commercial manufacture, use or sale of Norwich’s generic rifaximin tablets, 550 mg, for which an Abbreviated New Drug Application (“ANDA”) has been filed by Norwich. The Company, also announced that it had agreed to resolvethrough its subsidiaries Salix Pharmaceuticals, Inc. and Bausch Health Ireland Limited, holds the outstanding intellectual property litigation with Teva Pharmaceuticals USA, Inc. ("Teva") regarding AprisoNew Drug Application for Xifaxan® extended-release capsules 0.375g. As partand owns or exclusively licenses (from Alfasigma) these patents. On March 26, 2020, certain of the settlement, Company’s subsidiaries and Alfasigma filed suit against Norwich in the U.S. District Court for the District of Delaware (Case No. 20-cv-00430) pursuant to the Hatch-Waxman Act, alleging infringement by Norwich of one or more claims of the Xifaxan® Patents, thereby triggering a 30-month stay of the approval of Norwich’s ANDA for rifaximin tablets, 550 mg. Xifaxan® is protected by 23 patents covering the composition of matter and the use of Xifaxan® listed in the FDA’s Approved Drug Products with Therapeutic Equivalence Evaluations, or the Orange Book. The Company remains confident in the strength of the Xifaxan® patents and will continue to vigorously pursue this matter and defend its intellectual property.
A similar suit was also filed against Sandoz, Inc. (“Sandoz”) in September 2019, alleging infringement by Sandoz of one or more claims of certain of these Xifaxan® Patents by the commercial manufacture, use or sale of Sandoz’s generic rifaximin tablets, 550 mg, for which an ANDA had been filed. On May 6, 2020, the Company announced that an agreement had been reached with Sandoz that resolved this litigation. Under the terms of the agreement, the parties agreed to dismiss all litigation related to AprisoXifaxan® (rifaximin), Sandoz acknowledged the validity of the licensed patents for Xifaxan® (rifaximin) 550 mg tablets and all intellectual property protecting AprisoXifaxan® (rifaximin) 550 mg tablets will remain intact and enforceable. In addition, the Company will grant Tevaenforceable until expiry in October 2029. The agreement also grants Sandoz a non-exclusive license effective October 1, 2021to the intellectual property relating to AprisoXifaxan® (rifaximin) 550 mg tablets in the United States (provided that Tevabeginning January 1, 2028 (or earlier under certain circumstances). Under the terms of the agreement, beginning January 1, 2028 (or earlier under certain circumstances), Sandoz will have the right to market a royalty-free generic version of Xifaxan® (rifaximin) 550 mg tablets, should it receive approval from the FDA on its ANDA. Sandoz will be able to begincommence such marketing prior to such dateearlier if another generic version of therifaximin product is granted approval and starts sellingsuch other generic rifaximin product begins to be sold or distributing such generic prior to Octoberdistributed in the United States before January 1, 2021).2028.The Company will not make any financial payments or other transfers of value as part of this agreement with Sandoz.
In addition, patents covering the Company's branded pharmaceutical products may be challenged in proceedings other than court proceedings, including inter partes review ("IPR") at the U.S. Patent & Trademark Office. The proceedings operate under different standards from district court proceedings, and are often completed within 18 months of institution.  IPR

challenges have been brought against patents covering the Company's branded pharmaceutical products.  For example, following Acrux DDS’s IPR petition, the U.S. Patent and Trial Appeal Board, in May 2017, instituted inter partes review for an Orange Book-listed patent covering Jublia® and, on June 6, 2018, issued a written determination invalidating such patent. An appeal of this decision was filed on August 7, 2018. On March 13, 2020, the Court of Appeals for the Federal Circuit reversed this decision and remanded the matter back to the PTAB for further proceedings. Jublia® continues to be covered by seveneleven other Orange Book-listed patents owned by the Company and its licensor, which expire in the years 2028 through 2034.2035.
Product Liability
As referenced above, during the three months ended March 31, 2020, there have been no material updates or developments with respect to certain proceedings or actions as described under “Product Liability” inNote 21, “LEGAL PROCEEDINGS,” to the Company's Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on February 19, 2020. These matters include:
Shower to Shower® Products Liability Litigation
Since 2016, the Company has been named in one hundred and sixty-six (166)a number of product liability lawsuits involving the Shower to Shower® body powder product acquired in September 2012 from Johnson & Johnson; due to dismissals, only twelve (12) of such product liability suits currently remain pending,pending. Potential liability (including its attorneys’ fees and costs) arising out of these twelve (12) matters areremaining suits is subject to thefull indemnification obligations of Johnson & Johnson indemnification referenced below.
These lawsuits include three cases originally filed in the In re Johnson & Johnson Talcum Powder Litigation, Multidistrict Litigation 2738, pending in the United States District Court for the District of New Jersey, and one case that was filed in the District of Puerto Rico and subsequently transferredowed to the MDL. The Company and Bausch Health US were first named in a lawsuit filed directly into the MDL alleging that the use of the Shower to Shower® product caused the plaintiff to develop ovarian cancer. The plaintiff agreed to a dismissal of all claims against the Company, and Bausch Health US without prejudice. The Company has subsequently been named in one additional lawsuit, originally filed in the Districtlegal fees and costs will be paid by Johnson & Johnson. Ten of Puerto Rico and subsequently transferred into the MDL, but has not been served in that case. The Company was also named in two additionalthese lawsuits filed directly into the MDL that have also not yet been served.
These lawsuits also include a number of matters filed in the Superior Court of Delaware and five cases filed in the Superior Court of New Jersey allegingby individual plaintiffs allege that the use of Shower to Shower® caused the plaintiffs to develop ovarian cancer. The Company has been voluntarily dismissed from nearly all of these cases, with claims against Bausch Health US only remaining in one case pending in New Jersey and one case pending in Delaware. Four of the five cases in the Superior Court of New Jersey were voluntarily dismissed as to Bausch Health US as well.cancer or mesothelioma. The allegations in the remaining twothese cases specifically directed to Bausch Health US include failure to warn, design defect, manufacturing defect, negligence, gross negligence, breach of express and implied warranties, civil conspiracy concert in action, negligent misrepresentation, wrongful death, andloss of consortium and/or punitive damages. One hundred twenty-two (122) of the Delaware actions were voluntarily dismissed without prejudice pursuant to stipulation in January 2019, and although the stipulation permitted the cases to be filed again within 60 days, none of the cases have been refiled.
In addition, these lawsuits also include a number of cases filed in certain state courts in the United States (including the Superior Courts of California, Delaware and New Jersey); the District Court of Louisiana; the Supreme Court of New York (Niagara County); the District Court of Oklahoma City, Oklahoma; the South Carolina Court of Common Pleas (Richland County); and the District Court of Nueces County, Texas (transferred to the asbestos MDL docket in the District Court of Harris County, Texas for pre-trial purposes) alleging use of Shower to Shower® and other products resulted in the plaintiffs developing mesothelioma. The Company has been successful in obtaining voluntarily dismissals in most of these cases or the plaintiffs have not opposed summary judgment. Presently, four cases remain pending in the Superior Court of New Jersey and one case in the Superior Court of California. The allegations in these cases generally include design defect, manufacturing defect, failure to warn, negligence, and punitive damages, and in some cases breach of express and implied warranties, misrepresentation, and loss of consortium. The damages sought by the various Plaintiffs include compensatory damages, including medical expenses, lost wages or earning capacity, and loss of consortium. In addition, Plaintiffs seekconsortium and/or compensation for pain and suffering, mental anguish anxiety and discomfort, physical impairment and loss of enjoyment of life. Plaintiffs also seek pre- and post-judgment interest, exemplary and punitive damages, and attorneys’ fees.

Additionally, two proposed class actions have been filed in Canada against the Company and various Johnson & Johnson entities (one in the Supreme Court of British Columbia and one in the Superior Court of Quebec). The Company also acquired the rights to the Shower to Shower® product in Canada from Johnson & Johnson in September 2012. In the British Columbia matter, the plaintiff seeks to certify a proposed class action, on behalf of persons in British Columbia and Canada who have purchased or used Johnson & Johnson’s Baby Powder or Shower to Shower®, including their estates, executors and personal representatives, and is alleging that. The class actions allege the use of thisthe product increases certain health risks. In the Quebec matter, the plaintiff sought to certify a proposed class action on behalf of persons in Quebec who have used Johnson & Johnson’s Baby Powderrisks (British Columbia) or Shower to Shower®, as well as their family members, assigns and heirs, and is alleging negligence in failing to properly test, failing to warn of health risks, and failing to remove the products from the market in a timely manner. A certification (also known as authorization) hearing was held in the Quebec matter and the Court certified (or as stated under Quebec law, authorized) the bringing of a class action by a representative plaintiff on behalf of people in Quebec who have used Johnson & Johnson's Baby Powder and/or Shower to Shower® in their perineal area and have been diagnosed with ovarian cancer and/or family members, assigns and heirs.manner (Quebec). The plaintiffs in these actions are seeking awards of general, special, compensatory and punitive damages.
The In accordance with the indemnification agreement, Johnson & Johnson will continue to vigorously defend the Company intends to defend itself vigorously in each of the remaining actions that are not voluntarily dismissed or subject to a grant of summary judgment. Potential liability (including its attorneys’ fees and costs) arising out of the covered Shower to Shower® lawsuits filed against the Company is subject to certain indemnification obligations of Johnson & Johnson owed to the Company, and legal fees and costs have been and will continue to be reimbursed by Johnson & Johnson. The Company and Johnson & Johnson reached an agreement on April 17, 2019, regarding the scope of the indemnification relating to the majority of the Shower to Shower® matters (the “Covered Matters”) and the Company has dismissed the demand for arbitration that the Company filed against Johnson & Johnson to assert its rights to indemnification. Johnson & Johnson will fully indemnify the Company in the Covered Matters, which include (i) personal injury and products liability actions arising from alleged exposure to Shower to Shower® prior to March 2020, and (ii) consumer fraud, consumer protection, false advertising or other regulatory actions arising out of the manufacture, use, or sale of Shower to Shower® up to and including September 9, 2012. The Company does not believe that the Covered Matters will have a material impact on the Company’s financial results going forward.
General Civil Actions
MississippiCalifornia Proposition 65 Related Matters
On January 29, 2020, Plaintiff Jan Graham filed a lawsuit (Graham v. Bausch Health Companies, Inc., et al., Case No. 20STCV03578) in Los Angeles County Superior Court against the Company, Bausch Health US and several other manufacturers, distributors and retailers of talcum powder products, alleging violations of California Proposition 65 by manufacturing and distributing talcum powder products containing chemicals listed under the statue, without a compliant warning on the label. The Company and Bausch Health US dispute the claims against them and intend to defend this lawsuit vigorously.
On June 19, 2019, plaintiffs filed a proposed class action in California state court against Bausch Health US and Johnson & Johnson (Gutierrez, et al. v. Johnson & Johnson, et al., Case No. 37-2019-00025810-CU-NP-CTL), asserting claims for purported violations of the California Consumer Legal Remedies Act, False Advertising Law and Unfair Competition Law in connection with their sale of talcum powder products that the plaintiffs allege violated Proposition 65 and/or the California Safe Cosmetics Act. This lawsuit was served on Bausch Health US on June 28, 2019 and was subsequently removed to the United States District Court for the Southern District of California, where it is currently pending. Plaintiffs seek damages, disgorgement of profits, injunctive relief, and reimbursement/restitution. The Company filed a motion to dismiss Plaintiffs’ claims, which was granted on April 27, 2020 without prejudice.
The Company and Bausch Health US dispute the claims against them and intend to defend each of these lawsuits vigorously.

New Mexico Attorney General Consumer Protection Action
The Company and Bausch Health US arewere named in an action brought by James Hood,State of New Mexico ex rel. Hector H. Balderas, Attorney General of Mississippi,New Mexico, in the Chancery CourtCounty of theSanta Fe New Mexico First Judicial District of Hinds County, Mississippi (HoodCourt (New Mexico ex rel. State of Mississippi,Balderas v. Johnson & Johnson, et al., Civil Action No. G2014-1207013,D-101-CV-2020-00013, filed on August 22, 2014)January 2, 2020), alleging consumer protection claims against Johnson & Johnson and Johnson & Johnson Consumer Companies, Inc., the Company and Bausch Health US related to the Shower to Shower® body powder product and its alleged causal link to ovarian cancer. As indicated above, the Company acquired the Shower to Shower® body powder product in September 2012 from Johnson & Johnson.mesothelioma and other cancers. The State of New Mexico brings claims against all defendants under the New Mexico Unfair Practices Act, the New Mexico Medicaid Fraud Act, the New Mexico Fraud Against Taxpayers Act, and other common law and equitable causes of action, alleging defendants engaged in wrongful marketing, sale and promotion of talcum powder products. The lawsuit seeks compensatory damages, punitive damages, injunctive relief requiring warnings for talc-containing products, removal fromto recover the market of products that fail to warn, and to prevent the continued violationcost of the Mississippi Consumer Protection Act (“MCPA”).talcum powder products as well as the cost of treating asbestos-related cancers allegedly caused by those products. The State also seeks disgorgement of profits fromCompany disputes the sale ofclaims asserted in this lawsuit and intends to vigorously defend the product and civil penalties. In October 2017, plaintiffs dismissed certain claims under the MCPA related to advertising/marketing that did not appear on the label and/or packaging of Shower to Shower®. The State has not made specific allegations as to the Company ormatter. On April 17, 2020, Bausch Health US. The Company intendsUS filed a motion to defend itself vigorously in this action. Johnson & Johnson will fully indemnifydismiss.
Other General Civil Actions
As referenced above, during the Company in this casethree months ended March 31, 2020, there have been no material updates or developments with respect to liabilities arisingcertain proceedings or actions as described under “General Civil Actions” inNote 21, “LEGAL PROCEEDINGS,” to the Company's Consolidated Financial Statements included in the Company's Annual Report on Form 10-K for the year ended December 31, 2019), filed with the SEC on February 19, 2020. These matters include:
Doctors Allergy Formula Lawsuit
In April 2018, Doctors Allergy Formula, LLC (“Doctors Allergy”), filed a lawsuit against Bausch Health Americas in the Supreme Court of the State of New York, County of New York, asserting breach of contract and related claims under a 2015 Asset Purchase Agreement, which purports to include milestone payments that Doctors Allergy alleges should have been paid by Bausch Health Americas.  Doctors Allergy claims its damages are not less than $23 million. The Company has asserted counterclaims against Doctors Allergy. 
Litigation with Former Salix CEO
On January 28, 2019, former Salix Ltd. CEO and director Carolyn Logan filed a lawsuit in the Delaware Court of Chancery, asserting claims for breach of contract and declaratory relief. The lawsuit arises out of the manufacture, use,contractual termination of approximately $30 million in unvested equity awards following the determination by the Salix Ltd. Board of Directors that Logan intentionally engaged in wrongdoing that resulted, or sale of Showerwould reasonably be expected to Shower® priorresult, in material harm to Salix Ltd., or to the Company's acquisitionbusiness or reputation of Salix Ltd. Logan seeks the restoration of the product.unvested equity awards and a declaration regarding certain rights related to indemnification.
The Company disputes the claims against it in each of these matters and intends to vigorously defend the matters.
Completed or Dormant Matters
The following matters have concluded, have settled, are the subject of an agreement to settle or have otherwise been closed since January 1, 2020 or the Company anticipates that no further material activity will take place with respect thereto, or the matters have been dormant for several quarters. Due to the closure, settlement, inactivity or change in status of the matters referenced below, these matters will no longer appear in the Company's next public reports and disclosures, unless required. With respect to inactive matters, to the extent material activity takes place in subsequent quarters with respect thereto, the Company will provide updates as required or as deemed appropriate.
California Proposition 65 Related Matters
On February 11, 2019, plaintiffs filed a pre-suit notice letter with the California Attorney General notifying the Attorney General’s office of their intent to file suit after 60 days against the Company and certain of its subsidiaries, alleging they committed violations of the California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65) by manufacturing and distributing Shower to Shower® that they allege contained talc contaminated with asbestos, a listed carcinogen. That notice letter was served on the Company on February 22, 2019. By statute, a private lawsuit may not be filed until at least 60 days have passed following service of this pre-suit notice letter. In April 2019, rather than filing a lawsuit against Bausch Health US, the plaintiffs moved for leave to amend their complaint in a pending Proposition 65 lawsuit (Luna, et al. v. Johnson & Johnson, et al., case 2:18-cv-04830-GW-KS) against Johnson & Johnson in federal court in California to
   

add Bausch Health US as a defendant. Plaintiffs subsequently filed a motion to dismiss the lawsuit without prejudice. The court has ordereddismissed the case without prejudice on December 18, 2019.
Contact Lens Antitrust Class Actions
Beginning in March 2015, a number of civil antitrust class action suits were filed by purchasers of contact lenses against B&L Inc., 3 other contact lens manufacturers, and a contact lens distributor, alleging that the defendants engaged in an anticompetitive scheme to eliminate price competition on certain contact lens lines through the use of unilateral pricing policies, and alleging violations of Section 1 of the Sherman Act, 15 U.S.C. § 1, and of various state antitrust and consumer protection laws. These cases have been consolidated in the Middle District of Florida by the Judicial Panel for Multidistrict Litigation, under the caption In re Disposable Contact Lens Antitrust Litigation, Case No. 3:15-md-02626-HES-JRK. On August 19, 2019, B&L Inc. entered into a settlement, subject to court approval, by which it agreed to pay $10 million to fully and finally resolve plaintiffs’ class claims against B&L Inc. in the case. On October 8, 2019, the settlement agreement was preliminarily approved by the court. A final fairness hearing regarding the settlement was held on February 25, 2020. On March 4, 2020, the Court granted final approval of the settlement agreement in all respects and dismissed the case be dismissed without prejudice.with prejudice as to B&L Inc., except as to any claim by persons who validly and timely requested exclusion from the settlement classes.
On April 15, 2019, a plaintiff filed a pre-suit notice letter with the CaliforniaMississippi Attorney General notifyingConsumer Protection Action
The Company and Bausch Health US were named in an action brought by James Hood, Attorney General of Mississippi, in the Attorney General’s officeChancery Court of their intent to file suit after 60 daysthe First Judicial District of Hinds County, Mississippi (Hood ex rel. State of Mississippi, Civil Action No. G2014-1207013, filed on August 22, 2014), alleging consumer protection claims against Johnson & Johnson and Johnson & Johnson Consumer Companies, Inc., the Company and certain of its subsidiaries, alleging they committed violations of Proposition 65 by manufacturing and distributingBausch Health US related to the Shower to Shower® that they allege contained silica, arsenic, leadbody powder product and chromium (hexavalent compounds), which they allege are knownits alleged causal link to cause cancer and/or reproductive toxicity. That notice letter was served onovarian cancer. As indicated above, the Company on April 18, 2019. Whileacquired the statutory 60 days have passed before a private lawsuit may be filed, no lawsuit has been filedShower to date.Shower
On June 19, 2019, plaintiffs filed a proposed class action® body powder product in California state court against Bausch Health US andSeptember 2012 from Johnson & Johnson (Gutierrez, et al. v. Johnson & Johnson, et al., Case No. 37-2019-00025810-CU-NP-CTL), asserting claimsJohnson. The State sought compensatory damages, punitive damages, injunctive relief requiring warnings for purported violationstalc-containing products, removal from the market of products that fail to warn, and to prevent the continued violation of the CaliforniaMississippi Consumer Legal RemediesProtection Act False Advertising Law and Unfair Competition Law in connection with their sale of talcum powder products that the plaintiffs allege violated Proposition 65. This lawsuit was served on Bausch Health US on June 28, 2019. Plaintiffs seek damages,(“MCPA”). The State also sought disgorgement of profits injunctive relief,from the sale of the product and reimbursement/restitution.civil penalties. The State did not make specific allegations as to the Company or Bausch Health US. The Company and Bausch Health US intendagreed to defendresolve this lawsuit vigorously.
Doctors Allergy Formula Lawsuit
In April 2018, Doctors Allergy Formula, LLC (“Doctors Allergy”), filedlitigation pursuant to a lawsuit against Bausch Health Americas in the Supreme Court ofsettlement agreement with the State of New York, CountyMississippi for a non-material amount. On January 8, 2020, an order of dismissal with prejudice was entered by the Court.
Investigation by the State of Texas
On May 27, 2014, the State of Texas served Bausch & Lomb Incorporated (“B&L Inc.”) with a Civil Investigative Demand (“CID”) concerning various price reporting matters relating to the State's Medicaid program and the amounts the State paid in reimbursement for B&L products for the period from 1995 to the date of the CID.  B&L Inc. has cooperated fully with the State's investigation and produced all the documents requested by the State to date.  After an exchange of positions, B&L Inc. and the State agreed to settle the matter for $10 million. The Company made the payment on April 1, 2020. As part of the settlement, the underlying Texas Medicaid Fraud case will be dismissed.
Investigation by the U.S. Attorney's Office for the District of Massachusetts regarding patient assistance and pricing
In October 2015 and June 2016, the Company received two subpoenas from the U.S. Attorney's Office for the District of Massachusetts, requesting materials including documents and witness interviews with respect to the Company’s patient assistance programs and contributions to patient assistance organizations that provide financial assistance to Medicare patients taking products sold by the Company, and the Company’s pricing of its products. The Company is cooperating with this investigation. There has been no material activity for several quarters on the part of the Company with respect to this matter nor has the Company had recent contact from the U.S. Attorney's Office for the District of Massachusetts with respect to this matter. The Company cannot predict the outcome or the duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be imposed on the Company arising out of this investigation.
Investigation by the U.S. Attorney's Office for the Southern District of New York Index No. 651597/2018. Doctors Allergy asserts breach of contract and related claims under
In October 2015, the Company received a 2015 Asset Purchase Agreement, which purports to include milestone payments that Doctors Allergy alleges should have been paid by Bausch Health Americas.  Doctors Allergy claims its damages are not less than $23 million.  On June 14, 2018, Bausch Health Americas filed a motion to dismiss the complaint in part and a motion to strike. On July 16, 2019 the court granted the Company's motion in part and dismissed Doctor's Allergy's fraud and punitive damages claims. Discovery is proceeding. Bausch Health Americas disputes the claims and intends to vigorously defend the remaining claims.
Litigation with Former Salix CEO
On January 28, 2019, former Salix Ltd. CEO and director Carolyn Logan filed a lawsuit in the Delaware Court of Chancery, Case No. 2019-0059, asserting claims for breach of contract and declaratory relief. The lawsuit arises out of the contractual termination of approximately $30 million in unvested equity awards following the determination by the Salix Ltd. Board of Directors that Logan intentionally engaged in wrongdoing that resulted, or would reasonably be expected to result, in material harm to Salix Ltd., or to the business or reputation of Salix Ltd. Logan seeks the restoration of the unvested equity awards and a declaration regarding certain rights related to indemnification.  On June 19, 2019, the Court entered an order staying the claim for declaratory relief pending the final resolution of the breach of contract claim. The Company disputes the claims and intends to vigorously defend the matter.
Completed or Inactive Matters
The following matters have concluded, have settled, are the subject of an agreement to settle or have otherwise been closed since January 1, 2019, have been inactivesubpoena from the Company’s perspective for several quarters or the Company anticipates that no further material activity will take place with respect thereto. Due to the closure, settlement, inactivity or change in status of the matters referenced below, these matters will no longer appear in the Company's next public reports and disclosures, unless required. With respect to inactive matters, to the extent material activity takes place in subsequent quarters with respect thereto, the Company will provide updates as required or as deemed appropriate.
Settlement of Salix Ltd. SEC Investigation
In the fourth quarter of 2014, the SEC commenced a formal investigation into alleged securities law violations by Salix Ltd. The investigation related to certain disclosures made prior to the Salix Acquisition by Salix Ltd. and its then-chief financial officer relating to the amounts of Salix Ltd. drugs held in inventory by certain wholesaler customers. The Company cooperated with the SEC's investigation. On September 28, 2018, the Company reached a settlement of the relevant charges with the SEC. Under the terms of the settlement, Salix Ltd. neither admitted nor denied the SEC’s allegations. No monetary penalty against the Company or Salix Ltd. was assessed by the terms of the settlement. On April 4, 2019, the U.S. District CourtAttorney's Office for the Southern District of New York, renderedrequesting materials including documents and witness interviews with respect to the Company’s patient assistance programs; its final judgment approvingformer relationship with Philidor and other pharmacies; the settlement.
Company’s accounting treatment for sales by specialty pharmacies; information provided to the Centers for Medicare and Medicaid Services; the Company’s pricing (including discounts and rebates), marketing and distribution of its products; the Company’s compliance program; and employee
   

compensation. The Company is cooperating with this investigation. There has been no material activity for several quarters on the part of the Company with respect to this matter. The Company cannot predict the outcome or the duration of this investigation or any other legal proceedings or any enforcement actions or other remedies that may be imposed on the Company arising out of this investigation.
20.19.SEGMENT INFORMATION
Reportable Segments
SinceThe Company’s Chief Executive Officer ("CEO"), who is the second quarter of 2018Company’s Chief Operating Decision Maker, manages the business through operating and reportable segments consistent with how the Company’s CEO currently:CEO: (i) assesses operating performance on a regular basis, (ii) makes resource allocation decisions and (iii) designates responsibilities of his direct reports; thereports. The Company operates in the following reportable segments: (i) Bausch + Lomb/International segment, (ii) Salix segment, (iii) Ortho Dermatologics segment and (iv) Diversified Products segment.
The following is a brief description of the Company’s segments:
The Bausch + Lomb/International segment consists of: (i) sales in the U.S. of pharmaceutical products, OTC products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision Care, Surgical, Consumer and Ophthalmology Rx products and (ii) with the exception of sales of Solta products, sales in Canada, Europe, Asia, Australia, Latin America, Africa and the Middle East of branded pharmaceutical products, branded generic pharmaceutical products, OTC products, medical device products and Bausch + Lomb products.
The Salix segment consists of sales in the U.S. of GI products.
The Ortho Dermatologics segment consists of: (i) sales in the U.S. of Ortho Dermatologics (dermatological) products and (ii) global sales of Solta medical aesthetic devices.
The Diversified Products segment consists of sales in the U.S. of: (i) pharmaceutical products in the areas of neurology and certain other therapeutic classes, (ii) generic products and (iii) dentistry products.
Effective in the first quarter of 2019, one product historically included in the reported results of the Ortho Dermatologics business unit in the Ortho Dermatologics segment is now included in the reported results of the Generics business unit in the Diversified Products segment and another product historically included in the reported results of the Ortho Dermatologics business unit in the Ortho Dermatologics segment is now included in the reported results of the Dentistry business unit in the Diversified Products segment as management believes the products better align with the new respective business units. These changes in product alignment are not material. Prior period presentations of business unit and segment revenues and profits have been conformed to current segment and business unit reporting structures.
Segment profit is based on operating income after the elimination of intercompany transactions. Certain costs, such as Amortization of intangible assets, Asset impairments, In-process research and development costs, Restructuring and integration costs, Acquisition-related contingent consideration costs and Other income,expense (income), net, are not included in the measure of segment profit, as management excludes these items in assessing segment financial performance.
Corporate includes the finance, treasury, certain research and development programs, tax and legal operations of the Company’s businesses and incurs certain expenses, gains and losses related to the overall management of the Company, which are not allocated to the other business segments. In assessing segment performance and managing operations, management does not review segment assets. Furthermore, a portion of share-based compensation is considered a corporate cost, since the amount of such expense depends on company-wide performance rather than the operating performance of any single segment.
   

Segment Revenues and Profits
Segment revenues and profits were as follows:
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended March 31,
(in millions)2019 2018 2019 20182020 2019
Revenues:          
Bausch + Lomb/International$1,208
 $1,209
 $2,326
 $2,312
$1,114
 $1,118
Salix509
 441
 954
 863
477
 445
Ortho Dermatologics122
 141
 260
 281
133
 138
Diversified Products313
 337
 628
 667
288
 315
$2,152
 $2,128
 $4,168
 $4,123
$2,012
 $2,016
          
Segment profits:          
Bausch + Lomb/International$337
 $350
 $656
 $647
$325
 $319
Salix332
 292
 620
 564
319
 288
Ortho Dermatologics41
 58
 98
 102
48
 57
Diversified Products232
 259
 468
 499
202
 236
942
 959
 1,842
 1,812
894
 900
Corporate(152) (161) (277) (275)(156) (125)
Amortization of intangible assets(488) (741) (977) (1,484)(436) (489)
Goodwill impairments
 
 
 (2,213)
 
Asset impairments(13) (301) (16) (345)(14) (3)
Restructuring and integration costs(4) (7) (24) (13)(4) (20)
Acquisition-related contingent consideration(20) 6
 1
 4
(13) 21
Other income (expense), net(8) 
 (5) (12)
Operating income (loss)257
 (245) 544
 (2,526)
Other (expense) income, net(23) 3
Operating income248
 287
Interest income3
 3
 7
 6
7
 4
Interest expense(409) (435) (815) (851)(396) (406)
Loss on extinguishment of debt(33) (48) (40) (75)(24) (7)
Foreign exchange and other3
 (9) 3
 18
(13) 
Loss before benefit from (provision for) income taxes$(179) $(734) $(301) $(3,428)
Loss before benefit from income taxes$(178) $(122)

   

Revenues by Segment and Product Category
Revenues by segment and product category were as follows:
 Three Months Ended June 30, 2019 Three Months Ended June 30, 2018
(in millions)Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products Total Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products Total
Pharmaceuticals$235
 $509
 $75
 $199
 $1,018
 $242
 $441
 $101
 $245
 $1,029
Devices387
 
 45
 
 432
 389
 
 32
 
 421
OTC367
 
 
 
 367
 368
 
 
 
 368
Branded and Other Generics194
 
 
 111
 305
 193
 
 
 89
 282
Other revenues25
 
 2
 3
 30
 17
 
 8
 3
 28
 $1,208
 $509
 $122
 $313
 $2,152
 $1,209
 $441
 $141
 $337
 $2,128
 Six Months Ended June 30, 2019 Six Months Ended June 30, 2018
(in millions)Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products Total Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products
Total
Pharmaceuticals$452
 $954
 $170
 $410
 $1,986
 $445
 $863
 $206
 $481
 $1,995
Devices753
 
 83
 
 836
 752
 
 61
 
 813
OTC691
 
 
 
 691
 694
 
 
 
 694
Branded and Other Generics385
 
 
 213
 598
 384
 
 
 179
 563
Other revenues45
 
 7
 5
 57
 37
 
 14
 7
 58
 $2,326
 $954
 $260
 $628
 $4,168
 $2,312
 $863
 $281
 $667
 $4,123

 Three Months Ended March 31, 2020 Three Months Ended March 31, 2019
(in millions)Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products Total Bausch + Lomb/ International Salix Ortho Dermatologics Diversified Products Total
Pharmaceuticals$201
 $477
 $77
 $182
 $937
 $217
 $445
 $95
 $211
 $968
Devices341
 
 51
 
 392
 366
 
 38
 
 404
OTC351
 
 
 
 351
 324
 
 
 
 324
Branded and Other Generics203
 
 
 103
 306
 191
 
 
 102
 293
Other revenues18
 
 5
 3
 26
 20
 
 5
 2
 27
 $1,114
 $477
 $133
 $288
 $2,012
 $1,118
 $445
 $138
 $315
 $2,016
The top ten10 products for the sixthree months ended June 30,March 31, 2020 and 2019 represented 40% and 2018 represented 38% and 35%36% of total revenues for the sixthree months ended June 30,March 31, 2020 and 2019, and 2018, respectively.

Geographic Information
Revenues are attributed to a geographic region based on the location of the customer and were as follows:
Three Months Ended June 30, Six Months Ended June 30,Three Months Ended March 31,
(in millions)2019 2018 2019 20182020 2019
U.S. and Puerto Rico$1,282
 $1,261
 $2,482
 $2,437
$1,211
 $1,200
Canada90
 79
Poland73
 62
Egypt58
 53
China101
 98
 190
 182
58
 89
Canada88
 76
 167
 153
Japan59
 55
 114
 106
54
 55
France58
 58
 111
 113
47
 53
Poland49
 52
 107
 115
Germany44
 45
Mexico58
 54
 102
 97
41
 46
Egypt49
 44
 102
 89
Germany41
 42
 86
 92
Russia41
 40
 77
 68
34
 36
United Kingdom30
 31
 58
 58
23
 29
Spain20
 21
Italy22
 23
 44
 45
20
 22
Spain23
 23
 44
 44
Other251
 271
 484
 524
239
 226
$2,152
 $2,128
 $4,168
 $4,123
$2,012
 $2,016

Major Customers
Customers that accounted for 10% or more of total revenues were as follows:
Six Months Ended June 30,Three Months Ended March 31,
2019 20182020 2019
AmerisourceBergen Corporation19% 16%
McKesson Corporation (including McKesson Specialty)17% 17%16% 17%
AmerisourceBergen Corporation16% 18%
Cardinal Health, Inc.14% 13%13% 14%



Item 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations
INTRODUCTION
Unless the context otherwise indicates, as used in this “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” the terms “we,” “us,” “our,” “the Company,” and similar terms refer to Bausch Health Companies Inc. and its subsidiaries. This “Management’s Discussion and Analysis of Financial Condition and Results of Operations” has been updated through August 6, 2019May 7, 2020 and should be read in conjunction with the unaudited interim Consolidated Financial Statements and the related notes included elsewhere in this Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2019March 31, 2020 (this “Form 10-Q”). The matters discussed in “Management’s Discussion and Analysis of Financial Condition and Results of Operations” contain certain forward-looking statements within the meaning of Section 27A of The Securities Act of 1993, as amended, and Section 21E of The Securities Exchange Act of 1934, as amended, and that may be forward-looking information within the meaning defined under applicable Canadian securities laws (collectively, “Forward-Looking Statements”). See “Forward-Looking Statements” at the end of this discussion.
Our accompanying unaudited interim Consolidated Financial Statements as of June 30, 2019March 31, 2020 and for the three and six months ended June 30,March 31, 2020 and 2019 and 2018 have been prepared in accordance with accounting principles generally accepted in the United States of America (“U.S. GAAP”) and the rules and regulations of the United States Securities and Exchange Commission (the “SEC”) for interim financial statements, and should be read in conjunction with our Consolidated Financial Statements for the year ended December 31, 2018,2019, which were included in our Annual Report on Form 10-K filed on February 20, 2019.19, 2020. In our opinion, the unaudited interim Consolidated Financial Statements reflect all adjustments, consisting of normal and recurring adjustments, necessary for a fair statement of the financial condition, results of operations and cash flows for the periods indicated. Additional company information is available on SEDAR at www.sedar.com and on the SEC website at www.sec.gov. All currency amounts are expressed in U.S. dollars, unless otherwise noted.
OVERVIEW
We are a global pharmaceutical and medical device company whose mission is to improve people’s lives with our health care products. We develop, manufacture and market, primarily in the therapeutic areas of eye-health, gastroenterology ("GI") and dermatology, a broad range of: (i) branded pharmaceuticals, (ii) generic and branded generic pharmaceuticals, (iii) over-the-counter (“OTC”) products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices), which are marketed directly or indirectly in over 90approximately 100 countries.
Business Strategy
Core Businesses
Our strategy is to focus our business on core therapeutic classes that offer attractive growth opportunities. Within our chosen therapeutic classes, we prioritize durable products which we believe have the potential for strong operating margins and evidence of growth opportunities. We believe this strategy has reduced complexity in our operations and maximizedmaximizes the value of our: (i) eye-health, (ii) GI and (iii) dermatology businesses which collectively now represent a substantial portion of our revenues. We have found and continue to believe there is significant opportunity in these businesses and we believe that our existing portfolio, commercial footprint and pipeline of product development projects position us to successfully compete in these markets and provide us with the greatest opportunity to build value for our shareholders. We identify these businesses as “core”, meaning that we believe we are best positioned to grow and develop them.
Reportable Segments and Strategies
Our portfolio of products falls into four operating and reportable segments: (i) Bausch + Lomb/International, (ii) Salix, (iii) Ortho Dermatologics and (iv) Diversified Products.
The Bausch + Lomb/International segment - consists of our Global Bausch + Lomb eye-health business and our International Rx business. Our Global Bausch + Lomb eye-health business includes our Global Vision Care, Global Surgical, Global Consumer and Global Ophthalmology Rx products, which in aggregate accounted for approximately 43%41%, 43%42% and 41%43% of our Company's revenues for the sixthree months ended June 30, 2019March 31, 2020 and the years 20182019 and 2017,2018, respectively. Our International Rx business, with the exception of our Solta products, includes sales in Canada, Europe, Asia, Australia, Latin America, Africa and the Middle East of branded pharmaceutical products, branded generic pharmaceutical products and OTC products, which in aggregate accounted for approximately 14%, 13% and medical device products.13% of our Company's revenues for the three months ended March 31, 2020 and the years 2019 and 2018, respectively.


Our Bausch + Lomb business is a fully-integrated eye-health business, which we believe is critical to maintaining and developing our position in the global eye-health market. As a fully-integratedfully integrated eye-health business with a 165-year legacy, Bausch + Lomb has an established line of contact lenses, intraocular lenses and other medical devices, surgical systems and devices,


vitamin and mineral supplements, lens care products, prescription eye-medications and other consumer products that positions us to compete in all areas of the eye-health market.
As part of our Global Bausch + Lomb business strategy, we continually look for key trends in the eye-health market to meet changing consumer/patient needs and identify areas for investment and growth. For instance, one of these trends myopia, is the increasing substantially,rate of myopia, and importantly, myopia isas a potential risk factor for glaucoma, macular degeneration and retinal detachment. We continue to see increased demand for new eye-health products that address conditions brought on by factors, such as increased screen time, lack of outdoor activities and academic pressures, as well as conditions brought on by an aging population for example, as more and more baby-boomers in the U.S. are reaching the age of 65. To supplement our well-established Bausch + Lomb product lines, we continue to identify new products tailored to address these key trends, which we develop internally with our own research and development (“R&D”) team to generate organic growth. We also license selective molecules or technology in leveraging our own R&D expertise through development, as well as seek out external product development opportunities. Recent product launches include Biotrue® ONEday daily disposable contact lenses, the next generation of Bausch + Lomb ULTRA® contact lenses, SiHy Daily contact lenses, Lumify® (an eye redness treatment), Vyzulta® (a pressure lowering eye drop for patients with angle glaucoma or ocular hypertension) and Ocuvite® Eye Performance (vitamins to protect the eye from stressors such as sun lightsunlight and blue light emitted from digital devices).
The Salix segment - consists of sales in the U.S. of gastrointestinal or GI products and includes our Xifaxan® whichproduct. Our Xifaxan® product accounted for approximately 16%, 14%revenues of $375 million, $1,452 million and 11% of our total revenues$1,195 million for the sixthree months ended June 30, 2019March 31, 2020 and the years 20182019 and 2017,2018, respectively.
As part of our acquisition of Salix Pharmaceutical,Pharmaceuticals, Ltd. in April 2015 (the "Salix Acquisition"), we acquired the intellectual property to a number of products that have provided us with year-over-year revenue growth, particularly the intellectual propertiesproperty behind Xifaxan® for, amongst other indications, irritable bowel syndrome with diarrhea (“IBS-D”), and Relistor® for opioid induced constipation (“OIC”).constipation. Revenues from our Xifaxan® and Relistor® productsproduct increased approximately 23%, 22% and 37%, respectively, in 2018 when compared to 2017 and increased 16% and 14%, respectively, for22% during the sixthree months ended June 30,March 31, 2020 and in the years 2019 when comparedand 2018, respectively.
We attribute the growth in our Salix revenues to the six months ended June 30, 2018. We attribute these increases, in part, to our Januaryinvestments we have been making since 2017, including: (i) hiring 200 trained and experienced sales force expansion program described later inrepresentatives to expand the discussion of our Salix infrastructure.
Our Salix business strategy includes building upon ourcommercial field force for Xifaxan® and Relistor® business models. Specifically, we have identified and continue to look for opportunities to capitalize, (ii) increasing the focus on the sales force and infrastructure we have built around our Xifaxan® and Relistor® products. Partdevelopment of that strategy is to gain access to new products through innovation, co-promotion and acquisition. We have been executing on these strategies in the second half of 2018 and during 2019, as we: (i) have entered into strategic co-promotion relationships with pharmaceutical companies with new GI products, (ii) are in the process of developing next generation formulations of our Salix intellectual propertiesproperty to address new indications, (iii) have completedcompleting the strategic acquisition of certain assets of Synergy Pharmaceuticals Inc. (“Synergy”) as we discuss later, which included the Trulance® product, (iv) increasing the number of sales force representatives for Trulance® and (iv) have entered(v) entering into licensing agreements for investigational products, which, once developed and if approved by the U.S. Food and Drug Administration (the "FDA"("FDA"), will be new treatments for certain GI and liver diseases. Each of these opportunities potentially provides us with the ability to expand our GI portfolio and allows us to leverage our existing GI sales force, supply channel and distribution channel.
The Ortho Dermatologics segment - consists of: (i) sales in the U.S. of Ortho Dermatologics (dermatological products) and (ii) global sales of Solta medical dermatological devices.
The Ortho Dermatologics business is our medical dermatology business dedicated to the treatment of a range of therapeutic areas, including psoriasis, actinic keratosis, acne, atopic dermatitis, onychomycosis and other dermatoses and includes our Duobrii®, Bryhali®, Jublia® and Siliq® product lines. As part of our business strategy for the Ortho Dermatologics segment, we have made significant investments to build out our aesthetics, psoriasis, atopic dermatitis and acne product portfolios, which are the markets within dermatology where we see the greatest opportunities, with a focus on topical gel and lotion products over injectable biologics. We continue to support and develop injectable biologics; however, we believe some patients prefer topical products as an alternative to injectable biologics. Further, as topical products can, in many cases, defer the use of injectable biologics that often come with associated risk/benefit profiles, a topical product is usually more readily adopted by payors, is less expensive and can be more cost-effective than injectable biologics. Therefore, we believe topical products represent alternative treatments for physicians, payors and patients, and as the preferred choice of treatment, have the potential to drive greater volumes, generate better margins and will ultimately be a key contributing factor of our Ortho Dermatologics business.
AsDuring 2017 through the date of this filing, we later discuss, in additionhave made significant investments to build out our establishedaesthetics, psoriasis and in-developmentacne product lines,portfolios, which we also look to gain access to other dermatology products through strategic licensing agreements. We believe, this allows us to leveragecoupled with our experienced dermatology sales leadership team and our recently expanded Ortho Dermatologics sales force, to drive growth inwill position our Ortho Dermatologics business.business for growth.
Our Solta business is dedicated to the development of innovative treatment technologies that provide proven and effective medical aesthetic and therapeutic benefits to consumers. Global Solta revenues were $51 million and $38 million for the three months ended March 31, 2020 and 2019 and $194 million and $135 million the years 2019 and 2018, respectively. The increase in revenue is primarily attributable to Next Generation Thermage FLX®, a fourth-generation non-invasive treatment option using a radiofrequency platform designed to optimize key functional characteristics and improve patient outcomes. During 2018 and 2019, Next Generation Thermage FLX® was launched in Hong Kong, Japan, Korea, Taiwan, Philippines, Singapore, Indonesia,


Malaysia, China, Thailand, Vietnam, and Australia as part of our Solta medical aesthetic devices portfolio. These launches have been successful as Next Generation Thermage FLX® revenues for three months ended March 31, 2020 and 2019 were $26 million and $12 million, respectively and in full-year 2019 were $77 million.
The Diversified Products segment - consists of sales in the U.S. of: (i) pharmaceutical products in the areas of neurology and certain other therapeutic classes, such as Wellbutrin XL®, Aplenzin®, Cuprimine®, Ativan® and Migranal®, (ii) generic products, such as Uceris® authorized generic (“AG”), Elidel® AG and Diastat®, Uceris® and Zegerid® AG and (iii) dentistry products, such as Arestin® and NeutraSal®.
Significant Seven
We have focused our R&D The Company utilizes the Diversified Products segment to advance development programsextend the long-term cash flows from a number of assets that we believe will drive growth in our core businesses, while creating efficiencies in our R&D effortsare expected to decline over time due to the loss of exclusivity, by launching and expenses. These programs include the following products which we have dubbed our "Significant Seven", allselling authorized generic versions of which have been launched as of June 2019.
Duobrii™ (Ortho Dermatologics) - Launched in June 2019 and is the first and only topical lotion that contains a unique combination of halobetasol propionate and tazarotene for the treatment of moderate-to-severe plaque psoriasis in adults. 
Bryhali™ (Ortho Dermatologics) - Launched in November 2018 and is a novel product that contains a unique, lower concentration of halobetasol propionate for the treatment of moderate-to-severe psoriasis.
Lumifycertain branded assets.® (Bausch + Lomb) - Launched in May 2018 and is an OTC eye drop developed as an ocular redness reliever.
SiHy Daily AQUALOXTM (Bausch + Lomb) - Launched in Japan in September 2018 and is a silicone hydrogel daily disposable contact lens designed to provide clear vision throughout the day.
Siliq® (Ortho Dermatologics) - Launched in the U.S. in 2017 and is an IL-17 receptor blocker monoclonal antibody for patients with moderate-to-severe plaque psoriasis.
Vyzulta® (Bausch + Lomb) - Launched in December 2017 and is an intraocular pressure lowering single-agent eye drop dosed once daily for patients with open angle glaucoma or ocular hypertension.
Relistor® (Salix) - Launched in 2016 and is given to adults who use narcotic medicine to treat severe chronic pain that is not caused by cancer to prevent constipation without reducing the pain-relieving effects of the narcotic.
As outlined later in this discussion, although revenues associated with our Significant Seven products are currently not material, we believe the prospects for this group are substantial.
For a comprehensive discussion of our business, business strategy, products and other business matters, see Item 1. “Business” included in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC and the Canadian Securities Administrators ("CSA") on SEDAR on February 20, 2019.19, 2020.
FocusImpact of COVID-19 Pandemic
In December 2019, a novel strain of the coronavirus disease, COVID-19, was identified in Wuhan, China. Since then, COVID-19 has spread to other parts of the world, including the United States, Canada and Europe, and was declared a global pandemic by the World Health Organization (the "WHO") on Core BusinessesMarch 11, 2020. As a global health care company, now more than ever, we remain focused on our mission of helping to improve people’s lives with our health care products.
The unprecedented nature of the COVID-19 pandemic has adversely impacted the global economy. The COVID-19 pandemic and the rapidly evolving reactions of governments, private sector participants and the public in an effort to contain the spread of the COVID-19 virus and/or address its impacts have intensified and have had significant direct and indirect effects on businesses and commerce. This includes but is not limited to, disruption to supply chains, employee base and transactional activity, facilities closures and production suspensions, and significantly increased demand for certain goods and services, such as pandemic-related medical services and supplies, alongside decreased demand for others, such as retail, hospitality, elective medical procedures and travel.
As partthe global economic landscape changes, there is a wide range of possible outcomes regarding the nature and timing of events and reactions relating to the COVID-19 pandemic, each of which are highly dependent on variables that are difficult to predict at this time. The extent and duration of the pandemic, the rapidly evolving reactions of governments, private sector participants and the public to the COVID-19 pandemic and the associated disruption to business and commerce generally, and the extent to which these may impact the Company's business, financial condition, cash flows, development programs and results of operations in particular, will depend on future developments which are highly uncertain and many of which are outside the Company's control. Such developments include the ultimate geographic spread and duration of the pandemic, new information which may emerge concerning the severity of the COVID-19 pandemic, the effectiveness and intensity of measures to contain COVID-19 and/or address its impacts, and the ultimate economic impact of the pandemic. Such developments, among others, depending on their nature, duration and intensity, could have a significant adverse effect on our business, financial condition, cash flows and results of operations.
To date, the Company has been able to continue its operations with limited disruptions in supply and manufacturing. Although, it is difficult to predict the broad macroeconomic effects that the COVID-19 virus will have on industries or individual companies, the Company has assessed the possible effects and outcomes of the pandemic on, among other things, its supply chain, customers and distributors, discounts and rebates, employee base, product sustainability, research and development efforts, product pipeline and consumer demand. Primarily due to this assessment, we have taken actions to manage the level of our commitmentinvestment in support of certain existing products, anticipated launches and the expansion of our sales footprint in Europe. Postponing these investments may impact the extent and timing in achieving our longer-term forecasts for certain business units, however we believe these actions will not have a material impact on the underlying value of the related businesses or their associated assets.
We are and will continue to closely monitor the impacts of the COVID-19 pandemic and related responses from governments and private sector participants on the Company, our customers, supply chain, third-party suppliers, project development timelines, costs, revenue, margins, liquidity and financial condition and our planned actions and responses to this pandemic.
We believe we have responded quickly to the human and commercial challenges brought on by COVID-19 and that our early actions have, so far, enabled us to keep our employees safe and our supply lines largely intact and we believe these actions have laid the foundation for us to work our way through the uncertainties to come. Importantly, we believe that the steps we took over the last several years to manage our capital structure place us in a strong position to maintain sufficient liquidity to continue operations through an extended pandemic and we believe that our businesses will not see their long-term value diminished by this unprecedented situation.


Our Employees
The health and safety of our employees is paramount. Our senior management team meets regularly to assess this ongoing situation and has implemented multiple actions to protect our employees. In most locations, employees not directly involved in production, including our sales forces, are working remotely. For essential personnel in our manufacturing and distribution centers, we are taking every precaution to ensure that these employees are working in an environment that is as safe as possible, including following procedures as prescribed by global public health organizations, such as the WHO and U.S. Centers for Disease Control and Prevention.
Our Supply Chain and Manufacturing Facilities
Our objective is to maintain the uninterrupted availability of our products to meet the needs of patients, consumers and our customers, and in fact, we have stepped up production to meet increased demand for certain of our consumer products. Business continuity plans and site-level biosecurity procedures are in place to ensure the well-being of our employees while we work to maintain the integrity of our supply chain. As of the date of this filing, we have not experienced any disruption in our supply chain that would have a material impact on our results of operations.
Our global supply chain team worked diligently to stay ahead of this challenge once it appeared in Asia and has used that experience to put in place procedures to mitigate the risks of closures and disruptions at our manufacturing facilities in other regions. We have multiple sources of active pharmaceutical ingredients ("API") and intermediates for many of our products, the availability of which has not had, and at this time we do not expect will have, a material impact on our supply chain. We have been largely successful in keeping our manufacturing facilities operational, although our facilities in Milan, Laval and China were closed for short periods of time but have since resumed operations. With respect to our core businesses,largest product, Xifaxan®, as of April 30, 2020, we began analyzing the strategic alternativeshave over five months’ supply of Xifaxan® on hand and enough API to manufacture another five months’ supply of Xifaxan® finished goods. We also have open orders for business units and assetsAPI that fall outsidewe currently expect will arrive on schedule. However, if we were to experience a lack of availability of API for Xifaxan®, such disruption to our definition of “core”. In order to focussupply chain could have a significant adverse effect on our objectives, in 2016business, financial condition and 2017,results of operations.
Our Product Pipeline
Our leadership team actively manages the Company's product pipeline to identify what we divested businessesbelieve are innovative and assets, which were notrealizable projects aligned with our core business objectives. Thisbusinesses that are expected to provide incremental and sustainable revenues and growth. During the COVID-19 pandemic, our R&D team remains focused on meeting these objectives in a timely manner; however, there are significant events and circumstances regarding the COVID-19 pandemic that may materially affect our R&D team’s ability to do so, many of which are beyond the Company's control. As a result of these events and circumstances, we have had to pause certain early stage clinical trial and research efforts, which in turn is expected to lead to delays in the development and the anticipated launch of certain projects.
Due to the challenges of the COVID-19 pandemic, most notably those attributable to "stay at home" and travel restrictions, we have been forced to pause certain R&D activities. Clinical trials that started prior to governmental shutdowns remain enrolled and existing patients are progressing, while new patient enrollments in clinical trials have been temporarily paused as most trial sites are not only allowed usable to better focusaccept new patients. While we anticipate resuming these projects as soon as possible, the ultimate impact on the timing and completion of the affected clinical trial programs, and the expected approval and launch of the product candidates to which these development programs relate, is dependent upon when many COVID-19 pandemic uncertainties are resolved and we may resume new patient enrollments and other impacted development activities. As of the date of this filing, the delays in our internal resourcesclinical trials have not had a material impact on our eye-health, GIoperating results. However, continued delays in our ability to resume new patient enrollments along with other possible COVID-19 pandemic related challenges impacting our R&D projects, which are beyond the Company's control, could lead to additional disruptions. Other possible COVID-19 pandemic related challenges include, but are not limited to, facility closures, delays by third-party service providers, deferrals of doctor visits, postponement of elective medical procedures and dermatology businesses, but also provided us withsurgeries and changes in prioritization by the FDA and other regulatory authorities. Delays caused by COVID-19 pandemic challenges such as these and others, will likely adversely affect the timely approval, launch, commercialization and the commercial success of our products, which could have a significant adverse effect on our future operating results.
Our Liquidity
Our primary sources of capital, which we used to reduceliquidity are our cash and cash equivalents, cash collected from customers, funds as available from our 2023 Revolving Credit Facility, issuances of long-term debt and improveissuances of equity and equity-linked securities. We believe these sources will be sufficient to meet our current liquidity needs for at least twelve months from the date of issuance of this Form 10-Q. Further, in 2019 and 2018, we generated positive cash from operations of $1,501 million and $1,501 million, respectively. Should our operating results during the COVID-19 pandemic materially suffer in comparison to our 2019 and 2018


operating results, we believe we would continue to generate sufficient cash flows from operations to meet our obligations in the ordinary course of business.
As of the date of this filing, we have no debt maturing or mandatory amortization of debt payments until the first quarter of 2022. Additionally, we have no outstanding borrowings, $168 million of issued and outstanding letters of credit and remaining availability of $1,057 million under our 2023 Revolving Credit Facility as defined below. In the event of a future, unexpected, need for near-term liquidity, our 2023 Revolving Credit Facility would be a source of funding for us. After reviewing the terms of our Restated Credit Agreement as defined below and considering a broad range of possible outcomes of the COVID-19 pandemic, we expect that we will have access to capital structure.under our 2023 Revolving Credit Facility across a broad range of scenarios in the event it is required.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements and “Management's Discussion and Analysis - Liquidity and Capital Resources: Long-term Debt” for additional discussion of these matters.
Our Operating Results
While we are taking actions to mitigate the impact of the COVID-19 pandemic on our daily operations, the pandemic has and is expected to impact our operating results until the pandemic subsides. The changing dynamics of the pandemic, related responses from governments and private sector participants and the precautionary measures taken by our customers and the health care patients and consumers we serve, are expected to impact the timing and amount of our revenues in the near-term. Certain of our businesses have experienced COVID-19 pandemic related declines in revenues during the three months ended March 31, 2020 and we expect continued pandemic-related revenue declines in these and other businesses in the second quarter and possibly the remainder of 2020.
During the pandemic, the public has been advised to: (i) remain at home, (ii) limit social interaction, (iii) close non-essential businesses and (iv) postpone certain surgical and elective medical procedures in order to prioritize/conserve available health care resources. During the three months ended March 31, 2020, these factors have negatively impacted, most notably, the revenues of our Global Vision Care and Global Surgical businesses in Asia where the COVID-19 pandemic originated. We anticipate further revenue declines in these businesses during 2020, as we saw steeper declines in these revenues in the month of March as social restrictions, particularly in the U.S. and Europe, were put in place. Beginning in March and into our second quarter, we also experienced and are anticipating COVID-19 pandemic-related revenue declines in intraocular lenses, medical devices, surgical systems and certain pre- and post-operative eye-medications of our Ophthalmology business, in medical aesthetics and therapeutic products of our Global Solta business, and in certain branded pharmaceutical products of our Salix, Ortho Dermatologics and Dentistry businesses, as the offices of many health care providers are closed and certain surgeries and elective medical procedures are being deferred.
Based on our assessment, we believe our revenues will be most impacted by the pandemic during our second quarter, as the infection rate of the COVID-19 virus accelerated in March into April, the virus had spread beyond Asia into different geographies including the U.S. and Europe, and the number of shelter-in-place directives issued by local authorities increased. Although we expect each of the affected businesses and geographies to recover at different rates, overall we anticipate that the negative trend in our revenues will begin to stabilize during our second quarter and continue into our third quarter with the revenues of all our businesses possibly returning to pre-pandemic levels as early as late 2020, but, if not, then in 2021. This assessment assumes, among other matters, that the precautionary measures taken by the public are successful in decelerating the spread of the virus, there will be no resurgence of the virus in the second half of 2020 that will lead to significant social restrictions,there will be no significant social restrictions in place at the end of 2020, responses from governments and private sector participants will be successful in bringing about a quick orderly recovery of the global economy, there will be no major interruptions in our supply, manufacturing and distribution channels and we are able to continue to execute on our strategies in response to the pandemic.
The changes in our segment revenues and segment profits, including the impact of the COVID-19 virus on our revenues for the three months ended March 31, 2020, are discussed in further detail in the subsequent section titled “Reportable Segment Revenues and Profits”.
Through the date of this filing, the impacts of the COVID-19 pandemic appears to have only a limited impact on our Xifaxan® product revenues and the COVID-19 pandemic is not expected to have a material impact on the Company's revenues once the pandemic subsides. As such, the impacts of the COVID-19 pandemic on the amounts and timing of the Company's revenues are not expected to be substantial enough to materially adversely affect the recoverability of any of the Company's assets and are not material enough to indicate that the fair values of any reporting unit may be below their respective carrying values.
However, if market conditions further deteriorate, if the factors and circumstances regarding the COVID-19 pandemic escalate beyond management’s expectations, or if the Company is unable to execute its strategies, it may be necessary to record impairment charges in the future and those charges can be material.


Business Strategy
Our Focus on Core Businesses
In order to continue to focus on our core businesses where we believe there is potential for strong operating margins and evidence of growth opportunities, we have: (i) directed capital allocation to drive growth within our core businesses, (ii) made measurable progress in improvingeffectively managing our capital structure, (iii) increased our efforts to improve patient access and (iii) aggressively addressed and resolved certain legacy legal matters(iv) continued to eliminate disruptionsinvest in sustainable growth drivers to our operations.position us for long-term growth.
Direct Capital Allocation of Capital to Drive Growth Within Our Core Businesses
In support ofOur capital allocation is driven by our core activities, welong-term growth strategies. We have been aggressively allocating resources to: (i)to promote our core businesses globally through: (i) strategic acquisitions, (ii) makeR&D investment and (iii) strategic investments in our infrastructure and (iii) direct R&D to our Bausch + Lomb, GI and dermatology businesses to drive growth organically.infrastructure. The outcome of this process allows us to better drive value in our product portfolio and generate operational efficiencies.
Continued InvestmentStrategic Acquisitions - We remain very selective when considering any acquisition and pursue only those opportunities that we believe align well with our current organization and strategic plan. We sometimes refer to these opportunities as "bolt on" acquisitions. In being selective, we seek to enter into only those acquisitions that provide us with significant synergies with our existing business, thereby minimizing risks to our core businesses and providing long-term growth opportunities. Recently, we have entered into transactions that, although not immediately impactful to our operating results, are expected to be accretive to our bottom line in Emerging Markets future years and contribute to our long-term growth strategies.
- In October 2018,March 2019, we completed the acquisition of certain assets of Synergy whereby we acquired the 40% minority interests of Medpharma Pharmaceuticalworldwide rights to the Trulance® (plecanatide) product, a once-daily tablet for adults with chronic idiopathic constipation, or CIC and Chemical Industries LLC ("Medpharma") for $18 million, thereby completingirritable bowel syndrome with constipation, or IBS-C. We believe that the planned acquisition of this joint venture. Medpharma formulates, manufactures and distributes certain branded generic pharmaceuticals and non-patented generic pharmaceuticals for the Company and third parties. In 2014, we entered into the Medpharma joint venture to provide the Company with a presence in the United Arab Emirates ("UAE").  The completion of this acquisition provides usTrulance


with full control over the business activities of Medpharma® product complements our existing Salix products and allows us to wholly benefiteffectively leverage our existing GI sales force.
On February 18, 2019, we acquired the U.S. rights to EM-100 from Eton Pharmaceuticals, Inc. EM-100, is an investigational eye drop that, if approved by the allocationFDA, will be the first OTC preservative-free formulation eye drop for the treatment of additional Company resourcesocular itching associated with allergic conjunctivitis. A Phase 3 trial has been completed and submitted to the growth, if any, in the UAEFDA for review and the surrounding region.
Strategic Investments in our Infrastructure - In support of our core businesses, we have and continue to make strategic investments in our infrastructure, the most significant of which are at our Waterford facility in Ireland and our Rochester facility in New York.
To meet the forecasted demand for our Biotrue® ONEday lenses, in July 2017, we placed into service a $175 million multi-year strategic expansion project of the Waterford facility. The emphasis of the expansion project was to: (i) develop new technology to manufacture, automatically inspect and package contact lenses, (ii) bring that technology to full validation and (iii) increase the size of the Waterford facility.
To address the expected global demand for our Bausch + Lomb ULTRA® contact lens, in December 2017, we completed a multi-year, $200 million strategic upgrade to our Rochester facility. The upgrade increased production capacity in support of our Bausch + Lomb Ultra® and SiHy Daily AQUALOXTM product lines and better supports the production of other well-established contact lenses, such as our PureVision®, PureVision®2 (SVS, Toric, and Multifocal), SofLens® 38 and SilSoft®.
To address the expected global demand for our SiHy Daily disposable contact lenses, in November 2018, we initiated $300 million of additional expansion projects to add multiple production lines to our Rochester and Waterford facilities. SiHy Daily disposable contact lenses, one of our Significant Seven products, are expected to be commercially availableanticipate their response in the second half of 2020.
We believe the investments in If approved, EM-100 is expected to complement our Waterford and Rochester facilities and related expansionbroad range of labor forces further demonstrates the growth potential we see in our Bausch + Lomb products andintegrated eye-health products.
We are considering further acquisition opportunities within our eye-health business.core therapeutic areas, some of which could be material in size.
Direct R&D Investment to our Bausch + Lomb, GI and Dermatology Businesses to Drive Growth Organically - We continuously search for new product opportunities through internal development and strategic licensing agreements, that if successful, will allow us to leverage our commercial footprint, particularly our sales force, and supplement our existing product portfolio and address specific unmet needs in the market.
Internal R&D Projects - Our R&D organization focuses on the development of products through clinical trials. As of December 31, 2018,2019, approximately 1,2001,400 dedicated R&D and quality assurance employees in 23 R&D facilities were involved in our R&D efforts.efforts internally.
As partOur R&D expenses for the three months ended March 31, 2020 and the years 2019 and 2018, were $122 million, $471 million and $413 million, respectively, and was approximately 6% as a percentage of our turnaround, we removed projects related to divested businessesrevenue for the three months ended March 31, 2020 and rebalanced our portfolio to better align with our long-term plans5% as a percentage of revenue in each of the years 2019 and focus on core businesses.2018. Our investment in R&D reflects our commitment to drive organic growth through internal development of new products, a pillar of our new strategy.
We have over 225 projects in our global pipeline and anticipate submitting approximately 125 of thosepipeline. Certain core R&D projects for regulatory approval in 2019 and 2020.
Core assets that have received a significant portion of our R&D investment in current and prior periods are listed below.
Dermatology - In June 2019, However, due to the challenges of the COVID-19 pandemic, most notably those attributable to "stay at home" and travel restrictions, we launched Duobrii™,have been forced to pause certain R&D activities. Clinical trials that started prior to governmental shutdowns remain enrolled and existing patients are progressing, while new patient enrollments in clinical trials have been temporarily paused as most trial sites are not able to accept new patients. While we anticipate resuming these projects as soon as possible, the firstultimate impact on the timing and only topical lotion that contains a unique combinationcompletion of halobetasol propionate and tazarotene for the treatment of moderate-to-severe plaque psoriasis in adults.  Halobetasol propionate and tazarotene are each approved to treat plaque psoriasis when used separately, but the duration of halobetasol propionate is limited by FDA labeling constraintsaffected clinical trial programs, and the useexpected approval and launch of tazarotene can bethe product candidates to which these development programs relate, is dependent upon when many COVID-19 pandemic uncertainties are resolved and we may resume new patient enrollments and other impacted development activities. As of the date of this filing, the delays in our clinical trials have not had a material impact on our operating results. However, continued delays in our ability to resume new patient enrollments along with other possible COVID-19 pandemic related challenges impacting our R&D projects, which are beyond the Company's control, could lead to additional disruptions. Other possible COVID-19 pandemic related challenges include, but are not limited due to, tolerability concerns.  However, the combinationfacility closures, delays by third-party


service providers, deferrals of these ingredientsdoctor visits, postponement of elective medical procedures and surgeries and changes in Duobrii™, with a dual mechanism of action, allows for expanded duration of use, with reduced adverse events.
Dermatology - In November 2018, we launched Bryhali™, a novel product that contains a unique, lower concentration of halobetasol propionate for the treatment of moderate-to-severe psoriasis which is FDA approved for 8 weeks of use. The FDA has previously approved halobetasol propionate to treat plaque psoriasis, but limited duration of use to two weeks.
Dermatology - Internal Development Project ("IDP") 133 is a project to expand the indication for Bryhali™ (halobetasol propionate lotion 0.01%) from plaque psoriasis to include the topical treatment of atopic dermatitis. A Phase 3 study is planned to start in the second half of 2019.
Dermatology - IDP-131 is a new chemical entity, KP-470, for the topical treatment of psoriasis. On February 27, 2018, we announced that we entered into an exclusive license agreement with Kaken Pharmaceutical Co., Ltd. to develop and commercialize the compound.  An early proof of concept study was initiated in the first half of 2019. If approvedprioritization by the FDA KP-470 could representand other regulatory authorities. Delays caused by COVID-19 pandemic challenges such as these and others, will likely adversely affect the timely approval, launch, commercialization and the commercial success of our products. As a novel drug with an alternative mechanismresult, our estimates regarding the timing and success of action in the topical treatmentour R&D efforts (some of psoriasis.which are set out below), including as it relates to study initiation, enrollment and completion, availability of study results, regulatory submissions, regulatory approvals and commercial launches, may change.
Bausch + LombDermatology - Bausch + Lomb ULTRAIn June 2019, we launched Duobrii®, the first and only topical lotion that contains a unique combination of halobetasol propionate and tazarotene for Astigmatismthe treatment of moderate-to-severe plaque psoriasis in adults.  Halobetasol propionate and tazarotene are each approved to treat plaque psoriasis when used separately, but the duration of halobetasol propionate is a monthly planned replacement contact lens for astigmatic patients.  The Bausch + Lomb ULTRAlimited by FDA labeling constraints and the use of tazarotene can be limited due to tolerability concerns.  However, the combination of these ingredients in Duobrii®, with a dual mechanism of action, allows for Astigmatism lens was developed using the proprietary MoistureSeal® technology. In addition, the Bausch + Lomb ULTRA® for Astigmatism lens integrates an OpticAlign® design engineeredexpanded duration of use, with reduced adverse events.


for lens stability and to promote a successful wearing experience for the astigmatic patient. In 2017, we launched this product and the extended power range for this product. In 2018, we launched the Bausch + Lomb ULTRA® for Astigmatism -2.75 cylinder expanded SKU range.
Bausch + Lomb - SiHy Daily AQUALOXTM is a silicone hydrogel daily disposable contact lens designed to provide clear vision throughout the day. Product validation was completedIn September 2018, we launched this product in June 2018 andJapan under the branded name SiHy Daily AQUALOXTM was launched.  We anticipate launching our SiHy Daily contact lens in Japan in September 2018.the U.S. during the second half of 2020 under its U.S. branded name which is yet to be announced.
Dermatology - IDP-126Internal Development Project ("IDP") 126 is an acne product with a fixed combination of benzoyl peroxide, clindamycin phosphate and adapalene, currentlyadapalene. Phase 3 studies initiated in Phase 2 testing.December 2019 have been paused as a result of COVID-19 related factors and are expected to resume in the second half of 2020 assuming clinical sites throughout the various geographies re-open to allow for enrollment of new patients.
Bausch + Lomb - Lumify® (brimonidine tartrate ophthalmic solution, 0.025%) is an OTC eye drop developed as an ocular redness reliever which we launched in May 2018.reliever. We have several line extensions under development. Further clinical studies are planned for late 2020 and early 2021.
Gastrointestinal - We have initiated aTopline data from our Phase 2 study for the treatment of overt hepatic encephalopathy with a new formulation of rifaximin whichshowed a treatment benefit. Patients receiving 40 mg twice daily showed a statistically significant separation from placebo. The topline results of this study will help inform further research on potential new indications for rifaximin using this formulation, including in sickle cell anemia where we acquired as part of the Salix Acquisition. We expect our clinical trials to complete an interim analysis by the end of 2019.commence late 2020 or early 2021.
Gastrointestinal - We are initiatingpreparing to initiate a Phase 2 study to evaluate rifaximin for the treatment of small intestinal bacterial overgrowth or SIBO. Patient enrollment isremains subject to getting clinical sites activated post COVID-19 and we expect our clinical trials to commence in the second half of 2020.
Gastrointestinal - We have entered into a collaboration with Cedars Sinai Medical Center to evaluate a new formulation of rifaximin for the treatment of IBS. Studies to support this research program have been paused as a result of COVID-19 related factors and are expected to beginresume upon the re-opening of the relevant clinical sites.
Dermatology - IDP-120 is an acne product with a fixed combination of mutually incompatible ingredients: benzoyl peroxide and tretinoin. Phase 3 enrollment has been completed with results expected in the first quartersecond half of 2020.
Dermatology - Arazlo (tazarotene) Lotion, 0.045% (formerly IDP-123) is an acne product containing lower concentration of tazarotene in a lotion form to help reduce irritation while maintaining efficacy. The FDA approved the New Drug Application ("NDA") for Arazloon December 18, 2019, which we expect to launch in the first half of 2020.
Gastrointestinal - Our partner Alfasigma S.p.A. ("Alfasigma") is initiating a Phase 2/3 study for the treatment of postoperative Crohns disease using a novel rifaximin extended release formulation. The study is expected to startformulation in the firstsecond quarter of 2021; the start has been delayed due to COVID-19 related factors.
Gastrointestinal - We are developing a probiotic supplement to address gastrointestinal disturbances. Clinical trial is completed and a full data set is available. We expect to launch this product in the second half of 2020.
Gastrointestinal - We are initiating a Phase 2 study evaluating Xifaxan® 550mg tablets for the prevention of complications of decompensation cirrhosis. The study is expected to start in the fourth quarter of 2019.
Dermatology - In October 2018, we launched Altreno® (tretinoin 0.05%) lotion, indicated for the topical treatment of acne vulgaris in patients 9 years of age and older. Altreno® is the first tretinoin formulation in a lotion, approved for patients 9 years of age and older.
Dermatology - IDP-120 is an acne product with a fixed combination of mutually incompatible ingredients; benzoyl peroxide and tretinoin. Phase 3 clinical studies are ongoing.
Dermatology - IDP-123 is an acne product containing lower concentration of tazarotene in a lotion form to help reduce irritation while maintaining efficacy. We submitted a New Drug Application (“NDA”) with the FDA on February 22, 2019.
Dermatology - IDP-124 is a topical lotion product designed to treat moderate to severe atopic dermatitis, with pimecrolimus, currently inpimecrolimus. Phase 3 testing.
Dermatology - IDP-135 is a topical retinoid productenrollment has been completed with results expected in development. We are seeking guidance from the FDA to develop this product for OTC use for the treatmentsecond half of acne. The guidance meeting is targeted for 2019.2020.
Gastrointestinal - On September 11, 2018, we announced the launch of Plenvu® in the U.S.  We license Plenvu® from Norgine B.V. Plenvu® is a novel, lower-volume polyethylene glycol-based bowel preparation developed to help provide complete bowel cleansing, with an additional focus on the ascending colon.
Bausch + Lomb - On May 1, 2018, we received Premarket Approval ("PMA") from the FDA for, and subsequently launched, 7-day extended wear for our Bausch + Lomb ULTRA® monthly planned replacement contact lenses.
Bausch + Lomb - Biotrue® ONEday for Astigmatism is a daily disposable contact lens for astigmatic patients. The Biotrue® ONEday lenses incorporatecontact lens incorporates Surface Active TechnologyTM to provide a dehydration barrier.  The Biotrue® ONEday for Astigmatism also includes evolved peri-ballast geometry to deliver stability and comfort for the astigmatic patient. We launched this product in December 2016 and launched an extended power range and further extended power range in 2017 and 2018, respectively. We expect to launch a further power expansion for this product in 2019.


launched this product in December 2016 and launched an extended power range and further extended power ranges in 2017, 2018 and November 2019.
Bausch + Lomb - We are developing a new Ophthalmic Viscosurgical Device ("OVD") product, with a formulation to protect corneal endothelium during phacoemulsification process during a cataract surgery and to help chamber maintenance and lubrication during interocular lens delivery. The FDA clinical study for cohesive OVD started in January 2020 and has been paused as a result of COVID-19 related factors and is expected to resume as soon as possible. In April 2018,2021, we initiated an investigative device exemption (“IDE”) studyfiled a Premarket Approval application for this product and completed enrollment in December 2018. We expect to complete the clinical trial in the fourth quarter of 2019 and anticipate filing a PMA applicationdispersive OVD with the FDA in the first quarter of 2020.


Dermatology - Traser™ is an energy-based platform device with significant versatility and power capabilities to address various dermatological conditions, including vascular and pigmented lesions. We are planning to launch this product in the second half of 2022 as part of our Solta business.FDA.
Bausch + Lomb - In April 2019, we launched Lotemax® SM (loteprednol etabonate ophthalmic gel) 0.38%, a new formulation for the treatment of post-operative inflammation and pain following ocular surgery. Lotemax® SM is the lowest concentrated loteprednol ophthalmic corticosteroid indicated for the treatment of post-operative inflammation and pain following ocular surgery in the U.S.
Bausch + Lomb - enVista® Trifocal intraocular lens is an innovative lens design. We initiated an IDEinvestigative device exemption study for this product in May 2018 and expect to initiateinitiated a Phase 2 study in the fourth quarter ofOctober 2019.
Bausch + Lomb - enVista® Toric intraocular lens was launched in July 2018.
Bausch + Lomb - We are developing a preloaded intraocular lens injector platform for enVista interocular lens. The PMA application was submitted toWe have received approvals from the European Union and Canada and received FDA clearance for the injector. We anticipate launching this platform in July 2018 and the CE Mark notification was submittedsecond half of 2020.
Bausch + Lomb - We are developing an extended depth of focus intraocular lens which we anticipate approval in Europe in February 2019.the second half of 2021 due to COVID-19 delays.
Bausch + Lomb - Bausch + Lomb ULTRA® Multifocal for Astigmatism contact lens is the first and only multifocal toric lens available as a standard offering in the eye care professional's fit set. The new monthly silicone hydrogel lens, which was specifically designed to address the lifestyle and vision needs of patients with both astigmatism and presbyopia, combines the Company's unique 3-Zone Progressive multifocal design with the stability of its OpticAlign® toric with MoistureSeal® technology to provide eye care professionals and their patients an advanced contact lens technology that offers the convenience of same-day fitting during the initial lens exam. Bausch + Lomb ULTRA® Multifocal for Astigmatism was launched in June 2019.
Bausch + Lomb - Renu® Advanced Multi-Purpose Solution (“MPS”) contains a triple disinfectant system that kills 99.9% of germs, and has a dual surfactant system that provides up to 20 hours of moisture. Renu® Advanced MPS is FDA cleared with indications for use to condition, clean, remove protein, disinfectant, rinse and store soft contact lenses including those composed of silicone hydrogels. Renu® Advanced MPS has gained regulatory approvals in Korea, India, Mexico, Indonesia, Malaysia and Singapore.
Bausch + Lomb - Custom soft contact lens (Ultra buttons) is a latheable silicone hydrogel button for custom soft specialty lenses including;including: Sphere, Toric, Multifocal, Toric Multifocal and irregular corneas. If approved by the FDA, we mayexpect to launch in the second halffourth quarter of 2020.
Bausch + Lomb - In January 2019, we launched Zen™ Multifocal Scleral Lens for presbyopia exclusively available with Zenlens™ and Zen™ RC scleral lenses and will allow eye care professionals2021; the change in date is due to fit presbyopic patients with irregular and regular corneas and those with ocular surface disease, such as dry eye. The Zen™ multifocal Scleral Lens incorporates decentered optics, enablingspecification change activities delaying the near power to be positioned over the visual axis.original launch date.
Bausch + Lomb - In January 2019, we launched Zen Multifocal Scleral Lens for presbyopia exclusively available with Zenlens and Zen RC scleral lenses and will allow eye care professionals to fit presbyopic patients with irregular and regular corneas and those with ocular surface disease, such as dry eye. The Zen Multifocal Scleral Lens incorporates decentered optics, enabling the near power to be positioned over the visual axis.
Bausch + Lomb - In March 2019, we launched Tangible® Hydra-PEG® is, a high-water polymer coating that is bonded to the surface of a contact lens and designed to address contact lens discomfort and dry eye. Tangible® Hydra-PEG® coating technology in combination with our Boston® materials and Zenlens™Zenlens family of scleral lenses will help eye care professionals provide a better lens wearing experience for their patients with challenging vision needs.
Strategic Licensing Agreements -To supplement our internal R&D initiatives and to build-out and refresh our product portfolio, we also search for opportunities to augment our pipeline through arrangements that allow us to gain access to unique products and investigational treatments, by strategically aligning ourselves with other innovative product solutions.
In the normal course of business, the Company will enter into select licensing and collaborative agreements for the commercialization and/or development of unique products primarily in the U.S. and Canada. These products are sometimes investigational treatments in early stage development that target unique conditions. The ultimate outcome, including whether the product will be: (i) fully developed, (ii) approved by the FDA, (iii) covered by third-party payors or (iv) profitable for distribution cannot be fairly predicted.


In December 2019, we announced that we had acquired an exclusive license from Novaliq GmbH for the commercialization and development in the U.S. and Canada of the investigational treatment NOV03 (perfluorohexyloctane), a first-in-class investigational drug with a novel mechanism of action to treat Dry Eye Disease ("DED") associated with Meibomian gland dysfunction ("MGD"). We expect to initiate a Phase 3 study for this product in the second half of 2020. If approved by the FDA, we believe the addition of this investigational treatment for DED will help build upon our strong portfolio of integrated eye-health products.
In October 2019, we acquired an exclusive license from Clearside Biomedical, Inc. ("Clearside") for the commercialization and development of Xipere (triamcinolone acetonide suprachoroidal injectable suspension) in the U.S. and Canada. Xipere is a proprietary suspension of the corticosteroid triamcinolone acetonide formulated for suprachoroidal administration via Clearside's proprietary SCS Microinjector that is being investigated as a targeted treatment of macular edema associated with uveitis. Clearside expects to resubmit its New Drug Application for Xipere to the FDA in the fourth quarter of 2020.
In April 2019, we entered into two licensing agreements which present us with unique developmental opportunities to address unmet needs of individuals suffering with certain GI and liver diseases. The first of these two licensing agreements is with the University of California for certain intellectual property relating to an investigational compound targeting the pituitary adenylate cyclase receptor 1 in non-alcoholic fatty liver disease (“NAFLD”), nonalcoholic steatohepatitis (“NASH”) and other GI and liver diseases. The second is an exclusive licensing agreement with Mitsubishi Tanabe Pharma Corporation to develop and commercialize MT-1303 (amiselimod), a late-stage oral compound that targets the sphingosine 1-phosphate receptor that plays a role in autoimmune diseases, such as inflammatory bowel disease and ulcerative colitis. We have completed a thorough QTC study, which evaluated the cardiac safety profile of the compound.  Topline results were positive and we expect to initiate a Phase 2 study in the second half of 2020.
On February 27, 2018, we announced that we entered into an exclusive license agreement with Kaken Pharmaceutical Co., Ltd. ("Kaken") to develop and commercialize a new chemical entity, IDP-131 (KP-470), for the topical treatment of psoriasis.  An early proof of concept study has been completed and the results did not meet expectations. As a result, the Company no longer believes that IDP-131 can be viably developed for the treatment of psoriasis. The Company and Kaken are currently considering whether this new chemical entity can be developed to treat other indications.
Strategic Investments in our Infrastructure - In support of our core businesses, we have and continue to make strategic investments in our infrastructure, the most significant of which are at our Waterford facility in Ireland and our Rochester facility in New York.
To meet the forecasted demand for our Biotrue® ONEday lenses, in July 2017, we placed into service a $175 million multi-year strategic expansion project of the Waterford facility. The emphasis of the expansion project was to: (i) develop new technology to manufacture, automatically inspect and package contact lenses, (ii) bring that technology to full validation and (iii) increase the size of the Waterford facility.
To address the expected global demand for our Bausch + Lomb ULTRA® contact lens, in December 2017, we completed a multi-year, $200 million strategic upgrade to our Rochester facility. The upgrade increased production capacity in support of our Bausch + Lomb Ultra® and SiHy Daily AQUALOX product lines and better supports the production of other well-established contact lenses, such as our PureVision®, PureVision®2 (SVS, Toric, and Multifocal), SofLens® 38 and SilSoft®.
To address the expected global demand for our SiHy Daily disposable contact lenses, in November 2018, we initiated $300 million of additional expansion projects to add multiple production lines to our Rochester and Waterford facilities. SiHy Daily disposable contact lenses are expected to be launched in the U.S. in the second half of 2020.
We believe the investments in our Waterford and Rochester facilities and related expansion of labor forces further demonstrates the growth potential we see in our Bausch + Lomb products and our eye-health business.
ImproveEffectively Managing Our Capital Structure
We have made measurable progress in improvingcontinue to effectively manage our capital structure by: (i) reducing our debt through repayments, and (ii) extending the maturities of debt through refinancing. Usingrefinancing and (iii) improving our credit ratings.
Debt Repayments - Excluding the net cash proceeds from divestituresimpact of non-core assets, cash generated from operations and cash generated from tighter working capital management,the $1,210 million financing of the U.S. Securities Litigation settlement discussed below, we have been able to repay (net of additional borrowings) over $7,900 million of long-term debt during the period January 1, 2016 through the date of this filing we repaid (net of additional borrowings) over $7,200 million of long-term debt since the beginning of 2016, in the aggregate. Further, as a result of the refinancing and debt repayments outlined below, as of the date of this filing, we have eliminated all mandatory scheduled principal repayments of our debt obligations through the second quarter of 2020 and our mandatory scheduled principal repayments through 2021 are approximately $410 million.
Divestitures - During 2017, we divested businesses and assets not aligned with our core business objectives, which simplified our operating model and generated over $3,200 million of net cash proceeds that we used to improve our capital structure, the most significant of which were the divestitures of the Company's interests in the CeraVe®, AcneFree and AMBI® skincare brands (March 3, 2017), the iNova Pharmaceuticals business (September 29, 2017), the Company's equity interest in Dendreon Pharmaceuticals LLC (June 28, 2017) and the Obagi Medical Products, Inc. business (November 9, 2017). 


Debt Repayments - During the years 2016 through 2018, we repaid (net of additional borrowings) over $6,800 million of long-term debt using the net cash proceeds from divestitures of non-core assets, cash generated from operations and cash generated from tighter working capital management. During the six months ended June 30, 2019, we repaid approximately $250 million of long-term debt, net of borrowings under our 2023 Revolving Credit Facility (as defined below). Repayments of long-term debt during the six months ended June 30, 2019 included: (i) $253 million of our seven year Tranche B Term Loan Facility maturing in June 2025 (the “June 2025 Term Loan B Facility”) and (ii) $75 million of our seven year Tranche B Term Loan Facility maturing in November 2025 (the "November 2025 Term Loan B Facility"). In addition to these repayments, on August 1, 2019, we repaid $100 million of long-term debt, which included: (i) $81 million of the June 2025 Term Loan B Facility and (ii) $19 million of the November 2025 Term Loan B Facility. Net borrowings during the six months ended June 30, 2019 under our 2023 Revolving Credit Facility of $75 million were primarily used for the payment of interest due in April 2019 and other short-term capital needs.
2017 Refinancing Transactions - In March, October, November and December of 2017, we accessed the credit markets and completed a series of transactions, whereby we extended approximately $9,500 million in aggregate maturities of certain debt


obligations due to mature in April 2018 through April 2022, out to March 2022 through December 2025. As part of these transactions, we also extended commitments under our revolving credit facility, originally set to expire in April 2018, out to April 2020.
2018 Refinancing Transactions - In March, June and November 2018, we accessed the credit markets and completed a series of transactions, whereby we extended approximately $8,300 million in aggregate maturities of certain debt obligations due to mature in March 2020 through July 2022, out to June 2025 through January 2027.  As part of these transactions, we obtained less stringent loan financial maintenance covenants under our Senior Secured Credit Facilities and extended commitments under our revolving credit facility by more than three years by replacing our then-existing revolving credit facility, set to expire in April 2020 with a revolving credit facility of $1,225 million due in June 2023 (the “2023 Revolving Credit Facility”).
2019 Refinancing Transactions - In March, May and MayDecember 2019, we accessed the credit markets and completed a series of transactions, whereby, we extended approximately $3,000$4,240 million in aggregate maturities of certain debt obligations due to mature in December 2021 through May 2023, out to January 2027 through May 2029.January 2030.
On March 8,Financing of Litigation Settlement - In December 2019, we announced that we had agreed to resolve the putative securities class action litigation in the U.S. (the "U.S. Securities Litigation") for $1,210 million, subject to final court approval. As part of the settlement, the Company and the other settling defendants admitted no liability as to the claims against it and deny all allegations of wrongdoing. This settlement, once approved by the court, will resolve and discharge all claims against the Company in the class action, and as a result will resolve the most significant of the Company's remaining legacy legal matters and eliminate a material uncertainty regarding our Company.
To finance the settlement of the U.S. Securities Litigation, on December 30, 2019, we accessed the credit markets and issued: (i) $1,000$1,250 million aggregate principal amount of 8.50%5.00% Senior Unsecured Notes due January 20272028 (the "5.00% January 2028 Unsecured Notes") and (ii) $500$1,250 million aggregate principal amount of 5.75%5.25% Senior SecuredUnsecured Notes due August 2027January 2030 (the "August 2027 Secured"January 2030 Unsecured Notes") in a private placement. The unsecured notes form part of the same series as our existing 8.50% Senior Unsecured Notes due January 2027 (the "January 2027 Unsecured Notes"). A portion of the net proceeds of the January 2027 Unsecured Notes and the August 2027 Secured Notes and cash on hand were used to: (i) repurchase the remaining $700 million outstanding principal amount of 5.625% Senior Unsecured Notes due 2021 (the “December 2021 Unsecured Notes”), (ii) repurchase $584redeem $1,240 million of 5.875% Senior Unsecured Notes due 2023 (the "May 2023 Unsecured Notes") on January 16, 2020, (ii) finance amounts owed under the Company's recently announced $1,210 million settlement agreement relating to the U.S. Securities Litigation (which is subject to final court approval), (iii) repurchase $216of which we paid $200 million of 5.50% Senior Unsecured Notes due 2023 (the "March 2023 Unsecured Notes")during January 2020 and (iv) pay all fees and expenses associated with these transactions (collectively, the “March 2019 Refinancing Transactions”).
On May 23, 2019, we issued: (i) $750$810 million aggregate principal amount of 7.00% Senior Unsecured Notes due January 2028 (the "January 2028 Unsecured Notes") and (ii) $750 million aggregate principal amount of 7.25% Senior Unsecured Notes due May 2029 (the "May 2029 Unsecured Notes") in a private placement. The net proceeds and cash on hand were used to: (i) repurchase $1,118 million of May 2023 Unsecured Notes, (ii) repurchase $382 million ofduring March 2023 Unsecured Notes2020 and (iii) pay all fees and expenses associated with these transactions (collectively, the “May"December 2019 Financing and Refinancing Transactions”Transactions"). Through this financing, we have in effect extended the payment terms of the pending settlement of $1,210 million out to 2028 and 2030, without negatively impacting our working capital available for operations.

See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements for the details of our debt portfolio as of March 31, 2020 and December 31, 2019.

The debt repayments and refinancings outlined above have allowed us to: (i) improve our credit ratings, (ii) finance amounts owed under the Company's recently announced $1,210 million settlement agreement relating to the U.S. Securities Litigation without negatively impacting our working capital available for operations and (iii) as of the date of this filing, have no debt maturing, or mandatory amortization of debt payments, until the first quarter of 2022.
AsOur prepayment and refinancings of debt over the last four years translate into lower repayments of principal over the next four years, which, in turn, we believe will permit more cash flows to be directed toward developing our core assets, identifying new product opportunities and repaying additional debt amounts. The mandatory scheduled principal repayments of our debt obligations as of May 7, 2020, the date of this filing, were as follows and reflects repurchases of our senior unsecured notes in the open market of $8 million, in aggregate, in April 2020:
(in millions)                    
2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Total
$
 $
 $1,553
 $2,443
 $2,303
 $10,632
 $1,500
 $2,250
 $2,012
 $750
 $1,250
 $24,693
In addition, as a result of prepayments and a series of refinancing transactions through June 30, 2019, we have extended the maturities of a substantial portionchanges in our debt portfolio, approximately 80% of our long-term debt providing us with additional liquidity and greater flexibility to execute our business plans. The tables below summarize our outstandingis fixed rate debt portfolio and maturities as of June 30, 2019March 31, 2020, as compared to December 31, 2018.
    June 30, 2019 December 31, 2018
(in millions) Maturity Principal Amount Net of Premiums, Discounts and Issuance Costs Principal Amount Net of Premiums, Discounts and Issuance Costs
Senior Secured Credit Facilities:          
2023 Revolving Credit Facility June 2023 $150
 $150
 $75
 $75
June 2025 Term Loan B Facility June 2025 4,141
 4,029
 4,394
 4,269
November 2025 Term Loan B Facility November 2025 1,406
 1,384
 1,481
 1,456
Senior Secured Notes:          
5.75% Secured Notes August 2027 500
 493
 
 
All other Senior Secured Notes March 2022 through November 2025 5,000
 4,953
 5,000
 4,948
Senior Unsecured Notes:          
5.625% December 2021 
 
 700
 697
5.50% March 2023 402
 400
 1,000
 995
5.875% May 2023 1,548
 1,539
 3,250
 3,229
8.50% January 2027 1,750
 1,757
 750
 738
7.00% January 2028 750
 740
 
 
7.25% May 2029 750
 740
 
 
All other Senior Unsecured Notes May 2023 through April 2026 7,956
 7,878
 7,970
 7,886
Other Various 16
 16
 12
 12
Total long-term debt and other   $24,369
 $24,079
 $24,632
 $24,305
approximately 60% as of January 1, 2016. The weighted average stated interest rate of the Company's outstanding debt as of June 30, 2019March 31, 2020 andDecember 31,
2018
was 6.44% and 6.23%, respectively.
The scheduled principal repayments of our debt obligations as of June 30, 2019 compared with December 31, 2018 were as follows:2019 was 6.01% and 6.21%, respectively.
We continue to monitor our capital structure and to evaluate other opportunities to simplify our business and improve our capital structure, giving us the ability to better focus on our core businesses. While we anticipate focusing any future divestiture activities on non-core assets, consistent with our duties to our shareholders and other stakeholders, we will consider dispositions in core areas that we believe represent attractive opportunities for the Company. Also, the Company regularly evaluates market conditions, its liquidity profile and various financing alternatives for opportunities to enhance its capital structure. If the Company determines that conditions are favorable, the Company may refinance or repurchase existing debt or issue additional debt, equity or equity-linked securities.
(in millions) June 30, 2019 December 31, 2018
2019 $4
 $228
2020 203
 303
2021 303
 1,003
2022 1,553
 1,553
2023 4,109
 6,348
2024 2,303
 2,303
Thereafter 15,894
 12,894
Gross maturities $24,369
 $24,632

On August 1, 2019, we repaid $100 million of long-term debt, which included: (i) $81 million of the June 2025 Term Loan B Facility and (ii) $19 million of the November 2025 Term Loan B Facility. These transactions are not reflected in the table above and are therefore included as due during 2020.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements and “Management's Discussion and Analysis - Liquidity and Capital Resources: Long-term Debt” for further details.additional discussion of these matters. Cash requirements for future debt repayments including interest can be found in “Management's Discussion and Analysis - Off-Balance Sheet Arrangements and Contractual Obligations.”


Address Legacy Legal Matters
The Company was burdened with addressing certain ongoing legal matters, some of which were inherited as part of the acquisitions we completed in 2015 and prior. In order to better focus on our core activities and simplify our operations, we have been vigorously addressing many of these matters, and, through the date of this filing, we achieved dismissals and other positive outcomes in a number of litigations, disputes and investigations, as we continue to actively address others. For example, in July 2019, we announced that the U.S. District Court of New Jersey had upheld the validity of and determined Actavis Laboratories FL, Inc.’s ("Actavis") infringement of a patent protecting our Relistor® tablets, expiring in March 2031. In July, we also announced that we had agreed to resolve the outstanding intellectual property litigation with Teva Pharmaceuticals USA, Inc. ("Teva") regarding Apriso® extended-release capsules 0.375g. As part of the settlement, the parties agreed to dismiss all litigation related to Apriso®, and intellectual property protecting Apriso® will remain intact and enforceable. In addition, we will grant Teva a non-exclusive license effective October 1, 2021to the intellectual property relating to Apriso® in the United States (provided that Teva will be able to begin marketing prior to such date if another generic version of the product is granted approval and starts selling or distributing such generic prior to October 1, 2021). The Company has now resolved litigation related to Apriso® with two out of the four Paragraph IV filers.
These matters and other significant matters are discussed in further detail in Note 19, "LEGAL PROCEEDINGS" to our unaudited interim Consolidated Financial Statements presented elsewhere in this Form 10-Q and Note 20, "LEGAL PROCEEDINGS" to our audited Consolidated Financial Statements for the year ended December 31, 2018, which were included in our Annual Report on Form 10-K filed on February 20, 2019.
Address Regulatory Matters
In the normal course of business, our products, devices and facilities are the subject of ongoing oversight and review, by regulatory and governmental agencies, including general, for cause and pre-approval inspections by the relevant competent authorities where we have business operations, including the FDA. Currently, all of our global operations and facilities have the relevant operational certificates. Through the date of this filing, the Company's operating sites are in good compliance standing, and all sites under FDA jurisdiction are rated as either No Action Indicated (where there was no Form 483 observation) or Voluntary Action Indicated (“VAI”) (where there was a Form 483 with one or more observations). In the case of VAI inspection outcomes, the FDA has accepted our responses to the issues cited in the Form 483, which will be verified when the agency makes its next inspection of those specific facilities. A Form 483 is issued at the end of each inspection when FDA investigators have observed any condition that in their judgment may constitute violations of current good manufacturing practice.
Improve Patient Access and Pricing Committee and New Pricing Actions
Improving patient access to our products, as well as making them more affordable, is an importanta key element of our turnaround.business strategy.
Patient Access and Pricing Committee - In May 2016, we formed the Patient Access and Pricing Committee which is responsible for setting, changing and monitoring the pricing of our products and evaluating contract arrangements that determine the placement of our products on drug formularies. The Patient Access and Pricing Committee considers new to ensure launch prices andmarket product pricing, price changes are assessed and implementedtheir impact across channels with a focus on patient accessibility and affordability while maintaining profitability. Since that time, theaffordability. The Patient Access and Pricing Committee has been committed to limiting the average annual price increase for our branded prescription pharmaceutical products to no greater than single digits and has reaffirmed this commitment for 2019. We expect that the Patient Access and Pricing Committee will continue to implement or recommend additional price changes and/or new programs in-line with this commitment to enhance patient access to our drugs.2020. These pricing changes and programs could affect the average realized pricing for our products and may have a significant impact on our company revenue trends.and profit.
Dermatology.com Cash-pay Prescription Program
- In February 2019, we launched Dermatology.com, a cash-pay prescriptionproduct acquisition program to makeoffering certain Ortho Dermatologics branded products available directly to patients with a valid prescription, regardless of their insurance status and without prior authorizations needed. The program is specifically designed to provide patients with direct access to a range of proven treatment options for certain disease states that typically encounter insurance coverage hassles and high prescription costs including acne, actinic keratosis, superficial basal cell carcinoma, barrier repair (e.g. eczema treatments), wounds and corticosteroid-responsive diseases such as rashes, psoriasis and atopic dermatitis.
Through Dermatology.com, all patients, regardless of their insurance status, will be able to purchase medicines at prices ranging from $50 to $115 per prescription. By doing so, the program will provide branded options that offer proven medicines with straightforward access. It will include certain Ortho Dermatologics brands, such as Retin-A® (tretinoin) cream, as well as novel products, such as Altreno® (tretinoin) Lotion, 0.05%. All products included in the Dermatology.com program will be eligible for Flexible Spending Accounts or Health Saving Accounts and will continue to be supported by the Company's Patient Assistance Program, which offers free medication for patients who meet income and other eligibility criteria. We plan to include approximately 15 Ortho Dermatologics products directly to patients. In March 2020, the name Dermatology.com was removed as the cash-pay product program name in order to secure the name Dermatology.com for only online usage including future digital teledermatology and e-commerce offerings. The cash pay program byis designed to address the endaffordability and availability of 2019 including some investigational therapies that will be added to the program as soon as,certain branded dermatology products, when insurers and if, theypharmacy benefit managers are approved by the FDA.no longer offering those branded prescription pharmaceutical products under their designated pharmacy benefit offerings.


Walgreens Fulfillment Arrangements
- In the beginning of 2016, we launched a brand fulfillment arrangement with Walgreen Co. ("Walgreens") and extended these programs to additional participating independent retail pharmacies.. Under the terms of the brand fulfillment arrangement, as amended in July 2019, we made available certain of ourdermatology and ophthalmology products available to eligible patients through a patient access and co-pay program availableassistance programs at Walgreens U.S. retail pharmacy locations, as well as participating independent retail pharmacies. The programOur products available under this 20-yearfulfillment agreement initially coversinclude certain of our dermatologyOrtho Dermatologics products, including our Jublia®, Luzu®, Retin-A Micro® Gel 0.08% and 0.06%, Onexton®, and select branded prescription pharmaceutical products included in our cash-pay prescription program and certain of our ophthalmology products, including our Vyzulta®, Besivance®, Lotemax®, Alrex®, Prolensa®, Bepreve® and Zylet®. In July 2019, the Company announced that it had entered into an amendment to its existing fulfillment agreement with Walgreens, which the Company believes will further improve the distribution and sales of its products and bring patients lower prices, increased transparency and convenience for the products in the program. As part of this amendment, the arrangement was expanded to cover select dermatology products included in our Dermatology.com cash-pay prescription program. products.
IncreaseBusiness Trends
In addition to the Focus ofactions previously outlined, the events described below have affected and may affect our Pipelinebusiness trends. The matters discussed in this section contain Forward-Looking Statements. Please see “Forward-Looking Statements” for additional information.
Invest in Sustainable Growth Drivers to Position us for Long-Term Growth
We are constantly challenged by the changing dynamics of our industry to innovate and bring new products to market. We have divested certain businesses where we saw limited growth opportunities, so that we can be more aggressive in redirecting our R&D spend and other corporate investments to innovate within our core businesses where we believe we can be most profitable and where we aim to be an industry leader.
We believe that we have a well-established product portfolio that is diversified within our core businesses and provides a sustainable revenue stream to fund our operations. However, our future success is also dependent upon our ability to continually refresh our pipeline, to provide a rotation of product launches that meet new and changing demands and replace other products that have lost momentum. We believe we have a robust pipeline that not only provides for the next generation of our existing products, but is also poised to bring new products to market.
During 2018, we launched and/or relaunched innovative products across multiple countries that contributed to organic growthInvest in mostour Eye-Health Business - As part of our core businessesGlobal Bausch + Lomb business strategy, we continually look for key trends in the eye-health market to meet changing consumer/patient needs and identify areas for investment to extend our market share through new launches and effective pricing.
For instance, there is an increasing rate of myopia, and importantly, myopia as a potential risk factor for glaucoma, macular degeneration and retinal detachment. We continue to see increased demand for new eye-health products that address conditions brought on by factors such as increased screen time, lack of outdoor activities and academic pressures, as well as conditions brought on by an aging population (for example, as more and more baby-boomers in the U.S. are reaching the age of 65). To extend our market share in eye-health, we currently have over 225continually seek to identify new products tailored to address these key trends for development internally with our own R&D projects in our global pipeline. In additionteam to these projects, we have recently launched products we have dubbed our "Significant Seven". These Significant Seven products are: (i) Bryhali™ (Ortho Dermatologics), (ii) Duobrii™ (Ortho Dermatologics), (iii)generate organic growth. Recent product launches include Biotrue® ONEday


daily disposable contact lenses, the next generation of Bausch + Lomb ULTRA® contact lenses, SiHy Daily contact lenses, Lumify® (Bausch + Lomb)(an eye redness treatment), (iv) Relistor® (Salix), (v) SiHy Daily (Bausch + Lomb), (vi) Siliq® (Ortho Dermatologics) and (vii) Vyzulta® (Bausch + Lomb)(a pressure lowering eye drop for patients with angle glaucoma or ocular hypertension) and Ocuvite® Eye Performance (vitamins to protect the eye from stressors such as sunlight and blue light emitted from digital devices). Revenues
We also license selective molecules or technology in leveraging our own R&D expertise through development, as well as seek out external product development opportunities. As previously discussed, we acquired exclusive licenses for the commercialization and development in the U.S. and Canada for Xipere which, if approved by the FDA, will be the first treatment for patients suffering from macular edema associated with uveitis, and for NOV03, an investigational drug with a novel mechanism of action to treat DED associated with MGD. We also acquired the U.S. rights to EM-100 an investigational eye drop that, if approved by the FDA, will be the first OTC preservative-free formulation eye drop for the treatment of ocular itching associated with allergic conjunctivitis. We believe investments in these investigational treatments, if approved by the FDA, will complement, and help build upon, our strong portfolio of integrated eye-health products.
As previously discussed, we have also made strategic investments in our infrastructure, the most significant of which are at our Waterford facility in Ireland to meet the forecasted demand for our Significant Seven were greater than $150 millionBiotrue® ONEday lenses and our Rochester facility in New York to address the expected global demand for our Bausch + Lomb ULTRA® contact lens. During late 2018, and were approximately $75 millionwe began investing in 2017. additional expansion projects at these facilities in order to address the expected global demand for our SiHy Daily disposable contact lenses expected to be launched in the U.S. in the second half of 2020.
We believe our recent product launches, licensing arrangements and the prospects for this group of products to be substantialinvestments in our Waterford and anticipate devoting significant marketing efforts toward their promotion. We also believe that the strength and impact of these products on their respective markets willRochester facilities demonstrate the effectiveness of our pipeline and R&D strategies and promote further innovationgrowth potential we see in our businesses.Bausch + Lomb products and our eye-health business and that these investments will position us to further extend our market share in the eye-health market.
Leveraging our Salix Infrastructure
As we - We strongly believe in our Xifaxan®GI product portfolio and Relistor® business models, as part of our transformation, we have takenimplemented initiatives, including increasing our marketing presence and identifying additional opportunities outside our existing GI portfolio, to further capitalize on the value of the infrastructure we built around these products.products to extend our market share.
In the first quarter of 2017, we hired approximately 250 trained and experienced sales force representatives and managers to create, bolster and sustain deep relationships with primary care physicians (“PCP”). With approximately 70% of IBS-D patients initially presenting symptoms to a PCP, we continue to believe that the dedicated PCP sales force is better positioned to reach more patients in need of IBS-D treatment.
This initiative provided us with positive results, as we experienced consistent growth in demand for theseour GI products throughout 2017 and 2018. Revenues from2018, which was evident by our Xifaxan® and Relistor® products increased approximately 22% and 37%, respectively,growth in Salix revenues of 12% in 2018 when compared to 2017. These results encouraged us to seek out ways to bring out further value through leveraging our existing sales force and, in the later portion of 2018 and in 2019, we have identified and executed on certain opportunities which we describe below.
Strategic Acquisition - As previously discussed, in March 2019, we completed the acquisition of certain assets of Synergy, whereby we acquired the worldwide rights to the Trulance® product, a once-daily tablet for adults with chronic idiopathic constipation, or CIC and irritable bowel syndrome with constipation, or IBS-C. We believe that the Trulance® product complements our existing Salix products and allows us to effectively leverage our existing GI sales force.
For instance,Licensing Arrangements - As previously discussed, in April 2019, we entered into two licensing agreements. The first is for certain intellectual property relating to an investigational compound targeting the pituitary adenylate cyclase receptor 1 in NAFLD, NASH and other GI and liver diseases. The second is to develop and commercialize MT-1303 (amiselimod), a late-stage oral compound that targets the sphingosine 1-phosphate receptor that plays a role in autoimmune diseases, such as inflammatory bowel disease and ulcerative colitis. These licenses present unique developmental opportunities to address unmet needs of individuals suffering with certain GI and liver diseases and if developed and approved by the FDA, will allow us to further utilize our existing sales force and infrastructure to extend our market share in the future and create value.
Investment in Next Generation Formulations - We continue to see growth in our Xifaxan® product. Revenues from our Xifaxan® product increased approximately 22%, 22% and 11% in 2019, 2018 and 2017, respectively. In order to continue to generateextend growth in these products,Xifaxan®, we continue to directly invest in next generation formulations of Xifaxan® and rifaximin, the principal semi-synthetic antibiotic used in our Xifaxan® product. In addition to one R&D program in progress, we have three other R&D programs planned to start in 20192020 for next generation formulations of Xifaxan® and rifaximin(rifaximin) which address new indications.
In addition to driving growth through internal R&D development, we seek to align ourselves with new external product development opportunities.  As recently as this past April, we entered into two licensing agreements which present us with unique developmental opportunities to address unmet needs of individuals suffering with certain GI and liver diseases. The first of these two licensing agreements is with the University of California for certain intellectual property relating to an investigational compound targeting the pituitary adenylate cyclase receptor 1 in non-alcoholic fatty liver disease (“NAFLD”), nonalcoholic steatohepatitis


(“NASH”) and other GI and liver diseases. We believe this compound, once fully developed, could address certain unmet medical needs in the treatment of NAFLD and NASH.  The second, is an exclusive licensing agreement with Mitsubishi Tanabe Pharma Corporation to develop and commercialize MT-1303 (amiselimod), a late-stage oral compound that targets the sphingosine 1-phosphate receptor that plays a role in autoimmune diseases, such as inflammatory bowel disease and ulcerative colitis. We plan to initiate a Phase 2 study for the development of MT-1303 in ulcerative colitis in the first half of 2020, and additionally the cardiovascular Holter study is expected to readout around year end.
In addition to product development opportunities, we strive to access innovative and established GI products outside our existing Salix business that allow us to leverage our existing GI sales force, supply channel and distribution channel to bring about growth through co-promotion and acquisition. For instance, in the second half of 2018, we entered into agreements with Dova Pharmaceuticals, Inc. to co-promote Doptelet®, a new treatment of thrombocytopenia in adult patients with chronic liver disease, and with US WorldMeds, LLC to co-promote Lucemyra®, a non-opioid medication for the mitigation of withdrawal symptoms to facilitate abrupt discontinuation of opioids. We also completed the acquisition of certain assets of Synergy in March 2019, whereby we acquired certain assets of Synergy including its worldwide rights to the Trulance® (plecanatide) product, a once-daily tablet for adults with chronic idiopathic constipation and irritable bowel syndrome with constipation.
We continue to see growth in our Xifaxan® and Relistor® products as a result of the continued focus of our sales force on PCPs. Revenues from our Xifaxan® and Relistor® franchises increased approximately 16% and 14%, respectively, for the six months ended June 30, 2019 when compared to the six months ended June 30, 2018. We therefore believe that the co-promotionacquisition and acquisitionlicensing opportunities as previously discussed above will be accretive to our business during our transformation by providing us access to products and investigational compounds that are a natural pairing to either our Xifaxan® or Relistor® businesses,business, allowing us to effectively leverage our existing infrastructure and generate growth.sales force. We believe these opportunities, coupled with our investment in next generation formulations, will allow our GI franchise to continue to further extend market share.
Refocus

Position the Ortho Dermatologics Business
for Growth - In support of our Ortho Dermatologics business and the opportunities we see for growth in this business, we continue to allocate resources and make additional investments in this business to recruit and retain talent and focus on our core dermatology portfolio of products.
To turnaround our dermatologyposition the Ortho Dermatologics business for growth, we have taken and are taking a number of actions whichthat we believe will help our efforts to stabilize our dermatology business. These actions include: (i) rebranding our dermatology business, (ii) recruiting a new experienced leadership team, (iii) making significant investment in our core dermatology portfolio, (iv) increasing and reorganizing our dermatology sales force around roughly 150195 territories, as we work to rebuild relationships with prescribers of our products and (v) improving patient access to our Ortho Dermatologics products through Dermatology.com, our cash-pay prescription program previously discussed. With these actions substantially complete, we believed that our Ortho Dermatologics business was positioned for growth in 2020. While we continue to believe that our strategies will return our Ortho Dermatologics business to growth sometime in the future, the impacts of the COVID-19 pandemic has had us reassess this timing. The closure of many health care facilities and medical offices during the pandemic has limited patient access to new prescriptions and we now believe that we will not see the Ortho Dermatologics business return to growth until the COVID-19 pandemic subsides and the U.S. economy stabilizes.
Recruit and Retain Talent - In 2017, we identified and retained a proven leadership team of experienced dermatology sales professionals and marketers. In January 2018, the leadership team, encouraged by the success of our GI sales force expansion program, increased our Ortho Dermatologics sales force by more than 25% in support of our growth initiatives for our Ortho Dermatologics business. We believe the additional sales force is vital to meet the demand we expect from our recently launched products and those we expect to launch in the near term,near-term, pending FDA approval. We continue to monitor our pipeline for other near termnear-term launches that we believe will create opportunity needs in our other core businesses requiring us to make additional investment to retain people for additional leadership and sales force roles.
Investment in Our Core Dermatology Portfolio - We have made significant investments to build out our aesthetics, psoriasis and acne product portfolios, which are the markets within dermatology where we see the greatest opportunities.opportunities to extend our market share.
Aesthetics - On September 22,In 2017, we received 510(k) clearance from the FDA and launched our Next Generation Thermage FLX® product in the United States. Next Generation Thermage FLX® isU.S., a fourth-generation non-invasive treatment option using a radiofrequency platform designed to optimize key functional characteristics and improve patient outcomes. During 2018 and 2019, Next Generation Thermage FLX® was launched in Hong Kong, Japan, Korea, Taiwan, Philippines, Singapore, Indonesia, Malaysia, China, Thailand, Vietnam, and Australia as part of our Solta medical aesthetic devices portfolio. These launches have been successful as Next Generation Thermage FLX® revenues for the sixthree months ended June 30,March 31, 2020 and 2019 were $26 million and $12 million, respectively, and in excess of $26full-year 2019 were $77 million. During the remainder of 2019, we expect additional worldwide launches of the Next Generation Thermage FLX® in Asia, Canada and Europe, paced by country-specific regulatory registrations.
Psoriasis - As the number of reported cases of psoriasis in the U.S. has increased, we believe there is a need to make further investments in this market in order to maximize our opportunity and supplement our current psoriasis product portfolio. We have filed NDAs for several new topical psoriasis products, launched Bryhali™ in November 2018 and launched DuobriiTM® in June 2019.2019 and launched Bryhali® in November 2018. We expect that Bryhali™ and DuobriiTM® and Bryhali® will line upalign well with our existing topical portfolio of psoriasis treatments and, supplemented by our injectable biologic products, such as Siliq®, will provide a diverse choice of psoriasis treatments to doctors and patients. In July 2017, we launched Siliq®, an IL-17 receptor blocker monoclonal antibody biologic


for treatment of moderate-to-severe plaque psoriasis, which we estimate to be an over $5,000 million market in the U.S. (Siliq® has a Black Box Warning for the risks in patients with a history of suicidal thoughts or behavior and was approved with a Risk Evaluation and Mitigation Strategy involving a one-time enrollment for physicians and one-time informed consent for patients.) In addition, on February 27, 2018, we announced thatpatients). As previously discussed, we entered into an exclusive license agreement with Kaken Pharmaceutical Co., Ltd. to develop and commercialize products containing a new chemical entity, KP-470,IDP-131 (KP-470), for the topical treatment of psoriasis. An early proof of concept study was initiated inhas now been completed and the first half of 2019. If approved byresults did not meet expectations. As a result, the FDA, KP-470 could represent a novel drug with an alternative mechanism of action inCompany no longer believes that IDP-131 can be viably developed for the topical treatment of psoriasis. The Company and Kaken are currently considering whether this new chemical entity can be developed to treat other indications.
Acne - In support of our established acne product portfolio, we have developed several products, which include Retin-A Micro® 0.06% (launched in January 2018) and Altreno® (launched in the U.S. October 2018), the first lotion (rather than a gel or cream) product containing tretinoin for the treatment of acne. Revenues for the six months ended June 30, 2019 were approximately $13 million and $2 million for Retin-A MicroWe also anticipate launching Arazlo®TM 0.06%(tazarotene) Lotion in the first half of 2020 and Altreno®, respectively. In addition to Retin-A Micro® 0.06% and Altreno®, we have three other unique acne projects in earlier stages of development that, if approved by the FDA, we believe will further innovate and advance the treatment of acne.
Improving Patient Access to Our Ortho Dermatologics Products - We see a real opportunity to be a leader in delivering affordable prescription dermatology products. As previously discussed, we recently announced our new cash-pay prescription model, Dermatology.com. Under the recent amendment to our existing Walgreens fulfillment agreement, we expect the program will be available at more than 9,500 Walgreens retail pharmacy locations in the U.S. by the end of August 2019, and we are working on ways to expand this program even further. We expect that approximately 15 products will be available through this channel before year end; and that e-commerce and telemedicine will be available sometime next year.
Bolstered by new product launches in our aesthetics, psoriasis and acne product lines and the potential of other products under development, our experienced dermatology sales leadership team, our increased sales force and our Dermatology.com cash-pay prescription program, we believe we have set the groundwork forto position the potential to achieve growth in our Ortho Dermatologics business.business for future growth.
Continue


U.S. Health Care Reform
The U.S. federal and state governments continue to Manage Our Capital Structure
As previously outlined, we completed a series of transactionspropose and pass legislation designed to regulate the health care industry. In March 2010, the Patient Protection and Affordable Care Act (the “ACA”) was enacted in the U.S. The ACA contains several provisions that reduced our debt levels, extended our debt maturities and improved our capital structure, providing us with additional liquidity and greater flexibility to executeimpact our business, plans. As a result of prepayments and a series of refinancing transactions, we have extendedincluding: (i) an increase in the maturities of a substantial portion of our long-term debt and, as a result, asminimum Medicaid rebate to states participating in the Medicaid program, (ii) the extension of the dateMedicaid rebates to Managed Care Organizations that dispense drugs to Medicaid beneficiaries, (iii) the expansion of the 340(B) Public Health Services drug pricing program, which provides outpatient drugs at reduced rates, to include additional hospitals, clinics and health care centers and (iv) a fee payable to the federal government based on our prior-calendar-year share relative to other companies of branded prescription drug sales to specified government programs.
In addition, in 2013 federal subsidies began to be phased in for brand-name prescription drugs filled in the Medicare Part D coverage gap. The ACA also included provisions designed to increase the number of Americans covered by health insurance. In 2014, the ACA's private health insurance exchanges began to operate. The ACA also allows states to expand Medicaid coverage with most of the expansion’s cost paid for by the federal government.
For 2019 and 2018, we incurred costs of $20 million and $36 million, respectively, related to the annual fee assessed on prescription drug manufacturers and importers that sell branded prescription drugs to specified U.S. government programs (e.g., Medicare and Medicaid). For 2019 and 2018, we also incurred costs of $137 million and $90 million, respectively, on Medicare Part D utilization incurred by beneficiaries whose prescription drug costs cause them to be subject to the Medicare Part D coverage gap (i.e., the “donut hole”).
On July 28, 2014, the U.S. Internal Revenue Service issued final regulations related to the branded pharmaceutical drug annual fee pursuant to the ACA. Under the final regulations, an entity’s obligation to pay the annual fee is triggered by qualifying sales in the current year, rather than the liability being triggered upon the first qualifying sale of the following year. We adopted this filing, scheduled principal repaymentsguidance in the third quarter of 2014, and it did not have a material impact on our debt obligations through 2021 are approximately $410 million. Our reduced debt levels and improved debt portfoliofinancial position or results of operations.
The financial impact of the ACA will translate to lower repayments of principalbe affected by certain additional developments over the next fivefew years, which,including pending implementation guidance and certain health care reform proposals. Additionally, policy efforts designed specifically to reduce patient out-of-pocket costs for medicines could result in turn,new mandatory rebates and discounts or other pricing restrictions. Also, it is possible, as discussed further below, that under the current administration, legislation will permit more cash flowsbe passed by Congress repealing the ACA in whole or in part. Adoption of legislation at the federal or state level could materially affect demand for, or pricing of, our products.
In 2018, we faced uncertainties due to be directed toward developing our core assetsfederal legislative and repay additional debt amounts. In addition, as a resultadministrative efforts to repeal, substantially modify or invalidate some or all of the changes in our debt portfolio, approximately 75%provisions of our debtthe ACA. However, we believe there is fixed rate debt aslow likelihood of June 30, 2019, as comparedrepeal of the ACA, given the recent failure of the Senate’s multiple attempts to approximately 65% asrepeal various combinations of January 1, 2017.
We continue to monitor our capital structure and to evaluate other opportunities to simplifyACA provisions. There is no assurance that any replacement or administrative modifications of the ACA will not adversely affect our business and improvefinancial results, particularly if the replacing legislation reduces incentives for employer-sponsored insurance coverage, and we cannot predict how future federal or state legislative or administrative changes relating to the reform will affect our capital structure giving usbusiness.
In 2019, the abilityU.S. Health and Human Services Administration announced a preliminary plan to better focusallow for the importation of certain lower-cost drugs from Canada. The preliminary plan excludes insulin, biological drugs, controlled substances and intravenous drugs. The preliminary plan relies on individual states to develop proposals for safe importation of those drugs from Canada and submit those proposals to the federal government for approval. Although the preliminary plan has some support from the current administration, at this time, studies to evaluate the related costs and benefits, evaluate the reasonableness of the logistics, and measure the public reaction of such a plan have not been performed. While we do not believe this will have a significant impact on our core businesses.future cash flows, we cannot provide assurance as to the ultimate context, timing, effect or impact of such a plan.
In 2019, the Government of Canada (Health Canada) published in the Canadian Gazette the new pricing regulation for patented drugs. These regulations will become effective on July 1, 2020. The draft application guidelines are available with the final guidelines to be published in 2020. The new regulations will change the mechanics of establishing the pricing for products submitted for approval after August 21, 2019; they will also require full transparency of discounts agreed with provincial bodies; and finally, will change the number and composition of reference countries used to determine if a drug’s price is excessive. While we do not believe this will have a significant impact on our future cash flows, as additional facts materialize, we cannot provide assurance as to the ultimate content, timing, effect or impact of such regulations.
Other legislative efforts relating to drug pricing have been proposed and considered at the U.S. federal and state level. We also anticipate focusing anythat Congress, state legislatures and third-party payors may continue to review and assess alternative health care delivery and payment systems and may in the future divestiture activities on non-core assets, consistent with our duties to our shareholderspropose and other stakeholders, we will consider dispositionsadopt legislation or policy changes or implementations affecting additional fundamental changes in core areas that we believe represent attractive opportunities for the Company. Also, the Company regularly evaluates market conditions, its liquidity profile and various financing alternatives for opportunities to enhance its capital structure. If the Company determines that conditions are favorable, the Company may refinance or repurchase existing debt or issue additional debt, equity or equity-linked securities.health care delivery system.
Managing


Generic Competition and Loss of Exclusivity
Certain of our products face the expiration of their patent or regulatory exclusivity in 20192020 or in later years, following which we anticipate generic competition of these products. In addition, in certain cases, as a result of negotiated settlements of some of our patent infringement proceedings against generic competitors, we have granted licenses to such generic companies, which will permit them to enter the market with their generic products prior to the expiration of our applicable patent or regulatory exclusivity. Finally, for certain of our products that lost patent or regulatory exclusivity in prior years, we anticipate that generic competitors may launch in 20192020 or in later years. Following a loss of exclusivity ("LOE") of and/or generic competition for a product, we would anticipate that product sales for such product would decrease significantly shortly following the loss of exclusivity or entry of a generic competitor. Where we have the rights, we may elect to launch an authorized generic of such product (either ourselves or through a third party)third-party) prior to, upon or following generic entry, which may mitigate the anticipated decrease in product sales; however, even with launch of an authorized generic, the decline in product sales of such product would still be expected to be significant, and the effect on our future revenues could be material.


A number of our products already face generic competition. Prior to and during 2019,2020, in the U.S., these products include, among others, Ammonul®, Apriso®, Benzaclin®, Bupap®, Cuprimine®, Edecrin®, Elidel®, Glumetza®, Istalol®, Isuprel®, Locoid® Lotion, Lotemax® Suspension, Mephyton®, Nitropress®, Solodyn®, Syprine®, Virazole®, Uceris® Tablet, Virazole®, Wellbutrin XL®, Xenazine®, Zegerid® and Zovirax® cream. In Canada, these products include, among others, Glumetza®, SublinoxWellbutrin® XL and Zovirax® ointment.
2019 LOE Branded Products - Branded products that began facing generic competition in the U.S. during 2019 include, Apriso®, Cuprimine®, Lotemax® Suspension, Solodyn® and WellbutrinZovirax® XL.cream. In aggregate, these products accounted for 3% of our total revenues in 2019. We believe the entry into the market of generic competition generally would have an adverse impact on the volume and/or pricing of the affected products, however we are unable to predict the magnitude or timing of this impact.
2020 through 2024 LOE Branded Products - Based on current patent expiration dates, settlement agreements and/or competitive information, our keywe have identified branded products that began facing or those which we believe will becould begin facing potential loss of exclusivity and/or generic competition in the U.S. during the years 20192020 through 20232024. These products and year of expected loss of exclusivity include, but are not limited to, Apriso®, Clindagel®, Cuprimine®(2020), Lotemax® Gel Lotemax® Suspension,(2021), Migranal®(2020), MoviPrep® (2020), Noritate®, Onexton®, PreserVision®, Prolensa®, Solodyn®(2020), Targretin® Gel (2022), Xerese®, Zovirax(2022)® cream and certain other products that are subject to settlement agreements.  Aggregate revenues from keyagreements which could impact their exclusivity during the years 2020 through 2024. In aggregate, these products that we believe will face potential loss of exclusivity and/or generic competition in the U.S. during: (i) 2019 represented 9% and 8%; (ii) 2020 represented 1% and 1%; (iii) 2021 represented 4% and 4%; (iv) 2022 represented less than 1% and 1%; and (v) 2023 represented 2% and 2%accounted for 3% of our aggregate U.S., Mexico and Puerto Ricototal revenues for 2018 and 2017, respectively.in 2019. These dates may change based on, among other things, successful challenge to our patents, settlement of existing or future patent litigation and at-risk generic launches. We believe the entry into the market of generic competition generally would have an adverse impact on the volume and/or pricing of the affected products, however we are unable to predict the magnitude or timing of this impact.
2021 LOE OTC Product - PreserVision® AREDS and PreserVision® AREDS 2 are OTC eye vitamin formulas for those with moderate-to-advanced age-related macular degeneration. PreserVision® products accounted for 2% of our total revenues in 2019. The PreserVision® formulation patent expires in 2021, and whereas the Company cannot predict the magnitude or timing of the impact from its patent expiry, as this is an OTC product the impact is not expected to be as significant as the loss of exclusivity of a branded pharmaceutical product.
In addition, for a number of our products (including Apriso®, Uceris®, Relistor®, Plenvu®, Xifaxan® 200mg Glumetzaand 550mg, Bepreve®, Bryhali® and Jublia®, Prolensain the U.S. and Jublia® and Bryhali™ in the U.S.)Canada), we have commenced (or anticipate commencing) and have (or may have) ongoing infringement proceedings against potential generic competitors in the U.S. and Canada. If we are not successful in these proceedings, we may face increased generic competition for these products.
AprisoBryhali® Extended Release Capsules Patent LitigationLotion, 0.01% (Glenmark) - On March 27, 2017,In December 2019, the Company initiated litigation against Teva Pharmaceuticals USA, Inc. ("Teva"), which alleged infringement by Teva of one or more claims of U.S. Patent No. 8,865,688, which protects the formulation for Apriso® extended-release capsules 0.375g. In July, we announced that weit had agreedreached an agreement to resolve the outstanding intellectual property litigation with Teva regarding AprisoGlenmark Pharmaceuticals, Ltd. ("Glenmark"). Under the terms of the agreement, the Company will grant Glenmark a non-exclusive license to its intellectual property relating to Bryhali® extended-release capsules 0.375g. As part in the U.S. and, beginning in 2026 (or earlier under certain circumstances), Glenmark will have the option to market a royalty-free generic version of Bryhali® Lotion, should it receive approval from the FDA. The parties have agreed to dismiss all litigation related to Bryhali® Lotion, and all intellectual property protecting Bryhali® Lotion remains intact.
Bryhali® Lotion, 0.01% (Perrigo) - On March 20, 2020, the Company received a Notice of Paragraph IV Certification from Perrigo Israel Pharmaceuticals, Ltd. (“Perrigo”), in which Perrigo asserted that certain U.S. patents, each of which is listed in the FDA’s Orange Book for Bryhali (halobetasol propionate) lotion, 0.01% are either invalid, unenforceable and/or will not be infringed by the commercial manufacture, use or sale of Perrigo’s generic halobetasol propionate lotion, for which an Abbreviated New Drug Application ("ANDA") has been filed by Perrigo.  The Company has forty-five (45) days from the date of receipt of this notice to file suit against Perrigo pursuant to the Hatch-Waxman Act, alleging infringement by Perrigo of one or more claims


of the settlement, Bryhali Patents to trigger a 30-month stay of the approval of Perrigo ANDA for halobetasol propionate lotion.  The Company intends to file within this time period.
Xifaxan® 550mg Patent Litigation (Sandoz Inc.) - In October 2019, the Company announced that it and its licensor, Alfasigma had commenced litigation against Sandoz Inc. ("Sandoz"), a Novartis division, alleging patent infringement of 14 patents by Sandoz's filing of its ANDA for Xifaxan® (rifaximin) 550 mg tablets. On May 6, 2020, the Company announced that an agreement had been reached with Sandoz that resolved this litigation. Under the terms of the agreement, the parties agreed to dismiss all litigation related to AprisoXifaxan® (rifaximin), Sandoz acknowledged the validity of the licensed patents for Xifaxan® (rifaximin) 550 mg tablets and all intellectual property protecting AprisoXifaxan® (rifaximin) 550 mg tablets will remain intact and enforceable. In addition, the Company will grant Tevaenforceable until expiry in October 2029. The agreement also grants Sandoz a non-exclusive license effective October 1, 2021to the intellectual property relating to AprisoXifaxan® (rifaximin) 550 mg tablets in the United States (provided that Tevabeginning January 1, 2028 (or earlier under certain circumstances). Under the terms of the agreement, beginning January 1, 2028 (or earlier under certain circumstances), Sandoz will have the right to market a royalty-free generic version of Xifaxan® (rifaximin) 550 mg tablets, should it receive approval from the FDA on its ANDA. Sandoz will be able to begincommence such marketing prior to such dateearlier if another generic version of therifaximin product is granted approval and starts sellingsuch other generic rifaximin product begins to be sold or distributing such generic prior to Octoberdistributed in the United States before January 1, 2021). 2028.The final patent expiry on AprisoCompany will not make any financial payments or other transfers of value as part of this agreement with Sandoz.
Xifaxan® 550mg Patent Litigation (Norwich Pharmaceuticals Inc.) - On March 26, 2020, The Company and its licensor Alfasigma filed suit against Norwich Pharmaceuticals Inc. (“Norwich”), alleging infringement by Norwich of one or more claims of the 23 Xifaxan® Patents by Norwich’s filing of its ANDA for Xifaxan® (rifaximin) 550 mg tablets. Xifaxan® is 2030. The Company has now resolved litigation related to Aprisoprotected by 23 patents covering the composition of matter and the use of Xifaxan® listed in the FDA’s Approved Drug Products with two outTherapeutic Equivalence Evaluations, or the Orange Book. The Company remains confident in the strength of the four Paragraph IV filers.Xifaxan® patents and will continue to vigorously pursue these two matters and defend its intellectual property.
Relistor® Tablets Patent Litigation - On December 6, 2016, the Company initiated litigation against Actavis Laboratories FL, Inc.’s ("Actavis"), which alleged infringement by Actavis of one or more claims of U.S. Patent No. 8,524,276 (the “‘276 Patent”), which protects the formulation of RELISTOR® tablets. Actavis had challenged the validity of such patent and alleged non-infringement by its generic version of such product. In July 2019, we announced that the U.S. District Court of New Jersey had upheld the validity of and determined that Actavis infringed the ‘276 Patent, expiring in March 2031.
Xifaxan® 550mg Patent Litigation (Actavis)- On March 23, 2016, the Company initiated litigation against Actavis, which alleged infringement by Actavis of one or more claims of each of the Xifaxan® patents. On September 12, 2018, we announced that we had reached an agreement with Actavis that resolved the existing litigation and eliminated the pending challenges to our intellectual property protecting Xifaxan® (rifaximin) 550 mg tablets. As part of the agreement, the parties agreed to dismiss all litigation related to Xifaxan® (rifaximin), Actavis acknowledged the validity of the licensed patents for Xifaxan® (rifaximin) 550 mg tablets and all intellectual property protecting Xifaxan® (rifaximin) 550 mg tablets will remain intact and enforceable until expiry in 2029. The agreement also grants Actavis a non-exclusive license to the intellectual property relating to Xifaxan® (rifaximin) 550 mg tablets in the United States beginning January 1, 2028 (or earlier under certain circumstances). The Company will not make any financial payments or other transfers of value as part of the agreement. In addition, under the terms of the agreement, beginning January 1, 2028 (or earlier under certain circumstances), Actavis will have the option to: (1) market a royalty-free generic version of Xifaxan® tablets, 550 mg, should it receive approval from the FDA on its ANDA, or (2) market an authorized generic version of Xifaxan® tablets, 550 mg, in which case, we will receive a share of the economics from Actavis on its sales of such an authorized generic. Actavis will be able to commence such marketing earlier if another generic rifaximin product is granted approval and such other generic rifaximin product begins to be sold or distributed before January 1, 2028.
Generic Competition to Uceris® - In July 2018, a generic competitor launched a product which will directly compete with our Uceris® Tablet product. As disclosed in our prior filings, the Company initiated various infringement proceedings against this generic competitor. The Court construed the claims of the asserted patents on August 2, 2019 and, otheron October 24, 2019, the Company agreed to a judgment that the asserted patents did not cover the generic competitors.tablets under the Court’s claim construction, while reserving its right to appeal the claim construction. The Company continues to believe that its Uceris® Tablet-related patents are enforceable and is proceeding in the ongoing litigation between the Company and the generic competitor;with an appeal; however, the ultimate outcome of the matter is not predictable. The ultimate impact of this generic competitor on our future revenues cannot be predicted; however, Uceris® Tablet revenues for the sixthree months ended June 30,March 31, 2020 and 2019 and 2018 were approximately $13$3 million and $70$8 million, respectively, and for the full years 2019, 2018 and 2017 were approximately $20 million, $84 million and $134 million, respectively.


Generic Competition to Jublia® - On June 6, 2018, the U.S. Patent and Trial Appeal Board (“PTAB”) completed its inter partes review for an Orange Book-listed patent covering Jublia® and issued a written determination invalidating such patent.  AlthoughOn March 13, 2020, the Company is not awareCourt of any imminent launches of a generic competitor to Jublia®,Appeals for the ultimate impact ofFederal Circuit reversed this decision on our future revenues cannot be predicted.and remanded the matter back to the PTAB for further proceedings. Jublia® revenues for the sixthree months ended June 30,March 31, 2020 and 2019 and 2018 were approximately $47$30 million and $39$20 million, respectively, and for the full years 2019, 2018 and 2017 were approximately $110 million, $89 million and $96 million, respectively.  The Company continues to believe that the Jublia®-related patent is valid and enforceable, and, on August 7, 2018, an appeal of this decision was filed. Thebut the ultimate


outcome of this matter is not predictable. Jublia® continues to be covered by seveneleven remaining Orange Book-listed patents owned by the Company or its licensor, which expire in the years 2028 through 2034.2035. In August and September 2018, we received notices of the filing of a number of ANDAs with paragraph IV certification, and have timely filed patent infringement suits against these ANDA filers.filers, and, in addition, we have also commenced certain patent infringement proceedings in Canada against two separate defendants.
See Note 19,18, "LEGAL PROCEEDINGS" to our unaudited interim Consolidated Financial Statements elsewhere in this Form 10-Q, as well as Note 20,21, "LEGAL PROCEEDINGS" of our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC and the Canadian Securities AdministratorsCSA on SEDAR on February 20, 201919, 2020 for further details regarding certain infringement proceedings.
The risks of generic competition are a fact of the health care industry and are not specific to our operations or product portfolio. These risks are not avoidable, but we believe they are manageable. To manage these risks, our leadership team continually evaluates the impact that generic competition may have on future profitability and operations. In addition to aggressively defending the Company's patents and other intellectual property, our leadership team makes operational and investment decisions regarding these products and businesses at risk, not the least of which are decisions regarding our pipeline. Our leadership team actively manages the Company's pipeline in order to identify what we believe are the proper projects to pursue. Innovative and realizable projects aligned with our core businesses that are expected to provide incremental and sustainable revenues and growth into the future. We believe that our current pipeline is strong enough to meet these objectives and provide future sources of revenues, in our core businesses, sufficient enough to sustain our growth and corporate health as other products in our established portfolio face generic competition and lose momentum.
We believe that we have a well-established product portfolio that is diversified within our core businesses. We also believe that we have a robust pipeline that not only provides for the next generation of our existing products, but also brings new solutions into the market. Revenues for our Significant Seven were greater than $150 million in 2018 and approximately $75 million in 2017, as several of these products have only recently been launched. However, we believe the potential revenues for our Significant Seven to be substantial.
See Item 1A “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC and the Canadian Securities AdministratorsCSA on SEDAR on February 20, 201919, 2020 for additional information on our competition risks.
Business TrendsRegulatory Matters
In additionthe normal course of business, our products, devices and facilities are the subject of ongoing oversight and review by regulatory and governmental agencies, including general, for cause and pre-approval inspections by the relevant competent authorities where we have business operations, including the FDA. Currently, all of our global operations and facilities have the relevant operational certificates. Through the date of this filing, the Company's operating sites are in good compliance standing with no material noncompliance, and all sites under FDA jurisdiction are rated as either No Action Indicated (where there was no Form 483 observation) or Voluntary Action Indicated (“VAI”) (where there was a Form 483 with one or more observations). In the case of VAI inspection outcomes, the FDA has accepted our responses to the acquisition and divestiture actions previously outlined,issues cited in the following eventsForm 483, which will be verified when the agency makes its next inspection of those specific facilities. A Form 483 is issued at the end of each inspection when FDA investigators have affected and are expected to affect our business trends:observed any condition that in their judgment may constitute violations of current good manufacturing practice.
U.S. Health Care Reform
SELECTED FINANCIAL INFORMATION
The U.S. federalfollowing table provides selected unaudited financial information for the three months ended March 31, 2020 and state governments continue2019:
  Three Months Ended March 31,
(in millions, except per share data) 2020 2019 Change
Revenues $2,012
 $2,016
 $(4)
Operating income $248
 $287
 $(39)
Loss before benefit from income taxes $(178) $(122) $(56)
Net loss attributable to Bausch Health Companies Inc. $(152) $(52) $(100)
       
Basic and diluted loss per share attributable to Bausch Health Companies Inc. $(0.43) $(0.15) $(0.28)
Financial Performance
Summary of the Three Months Ended March 31, 2020 Compared to proposethe Three Months Ended March 31, 2019
Revenue for the three months ended March 31, 2020 and pass legislation designed to regulate the health care industry. In March 2010, the Patient Protection2019 was $2,012 million and Affordable Care Act (the “ACA”)$2,016 million, respectively, a decrease of $4 million, or less than 1%. The decrease was enacted in the U.S. The ACA contains several provisions that impact our business, including:primarily driven by: (i) an increase in the minimum Medicaid rebate to states participating in the Medicaid program,higher sales deductions, (ii) the extension of the Medicaid rebates to Managed Care Organizations that dispense drugs to Medicaid beneficiaries, (iii) the expansion of the 340(B) Public Health Services drug pricing program, which provides outpatient drugs at reduced rates, to include additional hospitals, clinics and health care centers and (iv) a fee payable to the federal government based on our prior-calendar-year share relative to other companies of branded prescription drug sales to specified government programs.
In addition, in 2013: (i) federal subsidies began to be phased in for brand-name prescription drugs filled in the Medicare Part D cover gap and (ii) the law requires the medical device industry to subsidize health care reform in the form of a 2.3% excise tax on U.S. sales of most medical devices. However, the Consolidated Appropriations Act, 2016 (Pub. L. 114-113), signed into law on December 18, 2015, included a two-year moratorium on the medical device excise tax. On January 22, 2018, with the passage of continuing appropriations through February 8, 2018 (HR 195), the moratorium on the medical device excise tax was further extended until January 1, 2020. The ACA also included provisions designed to increase the number of Americans covered by health insurance. In 2014, the ACA's private health insurance exchanges began to operate. The ACA also allows states to expand Medicaid coverage with most of the expansion’s cost paid for by the federal government.unfavorable


For 2018effect of foreign currencies, primarily in Europe and 2017,Latin America, (iii) the impact of divestitures and discontinuations and (iv) the impacts of the COVID-19 pandemic. The decreases in our revenues were partially offset by: (i) higher gross selling prices (ii) higher volumes and (iii) the incremental product sales of our Trulance® product, which we incurred costsadded to our portfolio in March 2019 as part of $36 million and $48 million, respectively, relatedthe acquisition of certain assets of Synergy. As discussed in the "Impact of COVID-19 Pandemic" section above, although volumes were higher during the three months ended March 31, 2020 as compared to the annual fee assessed on prescription drug manufacturerssame period in 2019, we are experiencing revenue declines in our second quarter in certain businesses in connection with the COVID-19 pandemic.
The changes in our segment revenues and importers that sell branded prescription drugs to specified U.S. government programs (e.g., Medicare and Medicaid). For 2018 and 2017, we also incurred costs of $90 million and $106 million, respectively, on Medicare Part D utilization incurred by beneficiaries whose prescription drug costs cause them to be subject tosegment profits, including the Medicare Part D coverage gap (i.e., the “donut hole”).
On July 28, 2014, the U.S. Internal Revenue Service issued final regulations related to the branded pharmaceutical drug annual fee pursuant to the ACA. Under the final regulations, an entity’s obligation to pay the annual fee is triggered by qualifying sales in the current year, rather than the liability being triggered upon the first qualifying sale of the following year. We adopted this guidance in the third quarter of 2014, and it did not have a material impact on our financial position or results of operations.
The financial impact of the ACA will be affectedCOVID-19 virus on our revenues for the three months ended March 31, 2020, are discussed in further detail in the subsequent section titled “Reportable Segment Revenues and Profits”.
Operating income for the three months ended March 31, 2020 and 2019 was $248 million and $287 million, respectively, a decrease of $39 million and reflects, among other factors:
an increase in contribution (Product sales revenue less Cost of goods sold, excluding amortization and impairments of intangible assets) of $16 million primarily due to: (i) higher gross selling prices, (ii) the incremental contribution of the sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, and (iii) lower third-party royalty costs. The increases were partially offset by higher sales deductions;
an increase in Selling, general and administrative expenses (“SG&A”) of $46 million primarily due to: (i) higher professional service costs, (ii) higher compensation expense, (iii) higher selling expenses and (iv) the impact of the acquisition of certain assets of Synergy. The increases were partially offset by the favorable impact of foreign currencies;
an increase in R&D of $5 million primarily attributable to a number of projects within our Bausch + Lomb and GI businesses;
a decrease in Amortization of intangible assets of $53 million primarily attributable to fully amortized intangible assets no longer being amortized in 2020;
an increase in Asset impairments of $11 million, primarily related to decreases in forecasted sales of a certain additional developments overproduct line during the next few years, including pending implementation guidancethree months ended March 31, 2020; and certain health care reform proposals. Additionally, policy efforts designed specifically
an increase in Other expense (income), net of $26 million, primarily attributable to reduce patient out-of-pocket costsexpenses related to Litigation and other matters during the three months ended March 31, 2020.
Operating income for medicines could resultthe three months ended March 31, 2020 and 2019 was $248 million and $287 million, respectively, and included non-cash charges for Depreciation and amortization of intangible assets of $481 million and $532 million, Asset impairments of $14 million and $3 million and Share-based compensation of $27 million and $24 million for the three months ended March 31, 2020 and 2019, respectively.
Our Loss before benefit from income taxes for the three months ended March 31, 2020 and 2019 was $178 million and $122 million, respectively, an increase of $56 million. The increase in new mandatory rebates and discounts or other pricing restrictions. Also, itour Loss before benefit from income taxes is possible,primarily attributable to: (i) the decrease in our operating results of $39 million, as previously discussed, further below, that under the current administration, legislation will be passed by Congress repealing the ACA(ii) an increase in whole or in part. AdoptionLoss on extinguishment of legislation at the federal or state level could materially affect demand for, or pricingdebt of our products.
In 2018, we faced uncertainties$17 million due to federal legislativethe December 2019 Financing and administrative effortsRefinancing Transactions, which were completed in January 2020, and (iii) an unfavorable net change in Foreign exchange and other of $13 million. The increase in our Loss before benefit from income taxes was partially offset by a decrease in Interest expense of $10 million.
Net loss attributable to repeal, substantially modify or invalidate some or allBausch Health Companies Inc. for the three months ended March 31, 2020 and 2019 was $152 million and $52 million, respectively, a decrease in our reported results of $100 million. The decrease in our results was primarily due to: (i) the provisionsincrease in our Loss before benefit from income taxes of $56 million, as previously discussed and (ii) the ACA. However, we believe there is low likelihoodunfavorable change in Benefit from income taxes of repeal of the ACA, given the recent failure of the Senate’s multiple attempts to repeal various combinations of ACA provisions. There is no assurance that any replacement or administrative modifications of the ACA will not adversely affect our business and financial results, particularly if the replacing legislation reduces incentives for employer-sponsored insurance coverage, and we cannot predict how future federal or state legislative or administrative changes relating to the reform will affect our business.
Other legislative efforts relating to drug pricing have been proposed and considered at the U.S. federal and state level. We also anticipate that Congress, state legislatures and third-party payors may continue to review and assess alternative health care delivery and payment systems and may in the future propose and adopt legislation or policy changes or implementations affecting additional fundamental changes in the health care delivery system.$48 million.


SELECTED FINANCIAL INFORMATIONRESULTS OF OPERATIONS
Our unaudited operating results for the three months ended March 31, 2020 and 2019 were as follows:
 Three Months Ended March 31,
(in millions)2020 2019 Change
Revenues     
Product sales$1,986
 $1,989
 $(3)
Other revenues26
 27
 (1)
 2,012
 2,016
 (4)
Expenses     
Cost of goods sold (excluding amortization and impairments of intangible assets)505
 524
 (19)
Cost of other revenues14
 13
 1
Selling, general and administrative633
 587
 46
Research and development122
 117
 5
Amortization of intangible assets436
 489
 (53)
Asset impairments14
 3
 11
Restructuring and integration costs4
 20
 (16)
Acquisition-related contingent consideration13
 (21) 34
Other expense (income), net23
 (3) 26
 1,764
 1,729
 35
Operating income248
 287
 (39)
Interest income7
 4
 3
Interest expense(396) (406) 10
Loss on extinguishment of debt(24) (7) (17)
Foreign exchange and other(13) 
 (13)
Loss before benefit from income taxes(178) (122) (56)
Benefit from income taxes26
 74
 (48)
Net loss(152) (48) (104)
Net income attributable to noncontrolling interest
 (4) 4
Net loss attributable to Bausch Health Companies Inc.$(152) $(52) $(100)


Three Months Ended March 31, 2020 Compared to the Three Months Ended March 31, 2019
Revenues
The Company’s revenues are primarily generated from product sales, principally in the therapeutic areas of eye-health, GI and dermatology, that consist of: (i) branded pharmaceuticals, (ii) generic and branded generic pharmaceuticals, (iii) OTC products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices). Other revenues include alliance and service revenue from the licensing and co-promotion of products and contract service revenue primarily in the areas of dermatology and topical medication.
Our revenues were $2,012 million and $2,016 million for the three months ended March 31, 2020 and 2019, respectively, a decrease of $4 million, or less than 1%. The decrease was primarily driven by: (i) higher sales deductions of $67 million primarily in our Salix and Ortho Dermatologics segments, (ii) the unfavorable effect of foreign currencies of $18 million primarily in Europe and Latin America and (iii) the impact of divestitures and discontinuations of $7 million. The decreases in our revenues were partially offset by: (i) higher gross selling prices of $59 million primarily in our Salix segment, (ii) higher volumes of $15 million primarily in our Salix and Bausch + Lomb/International segments, partially offset by lower volumes in our Diversified Products segment and the impacts of the COVID-19 pandemic, (iii) the incremental product sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, of $13 million and (iv) an increase in other revenues of $1 million. As discussed in the "Impact of COVID-19 Pandemic" section above, although volumes were higher during the three months ended March 31, 2020 as compared to the same period in 2019, we are experiencing revenue declines in our second quarter in certain businesses in connection with the COVID-19 pandemic.
Our segment revenues and segment profits for the three months ended March 31, 2020 and 2019, including the impact of the COVID-19 virus on our revenues for the three months ended March 31, 2020, are discussed in further detail in the subsequent section titled “Reportable Segment Revenues and Profits”.
Cash Discounts and Allowances, Chargebacks and Distribution Fees
As is customary in the pharmaceutical industry, gross product sales are subject to a variety of deductions in arriving at net product sales. Provisions for these deductions are recognized concurrently with the recognition of gross product sales. These provisions include cash discounts and allowances, chargebacks, and distribution fees, which are paid or credited to direct customers, as well as rebates and returns, which can be paid or credited to direct and indirect customers.  Price appreciation credits are generated when we increase a product’s wholesaler acquisition cost (“WAC”) under our contracts with certain wholesalers. Under such contracts, we are entitled to credits from such wholesalers for the impact of that WAC increase on inventory on hand at the wholesalers. In wholesaler contracts such credits are offset against the total distribution service fees we pay on all of our products to each such wholesaler. In addition, some payor contracts require discounting if a price increase or series of price increases in a contract period exceeds a negotiated threshold. Provision balances relating to amounts payable to direct customers are netted against trade receivables and balances relating to indirect customers are included in accrued liabilities. 
We actively manage these offerings, focusing on the incremental costs of our patient assistance programs, the level of discounting to non-retail accounts and identifying opportunities to minimize product returns. We also concentrate on managing our relationships with our payors and wholesalers, reviewing the ranges of our offerings and being disciplined as to the amount and type of incentives we negotiate. Provisions recorded to reduce gross product sales to net product sales and revenues for the three months ended March 31, 2020 and 2019 were as follows:
  Three Months Ended March 31,
  2020 2019
(in millions) Amount Pct. Amount Pct.
Gross product sales $3,323
 100.0% $3,250
 100.0%
Provisions to reduce gross product sales to net product sales        
Discounts and allowances 156
 4.7% 204
 6.3%
Returns 42
 1.3% 33
 1.0%
Rebates 602
 18.0% 533
 16.4%
Chargebacks 484
 14.6% 443
 13.6%
Distribution fees 53
 1.6% 48
 1.5%
Total provisions 1,337
 40.2% 1,261
 38.8%
Net product sales 1,986
 59.8% 1,989
 61.2%
Other revenues 26
   27
  
Revenues $2,012
   $2,016
  


Cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales were 40.2% and 38.8% for the three months ended March 31, 2020 and 2019, respectively. The increase in cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales was primarily driven by:
discounts and allowances as a percentage of gross product sales was lower primarily due to lower gross product sales and lower discount rates for our Glumetza® AG, Syprine® AG, Migranal® AG and Benzamycin® AG. The lower discounts and allowances as a percentage of gross product sales was partially offset by the impact of: (i) the release of certain generics, such as Apriso® AG (December 2019) and (ii) higher sales of Xifaxan®;
returns as a percentage of gross product sales was higher primarily due to higher return experience for a limited number of products, primarily Glumetza® SLX, partially offset by lower returns for Solodyn®, Nitropress® and Xifaxan®;
rebates as a percentage of gross product sales were higher primarily due the impact of: (i) increases in gross product sales for products that carry higher contractual rebates and co-pay assistance programs, including the impact of incremental rebates from contractual price increase limitations for promoted products, such as Xifaxan® , Wellbutrin® and Prolensa®, (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, and (iii) rebates associated with our Duobrii® product launched in June 2019, partially offset by decreases in gross product sales for products which carry higher rebate rates, such as Apriso®, Lotemax® Suspension, Lotemax® Gel, Zovirax® and Cuprimine®. The decreases in gross product sales for these products were due in part to generic competition and the release of certain branded generics.
chargebacks as a percentage of gross product sales were higher primarily due to the impact of: (i) higher gross product sales of Xifaxan®, (ii) higher chargeback rates for Xifaxan® and Glumetza® SLX and (iii) the release of certain generics, such as Apriso® AG (December 2019). The higher chargebacks as a percentage of gross product sales were partially offset by the impact of lower gross product sales of: (i) certain branded products, such as and Nifediac® and Retin-A Micro® 0.06% and (ii) certain generic products, such as Glumetza® AG, Ofloxacin and Syprine® AG; and
distribution service fees as a percentage of gross product sales were higher due to the impact of: (i) higher sales of branded products, such as Xifaxan®, (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, and (iii) sales of our Duobrii® product launched in June 2019. The higher distribution service fees as a percentage of gross product sales were partially offset by the impact of lower gross product sales of certain branded products, such as Apriso® as a result of its generic release and Cuprimine®. Price appreciation credits are offset against the distribution service fees we pay wholesalers and were $4 million and $0 for the three months ended March 31, 2020 and 2019, respectively.
Expenses
Cost of Goods Sold (excluding amortization and impairments of intangible assets)
Cost of goods sold primarily includes: manufacturing and packaging; the cost of products we purchase from third parties; royalty payments we make to third parties; depreciation of manufacturing facilities and equipment; and lower of cost or market adjustments to inventories. Cost of goods sold excludes the amortization and impairments of intangible assets.
Cost of goods sold was $505 million and $524 million for the three months ended March 31, 2020 and 2019, respectively, a decrease of $19 million, or 4%. The decrease was primarily driven by: (i) the favorable impact of foreign currencies, (ii) lower third-party royalty costs and (iii) the impact of divestitures and discontinuations. The decrease was partially offset by: (i) product mix and (ii) the incremental costs of sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy.
Cost of goods sold as a percentage of product sales revenue was 25.4% and 26.3% for the three months ended March 31, 2020 and 2019, respectively, a decrease of 0.9 percentage points. Costs of goods sold as a percentage of Product sales revenue was favorably impacted as a result of: (i) higher gross selling prices, (ii) the favorable impact of foreign currencies on cost of goods sold and (iii) lower third-party royalty costs. These factors were partially offset by: (i) higher sales deductions and (ii) product mix.
Selling, General and Administrative Expenses
SG&A expenses primarily include: employee compensation associated with sales and marketing, finance, legal, information technology, human resources and other administrative functions; certain outside legal fees and consultancy costs; product promotion expenses; overhead and occupancy costs; depreciation of corporate facilities and equipment; and other general and administrative costs.


SG&A expenses were $633 million and $587 million for the three months ended March 31, 2020 and 2019, respectively, an increase of $46 million, or 8%. The increase was primarily driven by: (i) higher professional service costs, (ii) higher compensation expense, (iii) higher selling expenses and (iv) the impact of the acquisition of certain assets of Synergy. The increases were partially offset by the favorable impact of foreign currencies.
Research and Development Expenses
Included in Research and development are costs related to our product development and quality assurance programs. Expenses related to product development include: employee compensation costs; overhead and occupancy costs; depreciation of research and development facilities and equipment; clinical trial costs; clinical manufacturing and scale-up costs; and other third-party development costs. Quality assurance are the costs incurred to meet evolving customer and regulatory standards and include: employee compensation costs; overhead and occupancy costs; amortization of software; and other third-party costs.
R&D expenses were $122 million and $117 million for the three months ended March 31, 2020 and 2019, respectively, an increase of $5 million, or 4%, primarily attributable to a number of projects within our Bausch + Lomb and GI businesses. R&D expenses as a percentage of Product sales were approximately 6% for both the three months ended March 31, 2020 and 2019.
Amortization of Intangible Assets
Intangible assets with finite lives are amortized using the straight-line method over their estimated useful lives, generally 2 to 20 years.
Amortization of intangible assets was $436 million and $489 million for the three months ended March 31, 2020 and 2019, respectively, a decrease of $53 million. The decrease was primarily attributable to fully amortized intangible assets no longer being amortized in 2020. Management continually assesses the useful lives related to the Company's long-lived assets to reflect the most current assumptions.
See Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements regarding further details related to the Amortization of intangible assets.
Asset Impairments
Long-lived assets with finite lives are tested for impairment whenever events or changes in circumstances indicate that the carrying value of an asset may not be recoverable. Impairment charges associated with these assets are included in Asset impairments in the Consolidated Statement of Operations. The Company continues to monitor the recoverability of its finite-lived intangible assets and tests the intangible assets for impairment if indicators of impairment are present.
Asset impairments were $14 million and $3 million for the three months ended March 31, 2020 and 2019, respectively, an increase of $11 million. Asset impairments for the three months ended March 31, 2020 were due to decreases in forecasted sales of a certain product line. Asset impairments for the three months ended March 31, 2019 were due to the discontinuance of a specific product line not aligned with the focus of the Company's core businesses.
See Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements regarding further details related to our intangible assets.
Restructuring and Integration Costs
The Company evaluates opportunities to improve its operating results and implements cost savings programs to streamline its operations and eliminate redundant processes and expenses. The expenses associated with the implementation of these cost savings programs include expenses associated with: (i) reducing headcount, (ii) eliminating real estate costs associated with unused or under utilized facilities and (iii) implementing contribution margin improvement and other cost reduction initiatives.
Restructuring and integration costs were $4 million and $20 million for the three months ended March 31, 2020 and 2019, respectively, a decrease of $16 million. During the three months ended March 31, 2020, these costs included $3 million of facility closure costs and $1 million of severance costs. During the three months ended March 31, 2019, these costs included: (i) $10 million of severance costs associated with the acquisition of certain assets of Synergy, which were not essential to complete, close and report the acquisition, (ii) $6 million of other severance costs and (iii) $4 million of facility closure costs. The Company continues to evaluate opportunities to streamline its operations and identify additional cost savings globally. Although a specific plan does not exist at this time, the Company may identify and take additional exit and cost-rationalization restructuring actions in the future, the costs of which could be material.
See Note 5, "RESTRUCTURING AND INTEGRATION COSTS" to our unaudited interim Consolidated Financial Statements for further details regarding these actions.


Acquisition-Related Contingent Consideration
Acquisition-related contingent consideration primarily consists of potential milestone payments and royalty obligations associated with businesses and assets we acquired in the past. These obligations are recorded in the Consolidated Balance Sheets at their estimated fair values at the acquisition date, in accordance with the acquisition method of accounting. The fair value of the acquisition-related contingent consideration is remeasured each reporting period, with changes in fair value recorded in the Consolidated Statements of Operations. The fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement as defined in fair value measurement accounting.
Acquisition-related contingent consideration was a loss of $13 million for the three months ended March 31, 2020, and included net fair value adjustments of $7 million and accretion for the time value of money of $6 million. Acquisition-related contingent consideration was a gain of $21 million for the three months ended March 31, 2019, and included net fair value adjustments of $27 million, which included adjustments to future royalty payments, partially offset by accretion for the time value of money of $6 million.
Other Expense (Income), Net
Other expense (income), net for the three months ended March 31, 2020 and 2019 consists of the following:
  Three Months Ended
March 31,
(in millions) 2019 2018
Net gain on sale of assets $(1) $(10)
Acquired in-process research and development costs 1
 1
Acquisition-related costs 
 8
Litigation and other matters 23
 2
Other, net 
 (4)
  $23
 $(3)
Non-Operating Income and Expense
Interest Expense
Interest expense primarily consists of interest payments due and amortization of debt discounts and deferred financing costs on indebtedness under our credit facilities and notes.
Interest expense was $396 million and $406 million, and included non-cash amortization and write-offs of debt premiums, discounts and deferred financing costs of $15 million and $17 million, for the three months ended March 31, 2020 and 2019, respectively. Interest expense for the three months ended March 31, 2020 decreased $10 million, or 2%, as compared to the three months ended March 31, 2019, primarily due to: (i) interest related to the Company's cross-currency swaps and (ii) lower weighted average interest rate, partially offset by higher outstanding principal balances. The weighted average stated rates of interest as of March 31, 2020 and 2019 were 6.01% and 6.38%, respectively.
Loss on Extinguishment of Debt
Loss on extinguishment of debt represents the differences between the amounts paid to settle extinguished debts and the carrying value of the related extinguished debt. Loss on extinguishment of debt was $24 million and $7 million for the three months ended March 31, 2020 and 2019, respectively. Loss on extinguishment of debt for the three months ended March 31, 2020 is primarily related to the December 2019 Financing and Refinancing Transactions, which were completed in January 2020. Loss on extinguishment of debt for the three months ended March 31, 2019 is related to a series of transactions which allowed us to refinance portions of our debt arrangements.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements for further details.
Foreign Exchange and Other
Foreign exchange and other was a loss of $13 million and $0 for the three months ended March 31, 2020 and 2019, respectively, an unfavorable net change of $13 million. Foreign exchange and other includes translation gains/losses on intercompany loans and third-party liabilities and the gain/loss due to the change in fair value of foreign currency exchange contracts.


Income Taxes
Benefit from income taxes was $26 million and $74 million for the three months ended March 31, 2020 and 2019, respectively, a decrease of $48 million. Our effective income tax rate for the three months ended March 31, 2020 and 2019 differs from the statutory Canadian income tax rate primarily due to: (i) the recording of valuation allowance on entities for which no tax benefit of losses is expected, (ii) the tax benefit generated from our annualized mix of earnings by jurisdiction and (iii) the discrete treatment of certain tax matters, primarily related to: (a) the net tax benefit related to uncertain tax positions and (b) the adjustments for book to income tax return provisions.
See Note 16, "INCOME TAXES" to our unaudited interim Consolidated Financial Statements for further details.
Reportable Segment Revenues and Profits
Our portfolio of products falls into four operating and reportable segments: (i) Bausch + Lomb/International, (ii) Salix, (iii) Ortho Dermatologics and (iv) Diversified Products.
The following is a brief description of our segments:
The Bausch + Lomb/International segment consists of: (i) sales in the U.S. of pharmaceutical products, OTC products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision Care, Surgical, Consumer and Ophthalmology Rx products and (ii) with the exception of sales of Solta products, sales in Canada, Europe, Asia, Australia, Latin America, Africa and the Middle East of branded pharmaceutical products, branded generic pharmaceutical products, OTC products, medical device products and Bausch + Lomb products.
The Salix segment consists of sales in the U.S. of GI products.
The Ortho Dermatologics segment consists of: (i) sales in the U.S. of Ortho Dermatologics (dermatological) products and (ii) global sales of Solta medical aesthetic devices.
The Diversified Products segment consists of sales in the U.S. of: (i) pharmaceutical products in the areas of neurology and certain other therapeutic classes, (ii) generic products and (iii) dentistry products.
Segment profit is based on operating income after the elimination of intercompany transactions. Certain costs, such as Amortization of intangible assets, Asset impairments, In-process research and development costs, Restructuring and integration costs, Acquisition-related contingent consideration costs and Other expense (income), net, are not included in the measure of segment profit, as management excludes these items in assessing segment financial performance. See Note 19, "SEGMENT INFORMATION" to our unaudited interim Consolidated Financial Statements for a reconciliation of segment profit to Loss before benefit from income taxes.


The following table presents segment revenues, segment revenues as a percentage of total revenues, and the period-over-period changes in segment revenues for the three months ended March 31, 2020 and 2019. The following table also presents segment profits, segment profits as a percentage of segment revenues and the period-over-period changes in segment profits for the three months ended March 31, 2020 and 2019.
  Three Months Ended March 31,
  2020 2019 Change
(in millions) Amount Pct. Amount Pct. Amount Pct.
Segment Revenues            
Bausch + Lomb/International $1,114
 55% $1,118
 55% $(4)  %
Salix 477
 24% 445
 22% 32
 7 %
Ortho Dermatologics 133
 7% 138
 7% (5) (4)%
Diversified Products 288
 14% 315
 16% (27) (9)%
Total revenues $2,012
 100% $2,016
 100% $(4)  %
             
Segment Profits / Segment Profit Margins            
Bausch + Lomb/International $325
 29% $319
 29% $6
 2 %
Salix 319
 67% 288
 65% 31
 11 %
Ortho Dermatologics 48
 36% 57
 41% (9) (16)%
Diversified Products 202
 70% 236
 75% (34) (14)%
Total segment profits $894
 44% $900
 45% $(6) (1)%
Organic Revenues and Organic Growth Rates (non-GAAP)
Organic growth, a non-GAAP metric, is defined as a change on a period-over-period basis in revenues on a constant currency basis (if applicable) excluding the impact of recent acquisitions, divestitures and discontinuations. Organic revenue growth (non-GAAP) is growth in GAAP Revenue (its most directly comparable GAAP financial measure), adjusted for certain items, of businesses that have been owned for one or more years. Organic revenue (non-GAAP) is impacted by changes in product volumes and price. The price component is made up of two key drivers: (i) changes in product gross selling price and (ii) changes in sales deductions. The Company uses organic revenue (non-GAAP) and organic revenue growth (non-GAAP) to assess performance of its reportable segments, and the Company in total, without the impact of foreign currency exchange fluctuations and recent acquisitions, divestitures and product discontinuations. The Company believes that such measures are useful to investors as they provide a supplemental period-to-period comparison.
Organic revenue growth (non-GAAP) reflects adjustments for: (i) the impact of period-over-period changes in foreign currency exchange rates on revenues and (ii) the revenues associated with acquisitions, divestitures and discontinuations of businesses divested and/or discontinued. These adjustments are determined as follows:
Foreign currency exchange rates: Although changes in foreign currency exchange rates are part of our business, they are not within management’s control. Changes in foreign currency exchange rates, however, can mask positive or negative trends in the underlying business performance. The impact for changes in foreign currency exchange rates is determined as the difference in the current period reported revenues at their current period currency exchange rates and the current period reported revenues revalued using the monthly average currency exchange rates during the comparable prior period.
Acquisitions, divestitures and discontinuations: In order to present period-over-period organic revenues (non-GAAP) on a comparable basis, revenues associated with acquisitions, divestitures and discontinuations are adjusted to include only revenues from those businesses and assets owned during both periods. Accordingly, organic revenue growth (non-GAAP) excludes from the current period, all revenues attributable to each acquisition for twelve months subsequent to the day of acquisition, as there are no revenues from those businesses and assets included in the comparable prior period. Organic revenue growth (non-GAAP) excludes from the prior period (but not the current period), all revenues attributable to each divestiture and discontinuance during the twelve months prior to the day of divestiture or discontinuance, as there are no revenues from those businesses and assets included in the comparable current period.
Please refer to the tables of organic revenues (non-GAAP) and organic revenue growth (non-GAAP) rates presented in the subsequent section titled “Reportable Segment Revenues and Profits” for

The following table presents a reconciliation of GAAP revenues to organic revenues (non-GAAP).
The following table provides selected unaudited financial information for and the three and six months ended June 30, 2019 and 2018:
  Three Months Ended June 30, Six Months Ended June 30,
(in millions, except per share data) 2019 2018 Change 2019 2018 Change
Revenues $2,152
 $2,128
 $24
 $4,168
 $4,123
 $45
Operating income (loss) $257
 $(245) $502
 $544
 $(2,526) $3,070
Loss before benefit from (provision for) income taxes $(179) $(734) $555
 $(301) $(3,428) $3,127
Net loss attributable to Bausch Health Companies Inc. $(171) $(873) $702
 $(223) $(3,454) $3,231
             
Basic and diluted loss per share attributable to Bausch Health Companies Inc.: $(0.49) $(2.49) $2.00
 $(0.63) $(9.84) $9.21
Financial Performance
Summary of the Three Months Ended June 30, 2019 Compared to the Three Months Ended June 30, 2018
Revenue for the three months ended June 30, 2019 and 2018 was $2,152 million and $2,128 million, respectively, an increase of $24 million, or 1%. The increase was primarily driven by: (i) higher net average realized pricing, (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, (iii) higher net volumes and (iv) an increase in other revenues. The increase in net average realized pricing was the result of higher gross selling prices, primarily in our Salix segment. The net increase in volumes was driven by our Bausch + Lomb/International segment. These increases in Revenue were partially offset by: (i) the unfavorable effect of foreign currencies, primarily in Europe


and Asia and (ii) the impact of divestitures and discontinuations. Theperiod-over-period changes in our segment revenues and segment profits are discussed in further detail in the subsequent section titled “Reportable Segment Revenues and Profits”.
Operating incomeorganic revenue (Non-GAAP) for the three months ended June 30, 2019 was $257 million, as compared to an Operating loss for the three months ended June 30, 2018 of $245 million, respectively, an increase of $502 million and reflects, among other factors:
an increase in contribution (Product sales revenue less Cost of goods sold, excluding amortization and impairments of intangible assets) of $26 million primarily due to: (i) higher gross selling prices, (ii) the incremental contribution of the sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, (iii) better inventory management and (iv) an increase in net volumes, partially offset by: (i) the unfavorable effect of foreign currencies, (ii) the impact of divestitures and discontinuations and (iii) higher third-party royalty costs;
an increase in Selling, general and administrative expenses (“SG&A”) of $9 million primarily due to: (i) higher selling, advertising and promotion expenses, (ii) costs in 2019 attributable to our IT infrastructure improvement projects and (iii) the impact of the acquisition of certain assets of Synergy. The increase was partially offset by: (i) the favorable impact of foreign currencies, (ii) lower compensation expense and (iii) lower costs related to professional services;
an increase in R&D of $23 million;
a decrease in Amortization of intangible assets of $253 million primarily due to: (i) the impact of the change in the estimated useful life of the Xifaxan® related intangible assets made in September 2018 to reflect management's changes in assumptions and (ii) lower amortization as a result of impairments to intangible assets in prior periods;
a decrease in Asset impairments of $288 million, primarily related to the decrease in forecasted sales during the three months ended June 30, 2018 for a certain product line facing generic competition; and
an increase in Other expense, net of $8 million primarily attributable to: (i) costs associated with an upfront payment to enter into an exclusive licensing agreement incurred in 2019 and (ii) an increase Litigation and other matters during the three months ended June 30, 2019.
Operating income for the three months ended June 30, 2019 was $257 million and Operating loss for the three months ended June 30, 2018 of $245 million, and included non-cash charges for Depreciation and amortization of intangible assets of $531 million and $784 million, Asset impairments of $13 million and $301 million and Share-based compensation of $27 million and $22 million for the three months ended June 30, 2019 and 2018, respectively.
Our Loss before benefit from (provision for) income taxes for the three months ended June 30, 2019 and 2018 was $179 million and $734 million, respectively, a decrease of $555 million. The decrease in our Loss before benefit from (provision for) income taxes is primarily attributable to: (i) the increase in our operating results of $502 million, as previously discussed, (ii) a decrease in Interest expense of $26 million as a result of lower principal amounts of outstanding debt partially offset by the effect of higher interest rates during the three months ended June 30, 2019, (iii) a decrease in Loss on extinguishment of debt of $15 million, and (iv) the net change in Foreign exchange and other of $12 million.
Net loss attributable to Bausch Health Companies Inc. for the three months ended June 30, 2019 and 2018 was $171 million and $873 million, respectively, an increase in our reported results of $702 million. The increase in our results was primarily due to: (i) the decrease in our Loss before benefit from (provision for) income taxes of $555 million, as previously discussed and (ii) the favorable change in Benefit from (provision for) income taxes of $147 million.
Summary of the Six Months Ended June 30, 2019 Compared to the Six Months Ended June 30, 2018
Revenue for the six months ended June 30, 2019 and 2018 was $4,168 million and $4,123 million, respectively, an increase of $45 million, or 1%. The increase was primarily driven by: (i) higher gross selling prices, (ii) higher net volumes, (iii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy and (iv) lower sales deductions. The higher gross selling prices was primarily in our Salix segment. The increase in net volumes was driven by our Bausch + Lomb/International segment. These increases in Revenue were partially offset by: (i) the unfavorable effect of foreign currencies, primarily in Europe and Asia and (ii) the impact of divestitures and discontinuations. The changes in our segment revenues and segment profits are discussed in further detail in the subsequent section titled “Reportable Segment Revenues and Profits”.
Operating income for the six months ended June 30, 2019 was $544 million, as compared to Operating loss for the six months ended June 30, 2018 of $2,526 million, an increase in our reported results of $3,070 million and reflects, among other factors:
an increase in contribution (Product sales revenue less Cost of goods sold, excluding amortization and impairments of intangible assets) of $86 million. The increase was primarily driven by: (i) higher gross selling prices and lower sales deductions, (ii) better inventory management, (iii) an increase in net volumes and (iv) the incremental contribution of the sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, partially offset by: (i) the unfavorable effect of foreign currencies and (ii) the impact of divestitures and discontinuations;
an increase in SG&A of $5 million primarily attributable to: (i) higher selling, advertising and promotion expenses, (ii) costs in 2019 attributable to our IT infrastructure improvement projects and (iii) the impact of the acquisition of certain assets of Synergy. The increase was partially offset by: (i) the favorable impact of foreign currencies, (ii) lower costs related to professional services and (iii) lower compensation expense;
an increase in R&D of $48 million;
a decrease in Amortization of intangible assets of $507 million primarily due to: (i) the impact of the change in the estimated useful life of the Xifaxan® related intangible assets made in September 2018 to reflect management's changes in assumptions and (ii) lower amortization as a result of impairments to intangible assets in prior periods;
a decrease in Goodwill impairments of $2,213 million, as a result of impairments in 2018 to the goodwill of our: (i) Salix reporting unit upon adopting the new guidance for goodwill impairment accounting at January 1, 2018 and (ii) Ortho Dermatologics reporting unit due to unforeseen changes in business dynamics during the three months ended March 31, 2018;
a decrease in Asset impairments of $329 million, primarily related to the decrease in forecasted sales in 2018 for a certain product line facing generic competition;2020 and
a decrease in Other expense, net of $7 million primarily attributable to: (i) the net gain on sale of assets in 2019 and (ii) a decrease in Litigation and other matters. These decreases were partially offset by acquisition-related costs and costs associated with an upfront payment to enter into an exclusive licensing agreement incurred in 2019.
Operating income for the six months ended June 30, 2019 was $544 million and Operating loss for the six months ended June 30, 2018 of $2,526 million, and included non-cash charges for Depreciation and amortization of intangible assets of $1,063 million and $1,570 million, Goodwill impairments of $0 and $2,213 million, Asset impairments of $16 million and $345 million and Share-based compensation of $51 million and $43 million, respectively.
Our Loss before benefit from (provision for) income taxes for the six months ended June 30, 2019 and 2018 was $301 million and $3,428 million, respectively, a decrease of $3,127 million. The decrease in our Loss before benefit from (provision for) income taxes is primarily attributable to: (i) the increase in our operating results of $3,070 million, as previously discussed, (ii) a decrease in Interest expense of $36 million as a result of lower principal amounts of outstanding debt partially offset by the effect of higher interest rates during the six months ended June 30, 2019 and (iii) a decrease in Loss on extinguishment of debt of $35 million. The decrease in our Loss before benefit from (provision for) income taxes was partially offset by the net change in Foreign exchange and other of $15 million.
Net loss attributable to Bausch Health Companies Inc. for the six months ended June 30, 2019 and 2018 was $223 million and $3,454 million, respectively, an increase of $3,231 million. The increase in our results was primarily due to: (i) the decrease in our Loss before benefit from (provision for) income taxes of $3,127 million, as previously discussed and (ii) the favorable change in Benefit from (provision for) income taxes of $106 million.


RESULTS OF OPERATIONS
Our unaudited operating results for the three and six months ended June 30, 2019 and 2018 were as follows:segment.
 Three Months Ended June 30, Six Months Ended June 30,
(in millions)2019 2018 Change 2019 2018 Change
Revenues           
Product sales$2,122
 $2,100
 $22
 $4,111
 $4,065
 $46
Other revenues30
 28
 2
 57
 58
 (1)
 2,152
 2,128
 24
 4,168
 4,123
 45
Expenses           
Cost of goods sold (excluding amortization and impairments of
intangible assets)
580
 584
 (4) 1,104
 1,144
 (40)
Cost of other revenues14
 10
 4
 27
 23
 4
Selling, general and administrative651
 642
 9
 1,238
 1,233
 5
Research and development117
 94
 23
 234
 186
 48
Amortization of intangible assets488
 741
 (253) 977
 1,484
 (507)
Goodwill impairments
 
 
 
 2,213
 (2,213)
Asset impairments13
 301
 (288) 16
 345
 (329)
Restructuring and integration costs4
 7
 (3) 24
 13
 11
Acquisition-related contingent consideration20
 (6) 26
 (1) (4) 3
Other expense, net8
 
 8
 5
 12
 (7)
 1,895
 2,373
 (478) 3,624
 6,649
 (3,025)
Operating income (loss)257
 (245) 502
 544
 (2,526) 3,070
Interest income3
 3
 
 7
 6
 1
Interest expense(409) (435) 26
 (815) (851) 36
Loss on extinguishment of debt(33) (48) 15
 (40) (75) 35
Foreign exchange and other3
 (9) 12
 3
 18
 (15)
Loss before benefit from (provision for) income taxes(179) (734) 555
 (301) (3,428) 3,127
Benefit from (provision for) income taxes9
 (138) 147
 83
 (23) 106
Net loss(170) (872) 702
 (218) (3,451) 3,233
Net income attributable to noncontrolling interest(1) (1) 
 (5) (3) (2)
Net loss attributable to Bausch Health Companies Inc.$(171) $(873) $702
 $(223) $(3,454) $3,231


Three Months Ended June 30, 2019 Compared to the Three Months Ended June 30, 2018
Revenues
The Company’s revenues are primarily generated from product sales, primarily in the therapeutic areas of eye-health, GI and dermatology, that consist of: (i) branded pharmaceuticals, (ii) generic and branded generic pharmaceuticals, (iii) OTC products and (iv) medical devices (contact lenses, intraocular lenses, ophthalmic surgical equipment and aesthetics devices). Other revenues include alliance and service revenue from the licensing and co-promotion of products and contract service revenue primarily in the areas of dermatology and topical medication.
Our revenue was $2,152 million and $2,128 million for the three months ended June 30, 2019 and 2018, respectively, an increase of $24 million, or 1%. The increase was primarily driven by: (i) higher gross selling prices of $53 million, (ii) the incremental product sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, of $17 million, (iii) higher net volumes of $12 million and (iv) an increase in other revenues of $2 million. The increase in gross selling prices was primarily in our Salix segment. The increase in net volumes was driven by our Bausch + Lomb/International segment. The increases in our revenues were partially offset by: (i) the unfavorable effect of foreign currencies, primarily in Europe and Asia, of $38 million, (ii) the impact of divestitures and discontinuations of $16 million and (iii) net higher sales deductions of $6 million primarily in our Diversified Products segment, partially offset by lower sales deductions in our Salix segment.
Our segment revenues and segment profits for the three months ended June 30, 2019 and 2018 are discussed in further detail in the subsequent section titled “Reportable Segment Revenues and Profits”.
Cash Discounts and Allowances, Chargebacks and Distribution Fees
As is customary in the pharmaceutical industry, gross product sales are subject to a variety of deductions in arriving at net product sales. Provisions for these deductions are recognized concurrently with the recognition of gross product sales. These provisions include cash discounts and allowances, chargebacks, and distribution fees, which are paid or credited to direct customers, as well as rebates and returns, which can be paid or credited to direct and indirect customers.  Price appreciation credits are generated when we increase a product’s wholesaler acquisition cost (“WAC”) under our contracts with certain wholesalers. Under such contracts, we are entitled to credits from such wholesalers for the impact of that WAC increase on inventory on hand at the wholesalers. In wholesaler contracts such credits are offset against the total distribution service fees we pay on all of our products to each such wholesaler. In addition, some payor contracts require discounting if a price increase or series of price increases in a contract period exceeds a negotiated threshold. Provision balances relating to amounts payable to direct customers are netted against trade receivables and balances relating to indirect customers are included in accrued liabilities. 
We actively manage these offerings, focusing on the incremental costs of our patient assistance programs, the level of discounting to non-retail accounts and identifying opportunities to minimize product returns. We also concentrate on managing our relationships with our payors and wholesalers, reviewing the ranges of our offerings and being disciplined as to the amount and type of incentives we negotiate. Provisions recorded to reduce gross product sales to net product sales and revenues for the three months ended June 30, 2019 and 2018 were as follows:
  Three Months Ended June 30,
  2019 2018
(in millions) Amount Pct. Amount Pct.
Gross product sales $3,473
 100.0% $3,630
 100.0%
Provisions to reduce gross product sales to net product sales        
Discounts and allowances 202
 5.8% 222
 6.1%
Returns 45
 1.3% 75
 2.1%
Rebates 567
 16.4% 695
 19.1%
Chargebacks 487
 14.0% 470
 12.9%
Distribution fees 50
 1.4% 68
 1.9%
Total provisions 1,351
 38.9% 1,530
 42.1%
Net product sales 2,122
 61.1% 2,100
 57.9%
Other revenues 30
   28
  
Revenues $2,152
   $2,128
  


Cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales were 38.9% and 42.1% for the three months ended June 30, 2019 and 2018, respectively. The decrease in cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales was primarily driven by:
discounts and allowances as a percentage of gross product sales was lower primarily due to the impact from lower gross product sales and lower discount rates for Glumetza® authorized generic ("AG"), Xenazine® AG, Ofloxacin and Solodyn® AG. The lower discounts and allowances as a percentage of gross product sales was partially offset by the impact of: (i) the release of certain generics such as Uceris® AG and Elidel® AG and (ii) higher sales of Xifaxan®;
returns as a percentage of gross product sales was lower primarily due to the impact of: (i) lower return rates for products, such as Glumetza® SLX and Xifaxan® and (ii) lower sales of Isuprel®. The lower returns as a percentage of gross product sales was partially offset by the impact of the releases of certain generic products such as Solodyn® AG;
rebates as a percentage of gross product sales were lower primarily due to decreases in volumes for certain products which carry higher rebate rates such as Solodyn®, Elidel®, Retin-A Micro® 0.06%, and Jublia®. The decreases in year-over-year volumes were due in part to generic competition and the release of certain branded generics. These decreases were partially offset by the impact of: (i) increased sales of products that carry higher contractual rebates and co-pay assistance programs, including the impact of incremental rebates from contractual price increase limitations for promoted products, such as Xifaxan® and Siliq®, (ii) increased rebate rates for Apriso® and Diastat® and (iii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy;
chargebacks as a percentage of gross product sales were higher primarily due to the impact of: (i) higher gross product sales of Glumetza® SLX, Xifaxan® and Syprine® AG and (ii) the release of certain generics, such as Uceris® AG and Elidel® AG. The higher chargebacks as a percentage of gross product sales were partially offset by the impact of lower gross product sales of: (i) certain branded products, such as Isuprel® and Retin-A Micro® 0.06% and (ii) certain generic products, such as Xenazine® AG, Zegerid® AG and Ofloxacin; and
distribution service fees as a percentage of gross product sales were lower primarily due to the impact of lower gross product sales of certain branded products, such as Solodyn®, Uceris® Tablets and Elidel®,as a result of generic releases. The lower distribution service fees as a percentage of gross product sales were partially offset by the impact of: (i) higher sales of Xifaxan® and other branded products and (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy. No price appreciation credits were provided during the three months ended June 30, 2019 and 2018.
Expenses
Cost of Goods Sold (excluding amortization and impairments of intangible assets)
Cost of goods sold primarily includes: manufacturing and packaging; the cost of products we purchase from third parties; royalty payments we make to third parties; depreciation of manufacturing facilities and equipment; and lower of cost or market adjustments to inventories. Cost of goods sold excludes the amortization and impairments of intangible assets.
Cost of goods sold was $580 million and $584 million for the three months ended June 30, 2019 and 2018, respectively, a decrease of $4 million, or 1%. The decrease was primarily driven by: (i) the impact of divestitures and discontinuations and (ii) better inventory management. The decrease was partially offset by: (i) the incremental costs of sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, (ii) the increase in net volumes and (iii) higher third-party royalty costs.
Cost of goods sold as a percentage of product sales revenue was 27.3% and 27.8% for the three months ended June 30, 2019 and 2018, respectively, a decrease of 0.5 percentage points. Costs of goods sold as a percentage of revenue was favorably impacted as a result of: (i) the impact of divestitures and discontinuations, which generally had lower gross margins than the balance of our product portfolio and (ii) better inventory management. These factors were partially offset by the amortization of acquisition accounting adjustments related to the inventories we acquired as part of the acquisition of certain assets of Synergy.
Selling, General and Administrative Expenses
SG&A expenses primarily include: employee compensation associated with sales and marketing, finance, legal, information technology, human resources and other administrative functions; certain outside legal fees and consultancy costs;


product promotion expenses; overhead and occupancy costs; depreciation of corporate facilities and equipment; and other general and administrative costs.
SG&A expenses were $651 million and $642 million for the three months ended June 30, 2019 and 2018, respectively, an increase of $9 million, or 1%. The increase was primarily driven by: (i) higher selling, advertising and promotion expenses, (ii) costs in 2019 attributable to our IT infrastructure improvement projects and (iii) the impact of the acquisition of certain assets of Synergy. The increase was partially offset by: (i) the favorable impact of foreign currencies, (ii) lower compensation expense and (iii) lower costs related to professional services.
Research and Development Expenses
Included in Research and development are costs related to our product development and quality assurance programs. Expenses related to product development include: employee compensation costs; overhead and occupancy costs; depreciation of research and development facilities and equipment; clinical trial costs; clinical manufacturing and scale-up costs; and other third-party development costs. Quality assurance are the costs incurred to meet evolving customer and regulatory standards and include: employee compensation costs; overhead and occupancy costs; amortization of software; and other third-party costs.
R&D expenses were $117 million and $94 million for the three months ended June 30, 2019 and 2018, respectively, an increase of $23 million, or 24%. R&D expenses as a percentage of Product revenue were approximately 6% and 4% for the three months ended June 30, 2019 and 2018, respectively, an increase of approximately 2 percentage points.
Amortization of Intangible Assets
Intangible assets with finite lives are amortized using the straight-line method over their estimated useful lives, generally 2 to 20 years.
Amortization of intangible assets was $488 million and $741 million for the three months ended June 30, 2019 and 2018, respectively, a decrease of $253 million. The decrease was primarily due to: (i) the impact of the change in the estimated useful life of the Xifaxan® related intangible assets made in September 2018 to reflect management's changes in assumptions and (ii) lower amortization as a result of impairments to intangible assets in prior periods. Management continually assesses the useful lives related to the Company's long-lived assets to reflect the most current assumptions.
See Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements regarding further details related to the Amortization of intangible assets.
Asset Impairments
Long-lived assets with finite lives are tested for impairment whenever events or changes in circumstances indicate that the carrying value of an asset may not be recoverable. The Company continues to monitor the recoverability of its finite-lived intangible assets and tests the intangible assets for impairment if indicators of impairment are present.
Asset impairments were $13 million and $301 million for the three months ended June 30, 2019 and 2018, respectively, a decrease of $288 million. Asset impairments for the three months ended June 30, 2019 primarily reflect decreases in forecasted sales of a certain product line due to generic competition. Asset impairments for the three months ended June 30, 2018 include impairments of: (i) $289 million reflecting decreases in forecasted sales for the Uceris® Tablet product and other product lines due to generic competition, (ii) $11 million, in aggregate, related to certain product/patent assets associated with the discontinuance of specific product lines not aligned with the focus of the Company's core businesses and revisions to forecasted sales and (iii) $1 million related to assets being classified as held for sale.
See Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements regarding further details related to our intangible assets.
Restructuring and Integration Costs
Restructuring and integration costs were $4 million and $7 million for the three months ended June 30, 2019 and 2018, respectively, a decrease of $3 million. We have substantially completed the integration of the businesses acquired prior to 2016. The Company continues to evaluate opportunities to streamline its operations and identify additional cost savings globally. Although a specific plan does not exist at this time, the Company may identify and take additional exit and cost-rationalization restructuring actions in the future, the costs of which could be material.
See Note 5, "RESTRUCTURING AND INTEGRATION COSTS" to our unaudited interim Consolidated Financial Statements for further details regarding these actions.


Acquisition-Related Contingent Consideration
Acquisition-related contingent consideration primarily consists of potential milestone payments and royalty obligations associated with businesses and assets we acquired in the past. These obligations are recorded in the Consolidated Balance Sheet at their estimated fair values at the acquisition date, in accordance with the acquisition method of accounting. The fair value of the acquisition-related contingent consideration is remeasured each reporting period, with changes in fair value recorded in the Consolidated Statements of Operations. The fair value measurement is based on significant inputs not observable in the market and thus represents a Level 3 measurement as defined in fair value measurement accounting.
Acquisition-related contingent consideration was a loss of $20 million for the three months ended June 30, 2019, and included net fair value adjustments of $15 million and accretion for the time value of money of $5 million. Acquisition-related contingent consideration was a gain of $6 million for the three months ended June 30, 2018, and included net fair value adjustments of $12 million, partially offset by accretion for the time value of money of $6 million.
Other Expense, Net
Other expense, net for the three months ended June 30, 2019 and 2018 consists of the following:
  Three Months Ended
June 30,
(in millions) 2019 2018
Net loss on sale of assets $1
 $
Acquisition-related costs 
 1
Litigation and other matters 1
 (1)
Other, net 6
 
  $8
 $
Included in Other, net in the table above for the three months ended June 30, 2019, is $8 million of in-process research and development costs associated with the upfront payment to enter into an exclusive licensing agreement.
Non-Operating Income and Expense
Interest Expense
Interest expense primarily consists of interest payments due and amortization of debt discounts and deferred financing costs on indebtedness under our credit facilities and notes.
Interest expense was $409 million and $435 million, and included non-cash amortization and write-offs of debt discounts and deferred financing costs of $15 million and $21 million, for the three months ended June 30, 2019 and 2018, respectively. Interest expense for the three months ended June 30, 2019 decreased $26 million, or 6%, as compared to the three months ended June 30, 2018, primarily due to lower principal amounts of outstanding long-term debt. The weighted average stated rates of interest as of June 30, 2019 and 2018 were 6.44% and 6.28%, respectively.
Loss on Extinguishment of Debt
Loss on extinguishment of debt represents the differences between the amounts paid to settle extinguished debts and the carrying value of the related extinguished debt. Loss on extinguishment of debt was $33 million and $48 million for the three months ended June 30, 2019 and 2018, respectively, and is associated with a series of transactions which allowed us to refinance portions of our debt arrangements.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements for further details.
Foreign Exchange and Other
Foreign exchange and other was a gain of $3 million and a loss of $9 million for the three months ended June 30, 2019 and 2018, respectively, a favorable net change of $12 million. Foreign exchange gains/losses include translation gains/losses on intercompany loans, primarily on euro-denominated intercompany loans.


Income Taxes
Benefit from income taxes was $9 million and Provision for income taxes was $138 million for the three months ended June 30, 2019 and 2018, respectively, an increase in the Benefit from income taxes of $147 million.
Our effective income tax rate for the three months ended June 30, 2019 differs from the statutory Canadian income tax rate primarily due to: (i) the recording of valuation allowance on entities for which no tax benefit of losses is expected, (ii) the tax benefit generated from our annualized mix of earnings by jurisdiction and (iii) the discrete treatment of certain tax matters, primarily related to: (a) the net tax provision related to uncertain tax positions and (b) the adjustments for book to income tax return provisions.
Our effective income tax rate for the three months ended June 30, 2018 differs from the statutory Canadian income tax rate primarily due to: (i) the recording of valuation allowance on entities for which no tax benefit of losses is expected, (ii) the tax benefit generated from our annualized mix of earnings by jurisdiction and (iii) the discrete treatment of: (a) the tax consequences of internal restructuring efforts, (b) the net tax benefit related to the impairment of intangibles assets previously discussed and (c) the adjustments for book to income tax return provisions.
See Note 17, "INCOME TAXES" to our unaudited interim Consolidated Financial Statements for further details.
Reportable Segment Revenues and Profits
Since the second quarter of 2018 and consistent with how the Company’s CEO currently: (i) assesses operating performance on a regular basis, (ii) makes resource allocation decisions and (iii) designates responsibilities of his direct reports; the Company operates in the following reportable segments: (i) Bausch + Lomb/International segment, (ii) Salix segment, (iii) Ortho Dermatologics segment and (iv) Diversified Products segment.
The following is a brief description of our segments:
The Bausch + Lomb/International segment consists of: (i) sales in the U.S. of pharmaceutical products, OTC products and medical device products, primarily comprised of Bausch + Lomb products, with a focus on the Vision Care, Surgical, Consumer and Ophthalmology Rx products and (ii) with the exception of sales of Solta products, sales in Canada, Europe, Asia, Australia, Latin America, Africa and the Middle East of branded pharmaceutical products, branded generic pharmaceutical products, OTC products, medical device products and Bausch + Lomb products.
The Salix segment consists of sales in the U.S. of GI products.
The Ortho Dermatologics segment consists of: (i) sales in the U.S. of Ortho Dermatologics (dermatological) products and (ii) global sales of Solta medical aesthetic devices.
The Diversified Products segment consists of sales in the U.S. of: (i) pharmaceutical products in the areas of neurology and certain other therapeutic classes, (ii) generic products and (iii) dentistry products.
Effective in the first quarter of 2019, one product historically included in the reported results of the Ortho Dermatologics business unit in the Ortho Dermatologics segment is now included in the reported results of the Generics business unit in the Diversified Products segment and another product historically included in the reported results of the Ortho Dermatologics business unit in the Ortho Dermatologics segment is now included in the reported results of the Dentistry business unit in the Diversified Products segment as management believes the products better align with the new respective business units. These changes in product alignment are not material. Prior period presentations of business unit and segment revenues and profits have been conformed to current segment and business unit reporting structures.
Segment profit is based on operating income after the elimination of intercompany transactions. Certain costs, such as Amortization of intangible assets, Asset impairments, In-process research and development costs, Restructuring and integration costs, Acquisition-related contingent consideration costs and Other income, net, are not included in the measure of segment profit, as management excludes these items in assessing segment financial performance. See Note 20, "SEGMENT INFORMATION" to our unaudited interim Consolidated Financial Statements for a reconciliation of segment profit to Loss before benefit from (provision for) income taxes.
The following table presents segment revenues, segment revenues as a percentage of total revenues, and the year-over-year changes in segment revenues for the three months ended June 30, 2019 and 2018. The following table also presents segment profits, segment profits as a percentage of segment revenues and the year-over-year changes in segment profits for the three months ended June 30, 2019 and 2018.
  Three Months Ended June 30,
  2019 2018 Change
(in millions) Amount Pct. Amount Pct. Amount Pct.
Segment Revenues            
Bausch + Lomb/International $1,208
 56% $1,209
 56% $(1)  %
Salix 509
 24% 441
 21% 68
 15 %
Ortho Dermatologics 122
 6% 141
 7% (19) (13)%
Diversified Products 313
 14% 337
 16% (24) (7)%
Total revenues $2,152
 100% $2,128
 100% $24
 1 %
             
Segment Profits / Segment Profit Margins            
Bausch + Lomb/International $337
 28% $350
 29% $(13) (4)%
Salix 332
 65% 292
 66% 40
 14 %
Ortho Dermatologics 41
 34% 58
 41% (17) (29)%
Diversified Products 232
 74% 259
 77% (27) (10)%
Total segment profits $942
 44% $959
 45% $(17) (2)%
The following table presents organic revenue (non-GAAP) and the year-over-year changes in organic revenue (non-GAAP) for the three months ended June 30, 2019 and 2018 by segment. Organic revenues (non-GAAP) and organic growth (non-GAAP) rates are defined in the previous section titled “Selected Financial Information”.
 Three Months Ended June 30, 2019 Three Months Ended June 30, 2018 
Change in
Organic Revenue
 Three Months Ended March 31, 2020 Three Months Ended March 31, 2019 
Change in
Organic Revenue
 
Revenue
as
Reported
 Changes in Exchange Rates Acquisition Organic Revenue (Non-GAAP) 
Revenue
as
Reported
 Divestitures and Discontinuations Organic Revenue (Non-GAAP)  
Revenue
as
Reported
 Changes in Exchange Rates Acquisition Organic Revenue (Non-GAAP) 
Revenue
as
Reported
 Divestitures and Discontinuations Organic Revenue (Non-GAAP) 
(in millions) Amount Pct. Amount Pct.
Bausch + Lomb/International $1,208
 $37
 $
 $1,245
 $1,209
 $(12) $1,197
 $48
 4 % $1,114
 $17
 $
 $1,131
 $1,118
 $(7) $1,111
 $20
 2 %
Salix 509
 
 (17) 492
 441
 (3) 438
 54
 12 % 477
 
 (13) 464
 445
 
 445
 19
 4 %
Ortho Dermatologics 122
 1
 
 123
 141
 
 141
 (18) (13)% 133
 1
 
 134
 138
 
 138
 (4) (3)%
Diversified Products 313
 
 
 313
 337
 (1) 336
 (23) (7)% 288
 
 
 288
 315
 
 315
 (27) (9)%
Total $2,152
 $38
 $(17) $2,173
 $2,128
 $(16) $2,112
 $61
 3 % $2,012
 $18
 $(13) $2,017
 $2,016
 $(7) $2,009
 $8
  %
Bausch + Lomb/International Segment:
Bausch + Lomb/International Segment Revenue
The Bausch + Lomb/International segment has a diversified product line with no single product group representing 10% or more of its product sales. The Bausch + Lomb/International segment revenue was $1,208$1,114 million and $1,209$1,118 million for the three months ended June 30,March 31, 2020 and 2019, and 2018, respectively, a decrease of $1$4 million, or less than 1%. The decrease was primarily attributable to: (i) the unfavorable effect of foreign currencies of $37$17 million, primarily attributable to our revenues in Europe and AsiaLatin America and (ii) the impact of divestitures and discontinuations of $12$7 million, primarily related to the divestiture and discontinuance of several products within our International Rx business.products. These decreases were mostlypartially offset by: (i) an increase in volume of $27$10 million primarily in our Global Consumer and Global Vision Care businesses, (ii) an increase in average realized pricing of $13$10 million, primarily driven by our Global Ophtho Rx and International Rx businesses and (iii) an increase in other revenues of $8 million. The increase in volume in our Global Consumer business is primarily attributable to increased demand of Preservision®, Lumify® and Ocuvite®. The increase in volumeincreases in our Global Vision Care, businessInternational Rx and Global Consumer businesses, partially offset by the decrease in our Global Ophtho Rx business. The increase in volume is primarily attributable to our Biotrue® ONEdayGlobal Consumer and Ultra® product lines in the U.S. and internationally. The increase in average realized pricing inInternational Rx businesses, driven by: (i) our Global Ophtho Rx business is primarily attributable to Lotemaxeye vitamin franchise, which includes LUMIFY® and Prolensa(ii) increased demand as consumers prepared for the COVID-19 pandemic by ensuring they had ® access to essential products and prescriptions. The increased volumes in our Global Consumer and International Rx businesses were partially offset by decreased volumes in our Global Vision Care, Global Surgical and Global Ophtho Rx businesses primarily in Asia and Europe and which we believe are in part due to the precautionary measures in response to the COVID-19 pandemic as previously discussed. Our Vision Care business was most impacted by declines in contact lens use in Asia, as a result of retail store closures as well as reduced contact lens wear due to decreased social interaction.
As discussed in the U.S."Impact of COVID-19 Pandemic


" section above, although volumes were higher during the three months ended March 31, 2020 as compared to the same period in 2019, we are experiencing revenue declines in our second quarter in certain businesses in connection with the COVID-19 pandemic. In response to the COVID-19 pandemic, many health care facilities and medical offices are closed and certain surgeries and elective medical procedures have been postponed, which we expect to impact the revenues of our Bausch + Lomb/International segment during 2020.
Bausch + Lomb/International Segment Profit
The Bausch + Lomb/International segment profit for three months ended June 30,March 31, 2020 and 2019 and 2018 was $337$325 million and $350$319 million, respectively, a decreasean increase of $13$6 million, or 4%2%. The decreaseincrease was primarily driven by: (i) higher advertising and promotion expenses primarily due to Lumify®, (ii) higher R&D expenses and (iii) the unfavorablefavorable effect of foreign currencies.currencies on our contribution and (ii) the increase in average realized pricing, as previously discussed. The decreaseincrease was partially offset by: (i) the increases in average realized pricing, volumes and other revenues as previously discussedproduct mix and (ii) better inventory management.higher selling expenses.
Salix Segment:
Salix Segment Revenue
The Salix segment includes the Xifaxan® product line, which accounted for 70%79% and 67%69% of the Salix segment product sales and 17%19% and 14%15% of the Company's product sales for the three months ended June 30,March 31, 2020 and 2019, and 2018, respectively. No other single product group represents 10% or more of the Salix segment product sales. The Salix segment revenue for the three months ended June 30,March 31, 2020 and 2019 and 2018 was $509$477 million and $441$445 million, respectively, an increase of $68$32 million, or 15%7%. The increase includes: (i) an increase in average realized pricingvolume of $47$30 million primarily attributable to higher gross selling prices for Xifaxan® and lower sales deductions for Xifaxan® and Glumetza® SLX, (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, of $17 million and (iii) an$13 million. The increase in volume of $7 millionvolumes was primarily attributable to increased demand for Xifaxan®, Relistor® and Glumetza® SLX, partially offset by the decrease in demand forimpact of generic competition as certain products, such as Apriso® and Uceris® due to loss of, lost exclusivity. These increases in revenue were partially offset by the impact of divestitures and discontinuations of $3 million. Althougha decrease in average realized pricing and volumes associated withof $11 million primarily attributable to higher sales deductions for Glumetza® SLX increasedpartially offset by higher gross selling prices for Xifaxan®.


As discussed in the "Impact of COVID-19 Pandemic" section above, although volumes were higher during the three months ended June 30, 2019 whenMarch 31, 2020 as compared to the three months ended June 30, 2018,same period in 2019, we are expecting near term pricing pressuresexperiencing revenue declines in our second quarter in certain businesses in connection with the COVID-19 pandemic. In response to the COVID-19 pandemic, many health care facilities and medical offices are closed and certain surgeries and elective medical procedures have been postponed, which we expect to impact the revenues of our Salix segment during 2020. However, through the date of this filing, we believe that the COVID-19 pandemic has had only a limited impact on the demand for this product our Xifaxan® products. Further, as of April 30, 2020, we have over five months’ supply of Xifaxan® on hand and enough API to manufacture another five months’ supply of Xifaxan® finished goods. We also have open orders for API that we currently expect will arrive on schedule. However, if we were to experience a resultlack of its lossavailability of exclusivity.API for Xifaxan®, such disruption to our supply chain could have a significant adverse effect on our business, financial condition and results of operations.
Salix Segment Profit
The Salix segment profit for the three months ended June 30,March 31, 2020 and 2019 and 2018 was $332$319 million and $292$288 million, respectively, an increase of $40$31 million, or 14%11%. The increase was primarily driven by a net increase in contribution as a result of: (i) the increasesincrease in average realized pricing and net volume, as previously discussed, (ii) lower third-party royalty costs and (ii)(iii) gross profit from the sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy. The increaseincreases in segment profit was partially offset byby: (i) a decrease in average realized pricing, as previously discussed, (ii) higher selling, advertising and promotion expenses primarily related to our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy and increased advertising for Xifaxan®.(iii) higher costs related to professional services.
Ortho Dermatologics Segment:
Ortho Dermatologics Segment Revenue
The Ortho Dermatologics segment revenue for the three months ended June 30,March 31, 2020 and 2019 and 2018 was $122$133 million and $141$138 million, respectively a decrease of $19$5 million, or 13%4%. The decrease includes:is primarily driven by: (i) a decrease in volumeaverage realized pricing of $16$8 million (ii)as a decreaseresult of higher sales deductions in other revenues of $6 millionour medical dermatology products and (iii)(ii) the unfavorable effect of foreign currencies of $1 million. The decrease in volume is primarily due to: (i) the impact of generic competition as certain products lost exclusivity, including Elidel®,Solodyn® and Zovirax® and (ii) decreased demand for Onexton® and Jublia®, partially offset by the increased demand of Thermage FLX®, Siliq® and Clindagel®. These decreases were partially offset by an increase in average realized pricingvolume of $4 million as a resultprimarily due to: (i) increased demand of lower sales deductions primarily attributable to JubliaThermage FLX®. and (ii) the launch of Duobrii® (June 2019) and partially offset by a decrease in volumes due to the impact of generic competition as certain products, such as Solodyn®, Zovirax® and Elidel®, lost exclusivity.
As discussed in the "Impact of COVID-19 Pandemic" section above, although volumes were higher during the three months ended March 31, 2020 as compared to the same period in 2019, we are experiencing revenue declines in our second quarter in certain businesses in connection with the COVID-19 pandemic. As a precautionary measure, many health care facilities and medical offices are closed and many elective medical procedures and certain surgeries have been postponed, which we expect to impact the revenues of our medical dermatology, medical aesthetics and therapeutic products during 2020.
Ortho Dermatologics Segment Profit
The Ortho Dermatologics segment profit for the three months ended June 30,March 31, 2020 and 2019 and 2018 was $41$48 million and $58$57 million, respectively, a decrease of $17$9 million, or 29%16%. The decrease was primarily driven by a decrease in contribution as a result of the decrease in revenue, as previously discussed, partially offset by lower compensation costs.discussed.


Diversified Products Segment:
Diversified Products Segment Revenue
The following table displays the Diversified Products segment revenue by product and product revenues as a percentage of segment revenue for the three months ended June 30, 2019March 31, 2020 and 2018.2019.
 Three Months Ended June 30, Three Months Ended March 31,
 2019 2018 Change 2020 2019 Change
(in millions) Amount Pct. Amount Pct. Amount Pct. Amount Pct. Amount Pct. Amount Pct.
Wellbutrin® Franchise
 $61
 19% $67
 20% $(6) (9)% $58
 20% $58
 18% $
  %
Aplenzin®
 26
 9% 16
 5% 10
 63 %
Arestin®
 21
 7% 26
 8% (5) (19)% 19
 7% 21
 7% (2) (10)%
Aplenzin®
 21
 7% 13
 4% 8
 62 %
Elidel® AG
 16
 5% 
 % 16
 100 %
Diastat® Franchise
 11
 4% 6
 2% 5
 83 %
Migranal® Franchise
 10
 3% 12
 4% (2) (17)%
Neo/Poly/HC Otic 9
 3% 5
 2% 4
 80 %
Uceris® AG
 15
 5% 
 % 15
 100 % 9
 3% 5
 2% 4
 80 %
Migranal® Franchise
 13
 4% 15
 4% (2) (13)%
Cuprimine®
 12
 4% 18
 5% (6) (33)%
Xenazine® Franchise
 11
 4% 15
 4% (4) (27)%
Apriso®
 8
 3% 
 % 8
  %
Ativan®
 10
 3% 13
 4% (3) (23)% 8
 3% 15
 5% (7) (47)%
Tobramycin/Dexamethasone 9
 3% 8
 2% 1
 13 % 8
 3% 7
 2% 1
 14 %
Other product revenues 121
 38% 159
 48% (38) (24)% 119
 41% 168
 52% (49) (29)%
Other revenues 3
 1% 3
 1% 
  % 3
 1% 2
 1% 1
 50 %
Total Diversified Products revenues $313
 100% $337
 100% $(24) (7)% $288
 100% $315
 100% $(27) (9)%
The Diversified Products segment revenue for the three months ended June 30,March 31, 2020 and 2019 and 2018 was $313$288 million and $337$315 million, respectively, a decrease of $24$27 million, or 7%9%. The decrease was primarily driven by: (i) a decrease in average realized pricing of $17 million, (ii)by a decrease in volume of $6 million and (iii) the impact of divestitures and discontinuations of $1$29 million. The decrease in average realized pricing was primarily driven by higher sales deductions in our Generics business, primarily attributable to Syprine® AG, Glumetza® AG, Targretin® AG and Diastat® AG. The decrease in volume was primarily attributable toto: (i) our Neurology and Other business as certain products lost exclusivity, including Isuprelsuch as Cuprimine®, Mephytonand Ativan®, Cuprimine®lost exclusivity and Xenazine®.(ii) our Dentistry business related to the postponement of certain surgeries and elective medical procedures in response to the COVID-19 pandemic. These decreases in volume were partially offset by increased volumes in our Generics business, primarily due to the launches of Elideldemand for Aplenzin® AG (December 2018), a product within our Neurology and Uceris® AG (July 2018).Other business. These decreases in revenue were partially offset by increases in: (i) other revenues of $1 million and (ii) average realized pricing of $1 million primarily attributable to higher gross selling prices.
Diversified Products Segment Profit
The Diversified Products segment profit for three months ended June 30,March 31, 2020 and 2019 and 2018 was $232$202 million and $259$236 million, respectively, a decrease of $27$34 million, or 10% and was primarily driven by: (i) the decrease in volume, as previously discussed, (ii) higher compensation costs and (iii) higher professional fees, partially offset by: (i) better inventory management and (ii) lower third-party royalty costs.
Six Months Ended June 30, 2019 Compared to the Six Months Ended June 30, 2018
Revenues
Our revenue was $4,168 million and $4,123 million for the six months ended June 30, 2019 and 2018, respectively, an increase of $45 million, or 1%. The increase was primarily driven by: (i) higher gross selling prices of $101 million, (ii) higher volumes of $48 million, (iii) the incremental product sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy of $23 million and (iv) lower sales deductions of $4 million. The increase in net pricing was primarily in our Salix segment. The net increase in volumes was driven by our Bausch + Lomb/International segment. The increases in our revenues were partially offset by: (i) the unfavorable effect of foreign currencies, primarily in Europe and Asia, of $97 million and (ii) the impact of divestitures and discontinuations of $34 million.
Our segment revenues and segment profits for the six months ended June 30, 2019 and 2018 are discussed in further detail in the subsequent section titled "Reportable Segment Revenues and Profits".


Cash Discounts and Allowances, Chargebacks and Distribution Fees
Provisions recorded to reduce gross product sales to net product sales and revenues for the six months ended June 30, 2019 and 2018 were as follows:
  Six Months Ended June 30,
  2019 2018
(in millions) Amount Pct. Amount Pct.
Gross product sales $6,723
 100.0% $7,027
 100.0%
Provisions to reduce gross product sales to net product sales        
Discounts and allowances 406
 6.0% 406
 5.8%
Returns 78
 1.2% 163
 2.3%
Rebates 1,100
 16.4% 1,330
 18.9%
Chargebacks 930
 13.8% 947
 13.5%
Distribution fees 98
 1.5% 116
 1.7%
Total provisions 2,612
 38.9% 2,962
 42.2%
Net product sales 4,111
 61.1% 4,065
 57.8%
Other revenues 57
   58
  
Revenues $4,168
   $4,123
  
Cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales were 38.9% and 42.2% for the six months ended June 30, 2019 and 2018, respectively. Changes in cash discounts and allowances, returns, rebates, chargebacks and distribution fees as a percentage of gross product sales were primarily driven by:
discounts and allowances as a percentage of gross product sales was higher primarily due to the sales mix of our generics business. The release of certain generics, such as Elidel® AG and Uceris® AG, and increases in gross product sales of higher discounted products, such as Glumetza® AG, drove the increase despite the year-over-year decrease in the discount rate for Glumetza® AG. These increases were partially offset by the impact of lower sales of other higher discounted generics, such as Xenazine® AG and Targretin® AG;
returns as a percentage of gross product sales was lower primarily due to the impact of: (i) lower return rates for products, such as Glumetza® SLX, Mephyton® and Xifaxan® and (ii) lower gross product sales of Isuprel® and Mephyton® as a result of generic competition;
rebates as a percentage of gross product sales were lower primarily due to decreases in volumes for certain products which carry higher rebate rates such as Solodyn®, Elidel®, Jublia® and Retin-A Micro® 0.06%. The decreases in year-over-year volumes were due in part to generic competition. The lower rebates as a percentage of gross product sales were partially offset by the impact of: (i) increased gross product sales of products that carry higher contractual rebates and co-pay assistance programs, including the impact of incremental rebates from contractual price increase limitations for promoted products, such as Xifaxan® and Apriso® and (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy;
chargebacks as a percentage of gross product sales were higher primarily due to the impact of: (i) higher gross product sales of Glumetza® AG, Xifaxan®, Glumetza® SLX and Syprine® AG and (ii) the release of certain generics, such as Elidel® AG and Uceris® AG. The higher chargebacks as a percentage of gross product sales were partially offset by the impact of lower gross product sales of certain branded products, such as Isuprel® and Nifediac, and certain generic products, such as Xenazine® AG and Zegerid® AG; and
distribution service fees as a percentage of gross product sales were lower primarily due to the impact of lower gross product sales of Solodyn®, Targretin®, Isuprel® and Elidel®. The lower distribution service fees as a percentage of gross product sales were partially offset by the impact of: (i) higher sales of Xifaxan® and Apriso® and other branded products and (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy. Price appreciation credits, which are offset against the distribution service fees we pay wholesalers, were $0 and $15 million during the six months ended June 30, 2019 and 2018, respectively.


Expenses
Cost of Goods Sold (excluding amortization and impairments of intangible assets)
Cost of goods sold was $1,104 million and $1,144 million for the six months ended June 30, 2019 and 2018, respectively, a decrease of $40 million, or 3%. The decrease was primarily driven by: (i) the favorable impact of foreign currencies, (ii) the impact of divestitures and discontinuations, (iii) better inventory management and (iv) lower third-party royalty costs, partially offset by: (i) the net increase in volumes and (ii) the incremental costs of sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy.
Cost of goods sold as a percentage of product sales revenue was 26.9% and 28.1% for the six months ended June 30, 2019 and 2018, respectively, a decrease of 1.2 percentage point. Costs of goods sold as a percentage of revenue was favorably impacted as a result of: (i) higher gross selling prices and lower sales deductions, (ii) better inventory management and (iii) the impact of divestitures and discontinuations, which generally had lower gross margins than the balance of our product portfolio. These factors were partially offset by the amortization of acquisition accounting adjustments related to the inventories we acquired as part of the acquisition of certain assets of Synergy.
Selling, General and Administrative Expenses
SG&A expenses were $1,238 million and $1,233 million for the six months ended June 30, 2019 and 2018, respectively, an increase of $5 million, or less than 1%. The increase was primarily driven by: (i) higher selling, advertising and promotion expenses, (ii) costs in 2019 attributable to our IT infrastructure improvement projects and (iii) the impact of the acquisition of certain assets of Synergy. The increase was partially offset by: (i) the favorable impact of foreign currencies, (ii) lower compensation expense and (iii) lower costs related to professional services;
Research and Development
R&D expenses were $234 million and $186 million for the six months ended June 30, 2019 and 2018, respectively, an increase of $48 million, or 26%. R&D expenses as a percentage of Product revenue were approximately 6% and 5% for the six months ended June 30, 2019 and 2018, respectively, an increase of 1 percentage point.
Amortization of Intangible Assets
Amortization of intangible assets was $977 million and $1,484 million for the six months ended June 30, 2019 and 2018, respectively, a decrease of $507 million, or 34%. The decrease was primarily due to: (i) the impact of the change in the estimated useful life of the Xifaxan® related intangible assets made in September 2018 to reflect management's changes in assumptions and (ii) lower amortization as a result of impairments to intangible assets in prior periods. Management continually assesses the useful lives related to the Company's long-lived assets to reflect the most current assumptions.
Goodwill Impairments
Goodwill is not amortized but is tested for impairment at least annually at the reporting unit level. A reporting unit is the same as, or one level below, an operating segment. The fair value of a reporting unit refers to the price that would be received to sell the unit as a whole in an orderly transaction between market participants. The Company estimates the fair values of all reporting units using a discounted cash flow model which utilizes Level 3 unobservable inputs.
Goodwill impairments were $0 and $2,213 million for the six months ended June 30, 2019 and 2018, respectively.
March 31, 2018
In January 2017, the Financial Accounting Standards Board issued guidance which simplifies the subsequent measurement of goodwill by eliminating “Step 2” from the goodwill impairment test. Instead, goodwill impairment is measured as the amount by which a reporting unit's carrying value exceeds its fair value. The Company elected to adopt this guidance effective January 1, 2018.
Upon adopting the new guidance, the Company tested goodwill for impairment and determined that the carrying value of the Salix reporting unit exceeded its fair value. As a result of the adoption of new accounting guidance, the Company recognized a goodwill impairment of $1,970 million associated with the Salix reporting unit.
As of October 1, 2017, the date of the 2017 annual goodwill impairment test, the fair value of the Ortho Dermatologics reporting unit exceeded its carrying value. However, at January 1, 2018, unforeseen changes in the business dynamics of the Ortho Dermatologics reporting unit, such as: (i) changes in the dermatology sector, (ii) increased pricing pressures from third-


party payors, (iii) additional risks to the exclusivity of certain products and (iv) an expected longer launch cycle for a new product, were factors that negatively impacted the reporting unit's operating results beyond management's expectations as of October 1, 2017, when the Company performed its 2017 annual goodwill impairment test. In response to these adverse business indicators, as of January 1, 2018, the Company reduced its near and long term financial projections for the Ortho Dermatologics reporting unit. As a result of the reductions in the near and long term financial projections, the carrying value of the Ortho Dermatologics reporting unit exceeded its fair value at January 1, 2018 and the Company recognized a goodwill impairment of $243 million.
See Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements for additional details regarding our goodwill impairment testing.
Asset Impairments
Asset impairments were $16 million and $345 million for the six months ended June 30, 2019 and 2018, respectively, a decrease of $329 million. Asset impairments for the six months ended June 30, 2019 include impairments of: (i) $13 million reflecting decreases in forecasted sales of a certain product line due to generic competition and (ii) $3 million, in aggregate, related to certain product/patent assets associated with the discontinuance of specific product lines not aligned with the focus of the Company's core businesses. Asset impairments for the six months ended June 30, 2018 include impairments of: (i) $323 million reflecting decreases in forecasted sales for the Uceris® Tablet product and other product lines due to generic competition, (ii) $17 million, in aggregate, related to certain product/patent assets associated with the discontinuance of specific product lines not aligned with the focus of the Company's core businesses and revisions to forecasted sales and (iii) $5 million related to assets being classified as held for sale.
See Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements regarding further details related to our intangible assets.
Restructuring and Integration Costs
Restructuring and integration costs were $24 million and $13 million for the six months ended June 30, 2019 and 2018, respectively, an increase of $11 million. We have substantially completed the integration of the businesses acquired prior to 2016. The Company continues to evaluate opportunities to streamline its operations and identify additional cost savings globally. Although a specific plan does not exist at this time, the Company may identify and take additional exit and cost-rationalization restructuring actions in the future, the costs of which could be material.
See Note 5, "RESTRUCTURING AND INTEGRATION COSTS" to our unaudited interim Consolidated Financial Statements for further details regarding these actions.
Acquisition-Related Contingent Consideration
Acquisition-related contingent consideration was a net gain of $1 million for the six months ended June 30, 2019 and included net fair value adjustments of $12 million, partially offset by accretion for the time value of money of $11 million. Acquisition-related contingent consideration was a net gain of $4 million for the six months ended June 30, 2018, and included net fair value adjustments of $16 million, partially offset by accretion for the time value of money of $12 million.
See Note 6, "FAIR VALUE MEASUREMENTS" to our unaudited interim Consolidated Financial Statements for further details.
Other Expense, Net
Other expense, net for the six months ended June 30, 2019 and 2018 consists of the following:
  Six Months Ended
June 30,
(in millions) 2019 2018
Net gain on sale of assets $(9) $
Acquisition-related costs 8
 1
Litigation and other matters 3
 10
Other, net 3
 1
  $5
 $12


Included in Other, net in the table above for the six months ended June 30, 2019, is $8 million of in-process research and development costs associated with the upfront payment to enter into an exclusive licensing agreement.
Non-Operating Income and Expense
Interest Expense
Interest expense was $815 million and $851 million and included non-cash amortization and write-offs of debt discounts and deferred financing costs of $32 million and $44 million for the six months ended June 30, 2019 and 2018, respectively. Interest expense decreased $36 million, or 4%, primarily due to lower principal amounts of outstanding long-term debt. The weighted average stated rates of interest as of June 30, 2019 and 2018 were 6.44% and 6.28%, respectively.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements for further details.
Loss on Extinguishment of Debt
Loss on extinguishment of debt represents the differences between the amounts paid to settle extinguished debts and the carrying value of the related extinguished debt. Loss on extinguishment of debt was $40 million and $75 million for the six months ended June 30, 2019 and 2018, respectively, associated with a series of transactions which allowed us to refinance portions of our debt arrangements.
Foreign Exchange and Other
Foreign exchange and other was a net gain of $3 million and $18 million for the six months ended June 30, 2019 and 2018, respectively, an unfavorable net change of $15 million. Foreign exchange gains/losses include translation gains/losses on intercompany loans, primarily on euro-denominated intercompany loans.
Income Taxes
Benefit from income taxes was $83 million for the six months ended June 30, 2019 compared to a Provision for income taxes of $23 million for the six months ended June 30, 2018, an increase in the Benefit from income taxes of $106 million.
Our effective income tax rate for the six months ended June 30, 2019 differs from the statutory Canadian income tax rate primarily due to: (i) the recording of valuation allowance on entities for which no tax benefit of losses is expected, (ii) the tax benefit generated from our annualized mix of earnings by jurisdiction and (iii) the discrete treatment of certain tax matters, primarily related to: (a) the net tax benefit related to uncertain tax positions and (b) the adjustments for book to income tax return provisions.
Our effective income tax rate for the six months ended June 30, 2018 differs from the statutory Canadian income tax rate primarily due to: (i) the recording of valuation allowance on entities for which no tax benefit of losses is expected, (ii) the tax benefit generated from our annualized mix of earnings by jurisdiction and (iii) the discrete treatment of: (a) the tax consequences of internal restructuring efforts, (b) the net tax benefit related to the impairment of intangibles assets previously discussed and (c) the adjustments for book to income tax return provisions.
See Note 17, "INCOME TAXES" to our unaudited interim Consolidated Financial Statements for further details.


Reportable Segment Revenues and Profits
The following table presents segment revenues, segment revenues as a percentage of total revenues, and the year-over-year changes in segment revenues for the six months ended June 30, 2019 and 2018. The following table also presents segment profits, segment profits as a percentage of segment revenues and the year-over-year changes in segment profits for the six months ended June 30, 2019 and 2018.
  Six Months Ended June 30,
  2019 2018 Change
(in millions) Amount Pct. Amount Pct. Amount Pct.
Segment Revenues            
Bausch + Lomb/International $2,326
 56% $2,312
 56% $14
 < 1%
Salix 954
 23% 863
 21% 91
 11 %
Ortho Dermatologics 260
 6% 281
 7% (21) (7)%
Diversified Products 628
 15% 667
 16% (39) (6)%
Total revenues $4,168
 100% $4,123
 100% $45
 1 %
             
Segment Profits / Segment Profit Margins            
Bausch + Lomb/International $656
 28% $647
 28% $9
 1 %
Salix 620
 65% 564
 65% 56
 10 %
Ortho Dermatologics 98
 38% 102
 36% (4) (4)%
Diversified Products 468
 75% 499
 75% (31) (6)%
Total segment profits $1,842
 44% $1,812
 44% $30
 2 %
The following table presents organic revenue (non-GAAP) and the year-over-year changes in organic revenue (non-GAAP) for the six months ended June 30, 2019 and 2018 by segment. Organic revenues (non-GAAP) and organic growth (non-GAAP) rates are defined in the previous section titled “Selected Financial Information”.
  Six Months Ended June 30, 2019 Six Months Ended June 30, 2018 
Change in
Organic Revenue
  
Revenue
as
Reported
 Changes in Exchange Rates Acquisition Organic Revenue (Non-GAAP) 
Revenue
as
Reported
 Divestitures and Discontinuations Organic Revenue (Non-GAAP) 
(in millions) Amount Pct.
Bausch + Lomb/International $2,326
 $95
 $
 $2,421
 $2,312
 $(26) $2,286
 $135
 6 %
Salix 954
 
 (23) 931
 863
 (6) 857
 74
 9 %
Ortho Dermatologics 260
 2
 
 262
 281
 
 281
 (19) (7)%
Diversified Products 628
 
 
 628
 667
 (2) 665
 (37) (6)%
Total $4,168
 $97
 $(23) $4,242
 $4,123
 $(34) $4,089
 $153
 4 %
Bausch + Lomb/International Segment:
Bausch + Lomb/International Segment Revenue
The Bausch + Lomb/International segment revenue was $2,326 million and $2,312 million for the six months ended June 30, 2019 and 2018, respectively, an increase of $14 million, or less than 1%. The increase was primarily attributable to: (i) an increase in volume of $107 million, primarily in our Global Vision Care and Global Consumer businesses, (ii) an increase in average realized pricing of $20 million primarily driven by our Global Ophtho Rx and International Rx businesses and (iii) an increase in other revenues of $8 million. The increase in volume in our Global Vision Care business is primarily attributable to our Biotrue® ONEday and Ultra® product lines in the U.S. and internationally. The increase in volume in our Global Consumer business is primarily attributable to the launch of Lumify® (May 2018) and sales of Preservision® and Ocuvite®. The increase in average realized pricing in our Global Ophtho Rx business is primarily attributable to Lotemax®, Vyzulta® and Prolensa®. The increase was partially offset by: (i) the unfavorable effect of foreign currencies of $95 million primarily attributable to our revenues in Europe, Asia and Latin America and (ii) the impact of divestitures and discontinuations of $26 million, primarily related to the divestiture and discontinuance of several products within our International Rx business.


Bausch + Lomb/International Segment Profit
The Bausch + Lomb/International segment profit for the six months ended June 30, 2019 and 2018 was $656 million and $647 million, respectively, an increase of $9 million, or 1%. The increase was primarily driven by an increase in contribution as a result of: (i) the increase in average realized pricing as previously discussed and (ii) better inventory management. The increase was partially offset by: (i) higher advertising and promotion expenses primarily due to the launch of Lumify®, (ii) higher R&D expenses and (iii) the unfavorable effect of foreign currencies.
Salix Segment:
Salix Segment Revenue
The Salix segment includes the Xifaxan® product line, which accounted for 69% and 66% of the Salix segment product sales and 16% and 14% of the Company's product sales for the six months ended June 30, 2019 and 2018, respectively. No other single product group represents 10% or more of the Salix segment product sales. The Salix segment revenue for the six months ended June 30, 2019 and 2018 was $954 million and $863 million, respectively, an increase of $91 million, or 11%. The increase includes: (i) an increase in average realized pricing of $72 million primarily attributable to higher gross selling prices and lower sales deductions for Xifaxan®, (ii) sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy, of $23 million and (iii) an increase in volume of $2 million primarily attributable to increased demand for Xifaxan® and Glumetza® SLX, partially offset by the decrease in demand for Uceris® due to loss of exclusivity. The increase in revenue was partially offset by the impact of divestitures and discontinuations of $6 million.
Salix Segment Profit
The Salix segment profit for the six months ended June 30, 2019 and 2018 was $620 million and $564 million, respectively, an increase of $56 million, or 10%. The increase was primarily driven by: (i) a net increase in contribution as a result of the increases in average realized pricing, as previously discussed and (ii) gross profit from the sales of our Trulance® product, which we added to our portfolio in March 2019 as part of the acquisition of certain assets of Synergy. The increase in segment profit was partially offset by higher selling, advertising and promotion expenses.
Ortho Dermatologics Segment:
Ortho Dermatologics Segment Revenue
The Ortho Dermatologics segment revenue for the six months ended June 30, 2019 and 2018 was $260 million and $281 million, respectively, a decrease of $21 million, or 7%. The decrease includes: (i) a decrease in volume of $36 million, (ii) a decrease in other revenues of $7 million and (iii) the unfavorable effect of foreign currencies of $2 million. The decrease in volume is primarily due to: (i) the impact of generic competition as certain products lost exclusivity, including Elidel®, Solodyn® and Zovirax® and (ii) decreased demand for Onexton®, Targretin®,Jublia® and Retin-A Micro® 0.08%, partially offset by the increased demand of Thermage FLX® and Siliq®. The decrease was partially offset by an increase in average realized pricing of $24 million as a result of lower sales deductions primarily attributable to Jublia®, Retin-A Micro® 0.06%, Onexton® and Retin-A Micro® 0.08%.
Ortho Dermatologics Segment Profit
The Ortho Dermatologics segment profit for the six months ended June 30, 2019 and 2018 was $98 million and $102 million, respectively, a decrease of $4 million, or 4%. The decrease was primarily driven by a decrease in contribution as a result of the decrease in revenue, as previously discussed, partially offset by decreases in: (i) selling expenses and (ii) professional fees.


Diversified Products Segment:
Diversified Products Segment Revenue
The following table displays the Diversified Products segment revenue by product and product revenues as a percentage of segment revenue for the six months ended June 30, 2019 and 2018.
  Six Months Ended June 30,
  2019 2018 Change
(in millions) Amount Pct. Amount Pct. Amount Pct.
 Wellbutrin® Franchise
 $119
 19% $129
 19% $(10) (8)%
 Arestin® 
 42
 7% 50
 7% (8) (16)%
 Aplenzin® 
 37
 6% 25
 4% 12
 48 %
 Cuprimine®
 37
 6% 34
 5% 3
 9 %
 Ativan® 
 25
 4% 26
 4% (1) (4)%
 Migranal® Franchise
 25
 4% 26
 4% (1) (4)%
 Elidel® AG
 21
 3% 
 % 21
 100 %
 Uceris® AG
 20
 3% 
 % 20
 100 %
 Xenazine®
 18
 3% 29
 4% (11) (38)%
 Tobramycin/Dexamethasone 16
 3% 13
 2% 3
 23 %
 Other product revenues 263
 41% 328
 50% (65) (20)%
 Other revenues 5
 1% 7
 1% (2) (29)%
 Total Diversified Products revenues $628
 100% $667
 100% $(39) (6)%
The Diversified Products segment revenue for the six months ended June 30, 2019 and 2018 was $628 million and $667 million, respectively, a decrease of $39 million, or 6%. The decrease was primarily driven by: (i) a decrease in volume of $25 million, (ii) a decrease in average realized pricing of $11 million, (iii) the impact of divestitures and discontinuations of $2 million and (iv) a decrease in other revenues of $1 million. The decrease in volume was primarily attributable to: (i) the impact of generic competition as certain products lost exclusivity, including Isuprel®, Mephyton®, Xenazine® and Syprine® and (ii) decreased demand for Wellbutrin®. These decreases in volume were partially offset by increased volumes in our Generics business, primarily due to the launches of Elidel® AG (December 2018) and Uceris® AG (July 2018). The decrease in average realized pricing related to our Generics business, is primarily attributable to the impact of generic competition for Glumetza® AG, Syprine® AG, Targretin® AG, Cardizem® AG and Mephyton® AG, partially offset by an increase in pricing in our Neurology and Other business.
Diversified Products Segment Profit
The Diversified Products segment profit for the six months ended June 30, 2019 and 2018 was $468 million and $499 million, respectively, a decrease of $31 million, or 6% and was primarily driven by: (i) the decrease in volume, as previously discussed, and (ii) higher selling expenses, partially offset by: (i) lower third-party royalty costsgeneral and (ii) better inventory management.administrative expenses.


LIQUIDITY AND CAPITAL RESOURCES
Cash Flows
 Six Months Ended June 30, Three Months Ended March 31,
(in millions) 2019 2018 Change 2020 2019 Change
Net loss $(218) $(3,451) $3,233
 $(152) $(48) $(104)
Adjustments to reconcile net loss to net cash provided by operating activities 1,093
 4,048
 (2,955) 541
 459
 82
Cash provided by operating activities before changes in operating assets and liabilities 875
 597
 278
 389
 411
 (22)
Changes in operating assets and liabilities (123) 63
 (186) (128) 2
 (130)
Net cash provided by operating activities 752
 660
 92
 261
 413
 (152)
Net cash used in investing activities (261) (139) (122) (40) (203) 163
Net cash used in financing activities (338) (465) 127
 (1,521) (150) (1,371)
Effect of exchange rate on cash and cash equivalents 4
 (15) 19
 (21) 1
 (22)
Net increase in cash, cash equivalents and restricted cash 157
 41
 116
 (1,321) 61
 (1,382)
Cash, cash equivalents and restricted cash, beginning of period 723
 797
 (74) 3,244
 723
 2,521
Cash, cash equivalents and restricted cash, end of period $880
 $838
 $42
 $1,923
 $784
 $1,139
Operating Activities
Net cash provided by operating activities was $752$261 million and $660$413 million for the sixthree months ended June 30,March 31, 2020 and 2019, and 2018, respectively, an increasea decrease of $92$152 million. The increasedecrease was attributable to the increasenet decreases in cash from Changes in operating assets and liabilities and Cash provided by operating activities before changes in operating assets and liabilities partially offset by the decrease in cash from Changes in operating assets and liabilities..
Cash provided by operating activities before changes in operating assets and liabilities for the sixthree months ended June 30,March 31, 2020 and 2019 and 2018 was $875$389 million and $597$411 million, respectively, an increasea decrease of $278$22 million. The increasedecrease is primarily attributable to: (i) Paymentsto higher sales deductions and the unfavorable effect of accrued legal settlements during 2018 not recurringforeign currencies, primarily in 2019Europe and (ii)Latin American partially offset by higher revenues,volumes, improved gross margins and cash expense reductions in 20192020 as compared to 20182019 as previously discussed. During the six months ended June 30, 2018, Payments of accrued legal settlements were $220 million and were primarily related to the settlements of the Solodyn Antitrust Class Actions, the Allergan Shareholder Class Actions and other matters.
Changes in operating assets and liabilities resulted in a net decrease in cash of $123$128 million for the sixthree months ended June 30, 2019,March 31, 2020, as compared to the net increase in cash of $63$2 million for the sixthree months ended June 30, 2018,March 31, 2019, a decrease of $186$130 million. During the sixthree months ended June 30, 2019,March 31, 2020, Changes in operating assets and liabilities was negatively impacted by: (i) the build-up ofincrease in inventories of $121$94 million and (ii) the timing of other payments in the ordinary course of business of $103 million, partially offset by the collection of trade receivables of $56$69 million. For the sixthree months ended June 30, 2018,March 31, 2019, Changes in operating assets and liabilities was positively impacted by the collection of trade receivables of $128$89 million partially offset by the increase in inventories of $68 million and the timing of other payments in the ordinary course of business.business of $19 million.
Investing Activities
Net cash used in investing activities was $40 million for the three months ended March 31, 2020 and was driven by Purchases of property, plant and equipment of $72 million offset by Proceeds from sale of assets and businesses, net of costs to sell of $21 million primarily related to the receipt of a milestone payment associated with a prior divestiture and Interest settlements from cross-currency swaps of $11 million.
Net cash used in investing activities was $261$203 million for the sixthree months ended June 30,March 31, 2019 and was driven by: (i) Acquisitionby the acquisition of businesses, net of cash acquired of $180 million, related to the acquisition of certain assets of Synergy, and (ii) Purchasespurchases of property, plant and equipment of $109 million. Net cash used in investing activities was$47 million, partially offset by Proceedsproceeds from sale of assets and businesses, net of costs to sell of $33$25 million, primarily related to the receipt of a milestone payment associated with a prior year divestiture.
Net cash used in investing activities was $139 million for the six months ended June 30, 2018 and was driven by: (i) Purchases of property, plant and equipment of $63 million and (ii) Payments for intangible and other assets previously acquired of $75 million.
Financing Activities
Net cash used in financing activities was $338$1,521 million for the sixthree months ended March 31, 2020 and was primarily driven by the repayments of debt of $1,459 million which consisted of: (i) $1,240 million of May 2023 Unsecured Notes, which was previously financed as part of the December 2019 Financing and Refinancing Transactions, which were completed in January 2020, (ii) $100 million of 5.50% Senior Unsecured Notes due March 2023, (iii) $103 million of our June 30,2025 Term Loan B Facility (as defined below) and (iv) the repurchase and retirement of outstanding senior unsecured notes with an aggregate par value of $17 million in the open market, for an aggregate cost of $16 million. Issuance of long-term debt, net of discounts of $(3) million primarily represents the payment of fees and expenses associated with the December 2019 Financing and Refinancing Transactions.


Net cash used in financing activities was $150 million for the three months ended March 31, 2019 and was primarily driven by the net reduction in our debt portfolio. Repayments of debt for the sixthree months ended June 30,March 31, 2019 were $3,503$1,621 million and consisted of: (i) repayments of principal amounts due under our Senior Notes of $3,000$1,318 million, (ii) repayments of term loans under our Senior Secured Credit Facilities of $328$228 million and (iii) repayments of our revolving credit facility of $175$75 million. Net proceeds from the issuances of long-term debt for the sixthree months ended June 30,March 31, 2019 was $3,243


$1,514 million and included the net proceeds of: (i) $1,019$1,021 million from the issuance of $1,000 million in principal amount of January 2027 Unsecured Notes and (ii) $741 million from the issuance of $750 million in principal amount of January 2028 Unsecured Notes, (iii) $741 million from the issuance of $750 million in principal amount of May 2029 Unsecured Notes, (iv) $493$494 million from the issuance of $500 million in principal amount of August 2027 Secured Notes and (v) $250 million of borrowings under our revolving credit facilities. Notes. Net proceeds from the issuances of long-term debt is net ofreduced by $1 million in payments we made in 2019 for issuance costs paid in 2019 associated with long-term debt issued in previous years. Payments of financingDebt extinguishment costs associated with paid for the refinancing of certain debt was $26$1 million.
Net cash used in financing activities was $465 million for the six months ended June 30, 2018 and was primarily driven by the net reduction in our debt portfolio. Repayments of debt for the six months ended June 30, 2018 were $7,836 million and consisted of: (i) repayments of term loans under our Senior Secured Credit Facilities of $3,521 million, (ii) repayments of principal amounts due under our Senior Notes of $3,640 million, (iii) refinancing $500 million of outstanding amounts under our 2020 Revolving Credit Facility with our 2023 Revolving Credit Facility and (iv) repayments of our revolving credit facilities of $175 million. Net proceeds from the issuances of long-term debt for the six months ended June 30, 2018 was $7,474 million and included: (i) the net proceeds of: (a) $4,509 million from the issuance of $4,565 million in principal amount of June 2025 Term Loan B Facility, (b) $1,481 million from the issuance of $1,500 million in principal amount of 9.25% Senior Unsecured Notes due April 2026 and (c) $740 million from the issuance of $750 million in principal amount of January 2027 Unsecured Notes, (ii) refinancing $500 million of outstanding amounts under our revolving credit facility set to expire in April 2020 with our 2023 Revolving Credit Facility and (iii) $250 million of borrowings under our revolving credit facilities.  Net proceeds from the issuances of long-term debt is net of $6 million in payments we made in 2018 for issuance costs associated with certain senior unsecured notes issued during the second half of 2017. Payments of financing costs associated with the refinancing of certain debt was $59 million.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements for additional information regarding the financing activities described above.
Liquidity and Debt
Future Sources of Liquidity
Our primary sources of liquidity are our cash and cash equivalents, cash collected from customers, funds as available from our revolving credit facility, issuances of long-term debt and issuances of equity and equity-linked securities. We believe these sources will be sufficient to meet our current liquidity needs for at least the next twelve months.months following the issuance of this Form 10-Q.
The Company regularly evaluates market conditions, its liquidity profile, and various financing alternatives for opportunities to enhance its capital structure. If opportunities are favorable, the Company may refinance or repurchase existing debt or issue equity or equity-linked securities. We believe our existing cash and cash generated from operations will be sufficient to service our debt obligations in the years 20192020 and 2020.2021.
Proposed Refinancing Transactions - In February 2020, we announced intentions to opportunistically amend and refinance the Company’s Restated Credit Agreement, in order to extend and reprice our term loans and revolving credit facility and make certain other amendments to the terms of the facilities in connection therewith. We also announced our intention to issue $3,250 million of secured debt securities. The proceeds of the credit agreement refinancing and the offering of the new secured debt securities, along with cash on hand, were to be used to redeem certain outstanding senior secured notes, refinance our outstanding term loans under our Restated Credit Agreement (as defined below) and to pay related fees, premiums and expenses. However, in March 2020, as a result of challenging market conditions, we decided not to pursue these opportunities. We will continue to monitor market conditions and consider opportunistic refinancing transactions from time to time.
Long-term Debt
Long-term debt, net of unamortized premiums, discounts and issuance costs was $24,079$24,428 million and $24,305$25,895 million as of June 30, 2019March 31, 2020 and December 31, 2018,2019, respectively. Aggregate contractual principal amounts due under our debt obligations were $24,369$24,701 million and $24,632$26,188 million as of June 30, 2019March 31, 2020 and December 31, 2018,2019, respectively, a decrease of $263$1,487 million during the sixthree months ended June 30, 2019.March 31, 2020. The decrease was primarily driven by the debt repayments previously discussed under "Cash Flows - Financing Activities".
DebtOur prepayment and refinancings of debt over the last four years translate into lower repayments - During of principal over the six months ended June 30, 2019,next four years, which, in turn, we repaid approximately $250 million of long-termbelieve will permit more cash flows to be directed toward developing our core assets, identifying new product opportunities and repaying additional debt net of borrowings under our 2023 Revolving Credit Facility. Repayments of long-term debt during the six months ended June 30, 2019 included: (i) $253 million of the June 2025 Term Loan B Facility and (ii) $75 million of the November 2025 Term Loan B Facility. Net borrowings under our 2023 Revolving Credit Facility of $75 million were primarily used for the payment of interest due in April 2019 and other short-term capital needs.
Refinancing - In March and May 2019, we accessed the credit markets and completed a series of transactions, whereby we extended approximately $3,000 million in aggregate maturities of certain debt obligations due to mature in December 2021 through May 2023, out to January 2027 through May 2029.
On March 8, 2019, we issued: (i) $1,000 million aggregateamounts. The mandatory scheduled principal amount of January 2027 Unsecured Notes and (ii) $500 million aggregate principal amount of August 2027 Secured Notes in a private placement. A portion of the net proceeds of the January 2027 Unsecured Notes and August 2027 Secured Notes were used to: (i) repurchase the remaining $700 million outstanding principal amount of December 2021 Unsecured Notes, (ii) repurchase $584 million of May 2023


Unsecured Notes, (iii) repurchase $216 million of March 2023 Unsecured Notes and (iv) pay all fees and expenses associated with these transactions.
On May 23, 2019, we issued: (i) $750 million aggregate principal amount of January 2028 Unsecured Notes and (ii) $750 million aggregate principal amount of May 2029 Unsecured Notes in a private placement. The net proceeds and cash on hand were used to: (i) repurchase $1,118 million of May 2023 Unsecured Notes, (ii) repurchase $382 million of March 2023 Unsecured Notes and (iii) pay all fees and expenses associated with these transactions.
Maturities and mandatory paymentsrepayments of our debt obligations through December 31, 2024 and thereafter, as of June 30, 2019 compared with those asMay 7, 2020, the date of December 31, 2018this filing, were as follows:follows and reflects repurchases of our senior unsecured notes in the open market of $8 million, in aggregate, in April 2020:
(in millions) June 30,
2019

December 31,
2018
2019 $4

$228
2020 203

303
2021 303

1,003
2022 1,553

1,553
2023 4,109

6,348
2024 2,303

2,303
2025 10,632
 10,632
2026 - 2029 5,262

2,262
Gross maturities $24,369
 $24,632
(in millions)                    
2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Total
$
 $
 $1,553
 $2,443
 $2,303
 $10,632
 $1,500
 $2,250
 $2,012
 $750
 $1,250
 $24,693
On August 1, 2019, we repaid $100 million of long-term debt, which included: (i) $81 million of the June 2025 Term Loan B FacilitySee Note 10, "FINANCING ARRANGEMENTS" to our audited Consolidated Financial Statements and (ii) $19 million of the November 2025 Term Loan B Facility. These transactions are not reflected in the table above“Management's Discussion and are therefore included as due during 2020.Analysis - Liquidity and Capital Resources: Long-term Debt” for further details.
Senior Secured Credit Facilities
On February 13, 2012,June 1, 2018, the Company and certain of its subsidiaries as guarantors entered into the “Senior Secured Credit Facilities” under the Company’s ThirdFourth Amended and Restated Credit and Guaranty Agreement, as amended by the First Incremental Amendment to the Restated Credit Agreement, dated as of November 27, 2018, and as further amended (the “Third Amended“Restated Credit


Agreement”) with a syndicate of financial institutions and investors as lenders. As of January 1, 2018, the Third Amended Credit Agreement, as amended, provided for: (i) $1,500 million of revolving credit facilities, which included a sublimit for the issuance of standby and commercial letters of credit and a sublimit for swing line loans and (ii) a series of tranche B term loans maturing on April 1, 2022 (the "Series F Tranche B Term Loan Facility").
On June 1, 2018, the Company entered into a Restatement Agreement in respect of a Fourth Amended and Restated Credit and Guaranty Agreement (the “Restated Credit Agreement”).
On November 27, 2018, the Company entered into the First Incremental Amendment to theThe Restated Credit Agreement provides for a revolving credit facility of $1,225 million, which providedmatures on the Novemberearlier of June 1, 2023 and the date that is 91 calendar days prior to the scheduled maturity of indebtedness for borrowed money of the Company and Bausch Health Americas, Inc. ("BHA") in an aggregate principal amount in excess of $1,000 million (the "2023 Revolving Credit Facility") and term loan facilities of original principal amounts of $4,565 million and $1,500 million, maturing in June 2025 (the “June 2025 Term Loan B Facility of $1,500 million.
As of June 30, 2019,Facility”) and November 2025 (the "November 2025 Term Loan B Facility"), respectively. Both the Company had $150 million outstanding borrowings, $169 million of issued and outstanding letters of credit and remaining availability of $906 millionBHA are borrowers under itsthe 2023 Revolving Credit Facility.Facility, borrowings under which may be made in U.S. dollars, Canadian dollars or euros.
Current Description of Senior Secured Credit Facilities
Borrowings under the Senior Secured Credit Facilities in U.S. dollars bear interest at a rate per annum equal to, at the Company's option, either: (i) a base rate determined by reference to the highest of: (a) the prime rate (as defined in the Restated Credit Agreement), (b) the federal funds effective rate plus 1/2 of 1.00% andor (c) the eurocurrency rate (as defined in the Restated Credit Agreement) for a period of one month plus 1.00% (or if such eurocurrency rate shall not be ascertainable, 1.00%) or (ii) a eurocurrency rate determined by reference to the costs of funds for U.S. dollar deposits for the interest period relevant to such borrowing adjusted for certain additional costs (provided however, that the eurocurrency rate shall at no time be less than 0.00% per annum), in each case plus an applicable margin.
Borrowings under the 2023 Revolving Credit Facility in euros bear interest at a eurocurrency rate determined by reference to the costs of funds for euro deposits for the interest period relevant to such borrowing (provided however, that the eurocurrency rate shall at no time be less than 0.00% per annum), plus an applicable margin.


Borrowings under the 2023 Revolving Credit Facility in Canadian dollars bear interest at a rate per annum equal to, at the Company's option, either: (i) a prime rate determined by reference to the higher of: (a) the rate of interest last quoted by The Wall Street Journal as the “Canadian Prime Rate” or, if The Wall Street Journal ceases to quote such rate, the highest per annum interest rate published by the Bank of Canada as its prime rate and (b) the 1 month BA rate (as defined below) calculated daily plus 1.00% (provided however, that the prime rate shall at no time be less than 0.00%) or (ii) the bankers’ acceptance rate for Canadian dollar deposits in the Toronto interbank market (the “BA rate”) for the interest period relevant to such borrowing (provided however, that the BA rate shall at no time be less than 0.00% per annum), in each case plus an applicable margin.
Subject to certain exceptions and customary baskets set forth in the Restated Credit Agreement, the Company is required to make mandatory prepayments of the loans under the Senior Secured Credit Facilities under certain circumstances, including from: (i) 100% of the net cash proceeds of insurance and condemnation proceeds for property or asset losses (subject to reinvestment rights and net proceeds threshold), (ii) 100% of the net cash proceeds from the incurrence of debt (other than permitted debt as described in the Restated Credit Agreement), (iii) 50% of Excess Cash Flow (as defined in the Restated Credit Agreement) subject to decrease based on leverage ratios and subject to a threshold amount and (iv) 100% of net cash proceeds from asset sales (subject to reinvestment rights). These mandatory prepayments may be used to satisfy future amortization.
The applicable interest rate margins for the June 2025 Term Loan B Facility and the November 2025 Term Loan B Facility are 2.00% and 1.75%, respectively, with respect to base rate and prime rate borrowings and 3.00% and 2.75%, respectively, with respect to eurocurrency rate and BA rate borrowings.
As of June 30, 2019,March 31, 2020, the stated rates of interest on the Company’s borrowings under the June 2025 Term Loan B Facility and the November 2025 Term Loan B Facility were 5.41%3.61% and 5.16%3.36% per annum, respectively.
The amortization rate for both the June 2025 Term Loan B Facility and the November 2025 Term Loan B Facility is 5.00% per annum. The Company may direct that prepayments be applied to such amortization payments in order of maturity. As of June 30, 2019,March 31, 2020, the aggregate remaining mandatory quarterly amortization payments for the Senior Secured Credit Facilities were $1,530$1,023 million through November 1, 2025.
The applicable interest rate margins for borrowings under the 2023 Revolving Credit Facility are 1.50%-2.00% with respect to base rate or prime rate borrowings and 2.50%-3.00% with respect to eurocurrency rate or BA rate borrowings.  As of June 30, 2019,March 31, 2020, the stated rate of interest on the 2023 Revolving Credit Facility was 5.42%3.36% per annum. As of March 31, 2020, the Company had no outstanding borrowings, $168 million of issued and outstanding letters of credit and remaining availability of $1,057 million under its 2023 Revolving Credit Facility. In addition, the Company is required to pay commitment fees of 0.25%-0.50% per annum with respect to the unutilized commitments under the 2023 Revolving Credit Facility, payable quarterly in arrears. The Company also is required to pay: (i) letter of credit fees on the maximum amount available to be drawn under all outstanding letters of credit in an amount equal to the applicable margin on eurocurrency rate borrowings under the 2023 Revolving Credit Facility on a per annum basis, payable quarterly in arrears, (ii) customary fronting fees for the issuance of letters of credit and (iii) agency fees.


The Restated Credit Agreement permits the incurrence of incremental credit facility borrowings up to the greater of $1,000 million and 28.5% of Consolidated Adjusted EBITDA (as defined in the Restated Credit Agreement), subject to customary terms and conditions, as well as the incurrence of additional incremental credit facility borrowings subject to a secured leverage ratio of not greater than 3.50:1.00, and, in the case of unsecured debt, a total leverage ratio of not greater than 6.50:1.00 or an interest coverage ratio of not less than 2.00:1.00.
Senior Secured Notes
The Senior Secured Notes are guaranteed by each of the Company’s subsidiaries that is a guarantor under the Restated Credit Agreement and existing Senior Unsecured Notes (together, the “Note Guarantors”). The Senior Secured Notes and the guarantees related thereto are senior obligations and are secured, subject to permitted liens and certain other exceptions, by the same first priority liens that secure the Company’s obligations under the Restated Credit Agreement under the terms of the indentures governing the Senior Secured Notes.
The Senior Secured Notes and the guarantees rank equally in right of repayment with all of the Company’s and Note Guarantors’ respective existing and future unsubordinated indebtedness and senior to the Company’s and Note Guarantors’ respective future subordinated indebtedness. The Senior Secured Notes and the guarantees related thereto are effectively pari passu with the Company’s and the Note Guarantors’ respective existing and future indebtedness secured by a first priority lien on the collateral securing the Senior Secured Notes and effectively senior to the Company’s and the Note Guarantors’ respective existing and future indebtedness that is unsecured, including the existing Senior Unsecured Notes, or that is secured by junior liens, in each case to the extent of the value of the collateral. In addition, the Senior Secured


Notes are structurally subordinated to: (i) all liabilities of any of the Company’s subsidiaries that do not guarantee the Senior Secured Notes and (ii) any of the Company’s debt that is secured by assets that are not collateral.
Upon the occurrence of a change in control (as defined in the indentures governing the Senior Secured Notes), unless the Company has exercised its right to redeem all of the notes of a series, holders of the Senior Secured Notes may require the Company to repurchase such holder’s notes, in whole or in part, at a purchase price equal to 101% of the principal amount thereof plus accrued and unpaid interest.
5.75% Senior Secured Notes due 2027 - March 2019 Refinancing Transactions
On March 8, 2019, we issued: (i) $1,000 million aggregate principal amount of January 2027 Unsecured Notes and (ii) $500 million aggregate principal amount of August 2027 Secured Notes, respectively, in a private placement, a portion of the net proceeds of which, and cash on hand, were used to: (i) repurchase $584 million of May 2023 Unsecured Notes, (ii) repurchase $518 million of December 2021 Unsecured Notes, (iii) repurchase $216 million of March 2023 Unsecured Notes and (iv) pay all fees and expenses associated with these transactions (collectively, the “March 2019 Refinancing Transactions”). During April 2019, the Company redeemed $182 million of the December 2021 Unsecured Notes, representing the remaining outstanding principal balance of the December 2021 Unsecured Notes and completing the refinancing of $1,500 million of debt in connection with the March 2019 Refinancing Transactions. Interest on the August 2027 Secured Notes is payable semi-annually in arrears on each February 15 and August 15.
The August 2027 Secured Notes are redeemable at the option of the Company, in whole or in part, at any time on or after August 15, 2022, at the redemption prices set forth in the indenture. We may redeem some or all of the August 2027 Secured Notes prior to August 15, 2022 at a price equal to 100% of the principal amount thereof plus a “make-whole” premium. Prior to August 15, 2022, we may redeem up to 40% of the aggregate principal amount of the August 2027 Secured Notes using the proceeds of certain equity offerings at the redemption price set forth in the indenture.
Senior Unsecured Notes
The Senior Unsecured Notes issued by the Company are the Company’s senior unsecured obligations and are jointly and severally guaranteed on a senior unsecured basis by each of its subsidiaries that is a guarantor under the Senior Secured Credit Facilities. The Senior Unsecured Notes issued by BHA are senior unsecured obligations of BHA and are jointly and severally guaranteed on a senior unsecured basis by the Company and each of its subsidiaries (other than BHA) that is a guarantor under the Senior Secured Credit Facilities. Future subsidiaries of the Company and BHA, if any, may be required to guarantee the Senior Unsecured Notes. On a non-consolidated basis, the non-guarantor subsidiaries had total assets of $2,674$2,562 million and total liabilities of $1,196$1,034 million as of June 30, 2019,March 31, 2020, and revenues of $720$329 million and operating income of $68$21 million for the sixthree months ended June 30, 2019.March 31, 2020.
If the Company experiences a change in control, the Company may be required to make an offer to repurchase each series of Senior Unsecured Notes, in whole or in part, at a purchase price equal to 101% of the aggregate principal amount of the Senior Unsecured Notes repurchased, plus accrued and unpaid interest.
8.50% Senior Unsecured Notes due 2027 - March 2019 Refinancing Transactions
As part of the March 2019 Refinancing Transactions described above, BHA issued $1,000 million aggregate principal amount of 8.50% Senior Unsecured Notes due January 2027. These are additional notes and form part of the same series as the Company's existing January 2027 Unsecured Notes.
7.00% Senior Unsecured Notes due 2028 and 7.25% Senior Unsecured Notes due 2029 - May 2019 Refinancing Transactions
On May 23, 2019, the Company issued: (i) $750 million aggregate principal amount of January 2028 Unsecured Notes and (ii) $750 million aggregate principal amount of May 2029 Unsecured Notes, respectively, in a private placement, the net proceeds of which, and cash on hand, were used to: (i) repurchase $1,118 million of May 2023 Unsecured Notes, (ii) repurchase $382 million of March 2023 Unsecured Notes and (iii) pay all fees and expenses associated with these transactions. Interest on the January 2028 Unsecured Notes is payable semi-annually in arrears on each January 15 and July 15. Interest on the May 2029 Unsecured Notes is payable semi-annually in arrears on each May 30 and November 30.
The January 2028 Unsecured Notes and the May 2029 Unsecured Notes are redeemable at the option of the Company, in whole or in part, at any time on or after January 15, 2023 and May 30, 2024, respectively, at the redemption prices set forth in the respective indenture. The Company may redeem some or all of the January 2028 Unsecured Notes or the May 2029 Unsecured Notes prior to January 15, 2023 and May 30, 2024, respectively, at a price equal to 100% of the principal


amount thereof plus a “make-whole” premium. Prior to July 15, 2022, and May 30, 2022, the Company may redeem up to 40% of the aggregate principal amount of the January 2028 Unsecured Notes or the May 2029 Unsecured Notes, respectively, using the proceeds of certain equity offerings at the redemption price set forth in the respective indenture.
Covenant Compliance
Any inability to comply with the financial maintenance covenantcovenants under the terms of our Restated Credit Agreement, Senior Secured Notes indentures or Senior Unsecured Notes indentures could lead to a default or an event of default for which we may need to seek relief from our lenders and noteholders in order to waive the associated default or event of default and avoid a potential acceleration of the related indebtedness or cross-default or cross-acceleration to other debt. There can be no assurance that we would be able to obtain such relief on commercially reasonable terms or otherwise and we may be required to incur significant additional costs. In addition, the lenders under our Restated Credit Agreement, holders of our Senior Secured Notes and holders of our Senior Unsecured Notes may impose additional operating and financial restrictions on us as a condition to granting any such waiver.
During 2017 2018 and through the sixthree months ended June 30, 2019,March 31, 2020, the Company completed several actions which included using cash flows from operations to repay debt and refinancing debt with near termnear-term maturities. These actions have reduced the Company’s debt balance and positively affected the Company’s ability to comply with the financial maintenance covenant. As of June 30, 2019,March 31, 2020, the Company was in compliance with its financial maintenance covenant related to its outstanding debt. The Company, based on its current forecast as adjusted for the next twelve months frompotential impacts of the date of issuance of this Form 10-Q,COVID-19 pandemic, expects to remain in compliance with the financial maintenance covenant and meet its debt service obligations over that same period.for at least the twelve months following the date of issuance of this Form 10-Q.


The Company continues to take steps to improve its operating results to ensure continual compliance with its financial maintenance covenant and take other actions to reduce its debt levels to align with the Company’s long-term strategy. The Company may consider taking other actions, including divesting other businesses, refinancing debt and issuing equity or equity-linked securities as deemed appropriate, to provide additional coverage in complying with the financial maintenance covenant and meeting its debt service obligations.
Weighted Average Interest Rate
The weighted average stated rate of interest of the Company's outstanding debt as of June 30, 2019March 31, 2020 and December 31, 20182019 was 6.44%6.01% and 6.23%6.21%, respectively.
See Note 10, "FINANCING ARRANGEMENTS" to our unaudited interim Consolidated Financial Statements for further details.
Credit Ratings
As of August 6, 2019,May 7, 2020, the credit ratings and outlook from Moody's, Standard & Poor's and Fitch for certain outstanding obligations of the Company were as follows:
Rating Agency Corporate Rating Senior Secured Rating  Senior Unsecured Rating Outlook
Moody’s  B2 Ba2 B3 Stable
Standard & Poor’s BB+ BB-BB B-B Stable
Fitch B BB B Stable
Any downgrade in our corporate credit ratings or other credit ratings may increase our cost of borrowing and may negatively impact our ability to raise additional debt capital.
Future Cash Requirements
A substantial portion of our cash requirements for the remainder of 20192020 are for debt service. Our other future cash requirements relate to working capital, capital expenditures, business development transactions (contingent consideration), restructuring and integration, benefit obligations and litigation settlements. In addition, we may use cash to enter into licensing arrangements and/or to make strategic acquisitions.
In addition to our working capital requirements, as of June 30, 2019,March 31, 2020, we expect our primary cash requirements during the remainder of 20192020 to be as follows:


Debt serservicevice—We expect to make principal and interest payments of approximately $864$1,164 million during the remainder of 2019, which includes the $100 million in principal prepayments we made on August 1, 2019, that reduces the scheduled maturity payments of our term loan facilities in 2020. As a result of prepayments and a series of refinancing transactions we have reduced and extended the maturities of a substantial portion of our long-term debt. As of the date of this filing, there are no scheduled principal repayments of our debt obligations through 2021 are approximately $410 million.2021. We may elect to make additional principal payments under certain circumstances. Further, in the ordinary course of business, we may borrow and repay amounts under our 2023 Revolving Credit Facility to meet business needs;
IT Infrastructure Investment—We expect to make payments of approximately $53$35 million for licensing, maintenance and other costs associated with our IT infrastructure improvement projects during the remainder of 2019;2020;
Capital expenditures—We expect to make payments of approximately $165$200 million for property, plant and equipment during the remainder of 2019;2020;
Contingent consideration payments—We expect to make contingent consideration and other approval/sales-based milestone payments of approximately $21$30 million during the remainder of 2019;2020;
Restructuring and integration payments—We expect to make payments of approximately $15$6 million during the remainder of 20192020 for employee separation costs and lease termination obligations associated with restructuring and integration actions we have taken through June 30, 2019;March 31, 2020; and
Benefit obligations—We expect to make payments under our pension and postretirement obligations of approximately $7$13 million during the remainder of 2019.2020.
U.S. Securities Litigation Settlement—As more fully discussed in Note 18, "LEGAL PROCEEDINGS" to our unaudited interim Consolidated Financial Statements, in December 2019, we announced that we had agreed to resolve the U.S. Securities Litigation for $1,210 million, subject to final court approval. Once approved by the court, the settlement will resolve and discharge all claims against the Company in the class action. As part of the settlement, the Company and the other settling defendants admitted no liability as to the claims against it and deny all allegations of wrongdoing. This settlement, once approved by the court, will resolve the most significant of the Company's remaining legacy legal matters and eliminate a material uncertainty regarding our Company. As of March 31, 2020, Restricted cash includes $1,010 million of payments into an escrow fund under the terms of a settlement agreement regarding certain U.S. securities litigation, subject to final court


approval. On January 27, 2020 the court preliminarily approved the settlement and scheduled the final settlement approval hearing for May 27, 2020. The balance of the settlement will be paid in accordance with the payment schedule outlined in the settlement agreement.
We continue to evaluate opportunities to improve our operating results and may initiate additional cost savings programs to streamline our operations and eliminate redundant processes and expenses. These cost savings programs may include, but are not limited to: (i) reducing headcount, (ii) eliminating real estate costs associated with unused or under-utilized facilities and (iii) implementing contribution margin improvement and other cost reduction initiatives. The expenses associated with the implementation of these cost savings programs could be material and may impact our cash flows.
In the ordinary course of business, the Company is involved in litigation, claims, government inquiries, investigations, charges and proceedings. See Note 19,18, "LEGAL PROCEEDINGS" to our unaudited interim Consolidated Financial Statements. Our ability to successfully defend the Company against pending and future litigation may impact future cash flows.
OFF-BALANCE SHEET ARRANGEMENTS AND CONTRACTUAL OBLIGATIONS
We have no off-balance sheet arrangements that have a material current effect or that are reasonably likely to have a material effect on our results of operations, financial condition, capital expenditures, liquidity, or capital resources. The following table summarizes our contractual obligations related to our long-term debt, including interest, as of June 30, 2019:March 31, 2020:
(in millions) Total Remainder of 2019 2020 2021 and 2022 2023 and 2024 Thereafter Total Remainder of 2020 2021 2022 and 2023 2024 and 2025 Thereafter
Long-term debt obligations, including interest $33,622
 $767
 $1,731
 $4,819
 $8,870
 $17,435
 $33,419
 $1,164
 $1,472
 $6,774
 $15,122
 $8,887
There have been no other material changes to the contractual obligations disclosed in Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Off-Balance Sheet Arrangements and Contractual Obligations” included in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC on February 20, 2019.19, 2020.
OUTSTANDING SHARE DATA
Our common shares trade on the New York Stock Exchange and the Toronto Stock Exchange under the symbol “BHC”.
At August 1, 2019,April 30, 2020, we had 352,267,545354,727,444 issued and outstanding common shares. In addition, as of August 1, 2019,April 30, 2020, we had outstanding 7,341,6359,191,569 stock options and 6,142,8746,227,030 time-based restricted share units that each represent the right of a holder to receive one of the Company’s common shares, and 2,098,9862,287,525 performance-based restricted share units that represent the right of a holder to receive a number of the Company's common shares up to a specified maximum. A maximum of 4,231,0794,300,999 common shares could be issued upon vesting of the performance-based restricted share units outstanding.
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
Critical accounting policies and estimates are those policies and estimates that are most important and material to the preparation of our Consolidated Financial Statements, and which require management’s most subjective and complex judgment due to the need to select policies from among alternatives available, and to make estimates about matters that are inherently uncertain. Management has reassessed the critical accounting policies and estimates as disclosed in Item 7. “Management’s Discussion and
Analysis of Financial Condition and Results of Operations — Critical Accounting Policies and Estimates” included in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC on February 20, 2019,19, 2020, and determined that there were no significant changes in our critical accounting policies in the sixthree months ended June 30, 2019,March 31, 2020, except forfor: (i) estimates and assumptions regarding the nature, timing and extent that the COVID-19 pandemic will possibly have on the Company's operations and cash flows as disclosed in Note 2, "SIGNIFICANT ACCOUNTING POLICIES" to our unaudited interim Consolidated Financial Statements, (ii) the impact that the COVID-19 pandemic has on the Company’s assessment of goodwill as disclosed in Note 8, "INTANGIBLE ASSETS AND GOODWILL" to our unaudited interim Consolidated Financial Statements and (iii) recently adopted accounting guidance as discussed in Note 2, "SIGNIFICANT ACCOUNTING POLICIES" to our unaudited interim Consolidated Financial Statements.
NEW ACCOUNTING STANDARDS
Adoption of New Accounting Guidance
Information regarding recently issued accounting guidance is contained in Note 2, "SIGNIFICANT ACCOUNTING POLICIES" of notes to the unaudited interim Consolidated Financial Statements.


FORWARD-LOOKING STATEMENTS
Caution regarding forward-looking information and statements and “Safe-Harbor” statements under the U.S. Private Securities Litigation Reform Act of 1995 and applicable Canadian securities laws:
To the extent any statements made in this Form 10-Q contain information that is not historical, these statements are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and may be forward-looking information within the meaning defined under applicable Canadian securities laws (collectively, “forward-looking statements”).
These forward-looking statements relate to, among other things: our business strategy, business plans and prospects and forecasts and changes thereto; product pipeline, prospective products and product approvals, product development and future performance and results of current and anticipated products; anticipated revenues for our products, including the Significant Seven;products; anticipated growth in our Ortho Dermatologics business; expected R&D and marketing spend, including in connection with the promotion of the Significant Seven;spend; our expected primary cash and working capital requirements for 20192020 and beyond; the Company's plans for continued improvement in operational efficiency and the anticipated impact of such plans; our liquidity and our ability to satisfy our debt maturities as they become due; our ability to reduce debt levels; our ability to meet the financial and other covenants contained in our Fourth Amended and Restated Credit and Guaranty Agreement (the "Restated Credit Agreement"), and senior notes indentures; the impact of our distribution, fulfillment and other third-party arrangements; proposed pricing actions; exposure to foreign currency exchange rate changes and interest rate changes; the outcome of contingencies, such as litigation, subpoenas, investigations, reviews, audits and regulatory proceedings; the anticipated impact of the adoption of new accounting standards; general market conditions; our expectations regarding our financial performance, including revenues, expenses, gross margins and income taxes; and our impairment assessments, including the assumptions used therein and the results thereof.thereof; and the anticipated impact of the evolving COVID-19 pandemic and related responses from governments and private sector participants on the Company, its supply chain, third-party suppliers, project development timelines, costs, revenue, margins, liquidity and financial condition and the Company’s planned actions and responses to this pandemic.
Forward-looking statements can generally be identified by the use of words such as “believe”, “anticipate”, “expect”, “intend”, “estimate”, “plan”, “continue”, “will”, “may”, “could”, “would”, “should”, “target”, “potential”, “opportunity”, “designed��“designed”, “create”, “predict”, “project”, “forecast”, “seek”, “strive”, “ongoing” or “increase” and variations or other similar expressions. In addition, any statements that refer to expectations, intentions, projections or other characterizations of future events or circumstances are forward-looking statements. These forward-looking statements may not be appropriate for other purposes. Although we have previously indicated certain of these statements set out herein, all of the statements in this Form 10-Q that contain forward-looking statements are qualified by these cautionary statements. These statements are based upon the current expectations and beliefs of management. Although we believe that the expectations reflected in such forward-looking statements are reasonable, such statements involve risks and uncertainties, and undue reliance should not be placed on such statements. Certain material factors or assumptions are applied in making such forward-looking statements, including, but not limited to, factors and assumptions regarding the items previously outlined, those factors, risks and uncertainties outlined below and the assumption that none of these factors, risks and uncertainties will cause actual results or events to differ materially from those described in such forward-looking statements. Actual results may differ materially from those expressed or implied in such statements. Important factors, risks and uncertainties that could cause actual results to differ materially from these expectations include, among other things, the following:
the risks and uncertainties caused by or relating to the evolving COVID-19 pandemic, the fear of that pandemic, the rapidly evolving reaction of governments, private sector participants and the public to that pandemic and the potential effects and economic impact of the pandemic and the reaction to it, the severity, duration and future impact of which are highly uncertain and cannot be predicted, and which may have a significant adverse impact on the Company, including but not limited to its supply chain, third-party suppliers, project development timelines, employee base, liquidity, stock price, financial condition and costs (which may increase) and revenue and margins (both of which may decrease);
the expense, timing and outcome of legal and governmental proceedings, investigations and information requests relating to, among other matters, our past distribution, marketing, pricing, disclosure and accounting practices (including


with respect to our former relationship with Philidor Rx Services, LLC ("Philidor")), including pending investigations by the U.S. Attorney's Office for the District of Massachusetts and the U.S. Attorney's Office for the Southern District of New York, the pending investigations by the U.S. Securities and Exchange Commission (the “SEC”) of the Company, the investigation order issued by the Company from the Autorité des marchés financiers (the “AMF”) (the Company’s principal securities regulator in Canada), a number of pending putativesecurities litigations (including certain pending opt-out actions in the U.S. (related to the recently settled securities class action, litigations in(which is subject to final court approval, and remains subject to the risk and uncertainty that the U.S. (including related opt-out actions)District Court for the District of New Jersey may not approve the $1,210 million settlement agreement)) and the pending class action litigation in Canada (includingand related opt-out actions) and purported class actions under the federal RICO statute and other claims, investigations or proceedings that may be initiated or that may be asserted;


potential additional litigation and regulatory investigations (and any costs, expenses, use of resources, diversion of management time and efforts, liability and damages that may result therefrom), negative publicity and reputational harm on our Company, products and business that may result from the past and ongoing public scrutiny of our past distribution, marketing, pricing, disclosure and accounting practices and from our former relationship with Philidor;
the past and ongoing scrutiny of our legacy business practices, including with respect to pricing (including the investigations by the U.S. Attorney's Offices for the District of Massachusetts and the Southern District of New York), and any pricing controls or price adjustments that may be sought or imposed on our products as a result thereof;
pricing decisions that we have implemented, or may in the future elect to implement, such as the Patient Access and Pricing Committee’s commitment that the average annual price increase for our branded prescription pharmaceutical products will be set at no greater than single digits, or any future pricing actions we may take following review by our Patient Access and Pricing Committee (which is responsible for the pricing of our drugs);
legislative or policy efforts, including those that may be introduced and passed by the U.S. Congress, designed to reduce patient out-of-pocket costs for medicines, which could result in new mandatory rebates and discounts or other pricing restrictions, controls or regulations (including mandatory price reductions);
ongoing oversight and review of our products and facilities by regulatory and governmental agencies, including periodic audits by the U.S. Food and Drug Administration (the "FDA") and the results thereof;
actions by the FDA or other regulatory authorities with respect to our products or facilities;
our substantial debt (and potential additional future indebtedness) and current and future debt service obligations, our ability to reduce our outstanding debt levels and the resulting impact on our financial condition, cash flows and results of operations;
our ability to meet the financial and other covenants contained in our Restated Credit Agreement, senior notes indentures, 2023 Revolving Credit Facility and other current or future debt agreements and the limitations, restrictions and prohibitions such covenants impose or may impose on the way we conduct our business, including prohibitions on incurring additional debt if certain financial covenants are not met, limitations on the amount of additional debtobligations we are able to incur where not prohibited,pursuant to other covenants, our ability to draw under our 2023 Revolving Credit Facility and restrictions on our ability to make certain investments and other restricted payments;
any default under the terms of our senior notes indentures or Restated Credit Agreement and our ability, if any, to cure or obtain waivers of such default;
any delay in the filing of any future financial statements or other filings and any default under the terms of our senior notes indentures or Restated Credit Agreement as a result of such delays;
any downgrade by rating agencies in our credit ratings, which may impact, among other things, our ability to raise debt and the cost of capital for additional debt issuances;
any reductions in, or changes in the assumptions used in, our forecasts for fiscal year 20192020 or beyond, including as a result of the impacts of COVID-19 on our business and operations, which could lead to, among other things: (i) a failure to meet the financial and/or other covenants contained in our Restated Credit Agreement and/or senior notes indentures and/or (ii) impairment in the goodwill associated with certain of our reporting units or impairment charges related to certain of our products or other intangible assets, which impairments could be material;
changes in the assumptions used in connection with our impairment analyses or assessments, which would lead to a change in such impairment analyses and assessments and which could result in an impairment in the goodwill associated with any of our reporting units or impairment charges related to certain of our products or other intangible assets;
the uncertainties associated with the acquisition and launch of new products (such as our recently launched Bryhali™Bryhali®, Duobrii™Duobrii® and Ocuvite® Eye Performance products), including, but not limited to, our ability to provide the time, resources, expertise and costs required for the commercial launch of new products, the acceptance and demand for new pharmaceutical products, and the impact of competitive products and pricing, which could lead to material impairment charges;


resources, expertise and costs required for the commercial launch of new products, the acceptance and demand for new pharmaceutical products, and the impact of competitive products and pricing, which could lead to material impairment charges;
our ability or inability to extend the profitable life of our products, including through line extensions and other life-cycle programs;
our ability to retain, motivate and recruit executives and other key employees;


our ability to implement effective succession planning for our executives and key employees;
factors impacting our ability to achieve anticipated growth in our Ortho Dermatologics business, including the success of recently launched products (such as Bryhali™ and Duobrii™
factors impacting our ability to achieve anticipated growth in our Ortho Dermatologics business, including the success of recently launched products (such as Bryhali® and Duobrii®), the ability to successfully implement and operate Dermatology.com, our new cash-pay prescription program for certain of our Ortho Dermatologics branded products, and the ability of such program to achieve the anticipated goals respecting patient access and fulfillment, the approval of pending and pipeline products (and the timing of such approvals), expected geographic expansion, changes in estimates on market potential for dermatology products and continued investment in and success of our sales force;
factors impacting our ability to achieve anticipated revenues for our Significant Seven products, including changes in anticipated marketing spend on such products and launch of competing products;
the challenges and difficulties associated with managing a large complex business, which has, in the past, grown rapidly;
our ability to compete against companies that are larger and have greater financial, technical and human resources than we do, as well as other competitive factors, such as technological advances achieved, patents obtained and new products introduced by our competitors;
our ability to effectively operate and grow our businesses in light of the challenges that the Company has faced and market conditions, including with respect to its substantial debt, pending investigations and legal proceedings, scrutiny of our past pricing and other practices, and limitations on the way we conduct business imposed by the covenants contained in our Restated Credit Agreement, senior notes indentures and the agreements governing our other indebtedness;indebtedness, and the impacts of the COVID-19 pandemic;
the extent to which our products are reimbursed by government authorities, pharmacy benefit managers ("PBMs") and other third-party payors; the impact our distribution, pricing and other practices (including as it relates to our current relationship with Walgreen Co. ("Walgreens")) may have on the decisions of such government authorities, PBMs and other third-party payors to reimburse our products; and the impact of obtaining or maintaining such reimbursement on the price and sales of our products;
the inclusion of our products on formularies or our ability to achieve favorable formulary status, as well as the impact on the price and sales of our products in connection therewith;
the consolidation of wholesalers, retail drug chains and other customer groups and the impact of such industry consolidation on our business;
our eligibility for benefits under tax treaties and the continued availability of low effective tax rates for the business profits of certain of our subsidiaries;
the actions of our third-party partners or service providers of research, development, manufacturing, marketing, distribution or other services, including their compliance with applicable laws and contracts, which actions may be beyond our control or influence, and the impact of such actions on our Company, including the impact to the Company of our former relationship with Philidor and any alleged legal or contractual non-compliance by Philidor;
the risks associated with the international scope of our operations, including our presence in emerging markets and the challenges we face when entering and operating in new and different geographic markets (including the challenges created by new and different regulatory regimes in such countries and the need to comply with applicable anti-bribery and economic sanctions laws and regulations);
adverse global economic conditions and credit markets and foreign currency exchange uncertainty and volatility in certain of the countries in which we do business;
the impact of the recently signed United States-Mexico-Canada Agreement (“USMCA”) and any potential changes to other trade agreements;


the final outcome and impact of Brexit negotiations;
the trade conflict between the United States and China;
our ability to obtain, maintain and license sufficient intellectual property rights over our products and enforce and defend against challenges to such intellectual property (such as in connection with the recent filing by Norwich Pharmaceuticals Inc. (“Norwich”) of its Abbreviated New Drug Application (“ANDA”) for Xifaxan® (rifaximin) 550 mg tablets and the Company’s related lawsuit filed against Norwich in connection therewith);
our ability to obtain, maintain and license sufficient intellectual property rights over our products and enforce and defend against challenges to such intellectual property;

the introduction of generic, biosimilar or other competitors of our branded products and other products, including the introduction of products that compete against our products that do not have patent or data exclusivity rights;
our ability to identify, finance, acquire, close and integrate acquisition targets successfully and on a timely basis and the difficulties, challenges, time and resources associated with the integration of acquired companies, businesses and products;
any additional divestitures of our assets or businesses and our ability to successfully complete any such divestitures on commercially reasonable terms and on a timely basis, or at all, and the impact of any such divestitures on our Company, including the reduction in the size or scope of our business or market share, loss of revenue, any loss on sale, including any resultant impairments of goodwill or other assets, or any adverse tax consequences suffered as a result of any such divestitures;
the expense, timing and outcome of pending or future legal and governmental proceedings, arbitrations, investigations, subpoenas, tax and other regulatory audits, examinations, reviews and regulatory proceedings against us or relating to us and settlements thereof;
our ability to negotiate the terms of or obtain court approval for the settlement of certain legal and regulatory proceedings;
our ability to obtain components, raw materials or finished products supplied by third parties (some of which may be single-sourced) and other manufacturing and related supply difficulties, interruptions and delays;
the disruption of delivery of our products and the routine flow of manufactured goods;
economic factors over which the Company has no control, including changes in inflation, interest rates, foreign currency rates, and the potential effect of such factors on revenues, expenses and resulting margins;
interest rate risks associated with our floating rate debt borrowings;
our ability to effectively distribute our products and the effectiveness and success of our distribution arrangements, including the impact of our arrangements with Walgreens;
our ability to effectively promote our own products and those of our co-promotion partners, such as Doptelet® (Dova Pharmaceuticals, Inc.) and Lucemyra® (US WorldMeds, LLC);
our ability to effectively promote our own products and those of our co-promotion partners;
the success of our fulfillment arrangements with Walgreens, including market acceptance of, or market reaction to, such arrangements (including by customers, doctors, patients, PBMs, third-party payors and governmental agencies), and the continued compliance of such arrangements with applicable laws;
the acceptance and success of our new cash-pay prescription program for certain of our Ortho Dermatologics branded products;
our ability to secure and maintain third-party research, development, manufacturing, licensing, marketing or distribution arrangements;
the risk that our products could cause, or be alleged to cause, personal injury and adverse effects, leading to potential lawsuits, product liability claims and damages and/or recalls or withdrawals of products from the market;
the mandatory or voluntary recall or withdrawal of our products from the market and the costs associated therewith;
the availability of, and our ability to obtain and maintain, adequate insurance coverage and/or our ability to cover or insure against the total amount of the claims and liabilities we face, whether through third-party insurance or self-insurance;
the difficulty in predicting the expense, timing and outcome within our legal and regulatory environment, including with respect to approvals by the FDA, Health Canada and similar agencies in other countries, legal and regulatory proceedings and settlements thereof, the protection afforded by our patents and other intellectual and proprietary property, successful generic challenges to our products and infringement or alleged infringement of the intellectual property of others;


the results of continuing safety and efficacy studies by industry and government agencies;
the success of preclinical and clinical trials for our drug development pipeline or delays in clinical trials that adversely impact the timely commercialization of our pipeline products, as well as other factors impacting the commercial success of our products, which could lead to material impairment charges;
the results of management reviews of our research and development portfolio (including following the receipt of clinical results or feedback from the FDA or other regulatory authorities), which could result in terminations of specific projects which, in turn, could lead to material impairment charges;


the seasonality of sales of certain of our products;
declines in the pricing and sales volume of certain of our products or the products that we co-promote (such as Doptelet® and Lucemyra®) that are distributed or marketed by third parties, over which we have no or limited control;
compliance by the Company or our third partythird-party partners and service providers (over whom we may have limited influence), or the failure of our Company or these third parties to comply, with health care “fraud and abuse” laws and other extensive regulation of our marketing, promotional and business practices (including with respect to pricing), worldwide anti-bribery laws (including the U.S. Foreign Corrupt Practices Act and the Canadian Corruption of Foreign Public Officials Act), worldwide economic sanctions and/or export laws, worldwide environmental laws and regulation and privacy and security regulations;
the impacts of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (the “Health Care Reform Act”) and potential amendment thereof and other legislative and regulatory health care reforms in the countries in which we operate, including with respect to recent government inquiries on pricing;
the impact of any changes in or reforms to the legislation, laws, rules, regulation and guidance that apply to the Company and its business and products or the enactment of any new or proposed legislation, laws, rules, regulations or guidance that will impact or apply to the Company or its businesses or products;
the impact of changes in federal laws and policy under consideration by the Trump administration and Congress, including the effect that such changes will have on fiscal and tax policies, the potential revision of all or portions of the Health Care Reform Act, international trade agreements and policies and policy efforts designed to reduce patient out-of-pocket costs for medicines (which could result in new mandatory rebates and discounts or other pricing restrictions);
illegal distribution or sale of counterfeit versions of our products;
interruptions, breakdowns or breaches in our information technology systems; and
risks in Item 1A. “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed on February 20, 2019,19, 2020, risks under 1A. “Risk Factors” of Part II of this Form 10-Q and risks detailed from time to time in our other filings with the SEC and the Canadian Securities Administrators (the “CSA”), as well as our ability to anticipate and manage the risks associated with the foregoing.
Additional information about these factors and about the material factors or assumptions underlying such forward-looking statements may be found in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed on February 20, 2019,19, 2020, under Item 1A. “Risk Factors”, under 1A. “Risk Factors” of Part II of this Form 10-Q and in the Company’s other filings with the SEC and CSA. When relying on our forward-looking statements to make decisions with respect to the Company, investors and others should carefully consider the foregoing factors and other uncertainties and potential events. These forward-looking statements speak only as of the date made. We undertake no obligation to update or revise any of these forward-looking statements to reflect events or circumstances after the date of this Form 10-Q or to reflect actual outcomes, except as required by law. We caution that, as it is not possible to predict or identify all relevant factors that may impact forward-looking statements, the foregoing list of important factors that may affect future results is not exhaustive and should not be considered a complete statement of all potential risks and uncertainties.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
Other than as indicated below under “— Interest Rate Risk”, and under 1A. “Risk Factors” of Part II of this Form 10-Q, there have been no material changes to our exposures to market risks as disclosed in Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations — Quantitative and Qualitative Disclosures About Market Risks” included in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC on February 20, 2019.


19, 2020.
Interest Rate Risk
As of June 30, 2019,March 31, 2020, we had $16,962$18,005 million and $5,698$5,041 million principal amount of issued fixed rate debt and variable rate debt, respectively, that requires U.S. dollar repayment, as well as €1,500 million principal amount of issued fixed rate debt that requires repayment in euros. The estimated fair value of our issued fixed rate debt as of June 30, 2019,March 31, 2020, including the foreign currency-denominated debt, denominated in euros, was $19,586$19,654 million. If interest rates were to increase by 100 basis-points, the estimated fair value of our issued fixed rate debt as of June 30, 2019 would decrease by approximately $513$755 million. If interest rates were to decrease by 100 basis-points, the estimated fair value of our issued fixed rate debt as of June 30, 2019 would increase by approximately $359$667 million. We are subject to interest rate risk on our variable rate debt as changes in interest rates could adversely affect earnings and cash flows. A 100 basis-points increase in interest rates,


based on 3-month LIBOR, would have an annualized pre-tax effect of approximately $57$50 million in our Consolidated Statements of Operations and Cash Flows, based on current outstanding borrowings and effective interest rates on our variable rate debt. While our variable-rate debt may impact earnings and cash flows as interest rates change, it is not subject to changes in fair value.
Item 4. Controls and Procedures
Disclosure Controls and Procedures
Our management, with the participation of our Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”), has evaluated the effectiveness of our disclosure controls and procedures as of June 30, 2019.March 31, 2020. Based on this evaluation, our CEO and CFO concluded that our disclosure controls and procedures were effective as of June 30, 2019.March 31, 2020.
Changes in Internal Control Over Financial Reporting
There were no changes in the Company's internal controls over financial reporting that occurred during the three months ended June 30, 2019March 31, 2020 that have materially affected, or are reasonably likely to materially affect, our internal controls over financial reporting.


PART II. OTHER INFORMATION
Item 1. Legal Proceedings
For information concerning legal proceedings, reference is made to Note 19,18, "LEGAL PROCEEDINGS" of notes to the unaudited interim Consolidated Financial Statements included elsewhere in this Form 10-Q.
Item 1A. Risk Factors
ThereExcept as set forth below, there have been no material changes to the risk factors as disclosed in Item 1A “Risk Factors” included in our Annual Report on Form 10-K for the year ended December 31, 2018,2019, filed with the SEC on February 20, 2019.19, 2020. The following risk factor sets forth are additional risks affecting the Company from those originally presented in the Part I, Item 1A of our Annual Report on Form 10-K for the fiscal year ended December 31, 2019:
Risk Relating to COVID-19
The ongoing COVID-19 pandemic, the rapidly evolving reaction of governments, private sector participants and the public to that pandemic and/or the associated economic impact of the pandemic and the reactions to it, could adversely and materially impact our business, financial condition, cash flows and results of operations.
In December 2019, a novel strain of the coronavirus disease, COVID-19, was identified in Wuhan, China. Since then, COVID-19 has spread to other parts of the world, including the United States, Canada and Europe, and was declared a global pandemic by the World Health Organization on March 11, 2020. The pandemic and the rapidly evolving reaction of governments, private sector participants and the public in an effort to contain the spread of COVID-19 and/or address its impacts have intensified and have had significant direct and indirect effects on businesses and commerce generally, including disruption to supply chains, employee base and transactional activity, facilities closures and production suspensions, and significantly increased demand for certain goods and services, such as pandemic-related medical services and supplies, alongside decreased demand for others, such as retail, hospitality, travel and elective surgery.
The extent and duration of the pandemic, the reactions of governments, private sector participants and the public to that pandemic and the associated disruption to business and commerce generally, and the extent to which these may impact our business, financial condition, cash flows and results of operations in particular, will depend on future developments which are highly uncertain and many of which are outside our control and cannot be predicted with confidence. Such developments include the ultimate geographic spread and duration of the pandemic, new information which may emerge concerning the severity of COVID-19, the effectiveness and intensity of measures to contain COVID-19 and/or address its impacts, and the economic impact of the pandemic and the reactions to it. Such developments, among others, depending on their nature, duration and intensity, could have a significant adverse effect on our business, financial condition, cash flows and results of operations and may exacerbate other risk factors disclosed in Item 1A “Risk Factors” included in our Annual Report on Form 10-K for the year ended December 31, 2019, filed with the SEC on February 19, 2020.
As a result of these factors, we may experience disruptions that could materially impact our business, financial condition, cash flows and results of operations. For example, we may experience:
material closures or disruptions to our manufacturing sites (including Milan, Bothell, Washington USA and our two sites in China);
lack of availability of active pharmaceutical ingredients, or API, and intermediates, or other supply chain disruptions, including for some of our key products;
alternative working arrangements, including personnel working remotely and additional cleaning or sterilization protocols at our production facilities, which could negatively impact our business should such arrangements remain for an extended period of time;
interruption or delays in the operations of the FDA, the EMA and other regulatory authorities, which may impact review and approval timelines for our planned trials and launches;
delays or difficulties in enrolling patients in our clinical trials;
delays or difficulties in clinical site initiation, including difficulties in recruiting clinical site investigators and clinical site staff;


diversion of health care resources away from the conduct of clinical trials, including the diversion of hospitals serving as our clinical trial sites and hospital staff supporting the conduct of our clinical trials;
interruption or postponement of key clinical trial activities, such as clinical trial site data monitoring, due to limitations on travel imposed or recommended by federal or state governments, employers and others or interruption of clinical trial subject visits and study procedures, which may impact the integrity of subject data and clinical study endpoints;
limitations on employee resources that would otherwise be focused on our business and operations, such as the conduct of our preclinical studies and clinical trials, including because of sickness of employees or their families or the desire of employees to avoid contact with large groups of people;
delays in or postponements of our clinical trial programs as a result of “stay at home” orders affecting our research facilities or the closure of such research facilities, which may impact the timing, approval and launch of the affected clinical trial programs;
deferral of elective or elective medical procedures and of doctor and dentist visits, and reduced usage of contact lens, which may reduce demand for certain of the Company’s products, including our contact lens products and certain branded pharmaceutical products in our eye care, dermatology, GI and dentistry businesses; and
adverse effects on the regional economies in which we operate which could reduce demand for certain of the Company’s products.
As a result of the impact of COVID-19, we have experienced delays in and postponement of our clinical trial programs and reduced demand for certain of our products due to the deferral of elective medical procedures and of doctor and dentist visits, and we expect to continue to experience those effects as a result of the pandemic, the reactions of governments, private sector participants and the public to the pandemic and the associated disruption to business and commerce generally.
Developments such as those described above, among others, depending on their nature, duration and intensity, could have a significant adverse effect on the Company's business, financial condition, cash flows and results of operations.
As a result, we expect that our consolidated results in 2020 and possibly beyond will be negatively impacted by COVID-19 and this impact may be material. In particular, if management’s assumptions regarding the global impact of the COVID-19 pandemic are incorrect, including our expectation of the absence of a significant second wave of mandated shutdowns, stay-at-home orders and office closures in the fall, our actual results could differ materially from those described in these and other forward-looking statements.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
There were no purchases of equity securities by the Company during the three months ended June 30, 2019.March 31, 2020.
Item 3. Defaults Upon Senior Securities
None.
Item 4. Mine Safety Disclosures
None.
Item 5. Other Information
None.


Item 6. Exhibits
*101.INS101.INS*Inline XBRL Instance Document
*101.SCH101.SCH*Inline XBRL Taxonomy Extension Schema Document
*101.CAL101.CAL*Inline XBRL Taxonomy Extension Calculation Linkbase Document
*101.LAB101.LAB*Inline XBRL Taxonomy Extension Label Linkbase Document
*101.PRE101.PRE*Inline XBRL Taxonomy Extension Presentation Linkbase Document
*101.DEF101.DEF*Inline XBRL Taxonomy Extension Definition Linkbase Document
104*Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

* Filed herewith.



Management contract or compensatory plan or arrangement.


SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
Bausch Health Companies Inc. 
(Registrant)
  
Date: August 6, 2019May 7, 2020/s/ JOSEPH C. PAPA
 Joseph C. Papa
Chief Executive Officer
(Principal Executive Officer and Chairman of the Board)
  
  
Date: August 6, 2019May 7, 2020/s/ PAUL S. HERENDEEN
 Paul S. Herendeen
Executive Vice President and
Chief Financial Officer
(Principal Financial Officer)


INDEX TO EXHIBITS
Exhibit
Number
Exhibit Description
*101.INS101.INS*Inline XBRL Instance Document
*101.SCH101.SCH*Inline XBRL Taxonomy Extension Schema Document
*101.CAL101.CAL*Inline XBRL Taxonomy Extension Calculation Linkbase Document
*101.LAB101.LAB*Inline XBRL Taxonomy Extension Label Linkbase Document
*101.PRE101.PRE*Inline XBRL Taxonomy Extension Presentation Linkbase Document
*101.DEF101.DEF*Inline XBRL Taxonomy Extension Definition Linkbase Document
104*Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

* Filed herewith.
Management contract or compensatory plan or arrangement.





8683